Revista da Escola de Enfermagem da U S P最新文献

Objective: To analyze the prevalence of risk factors among adolescents treated at an emergency department due to suicide attempt.

Method: A cross-sectional, documentary, and retrospective study, conducted through the analysis of medical records of adolescents treated at an emergency department in a Brazilian teaching hospital from January 2015 to May 2023. Risk factors were divided into behavioral, health, violence, conflict, and stress. Data were subjected to descriptive and inferential analysis.

Results: A total of 140 adolescent medical records were analyzed. Family conflicts (47.8%), previous suicide attempt (47.1%) and self-harm (30.7%) were the most prevalent risk factors. Risk factors were associated with age, sex, race, education, previous mental disorder and use of psychotropic medication (p < 0.05).

Conclusion: A high prevalence of risk factors for suicide attempt in adolescents was observed, which was associated with sociodemographic characteristics. It is expected that this study will promote reflections on the translation of Brazilian public policies into care, especially in health promotion, with interventions that aim to reduce risk factors and enhance protective factors.

Objective: To identify and analyze users' perceptions of access and use of health services and actions to monitor Systemic Arterial Hypertension (SAH) in Primary Health Care (PHC).

Methods: This is a qualitative, descriptive and exploratory study based on 38 semi-structured interviews conducted with users selected from Basic Health Units (BHUs) in a large municipality in the state of Rio de Janeiro. Thematic content analysis was used to identify the empirical categories.

Results: Users faced difficulties in scheduling appointments, accessing laboratory test results and medicines at the BHU. Home visits by Community Health Workers (CHWs) intermediated demands for appointments and tests. There were no health education activities and follow-up by the nursing team was residual. The doctor was the main reference, although links were weakened by turnover.

Conclusion: The study identified the need to expand access to basic medicines and test results at the BHU, the role of nurses in promotional, preventive and clinical actions, the scope of CHWs' work in health education and interprofessional work.

Objective: To understand the meanings revealed by nurses about sustainable care in its connections with the management of Healthcare Waste in hospital.

Method: Qualitative research, whose theoretical and methodological references were, respectively, Complexity Theory and Grounded Theory. Nursing professionals from a public hospital in Rio de Janeiro participated in the study. Data was collected through semi-structured interviews.

Results: The actions-interactions signified by the nursing staff, for the management of Healthcare Waste, revealed an understanding of the socio-environmental responsibility of the rational use of material resources; of the need for permanent education to promote environmental education; of the need to supervise the proper management of waste. The professionals perceive themselves as a driving force for reordering positive changes in this context.

Conclusion: The participants signaled implications between knowledge, rational use of materials, waste generation and disposal, health economics and quality of care. From these connections, we can deduce the complex meaning of sustainable hospital nursing care in the context of Healthcare Waste management.

Objective: To explore the effects of a cognitive-behavioral program addressing urinary incontinence on the quality of life of men who have undergone radical prostatectomy.

Method: Randomized controlled clinical trial with patients undergoing radical prostatectomy in an institution for cancer treatment in Brazil. The 34 participants were randomized into two groups: 17 in the control group who received the institution's standard care and 17 in the intervention group who received the cognitive-behavioral program. Quality of life was assessed using the King's Health Questionnaire and the International Consultation on Incontinence Questionnaire-Short Form.

Results: Participants from intervention group showed better results regarding the reduction of the impact of urinary incontinence on quality of life (p ≤ 0.001), with emphasis on limitations in daily activities, general health perception, physical and social limitations, emotions, and sleep and mood.

Conclusion: The cognitive-behavioral program was effective in reducing the impact of urinary incontinence on quality of life. This study contributes to clinical practice by providing an effective, low-cost, and easily applicable therapy. Brazilian Registry of Clinical Trials: RBR-3sstqg.

Objective: To describe nurses' beliefs and attitudes related to care during the end-of-life process and death in a neonatal intensive care unit.

Method: Descriptive and qualitative study with nurses working in a neonatal intensive care unit who experienced care for newborns who died in these units. Data collection was carried out through recorded interviews that were analyzed following thematic analysis from the perspective of the Health Belief Model.

Results: Nurses' beliefs were categorized in relation to death, nursing care, and perceptions about newborns. The influence of these beliefs on behaviors and care practices was denoted, with the need for emotional support and specific training to manage these situations being highlighted.

Conclusion: Knowledge of the beliefs described in the study is essential to develop more sensitive and comprehensive care strategies, contributing to improve the quality of care in neonatal intensive care units.

Objective: To understand the father's lived experience of childbirth as a significant life situation within the well-being concept framework. To understand the father's lived experience of childbirth within the framework of the concept of well-being as a significant life situation.

Method: Secondary data analysis from a qualitative study about the experience of twelve Chilean fathers who were prepared to actively participate at childbirth from a mixed public-private health system institution between 2016-2017, was carried out. Qualitative data were extracted from transcripts of open interviews with eight of the twelve fathers after childbirth. Data were analyzed using an interpretive-phenomenological approach.

Results: Four central themes emerged from data, which were framed and understand within the psychological well-being concept: I. Feeling as a part of the healthcare team; II. Perceiving himself capable of containing and supporting his partner and being a guardian of the process; III. Being committed to being a father from the first moment of contact with the child; IV. Being wrapped in a whirlwind of emotions.

Conclusion: Father's lived experience at childbirth can be understood considering the psychological well-being concept. Prepared fathers could live the childbirth experience within a state of well-being, focusing on their achievements, commitments, and being satisfied with their roles as father and partner.

Objective: To map the scientific evidence on the care offered to health service users with Long Covid-19.

Method: This is a scoping review based on the methods of the Joanna Briggs Institute. Primary studies were included, in Portuguese, English and Spanish, published between December 2019 and June 2023, in the Virtual Health Library, Web of Science, Scopus, PUBMED, SciELO and LITCovid LongCovid databases.

Results: Of the ١٣ articles analyzed, it stands out that the care provided to patients with Long Covid is associated with drug prescription, indication of physical exercises, telerehabilitation and physiotherapy.

Conclusion: A fragmentation was identified in the care provided to users of health services with Long Covid, with care directed only at isolated symptoms, without addressing the biopsychosocial care that people with this condition need.

Objective: To analyze the experience of women aged 35 or over regarding the transition to unplanned motherhood.

Method: A descriptive qualitative study, with semi-structured interviews with six women in this age group, selected by convenience, carried out in a high-risk prenatal clinic between July 2022 and July 2023. Analysis was based on Transitions Theory.

Results: Three main categories were identified: Transition properties (attributes of late motherhood); Transition conditions (personal, social and community factors as facilitators or inhibitors); and Response patterns (coping and adaptation strategies). The results highlight the emotional and psychosocial complexity, including the impact of social stigma, health challenges and the duality of old age, which brings both challenges and maturity.

Conclusion: The need for public policies and specialized support to promote mental health, well-being and social integration is emphasized, aiming for a healthier and more empowered transition to motherhood.

Objective: To analyze the experiences and meanings attributed by trans men to the breastfeeding process in light of the Theory of Social Representations.

Method: A qualitative, descriptive and exploratory study, carried out nationwide, with an intentional sample of five trans men who experienced breastfeeding and aged 18 or over. A semi-structured interview script was applied as a data collection instrument, using the Google Meet® platform, from September to October 2021. The data were described, integrating them with content analysis, resulting in two analytical categories.

Results: Trans men in labor were willing to breastfeed their child, anchoring their representations of breastfeeding in the idea that it is a phenomenon performed exclusively by women and also recognizing this phenomenon as an event that constitutes their masculinity, in addition to describing it as a pedagogical and learning experience with the objective of guaranteeing the healthy development of children.

Conclusions: This study may promote reflections for changing nursing and health practices in different care settings, especially during prenatal care, childbirth and the postpartum period.

Objective: To describe the development and quality analysis stages of a mobile health application for the treatment of urinary incontinence in men after radical prostatectomy.

Method: A technological development study. Eight clinical experts and eight software development experts participated in quality assessment. Six characteristics and 22 subcharacteristics were assessed using an online form. Agreement rates above 70% were considered satisfactory.

Results: The percentages of agreement of characteristics by clinical experts and developers were performance efficiency (90.5%), compatibility (100%) (both assessed only by the developers), functional suitability (78.5; 100%), usability (74.2; 82.7%), reliability (95.0; 82.3%) and security (87.6; 91.4%). Accessibility, user error protection, maturity and recoverability subcharacteristics showed agreement below 70%, which guided researchers to incorporate software improvements.

Conclusion: The application presented satisfactory technical quality, configuring digital technological innovation that favors nursing care for men with urinary incontinence after radical prostatectomy.