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

Objective: The present study examines the relationship between health-seeking behavior and digital health literacy in patients with epilepsy.

Method: Included in this descriptive, cross-sectional study were 115 epilepsy patients diagnosed at the neurology outpatient clinic of a public hospital between July and November 2024. All participants completed the Digital Health Literacy Instrument (DHLI) and the Health-Seeking Behavior Scale (HLBS). Statistical analyses were conducted to assess correlations between the scales and to compare mean scores across different patient characteristics.

Results: A weak but statistically significant correlation was observed between several sub-dimensions of the DHLI (including information seeking, evaluating reliability, determining relevance, content creation and privacy protection) and the total HLBS score (p < 0.05). When the average scores of DHLI and HLBS are compared with the level of education, seizure frequency and time spent on social media, the statistical difference between them is significant. Specifically, patients with lower educational attainment and limited social media use were found to have lower levels of digital health literacy.

Conclusion: The findings of the present study suggest that an interactive relationship exists between digital health literacy and health-seeking behaviors among epilepsy patients. We recommend tailored educational interventions and professional healthcare support to ensure the dissemination of reliable digital health information. Future studies may explore this relationship further with the involvement of larger samples and alternative methodologies.

Objective: To explore the relationship between mindful attention awareness and attitudes toward social handwashing among undergraduate nursing and midwifery students.

Method: A cross-sectional and correlational study was conducted with 679 undergraduate nursing and midwifery students. Data were collected using two scales: (1) the Mindful Attention Awareness Scale (MAAS) and (2) the Attitude Scale toward Social Handwashing (ASSHW). Additionally, the participants provided data on their sociodemographic characteristics and responded to an inventory of handwashing practices. Relationships between scores were examined using Spearman's rho.

Results: The students' mindful attention levels (MAAS) averaged 44.97 ± 11.46, and their attitudes toward social handwashing (ASSHW) averaged 78.32 ± 13.67. While no direct correlation was found between overall ASSHW and MAAS scores, there were positive correlations between mindful attention levels and certain ASSHW sub-dimensions, as well as with specific handwashing behaviors such as frequency and duration.

Conclusion: These findings suggest that mindful attention may support better hand hygiene practices among nursing and midwifery students.

Objective: To describe and analyze the functional health literacy of lactating women treated at a Human Milk Bank in Maranhão.

Method: Cross-sectional, descriptive study, carried out between August 2023 and March 2024, at the Milk Bank of a public university hospital in Northeast Brazil, using a validated health literacy scale.

Results: A total of 187 lactating women participated, of which 56.15% had inadequate health literacy. There was a significant association between health literacy and the Mini Mental State Examination, with a greater probability of inadequate literacy among younger women (67.1%), with finished elementary education (91.7%), unfinished secondary education (91.7%), and income below one minimum wage (95%). Association tests (Chi-square) were applied, with significance at p < 0.05, highlighting the association between literacy and age (p = 0.00697).

Conclusion: Most of the lactating women evaluated presented inadequate health literacy, showing the importance of educational strategies as a basis for health promotion and improvement of the care provided to this population.

Objective: To clinically validate a terminological subset of the International Classification for Nursing Practice (ICNP®) for newborns (NB) with Peripherally Inserted Central Catheter (PICC), in the Neonatal Intensive Care Unit (NICU).

Method: Clinical validation study of an ICNP terminology subset®. The research was conducted through the following steps: application of the Nursing Process in NB admitted to a NICU, development of case studies, and assessment of agreement among experts. For data analysis, the Kappa coefficient of agreement, the Kruskal-Wallis test, and the intraclass correlation coefficient (ICC) were used.

Results: The evaluation of diagnoses/outcomes and interventions indicated an agreement ranging from almost perfect to perfect, with ICC classified as excellent. The application of the Kruskal-Wallis test revealed the absence of statistically significant differences between the evaluations.

Conclusion: The study clinically validated a subset of 53 nursing diagnoses/outcomes and 110 interventions, demonstrating their applicability in the care of neonates with Peripherally Inserted Central Catheters.

This study aimed to understand the repercussions of the dose of nursing intervention for professional practice. This is a theoretical reflection study that sought to answer: what are the repercussions of the dose of nursing intervention for professional practice? To answer this question, a corpus of selected texts was considered that allowed us to understand such repercussions. The following repercussions were identified: the possibility of measuring the efficacy and effectiveness of treatments prescribed by nurses; the reduction of variability in prescribed actions; the construction of a more solid evidence base so that nurses, in different contexts, feel confident in taking responsibility for clinical outcomes in nursing; the greater replicability of actions in nursing intervention studies; the increased potential for replicability of treatments prescribed in similar situations, among others. The study's objective was achieved as it identified how the dose of nursing intervention affects professional practice, without which it is not possible to discuss the impacts of care on patients' clinical outcomes.

Objective: To analyze the average direct costs related to nursing professionals' labor and materials required to implement and maintain a fall prevention protocol for adult patients in a Clinical and Surgical Inpatient Unit.

Method: Quantitative, exploratory-descriptive research, of the single case study type, based on absorption microcosting, carried out from August to October/2024 in a Medium-sized General Private Hospital.

Results: The direct cost for implementing the protocol totaled US$ 819.24, of which US$ 218.44 related to the direct labor of nursing professionals and US$ 600.80 to the acquisition of material resources. For protocol maintenance, the average total direct cost was US$ 1.77/patient for nursing activities and US$ 10.10 for direct monthly expenditure on materials.

Conclusion: Knowledge of the financial aspects associated with nursing professionals and the acquisition of material resources aimed at implementing and maintaining an adult fall prevention protocol may support decision-making regarding the rational allocation of required resources.

Objective: To analyze the effectiveness of 1 g of dry rosemary extract on sleep quality and hair cortisol concentration in emergency nursing professionals.

Method: Intervention, quasi-experimental, before-and-after study, carried out between September and November 2022 with nursing professionals from a hospital emergency room and an Emergency Room in Rio Grande do Sul. A sociodemographic/occupational questionnaire, Pittsburgh Sleep Quality Index, and hair samples were used. The intervention involved taking 500 mg capsules of dry rosemary extract twice a day for 56 days. Descriptive and analytical analysis, with association and correlation tests (p < 0.05) were used.

Results: Thirty-five workers participated. Poor sleep quality and high levels of hair cortisol concentration predominated. The intervention significantly improved sleep (p = 0.039), without reducing cortisol levels.

Conclusion: The rosemary intervention improved sleep quality, but was not sufficient to reduce hair cortisol concentrations, with other strategies that contribute to the worker's health being required.

Objective: To assess maternal readiness for weaning and examine the socio-demographic and behavioral factors influencing weaning decisions.

Method: A cross-sectional study was conducted at three Family Health Centers located in a provincial center between October 2024 and January 2025. The study included 202 breastfeeding mothers. Data were collected through face-to-face interviews using a sociodemographic questionnaire and the validated Readiness for Weaning Scale. Statistical analyses included t-tests, ANOVA, chi-square tests, and logistic regression.

Results: Mothers with higher education had significantly higher scale scores than those with lower education. Breastfeeding education was associated with increased weaning readiness. Planned pregnancy and maternal perception of milk sufficiency were positively correlated with higher scale scores. Smoking was associated with lower readiness. Logistic regression indicated that maternal perception of milk sufficiency significantly predicted weaning consideration, while lower education levels were associated with reliance on traditional weaning methods. Traditional weaning methods referenced in this study include culturally ingrained practices such as abrupt cessation, use of herbal substances, or application of unpleasant tastes to the breast.

Conclusion: Maternal education, psychological preparedness, and professional support play key roles in structured weaning. Targeted interventions are needed to enhance maternal confidence and informed decision-making in infant feeding transitions. Limitations of the study include its cross-sectional design, which prevents causal inference, and the reliance on self-reported data, which may be subject to recall or social desirability bias.

Objective: To compare the health status and academic progress of nursing students in Croatia, a European Union member state, and Serbia, a European Union candidate country, and to identify factors influencing their well-being and academic success.

Method: A cross-sectional study was conducted with 424 nursing students from the University of Applied Health Sciences in Zagreb, Croatia, and the Academy of Educational and Medical Vocational Studies in Ćuprija, Serbia. Data were collected through an online questionnaire assessing health behavior, well-being, and academic performance. Statistical analyses included the Chi-square and Mann-Whitney U tests.

Results: Croatian students had lower absenteeism (31.6%) and exhibited more responsible sexual health behaviors, while Serbian students reported higher levels of self-satisfaction (mean rank: 189.16 vs. 148.75; p < 0.01) and academic motivation (mean rank: 137.51 vs. 105.66; p < 0.01). Both groups showed health behaviors within normal ranges, though stress and substance use were prevalent. Statistically significant differences were found in self-satisfaction and academic progress (p < 0.05).

Conclusion: This study highlights differences in health and academic outcomes between nursing students in Croatia and Serbia, influenced by cultural, educational, and familial factors. Interventions addressing stress and promoting healthy behaviors are recommended.

Objective: To analyze clinical and sociodemographic factors associated with functional disability in people with ischemic stroke (IS) between 2 and 3 years after the event.

Method: Prospective cohort with 241 participants. Instruments for sociodemographic and clinical characterization, the Rankin-m Scale, and a telephone call protocol were used. Data were analyzed using Pearson's Chi-square or Fisher's Exact tests and a robust Poisson model, with a significance level of 5%.

Results: Of the participants, 62.6% had a Rankin of 0 to 2. Multivariate analysis showed that greater neurological deficit (6-13 and ≥14) was 2.35 (95% CI 1.13;4.05) and 4.4 (95% CI 2.09;6.83) times more associated with moderate to severe disability; failure to perform thrombolysis and ischemic stroke recurrence were, respectively, 3.02 (95% CI: 1.32;3.74) and 3.82 times (95% CI: 1.49;3.47) more associated with moderate to severe disability.

Conclusion: The event impacted functional capacity, with greater neurological deficit, non-performance of thrombolysis, and stroke recurrence as the main predictors of disability. Strategies such as expanded thrombolysis, early care, ongoing rehabilitation, and risk factor control can reduce disability.