Introdução: A amputação consiste na remoção de um membro ou um segmento dele, podendo ser maior ou menor dependendo do local acometido, e a presença de comorbidades como diabetes e hipertensão arterial são consideradas fatores de risco para sua realização. Objetivo: Conhecer quais as características clínicas de saúde mais prevalentes em idosos submetidos a amputações em um serviço de referência, com o intuito de ajudar na elaboração de ações de saúde para melhor atender essa população. Metodologia: Trata-se de um estudo descritivo, quantitativo, retrospectivo de corte transversal, realizado com 418 idosos amputados em um hospital de grande porte localizado na cidade de Recife (PE). Resultado: As comorbidades mais prevalentes na amostra estudada foram Hipertensão Arterial Sistêmica (HAS) (83,7%), Diabetes Mellitus (DM) (83,3%), ex-tabagismo (37,0%), tabagismo (28,5%) e doença renal (28,1%). A Isquemia Crítica de Membro Inferior Direito (ICMID) (31,5%), a Isquemia Crítica de Membro Inferior Esquerdo (ICMIE) (28,3%) e gangrena úmida (14,4%) foram as principais causas de amputação. Conclusão: Espera-se que o estudo possa corroborar para a elaboração de estratégias educativas e preventivas, bem como contribuir para que ações possam ser direcionadas para esse público a fim de manter uma assistência adequada com foco no controle e tratamento dos fatores causais das amputações, objetivando melhoria da qualidade de vida.
Review Article AJPRR (2020) 3:14 REPERCUSSIONS OF MENTAL DISORDERS IN THE FAMILY CONTEXT Introduction: With the change in the care environment, the family came to be seen as an ally in treating the person with mental disorders, beginning to experience the home, as a new environment full of emotions, responsibilities and changes. Thus, it is important to know by health professionals of the repercussions that mental disorders cause in the family, so that it enables planning focused on holistic action, centered on the resolution of problems that lead to the illness of the family environment. Objective: to identify the repercussions of mental disorders in the family context. Methodology: Literature review in the databases SCOPUS, CINAHL, LILACS, CUIDEN and SCIELO. The selected articles were classified as to the level of evidence and data analysis was constructed in Microsoft Excel containing the main information of the articles. Results:1,400 articles were found, of which 234 articles were selected to read the abstracts, 41included the theme. Then, 27 articles were selected to answer the guiding question. However, after the application of methodological criteria, an article was excluded, totaling a final sample of 26 articles. Conclusion: the experience of having a family member with mental disorders was seen, as a difficult and overloading experience, but this coexistence has made it possible to search for the breakdown of paradigm of mental illness, the approximation of the family with treatment and health services, in addition to contributing to the reintegration of it into society.
Introduction: During the puerperal period the woman becomes more sensitive, requiring more emotional support, attention and affection, as it becomes more susceptible to hormonal, psychological and social changes due to the need to adjust to the new role, that of being a mother, which can lead to internal and external conflicts that can directly influence your mental health. Thus, nursing care for puerperal women is of fundamental importance so that they can understand the emotions and changes experienced in this phase, as well as for the identification and monitoring of these cases. Objective: To analyze what the current literature evidences about nursing care for women with puerperal Blues. Methodology: Literature review in MEDLINE, BDENF, LILACS and PubMed databases. A total of 96 articles were found, of which 23 were pre-selected and after the inclusion criteria were applied, 16 remained. A reading of these in full with peer review was performed, and they were subsequently crossed to discuss the divergences found in order to reduce interpretation errors. Results: According to the literature, about 50% of women present puerperal Blues in up to two weeks postpartum, that if there is no necessary therapy, more than 20% of these women tend to develop postpartum depression (PPD). Conclusion: Therefore, an appropriate approach and performed by trained professionals is paramount to identify the factors associated with puerperal blues during puerperium consultations, so that there is the ideal management to promote a better Quality of life, avoiding mental distress.
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