The purpose of this study was to understand the experiences of nursing professionals about the patient's privacy hospitalized in the ICU and their implications. This qualitative study based on content analysis revealed the following categories: Exposing the patients' body and intimacy: the professionals' attitudes and actions; intimacy: difficulties experienced by the professionals and the patients' reactions; the lack of intimacy protection of the patient: contradictions that arise from the practice. The results point to the need for professionals to rethink their achievements in relation to the protection of the patient's privacy, by means of acts/attitudes which provide security in care actions. Privacy preservation is the patient's right and the professional's ethical commitment, giving to people dignity in the care process in the ICU.
A obesidade eleva as taxas de morbimortalidade, sendo um problema de saúde pública. Realizou-se estudo transversal com 123 participantes, objetivando identificar a proporção de casos e os fatores de risco para o sobrepeso/obesidade entre idosos com sessenta anos ou mais, atendidos por quatro equipes de Estratégia de Saúde da Família, de Passo Fundo-RS. Considerou-se variável dependente a obesidade e as demais como independentes: sexo, idade, renda familiar, escolaridade, ocupação, atividade física, tabagismo, medicação. As medidas antropométricas aferidas foram: peso, estatura, circunferência da cintura, quadril e cervical. Realizou-se análise bivariada usando o teste qui-quadrado de Pearson com um nível de significância <0,05. No modelo múltiplo permaneceram associadas à obesidade do idoso, a circunferência abdominal (p=0,000) e a circunferência cervical (p=0,000). No grupo estudado, sobrepeso/obesidade atingiu uma proporção de 49,6%. Os resultados indicam alta prevalência de sobrepeso/obesidade, reforçando a necessidade de estratégias por parte dos profissionais de saúde, visando bem-estar e longevidade.
RESUMOO objetivo deste trabalho é avaliar os efeitos das atividades lúdicas realizadas durante as sessões de hemodiálise em um hospital de médio porte do interior do Rio Grande do Sul, no qual realizou-se um estudo qualitativo, exploratório-descritivo. Participaram do mesmo oito pacientes, que realizaram atividades lúdicas e responderam a uma entrevista semiestruturada, cujo conteúdo foi submetido à análise temática. A aplicação das atividades na diálise trouxe benefícios aos pacientes, pois lhes ofereceu entretenimento, possibilitou-lhes passagem mais rápida do tempo, afastou a tristeza e estimulou seu raciocínio. Apesar de pequenas dificuldades de infraestrutura, de timidez dos pacientes e do pouco apoio da equipe, a constância no oferecimento dos jogos e da música promoveu a adesão e o acolhimento desses pacientes. O lúdico minimiza a ociosidade durante a hemodiálise, é viável como cuidado de enfermagem, tem boa aceitação e humaniza a assistência, promovendo o bem-estar psicossocial. Palavras-chave: Doença renal crônica; hemodiálise; atividades de lazer. PLAYFULL ACTIVITIES DURING DIALYSIS SESSION ABSTRACTThe objective of this work is to evaluate the effects of playfull activities happened over hemodialysis in a medium-sized hospital in the country of Rio Grande do Sul where a qualitative exploratory-descriptive study was accomplished. Eight patients, who achieved playfull activities, participated in the program. They answered to a semi-structured interview, which content was submitted to thematic analysis. The application of the activities in dialysis brought benefits to patients, thus it offered to them entertainment, distraction, made them happier and stimulated their thinking. Despite some difficulties of infrastructure, patients' timidity and little support from the team, the constant offer of the plays and music provided shelter to these patients. Playfull minimizes idleness during hemodialysis, it is feasible as nursing care, it has good acceptance and it humanizes the assistance by promoting psychosocial well-being.
An exploratory and descriptive study with a qualitative approach aim at understanding the significance of the discovery of chronic kidney disease and the need for the hemodialysis machine. The research was made with twenty patients from two hemodialysis services of the city of RS. The data collection took place between September and December of 2007, throughout semi-structured interviews. The thematic analysis generated the following categories: history of chronic kidney disease, from the silence of the disease to the classical clinical symptoms; the discovery and its immediate effects; life after the discovery; acceptance of the dependence on a machine. We conclude that there is a need to adapt the daily life of patients with chronic kidney disease, because the hemodialysis causes physical and social changes, requiring support from health-team to manage the disease. The professional should not abdicate knowledge, safety and technical skill, as requirements to care.
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