Introduction: Several viruses, including CoVs, can affect the nervous system, causing neuropsychiatric signs and symptoms. Because this is an unknown disease widely spread, there are few studies that deal with the effects of the SARS-CoV-2 on the nervous system. Objective: To describe the relationship between neuropsychiatric signs and symptoms and SARS-Cov-2 virus infection. Methods: integrative review conducted in the Pubmed Portal, Virtual Health Library, Cochrane and the academic researcher Science Direct. The works were analyzed qualitatively, with the narrative description divided into four thematic categories. Results: 1024 studies were found and 48 studies selected to compose this integrative review. There is a pathophysiological relationship of SARS-Cov-2 infection and the involvement of the Central Nervous System and Peripheral Nervous System through different pathways and mechanisms. Conclusion: Monitoring patients during and after COVID-19 can minimize the neuropsychiatric sequelae resulting from this disease, especially in elderly patients with comorbidities.
PurposeThe coronavirus disease 2019 (COVID‐19) generates long‐term sequelae, but studies investigating patients with chronic pain syndrome (CPS) are limited. This study aimed to establish the etiological factors of CPS in patients with post‐COVID‐19 conditions.MethodsThis was a case–control retrospective study. The predictor variables were sex, diabetes mellitus, obesity (predisposing factors), unfavorable socioeconomic conditions, impaired rehabilitation (disabling factors), repeated exposure to COVID‐19 (precipitating factor), home isolation, stress overload, fear of dying, admission to intensive care unit, prone positioning, and use of medications (reinforcing factors). The outcome variable was the presence of CPS.FindingsThis study included 120 individuals. Prolonged days of isolation (p = 0.005), fear (p < 0.001), stress overload (p < 0.001), and impaired rehabilitation (p = 0.003) were significantly associated with CPS.ConclusionsA significant relationship was found between prolonged days of isolation, fear, stress overload, impaired rehabilitation, and CPS.Implications for nursing practiceThe study findings can assist nurses by promoting their knowledge of the causes of CPS and supporting the care planning needs of patients with post‐COVID‐19 conditions, in addition to promoting the use of the NANDA‐International taxonomy.
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Objective: To present the knowledge produced on challenges of health services for maintaining surgical care practices in times of the COVID-19 pandemic. Methods: This is an integrative literature review, performed with descriptors ‘Operating rooms’ and ‘Coronavirus Infections’ in the MEDLINE/PubMed Central, IBECS, LILACS, BDENF, Coleta SUS, BIGG, BINACIS, SciELO, PubMed, Science Direct, and Cochrane Library databases. Results: Of the 405 studies analyzed, 27 met the inclusion criteria. The main challenges for surgical services during the pandemic were: (i) rearrangement of general practice in surgical units; (ii) administration and management of resources and elective surgeries; (iii) follow-up and control of preoperative patients to medium term; (iv) maintenance of patients’ and health professionals’ autonomy and mental health in this context; and (v) teaching health residents in the operating room. Conclusion: For surgical care services, the challenges caused by managing the high demand of patients in need of care resulted in the transfer of own resources to other units and the consequent hiring of professionals to meet the demand for these services due to the damming of postponed elective surgeries. This knowledge will allow us to propose strategies in decision making in this scenario, considering the new waves that may arise from this disease.
Relatar a experiência do processo ensino-aprendizagem de escolares após a implementação de um jogo educativo sobre os principais fatores de risco cerebrovasculares. Trata-se de um estudo descritivo, do tipo relato de experiência, desenvolvido com escolares da rede municipal e particular de uma cidade cearense. Os dados foram coletados entre fevereiro e março de 2020, em dez sessões. Foi implementada uma tecnologia educativa lúdica do tipo jogo educativo, construída e validada em estudo anterior para conduzir os momentos interativos. O jogo foi implementado a 138 escolares, com avaliações pré e pós-teste. Os achados revelaram que o nível de conhecimento aumentou durante as sessões educativas, de 6,5 para 9,0 pontos, entre os escolares da rede pública, e de 7,5 para 9,2 pontos, entre os escolares da rede privada. A estratégia permitiu identificar a eficácia do jogo educativo como alternativa passível de implementação a infantes, favorecendo o reconhecimento precoce do Acidente Vascular Cerebral.
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