RESUMO O presente estudo é do tipo descritivo e foi realizado em duas Unidades de Terapia Intensiva(UTI) de um hospital privado em Natal-RN, com 40 pacientes, com o objetivo de identificar a incidência de úlceras de pressão (UP) e verificar a associação entre os fatores de risco. A coleta dos dados foi realizada com um formulário para observação e exame físico da pele. A maior ocorrência de UP foi do sexo masculino (70,0%); a hipótese diagnóstica predominante foram as doenças respiratórias (42,3%), 60,0% apresentaram de 1 a 2 UPs após sete dias e as localizações mais freqüentes foram as regiões sacral (40,0%) e calcânea (36,0%). Foram diagnosticadas 25 UPs, com incidência de 50,0%, e verificou-se associação de 17,3% entre os fatores de risco intrínsecos, extrínsecos e condições predisponentes (p=0,0384). A incidência de UP nos pacientes das UTIs da instituição hospitalar pesquisada foi elevada. A associação de fatores, verificada neste estudo, denota a relevância de buscar, em cada situação ou contexto em que se encontre o paciente, a influência da multiplicidade de fatores e as condições que aumentam o risco de ocorrência de UP.
This qualitative research aims to analyze how sexual orientation has been incorporated into pedagogic practices through the point of view of educators from public schools of fundamental teaching. Twenty three educators from Cajazeiras, Paralba, Brazil participated in the study. The focus group was elected as technique of investigation, and the empirical data obtained were organized according to the technique of analysis of content. It was realized that there is an effort of the actors to privilege contents related to sexual orientation in the school environment though they demand that a level of informative and subjective character about the "sexuality" be encouraged providing the educators with a space for re-significations of its internality of values. The information directed to self-care must transcend the limits of prevention and hygienisation, incorporating extensive, inclusive and reflective methodologies, which recognize human and social rights and promote the ethical construction of citizenship.
Objetivo: la adherencia al tratamiento de personas con úlceras venosas (UV) y su asociación con las características sociodemográficas, de salud y asistenciales. Materiales y métodos: se trata de un estudio analítico, transversal, realizado con 101 personas con UV. Se emplearon dos instrumentos: un cuestionario para caracterizar los aspectos sociodemográficos, de salud y de asistencia, y la Escala Multidimensional de Adherencia Terapéutica. Resultados: se halló peor adherencia al tratamiento en la dimensión terapia compresiva. Se identificó asociación entre el dominio estilo de vida saludable y estado civil, y entre el dominio vigilancia neurovascular y rango de edades, estado civil, profesión y etilismo. Se encontraron asociaciones entre las dimensiones de adherencia y las características de asistencia: adherencia a terapia comprensiva, orientación para uso de terapia compresiva y orientación para ejercicios regulares y quien realiza la curación fuera de las unidades. Conclusiones: hay mayor dificultad de adherencia al tratamiento en cuanto a terapia compresiva; la asistencia prestada está asociada a la adherencia a terapia compresiva, a orientación para uso de terapia compresiva y a orientación para ejercicios regulares.
Objective: to present evidence of validity of an instrument aimed at evaluating the knowledge of nursing students about the care of the wounded patient, according to the difficulty and discrimination indexes of the items. Method: methodological study conducted in a nursing higher education institution with 117 undergraduate students and 38 professionals from a research group with experience in the area of wounds. For data collection, a questionnaire with 10 multiple choice questions was applied before and after classes on wounds. Results: most of the questions presented low level of difficulty and inefficient discrimination index, requiring a revision of the instrument. After two review stages, the difficulty and discrimination indexes of the instruments improved. Conclusion: an instrument with better evidence of validity was obtained. However, it still requires refinement for later revalidation in the same population.
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