RESUMO: O principal objetivo deste trabalho foi caracterizar as vítimas de trauma por acidente com motocicletas. Trata-se de estudo quantitativo, descritivo, desenvolvido em um serviço de emergência na cidade de Picos (PI). A população constou de 80 vítimas, com dados coletados entre os meses de novembro/2010 a maio/2011, a partir da aplicação de um instrumento. Os resultados mostraram que, quanto à caracterização das vítimas, houve predominância do sexo masculino com 71 (88,8%) casos, 43 (53,8%) eram solteiros e 44 (55%) não possuíam renda financeira mensal. Quanto às características do acidente, 20 (25%) no sábado, 60 (75%) diurnamente e 35 (43,8%) no trajeto para casa. De acordo com as variáveis de risco para o acidente, a maioria não possuía carteira nacional de habilitação e não utilizava capacete. Concluiu-se que a enfermagem pode realizar programas de prevenção e de promoção de saúde, para, assim, minimizar as repercussões para os indivíduos e para a sociedade. Palavras-Chave: Acidentes de trânsito; motocicletas; epidemiologia; socorro de urgência.
Objectives: To evaluate the quality of life of people with intestinal stomas and verify its association with sociodemographic and clinical characteristics. Methods: A cross-sectional descriptive study was carried out with 96 people registered in an ostomy program, with the use of the City of Hope-Quality of Life-Ostomy Questionnaire. Results: The mean score of total QoL in this study was 6.2± 2.8. The highest mean score was found in the spiritual well-being dimension 7.5 (±1.9) and the lowest in the social well-being dimension 5.6 (±2.1). Sociodemographic characteristics (per capita income, education level, religion) and clinical characteristics (length of use and adaptation to the stoma, length of time needed for ostomized people to feel comfortable, difficulty with self-care, and limitation to perform activities of daily living) were associated with total quality of life and its dimensions (p <0.05). Conclusion: Intestinal stomas interfere with quality of life, especially in physical and social dimensions. ResumoObjetivos: Objetivou-se avaliar a qualidade de vida de pessoas com estomias intestinais de eliminação e verificar sua associação com características sociodemográficas e clínicas. Métodos: Trata-se de estudo descritivo e transversal realizado com 96 pessoas cadastradas em um Programa de estomizados, utilizando o City of Hope -Quality of Life -Ostomy Questionnary. Resultados: O escore médio de QV total deste estudo foi 6,2 ± 2,8. O maior escore médio foi encontrado no domínio Bem-estar espiritual 7,5 (±1,9) e o menor no domínio Bem-estar social 5,6 (±2,1). As características sociodemográficas (renda per capita, escolaridade, religião) e as características clínicas (permanência e adaptação à estomia, tempo de estomizado para sentir-se confortável, dificuldade para o autocuidado e limitação para realização de atividades diárias) associaram-se a qualidade de vida total e seus domínios (p <0,05). Conclusão: As estomias intestinais de eliminação interferem na qualidade de vida, principalmente nos âmbitos físico e social.
OBJECTIVE: to analyze nursing care provided to cancer patients with oral mucositis based on the Nursing Process (NP). METHOD: this exploratory, descriptive, cross-sectional and quantitative study was conducted with 213 patients undergoing chemotherapy and/or radiotherapy in two cancer facilities: one philanthropic and one private service. RESULTS: the participants were mainly female, aged 45.8 years old on average, with up to 11 years of schooling and income of up to one times the minimum wage. Severe mucositis was related to chemotherapy associated with radiotherapy. Only 25.3% of the patients reported having received guidance from nurses during their treatment concerning self-care. The perceptions of patients regarding quality of care did not significantly differ between the private and public facilities. The basic human needs mainly affected were comfort, eating, and hygiene. Based on this finding, one NP was established listing the diagnoses, interventions and expected results to establish an ideal, though individualized, standard of nursing care to be provided to these patients. CONCLUSION: to understand oral mucositis is crucial to establish nursing care that includes prevention based on the implementation of an oral care plan.
Objective: To measure and characterize the workload of nurses in the Intensive Care Unit (ICU) by applying the Nursing Activities Score (NAS). Methods: A descriptive, quantitative, retrospective study, conducted in one ICU of a Philanthropic Hospital in Teresina -PI (Brazil), from September to October 2010, with a sample of 66 patients. There were 285 measurements of the NAS performed. Results: With regards to nursing workload, there was a mean total score of 68.1% for the NAS (51.5% and 108.3%), corresponding to the percentage of time spent by nursing professionals in direct assistance to the patient within 24 hours. A statistical correlation was found between NAS and clinical outcome (p = 0.001). Among NAS and length of hospitalization (p = 0.073), and NAS and age (p = 0.952), there was no statistical significance. Conclusion: The results showed that patients had high care needs, reflected by the high mean of the NAS. Keywords: Workload; Work hours; Intensive Care Units RESUMOObjetivo: Medir e caracterizar a carga de trabalho de enfermagem em Unidade de Terapia Intensiva (UTI) por meio da aplicação do Nursing Activities Score (NAS). Métodos: Estudo descritivo quantitativo, retrospectivo, realizado em uma das UTIs de um Hospital Filantrópico de Teresina-PI, de setembro a outubro de 2010, com amostra de 66 pacientes. Foram realizadas 285 medidas do escore NAS. Resultados: Quanto à carga de trabalho de enfermagem, foi verificada uma média do escore total do NAS de 68,1% (51,5% e 108,3%), correspondendo à porcentagem de tempo gasto pelo profissional de enfermagem na assistência direta ao paciente nas 24 horas. Houve correlação estatística entre NAS e desfecho clínico (p= 0,001). Já entre NAS e tempo de internação (p= 0,073) e NAS e idade (p=0,952), não houve significância estatística. Conclusão: Os resultados mostraram que os pacientes apresentaram elevada necessidade de cuidados, refletida pela média elevada do NAS. Descritores: Carga de trabalho; Jornada de trabalho; Unidades de Terapia Intensiva RESUMEN Objetivo: Medir y caracterizar la carga de trabajo de enfermería en una Unidad de Cuidados Intensivos (UCI) por medio de la aplicación del Nursing Activities Score (NAS). Métodos: Estudio descriptivo cuantitativo, retrospectivo, realizado en una de las UCIs de un Hospital Filantrópico de Teresina-PI, de setiembre a octubre del 2010, con una muestra de 66 pacientes. Se realizaron 285 medidas del score NAS. Resultados: En cuanto a la carga de trabajo de enfermería, se verificó una media del score total del NAS del 68,1% (51,5% e 108,3%), correspondiendo al porcentaje de tiempo gastado por el profesional de enfermería en la asistencia directa al paciente en las 24 horas. Hubo correlación estadística entre NAS y deshecho clínico (p= 0,001). Ya entre NAS y tiempo de internamiento (p= 0,073) y NAS y edad (p=0,952), no hubo significancia estadística. Conclusión: Los resultados mostraron que los pacientes presentaron elevada necesidad de cuidados, reflejada por la elevada media del NAS.
Objective: To describe the process for creating and validating a checklist for blood transfusion in children. Method: Methodological study, conducted from November 2016 to May 2017, developed in two stages. The content of the items that compose the instrument was based on scientific evidence and submitted to specialized nurses for content validation. We applied the Content Validity index, considering the value ≥ 0.80. Results: The content was considered valid with global CVI of 0.87. Suggestions for adjustments, such as deletion, replacement, and addition of terms, were included in the final version, which consisted of 14 items and 56 subitems. Conclusion: The checklist for blood transfusion in children was considered a technology with valid content to be used in the transfusion performed by nurses, thus contributing to transfusion safety in children.
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