RESUMOObjetivo: Compreender a vivência dos cuidadores informais na assistência ao idoso vítima de queda e fratura proximal do fêmur e cirurgia. Método: Estudo qualitativo, realizado em hospital de ensino, tendo como referencial metodológico a análise de conteúdo de Bardin e como referencial teórico a Teoria Geral da Enfermagem de Orem. Resultados: Dos 14 cuidadores informais, a maioria era do sexo feminino e filhas dos pacientes. A partir das falas dos participantes, emergiram as categorias temáticas: O dia da queda, um evento traumático; Agonia e tensão pela espera do leito e cirurgia; Medo, frustração e falta de preparo do cuidador informal; Modificações na vida, privações e sobrecarga do cuidador; cuidado resiliente. Conclusão:Os cuidadores informais devem ser capacitados desde a prevenção do evento até a transição do cuidado hospitalar para a reabilitação no domicílio, resgatando o papel do enfermeiro dentro da equipe multidisciplinar, sendo apoiado pela Teoria Geral da Enfermagem.

Objectives: To compare the knowledge on surgical safety through the team-based learning methodology and lecture classes for undergraduate Nursing students, and evaluate the learning satisfaction with team-based learning. Methods: Randomized, controlled, parallel, two-arm, unblinded clinical trial developed in the Faculty of Medicine of a public university in Botucatu, Brazil. The groups included 14 students for team-based learning and 11 students for lecture classes. Results: Students’ apprehension of knowledge in the team-based learning group was significantly higher compared to the control group (p<0.002) by considering the pre-test results. After 30 days, there was no significant difference between groups. The experience with the methodology was considered positive among students. Conclusions: Team-based learning is an important pedagogic tool available and has proven effective in education and learning with students playing the role of protagonists.

Objective:To identify the occurrence of surgical site infection (SSI) and its risk factors in patients undergoing colon surgery in a tertiary hospital located in the countryside of the state of São Paulo. Method: Retrospective cohort study, with collection of information contained in the medical records of patients undergoing colon surgery in the period between January 2010 and December 2013. The studied variables were the possible risk factors related to the patient, to demographic characteristics and the surgical procedure. Results: In total, were evaluated 155 patients with an overall SSI incidence of 16.7%. A statistically significant association was found both in the univariate as in the multivariate analysis between the SSI and the following variables: male gender, Charlson index and mechanical bowel preparation. Conclusion: The understanding of health professionals about the factors that influence the incidence of SSI in colon surgery may contribute to the quality of care provided to surgical patients, from effective actions to minimize the risk of infections. DESCRIPTORSSurgical Wound Infection; Colorectal Surgery; Perioperative Nursing. Surgical site infection and its risk factors in colon surgeriesInfecção de sítio cirúrgico e seus fatores de risco em cirurgias de cólon Infección de sitio quirúrgico y sus factores de riesgo en cirugías de colon

RESUMO Objetivo: Analisar a relação da ansiedade com a compulsão alimentar e a qualidade do sono em adultos com sobrepeso ou obesidade. Método: Estudo transversal, realizado entre maio de 2015 e janeiro de 2017, com amostra intencional composta por indivíduos de ambos os sexos, alfabetizados, com idade entre 20 e 59 anos, que apresentavam índice de massa corporal maior ou igual a 25 kg/m2. Utilizaram-se o Inventário de Ansiedade Traço-Estado, Escala de Compulsão Alimentar Periódica e Questionário de Padrão do Sono de Pittsburgh. Adotaram-se o coeficiente de correlação de Pearson ou Spearman na análise dos dados, de acordo com a distribuição destes. Resultados: A amostra foi constituída por 130 indivíduos. A amostra geral e os adultos jovens apresentaram correlação positiva entre os escores de ansiedade e os de compulsão alimentar (p=0,0011) e qualidade do sono (p=0,0081). Adultos com 45 anos ou mais apresentaram relação inversa da idade com a ansiedade (p=0,0003). Conclusão: A amostra geral e adultos jovens que apresentaram maior estado de ansiedade tinham maiores índices de compulsão alimentar e pior qualidade do sono. Contrariamente, nos adultos de meia-idade, quanto maior a idade, menor o escore de ansiedade. Registro Brasileiro de Ensaios Clínicos: n° RBR-47kfxh

Objective: To understand the experience from the perspective of the participant of a clinical research, which had as intervention the flower therapy for anxiety of individuals with overweight and obesity. Method: qualitative study, developed by semi-structured interview with 42 participants from a clinical research and data submitted to content analysis. Results: after analysis, five thematic categories emerged: seeking natural alternatives to aid in control of anxiety and obesity; perceiving the benefits of flower therapy in itself and in family and professional relationships; recognizing flower therapy as source of tranquility and self-knowledge; perceiving changes in sleep quality; acquiring self-control and guidance on food and relational needs. Final considerations: the participants showed the intention of seeking natural alternatives to aid the control of anxiety and obesity, employing complementary therapies to strengthen their health. Consequently, participants reported self-control in feeding and in family and professional relationships.