Resumo Realizou-

Objective: To investigate how attachment style has been studied in children with chronic disease in the scientific literature, and what repercussions this attachment has on this population. Data sources: An integrative review of the literature was carried out from a survey in the LILACS, MEDLINE and SciELO databases, including original national and international publications in Portuguese, Spanish and English from 2007 to 2018, using the descriptors “apego” and “criança” in the Health Sciences Descriptors (DeCS), and “attachment” and “children” for the Medical Subject Headings (MeSH). Sixteen (16 articles) were obtained for the sample analysis. Data synthesis: The chronic diseases found in the research were neurobehavioral disorders such as attention deficit hyperactivity disorder (ADHD) and autism, childhood obesity, and chronic migraine. The predominant attachment style was insecurity, which could compromise the biopsychosocial development of the child. Conclusions: The type of attachment between child and primary caregiver may be considered a protective or risk factor for child development. Considering this premise, it is important to equip/inform families based on dialogic educational practices, in which professionals create opportunities and means for families to develop their skills and competencies, and acquire resources which meet the child’s needs. It is important that this professional helps the family to build secure bases for their child with chronic disease, understanding that the main focus for promoting child development is in the family unit.

Os cuidados em uma Unidade de terapia intensiva (UTI) são destinados aos pacientes críticos, que pela sua complexidade são mais expostos à ocorrência de eventos adversos (EA), geralmente decorrentes da assistência à saúde como as flebites, erros de medicação e a Pneumonia associada a ventilação mecânica. Estes EA podem causar danos temporários ou permanentes e a sua ocorrência está atrelada a múltiplos fatores relativos ao paciente e processos de trabalho. Objetivou Identificar em publicações cientifica nacionais e internacionais evidências a respeito dos eventos adversos mais comuns em Unidades de Terapia Intensiva adulto. Revisão integrativa realizada nas bases de dados Mediline, Scopus,Scielo e Lilacs entre abril e maio de 2021 com recorte temporal de 2016 a 2021. Foram incluídos 10 artigos publicados no idioma inglês e português. Os resultados apontaram que os Eventos adversos mais frequentes estão atrelados aos cuidados de saúde, destacando os processos/procedimentos clínicos e que há fatores que influenciam na ocorrência dos eventos como: a idade, comorbidades, gravidade, maior carga de trabalho da enfermagem, desproporcional dimensionamento de pessoal. Embora os eventos adversos sejam considerados um problema de saúde pública bem presente nas unidades de terapia intensiva, ainda existem poucos estudos sobre a temática.

Objective: The aim of this study was to assess the association between the Sense of Coherence (SoC) and Quality of Life (QoL) in adolescents with heart disease. Methods: A cross-sectional study was carried out with 164 adolescents with congenital or valvular heart disease, aged between 10 and 18 years, treated in a referral center in the city of Recife – Brazil. The information collected contains census data, type of heart disease, economic status identified according to the Brazilian Criteria for Economic Classification (ABEP), as well as an evaluation of the SoC and the QoL. Results: The SoC (50.09) and QoL (72.23) exhibited high average scores. The SoC was positively correlated with all dimensions of the QoL scale (p<0.001). The social and school dimensions, respectively, presented the highest and lowest scores. The linear regression analysis revealed that the SoC influenced the school and emotional dimensions. Conclusions: This study demonstrates that the SoC is a protective factor in the life of adolescents. This factor helps on the improvement of perception of QoL and on successfully dealing with daily adversities and chronic stress.

No abstract