Revista da Escola de Enfermagem da U S P最新文献

{"title":"High pulse pressure predicts primary arteriovenous fistula failure within 1 year.","authors":"Chung-Cheng Wu, Hao-Chien Hung, Tsung-Chi Kao, Chun-Hsien Hsin, Sheng-Yueh Yu, Hung-Chang Hsieh, Po-Jen Ko","doi":"10.1177/11297298211054797","DOIUrl":"10.1177/11297298211054797","url":null,"abstract":"<p><strong>Background: </strong>The arteriovenous fistula is the preferred access route for hemodialysis, although its high primary failure rate remains a clinical challenge. Multiple studies have attempted to determine the risk factors for primary arteriovenous fistula failure; however, none have identified pulse pressure as a potential predictive marker. High pulse pressure is a surrogate poor arterial compliance endpoint and leads to inferior cardiovascular outcomes. Our aim was to determine whether elevated pulse pressure indicates poor arteriovenous fistula maturation.</p><p><strong>Methods: </strong>We retrospectively reviewed 274 patients who underwent an arteriovenous fistula index operation between September 1, 2018 and May 31, 2019. Demographic, clinical data, and operative parameters were collected and analyzed. The maximum follow-up period was 365 days. Arteriovenous fistula failure was defined as the inability to achieve functional use during the follow-up period. We identified risk factors for arteriovenous fistula failure by performing a multivariate logistic regression analysis using backward elimination procedures.</p><p><strong>Results: </strong>A total of 274 patients were included in the study. The patients' average age was 61.3 ± 14.0 years, approximately half of the patients (<i>n</i> = 161, 58.8%) were male, and the majority had hypertension. At the end of the follow-up period, 68 (24.8%) had arteriovenous fistula failure. The proportion of patients with pulse pressure values of >60 mmHg was significantly higher in the failure group than in the maturation group (66.0% vs 80.9%; <i>p</i> = 0.021). A PP value of >60 mmHg (odds ratio = 2.25; 95% confidence interval = 1.14-4.42; <i>p</i> = 0.019) and coronary artery disease or myocardial infarction (odds ratio = 1.97; 95% confidence interval = 1.01-3.84; <i>p</i> = 0.045) were found to be independent risk factors for primary arteriovenous fistula failure.</p><p><strong>Conclusions: </strong>High pulse pressure is an independent risk factor for primary arteriovenous fistula failure.</p>","PeriodicalId":21229,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"1 1","pages":"1349-1357"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89391695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intensity and frequency of moral distress in mental health nurses in Brazil.","authors":"Mario Sergio Bruggmann, Dulcinéia Ghizoni Schneider, Flávia Regina Souza Ramos, Graziele de Lima Dalmolin, Jeferson Rodrigues, Ácmon Bhering","doi":"10.1590/1980-220X-REEUSP-2023-0122en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0122en","url":null,"abstract":"<p><strong>Objective: </strong>To assess the intensity and frequency of moral distress in mental health nurses in Brazil.</p><p><strong>Method: </strong>Cross-sectional study with 173 nurses from the Psychosocial Care Network in Brazil. The Brazilian Scale of Moral Distress in Nurses, adapted for the context of mental health, was used. For data processing, descriptive and inferential statistical analysis was used.</p><p><strong>Results: </strong>Mostly moderate levels of intensity and frequency of moral distress (medians between 2.25 - 3.73 and 2.00 - 3.22, respectively) were observed, with emphasis on the factors working conditions and social conflicts.</p><p><strong>Conclusion: </strong>The level of moral distress evidenced in mental health nurses in Brazil reflects the dimension and amplitude of the phenomenon in different points of the Psychosocial Care Network. The relevance of discussions on coping strategies for moral distress is highlighted, articulating elements such as sensitivity, resilience, and moral courage, so that ethical deliberation is applied in care and management settings.</p>","PeriodicalId":21229,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"57 ","pages":"e20230122"},"PeriodicalIF":1.2,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10476911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10223606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health training programs for non-health professionals and volunteers working with asylum-seekers and refugees: scoping review.","authors":"Luísa Micaela Teixeira-Santos, Filipa Isabel Quaresma Santos Ventura, João Artur Oliveira Santos, Inês Franco de Almeida, Wilson Correia Pinto de Abreu","doi":"10.1590/1980-220X-REEUSP-2022-0447en","DOIUrl":"10.1590/1980-220X-REEUSP-2022-0447en","url":null,"abstract":"<p><strong>Objective: </strong>To identify and describe the mental health training programs for non-health professionals and volunteers who work, have worked, or would work with asylum seekers and/or refugees.</p><p><strong>Method: </strong>Scoping review following JBI methodology. Search carried out in MEDLINE, CINAHL, ERIC, SCOPUS, PsycINFO, Psychology & Behavioral Sciences Collection, RCAAP, ProQuest, and websites of Clinical Trials, UNHCR, International Organization for Migration, WHO, Save the Children, International Migration, Integration and Social Cohesion in Europe, and International Federation of Red Cross and Red Crescent Societies. Studies written in English, Portuguese, French, Spanish and Swedish.</p><p><strong>Results: </strong>Of the 8954 articles identified, 16 were included reporting on 11 training programs: Mind-Spring, PM+, MHFA, Cognitive-Behavioral Training for Community and Religious Leaders, EmpaTeach, Suicide Prevention Education Program, Teaching Recovery Techniques, Handbook for Teachers of Vietnamese Refugee Students, PFA, Psychosocial support of volunteers and CBP&MHPSS.</p><p><strong>Conclusion: </strong>Training programs from scientific literature focus on mental health disorders, while non-governmental organizations' documents focus on resilience and self-care. The current mental health training programs might be insufficient.</p>","PeriodicalId":21229,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"57 spe","pages":"e20220447"},"PeriodicalIF":1.2,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10462256/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10165588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Access to health services for international migrants during the COVID-19 pandemic: a qualitative study.","authors":"Alice Blukacz,&nbsp;Báltica Cabieses,&nbsp;Alexandra Obach,&nbsp;Alejandra Carreño,&nbsp;Carolina Stefoni,&nbsp;Claudia Pérez","doi":"10.1590/1980-220X-REEUSP-2022-0443en","DOIUrl":"10.1590/1980-220X-REEUSP-2022-0443en","url":null,"abstract":"<p><strong>Objective: </strong>To explore the experience and perception of international migrants in Chile regarding access to health services during the pandemic.</p><p><strong>Method: </strong>Collective case study following the qualitative paradigm. Forty semi-structured interviews were carried out with 30 migrants from different countries in Latin America and the Caribbean and 10 key actors from the health or social sector in November and December 2020. The interviews were analyzed thematically.</p><p><strong>Results: </strong>Perceived facilitators for general access to health services are related to formal work, support networks, and good treatment, while barriers are linked to immigration status, information gaps, discrimination, lack of cross-cultural skills, and personal limits of the system. In the context of access to COVID-19 diagnosis and treatment, the main barriers identified are: cultural approach to the disease, communication gaps, experiences of discrimination, costs, and lack of support networks.</p><p><strong>Conclusion: </strong>Access to health services is related to social vulnerability and violation of international migrants rights.</p>","PeriodicalId":21229,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"57 spe","pages":"e20220443"},"PeriodicalIF":0.9,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10513483/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10053209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Misinformation about COVID-19 among middle-aged and older migrants residing in Brazil and Portugal.","authors":"Rodrigo Mota de Oliveira,&nbsp;Álvaro Francisco Lopes de Sousa,&nbsp;Anderson Reis de Sousa,&nbsp;Agostinho Antônio Cruz Araújo,&nbsp;Vinícius de Oliveira Muniz,&nbsp;Inês Fronteira,&nbsp;Isabel Amélia Costa Mendes","doi":"10.1590/1980-220X-REEUSP-2022-0401en","DOIUrl":"10.1590/1980-220X-REEUSP-2022-0401en","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to assess the prevalence of COVID-19 misinformation among migrants aged 50 or older residing in Brazil and Portugal.</p><p><strong>Method: </strong>This was a cross-sectional analytical study conducted among migrants from Portuguese-speaking countries living in Brazil and Portugal, who were 50 years of age or older. The prevalence ratios (PR) were estimated using the Poisson regression model.</p><p><strong>Results: </strong>Out of the 304 participants included in the study, 188 (61.8%) agreed with at least one piece of misinformation. Factors such as having a religious affiliation (aPR: 1.24), higher educational attainment (aPR: 1.17), knowing someone who died from COVID-19 (aPR: 1.78), and having no intention to get vaccinated (aPR: 1.36) were associated with a higher likelihood of agreeing with COVID-19 misinformation.</p><p><strong>Conclusion: </strong>The findings suggest that access to misinformation was influenced by social, economic, and religious factors among elderly migrants with low digital literacy, thus contributing to the dissemination of false content within this population.</p>","PeriodicalId":21229,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"57 spe","pages":"e20220401"},"PeriodicalIF":0.9,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10513484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10047681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mobile applications as a strategy to support parents in the care of newborns: a scoping review.","authors":"Juliane Pagliari Araujo, Adriana Martins Gallo, Cristina Maria Garcia de Lima Parada, Sonia Silva Marcon, Rosângela Aparecida Pimenta Ferrari, Keli Regiane Tomeleri da Fonseca Pinto, Adriana Valongo Zani","doi":"10.1590/1980-220X-REEUSP-2022-0470en","DOIUrl":"10.1590/1980-220X-REEUSP-2022-0470en","url":null,"abstract":"<p><strong>Objective: </strong>To map and describe studies available in the literature about mobile applications to support parents in newborn care and data from applications accessible in online stores.</p><p><strong>Method: </strong>This is a scoping review following the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews guidelines. The searches were carried out in theses and dissertations databases and portals, in September 2021, and articles, theses, and dissertations were included. An independent search was performed in online stores of applications for operating systems Android and iOS, in October and December 2021, and applications with content to support parents of newborns were selected.</p><p><strong>Results: </strong>A total of 5,238 studies and 757 applications were found, and of these, 16 and 150, respectively, composed the sample. The topics discussed in the studies were: care, breastfeeding, fever, identification of neonatal diseases, child growth and development. In the applications, the themes found were care, breastfeeding, growth, immunization, development, sleep, tips, and guidelines.</p><p><strong>Conclusion: </strong>Applications are important support tools for parents, as they are an innovative means and accessible to a large part of the population.</p>","PeriodicalId":21229,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"57 ","pages":"e20220470"},"PeriodicalIF":1.2,"publicationDate":"2023-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10373450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10262685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation of modified Seldinger technology for percutaneous catheterization in critically ill newborns.","authors":"Higor Pacheco Pereira, Izabela Linha Secco, Andrea Moreira Arrué, Letícia Pontes, Mitzy Tannia Reichembach Danski","doi":"10.1590/1980-220X-REEUSP-2022-0347en","DOIUrl":"10.1590/1980-220X-REEUSP-2022-0347en","url":null,"abstract":"<p><strong>Objective: </strong>To describe the implementation of Modified Seldinger Technology for percutaneous catheterization in critically ill newborns.</p><p><strong>Method: </strong>A quasi-experimental before- and-after study, carried out with neonatologist nurses in a Neonatal Intensive Care Unit.</p><p><strong>Results: </strong>Seven nurses participated in the research. Catheter pre-insertion, insertion and maintenance were assessed using the conventional and modified Seldinger technique. Reliability was satisfactory in pre-test, 5.40 (Md = 6.00), and post-test, 5.94 (Md = 7.00), and perfect in the items about device insertion and maintenance. There was low assertiveness in the items on indication, microintroduction procedure via ultrasound, limb repositioning and disinfection of connections/connectors.</p><p><strong>Conclusion: </strong>Despite the Modified Seldinger Technique expanding some stages of execution over the traditional method of percutaneous catheterization, nurses were more assertive after theoretical-practical training. The technology was implemented and is in the process of being implemented in the health service.</p>","PeriodicalId":21229,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"57 ","pages":"e20220347"},"PeriodicalIF":1.2,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9764548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hospital sustainability indicators and reduction of socio-environmental impacts: a scoping review.","authors":"Daniela Menezes Galvão, Marta Regina Cezar-Vaz, Daiani Modernel Xavier, José Gustavo Monteiro Penha, Luciano Garcia Lourenção","doi":"10.1590/1980-220X-REEUSP-2022-0364en","DOIUrl":"10.1590/1980-220X-REEUSP-2022-0364en","url":null,"abstract":"<p><strong>Objective: </strong>To synthesize knowledge about hospital sustainability indicators and evidence of reduced socio-environmental impact.</p><p><strong>Method: </strong>Literature scoping review using Pubmed, Science Direct, Scielo and Lilacs databases. Studies in a time frame of 10 years, addressing hospital sustainability indicators and evidence of reduced socio-environmental impact published in any language were included.</p><p><strong>Results: </strong>A total of 28 articles were included, most were applied research, published in 2012, in English. Studies showed ways to save water and energy, as well as ways to monitor and mitigate the impact of activities related to effluents, waste and emissions. All studies had nursing work directly or indirectly involved in hospital sustainability.</p><p><strong>Conclusion: </strong>The possibilities of generating less impact on the environment and increasing the economy/efficiency of a hospital are countless. The particularities of each hospital must be taken into account and workers, especially nurses, should be involved.</p>","PeriodicalId":21229,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"57 ","pages":"e20220364"},"PeriodicalIF":1.2,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10294698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10117011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pejotização and implications for nursing work in Brazil: repercussions of neoliberalism.","authors":"Sheila Nascimento Pereira de Farias, Norma Valéria Dantas de Oliveira Souza, Thereza Christina Mó Y Mó Loureiro Varella, Karla Biancha Silva de Andrade, Samira Silva Santos Soares, Eloá Carneiro Carvalho","doi":"10.1590/1980-220X-REEUSP-2022-0396en","DOIUrl":"10.1590/1980-220X-REEUSP-2022-0396en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze pejotização in the context of nursing work and the respective implications for the protection and health of these professionals.</p><p><strong>Method: </strong>Documentary study, which had news, resolutions, and recommendations issued by the Federal Nursing Council and the Regional Nursing Councils as data collection source, which underwent lexical analysis, based on data processing using the software Iramuteq.</p><p><strong>Results: </strong>Six news items were captured for analysis. The similitude analysis was built with 40 active forms and six discussion centers were generated, with the most expressive lexicons in each of these being outsourcing, economic, pejotização, deputy, Federal Nursing Council, Bill of Law.</p><p><strong>Conclusion: </strong>In the quest to increase capital based on neoliberal ideas, strategies are produced that put the workers' and users' health and safety at risk. Pejotização leads to loss of labor rights, as it deprives the worker of consolidated labor achievements, such as the 13th salary, paid vacations, sick leave and, above all, insecurities are generated in relation to the future, with few guarantees, causing negative impacts on these workers' health.</p>","PeriodicalId":21229,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"57 ","pages":"e20220396"},"PeriodicalIF":1.2,"publicationDate":"2023-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10263183/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9691943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parental stress during pregnancy and maternity.","authors":"Carine Sanches Zani Ribeiro,&nbsp;Ellen Cristina Gondim,&nbsp;Luiz Guilherme Dacar Silva Scorzafave,&nbsp;Flávia Azevedo Gomes-Sponholz,&nbsp;Daniel Domingues Dos Santos,&nbsp;Débora Falleiros de Mello","doi":"10.1590/1980-220X-REEUSP-2022-0351en","DOIUrl":"10.1590/1980-220X-REEUSP-2022-0351en","url":null,"abstract":"<p><strong>Objective: </strong>To identify factors related to parental stress of women during pregnancy and the child's first month of life.</p><p><strong>Method: </strong>Prospective longitudinal study in two stages. Analysis of home interviews with 121 participants, Gestational Stress Scale, and Parental Stress Scale. Fisher's exact test, Spearman's correlation, and linear and logistic multivariate regression were applied, with p < 0.05.</p><p><strong>Results: </strong>Most of the participants were between 18 and 35 years old, had 11 to 13 years of education, had no paid work, had a partner, usually the child's father, planned pregnancy, were multiparous, and underwent prenatal care. During pregnancy, 67.8% had stress. In the first month after the child's birth, most had low parental stress (52.1%). High parental stress correlated with some gestational stress. Planning pregnancy decreased parental stress.</p><p><strong>Conclusion: </strong>Gestational and parental stress in the child's first month of life were correlated and pregnancy planning was a factor that reduced stress levels. Timely actions to reduce parental stress are essential for parenting and the child's overall health.</p>","PeriodicalId":21229,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"57 ","pages":"e20220351"},"PeriodicalIF":0.9,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10081624/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9654721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}