Revista gaucha de enfermagem / EENFUFRGS最新文献

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Nurses' perceptions of the characteristics of anthroposophic nursing care: a descriptive study. 护士对人智护理特点的认知:一项描述性研究。
Revista gaucha de enfermagem / EENFUFRGS Pub Date : 2025-11-21 eCollection Date: 2025-01-01 DOI: 10.1590/1983-1447.2025.20250094.en
Susana Martin-Hernandez, Janaina Meirelles Sousa, Georgina Casanova-Garrigos
{"title":"Nurses' perceptions of the characteristics of anthroposophic nursing care: a descriptive study.","authors":"Susana Martin-Hernandez, Janaina Meirelles Sousa, Georgina Casanova-Garrigos","doi":"10.1590/1983-1447.2025.20250094.en","DOIUrl":"10.1590/1983-1447.2025.20250094.en","url":null,"abstract":"<p><strong>Objective: </strong>to identify nurses' perceptions of the characteristics of anthroposophic nursing care.</p><p><strong>Method: </strong>qualitative study carried out in Tortosa, Spain. Semi-structured online and face-to-face interviews with 23 international nurses with experience in anthroposophic nursing, about the characteristics of anthroposophic nursing. Data was transcribed between 2023-2024 and subjected to a reflective thematic analysis using ATLAS-ti®.</p><p><strong>Results: </strong>four characteristic areas are described: anthroposophic anthropology as a salutogenic basis that values the relationship between care, nature, and human suffering; external applications as complementary therapeutic techniques; sincere nursing involvement with the patient, family and community based on therapeutic links; path of self-knowledge as a support tool in patient care.</p><p><strong>Final considerations: </strong>anthroposophic nurses combine nursing science and anthroposophic medicine to achieve coherence and inner strength. There is a demand for research and continuing education in anthroposophic nursing and homogeneity in the theoretical and practical foundations provided by anthroposophic nursing and existing training courses.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"46 ","pages":"e20250094"},"PeriodicalIF":0.0,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reframing pedagogical practices for learning the nursing process during the COVID-19 pandemic. 重塑教学实践,以学习COVID-19大流行期间的护理过程。
Revista gaucha de enfermagem / EENFUFRGS Pub Date : 2025-11-21 eCollection Date: 2025-01-01 DOI: 10.1590/1983-1447.2025.20250024.en
Zélia de Oliveira Saldanha, Silvana Kempfer Borges, Janaina da Silva Flôr, Ivonete Teresinha Schülter Buss Heidemann, Marília de Fátima Vieira de Oliveira, Felipa Rafaela Amadigi, Cláudia Geovana da Silva Pires, Gilberto Tadeu Reis da Silva, Mônica Motta Lino
{"title":"Reframing pedagogical practices for learning the nursing process during the COVID-19 pandemic.","authors":"Zélia de Oliveira Saldanha, Silvana Kempfer Borges, Janaina da Silva Flôr, Ivonete Teresinha Schülter Buss Heidemann, Marília de Fátima Vieira de Oliveira, Felipa Rafaela Amadigi, Cláudia Geovana da Silva Pires, Gilberto Tadeu Reis da Silva, Mônica Motta Lino","doi":"10.1590/1983-1447.2025.20250024.en","DOIUrl":"10.1590/1983-1447.2025.20250024.en","url":null,"abstract":"<p><strong>Objective: </strong>To understand the teaching strategies implemented by nursing professors for teaching the Nursing Process during the COVID-19 pandemic.</p><p><strong>Method: </strong>Qualitative study with a hermeneutic-phenomenological approach. Online individual interviews were conducted with 27 nursing professors from all five regions of Brazil, between November 2022 and May 2023. The analysis was grounded in the hermeneutic circle, respecting the principles of attentive listening and comprehensive interpretation.</p><p><strong>Results: </strong>The phenomenological-hermeneutic analysis of the narratives led to the construction of a central interpretive category: Reframing of the pedagogical practices of being-nurse-professor-teaching-the-nursing-process. From this category, themes emerged that expressed dimensions of the experience lived by professors during the pandemic: openness of being-teaching to others; loneliness of remote teaching; technological mediation as a possibility; and teaching as care and projection.</p><p><strong>Conclusion: </strong>In the pandemic context, faculty members projected new possibilities of being in teaching, reframing their practices through openness to the other and existential responsibility. The findings highlight the need for sensitive, flexible methodologies connected to crisis contexts and emerging innovations.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"46 ","pages":"e20250024"},"PeriodicalIF":0.0,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Validity evidence of the Adolescent Resilience Scale for use in Brazil. 青少年弹性量表在巴西使用的效度证据。
Revista gaucha de enfermagem / EENFUFRGS Pub Date : 2025-11-21 eCollection Date: 2025-01-01 DOI: 10.1590/1983-1447.2025.20250096.en
Débora Maria Santana da Silva, Eliane Maria Ribeiro de Vasconcelos, Silvia Wanick Sarinho, Helena Rafaela Vieira do Rosário, Dayanne Caroline de Assis Silva, Estela Maria Leite Meirelles Monteiro
{"title":"Validity evidence of the Adolescent Resilience Scale for use in Brazil.","authors":"Débora Maria Santana da Silva, Eliane Maria Ribeiro de Vasconcelos, Silvia Wanick Sarinho, Helena Rafaela Vieira do Rosário, Dayanne Caroline de Assis Silva, Estela Maria Leite Meirelles Monteiro","doi":"10.1590/1983-1447.2025.20250096.en","DOIUrl":"10.1590/1983-1447.2025.20250096.en","url":null,"abstract":"<p><strong>Objective: </strong>To demonstrate the cross-cultural adaptation process and preliminary validity evidence of the Adolescent Resilience Scale for adolescent students in situations of social vulnerability for use in Brazil.</p><p><strong>Method: </strong>Methodological study with psychometric characteristics. The adaptation of the 21-item scale followed five stages: translation, synthesis of translations, back-translation, evaluation by a committee of experts, and pre-testing. Data collection was conducted from April to October 2023. The stage with 20 experts was conducted virtually, while the pre-test, with 40 adolescents, took place at a school in Recife, Pernambuco. Descriptive statistical analyses were performed, and Cronbach's alpha and McDonald's omega were calculated to assess reliability.</p><p><strong>Results: </strong>The translated and adapted version of the Adolescent Resilience Scale was modified according to the experts' suggestions, maintaining its 21 items. The overall Content Validity Index (CVI) was 0.98, Cronbach's Alpha was 0.782, and McDonald's Omega was 0.794, all values considered satisfactory. The experts' suggestions coincided with those of the adolescents regarding semantic equivalence, resulting in expressions more appropriate to their daily lives and the Brazilian context.</p><p><strong>Conclusion: </strong>The scale was adapted to the Brazilian context; however, further studies should evaluate the instrument's psychometric properties.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"46 ","pages":"e20250096"},"PeriodicalIF":0.0,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Challenges and Lived Experiences of People with Lower Limb Amputation: A Qualitative Study. 下肢截肢者的挑战与生活经验:一项质性研究。
Revista gaucha de enfermagem / EENFUFRGS Pub Date : 2025-11-21 eCollection Date: 2025-01-01 DOI: 10.1590/1983-1447.2025.20240343.en
Diana Fonseca Rodrigues, António Luís Rodrigues Faria de Carvalho, Cristina Maria Correia Barroso Pinto
{"title":"Challenges and Lived Experiences of People with Lower Limb Amputation: A Qualitative Study.","authors":"Diana Fonseca Rodrigues, António Luís Rodrigues Faria de Carvalho, Cristina Maria Correia Barroso Pinto","doi":"10.1590/1983-1447.2025.20240343.en","DOIUrl":"10.1590/1983-1447.2025.20240343.en","url":null,"abstract":"<p><strong>Objective: </strong>To understand the experience of people with dysvascular major lower-limb amputation throughout the health/disease transition process, focusing on their needs, challenges, and perceptions during the hospital-to-home transition, including hospital discharge preparation and strategies that promote empowerment in their return to daily life.</p><p><strong>Method: </strong>An exploratory study using a qualitative approach. Semi-structured interviews were conducted with 40 individuals with dysvascular major lower limb amputation living at home. Data were analyzed using Bardin's content analysis methodology, supported by ATLAS.ti.® software. The study was conducted in Vila Nova de Gaia, Portugal, from 2022 to 2023.</p><p><strong>Results: </strong>Five categories emerged: (1) needs/difficulties of amputees, (2) discharge preparation, (3) returning home, (4) empowerment strategies for amputees, and (5) impact of amputation.</p><p><strong>Final considerations: </strong>The challenges faced by individuals with dysvascular major lower limb amputation when returning home include functional limitations, comorbidities, physical, emotional, and social barriers, highlighting the importance of person-centered and family-centered care.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"46 ","pages":"e20240343"},"PeriodicalIF":0.0,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Methods and challenges for assessing health literacy in Brazilian cities: population survey. 评估巴西城市卫生知识普及的方法和挑战:人口调查。
Revista gaucha de enfermagem / EENFUFRGS Pub Date : 2025-11-21 eCollection Date: 2025-01-01 DOI: 10.1590/1983-1447.2025.20250001.en
Tatiane da Silva Dal Pizzol, Patricia Romualdo De Jesus, Tatiana da Silva Sempé, Regina Tomie Ivata Bernal, Liziane Maahs Flores, Edi Franciele Ries, Juliane Fernandes Monks Da Silva, Paulo Maximiliano Corrêa, Marcia Regina Martins Alvarenga, Rogério Dias Renovato, Ruberval Franco Maciel, Sotero Serrate Mengue
{"title":"Methods and challenges for assessing health literacy in Brazilian cities: population survey.","authors":"Tatiane da Silva Dal Pizzol, Patricia Romualdo De Jesus, Tatiana da Silva Sempé, Regina Tomie Ivata Bernal, Liziane Maahs Flores, Edi Franciele Ries, Juliane Fernandes Monks Da Silva, Paulo Maximiliano Corrêa, Marcia Regina Martins Alvarenga, Rogério Dias Renovato, Ruberval Franco Maciel, Sotero Serrate Mengue","doi":"10.1590/1983-1447.2025.20250001.en","DOIUrl":"10.1590/1983-1447.2025.20250001.en","url":null,"abstract":"<p><strong>Objective: </strong>To present the response rates and strategies to reduce the number of challenges from multi-center research on Health Literacy carried out in five Brazilian cities.</p><p><strong>Method: </strong>Adults living in urban areas of cities in the states of Rio Grande do Sul (Porto Alegre, Santa Maria and Pelotas) and Mato Grosso do Sul (Campo Grande and Dourados) were interviewed between October 2023 and March 2024. Cluster sampling was carried out in three stages (census sector, block and household). Health literacy was assessed using the Brazilian version of the European Health Literacy Survey Questionnaire Short Form, and the Teste de Letramento em Saúde. The response rate for each city was obtained by dividing the number of interviews conducted by the number of households selected, and post-stratification weights were applied according to age, sex and education.</p><p><strong>Results: </strong>From 150 census sectors initially drawn, 1,181 individuals from 136 census sectors were interviewed. The participating cities' household response rate varied from 33.04% to 58.09%. Different strategies were employed to reduce low response rates due to absent residents and number of refusals, identified as main challenges in data collection. Quality control was performed continuously, with direct supervision of interviewers, daily data analysis and telephone re-interviews.</p><p><strong>Conclusion: </strong>Low response rates in face-to-face interviews, mainly due to absent residents and refusals, as well as in telephone re-interviews, suggest that strategies need to be expanded to address these challenges in household surveys.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"46 ","pages":"e20250001"},"PeriodicalIF":0.0,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evidence validity of the Triage Rule-Out Using High-Sensitivity Troponin Algorithm for emergency nurses in Brazil. 巴西急诊护士使用高灵敏度肌钙蛋白算法进行分类排除的证据有效性
Revista gaucha de enfermagem / EENFUFRGS Pub Date : 2025-11-21 eCollection Date: 2025-01-01 DOI: 10.1590/1983-1447.2025.20240358.en
Thábata Larissa Agostini Dos Santos, Kátia Cilene Godinho Bertoncello, Keyla Cristiane do Nascimento, Patrícia Rezende do Prado, Rita de Cássia Teixeira Rangel
{"title":"Evidence validity of the Triage Rule-Out Using High-Sensitivity Troponin Algorithm for emergency nurses in Brazil.","authors":"Thábata Larissa Agostini Dos Santos, Kátia Cilene Godinho Bertoncello, Keyla Cristiane do Nascimento, Patrícia Rezende do Prado, Rita de Cássia Teixeira Rangel","doi":"10.1590/1983-1447.2025.20240358.en","DOIUrl":"10.1590/1983-1447.2025.20240358.en","url":null,"abstract":"<p><strong>Objective: </strong>To demonstrate evidence of the validity of the Triage Rule-Out Using High-Sensitivity Troponin algorithm (TRUST) for cardiac risk assessment by nurses in Brazil.</p><p><strong>Method: </strong>A six-stage methodological study: translation; synthesis of translations; back-translation; validation by a committee of judges; pre-testing; and submission to the original author. The committee was comprised by of four bilingual translators and two specialist nurses, who assessed the translated version for semantic, idiomatic, conceptual, and cultural equivalence, as well as content validity, internal consistency and clarity. In the pre-test, 31 nurses evaluated the clarity of the algorithm. Content validity was analyzed by the Content Validity Index and reliability by internal consistency using Cronbach's Alpha.</p><p><strong>Results: </strong>The TRUST algorithm consists of three clinical criteria: history of chest pain, electrocardiogram, and a rapid troponin test. The adapted version demonstrated content validity and good comprehensibility, with a Content Validity Index of over 0.90 and a Cronbach's alpha of 0.80. The adaptations involved technical and cultural adjustments. In the pre-test, nurses considered the algorithm to be clear and relevant.</p><p><strong>Conclusion: </strong>The cross-cultural adaptation of the algorithm proved to be valid, being equivalent to the original, adapted to the Brazilian context and suitable for use by emergency nurses.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"46 ","pages":"e20240358"},"PeriodicalIF":0.0,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Repercussions of Internalized Stigma on the Self-Care of Homeless People. 内化污名对无家可归者自我照顾的影响。
Revista gaucha de enfermagem / EENFUFRGS Pub Date : 2025-11-03 eCollection Date: 2025-01-01 DOI: 10.1590/1983-1447.2025.20250099.en
Felicialle Pereira da Silva, Talita Bianca Lima da Paixão, Fábia Maria de Lima, Isla Daniela da Silva Pinto, Emanuela Batista Ferreira E Pereira, Jael Maria de Aquino, Simone Maria Muniz da Silva Bezerra, Carla Aparecida Arena Ventura
{"title":"Repercussions of Internalized Stigma on the Self-Care of Homeless People.","authors":"Felicialle Pereira da Silva, Talita Bianca Lima da Paixão, Fábia Maria de Lima, Isla Daniela da Silva Pinto, Emanuela Batista Ferreira E Pereira, Jael Maria de Aquino, Simone Maria Muniz da Silva Bezerra, Carla Aparecida Arena Ventura","doi":"10.1590/1983-1447.2025.20250099.en","DOIUrl":"10.1590/1983-1447.2025.20250099.en","url":null,"abstract":"<p><strong>Objective: </strong>to analyze the occurrence of internalized stigma among homeless people and its relationship with self-care practices.</p><p><strong>Method: </strong>this is a descriptive and exploratory study, with a qualitative approach, carried out through semi-structured interviews. The research was conducted, between July and October 2023, at the Specialized Reference Centers for the Homeless Population in the city of Recife, Pernambuco. Data analysis was supported by the MAXQDA® software and guided by the methodological framework of thematic content analysis proposed by Bardin.</p><p><strong>Results: </strong>a total of twenty-two users participated, with a mean age of 34.5 years. The majority were male and had been living on the streets for more than three years. The analysis of reports resulted in three thematic categories: (1) Individuals' feelings about their living conditions on the streets; (2) Perception of how society views them; (3) Perception of the homeless individual about others living in the same conditions.</p><p><strong>Final considerations: </strong>internalized stigma compromises the homeless population's self-image and self-care, deepening social exclusion. There is a need to critically review existing intersectoral practices, promoting interventions that are more sensitive to the subjective effects of stigma.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"46 spe1","pages":"e20250099"},"PeriodicalIF":0.0,"publicationDate":"2025-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Conceptions of doctors and nurses about health education in sexually transmitted infections in adolescence. 医生和护士对青少年性传播感染健康教育的观念。
Revista gaucha de enfermagem / EENFUFRGS Pub Date : 2025-11-03 eCollection Date: 2025-01-01 DOI: 10.1590/1983-1447.2025.20250073.en
Manoel Felipe Nunes da Rocha, Gracielly Karine Tavares Souza, Gabrielly Laís de Andrade Souza, Daniela Tavares Gontijo, Rosalie Barreto Belian
{"title":"Conceptions of doctors and nurses about health education in sexually transmitted infections in adolescence.","authors":"Manoel Felipe Nunes da Rocha, Gracielly Karine Tavares Souza, Gabrielly Laís de Andrade Souza, Daniela Tavares Gontijo, Rosalie Barreto Belian","doi":"10.1590/1983-1447.2025.20250073.en","DOIUrl":"10.1590/1983-1447.2025.20250073.en","url":null,"abstract":"<p><strong>Objective: </strong>To describe the conceptions of family and community doctors and nurses about health education on sexually transmitted infections in adolescence.</p><p><strong>Method: </strong>A descriptive study with a qualitative approach, conducted between August and November 2023 with family and community physicians and nurses from a municipality in the interior of Pernambuco, Brazil. Data collection involved a sociodemographic questionnaire and individual semi-structured interviews. Data were analyzed using Bardin's content analysis technique.</p><p><strong>Results: </strong>Sixteen health professionals participated. They recognized health education as a priority strategy in Primary Care, promoting quality of life, encouraging critical-reflective thinking, and empowering adolescents in decision-making. Schools were highlighted as the primary setting for these educational practices. A preference was also observed for dialogic dynamics using popular language, audiovisual presentations, humor, and playful resources.</p><p><strong>Conclusion: </strong>Professionals recognize the importance of health education initiatives on STIs as fundamental strategies for promoting preventive behaviors among adolescents. However, factors such as family resistance, cultural taboos and insufficient resources still constitute obstacles to the implementation and scope of these practices in the daily routine of health services.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"46 spe1","pages":"e20250073"},"PeriodicalIF":0.0,"publicationDate":"2025-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effectiveness of the navigation of cancer chemoradiotherapy patients: a retrospective cohort study. 癌症放化疗患者导航的有效性:一项回顾性队列研究。
Revista gaucha de enfermagem / EENFUFRGS Pub Date : 2025-11-03 eCollection Date: 2025-01-01 DOI: 10.1590/1983-1447.2025.2025-0162.en
Marina Araujo da Cruz Moraes, Michelli Cristina Silva De Assis, Aline Marques Acosta, Ana Paula Wunder Fernandes, Bibiana Fernandes Trevisan, Ana Maria Vieira Lorenzzoni, Adelita Noro, Anali Martegani Ferreira
{"title":"Effectiveness of the navigation of cancer chemoradiotherapy patients: a retrospective cohort study.","authors":"Marina Araujo da Cruz Moraes, Michelli Cristina Silva De Assis, Aline Marques Acosta, Ana Paula Wunder Fernandes, Bibiana Fernandes Trevisan, Ana Maria Vieira Lorenzzoni, Adelita Noro, Anali Martegani Ferreira","doi":"10.1590/1983-1447.2025.2025-0162.en","DOIUrl":"10.1590/1983-1447.2025.2025-0162.en","url":null,"abstract":"<p><strong>Objective: </strong>To verify the effectiveness of a navigation program for cancer patients undergoing concomitant chemoradiotherapy treatment in a public hospital, regarding treatment completion, emergency service visits and unplanned hospitalizations.</p><p><strong>Method: </strong>Retrospective double cohort study conducted in a hospital in southern Brazil. Adults with cancer referred for concomitant chemoradiation were included from January 2022 to December 2023. Participants were divided into before and after navigation program groups. Univariate analysis and Poisson regression were performed to assess outcomes.</p><p><strong>Results: </strong>A total of 100 patients were evaluated in the before navigation group and 112 in the after navigation group. After the implementation of the program, there was a higher percentage of patients who achieved complete treatment (66% versus 89.3%; p<0.001), a lower percentage of emergency room visits (50% versus 31.3%; p=0.008) and hospital admissions (57% versus 33; p=0.001). In the multivariate analysis adjusted for exposure variables, no significant effect was observed for the primary outcome (p>0.05).</p><p><strong>Conclusion: </strong>Improvements in treatment success and a decrease in the use of emergency services and hospitalizations were observed, although more robust evidence is needed to prove the full effectiveness of the navigation program, no significant associations were identified in the multivariate analysis that proves the effectiveness of the navigation program.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"46 spe1","pages":"e20250162"},"PeriodicalIF":0.0,"publicationDate":"2025-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Childhood adversities among self-identified LGBT+ students. 自认为是LGBT+学生的童年逆境。
Revista gaucha de enfermagem / EENFUFRGS Pub Date : 2025-11-03 eCollection Date: 2025-01-01 DOI: 10.1590/1983-1447.2025.20250075.en
Micael Franco Alves, Franciele Marabotti Costa Leite
{"title":"Childhood adversities among self-identified LGBT+ students.","authors":"Micael Franco Alves, Franciele Marabotti Costa Leite","doi":"10.1590/1983-1447.2025.20250075.en","DOIUrl":"10.1590/1983-1447.2025.20250075.en","url":null,"abstract":"<p><strong>Objective: </strong>To identify the prevalence of childhood adversities among self-identified LGBT+ students.</p><p><strong>Method: </strong>Descriptive, cross-sectional study based on the Pesquisa Estadual de Saúde do Adolescente Capixaba (PESC) [State Survey on Adolescent Health of Espírito Santo], conducted in 63 public and private high schools in the Greater Vitória Metropolitan Region, Espírito Santo, Brazil. The sample comprised 949 LGBT+ adolescents aged 14 to 19 years, selected through stratified probabilistic sampling. Data collection took place between March and December 2023, using the Adverse Childhood Experiences International Questionnaire (ACE-IQ), adapted and validated for Brazil. Statistical analyses included absolute and relative frequencies and 95% confidence intervals (95% CIs).</p><p><strong>Results: </strong>A high prevalence of emotional abuse (78.6%), physical abuse (55.2%), and sexual abuse (49.8%) was found, along with exposure to family violence (78.8%), and parental separation or divorce (57.4%). Exposure to violence was significant both at home and in the community, with 45.1% of adolescents reporting witnessing beatings outside the home and 21.2% living with someone who had been incarcerated.</p><p><strong>Conclusion: </strong>The adversities experienced by this population underscore their vulnerability and the negative impacts on psychological and social development. Such experiences reflect the effects of structural LGBT+ phobia, reinforcing the urgent need for inclusive public policies and support programs to promote equity and reduce long-term harm.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"46 spe1","pages":"e20250075"},"PeriodicalIF":0.0,"publicationDate":"2025-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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