Revista Cuidarte最新文献

{"title":"Diagnostic performance of the LRINEC score for diagnosing necrotizing fasciitis in a Latin American population.","authors":"Cristian David Arévalo Mojica, Laura Cristina Nocua-Báez, Paula Andrea González Caicedo, Sugeich Del Mar Meléndez Rhenals, Carlos Humberto Saavedra Trujillo","doi":"10.15649/cuidarte.5497","DOIUrl":"https://doi.org/10.15649/cuidarte.5497","url":null,"abstract":"<p><strong>Introduction: </strong>The Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) score was developed to estimate the likelihood of necrotizing fasciitis (NF); however, its diagnostic performance varies across populations, and evidence from Latin America remains limited.</p><p><strong>Objective: </strong>To assess the diagnostic performance of the LRINEC score in a Colombian population with skin and soft tissue infections.</p><p><strong>Materials and methods: </strong>A retrospective cohort study was conducted among patients hospitalized at two tertiary care institutions in Colombia between 2016 and 2021. Patients with signs of systemic inflammatory response were considered suspected cases of NF. The diagnosis was confirmed or ruled out based on intraoperative or histopathologic findings. The LRINEC score was calculated, and its diagnostic performance was evaluated using sensitivity, specificity, and receiver operating characteristic (ROC) curves.</p><p><strong>Results: </strong>Among 1.546 medical records, 29 confirmed cases of NF and 106 suspected cases in which NF was ruled out were identified. The mean LRINEC score among patients with NF was 6 points. A cutoff score of ≥6 yielded a sensitivity of 62.07%, a specificity of 71.70%, and an area under the ROC curve (AUC) of 0.67. At a cutoff score of ≥8, sensitivity was 34.48%, and specificity was 89.62%.</p><p><strong>Discussion: </strong>These findings indicate moderate diagnostic performance, similar to that reported in other retrospective studies conducted in Latin American populations, with greater utility for ruling out NF than for ruling it in.</p><p><strong>Conclusion: </strong>The LRINEC score showed limited utility as a standalone diagnostic tool. A score <6 had a high negative predictive value and should always be interpreted in conjunction with clinical judgment.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"17 3","pages":"e5497"},"PeriodicalIF":0.6,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13660963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health promotion for older adults in primary health care: practices and challenges.","authors":"Fernanda Souza Tomé da Silva, Júlia Graciela de Souza, Luiz Eduardo Weimer, Regiane da Silva Macuch, Bianca Pereira de Assis, Aliny de Lima Santos","doi":"10.15649/cuidarte.5409","DOIUrl":"https://doi.org/10.15649/cuidarte.5409","url":null,"abstract":"<p><strong>Introduction: </strong>Health promotion actions in Primary Health Care (PHC) are essential for preventing health problems and improving the population's quality of life, particularly among older adults. However, the implementation of these actions faces structural and organizational challenges.</p><p><strong>Objective: </strong>To map Health Promotion activities for older adults carried out in PHC in a municipality in Santa Catarina and to understand the challenges related to their implementation and execution from the perspective of practicing health professionals.</p><p><strong>Materials and methods: </strong>This qualitative study was grounded in the constructivist paradigm and employed Fourth Generation Evaluation. Interviews were conducted with eight Family Health Strategy professionals, and a mapping of the collective activities offered was conducted. Data was collected between December 2024 and January 2025, and manually analyzed using the Constant Comparative Method, without the use of qualitative data analysis software.</p><p><strong>Results: </strong>The findings indicated difficulties in community engagement, limited resources, and weaknesses in the organization of health promotion actions for older adults. In addition, there was a predominance of initiatives focused on chronic diseases, while actions aimed at active aging remain underexplored.</p><p><strong>Discussion: </strong>The results highlight the need for continuous professional training, stronger coordination between management and health teams, and the adoption of more effective strategies to engage the community.</p><p><strong>Conclusion: </strong>Overcoming institutional and structural barriers is essential to ensure greater equity in access to preventive and health promotion practices.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"17 3","pages":"e5409"},"PeriodicalIF":0.6,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13660962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Construction and validation of educational technology in the form of a booklet to guide the elderly in post-burn care.","authors":"Marcelo Anderson Cavalcante Monteiro, Odézio Damasceno Brito, Jamily Soares Damasceno Silva, Ana Clécia Silva Monteiro, Leticia Coelho de Souza, Anne Fayma Lopes Chaves, Livia Moreira Barros, Natasha Marques Frota","doi":"10.15649/cuidarte.5229","DOIUrl":"10.15649/cuidarte.5229","url":null,"abstract":"<p><strong>Introduction: </strong>The aging population necessitates increased healthcare focus, as the incidence of hospitalizations and complications, especially those related to burns, rises. Consequently, it is urgent to educate the elderly on self-care to prevent severe complications.</p><p><strong>Objective: </strong>To develop and validate an educational booklet to guide elderly individuals in post-burn care at home.</p><p><strong>Materials and methods: </strong>This was a methodological study conducted in four stages: literature review, booklet development, expert validation and target audience evaluation. Data was analyzed using descriptive statistics and the Content Validity Index.</p><p><strong>Results: </strong>A total of 23 experts with experience in elderly health, education and technology and 23 elderly participants followed by a burn treatment center participated. The final booklet, titled \"Protecting Your Skin: Guidelines for Post-Burn Care\", includes 51 pages and covers topics such as burn classification, initial care, accident prevention, and useful contacts. The content validity index was 1.0 among experts and 0.92 among older adults, indicating excellent acceptance and understanding of the content.</p><p><strong>Discussion: </strong>The booklet addresses post-discharge of health education needs of older adults with burns, standing out for the target audience's comprehension of educational technology, accessible language and evidence-based content.</p><p><strong>Conclusion: </strong>The educational technology in the form of a booklet demonstrated adequate validation and a high level of understanding among older adults, showing potential for incorporation into nursing practice as an educational resource, promoting self-care and the safety of older adults in post-hospital discharge care.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"17 2","pages":"e5229"},"PeriodicalIF":0.6,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13617264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149075903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Caring beyond the operating field: social determinants in surgical Nursing.","authors":"José Erivelton de Souza Maciel Ferreira, Larissa Rodrigues Siqueira, Aneline Mesquita Sales Carpino, Francisco Edilson Andrade Almeida Júnior, Rian Brito Teles, Marcelo Bruno Almeida Rebouças","doi":"10.15649/cuidarte.5663","DOIUrl":"10.15649/cuidarte.5663","url":null,"abstract":"<p><strong>Introduction: </strong>In the surgical setting, social determinants of health directly influence surgical outcomes, from indication to postoperative recovery, reflecting social inequalities that require critical nursing attention.</p><p><strong>Objective: </strong>To reflect, in light of a narrative review, on the influence of social determinants of health on surgical outcomes and their implications for perioperative Nursing.</p><p><strong>Content synthesis: </strong>This is a theoretical-reflective essay grounded in a structured narrative review conducted in the PubMed database between April and June 2025. Twenty-six articles were included. The analysis was carried out through an integrative thematic synthesis organized according to the Dahlgren and Whitehead model. The findings indicate that incorporating social determinants broadens the scope of nursing practice across different levels. At the macro level, it involves political and institutional engagement, participation in policy formulation, and equitable resource management. Regarding mesodeterminants, expanded social assessment, individualized care planning, articulation with community networks, and culturally sensitive health education stand out. At the micro level, individualized clinical assessment, psychosocial support, humanized care, postoperative planning, and the use of technologies to support continuity of care are included. This approach strengthens comprehensiveness and social justice within the surgical context.</p><p><strong>Conclusion: </strong>Integrating social determinants of health into Nursing practice in the surgical setting strengthens patient safety, improves quality of care, and contributes to reducing health inequities.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"17 2","pages":"e5663"},"PeriodicalIF":0.6,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13614457/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spatial distribution of violence rates against pregnant women in Brazil in 2023.","authors":"Rayssa Milena Palasi Semezatto, Maria Luiza Melo da Silva, Lays Silva de Azevedo, Emiliana Cristina Melo, Rosana Rosseto de Oliveira","doi":"10.15649/cuidarte.5584","DOIUrl":"10.15649/cuidarte.5584","url":null,"abstract":"<p><strong>Introduction: </strong>Violence against pregnant women is a multifactorial public health problem that can worsen maternal and fetal health, making its analysis relevant for understanding the phenomenon.</p><p><strong>Objective: </strong>Describe the spatial distribution of notification rates of violence against pregnant women in Brazil.</p><p><strong>Materials and methods: </strong>This was a cross-sectional ecological study of notification rates of violence against pregnant women residing in Brazil in 2023, obtained from the Notifiable Diseases Information System, with data extracted in March 2025. The spatial distribution of notification rates of violence against pregnant women was analyzed according to socioeconomic indicators (race/skin color, age group, and educational level). Global and Local Moran's Indexes were used for spatial analysis, considering immediate regions as units of analysis.</p><p><strong>Results: </strong>The notification rate of violence against pregnant women in Brazil was 7.82 per 1,000 live births (19,851 notifications). The states of Amazonas, Roraima, Acre, Mato Grosso do Sul, and Paraná stood out with high rates. Higher occurrence was observed among women of mixed-race (brown), Asian, and Indigenous race/skin color, as well as among those under 20 years of age and with low educational attainment.</p><p><strong>Discussion: </strong>Brazil is marked by regional disparities, which are reflected in indicators of violence against pregnant women.</p><p><strong>Conclusion: </strong>Violence against pregnant women is present throughout the country, affecting all race/skin color groups, age groups, and educational levels. However, variations and specificities among regions were identified. Thus, the data obtained represent a relevant source of information and may support the planning and implementation of interventions.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"17 2","pages":"e5584"},"PeriodicalIF":0.6,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13581945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health literacy and knowledge of HIV and sexually transmitted infections among adolescents.","authors":"Kimberly Alison Durand-Granados, Maricela Curisinche-Rojas","doi":"10.15649/cuidarte.5144","DOIUrl":"10.15649/cuidarte.5144","url":null,"abstract":"<p><strong>Introduction: </strong>Inadequate knowledge of sexually transmitted infections (STIs) and the human immunodeficiency virus (HIV) places adolescents at increased risk for infection. Health literacy is an important strategy for reducing this risk.</p><p><strong>Objective: </strong>To determine the association between health literacy and knowledge of HIV and other STIs among adolescents.</p><p><strong>Materials and methods: </strong>This analytical cross-sectional study included 204 adolescents from public schools. The Health Literacy Questionnaire and the HIV and other Sexually Transmitted Infections Knowledge Scale were used. Descriptive and bivariate analyses were performed using the chi-square test and Poisson regression with robust variance.</p><p><strong>Results: </strong>A total of 51.47% adolescents had inadequate knowledge, and 63.24% had inadequate health literacy. A significant association was found between the two variables (chi-square test, p = 0.009, 95% confidence interval [CI]). The crude prevalence ratio (cPR) was 1.44 (95% CI: 1.119-1.874), and the adjusted prevalence ratio (aPR) was 1.45 (95% CI: 1.123-1.880), adjusted for age, sex, and school grade level.</p><p><strong>Discussion: </strong>Health literacy equips individuals with the skills to access, understand, and use health information, improving knowledge for informed decision-making and the adoption of protective behaviors against HIV and STIs.</p><p><strong>Conclusion: </strong>Adolescents with adequate health literacy are more likely to have adequate knowledge of HIV and STIs. It is necessary to incorporate health literacy into health plans and promote information and education programs and interventions on these infections and comprehensive sexual health within and outside schools, using a multisectoral approach.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"17 2","pages":"e5144"},"PeriodicalIF":0.6,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13576666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lived experiences of cardiovascular postoperative care in pediatric and neonatal critical care: The parents' experience.","authors":"Sergio Andres Acuña-Caicedo, Geraldine Tatiana Piraquive-Niño, Leidy Paola Triana-Monroy","doi":"10.15649/cuidarte.5175","DOIUrl":"10.15649/cuidarte.5175","url":null,"abstract":"<p><strong>Introduction: </strong>Heart disease in childhood is the fourth leading cause of illness and, in many cases, requires complex surgical procedures and intensive care unit care. This situation has a significant impact on family caregivers, especially at the psychosocial and emotional levels, due to the uncertainty about the children's prognosis. Therefore, it is essential to provide support to facilitate coping with this critical experience.</p><p><strong>Objective: </strong>To describe the experiences of parents and family caregivers caring for children postoperatively after cardiovascular surgery, hospitalized in in pediatric intensive care units and neonatal intensive care units of a fourth-level institution, during 2023.</p><p><strong>Materials and methods: </strong>A qualitative study with a descriptive phenomenological approach based on the Colaizzi method. In-depth interviews were conducted with family caregivers, selected by convenience, until data saturation was achieved. Data collection was conducted by the researcher and data analysis was supported by Nvivo software. The information was structured into core themes and subthemes through methodological triangulation.</p><p><strong>Results: </strong>Ten mothers, aged 23 to 46 years, mostly from stratum 2, were interviewed. The children ranged in age from 14 days to 6 years, with common surgical diagnoses such as closure of patent ductus arteriosus.</p><p><strong>Discussion: </strong>The analysis yielded six categories, 15 codes, and common themes such as the need for effective communication and the coping strategies employed.</p><p><strong>Conclusion: </strong>Caregivers require professionals with assertive communication skills who build trust, include them in care, and respect their beliefs to reduce the emotional impact.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"17 2","pages":"e5175"},"PeriodicalIF":0.6,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13545021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148897853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial intelligence in healthcare in Latin America and Colombia: bridging gaps and leveraging opportunities.","authors":"Santiago Sierra-Castillo, David Aristizábal-Colorado, Martha Eugenia Reyes-Sarmiento","doi":"10.15649/cuidarte.6342","DOIUrl":"10.15649/cuidarte.6342","url":null,"abstract":"","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"17 2","pages":"e6342"},"PeriodicalIF":0.6,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13553122/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148913757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Academic mentoring in nursing as communicative praxis and existential formation.","authors":"Montserrat Mariscal Delgadillo","doi":"10.15649/cuidarte.5658","DOIUrl":"10.15649/cuidarte.5658","url":null,"abstract":"<p><strong>Introduction: </strong>Academic mentoring is a central strategy in nursing education, as it influences student retention and the quality of the educational process; however, implementing mentoring presents conceptual and operational ambiguities that limit its scope.</p><p><strong>Objective: </strong>To analyze mentoring through Habermas's Theory of Communicative Action and Kierkegaard's existential perspective, in order to make visible its dialogical, ethical, and subjective dimensions.</p><p><strong>Content synthesis: </strong>This reflection article is based on a review and integration of philosophical, pedagogical, and disciplinary literature on academic mentoring in nursing, in dialogue with findings from previous empirical research on teaching competencies and challenges in mentoring practice in the Mexican context, which serve as problematizing points of reference.</p><p><strong>Conclusion: </strong>Mentoring extends beyond the logics of academic incentives and compliance with educational quality indicators and is, therefore, understood as an ethical and meaningful practice that requires not only normative and pedagogical clarity but also the integration of communicative rationality, existential guidance, and professional responsibility.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"17 2","pages":"e5658"},"PeriodicalIF":0.6,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13558811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of basic and specialized care between nursing assistants and professional nurses.","authors":"Ángela Fernanda Espinosa Aranzales, Sandra Milena Tibaquirá Torres, Anacaona Martínez Del Valle, Ana Lucía Casallas Murillo, Adriana Del Pilar Patiño Quintero","doi":"10.15649/cuidarte.5555","DOIUrl":"10.15649/cuidarte.5555","url":null,"abstract":"<p><strong>Introduction: </strong>Professional nurses are trained to provide direct care; however, in hospital settings, they delegate tasks to nursing assistants, which can lead to adverse events and patient dissatisfaction.</p><p><strong>Objective: </strong>To analyze basic and specialized nursing care activities, classifying them according to the scope of competence and level of criticality.</p><p><strong>Materials and methods: </strong>This cross-sectional observational study was conducted between June 2021 and January 2022 and included 141 professional nurses and 259 nursing assistants from a university hospital in Bogotá. A structured questionnaire was used to record the activities performed by both roles, along with their frequency and execution time. Expert consensus was established regarding the set of nursing care activities, their alignment with each role's scope of practice, and the classification of critical activities representing a risk when delegated. Descriptive analysis identified who performed each activity, along with its frequency and execution time. Bivariate analysis assessed differences between the activities performed.</p><p><strong>Results: </strong>A total of 40 basic nursing activities and 17 specialized nursing activities were identified, of which 18 were classified as critical. Significant differences were observed between nursing assistants and professional nurses in the performance and frequency of activities, including neurological assessment, pain management, and medication monitoring.</p><p><strong>Discussion: </strong>The delegation of critical activities to nursing assistants, driven by the multiplicity of administrative and care-related tasks and by inadequate staffing of professional nurses, highlights the need to examine the negative consequences for patients.</p><p><strong>Conclusion: </strong>At the hospital evaluated, nursing assistants perform activities that, given the required level of competence and the risks involved, should be carried out by professional nurses.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"17 2","pages":"e5555"},"PeriodicalIF":0.6,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13534793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148881944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}