Acta Paulista De Enfermagem最新文献_第5页

Acute kidney injury and COVID-19 in young adults in intensive care 重症监护青年急性肾损伤与COVID-19

4区医学

Acta Paulista De Enfermagem Pub Date : 2023-10-25 DOI: 10.37689/acta-ape/2024ao0027511

José Edilson de Oliveira, Talita Andrade dos Santos, Angélica Gonçalves Silva Belasco, Dulce Aparecida Barbosa, Eduesley Santana Santos, Miguel Angelo de Góes Junior, Carla Roberta Monteiro Miura, Cassiane Dezoti da Fonseca

{"title":"Acute kidney injury and COVID-19 in young adults in intensive care","authors":"José Edilson de Oliveira, Talita Andrade dos Santos, Angélica Gonçalves Silva Belasco, Dulce Aparecida Barbosa, Eduesley Santana Santos, Miguel Angelo de Góes Junior, Carla Roberta Monteiro Miura, Cassiane Dezoti da Fonseca","doi":"10.37689/acta-ape/2024ao0027511","DOIUrl":"https://doi.org/10.37689/acta-ape/2024ao0027511","url":null,"abstract":"Objective To describe acute kidney injury prevalence in young adults diagnosed with COVID-19 admitted to the Intensive Care Unit. Methods This is a retrospective, quantitative and analytical study. The sample consisted of young adults (20 to 40 years old) admitted to Intensive Care Units, diagnosed with SARS-CoV-2 infection between March and December 2020. Data were obtained through electronic medical records, and kidney injury acute was defined by the creatinine value, according to the Kidney Disease Improving Global Outcomes guidelines criteria. Statistical significance was p≤0.05. Results A total of 58 young adults were hospitalized, 63.8% of whom were male. Hypertension was present in 39.6%, obesity in 18.9%, and diabetes mellitus in 8.6%. Acute kidney injury was identified in 55.1%, with stage 3 predominating in 43.1% of them. In these patients, the use of mechanical ventilation and vasoactive drugs was significant in 92% as well as respiratory organ dysfunction (80%), followed by renal organ dysfunction (76%). Risk factors such as kidney transplantation or chronic kidney disease and obesity increased by 12.3 and 9.0 times, respectively, the chances of developing acute kidney injury. Conclusion This study demonstrated a high kidney injury prevalence in young adults and its association with previous comorbidities. Obesity, kidney transplantation and chronic kidney disease increased the chance of young adults to develop acute kidney injury, resulting in outcomes in favor of morbidity and mortality.","PeriodicalId":6891,"journal":{"name":"Acta Paulista De Enfermagem","volume":"67 21","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135169273","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}

引用次数: 0

Acesso e qualidade da alimentação: percepção da população em situação de rua 食物的获取和质量:街头人口的看法

4区医学

Acta Paulista De Enfermagem Pub Date : 2023-10-25 DOI: 10.37689/acta-ape/2024ao0002361

Carolina Moraes Preihsner de la Cerda, Giovanna Martins e Soares, Ana Karina Bezerra Pinheiro, Sheila Aparecida Ferreira Lacthim, André Luiz Freitas Dias, Ricardo Alexandre Arcencio, Giselle Lima de Freitas

引用次数: 0

Apoio social na prática de atividade física de trabalhadores 对工人体育活动的社会支持

4区医学

Acta Paulista De Enfermagem Pub Date : 2023-10-25 DOI: 10.37689/acta-ape/2024ao0000521

Letícia Yamawaka de Almeida, Janaína Cristina Pasquini de Almeida, Jaqueline Lemos de Oliveira, Débora Vieira Belchior, Ana Carolina Guidorizzi Zanetti, Jacqueline de Souza

引用次数: 0

Alta hospitalar de pacientes adultos e idosos: elaboração e validação de checklist 成人和老年患者出院:检查表的编制和验证

4区医学

Acta Paulista De Enfermagem Pub Date : 2023-10-25 DOI: 10.37689/acta-ape/2024ao0002291

Jociele Gheno, Amanda Aires Lombardini, Kellen Cristina Araújo, Alisia Helena Weis

{"title":"Alta hospitalar de pacientes adultos e idosos: elaboração e validação de checklist","authors":"Jociele Gheno, Amanda Aires Lombardini, Kellen Cristina Araújo, Alisia Helena Weis","doi":"10.37689/acta-ape/2024ao0002291","DOIUrl":"https://doi.org/10.37689/acta-ape/2024ao0002291","url":null,"abstract":"Objective: To describe content elaboration and validity of a checklist for preparing adults and older adults for hospital discharge. Methods: This is a methodological study, developed from May 2020 to September 2022 (in two stages), for checklist elaboration and validity. The Delphi technique was used, with assessment by an expert committee for content validity. To calculate the degree of agreement, the agreement rate and the Content Validity Index (CVI) were used. Results: A checklist with 17 items that help organize hospital discharge was prepared and validated. The checklist was prepared based on the compilation of results obtained from interviews with multidisciplinary team professionals, who worked in inpatient units, an integrative review on transition of care at hospital discharge of adult patients and reading of articles on the use of discharge checklist. In the first stage of validity, a mean was obtained for the instrument’s agreement rate, scope (94%) and relevance (91%). At the end of the second round, the mean CVI calculation was obtained (clarity: 0.95; relevance: 0.96). Conclusion: The checklist was validated as to its content by consensus by an expert committee, and can be used by care teams or hospital discharge management","PeriodicalId":6891,"journal":{"name":"Acta Paulista De Enfermagem","volume":"30 18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135168628","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}

引用次数: 0

Implementation of a knowledge translation and exchange intervention for pain management in neonates 新生儿疼痛管理的知识翻译和交流干预的实施

4区医学

Acta Paulista De Enfermagem Pub Date : 2023-10-24 DOI: 10.37689/acta-ape/2023arspe0240733

Thaíla Corrêa Castral, Mariana Bueno, Julyana Calatayud Carvalho, Fay Warnock, Júlia Carneiro Godoy de Sousa, Laiane Medeiros Ribeiro, Ana Karina Marques Salge Mendonça

{"title":"Implementation of a knowledge translation and exchange intervention for pain management in neonates","authors":"Thaíla Corrêa Castral, Mariana Bueno, Julyana Calatayud Carvalho, Fay Warnock, Júlia Carneiro Godoy de Sousa, Laiane Medeiros Ribeiro, Ana Karina Marques Salge Mendonça","doi":"10.37689/acta-ape/2023arspe0240733","DOIUrl":"https://doi.org/10.37689/acta-ape/2023arspe0240733","url":null,"abstract":"Objective To describe the implementation process of a multifaceted knowledge translation and exchange intervention to improve pain management practices, and to evaluate the adoption of this intervention by health professionals during painful procedures in neonates. Methods A quasi-experimental before-and-after study developed in a neonatal unit. The Evidence-Based Practice for Improving Quality intervention guided by the conceptual framework The Promoting Action on Research Implementation in Health Services was implemented in two stages (preparation and implementation). Its adoption was measured by clinical indicators related to pain management presented through descriptive statistics. Results After discussion on existing practices in the unit that needed to be changed, synthesis of current scientific evidence and local context data, members of the unit’s Research and Practice Council developed and implemented coherent and achievable goals for the change of practice in pain management, selected knowledge translation and exchange strategies, determined the target audience and indicators, and implemented the interventions. There was a 32.8% reduction in the number of painful procedures performed, an increase of 26.6-50.7% in the use of pain assessment scales and of 25.1% in the administration of oral glucose. Conclusion The multifaceted Evidence-Based Practice for Improving Quality intervention is complex, and has processes that demand knowledge and skills, commitment from the various actors involved, availability of time and financial investment. The analyzed indicators showed that the intervention resulted in positive changes in clinical practice in the management of pain in neonates.","PeriodicalId":6891,"journal":{"name":"Acta Paulista De Enfermagem","volume":"31 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135322360","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}

引用次数: 0

Subconjunto terminológico CIPE® para pessoas com doença renal crônica em tratamento conservador CIPE®术语子集用于保守治疗的慢性肾脏疾病患者

IF 0.7 4区医学

Acta Paulista De Enfermagem Pub Date : 2023-08-18 DOI: 10.37689/acta-ape/2023ao014033

Harlon França de Menezes, A. Camacho, Rosana Moreira de Sant’Anna, Tatyana Lós de Melo Matos, Isabele Silva dos Santos, Ana Flávia Bentes Da Silva, Cleide Gonçalo Rufino, R. Silva

{"title":"Subconjunto terminológico CIPE® para pessoas com doença renal crônica em tratamento conservador","authors":"Harlon França de Menezes, A. Camacho, Rosana Moreira de Sant’Anna, Tatyana Lós de Melo Matos, Isabele Silva dos Santos, Ana Flávia Bentes Da Silva, Cleide Gonçalo Rufino, R. Silva","doi":"10.37689/acta-ape/2023ao014033","DOIUrl":"https://doi.org/10.37689/acta-ape/2023ao014033","url":null,"abstract":"CIPE ® de acordo com o modelo teórico adotado, mostrou-se válido quanto ao conteúdo para o cuidado das pessoas com doença renal crônica em tratamento conservador por meio de planos de cuidados claros e diretivos. Abstract Objective: To carry out content validity of the statements of International Classification for Nursing Practice (ICNP ® ) terminology subset diagnoses, outcomes and nursing interventions for people with chronic kidney disease on conservative treatment. Methods: A methodological study, which followed the Brazilian method guidelines, with content validity conducted by the Delphi technique and carried out with 67 expert nurses. A total of 123 nursing diagnosis/ outcome statements and 215 nursing intervention statements, distributed by Callista Roy’s adaptation model of nursing modes were assessed. To assess the degree of agreement regarding the meaning and clinical use among experts, the Content Validity Index (CVI) was used, accepting statements that presented an index ≥ 0.80","PeriodicalId":6891,"journal":{"name":"Acta Paulista De Enfermagem","volume":"1 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69983919","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}

引用次数: 1

Engajamento e qualidade de vida dos graduandos de enfermagem e medicina 护理与医学专业本科生的敬业度与生活质量

IF 0.7 4区医学

Acta Paulista De Enfermagem Pub Date : 2023-08-18 DOI: 10.37689/acta-ape/2023ao027734

Giovana Spina, M. Pinto, Lúcia Marinilza Beccaria, Maria Cláudia Parro, Kátia Jaira Galisteu, A. Pereira

引用次数: 0

Violência contra trabalhadores de enfermagem na pandemia de COVID-19: revisão de escopo COVID-19大流行期间对护理人员的暴力行为:范围审查

IF 0.7 4区医学

Acta Paulista De Enfermagem Pub Date : 2023-08-18 DOI: 10.37689/acta-ape/2023ar002073

Cleverson Leal Silva, Julia Menezes Cabral, Paula Hino, Mônica Taminato, Geisa Colebrusco de Souza Gonçalves, Hugo Fernandes

引用次数: 0

Burnout, COVID-19, apoio social e insegurança alimentar em trabalhadores da saúde 卫生工作者的职业倦怠、COVID-19、社会支持和粮食不安全

IF 0.7 4区医学

Acta Paulista De Enfermagem Pub Date : 2023-08-18 DOI: 10.37689/acta-ape/2023ao003933

Rosana Maria Barreto Colichi, Larissa Cassiano Bernardo, Simone Cristina Paixão Dias Baptista, Alan Francisco Fonseca, Silke Anna Theresa Weber, Silvana Andréa Molina Lima

{"title":"Burnout, COVID-19, apoio social e insegurança alimentar em trabalhadores da saúde","authors":"Rosana Maria Barreto Colichi, Larissa Cassiano Bernardo, Simone Cristina Paixão Dias Baptista, Alan Francisco Fonseca, Silke Anna Theresa Weber, Silvana Andréa Molina Lima","doi":"10.37689/acta-ape/2023ao003933","DOIUrl":"https://doi.org/10.37689/acta-ape/2023ao003933","url":null,"abstract":"Objective: To evaluate the prevalence of risk for Burnout Syndrome among health professionals in areas of care for patients with COVID-19, as well as to verify possible associations of the syndrome with the perceived social support and food insecurity of these workers. Methods: Analytical cross-sectional study, with workers from intensive care units (ICU) and wards caring for patients with COVID-19, in a university hospital. Data collection was carried out from September to October 2021, using the instruments: Maslach Burnout Inventory (MBI-HSS), Multidimensional Perceived Social Support Scale and Food Insecurity Experience Scale (FIES). Statistical analysis used Poisson regression models and multiple Poisson regression, considering statistically significant differences and associations if p<0.05. Results: A total of 75 workers from three wards (48%) and from one ICU (52%) participated in the survey, and the professionals are mostly female (89.3%), trained as health care technicians (66.7%). Regarding the risk of Descritores","PeriodicalId":6891,"journal":{"name":"Acta Paulista De Enfermagem","volume":"1 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69983210","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}

引用次数: 0

Análise noticiosa do trabalho em enfermagem no contexto da pandemia da COVID-19 COVID-19大流行背景下护理工作的新闻分析

IF 0.7 4区医学

Acta Paulista De Enfermagem Pub Date : 2023-08-18 DOI: 10.37689/acta-ape/2023ao019233

Handerson Silva-Santos, Alexia Bruna Santos Gonçalves, Iara Neves Vieira Cavalcante, Aline Nazaré Valente Santos Fiscina, D. Damascena, Tatiane Araújo-dos-Santos, Ednir Assis Souza

引用次数: 0