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

{"title":"Effect of prenatal genetic counseling on anxiety and test attitudes in pregnant women: a randomized trial.","authors":"Çiler Çokan Dönmez, Tuba Güner Emül","doi":"10.1590/1980-220X-REEUSP-2025-0284en","DOIUrl":"10.1590/1980-220X-REEUSP-2025-0284en","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the effect of prenatal genetic counseling on pregnant women's anxiety levels and attitudes towards prenatal diagnostic tests.</p><p><strong>Method: </strong>This randomized controlled trial was conducted on 66 pregnant women who visited the Medical Genetics outpatient clinic of Adana City Hospital between September and December 2022. Data were collected using descriptive information forms, the State-Trait Anxiety Inventory (STAI-S), Prenatal Screening and Diagnostic Tests Attitude Questionnaire (PSDTAQ). Data were analyzed using change-score analysis, linear mixed-effects models including group, time, and group × time interaction, and ANCOVA adjusted for baseline score, income, education, and gestational age. Effect sizes and 95% confidence intervals were also calculated.</p><p><strong>Results: </strong>After adjustment for baseline values and potential confounders, prenatal genetic counseling significantly reduced STAI-S scores and improved PSDTAQ scores compared with routine care (p < 0.001).</p><p><strong>Conclusion: </strong>These findings support the potential role of nurse-led prenatal genetic counseling in reducing anxiety and improving attitudes toward prenatal testing. Larger multicenter studies with longer follow-up are required before educational or policy recommendations can be made.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20250284"},"PeriodicalIF":0.0,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13638203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149077176","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":"Childhood adversities and depressive symptoms in women: a population-based cross-sectional study.","authors":"Tiffani Matos Oliveira, Franciele Marabotti Costa Leite","doi":"10.1590/1980-220X-REEUSP-2026-0138en","DOIUrl":"10.1590/1980-220X-REEUSP-2026-0138en","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the association between exposure to adversities in childhood and the occurrence of depressive symptoms in women in adulthood.</p><p><strong>Method: </strong>Epidemiological, cross-sectional, population-based study with 1100 women from Vitória, Espírito Santo, in 2022. The International Childhood Adversity Questionnaire and the Beck Depression Inventory were used. In the analyses, crude and relative frequencies were calculated, with 95% confidence intervals. In the bivariate analyses, Pearson's chi-square test was applied, and for the analyses of associations with adjustments for confounding variables, logistic regression was used. The analyses were performed using Stata 17.0.</p><p><strong>Results: </strong>Women with a childhood history of physical neglect (ORa: 1.59; 95% CI: 1.16-2.16), sexual abuse (ORa: 1.57; 95% CI: 1.03-2.39), and an incarcerated family member (ORa: 1.90; 95% CI: 1.18-3.05) were more likely to experience depressive symptoms in adulthood compared to those who did not have such experiences.</p><p><strong>Conclusion: </strong>The findings reveal how important and necessary it is to invest in intersectoral public policies for the protection of childhood and the tackling of economic inequalities, to minimize adverse events in this important phase of life, since they negatively impact health throughout life.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20260138"},"PeriodicalIF":0.0,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13638202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149077058","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":"Use of the Neuman Systems Model in women's health: a scoping review.","authors":"Nathaly Bianka Moraes Fróes, Dayane Dos Reis Araújo Rocha Holanda, Samila Gomes Ribeiro, Paula Renata Amorim Lessa Soares, Francisca Elisângela Teixeira Lima, Viviane Martins da Silva, Marcos Venícios de Oliveira Lopes","doi":"10.1590/1980-220X-REEUSP-2025-0460en","DOIUrl":"10.1590/1980-220X-REEUSP-2025-0460en","url":null,"abstract":"<p><strong>Objective: </strong>To map the scientific evidence on the use of the Neuman Systems Model (NSM) in the field of women's health.</p><p><strong>Method: </strong>A scoping review. The search was conducted from April to June 2024 in the Scopus, PubMed, Embase, Ovid, Web of Science, CINAHL, Biblioteca Virtual em Saúde, Biblioteca Digital Brasileira de Teses e Dissertações, ProQuest, and Google Scholar databases. Primary studies, reviews, editorials, opinion articles, letters, comments, and grey literature that used the model in women's health were included.</p><p><strong>Results: </strong>The model was used to assess stress related to procedures and motherhood, understand the experiences of patients with breast cancer, analyze violence, provide contraceptive counseling, and deliver health education regarding the female athlete triad. The model elements were identified in each setting studied; however, few studies used the model comprehensively.</p><p><strong>Conclusion: </strong>NSM has provided a framework for practice in women's health, using the five variables to guide interventions directed toward health problems, strengthening lines of defense and resistance. It demonstrates potential as a theoretical framework in this field.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20250460"},"PeriodicalIF":0.0,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13619120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149077153","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":"Experiencing obesity: trajectory and fruitless sacrifices to lose weight prior to bariatric surgery.","authors":"Blessing Itzel Palacios-Meneses, Sarah Bak-Geller Corona, Araceli Jiménez-Mendoza, Carlos Enrique Yepes Delgado, Antonio González Chavez, Laura Olivia Pech Rueda, Sandra Hernández-Corral","doi":"10.1590/1980-220X-REEUSP-2026-0209en","DOIUrl":"https://doi.org/10.1590/1980-220X-REEUSP-2026-0209en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the life trajectories of women who have lived with obesity since childhood and decide to undergo bariatric surgery.</p><p><strong>Method: </strong>A descriptive-exploratory qualitative study. Semi-structured interviews and photobiographies were conducted with 21 women who had undergone bariatric surgery; grounded theory analysis techniques were employed. Approval was obtained from the ethics and research committees.</p><p><strong>Results: </strong>The participants had been obese since childhood and experienced a steady increase in weight, reaching their peak during pregnancy, the loss of a loved one, or isolation due to COVID-19. They shared experiences of violence, discrimination, and stigma; they used food and isolation as a coping mechanism and a form of protection. They employed multiple strategies to lose weight, but weight regain was always greater. Limitations in performing activities of daily living led them to seek medical care, where bariatric surgery was presented as an opportunity to regain their health.</p><p><strong>Conclusion: </strong>The life trajectory of those living with obesity from an early age unfolds against a backdrop of violence; isolation, emotional eating, and situational crises exacerbate weight gain, affecting their health and leading them to bariatric surgery.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20260209"},"PeriodicalIF":0.0,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13619143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149083541","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":"The effect of heavy menstrual bleeding on sexual quality of life: a case-control study.","authors":"Aynur Kizilirmak, Pelin Calpbinici, Nur Șifa Yavuz","doi":"10.1590/1980-220X-REEUSP-2025-0041en","DOIUrl":"https://doi.org/10.1590/1980-220X-REEUSP-2025-0041en","url":null,"abstract":"<p><strong>Objective: </strong>To determine the effect of heavy menstrual bleeding (HMB) on the sexual quality of life of women.</p><p><strong>Method: </strong>A case-control study was conducted with a total of 142 women (71 with HMB and 71 controls) who applied to the outpatient clinics of a state hospital in Turkey. The case group consisted of women of reproductive age diagnosed with HMB, while the control group included women without HMB who met the inclusion criteria. Data were collected using a Personal Information Form and the Sexual Quality of Life-Female (SQOL-F).</p><p><strong>Results: </strong>There were no significant differences between the groups in terms of age and body mass index (BMI) (p > 0.05). However, compared to the control group, women with HMB reported a greater number of bleeding days, menstrual clots, higher pad/tampon usage, greater bleeding volume, menstrual discomfort, and shorter menstrual cycles (p < 0.05). A statistically significant difference was observed between the groups regarding educational level (p < 0.005), while no significant difference was found in contraceptive use (p > 0.05). The mean SQOL-F score was 71.91 ± 20.60 for women with HMB and 80.06 ± 17.39 for the control group, indicating a statistically significant difference (p < 0.05). Additionally, 26.8% of women with HMB had poor sexual quality of life.</p><p><strong>Conclusion: </strong>Although differences in educational level may represent a potential confounding factor, our findings demonstrate that HMB significantly reduces sexual quality of life in women, thereby supporting our research hypothesis.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20250041"},"PeriodicalIF":0.0,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13619144/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149083580","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":"Association between fatigue and self-care in patients with heart failure: a cross-sectional study.","authors":"Weslley Italo Ferreira de Oliveira Silva, Yzis Oliveira Pontes Pereira, Filipe Matheus Correia Vieira, Fernanda Kelly Oliveira de Albuquerque, Ricardo Costa da Silva, José Claudio Garcia Lira Neto, Mailson Marques de Sousa","doi":"10.1590/1980-220X-REEUSP-2025-0493en","DOIUrl":"https://doi.org/10.1590/1980-220X-REEUSP-2025-0493en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the association between fatigue, self-care, and sociodemographic and clinical variables in patients with heart failure.</p><p><strong>Method: </strong>A cross-sectional and correlational study, conducted at a university hospital in the Northeast region of Brazil. The Brazilian versions of the Dutch Fatigue Scale, Dutch Exertion Fatigue Scale, and the European Heart Failure Self-care Behavior Scale were used. The analysis included descriptive statistics and Spearman correlation.</p><p><strong>Results: </strong>Ninety-nine patients with heart failure participated. Substantial fatigue was observed in 71.7% and fatigue on exertion in 66.7% of the sample. The mean self-care score was 28.41 ± 7.98. There was no significant association between fatigue and self-care. A negative correlation was found between age and exertional and substantial fatigue, and a positive correlation was found between the duration of treatment and age. There was a positive correlation between functional capacity, exertional fatigue, and substantial fatigue.</p><p><strong>Conclusion: </strong>The findings reinforce the importance of symptom awareness and management in self-care. Health interventions are timely for promoting the quality of life of this population.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20250493"},"PeriodicalIF":0.0,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13614708/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149066813","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":"Improving nurses' alarm-management performance with a behavioral reminder.","authors":"Serpil Topçu, Merve Kiymaç Sari, Melis Şen Yilmaz, Dilek Özdemir Ürkmez","doi":"10.1590/1980-220X-REEUSP-2025-0579en","DOIUrl":"10.1590/1980-220X-REEUSP-2025-0579en","url":null,"abstract":"<p><strong>Objective: </strong>To determine whether adding a behavioral reminder to the CEASE Bundle improves alarm-management performance and reduces alarm fatigue among intensive care nurses.</p><p><strong>Method: </strong>A controlled quasi-experimental pretest-posttest study was conducted with 115 nurses from adult intensive care units. Sixty-two nurses participated in the intervention group and 53 in the control group. Data were obtained with the Nurse Identification Form, CEASE Bundle, Alarm Type and Management Form, \"Remind Me\" Monitor Alarm Control Tool, and Alarm Fatigue Scale. CEASE provided the basis for observation and evaluation in both groups. Remind Me was used only by the intervention group for 15 days.</p><p><strong>Results: </strong>Compared with the control group, nurses in the intervention group demonstrated more favorable alarm-management behaviors and Alarm Fatigue Scale scores. Alarm response times decreased by approximately 15%-23% across alarm types, and the mean Alarm Fatigue Scale score in the intervention group increased from 68.67 ± 7.52 to 74.92 ± 4.22. Significant improvements were observed in several CEASE components, including communication, electrode and pulse oximeter care, adjustment of alarm limits, cancellation of unnecessary parameters, and identification of educational needs. In the multivariable analysis, exposure to the Remind Me intervention was independently associated with better alarm-management performance.</p><p><strong>Conclusion: </strong>Integrating the Remind Me behavioral reminder into routine monitoring practices was associated with more favorable alarm-management behaviors, shorter alarm response times, and reduced alarm fatigue among intensive care nurses. These findings suggest that low-cost reminder-based strategies may strengthen evidence-based alarm-management practices.</p><p><strong>Clinical trial registration: </strong>NCT06403397 (URL: https://clinicaltrials.gov/study/NCT06403397).</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20250579"},"PeriodicalIF":0.0,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13600734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026982","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":"Determinants of accreditation perception among midwifery students: the role of knowledge and engagement.","authors":"Serap Öner, Eylül Tutar","doi":"10.1590/1980-220X-REEUSP-2026-0176en","DOIUrl":"10.1590/1980-220X-REEUSP-2026-0176en","url":null,"abstract":"<p><strong>Objective: </strong>To examine midwifery students' knowledge and perceptions of quality assurance and accreditation, and to identify factors associated with accreditation perception.</p><p><strong>Method: </strong>This cross-sectional study was conducted with 253 undergraduate midwifery students. Data were collected using a Personal Information Form, a Quality and Accreditation Knowledge Questionnaire, and the Accreditation Perception Scale. Descriptive statistics, t-tests, ANOVA, and multiple linear regression analysis were used.</p><p><strong>Results: </strong>Students demonstrated a moderate level of accreditation perception (mean = 3.42 ± 1.11). Knowledge of accreditation (β = 0.618, p < 0.001) and willingness to participate (β = 0.476, p = 0.002) were significant predictors, explaining 17.3% of the variance (R2 = 0.173). Year of study and participation in scientific activities were not significant (p > 0.05).</p><p><strong>Conclusion: </strong>Accreditation perception is mainly influenced by knowledge and engagement rather than academic progression. Integrating structured education on quality assurance and accreditation into curricula may enhance student awareness and support the development of a sustainable quality culture.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20260176"},"PeriodicalIF":0.0,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13597090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027046","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":"Care coproduction strategies based on the experience of patients hospitalized for COVID-19: a multicenter qualitative study.","authors":"Jhonata de Souza Joaquim, Diovane Ghignatti da Costa, Alacoque Lorenzini Erdmann, Franciely Daiana Engel, Anderson Reis de Sousa","doi":"10.1590/1980-220X-REEUSP-2025-0354en","DOIUrl":"10.1590/1980-220X-REEUSP-2025-0354en","url":null,"abstract":"<p><strong>Objective: </strong>To identify care coproduction strategies based on patient experience throughout the hospitalization process triggered by COVID-19.</p><p><strong>Method: </strong>This was a qualitative, exploratory-descriptive study derived from a multicenter research project conducted in Brazilian university hospitals. Thirty-four patients who were discharged after hospitalization for COVID-19 participated in the study. Data were collected from May 2021 to January 2022. The data were analyzed using thematic content analysis.</p><p><strong>Results: </strong>Thirty-two codes were generated, giving rise to the thematic category \"Care coproduction in the pandemic setting\", composed of four subcategories: \"Health education in care production\"; \"Care coproduction during hospitalization\"; \"Hospital discharge instructions and guidance following COVID-19\"; and \"Continuity of care during post-COVID-19 Recovery\".</p><p><strong>Conclusion: </strong>The findings revealed emerging strategies for care coproduction, including promoting health education, considering the patient's experience and care journey during healthcare delivery, developing and implementing a shared discharge plan, and ensuring social support and access to the healthcare system throughout the health-disease-rehabilitation process.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20250354"},"PeriodicalIF":0.0,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13600733/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026981","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":"Nursing students' perceptions of the use of clinical simulation in biosafety education.","authors":"Bruna Pedroso Canever, Saionara Nunes de Oliveira, Caroline Cechinel Peiter, Samara Eliane Rabelo Suplici, Diana Coelho Gomes, Maria Lígia Dos Reis Bellaguarda, Diovane Ghignatti da Costa, Aline Lima Pestana Magalhães, Fernanda Marques de Oliveira","doi":"10.1590/1980-220X-REEUSP-2025-0116en","DOIUrl":"10.1590/1980-220X-REEUSP-2025-0116en","url":null,"abstract":"<p><strong>Objective: </strong>To understand nursing students' perceptions of the use of clinical simulation in biosafety education.</p><p><strong>Method: </strong>A qualitative, exploratory, and descriptive study conducted in 2023 based on the implementation of clinical simulation for biosafety learning. Participants were 26 students enrolled in the \"Fundamentals of Nursing\" course of an undergraduate nursing program at a federal university in southern Brazil. Data were analyzed using IRAMUTEQ® software.</p><p><strong>Results: </strong>Three categories emerged: (1) Emotional regulation for interaction and communication with patients and families, highlighting feelings of anxiety and the need for emotional regulation during the application of standard precautions; (2) Contributions of simulation to learning biosafety practices, emphasizing a better understanding of the use of personal protective equipment, risk perception, and the integration of theory and practice; and (3) Strengths and weaknesses perceived by students regarding their performance, including self-assessment, recognition of technical limitations, and strengthened teamwork.</p><p><strong>Conclusion: </strong>Clinical simulation was perceived as a strategy that promotes learning of biosafety practices by integrating technical, emotional, and communication-related aspects, thereby contributing to safer and more reflective professional education.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20250116"},"PeriodicalIF":0.0,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13577235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148979127","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}