Revista da Escola de Enfermagem da U S P最新文献_第2页

Immobilization of trauma patients and in-hospital clinical progression. 创伤患者的固定和院内临床进展。

Revista da Escola de Enfermagem da U S P Pub Date : 2026-08-17 eCollection Date: 2026-01-01 DOI: 10.1590/1980-220X-REEUSP-2025-0552en

Anne de Aguiar Gondim, Keyliane Costa de Souza, Quíria Ribeiro da Silva Monteiro, Lilia de Souza Nogueira, Antônia Regynara Moreira Rodrigues, Greiciane da Silva Rocha

{"title":"Immobilization of trauma patients and in-hospital clinical progression.","authors":"Anne de Aguiar Gondim, Keyliane Costa de Souza, Quíria Ribeiro da Silva Monteiro, Lilia de Souza Nogueira, Antônia Regynara Moreira Rodrigues, Greiciane da Silva Rocha","doi":"10.1590/1980-220X-REEUSP-2025-0552en","DOIUrl":"https://doi.org/10.1590/1980-220X-REEUSP-2025-0552en","url":null,"abstract":"Objective: To analyze the association between the immobilization of trauma patients, considering the presence or absence of injury, and in-hospital clinical progression.Method: A prospective cohort study analyzing trauma patients aged ≥18 who received pre-hospital care and were admitted to a hospital in Acre, Brazil, between September and December 2023. The variables were organized into epidemiological, clinical, care-related, and outcome dimensions. The comparison between the groups (with and without injury) was performed using inferential analysis, with a significance level of 5%.Results: Immobilized patients with injuries presented greater care complexity, requiring interventions, diagnostic tests, and referrals to specialized units, in addition to longer hospital stays and higher frequency of unfavorable outcomes, such as death. Significant inadequacies were found in immobilization practices, characterized by their application to patients without injury, indicating inconsistencies in clinical decision-making.Conclusion: Immobilization has been associated with greater complexity of care, but its inadequacy reinforces the need to reorient care practices based on scientific evidence.","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20250552"},"PeriodicalIF":0.0,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13480123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148804083","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}

引用次数: 0

Menopausal symptoms, attitudes toward menopause, and social media/internet use among women in the climacteric period: a cross-sectional study. 绝经期妇女的更年期症状、对更年期的态度和社交媒体/互联网使用：一项横断面研究

Revista da Escola de Enfermagem da U S P Pub Date : 2026-08-14 eCollection Date: 2026-01-01 DOI: 10.1590/1980-220X-REEUSP-2026-0107en

Nazlı Emel Özer Yurdal, Emine Gerçek Öter, İbrahim Eren Pek, Mehmet Nuri Duran

{"title":"Menopausal symptoms, attitudes toward menopause, and social media/internet use among women in the climacteric period: a cross-sectional study.","authors":"Nazlı Emel Özer Yurdal, Emine Gerçek Öter, İbrahim Eren Pek, Mehmet Nuri Duran","doi":"10.1590/1980-220X-REEUSP-2026-0107en","DOIUrl":"https://doi.org/10.1590/1980-220X-REEUSP-2026-0107en","url":null,"abstract":"Objective: To examine associations between menopausal symptom severity, attitudes toward menopause, and internet/social media use among climacteric women.Method: This analytical cross-sectional study included 250 women aged 40-64 years attending gynecology inpatient units and family medicine outpatient clinics at a university hospital. Data were collected between July and September 2025, after ethics committee approval. Participants completed questionnaires including validated scales for menopausal attitudes and symptom severity.Results: Most participants were postmenopausal (61.2%); mean age was 49.2 years. Internet/social media use indicators were not associated with attitudes toward menopause. Higher severity in symptoms was associated with longer daily internet/social media use, obtaining menopause-related information online, and searching online before medical consultation. A moderate general internet/social media use pattern (2-3 times/week and 1-3 hours/day) was associated with lower symptom severity.Conclusion: Online information-seeking was associated with menopausal symptom severity but not attitudes. Nurses and other health professionals should assess online information-seeking and support digital health literacy by guiding women to reliable resources.","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20260107"},"PeriodicalIF":0.0,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13475798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148763952","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}

引用次数: 0

Public policy on Human Papillomavirus immunization: an analysis based on the Walt and Gilson policy triangle. 人乳头瘤病毒免疫的公共政策：基于沃尔特和吉尔森政策三角的分析。

Revista da Escola de Enfermagem da U S P Pub Date : 2026-08-14 eCollection Date: 2026-01-01 DOI: 10.1590/1980-220X-REEUSP-2025-0521en

María Angélica Saldías-Fernández, Jéssica García-Gutiérrez

{"title":"Public policy on Human Papillomavirus immunization: an analysis based on the Walt and Gilson policy triangle.","authors":"María Angélica Saldías-Fernández, Jéssica García-Gutiérrez","doi":"10.1590/1980-220X-REEUSP-2025-0521en","DOIUrl":"https://doi.org/10.1590/1980-220X-REEUSP-2025-0521en","url":null,"abstract":"Objective: To examine and analyze the Human Papillomavirus vaccination public policy implemented in Chile from the Walt and Gilson health policy triangle's perspective.Method: A scoping review was conducted according to JBI Manual for Evidence Synthesis guidelines to identify the following broad domains: actors, content, context, and process.Results: Of the 24 selected articles and official reports, nursing professionals were identified as key actors in a privileged position to increase public acceptance, vaccination coverage, and access. Regarding content, context, and process, new strategies are needed to enhance acceptance of vaccination in dynamic settings and to formulate effective evidence-based vaccination policies.Conclusion: Public policy analysis, mediated by the Walt and Gilson health policy triangle, allows for the identification of interactions among its components and clarifies the challenges associated with the promotion and prevention of diseases linked to the Human Papillomavirus, thereby contributing to the strengthening of collective health, healthcare systems, and global priorities aimed at comprehensive and sustainable human development.","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20250521"},"PeriodicalIF":0.0,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13475799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148764093","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}

引用次数: 0

Master's and doctoral degrees in nursing in Brazil: an ecological study. 巴西的护理硕士和博士学位：一项生态学研究。

Revista da Escola de Enfermagem da U S P Pub Date : 2026-08-14 eCollection Date: 2026-01-01 DOI: 10.1590/1980-220X-REEUSP-2026-0179en

Matheus Moraes Silva, José Luís Guedes Dos Santos, Gabriela Marcellino de Melo Lanzoni, Alacoque Lorenzini Erdmann

{"title":"Master's and doctoral degrees in nursing in Brazil: an ecological study.","authors":"Matheus Moraes Silva, José Luís Guedes Dos Santos, Gabriela Marcellino de Melo Lanzoni, Alacoque Lorenzini Erdmann","doi":"10.1590/1980-220X-REEUSP-2026-0179en","DOIUrl":"10.1590/1980-220X-REEUSP-2026-0179en","url":null,"abstract":"Objective: To analyze the temporal trend and spatial distribution of master's and doctoral degrees in the field of nursing in Brazil.Method: An ecological study using data from the Coordination for the Improvement of Higher Education Personnel, employing descriptive statistics and Joinpoint regression for temporal trend analysis.Results: Between 2004 and 2023, 22,923 degrees were awarded, of which 74.92% were master's degrees and 25.08% were doctoral degrees, with the highest concentration in the Southeast (49.74%), Northeast (22.20%), and South (20.78%) regions. Master's degrees showed an upward trend in Brazil (Average Annual Percentage Change-AAPC: 7.55; p < 0.000), with the greatest variation in the North region (AAPC: 16.40; p < 0.000). For doctoral degrees, an upward trend was also observed nationwide (AAPC: 8.31; p < 0.000), particularly in the Midwest (AAPC: 15.96; p < 0.000), while the North region did not record any doctoral degrees at this level during the analyzed period.Conclusion: The results showed an increasing trend in postgraduate degrees in the field of nursing, coexisting with regional inequalities, which reinforces the need for strategies aimed at expanding and decentralizing postgraduate education to reduce disparities in advanced training.","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20260179"},"PeriodicalIF":0.0,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13489687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762998","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}

引用次数: 0

Hope in working-age adults with irreversible vision loss: a scoping review. 不可逆视力丧失的工作年龄成年人的希望：范围审查。

Revista da Escola de Enfermagem da U S P Pub Date : 2026-08-14 eCollection Date: 2026-01-01 DOI: 10.1590/1980-220X-REEUSP-2026-0181en

Cátia Isabel Marranita Dos Santos Duarte, Ana Isabel Batalha Bicho, Mónica Figueiredo da Silva Bento, Amélia Simões Figueiredo, Ana Resende

{"title":"Hope in working-age adults with irreversible vision loss: a scoping review.","authors":"Cátia Isabel Marranita Dos Santos Duarte, Ana Isabel Batalha Bicho, Mónica Figueiredo da Silva Bento, Amélia Simões Figueiredo, Ana Resende","doi":"10.1590/1980-220X-REEUSP-2026-0181en","DOIUrl":"10.1590/1980-220X-REEUSP-2026-0181en","url":null,"abstract":"Objective: To map existing scientific evidence on hope in working-age adults facing irreversible vision loss by identifying concepts, approaches, and gaps in the literature.Method: A scoping review was conducted in accordance with the JBI methodology and the PRISMA-ScR guidelines using international databases and grey literature, covering studies published between 2000 and 2025. The identified studies underwent a process of identification, selection, data extraction, and thematic synthesis by two independent reviewers, with the support of NVivo® software.Results: Of the 261 studies identified through the literature search, six met the inclusion criteria. Analysis of the included studies allowed the identification of four main topics: (1) Concept and sources of hope; (2) Hope as a coping mechanism; (3) Psychosocial adjustment; and (4) Implications for clinical practice. Hope emerged as a multidimensional and dynamic phenomenon, with a direct impact on adaptation, quality of life, and the meaning attributed to the experience of vision loss.Conclusion: Hope plays a fundamental role in the adaptation process to vision loss among working-age adults, with important implications for the development of person-centered nursing practices. Further research in this field will contribute to strengthening the theoretical knowledge of nursing science and guiding clinical interventions aimed at promoting hope.","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20260181"},"PeriodicalIF":0.0,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13489688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762752","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}

引用次数: 0

Educational interventions using digital technologies to promote parental empowerment in situations of vulnerability: a scoping review. 利用数字技术促进弱势群体中父母赋权的教育干预：范围审查。

Revista da Escola de Enfermagem da U S P Pub Date : 2026-08-14 eCollection Date: 2026-01-01 DOI: 10.1590/1980-220X-REEUSP-2025-0464en

Joana Rita Guarda da Venda Rodrigues, Inês Miranda Teixeira, Joana Margarida Marques de Sousa da Piedade, Joana Santos Silva, Mariana Lopes Gonçalves, Bruno Ricardo Ferreira Dos Santos Gomes, Olga Maria Martins de Sousa Valentim

{"title":"Educational interventions using digital technologies to promote parental empowerment in situations of vulnerability: a scoping review.","authors":"Joana Rita Guarda da Venda Rodrigues, Inês Miranda Teixeira, Joana Margarida Marques de Sousa da Piedade, Joana Santos Silva, Mariana Lopes Gonçalves, Bruno Ricardo Ferreira Dos Santos Gomes, Olga Maria Martins de Sousa Valentim","doi":"10.1590/1980-220X-REEUSP-2025-0464en","DOIUrl":"10.1590/1980-220X-REEUSP-2025-0464en","url":null,"abstract":"Objective: To map educational interventions using digital technologies that promote parental empowerment in situations of vulnerability.Method: A scoping review according to the JBI methodology was conducted. Searches were carried out in the CINAHL, MEDLINE, Psychology and Behavioral Science Collection, MedicLatina, Scopus, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Clinical Answers, and Web of Science databases, as well as in the Repositório Científico de Acesso Aberto de Portugal and the Google Scholar search engine. Eligibility criteria included parents and families in situations of vulnerability, digital educational interventions promoting parental empowerment, and all intervention settings.Results: 984 records were identified, and ten studies were included. The evidence was distributed across four axes of vulnerability, involving participants from the gestational period to early childhood. Interventions were conducted in hospital and/or home settings, with mobile applications predominating, followed by platforms/websites, with occasional use of social media, messaging, and video resources. Information provision predominated, frequently combined with emotional regulation. Minority interventions involving behavior demonstration and environmental modification were also identified.Conclusion: Digital educational interventions appear promising and complementary to in-person care, strengthening the relationship and communication between parents and professionals and enabling more accessible, customizable, and continuous care.","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20250464"},"PeriodicalIF":0.0,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13544914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148766367","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}

引用次数: 0

Child-Friendly Neighborhood for Early Childhood: a cross-sectional study on child development and urban infrastructure. 儿童友好型幼儿社区：儿童发展与城市基础设施的横断面研究。

Revista da Escola de Enfermagem da U S P Pub Date : 2026-08-10 eCollection Date: 2026-01-01 DOI: 10.1590/1980-220X-REEUSP-2025-0594en

Claudia Nery Teixeira Palombo, Fernanda Anjos Oliveira, Ráren Paulo da Silva Araújo, Larissa Fernandes de Souza, Melissa da Silva Almeida, Clariana Vitória Ramos de Oliveira

{"title":"Child-Friendly Neighborhood for Early Childhood: a cross-sectional study on child development and urban infrastructure.","authors":"Claudia Nery Teixeira Palombo, Fernanda Anjos Oliveira, Ráren Paulo da Silva Araújo, Larissa Fernandes de Souza, Melissa da Silva Almeida, Clariana Vitória Ramos de Oliveira","doi":"10.1590/1980-220X-REEUSP-2025-0594en","DOIUrl":"https://doi.org/10.1590/1980-220X-REEUSP-2025-0594en","url":null,"abstract":"Objective: To analyze the association between the risk of developmental delay in children and mothers' perceptions of urban infrastructure.Method: A cross-sectional study was conducted in Salvador, Bahia, with mothers and children under 6 years of age registered at health units. Child development was assessed using the Survey of Well-being of Young Children, validated for the Brazilian population, and mothers' perceptions of urban infrastructure were assessed using the Child-Friendly Neighborhood for Early Childhood scale (green/open, playful, safe, accessible, and inclusive). Descriptive statistical analyses and logistic regression models were used. All ethical aspects were respected.Results: A total of 503 mother-child dyads participated, and the risk of developmental delay was 11%. Regarding urban infrastructure, 41% of mothers considered their neighborhood green/open, 45% playful, 37% safe, 93% accessible, and 29% inclusive. Only mothers' perception that the neighborhood was safe was associated with a lower likelihood of risk of developmental delay in children (OR = 0.33; 95%CI: 0.15-0.71; p < 0.001).Conclusion: Maternal perception of neighborhood safety was associated with a lower likelihood of risk of developmental delay in children.","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20250594"},"PeriodicalIF":0.0,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13475376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148761045","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}

引用次数: 0

Operationalization of rapid molecular test coverage for tuberculosis in different international contexts: a scoping review. 在不同的国际背景下实施快速分子检测覆盖结核病：范围审查。

Revista da Escola de Enfermagem da U S P Pub Date : 2026-08-10 eCollection Date: 2026-01-01 DOI: 10.1590/1980-220X-REEUSP-2026-0172en

Diogo Henrique Mendes da Silva, Ana Beatriz Marques Valença, Melisane Regina Lima Ferreira, Mariana Gaspar Botelho Funari de Faria, Rubia Laine de Paula Andrade, Rebeca Sousa Braga, Aline Aparecida Monroe

{"title":"Operationalization of rapid molecular test coverage for tuberculosis in different international contexts: a scoping review.","authors":"Diogo Henrique Mendes da Silva, Ana Beatriz Marques Valença, Melisane Regina Lima Ferreira, Mariana Gaspar Botelho Funari de Faria, Rubia Laine de Paula Andrade, Rebeca Sousa Braga, Aline Aparecida Monroe","doi":"10.1590/1980-220X-REEUSP-2026-0172en","DOIUrl":"10.1590/1980-220X-REEUSP-2026-0172en","url":null,"abstract":"Objective: To map studies on the coverage of the rapid molecular test for tuberculosis in different international contexts.Method: A scoping review conducted according to the PRISMA-ScR recommendations, with searches in the MEDLINE, Scopus, Web of Science, Embase, LILACS, and BDTD databases, covering the period from 2011 to 2025.Results: The 20 included studies revealed conceptual heterogeneity in the operationalization of coverage, ranging from proportions of testing in specific population groups to indicators of equipment availability and geographic accessibility, with no standardization across countries and contexts. Values ranged from less than 1% to approximately 80%, with marked differences across countries, target populations, and analyzed periods. Socioeconomic, structural, financial, and facility-access challenges hinder the use of the test.Conclusion: Test coverage varies across countries and contexts, limited by structural and financial barriers and by the lack of conceptual and methodological standardization in its measurement. Expanding and monitoring coverage in a comparable way requires governmental commitment, decentralization, and the adoption of uniform criteria aligned with World Health Organization guidelines.","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20260172"},"PeriodicalIF":0.0,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13456686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148709041","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}

引用次数: 0

The relationship between religious health fatalism, medication adherence, and health literacy among patients with hypertension: a cross-sectional study. 高血压患者的宗教健康宿命论、药物依从性与健康素养的关系：一项横断面研究。

Revista da Escola de Enfermagem da U S P Pub Date : 2026-08-07 eCollection Date: 2026-01-01 DOI: 10.1590/1980-220X-REEUSP-2025-0494en

Tanrıverdi Ömer, Gültekin Abdurrezzak

{"title":"The relationship between religious health fatalism, medication adherence, and health literacy among patients with hypertension: a cross-sectional study.","authors":"Tanrıverdi Ömer, Gültekin Abdurrezzak","doi":"10.1590/1980-220X-REEUSP-2025-0494en","DOIUrl":"10.1590/1980-220X-REEUSP-2025-0494en","url":null,"abstract":"Objectives: Hypertension remains a leading global public health challenge requiring consistent self-management, particularly through medication adherence and adequate health literacy. This study aimed to examine the relationship between religious health fatalism, medication adherence, and health literacy among patients with hypertension.Methods: A descriptive, cross-sectional study was conducted among 211 hypertensive patients in two public hospitals in southeastern Türkiye. Data were collected using a sociodemographic questionnaire, the Religious Health Fatalism Scale (RHFS), the Medication Adherence Report Scale (MARS), and the Health Literacy Scale (HLS).Results: The mean RHFS score was 59.41 ± 12.14, indicating a moderate-to-high level of fatalistic belief. Participants also demonstrated moderate levels of health literacy and medication adherence. A weak positive correlation was observed between religious health fatalism and health literacy (r = 0.16, p = 0.04).Conclusions: Although health literacy was positively associated with medication adherence in correlation analysis, this association did not remain statistically significant in the regression model. Religious health fatalism showed a stronger association with medication adherence.","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20250494"},"PeriodicalIF":0.0,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13455963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148702742","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}

引用次数: 0

Antibiotic leftovers in primary health care: an approach to economic impact and pharmaceutical care. 初级卫生保健中的抗生素残留物：一种经济影响和药学服务的方法。

Revista da Escola de Enfermagem da U S P Pub Date : 2026-08-07 eCollection Date: 2026-01-01 DOI: 10.1590/1980-220X-REEUSP-2026-0263en

Mariana Lino de Oliveira Santos, Maria Clara Padoveze

{"title":"Antibiotic leftovers in primary health care: an approach to economic impact and pharmaceutical care.","authors":"Mariana Lino de Oliveira Santos, Maria Clara Padoveze","doi":"10.1590/1980-220X-REEUSP-2026-0263en","DOIUrl":"10.1590/1980-220X-REEUSP-2026-0263en","url":null,"abstract":"Objective: To evaluate the results of antibiotic dispensing in a Primary Health Care Unit in the municipality of São Paulo and to explore users' knowledge regarding the use and disposal of antibiotics through pharmaceutical consultation.Method: A prospective, quantitative study was conducted between January and April 2024, through the analysis of oral antibiotic prescriptions and pharmaceutical consultations using a semi-structured questionnaire.Results: It was identified that 81.9% (n = 1,225) of 1,495 prescriptions resulted in leftover medication, generating a waste of 8,061 pharmaceutical units and an estimated financial loss of R$2,349.54. Among the 17 users interviewed, there was low knowledge about antimicrobial resistance, medication use and disposal. Only 29.4% (n = 5) returned the leftover medication after pharmaceutical intervention.Conclusion: Dispensing medication with leftovers encourages the improper use and disposal of antibiotics, contributing to antimicrobial resistance. Pharmaceutical care, within a multidisciplinary team approach, has the potential to reduce waste and promote rational use. We propose the implementation of unit-dose packaging protocols and educational initiatives for professionals and users.","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20260263"},"PeriodicalIF":0.0,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13451054/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148690717","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}

引用次数: 0