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

{"title":"Direct cost of trabeculectomy in the Brazilian public health system: a micro-costing analysis in a university hospital.","authors":"Joice Alves Cabral, Priscila de Castro Handem, Ana Paula Rodrigues Siqueira, Giovanni Nicola Umberto Italiano Colombini, Daniel Aragão Machado, Carlos Roberto Lyra da Silva, Alexander Itria, Thiago Louro, Andrea Alves de Andrade, Roberto Carlos Lyra da Silva","doi":"10.1590/1980-220X-REEUSP-2026-0293en","DOIUrl":"10.1590/1980-220X-REEUSP-2026-0293en","url":null,"abstract":"<p><strong>Objective: </strong>To estimate the direct cost of trabeculectomy in a university hospital within the Brazilian Public Health System (SUS) and compare it to the reimbursement for the procedure.</p><p><strong>Method: </strong>Documentary, retrospective, and quantitative study, with micro-costing based on Activity-Based Costing. Sixty-seven eligible medical records from 76 trabeculectomies performed between 2022 and 2024 were analyzed. Surgical materials and intraoperative medications were considered.</p><p><strong>Results: </strong>The average direct cost was R$ 388.32 per procedure, while the average amount actually billed to the SUS was R$ 602.25 per procedure. Suture threads accounted for 45% of the total cost, followed by intraoperative medications (28%) and consumables (27%). Persistence of the surgical waiting list and an increase in regulated waiting times were observed.</p><p><strong>Conclusion: </strong>The direct cost of trabeculectomy was lower than the reimbursement from the SUS; however, the economic viability of the procedure did not automatically translate into timely access.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20260293"},"PeriodicalIF":0.0,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13574318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148915069","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":"Moderate and severe falls: predictive model based on six years of reports in southern Brazil.","authors":"Sandiely de Araujo Mees, Greici Capellari Fabrizzio, Michelle Mariah Malkiewiez, Lorena Paola Albamonte, Daniela Couto Carvalho Barra, Catiele Raquel Schmidt, Elisiane Lorenzini","doi":"10.1590/1980-220X-REEUSP-2026-0004en","DOIUrl":"10.1590/1980-220X-REEUSP-2026-0004en","url":null,"abstract":"<p><strong>Objective: </strong>To characterize the sociodemographic and clinical profile of patients and identify predictive factors associated with moderate and severe falls.</p><p><strong>Method: </strong>An analytical cross-sectional study conducted using 300 fall reports (2019-2024). Poisson regression with robust variance was used to estimate prevalence ratios (PRs), logistic regression was performed for predictive modeling, and the area under the receiver operating characteristic (ROC) curve (AUC) was used to assess the model's discriminatory performance.</p><p><strong>Results: </strong>Most patients were male (55.0%), with a mean age of 56.4 years and a high prevalence of chronic diseases (86.2%). Most falls resulted in mild harm (54.2%) or moderate harm (44.6%). A hospital stay longer than 14 days (PR = 7.21; 95%CI: 1.68-26.47), male sex (PR = 2.89; 95%CI: 1.15-7.40), falls occurring during the morning shift (PR = 2.54; 95%CI: 1.17-6.73), disorientation (PR = 1.86; 95%CI: 1.11-4.55), chronic diseases (PR = 1.36; 95%CI: 1.11-3.69), and diseases of the circulatory system (PR = 1.58; 95%CI: 1.03-4.31) were associated with a higher risk of moderate/severe falls. Previous hospitalizations were identified as a protective factor (PR = 0.37; 95%CI: 0.22-0.94).</p><p><strong>Conclusion: </strong>falls were associated with clinical and healthcare-related factors. The model demonstrated moderate discriminatory performance (AUC = 0.77), supporting its potential use in the prevention of moderate and severe falls.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20260004"},"PeriodicalIF":0.0,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13537111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148883142","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":"Effects of energy drinks on fertility, blood parameters and perinatal physiology in female rats.","authors":"Halime Aydemir, Fatma Ergün, Ayşegül Turan","doi":"10.1590/1980-220X-REEUSP-2026-0353en","DOIUrl":"10.1590/1980-220X-REEUSP-2026-0353en","url":null,"abstract":"<p><strong>Objective: </strong>The increasing consumption of energy drinks, especially among children and young people, in recent years raises concerns. This study was aimed at investigating the effects of energy drink consumption on fertility, blood parameters, and perinatal physiology in female rats.</p><p><strong>Method: </strong>Three groups were formed. Of the groups, one was the control group and the other two were the experimental groups, namely 10% ED group and 20% ED group. In each group, there were 9 rats (3 rats per cage, 3 breeding cages per group). The rats in the control group were given only tap water, the rats in the 10% ED group were given a mixture including 10% energy drink and 90% tap water, and the rats in the 20% ED group were given a mixture including 20% energy drink and 80% tap water.</p><p><strong>Results: </strong>Pre-pregnancy energy drink consumption increased water and feed intake in female rats; however, it still increased fluid intake but reduced feed intake during pregnancy. The difference between groups was statistically significant (p < 0.05). Energy drink consumption affected hematological parameters depending on the dose, increased serum creatinine levels, affected total cholesterol levels according to consumption, increased total protein levels, and decreased alkaline phosphatase levels. Consumption of energy drinks also reduced the number of offspring and postnatal weight gain in a dose-dependent manner.</p><p><strong>Conclusion: </strong>It was concluded that energy drinks had effects on female rats during the prenatal and perinatal periods. To investigate the potentially concerning effects of energy drink consumption and to identify possible long-term health problems it might cause, further animal and human studies should be conducted. These results provide critical biological evidence to help midwives, women's health nurses, and public health nurses design evidence-based premarital counseling and prenatal education programs in which the risks of energy drink consumption on fertility, maternal nutrition, and neonatal development are addressed.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20260353"},"PeriodicalIF":0.0,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13551603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148893306","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":"Experiences in education and interprofessional collaborative practice in multidisciplinary health residencies.","authors":"Lucas Cardoso Dos Santos, Thiago da Silva Domingos, Eduardo Gabriel Cassola, Valéria Marli Leonello, Carolyne Reduzina Queirós, Marcelo Viana da Costa, Wilza Carla Spiri","doi":"10.1590/1980-220X-REEUSP-2025-0588en","DOIUrl":"10.1590/1980-220X-REEUSP-2025-0588en","url":null,"abstract":"<p><strong>Objective: </strong>To understand the experiences of interprofessional collaborative education and practice among residents in multiprofessional health residency programs.</p><p><strong>Method: </strong>A descriptive, exploratory study with a qualitative approach. Eighteen residents enrolled in two residency programs at a Brazilian public university in the state of São Paulo participated. Data were collected through two synchronous remote meetings. The empirical data were analyzed using content analysis.</p><p><strong>Results: </strong>The themes highlighted opportunities for interprofessional education and practice, such as shared patient care, and the need to learn about and work with others. The difficulties faced by residents regarding healthcare work processes within the services were evident, as they operate under a multiprofessional framework.</p><p><strong>Final considerations: </strong>Experiences of interprofessional collaborative education and practice in multiprofessional residency programs occurred primarily in shared spaces for care and learning, fostering the development of collaborative competencies. However, organizational, pedagogical, and healthcare work process challenges still limit the consolidation of interprofessionality in training and practice.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20250588"},"PeriodicalIF":0.0,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13537110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148883155","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":"Welcoming care practices for migrant children in Primary Health Care: a scoping review.","authors":"Ana Beatriz Oliveira Costa, Lanna Jeniffer Silva Rodrigues, Mônica Letícia Martins Franco, Paulo Sérgio da Silva, Audrey Vidal Pereira, Liliane Faria da Silva","doi":"10.1590/1980-220X-REEUSP-2026-0121en","DOIUrl":"10.1590/1980-220X-REEUSP-2026-0121en","url":null,"abstract":"<p><strong>Objective: </strong>To map and synthesize the available evidence on welcoming care practices directed toward migrant children in Primary Health Care.</p><p><strong>Method: </strong>A scoping review conducted according to the recommendations of the JBI and reported in accordance with the PRISMA-ScR checklist. Searches were performed in the MEDLINE/PubMed, CINAHL, Academic Search Premier, Academic Search Ultimate (EBSCO), Scopus, EMBASE/Elsevier, APA PsycInfo (VHL), LILACS, BDENF, Index Psychology - Periodicals, and SciELO databases.</p><p><strong>Results: </strong>Forty-two studies published between 1999 and 2024 were included. The evidence was categorized into clinical and follow-up actions in Primary Health Care, preventive health actions in Primary Health Care, and healthcare network coordination. The included studies showed heterogeneity regarding methodological designs, study settings, and the characteristics of the populations investigated.</p><p><strong>Conclusion: </strong>Welcoming care has been concentrated on clinical, preventive, and healthcare network coordination actions, reaffirming Primary Health Care as the main entry point for child healthcare. However, the findings reveal the need for future studies addressing culturally competent welcoming strategies, structured intersectoral interventions, and the assessment of the effectiveness of these practices.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20260121"},"PeriodicalIF":0.0,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13553000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148915087","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":"Cognitive justice and interculturality: the pioneering nature of the professional master's program for indigenous nurses in Amazonas.","authors":"Rizioléia Marina Pinheiro Pina, Esron Carvalho Soares Rocha, Hadelândia Milon de Oliveira, Silvia Regina Secoli","doi":"10.1590/1980-220X-REEUSP-2026-0281en","DOIUrl":"10.1590/1980-220X-REEUSP-2026-0281en","url":null,"abstract":"","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20260281"},"PeriodicalIF":0.0,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13544431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148893309","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 mindfulness and self-compassion on compassion fatigue among nurses: a cross-sectional study.","authors":"Yıldız Öztürk, Hilal Seki Öz","doi":"10.1590/1980-220X-REEUSP-2026-0158en","DOIUrl":"10.1590/1980-220X-REEUSP-2026-0158en","url":null,"abstract":"<p><strong>Objective: </strong>To examine the relationships between mindfulness, self-compassion, and compassion fatigue, and to determine the predictive roles of mindfulness and self-compassion on compassion fatigue among clinical nurses.</p><p><strong>Method: </strong>This cross-sectional correlational study included 220 nurses in a public hospital between March and June 2024. Data were collected via Personal Information Form, Mindful Attention Awareness Scale, Self-Compassion Scale-Short Form, and Compassion Fatigue Short Scale.</p><p><strong>Results: </strong>Mean scores were 61.78 ± 11.29 for mindfulness, 39.00 ± 6.87 for self-compassion, and 48.31 ± 20.28 for compassion fatigue. Mindfulness correlated positively with self-compassion (r = 0.33, p < 0.05) and negatively with compassion fatigue (r = -0.34, p < 0.05). Self-compassion was negatively associated with compassion fatigue (r = -0.40, p < 0.05). Multiple regression showed that mindfulness (β = -0.42) and self-compassion (β = -0.96) were significant independent predictors of compassion fatigue, jointly explaining 21.1% of the variance.</p><p><strong>Conclusion: </strong>Higher mindfulness and self-compassion predict lower compassion fatigue among clinical nurses. These modifiable psychological assets offer robust protection against emotional depletion. Integrating mindfulness and self-compassion into institutional strategies holds potential to optimize nursing well-being.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20260158"},"PeriodicalIF":0.0,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13551601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148893304","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":"Breaking the silence: examining campus sexual violence and the psychological effects on women survivors.","authors":"Umi Muzayanah, Siti Muawanah, Nur Laili Noviani, Arif Gunawan Santoso, Dwi Martiningsih","doi":"10.1590/1980-220X-REEUSP-2026-0155en","DOIUrl":"10.1590/1980-220X-REEUSP-2026-0155en","url":null,"abstract":"<p><strong>Objective: </strong>To explore sexual violence in Indonesian higher education and the psychological impact on women who intend to speak up.</p><p><strong>Method: </strong>This mixed-methods study combined an online survey of 472 respondents, including students, lecturers, officials, and staff from two universities, with follow-up interviews to enrich and validate the survey.</p><p><strong>Results: </strong>Sexual violence occurred in various forms on campus, with 12% of respondents reporting victimization and 18% choosing not to disclose the experiences. Some contributing factors to sexual violence on campuses include peer pressure, power abuse, lower moral values, and the ability to conduct sexual violence. The victims dealt with significant psychological problems, such as trauma, fear, depression, a desire to self-harm, and a decline in academic performance.</p><p><strong>Conclusion: </strong>Campuses must have comprehensive interventions for sexual violence survivors to create a safer and more responsive academic environment.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20260155"},"PeriodicalIF":0.0,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13506164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148820681","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":"Associated factors of successful aging among community-dwelling older adults in a rural area of Indonesia: a cross-sectional study.","authors":"Retno Indarwati, Joni Haryanto, Elida Ulfiana, Vira Amelia, Trihaningsih Puji Astuti, Deena Clare Thomas","doi":"10.1590/1980-220X-REEUSP-2025-0577en","DOIUrl":"10.1590/1980-220X-REEUSP-2025-0577en","url":null,"abstract":"<p><strong>Objective: </strong>To identify the factors associated with successful aging among community-dwelling older adults in rural Indonesia.</p><p><strong>Method: </strong>This analytical cross-sectional study involved 104 older adults aged ≥60 years living in Lamongan Regency, Indonesia. Data were collected through structured face-to-face interviews assessing sociodemographic characteristics, health status, and five indicators of successful aging: physical function, cognitive function, psychological well-being, social engagement, and active engagement with life. Multiple linear regression analysis was performed to determine significant predictors.</p><p><strong>Results: </strong>Half of the respondents demonstrated moderate levels of successful aging. Working status (β = 0.383; 95% CI: 0.201-0.565; p < 0.001) and distance to health facilities (β = 0.588; 95% CI: 0.242-0.935; p = 0.001) were significant determinants. Older adults who were still working and those living 1-5 km from health facilities had higher successful aging scores.</p><p><strong>Conclusion: </strong>Successful aging among rural older adults is influenced by working status and proximity to healthcare facilities. Promoting productive activity and maintaining accessible, independent, and supportive health services are essential for aging well in rural communities.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20250577"},"PeriodicalIF":0.0,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13502945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148814484","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":"Key comorbidities in the development of post-COVID conditions: diabetes mellitus, hypertension, and obesity.","authors":"Karina Marques Prediger, Ana Cristina Ribeiro La Scaléa, Sílvia Carla da Silva André Uehara","doi":"10.1590/1980-220X-REEUSP-2025-0473en","DOIUrl":"10.1590/1980-220X-REEUSP-2025-0473en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze and compare the symptoms of post-COVID condition (PCC) in patients with and without chronic comorbidities, such as diabetes, hypertension, and obesity.</p><p><strong>Method: </strong>This is a cross-sectional and analytical study, considering a sample of 350 patients with PCC treated in Primary Health Care services. Data were collected from medical records and analyzed using a Poisson regression model to estimate the prevalence ratio.</p><p><strong>Results: </strong>The prevalence of PCC symptoms was reduced by 50% for headache and by 64% for sore throat in non-diabetic individuals. People with hypertension showed twice the prevalence of muscle weakness and/or loss of strength compared to those with normal blood pressure. In addition, diarrhea and upper limbs tingling/throbbing were more prevalent in obese individuals.</p><p><strong>Conclusion: </strong>The study presented a bidirectional relationship between PCC and pre-existing chronic conditions, providing a detailed understanding of how specific comorbidities influence PCC symptoms.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"60 ","pages":"e20250473"},"PeriodicalIF":0.0,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13524457/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148893300","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}