RESUMO
This study aimed at verifying the relationship between lifestyle and emotional and behavioral problems in adolescents. This is an observational and cross-sectional study developed with adolescents from a capital city in the Brazilian Amazon. Data collection was performed using an electronic form containing items from the Fantastic Lifestyle and Strengths and Difficulties Questionnaire instruments. For data analysis, the bootstrap t-Test and calculation of Cohen's d statistic value were performed to assess the effect size of the difference between means. A total of 479 adolescents participated in the study. There was a high relationship between emotional and behavioral problems and lifestyle (p < 0.01; d = 1.36), especially regarding emotional problems (p < 0.01; d = 1.09), hyperactivity (p < 0.01; d = 0.92) and peer problems (p < 0.01; d = 0.78). The lifestyle attributes that were highly related to emotional and behavioral problems were insight (p < 0.01; d = 1.30), sleep, seatbelt, stress and safe sex (p < 0.01; d = 0.93), type of behavior (p < 0.01; d = 0.86) and career (p < 0.01; d = 0.85). It is therefore concluded that there was a high relationship between lifestyle and emotional and behavioral problems among the adolescents surveyed. Thus, it becomes necessary to promote socio-emotional skills and restorative and health-protective lifestyles in this population.
Assuntos
Comportamento do Adolescente , Transtornos Mentais , Comportamento Problema , Humanos , Adolescente , Comportamento Problema/psicologia , Estudos Transversais , Emoções , Transtornos Mentais/psicologia , Inquéritos e Questionários , Estilo de Vida , Comportamento do Adolescente/psicologiaRESUMO
OBJECTIVES: 1) To verify the association between Lifestyle and Self-Reported Smartphone Addiction in adolescents; and 2) to analyze the adolescents' perception of this relationship in the context of the COVID-19 pandemic. METHOD: A mixed-methods research study with a sequential and explanatory design, developed with Brazilian adolescents aged between 15 and 18 years old. In the first phase, a quantitative, observational and cross-sectional study was carried out with 479 participants and, in the second, a qualitative approach of an exploratory and descriptive nature, with 16 participants. RESULTS: An association was verified between Lifestyle and Self-Reported Smartphone Addiction by adolescents (p < 0.01), with a large size effect (d=0.98). All the domains related to lifestyle were associated with Self-Reported Smartphone Addiction, with greater effects evidenced in the following aspects: high effect for sleep, seat belt, stress and safe sex (d=0.85); and moderate effect for insight (d=0.74) and career (d=0.71). Subsequently, the qualitative analysis resulted in a category that describes how the adolescents understand this relationship in the face of the COVID-19 pandemic. CONCLUSION: More problematic lifestyles were evidenced among the adolescents classified as dependent. In addition to that, it was understood that the COVID-19 pandemic exerted a considerable impact on the lifestyle and behavior established by the adolescents with their smartphones. IMPLICATIONS FOR THE PRACTICE: Nurses and other health professionals are essential in the promotion of healthy lifestyles and adaptive behavior in smartphone use, especially in the face of this pandemic scenario and, thus, mitigating the harms to the adolescents' health.
Assuntos
COVID-19 , Transtorno de Adição à Internet , Estilo de Vida , Smartphone , Adolescente , COVID-19/epidemiologia , Estudos Transversais , Humanos , Transtorno de Adição à Internet/epidemiologia , Pandemias , AutorrelatoRESUMO
To describe the application of the integrative mixed method and its steps. Descriptive methodological study. The integrative mixed method approach was exemplified in a study conducted in neonatal nursing on maternal stress throughout the experience of premature newborns' care. Data on maternal stress level (quantitative approach) and maternal perception of care (qualitative approach) were grouped after analyzes made separately according to the analysis technique of each approach. Subsequently, quantitative and qualitative data were integrated, which originated a new set of data to be interpreted, and consequently enabled a greater understanding of the phenomenon under study and emphasized the importance of the integrative mixed method. The integration of the two approaches, qualitative and quantitative, is a denser theoretical framework with strong scientific evidence for a better understanding of the phenomenon under study than the use of a single approach, since, at the same time, it identifies the frequency of the phenomenon and the reason for its occurrence.
Assuntos
Enfermagem Neonatal/organização & administração , Pesquisa em Enfermagem , Estresse Psicológico/epidemiologia , Humanos , Recém-Nascido , Recém-Nascido Prematuro , Mães/psicologia , Pesquisa Qualitativa , Projetos de PesquisaRESUMO
OBJECTIVE: Comparing foot length measurements of newborns in high and low risk pregnancies at a public hospital in Goiânia, GO, Brazil. METHOD: A cross-sectional study carried out between April, 2013 and May, 2015, with a sample consisting of 180 newborns; 106 infants of women from high-risk pregnancies and 74 of women from low-risk pregnancies. Data were descriptively analyzed. Foot length measurement was performed using a stiff transparent plastic ruler, graduated in millimeters. The length of both feet was measured from the tip of the hallux (big toe) to the end of the heel. RESULTS: A statistically significant relationship was found between the foot length and newborn's weight, between the cephalic and thoracic perimeters in the high-risk group and between the cephalic perimeter in the control group. CONCLUSION: There is a need for creating cut-off points to identify newborns with intrauterine growth disorders using foot length. OBJETIVO: Comparar as medidas do comprimento hálux-calcâneo de recém-nascidos em gestações de alto e baixo risco em um hospital público de Goiânia, GO. MÉTODO: Estudo transversal, realizado no período de abril de 2013 a maio de 2015, cuja amostra constituiu-se de 180 recém-nascidos, 106 filhos de mulheres com gestação de alto risco e 74 de mulheres com gestação de baixo risco. Os dados foram analisados descritivamente. A medida do comprimento hálux-calcâneo foi realizada utilizando-se de régua plástica transparente rígida, graduada em milímetros. Foram medidos ambos os pés, aferindo-se o comprimento da ponta do hálux até a extremidade do calcâneo. RESULTADOS: Foi encontrada relação estatisticamente significante entre o comprimento hálux-calcâneo e o peso do recém-nascido, entre os perímetros cefálico e torácico no grupo de alto risco e entre o perímetro cefálico no grupo controle. CONCLUSÃO: Existe necessidade da criação de pontos de corte para identificar recém-nascidos com desvios de crescimento intrauterino utilizando-se do comprimento hálux-calcâneo. OBJETIVO: Comparar las mediciones de la longitud hallux-calcáneo de los recién nacidos en embarazos de alto y bajo riesgo en un hospital público de Goiânia, GO.MÉTODOSEstudio transversal realizado de abril 2013 a mayo 2015, cuya muestra estuvo constituida por 180 recién nacidos, 106 de mujeres con embarazos de alto riesgo y 74 de mujeres con embarazos de bajo riesgo. Los datos se analizaron de manera descriptiva. La medida de la longitud hallux-calcáneo se realizó mediante regla de plástico rígido transparente, graduada en milímetros. Se midieron en ambos pies, las longitudes de la punta del hallux hasta el final del calcáneo. RESULTADOS: Se encontró una relación estadísticamente significativa entre la longitud hallux-calcáneo y el peso del recién nacido, entre las circunferencias cefálica y torácica en el grupo de alto riesgo y entre la circunferencia cefálica en el grupo control. CONCLUSIÓN: Existe la necesidad de crear puntos de corte para identificar los recién nacidos con desviaciones de crecimiento intrauterino utilizando la longitud desde el hallux hasta el calcáneo.
Assuntos
Pé/anatomia & histologia , Tamanho do Órgão , Gravidez de Alto Risco , Brasil , Estudos Transversais , Feminino , Hospitais Públicos , Humanos , Recém-Nascido , Gravidez , Medição de RiscoRESUMO
OBJECTIVE: The aim was to analyse the input of growth and development data in the Child Health Handbook. METHOD: This is a cross-sectional study conducted in Cuiabá, Brazil, on August 13, 2011, with the application of a questionnaire and direct observation of 950 handbooks. We included children under one year of age who resided in Cuiabá, accompanied by their mothers or guardians who were in possession of the handbook. Data were analyzed by calculating the prevalence ratio (PR) and Chi-Square test, with a significance level set at 5%. The project was approved by the Ethics Committee under Opinion No. 882/2010. RESULTS: Of the analyzed handbooks, 95.4% of the development data and 79.6% of the data in the growth charts were incomplete or missing. CONCLUSION: The low rate of growth and development data input in the handbooks reveals the need to create awareness among the population, health care professionals and managers on the importance of handbooks, and the need to invest in training and the empowerment of professionals in relation to its proper use.
Assuntos
Desenvolvimento Infantil , Gráficos de Crescimento , Registros de Saúde Pessoal , Manuais como Assunto , Mães/psicologia , Adolescente , Adulto , Criança , Pré-Escolar , Estudos Transversais , Escolaridade , Características da Família , Feminino , Controle de Formulários e Registros , Fidelidade a Diretrizes , Humanos , Renda , Lactente , Masculino , Mães/educação , Inquéritos e Questionários , Adulto JovemRESUMO
A qualitative descriptive study aimed at understanding the perceptions of the family members of children regarding well-child check-ups in the context of attention to child healthcare. Data collection was done using semi-structured interviews of 19 families, in the city of Maringá, in the state of Paraná, Brazil, from December 2012 to February 2013. The data was analyzed using content analysis, a thematic modality, which resulted in the thematic category "Revealing well-child check-ups from the family's point of view" and two secondary categories. The results showed the interviewees' insipient knowledge of well-child check-ups, reflecting the lack of adequate guidance about this type of care. The family members showed a preference for care of children by a pediatrician. Although secondary, the family noted the participation of the nurse in this activity. It is considered extremely important that well-child check-ups are valued by family members in order to promote effective multi-professional participation in this modality of attention.
Assuntos
Atitude Frente a Saúde , Serviços de Saúde da Criança , Proteção da Criança , Família , Adulto , Criança , Saúde da Família , Feminino , Humanos , Masculino , Adulto JovemRESUMO
This qualitative study analyzed, from the teacher's perspective, if the principle of comprehensiveness is included in child healthcare teaching in nursing education. The participants were 16 teachers involved in teaching child healthcare in eight undergraduate nursing programs. Data collection was performed through interviews that were submitted to thematic content analysis. The theory in teaching incorporates comprehensive care, as it is based on children's epidemiological profile, child healthcare policies and programs, and included interventions for the promotion/prevention/rehabilitation in primary health care, hospitals, daycare centers and preschools. The comprehensive conception of health-disease process allows for understanding the child within his/her family and community. However, a contradiction exists between what is proposed and what is practiced, because the teaching is fragmented, without any integration among disciplines, with theory dissociated from practice, and isolated practical teaching that compromises the incorporation of the principle of comprehensiveness in child healthcare teaching.
Assuntos
Assistência Integral à Saúde , Educação em Enfermagem/métodos , Docentes de Enfermagem , Enfermagem Pediátrica/educaçãoRESUMO
OBJECTIVE: To evaluate the factors associated with neonatal mortality in infant born with low birth weight. METHOD: Cross-sectional study that analyzed data from 771 live births with low birth weight (<2500 g) in the city of Cuiabá, MT, in 2010, of whom 54 died in the neonatal period. We obtained data from the Information System on Live Births and Mortality, by integrated linkage. RESULTS: In multiple logistic regression, neonatal mortality was associated with: number of prenatal visits less than 7 (OR=3.80;CI:1,66-8,70); gestational age less than 37 weeks (OR=4.77;CI:1.48-15.38), Apgar score less than 7 at the 1st minute (OR=4.25;CI:1.84-9.81) and the 5th minute (OR=5.72,CI:2.24-14.60) and presence of congenital anomaly (OR=14.39;IC:2.72-76.09). CONCLUSION: Neonatal mortality in infants with low birth weight is associated with avoidable factors through adequate attention to prenatal care, childbirth and infants.
Assuntos
Mortalidade Infantil , Recém-Nascido de Baixo Peso , Estudos Transversais , Feminino , Humanos , Lactente , Masculino , Cuidado Pré-NatalRESUMO
We aimed to analyze factors associated with neonatal near-miss in Cuiabá, State of Mato Grosso, Brazil by performing a case-control study of live births in a capital city of central-western Brazil from January 2015 to December 2018 that included 931 cases and 1,862 controls. Data were obtained from the Live Births Information System and the Mortality Information System and variables were organized according to the hierarchical model. Association was analyzed by logistic regression with a 5% significance level. Data were expressed as crude and adjusted odds ratio (OR) and respective confidence intervals (95%CI). The following factors were associated with neonatal near miss: mothers with two (OR = 1.63; 95%CI: 1.01-2.63) or three or more previous pregnancies (OR=1.87; 95%CI: 1.09-3.21), without any live children (OR = 2.57; 95%CI: 1.56-4.24 ) or one live child at birth (OR = 1.53; 95%CI: 1.04-2.26), multiple pregnancy (OR = 4.57; 95%CI: 2.95-7.07), fewer than six prenatal consultations (OR = 2.20; 95%CI: 1.77-2.72), whose deliveries took place in public/university hospitals (OR = 2.25; 95%CI: 1.60-3.15) or philanthropic hospitals (OR = 1.62; 95%CI: 1.16-2.26), with non-cephalic presentation (OR = 2.71 95%CI: 1.87-3.94) and uninduced labor (OR = 1.47; 95%CI: 1.18-1.84).
Objetivou-se analisar fatores associados ao near miss neonatal em Cuiabá, Mato Grosso. Estudo caso-controle de nascidos vivos em capital do Centro-Oeste brasileiro, de janeiro de 2015 a dezembro de 2018, com 931 casos e 1.862 controles. Os dados foram coletados no Sistema de Informações sobre Nascidos Vivos e no Sistema de Informações sobre Mortalidade. As variáveis foram organizadas seguindo o modelo hierárquico. A associação foi analisada por meio de regressão logística, com nível de significância de 5%. Os dados foram expressos em odds ratio (OR) bruta e ajustada e respectivos intervalos de confiança (IC95%). Mantiveram-se associados ao near miss neonatal: mães com duas (OR = 1,63; IC95%: 1,01-2,63) ou três ou mais gestações anteriores (OR = 1,87; IC95%: 1,09-3,21), sem nenhum filho (OR = 2,57; IC95%: 1,56-4,24) ou com um filho vivo ao nascer (OR = 1,53; IC95%: 1,04-2,26), gravidez múltipla (OR = 4,57; IC95%: 2,95-7,07), menos de seis consultas de pré-natal (OR = 2,20; IC95%: 1,77-2,72), partos realizados em hospitais públicos/universitários (OR = 2,25; IC95%: 1,60-3,15) e filantrópicos (OR = 1,62; IC95%: 1,16-2,26), apresentação não cefálica (OR = 2,71; IC95%: 1,87-3,94) e trabalho de parto não induzido (OR = 1,47 IC95%: 1,18-1,84).
Assuntos
Near Miss , Recém-Nascido , Criança , Feminino , Gravidez , Humanos , Estudos de Casos e Controles , Brasil/epidemiologia , Hospitais Públicos , Hospitais UniversitáriosRESUMO
OBJECTIVE: To analyze the vaccination coverage and abandonment rates among children under two years old in Brazil, from 2015 to 2021. METHODS: A time-series ecological study. The dependent variables of the research were "vaccination coverage" and "abandonment rate", both assessed by Brazilian region. The data were extracted in July 2022 from the Information System of the National Immunization Program. The Prais-Winsten technique was used for the trend analysis, with the aid of the STATA 16.0 software. RESULTS: The mean vaccination coverage in Brazil was 76.96%, with a decreasing trend during the period (Annual Percent Change=-5.12; confidence interval - CI95% -7.81; -2.34); in 2015, the rate was 88.85% and it dropped to 62.35% in 2021. In turn, the overall abandonment rate was 24.00% in 2015 and 9.01% in 2021, with a mean of 10.48% and a stationary trend (Annual Percentage Change=-9.54; CI95% -22.92; 6.12). In 2021, all the vaccines presented coverage values below 74.00% in the country. CONCLUSIONS: The vaccination coverage rate trend among children under two years old was stationary or decreasing for all the immunobiologicals in all Brazilian regions, with the exception of yellow fever in the South and Southeast regions. There was an increase in the abandonment rate trend for the Meningococcal C vaccine in the country and, specifically in relation to the regions, for BCG in the North, Northeast, and Midwest and for Meningococcal C in the North and Northeast.
Assuntos
Cobertura Vacinal , Humanos , Brasil , Cobertura Vacinal/estatística & dados numéricos , Lactente , Programas de Imunização/estatística & dados numéricos , Vacinação/estatística & dados numéricos , Fatores de TempoRESUMO
OBJECTIVE: To identify weaknesses in the continuity of care for preterm infants discharged from a neonatal unit, based on the perspective of professionals in the family health strategy. METHOD: Qualitative research, carried out with 16 professionals from four health regions in a capital city in the center-west of Brazil. Data collection took place from October to December 2020, through semi-structured, individual, and in-person interviews. Data underwent content analysis, supported by the concept of continuity of care. RESULTS: The analysis consisted of three categories: Challenges for care in the unit and referral to specialized services; weak interactions between the preterm baby's family and health professionals; Information: essential aspect for the connection between health professionals and the family of the preterm newborn. CONCLUSION: Health services are shown to be fragile in terms of the dimensions of continuity of care, contributing to the discontinuity of care for preterm children.
Assuntos
Recém-Nascido Prematuro , Alta do Paciente , Humanos , Recém-Nascido , Brasil , Saúde da Família , Pessoal de SaúdeRESUMO
Holding and restraining children during non-urgent clinical procedures continues to be surrounded by uncertainty and mired in controversy. This review aimed to locate, appraise and map the evidence related to health professionals reported and observed practice of holding and restraining children, from birth to 16 years, for clinical procedures. This scoping review, conducted in April 2022, was based on the Joanna Briggs Institute protocol. Screening and full text review resulted in the inclusion of 30 papers. In total, 14 different terms were used to refer to the act of holding or restraining a child for a procedure, in many papers the action of holding was not defined. Professionals report the main factors influencing their decisions to use restraint and/or holding were the age of a child, with younger children being restrained or held most frequently; a child's behaviour; and concerns around a child's safety. Professionals also report that they can perceive pressure from parent/carers to hold or restrain their child and describe how holding practices can be influenced by service and organisational pressures. Health professionals, mainly nurses, continue to report ethical and moral tensions linked to their involvement in the restraint or holding of a child against their will for a clinical procedure. Evidence indicates a need to move practice forward as the issues identified in paediatric practice are long-standing and historical.
RESUMO
The aim of the study was to analyze the profile of mothers and newborns who died in the early and late neonatal period. Descriptive, exploratory cross-sectional study that used secondary data obtained from the information systems of mortality, births and hospital records of mothers living in Cuiabá, who gave birth in 2010. We studied 77 deaths, of which 72.7% occurred in the early neonatal period. The early and late neonatal mortality rates were, respectively, 8.2, 6.0 and 2.2/1,000 live births. No difference was found in the profile of mothers and newborns who died in the early or late neonatal period. Characteristics that prevailed among the neonatal deaths were less than 7 prenatal visits, prematurity, low birth weight and Apgar score less than 7 at 1 minute. These results indicate the need for investment, especially in improving the quality of prenatal care in the city.
Assuntos
Doenças do Recém-Nascido/mortalidade , Fatores Etários , Estudos Transversais , Feminino , Humanos , Recém-Nascido , Masculino , Mães , Adulto JovemRESUMO
The objective of this study was to analyze the trends in neonatal mortality in Brazil from 2007 to 2017. This is an ecological time series study carried out with data from the Mortality Information System and the Information System on Live Births, analyzed through of Prais-Winsten regression. There was an average neonatal mortality rate of 9.46 deaths/1,000 live births in the analyzed period, with a reduction of 2.15% per year. There was a greater decline in early neonatal mortality compared to late neonatal mortality. There was an upward trend of neonatal deaths among preterm infants, newborns with extremely low birth weight, born by cesarean delivery, children of mothers over 30 years of age and of mothers with more than eight years of schooling. Regarding the causes of death, there was an increasing trend of deaths due to congenital malformations, infectious diseases, endocrine, nutritional and metabolic diseases and external causes. Still, there was an upward trend in preventable deaths by adequate care for women during pregnancy and for other causes that are not clearly preventable. Despite the general reduction in deaths, it is necessary to intensify public policies for adequate care for women during pregnancy to ensure improvement in the other indicators analyzed.
O objetivo deste estudo foi analisar a tendência da mortalidade neonatal no Brasil de 2007 a 2017. Trata-se de um estudo ecológico de série temporal, realizado com dados do Sistema de Informações sobre Mortalidade e do Sistema de Informações sobre Nascidos Vivos, analisados por meio de regressão de Prais-Winsten. Verificou-se uma taxa média de mortalidade neonatal de 9,46/1.000 nascidos vivos no período, com redução de 2,15% ao ano. Houve maior declínio da mortalidade neonatal precoce, comparada com a tardia. Destaca-se tendência crescente dos óbitos neonatais entre neonatos pré-termos, com extremo baixo peso, nascidos de parto cesáreo, filhos de mães com idade superior a 30 anos e escolaridade superior a oito anos de estudo. Em relação às causas de morte, verificou-se tendência crescente dos óbitos por malformações congênitas, doenças infecciosas, doenças endócrinas, nutricionais e metabólicas e causas externas. Constatou-se, ainda, tendência crescente nos óbitos evitáveis por adequada atenção à mulher na gestação e por demais causas não claramente evitáveis. Apesar da redução geral dos óbitos, faz-se necessário intensificar as políticas públicas de assistência adequada à mulher na gestação para garantir melhoria nos demais indicadores analisados.
Assuntos
Recém-Nascido Prematuro , Morte Perinatal , Brasil/epidemiologia , Criança , Feminino , Humanos , Lactente , Mortalidade Infantil , Recém-Nascido , Nascido Vivo , GravidezRESUMO
This was a qualitative exploratory study, which aimed to investigate how health professionals working in delivery care perceive the humanization of the birth process. 17 professionals who work in the area were interviewed. The data were obtained through semi-structured interviews and processed through thematic analysis. During the data analysis 3 categories emerged: the meaning of humanization of birth; the humanization practice in the studied services; and difficulties of the humanization process. The results show that the humanization of birth care is not yet a common practice in most of the studied hospitals and that the staff is not prepared to provide a humanized and qualified service for mothers and newborns. We conclude that it is essential to change the biomedical model from a mainly technical approach to an approach that values the social and cultural aspects of pregnancy and delivery.
Assuntos
Atitude do Pessoal de Saúde , Parto Obstétrico/normas , Humanismo , Adulto , Estudos de Avaliação como Assunto , Feminino , Humanos , Pessoa de Meia-Idade , Gravidez , Adulto JovemRESUMO
OBJECTIVE: Reflect on the evolution of pediatric nursing care from the perspective of emotions, from the conceptions of Florence Nightingale to the present. METHOD: Reflective study based on theoretical and experiential aspects of emotional care in pediatric nursing. RESULTS: From Nightingale, there were many definitions regarding the nursing care in an integrative and humanist logic; and with certain bond to emotional dimension. That time, nursing care was based on the religious conceptions of charity and love of our neighbor and, despite the conceptualization that shapes nursing science today, such conceptions have not ceased to be its attribute, mainly in the care of pediatric nurses. FINAL CONSIDERATIONS: In pediatric nursing, nurture care with affection and facilitate emotions management in each interaction nurse-child-family is crucial for caring. This emotional care should evolve into a competence that recognizes the expertise and merit of professional action.
Assuntos
Emoções , Cuidados de Enfermagem , Enfermagem Pediátrica , Criança , Família , História da Enfermagem , História do Século XVII , História do Século XVIII , História do Século XIX , História do Século XX , História do Século XXI , Humanos , Competência ProfissionalRESUMO
OBJECTIVE: To discuss the emotional labor in pediatric nursing considering the repercussions of COVID-19 in childhood and adolescence. METHOD: Reflexion based on theoretical aspects and scientific evidence of emotional labor in pediatric nursing. RESULTS: Given the repercussions of COVID-19 on children and adolescents, it is up to the nurse to recognize them and nurture a non-traumatic and affectionate care. However, measures to control the disease affect the care provided. In this context, emotional labor process become essential, as they guide the management of the child's and family's emotions, associated with the suffering caused by the pandemic and the nurse's emotional experience when caring. CONCLUSION: Emotional support and care processes are essential in pediatrics, especially in a stressful time such as a pandemic, which requires the positive transformation of the intense and disturbing experiences of people for them to achieve psychosocial well-being.
Assuntos
COVID-19/psicologia , Emoções , Família/psicologia , Enfermagem Pediátrica , Adolescente , COVID-19/epidemiologia , COVID-19/enfermagem , COVID-19/prevenção & controle , Criança , Pré-Escolar , Humanos , Acontecimentos que Mudam a Vida , Papel do Profissional de Enfermagem , Relações Enfermeiro-Paciente , Recursos Humanos de Enfermagem/psicologia , Pandemias , Psicologia do Adolescente , Psicologia da Criança , Pesquisa QualitativaRESUMO
OBJECTIVE: To explore the scientific evidence regarding the leprosy patients quality of life. METHOD: Scoping review according to the Joanna Briggs Institute methodology, with articles indexed in PubMed, Cochrane, LILACS, Embase, CINAHL, Scopus, Web of Science, PsyINFO, INFOLEP, and Google Scholar databases, published in full in Portuguese, English, or Spanish. RESULTS: Seventy-four studies were identified, with 71 of quantitative approach and 3 with a mixed method. There was a predominance of studies published in Brazil (58.1%), with an adult population, (97.3%) and recruited in reference centers for the treatment of leprosy (52.7%). There was greater use of the WHOQOL-bref (50%) and SF-36 (18.9%) instruments to assess quality of life. The study showed that the greatest impairment in quality of life was related to the delay in the diagnosis of the disease, to leprosy reactions, physical disabilities, neuropathic pain, and stigma. CONCLUSION: Most studies were developed in endemic countries, with adults, and based on observational studies, and the worst scores obtained were associated with physical domain impairment.
Assuntos
Hanseníase , Qualidade de Vida , Adulto , Brasil , HumanosRESUMO
OBJECTIVE: to map the epidemiological profile of children and adolescents with COVID-19 in the world literature. METHODS: a scoping review systematized by the Joanna Briggs Institute protocol in the PubMed/MEDLINE, CINAHL, Web of Science, Scopus, Science direct and Google Scholar databases. Articles with children and/or adolescents with laboratory diagnosis of COVID-19 were used. RESULTS: thirty-two articles were included in the review. Most children and adolescents were male, with contamination by family transmission. The most frequent clinical manifestations were fever, cough and diarrhea. Ten studies cited pre-existing condition/disease, and hospital length ranged from one to twenty days. Three deaths were reported and no study presented race/color, education and socioeconomic conditions. CONCLUSION: it was possible to screen the epidemiological profile with information about age group, sex, probable contamination of the disease, clinical manifestations, presence of pre-existing disease/condition, hospitalization and deaths among children and adolescents with COVID-19.
Assuntos
COVID-19/diagnóstico , COVID-19/epidemiologia , COVID-19/terapia , Pandemias/estatística & dados numéricos , Vigilância da População , Adolescente , Brasil/epidemiologia , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , SARS-CoV-2RESUMO
OBJECTIVE: To understand the empathic conduct and the reasons why nurses empathize with relatives of newborns in a Neonatal Intensive Care Unit. METHODS: Phenomenological research, performed in a hospital in Mato Grosso, Brazil. Data were collected between May and August 2018, through interviews with 11 nurses experienced in neonatal care, and analyzed through the lens of Alfred Schutz's Social Phenomenology. RESULTS: Presented by two categories: nurses' empathy with family members of newborns in Neonatal ICU: empathic conduct; and, the reasons why the empathic conduct of nurses with family members in neonatal ICU. FINAL CONSIDERATIONS: Empathy occurred centrally with the mother of newborns, expressed in communication, identification and construction of bonds. The reasons why the nurses' personal experiences are linked to motherhood, grief and suffering.