Experiência do adulto jovem com a doença renal crônica emhemodiálise / Living of a young adult with chronic kidney disease under hemodialysis

Objetivo: conhecer o cotidiano do adulto jovem com a doença renal crônica em tratamento hemodialítico. Métodos: pesquisa qualitativa, exploratória e descritiva, realizada com oito informantes em um serviço de nefrologia e no domicílio em um município no Sul do Brasil, no período de junho a agosto de 2013. Utilizou-se como referencial teórico, conceitos relacionados aos aspectos culturais de Madelaine Leininger e Clifford Geertz e os instrumentos para a coleta de dados foram a entrevista narrativa, a observação assistemática e o diário de campo. Resultados: os informantes estabeleceram uma nova história, devido à convivência cotidiana com a doença, apresentando modificações nos hábitos alimentares, hídricos, atividades diárias, laborais, lazer e sexual. A dependência de outras pessoas também foi mencionada. As fontes de apoio estiveram presentes nas narrativas. Considerações finais: os adultos jovens nessa condição de adoecimento construíram um novo modo de viver baseado em sua cultura, mantendo normas, valores e crenças.

Objective: to know the experience of a young adult with chronic kidney disease under hemodialysis.Methods: qualitative, exploratory and descriptive research, performed with eight informants in aservice of nephrology, and in a home in a city of south of Brazil, during June to August 2013. Thetheoretical referential concepts of Madelaine Leininger and Clifford Geertz was used, and theinstruments for the data collection were the narrative interview, the systematic observation, and afield diary. Data analysis was by Minayo. Results: the informants established a new history, due tothe everyday living with the disease, presenting changes in the habits of life. Dependence on otherpeople and sources of support such as family, people known or not, health team were mentioned.Final Considerations: young adults in this condition of illness built a new way of living, which isbased on their culture, keeping rules, values and beliefs.

Qualidade de vida relacionada à saúde de adultos após cirurgia defêmur ou quadril / Quality of life related to adults health after hip or femur surgery

Objetivo: identificar mudanças ocorridas na avaliação da qualidade de vida relacionada à saúde(QVRS) de adultos entre o terceiro e sexto mês após cirurgia de fêmur ou quadril. Métodos: abordagemquantitativa, de delineamento longitudinal realizado de junho a novembro de 2013. Aplicadoquestionário de caracterização e o Short Form Health Survey (SF-36). Realizadas análises descritivas,teste de Mann-Whitney e Wilcoxon. Adotado p=0,05, como nível de significância. Resultados:participaram 24 adultos. Houve redução das médias de pontuação em cinco dos oito domínios do SF-36, representando piora da QVRS no sexto mês. O domínio Aspecto físico foi o mais afetado. As médiasdo domínio Dor foram maiores e estatisticamente significantes para as mulheres (p=0,04), houvemelhora nas médias de Estado geral de saúde (p=0,01) e Aspecto emocional (p=0,05) no sexto mês.Conclusão: há piora da QVRS nos adultos submetidos a cirurgia de fêmur ou quadril nos seis primeirosmeses após cirurgia.

Objective: identifying changes occurred during the evaluation of health-related quality of life(HRQOL) of adults between the third and the sixth month after surgery. Methods: quantitativeapproach, longitudinal design, conducted from June to November 2013. A characterizationquestionnaire and the Short Form Health Survey (SF-36) were applied. Descriptive analyses, MannWhitneyand Wilcoxon test were carried out. Significance level p=0.05. Results: 24 adults participated. There was a reduction of average scores in five of the eight domains of the SF-36,representing worsening of HRQOL in the sixth month. The domain Physical aspect was the mostaffected. The averages of Pain domain were higher and statistically significant for women (p=0.04),there was improvement in the general health status (p=0.01) and Emotional aspect (p=0,05) in thesixth month. Conclusion: there is worsening of HRQOL between adults undergoing surgery of hip orfemur during the first six months after discharge the day of surgery.

[Nurse's opinion on the applicability of the nursing process at the intensive care unit]. / Opinião dos enfermeiros quanto à aplicacabilidade do processo de enfermagem em unidade de tratamento intensivo.

This paper aimed to identify the nurses opinion about the nursing process in the Intensive Care Unit (ICU), and the knowledge they had about this such assistance methodology. The method of investigation used had an qualitative approach, of the descriptive and exploratory kind, applying semi structured interviews to five nurses of ICU at a General Hospital of the south area of Rio Grande do Sul. It was verified that: the nurses interviewed had little knowledge about the subject, some referred using daily evolution and nursing prescription. Mostly, all recognize the importance of this assistance methodology, but consider essential that all the nursing staff should be trained and prepared to elaborate and execute it.

[Continuing nursing education at the hospital-school: a diagnosis]. / Educação continuada em enfermagem no hospital-escola: um diagnóstico.

The interest of the authors in developing this study was based on the fact that the continued education courses offered at a teaching hospital, located in the southern region of Brazil, always happened in an empirical way, without first carrying out a diagnosis which permits the development of a program related to the needs of the clientele. The quanti-qualitative study, composed by both open and multiple choices questions, was applied to 70% of the nursing staff, from the period of November of 1998 to January of 1999. Analysis of the data allowed the authors to identify the necessary steps for the implementation of a Continued Education Service.

[The nursing process in the daily lives of nursing students and nurses]. / O processo de enfermagem no cotidiano dos acadêmicos de enfermagem e enfermeiros.

The present study aims to be a contribution to the Nursing student and the nurse's daily use of the Nursing process; the investigation method used was qualitative, applying semi-structured research tools; the data obtained were confronted with theoretical references and were put together in themes. The results show that the Nursing students and the nurses recognize the true value of the Nursing process, although they are not so sure about its practical use, and for them the Nursing schools should have the responsibility of promoting discussions in order to establish the theoretical references that would support the Nursing process. In other words, the schools should define one or more Nursing Theories and/or Conceptual References and its following methodologic definitions to be used on teaching the Nursing process.