[Nursing intervention for respiratory function exercise in patients with silicosis complicated by stable chronic obstructive pulmonary disease].

Objective: To investigate the clinical effect of nursing intervention for respiratory function exercise in patients with silicosis complicated by stable chronic obstructive pulmonary disease (COPD) . Methods: A total of 60 patients with silicosis complicated by stable COPD who were hospitalized in Department of Occupational Diseases, Laigang Hospital Affiliated to Taishan Medical College, from August 2017 to April 2018 were enrolled and randomly divided into control group and observation group, with 30 patients in each group. The patients in the control group were given routine treatment and respiratory function exercise, and those in the observation group were given nursing intervention in addition to the treatment in the control group. The two groups were compared in terms of pulmonary function, blood gas parameters, and six-minute walk distance before intervention and after 2 months of intervention. Results: After intervention, the observation group had significantly higher forced expiratory volume in 1 second (FEV(1)) , forced vital capacity (FVC) , arterial partial pressure of oxygen (PaO(2)) , and six-minute walk distance than the control group (P<0.05) , while there were no significant differences between the two groups in FEV(1)/FVC and partial pressure of carbon dioxide (P>0.05) . Conclusion: Nursing intervention can effectively improve FEV(1), FVC, PaO(2), and 6-minute walking distance in patients with silicosis complicated by stable COPD.

Enfermeiro do trabalho na prevenção da silicose: uma revisão integrativa / Enfermero de trabajo en prevención de la silicosis: una revisión integradora / Occupational health nurse in the prevention of silicosis: an integrative review

Objective: to investigate the spread of knowledge regarding silicosis and to identify the occupational health nurse course of action to prevent it. Method: It is an integrative review of the literature held in the databases: LILACS, SciELO, BDENF and PubMed. The employed keywords were “silicosis”, “occupational health nursing” and “pneumoconiosis”, published in Portuguese, Spanish and English, in the years of 2004 to 2014. Eight articles met the inclusion criteria were selected and answered the guiding questions. Results:The selected articles seek to deepen the knowledge on silicosis, to estimate its prevalence, to establish the patient’s profile, to describe the major symptoms, to identify the major risk factors associated with the disease and to evaluate the quality of living of those afflicted by it. Conclusion: Silicosis is a public health problem with high prevalence and which requires very specific strategies to its prevention and control, especially those developed in occupational health nursing.

Objetivo: averiguar a divulgação do conhecimento sobre silicose e identificar ações do enfermeiro do trabalho para sua prevenção. Métodos: Trata-se de uma revisão integrativa da literatura realizada nas bases dedados LILACS, SciELO, BDENF e PubMed, utilizando-se os descritores “silicose”, “enfermagem do trabalho” e “pneumoconiose”, nos idiomas português, inglês e espanhol, dos anos de 2004 a 2014. Foram selecionados oito artigos que atenderam aos critérios de inclusão e responderam as questões norteadoras. Resultados: Os artigos selecionados abordam a silicose, estimam sua prevalência, delineiam o perfil dos portadores, descrevem os principais sintomas, identificam fatores de risco associados e avaliam a qualidade de vida dos acometidos. Conclusão: A silicose é um problema de saúde pública com alta prevalência, que necessita de estratégias específicas para seu controle e prevenção, especialmente aquelas desenvolvidas no âmbito da enfermagem do trabalho.

Objetivo: investigar la difusión del conocimiento sobre la silicosis e identificar las acciones del enfermero trabajo para su prevención. Método: Se trata de una revisión integradora de la literatura realizada en las bases de dados LILACS, SciELO, BDENF y PubMed utilizando las palabras clave “silicosis”, “enfermería de trabajo” y “neumoconiosis”, en Portugués, Inglés y Español. Fueron seleccionados de los años 2004 a 2014 ocho artículos que cumplieron con los criterios de inclusión y respondieron a las preguntas de orientación. Resultados: Los artículos seleccionados cubren silicosis, valorar su prevalencia, definir el perfil de los pacientes, describir los síntomas principales, identificar los factores de riesgo asociados y evaluar la calidad de vida de los afectados. Conclusión: La silicosis es un problema de salud pública con una alta prevalencia, que requiere estrategias específicas para su control y prevención, especialmente las desarrolladas en la enfermería de trabajo.