RESUMO
OBJECTIVE: To evaluate the effect of aromatherapy through inhalation of Lavandula angustifolia essential oil in relieving pain during the immediate postoperative period of patients undergoing cardiac surgery. METHODS: A single-blind, randomized and controlled clinical trial, with 52 patients in the immediate postoperative period of cardiac surgery were randomly distributed into experimental (n = 26) and control (n = 26) groups. The primary outcome was whether or not pain was relieved and secondary outcomes included changes in vital signs, sleep and facial relaxation. The control group received industry standard care and application of an essential oil-free ceramic diffuser necklace. The experimental group received the inhalation intervention with pure Lavandula angustifolia essential oil, with a drop of the oil on a ceramic diffuser necklace at a distance of 15-20 cm from the patient's nose for 30 min. Pain was measured using the Numerical Visual Scale, and vital signs using the multiparametric monitor before the intervention, 10 minutes after its start and 30 minutes after the total end of inhalation. Face relaxation was assessed before and after the intervention and sleep was assessed at the end of inhalation. RESULTS: There was a decrease in pain levels (p < 0.001) 30 min after the end of inhalation in the Experimental Group, with a decrease in the measurements of Mean Blood Pressure (p= 0.008) and Respiratory Rate (p = 0.011). Furthermore, facial relaxation and sleep had a large effect size of 2.54 and 1.28, respectively. CONCLUSION: Lavandula angustifolia essential oil was effective in relieving pain, causing sleep and relaxation, proving to be a low-cost and easy-to-use tool that the nursing team can use in their care.
RESUMO
Objetivo: analisar a associação das ações dos componentes I (com ações de avaliação clínica e psicossocial) e II (com ações de promoção da saúde e prevenção de doenças e agravos) do Programa Saúde na Escola com a sua localização territorial, categoria e qualificação profissional. Materiais e métodos: trata-se de estudo transversal, normativo e de abordagem quantitativa. A coleta de dados foi realizada entre maio e julho de 2017 com instrumento construído com base nas normatizações do programa. Os dados foram analisados a partir da estatística descritiva e inferencial (teste exato de Fisher) com o auxílio de um software estatístico e social. Resultados: 84,8 % dos participantes eram do sexo feminino e com tempo médio de atuação de 7,2 anos no Programa Saúde na Escola. As ações mais frequentes foram avaliação da saúde bucal (50,5 %), avaliação antropométrica (39 %) e avaliação da situação vacinal (35,2 %). Houve associação das ações desenvolvidas com a localização territorial (p = < 0,05), a categoria profissional (p = < 0,040) e a qualificação profissional (p = 0,001). Conclusões: as ações do Programa Saúde na Escola mais frequentemente desenvolvidas são relacionadas ao componente de avaliação clínica. Elas são executadas a partir das necessidades territoriais, influenciadas pelos profisisonais da saúde, e são pautadas pela gestão do programa. É oportuno utilizar esses achados para readequar a oferta das ações do Programa Saúde na Escola.
Objetivo: analizar la asociación de las acciones del componente I (con acciones de evaluación clínica y psicosocial) y II (con acciones de promoción de la salud y prevención de enfermedades y riesgos) del "Programa Salud en la Escuela" con su ubicación territorial, categoría y calificación profesional. Materiales y métodos: estudio transversal y normativo con enfoque cuantitativo. La recolección de datos se realizó entre los meses de mayo y julio de 2017 con un instrumento construido a partir de los estándares del programa. Los datos se analizaron mediante estadística descriptiva e inferencial (prueba exacta de Fisher) con la ayuda de software estadístico y social. Resultados: el 84,8 % de los participantes corresponde a mujeres con un tiempo medio de vinculación con el Programa Salud en la Escuela de 7,2 años. Las acciones más frecuentes fueron evaluación de la salud bucal (50,5 %), evaluación antropométrica (39 %) y evaluación del estado de vacunación (35,2 %). Se registró una asociación entre las acciones desarrolladas y la ubicación territorial (p = < 0,05), la categoría profesional (p = < 0,040) y la calificación profesional (p = 0,001). Conclusiones: las acciones del Programa Salud en la Escuela que se desarrollan con mayor frecuencia están relacionadas con el componente de evaluación clínica. Se ejecutan en función de las necesidades territoriales, están influenciadas por los profesionales de la salud y son guiadas por la gestión del programa. Así, resulta oportuno considerar estos hallazgos para reajustar la oferta de acciones del Programa Salud en la Escuela.
Objective: To examine the association of the actions in components I (clinical and psychosocial evaluation) and II (health promotion and disease and health risks prevention) of the "Health at School Program" with its territorial location, category, and professional qualification. Materials and methods: Transversal and normative study with a quantitative approach. Data collection was carried out between May and July 2017 using an instrument built from the program's standards. The data were analyzed using descriptive and inferential statistics (Fisher's exact test) with the aid of statistical and social analysis software. Results: 84.8% of the participants were female with a mean time of 7.2 years enrolled in the Health at School Program. The most frequent actions were oral health assessment (50.5 %), anthropometric assessment (39 %), and vaccination status assessment (35.2 %). There was an association between the actions developed by the program and the territorial location (p = < 0.05), the professional category (p = < 0.040), and the professional qualification (p = 0.001). Conclusions: Actions most frequently developed as part of the Health at School Program are related to the clinical evaluation component. They are executed based on territorial needs, influenced by health professionals, and guided by program management. It is appropriate to consider these findings in order to readjust the offer of activities by the program.