Domestic burns that occurred during the COVID-19 pandemic in Brazil: a descriptive cross-sectional study

Abstract BACKGROUND: Due to "stay at home" restrictions during the coronavirus disease 2019 (COVID-19) pandemic, people spent more time at home leading to an increase in home accidents, including burns. OBJECTIVE: To investigate the epidemiology of burns that occurred within homes during the COVID-19 pandemic in Brazil. DESIGN AND SETTINGS: This was a quantitative, descriptive, and cross-sectional study with a non-probabilistic sample. METHODS: Data were collected through the distribution of survey links on social networking sites and websites, and through email between December 2020 and February 2021. Participants were over 18 years of age, living in Brazil. Data analysis was performed using descriptive and dispersion statistics. RESULTS: A total of 939 adults (aged > 18 years) participated in this study. The mean age was 37.2 years (standard deviation [SD] = 12.5), 75.6% were female, 70.0% self-reported white skin color, 74% had completed higher education, and 28.1% had an income of 3 to 6 times the monthly minimum wage. A total of 21.6% suffered burns during the pandemic, 44.3% from a hot object. Approximately 49.3% never had access to a burn prevention campaign. CONCLUSION: It is necessary to develop burn prevention strategies that reach a wider population and to strengthen public policies to reduce the prevalence of domestic burns, especially during the pandemic.

Domestic burns that occurred during the COVID-19 pandemic in Brazil: a descriptive cross-sectional study.

BACKGROUND: Due to "stay at home" restrictions during the coronavirus disease 2019 (COVID-19) pandemic, people spent more time at home leading to an increase in home accidents, including burns. OBJECTIVE: To investigate the epidemiology of burns that occurred within homes during the COVID-19 pandemic in Brazil. DESIGN AND SETTINGS: This was a quantitative, descriptive, and cross-sectional study with a non-probabilistic sample. METHODS: Data were collected through the distribution of survey links on social networking sites and websites, and through email between December 2020 and February 2021. Participants were over 18 years of age, living in Brazil. Data analysis was performed using descriptive and dispersion statistics. RESULTS: A total of 939 adults (aged > 18 years) participated in this study. The mean age was 37.2 years (standard deviation [SD] = 12.5), 75.6% were female, 70.0% self-reported white skin color, 74% had completed higher education, and 28.1% had an income of 3 to 6 times the monthly minimum wage. A total of 21.6% suffered burns during the pandemic, 44.3% from a hot object. Approximately 49.3% never had access to a burn prevention campaign. CONCLUSION: It is necessary to develop burn prevention strategies that reach a wider population and to strengthen public policies to reduce the prevalence of domestic burns, especially during the pandemic.

Adaptação e validação de Índice de Qualidade de Vida para gestantes brasileiras / Adaptation and validity of the Quality of Life Index for Brazilian pregnant women / Adaptation and validity of the Quality of Life Index for Brazilian pregnant women / Adaptación y validación del Índice de Calidad de Vida para mujeres embarazadas brasileñas

Resumo Objetivo Adaptar e validar o Índice de Qualidade de Vida de Ferrans & Powers para gestantes brasileiras. Métodos Estudo metodológico. A versão brasileira Índice de Qualidade de Vida de Ferrans & Powers para gestantes tem 36 itens e quatro domínios. A validação de conteúdo foi realizada por comitê de juízes. Na etapa de validação foi testada a consistência interna, a validade de constructo convergente e discriminante e a dimensionalidade. Nível de significância 5%. Resultados Cinco juízes participaram do comitê. O índice de validade de conteúdo foi de 0,94 e a maioria dos itens apresentou coeficiente de validade de conteúdo por item acima de 0,80. Participaram da etapa de validação 280 gestantes.O alfa de Cronbach foi de 0,94 para o escore total com variação de 0,78 a 0,89 entre os domínios A correlação de Pearson entre o Índice de Qualidade de Vida de Ferrans e o WHOQOL-Bref foi positiva e forte (0,79; p<0,001). A validade de constructo discriminante não revelou diferenças estatisticamente significante. A análise fatorial confirmatória revelou que o modelo de quatro domínios se ajusta ao modelo. Conclusão A versão adaptada do Índice de Qualidade de Vida de Ferrans mostrou-se confiável e válida para aplicação em gestantes, mostrando-se uma ferramenta promissora para profissionais de saúde e pesquisadores na identificação da Qualidade de vida de gestantes.

Resumen Objetivo Adaptar y validar el Índice de Calidad de Vida de Ferrans & Powers para mujeres embarazadas brasileñas. Métodos Estudio metodológico. La versión brasileña del Índice de Calidad de Vida de Ferrans & Powers para mujeres embarazadas tiene 36 ítems y cuatro dominios. La validación de contenido fue realizada por un comité de jueces. En la etapa de validación se probó la consistencia interna, la validez de constructo convergente y discriminante y la dimensionalidad. Nivel de significación del 5 %. Resultados Cinco jueces participaron del comité. El índice de validez de contenido fue de 0,94 y la mayoría de los ítems presentó un coeficiente de validez de contenido por ítem superior a 0,80. En la etapa de validación participaron 280 mujeres embarazadas. El alfa de Cronbach fue de 0,94 para el puntaje total con variación de 0,78 a 0,89 entre los dominios. La correlación de Pearson entre el Índice de Calidad de Vida de Ferrans y el WHOQOL-Bref fue positiva y fuerte (0,79; p<0,001). La validez del constructo discriminante no reveló diferencias estadísticamente significativas. El análisis factorial confirmatorio reveló que el modelo de cuatro dominios se ajusta al modelo. Conclusión La versión adaptada del Índice de Calidad de Vida de Ferrans demostró ser confiable y válida para su uso en mujeres embarazadas y demostró ser una herramienta promisora para profesionales de la salud y para investigadores en la identificación de calidad de vida de mujeres embarazadas.

Abstract Objective To adapt and validate the Ferrans and Powers Quality of Life Index for Brazilian pregnant women. Methods This is a methodological study. The Ferrans and Powers Quality of Life Index for pregnant women, Brazilian version, has 36 items and four domains. Content validity was performed by a committee of judges. In the validity stage, internal consistency, convergent and discriminant construct validity and dimensionality were tested. Significance level 5%. Results Five judges participated in a committee. The Content Validity Index was 0.94 and most items had a content validity coefficient per item above 0.80. A total of 280 pregnant women participated in the validity stage. Cronbach's alpha was 0.94 for the total score, ranging from 0.78 to 0.89 between the domains. Pearson's correlation between the Ferrans and Powers Quality of Life Index and the WHOQOL-Bref was positive and strong (0.79; p<0.001). Discriminant construct validity did not reveal statistically significant differences. Confirmatory factor analysis revealed that the four-domain model fits the model. Conclusion The Ferrans and Powers Quality of Life Index, adapted version, proved to be reliable and valid for use in pregnant women, proving to be a promising tool for health professionals and researchers to identify pregnant women's quality of life.

Qualidade de vida dos profissionais da saúde durante a pandemia da COVID-19: estudo transversal / Quality of life of health personnel during the COVID-19 pandemic: a cross-sectional study / Calidad de vida de los profesionales de la salud durante la pandemia de COVID-19: estudio transversal

Objetivo: avaliar a qualidade de vida dos profissionais da saúde, durante a pandemia da COVID-19 no Brasil, e verificar possíveis associações entre a qualidade de vida e as características sociodemográficas e profissionais. Método: estudo transversal, com amostragem não probabilística, por conveniência. Os questionários foram administrados na modalidade on-line o questionário de caracterização e o World Health Organization Quality of Life instrument­Abbreviated Version (WHOQOL-BREF). Resultado: entre 196 profissionais de saúde, 78,2% eram do sexo feminino, 49,7% da raça branca, 41,1% atuavam na atenção primária. Os profissionais apresentaram média dos escores do WHOQOL variando de 57,14 a 66,19, com menor média no domínio meio ambiente com o valor de 58,94 (DP = 14,20). Conclusão: os profissionais de saúde apresentaram uma qualidade de vida mediana com alterações de acordo com o local de trabalho e profissão nesse período de pandemia no Brasil.

Objective: to assess the quality of life of health personnel during the COVID-19 pandemic in Brazil, and to ascertain possible associations between quality of life and sociodemographic and professional characteristics. Method: this was a cross-sectional study of a non-probabilistic, convenience sample. The characteristics questionnaire and the World Health Organization Quality of Life instrument­Abbreviated Version (WHOQOL-BREF) were administered online. Result: of the 196 health personnel, 78.2% were female, 49.7% white, and 41.1% worked in primary care. Average scores in the WHOQOL ranged from 57.14 to 66.19, with the lowest average of 58.94 (SD = 14.20) in the environment domain. Conclusion: during this pandemic period in Brazil, health personnel's quality of life was median, and changed with place of work and profession.

Objetivo: evaluar la calidad de vida de los profesionales de la salud durante la pandemia de COVID-19 en Brasil y verificar posibles asociaciones entre la calidad de vida y las características sociodemográficas y profesionales. Método: estudio transversal, con muestra no probabilística, por conveniencia. Se administraron los cuestionarios en línea de caracterización y el World Health Organization Quality of Life instrument­Abbreviated Version (WHOQOL-BREF). Resultado: entre 196 profesionales de la salud, el 78,2% era de mujeres, el 49,7% blanco, el 41,1% trabajaba en la atención primaria. Los profesionales tuvieron un promedio de los escores del WHOQOL que varía de 57,14 a 66,19, con el promedio más bajo en el dominio medioambiental, con un valor de 58,94 (DE = 14,20). Conclusión: los profesionales de la salud presentaron una calidad de vida mediana con alteraciones según el lugar de trabajo y la profesión en este período de pandemia en Brasil.

Effect of an educational program on physical activity in individuals undergoing their first percutaneous coronary intervention: A randomized clinical trial.

BACKGROUND: Educational programs designed for specific populations to improve regular physical activity need to be tested. OBJECTIVES: To evaluate the effectiveness of an educational program, when compared to usual care, on improving physical activity 5 to 7 months after hospital discharge in adult patients undergoing their first percutaneous coronary intervention. METHODS: Randomized controlled trial with two groups: usual care (n = 56) and educational program (n = 53) interventions. Data on sociodemographic and clinical characteristics were collected and the Baecke-Habitual Physical Activity Questionnaire, Self-efficacy Scale for Physical Activity, and Hospital Anxiety and Depression Scale were administered at baseline and follow-up. Participants in the educational program received an intervention based on Social Cognitive Theory, focused on physical activity, followed by three telephone calls. The usual care group received the hospital routine information. Unadjusted and adjusted differences between the two groups in mean score changes (with 95% confidence intervals [CI]) were calculated for all outcomes. RESULTS: At follow-up, the educational program group showed higher mean ± standard deviation scores than the usual care group for practice of physical activity (7.94 ± 1.84 vs. 6.90 ± 1.89) and for self-efficacy (3.98 ± 3.75 vs. 2.52 ± 3.12). Adjusting for baseline outcome, the difference in mean change between groups was 0.89 (95% CI: 0.32, 1.46) for physical activity and 2.30 (95% CI: 1.12, 3.49) for self-efficacy. There were no statistical differences between groups in symptoms of anxiety and depression. CONCLUSION: The educational program may be an effective intervention in increasing habitual physical activity and self-efficacy for physical activity in individuals with coronary artery disease.

Efetividade de jogo educativo para gestantes: conhecimento agregado e vivência das mulheres / Eficacia del juego educativo para las mujeres embarazadas: conocimiento agregado y experiencia de las mujeres / Effectiveness of an educational game for pregnant women: aggregated knowledge and the women's experience

RESUMO Objetivos verificar a efetividade do jogo educativo para gestantes sobre seus direitos durante o trabalho de parto e parto; comparar o conhecimento das gestantes sobre seus direitos antes e após a aplicação do jogo e conhecer como foi para elas essa experiência. Método estudo quantitativo com análise qualitativa secundária. A coleta de dados ocorreu entre julho e setembro de 2019. Participaram 51 gestantes atendidas em duas Unidades Básicas de Saúde do município de Guarulhos. Utilizaram-se os testes Kolmogorov-Smirnov e o não-paramétrico Wilcoxon e nível de significância de 0,05. Adotou-se a análise lexical de conteúdo com apoio do software Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires. Resultados a efetividade do jogo foi comprovada pela comparação da média do conhecimento das gestantes antes e após a atividade educativa (Z = -5,924; p = 0,000). Houve diferença significativa na comparação da avaliação do conhecimento das gestantes antes e após o jogo (p=0,000). As respostas das gestantes enfatizaram a positividade da ação educativa e valorizaram as imagens do jogo como recurso educacional inovador. Conclusão e Implicações para a prática O jogo mostrou-se efetivo para ser utilizado na orientação de gestantes de forma lúdica e demonstrou agregar conhecimento de modo imagético e participativo.

RESUMEN Objetivos verificar la eficacia del juego educativo para mujeres embarazadas sobre sus derechos durante el trabajo de parto y el parto; comparar el conocimiento de las mujeres embarazadas sobre sus derechos antes y después de aplicar el juego y saber cómo fue para ellas esta experiencia. Método estudio cuantitativo con análisis cualitativo secundario. La recolección de datos se realizó entre julio y septiembre de 2019. Participaron 51 gestantes atendidas en dos Unidades de Atención Básicas de Salud de la ciudad de Guarulhos. Se utilizaron las pruebas de Kolmogorov-Smirnov y las pruebas no paramétricas de Wilcoxon. El nivel de significancia adoptado fue de 0,05. Se adoptó por el análisis de contenido léxico con el apoyo del Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires. Resultados el conocimiento medio de las embarazadas después de la actividad educativa fue mayor que el conocimiento medio antes de la actividad (Z = -5,924; p = 0,000). Hubo una diferencia significativa en la comparación de los conocimientos de las mujeres embarazadas antes y después del juego (p=0,000). Las respuestas de las embarazadas destacaron la positividad de la acción educativa y valoraron las imágenes del juego como un recurso educativo innovador. Conclusión e implicaciones para la práctica el juego demostró ser eficaz para ser utilizado en la orientación de las mujeres embarazadas de una manera lúdica y demostró añadir conocimiento de una manera imagética y participativa.

ABSTRACT Objectives to verify the effectiveness of an educational game for pregnant women about their rights during labor and delivery; to compare the knowledge of pregnant women about their rights before and after applying the game and to investigate how good this experience was for them. Method quantitative study with secondary qualitative analysis. Data collection took place between July and September 2019. Participants were 51 pregnant women attended at two Primary Health Units of the city of Guarulhos. The Kolmogorov-Smirnov and the non-parametric Wilcoxon tests were used. The level of significance adopted was .05. Lexical content analysis was performed with the use of the Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires software. Results the mean knowledge of the pregnant women after the educational activity was higher than the mean knowledge before the activity (Z = -5.924; p = .000). There was a significant difference when comparing the assessment of the pregnant women's knowledge before and after the game (p = .000). The responses of the pregnant women emphasized the positivity of the educational action and valued the images of the game as an innovative educational resource. Conclusion and Implications for practice The study demonstrated that the game was effective for use in guiding pregnant women playfully and that knowledge was gained in an imagetic and participatory way.

The work of a Brazilian nursing team of collective health in the special indigenous health district.

OBJECTIVE: To identify the potential and the limits of the actions of the nursing team in the Primary Health Care for the Health of the Indigenous. METHODS: This is a quantitative study guided by the Theory of Practical Intervention of Nursing and Collective Health. 230 nursing professionals participated, responding to an instrument about the frequency of the actions carried out in assistance, management, teaching, and research. RESULTS: 168 nursing technicians and 62 nurses participated. As strengths, 80% participated in the assistance most of the time. Stand out: 90.3% and 71% of nurses carried out nursing consultations and house visits, respectively. As a limitation, the involvement in education and research is small. Only 2% of the interviewees carried out scientific researches, reflecting the need to broaden and qualify care and improve the use of traditional practices, overcoming the biomedical model. FINAL CONSIDERATIONS: Nursing assistance is essential in the modification and monitoring of the epidemiological profile of indigenous populations, and its results allow for the planning of quality actions.

Adaptation of the City of Hope-Quality of Life-Ostomy Questionnaire From English to Brazilian Portuguese: A Validation Study.

PURPOSE: To culturally adapt the City of Hope-Quality of Life-Ostomy Questionnaire (COH-QOL-OQ) from English to Brazilian Portuguese and evaluate psychometric properties of the adapted instrument (internal consistency and construct validity). DESIGN: Methodological study to establish reliability and validity. SUBJECTS AND SETTING: The sample comprised 215 persons with stomas of any etiology who attended 1 of 3 specialized outpatient care center and 2 associations for persons with ostomies. Participants were residents of the state of Rio Grande do Sul, located in southeastern Brazil. METHODS: Techniques for cultural adaptation were carried out based on recommendations from the literature. We then evaluated the instrument's psychometric properties. Specifically, we evaluated construct (convergent and discriminant) validity and concurrent criterion validity via comparison of the adapted version of COH-QOL-OQ versus the WHOQOL-Bref (World Health Organization Quality of Life instrument). We also evaluated the internal consistency of the adapted COH-QOL-OQ, a measure of reliability. RESULTS: The internal consistency of the items was high with a Cronbach α of 0.92 for the total score and values ranging from 0.79 to 0.86 for the various domains of the COH-QOL-OQ. Confirmatory factorial analysis identified adjustment indexes to the acceptable model of adjustment for the COH-QOL-OQ model. Strong correlations between the COH-QOL-OQ and WHOQOL-Bref instrument domains confirmed the validity of the convergent construct. For the analysis of the concurrent criterion validity, the correlation coefficients between the score of item 16 and the other domains of COH-QOL-OQ ranged from 0.26 to 0.66. Analysis of the discriminate validity indicated that it was possible to isolate groups based on the temporal character of the stoma and time since ostomy surgery. CONCLUSIONS: The adapted version of COH-QOL-OQ demonstrates construct (convergent and discriminant) validity, concurrent criterion validity, and internal consistency (a measure of reliability) for evaluating health-related quality of life of persons with ostomies living in Brazil.

Avaliação das competências andragógicas dos docentes do nível técnico de enfermagem / Evaluación de las competencias andragógicas de los professores del nível técnico de enfermeira / Assessment of the andragogical skills of teachers at the level nursing technician

Resumo Objetivos Identificar como o enfermeiro docente do nível técnico de enfermagem avalia suas competências andragógicas como facilitador de aprendizagem, para o exercício da docência. Método Estudo transversal com abordagem quantitativa, desenvolvido com 73 enfermeiros docentes, em 30 unidades de uma instituição de nível técnico de enfermagem do Estado de São Paulo. Os dados foram coletados no período de setembro a dezembro de 2019. Foi aplicada a Escala de Classificação Autodiagnóstica de Competências para o Papel do Educador/Instrutor de Adultos. Foi utilizado teste Wilcoxon. Resultados Amostra predominantemente feminina (72,6%), com média de idade de 40,3 anos (DP=7,4) e tempo de atuação docente de 9,7 anos (DP=6,3). Os docentes consideraram que seu nível atual de competência encontra-se em moderado conhecimento para o desenvolvimento de cada competência, enquanto o nível que desejava atuar com adultos em processos de ensino e aprendizagem deveria estar em alto conhecimento. Conclusão e implicações para a prática Os docentes consideraram-se abaixo do nível desejado, em todos os itens avaliados nas competências andragógicas, como facilitadores de aprendizagem para o exercício da docência. O estudo apresenta grande relevância de inovação, pois não há disponível na literatura qualquer estudo que avalie as competências andragógicas dos docentes do nível técnico de enfermagem.

Resumen Objetivo Identificar cómo el enfermero docente del nivel técnico de enfermería evalúa sus habilidades andragógicas como facilitador del aprendizaje para el ejercicio de la enseñanza. Método Estudio descriptivo transversal con enfoque cuantitativo, desarrollado con 73 enfermeras docentes en 30 unidades de una institución de nivel técnico de enfermería en el Estado de São Paulo. Los datos se recogieron de septiembre a diciembre de 2019. Se aplicó la Escala de calificación de aptitudes de autodiagnóstico para la función de educador/instructor de adultos. Se utilizó la prueba de Wilcoxon. Resultados Muestra predominantemente femenina (72,6%), con una edad media de 40,3 años (DE = 7,4) y experiencia docente de 9,7 años (DE = 6,3). Los docentes consideraron que su nivel actual de competencia es de conocimiento moderado para el desarrollo de cada competencia, mientras que el nivel que deseaba trabajar con adultos en los procesos de enseñanza y aprendizaje debía ser de conocimiento alto. Conclusiones e implicaciones para la práctica Los profesores se consideraron por debajo del nivel deseado, en todos los ítems evaluados en las competencias andragógicas, como facilitadores de aprendizaje para el ejercicio de la docencia. El estudio presenta gran relevancia teniendo como característica la innovación, ya que no existe ningún estudio disponible en la literatura que evalúe las competencias andragógicas de los profesores de enfermería a nivel técnico.

Abstract Objective To identify how the teaching nurse of the technical level of nursing evaluates his/her andragogical skills as a facilitator of learning, for the exercise of teaching. Method A cross-sectional study with a quantitative approach, developed with 73 teaching nurses, in 30 units of a technical nursing level institution in the State of São Paulo. The data was collected from September to December 2019. The Self-diagnostic Classification Scale of Competencies for the Educator of Adults Role was applied. Wilcoxon's test was used. Results A predominantly female sample (72.6%), with a mean age of 40.3 years (SD=7.4) and teaching time of 9.7 years (SD=6.3). The teachers considered that their current level of competence is in moderate knowledge for the development of each skill, while the level that they wanted to work with adults in teaching and learning processes should be in high knowledge. Conclusions and implications for practice The teachers considered themselves below the desired level, in all the items evaluated in the andragogical skills, as learning facilitators for the teaching exercise. The study presents great innovation relevance, because there is not available in the literature any study that evaluates the andragogical competences of the teachers of the technical nursing level.

The work of a Brazilian nursing team of collective health in the special indigenous health district / El trabajo de salud colectiva del equipo de enfermería brasileña en el distrito sanitario especial indígena / O trabalho em saúde coletiva da equipe de enfermagem brasileira no distrito sanitário especial indígena

ABSTRACT Objective: To identify the potential and the limits of the actions of the nursing team in the Primary Health Care for the Health of the Indigenous. Methods: This is a quantitative study guided by the Theory of Practical Intervention of Nursing and Collective Health. 230 nursing professionals participated, responding to an instrument about the frequency of the actions carried out in assistance, management, teaching, and research. Results: 168 nursing technicians and 62 nurses participated. As strengths, 80% participated in the assistance most of the time. Stand out: 90.3% and 71% of nurses carried out nursing consultations and house visits, respectively. As a limitation, the involvement in education and research is small. Only 2% of the interviewees carried out scientific researches, reflecting the need to broaden and qualify care and improve the use of traditional practices, overcoming the biomedical model. Final considerations: Nursing assistance is essential in the modification and monitoring of the epidemiological profile of indigenous populations, and its results allow for the planning of quality actions.

RESUMEN Objetivo: Identificar potencialidades y límites de actuación del equipo de enfermería en Atención Primaria de Salud Indígena. Métodos: Estudio de abordaje cuantitativo orientado por la Teoría de la Intervención Práxica de Enfermería en Salud Colectiva. Participaron 230 profesionales de enfermería, respondiendo instrumento sobre la frecuencia de acciones realizadas en asistencia, gestión, enseñanza e investigación. Resultados: Como potencialidades, 80% participan de la asistencia en la mayor parte del tiempo. Destacan: consulta de enfermería y visita domiciliaria realizada por 90,3% y 71% de los enfermeros. Como límite, el envolvimiento en la educación e investigación: solo 2% de los entrevistados realizaron investigación científica, reflejando la necesidad de ampliar y calificar el cuidado y perfeccionar el uso de prácticas tradicionales, superando el modelo biomédico. Consideraciones finales: La asistencia de enfermería es esencial en la modificación y monitoreo de los perfiles epidemiológicos de la población indígena, y los resultados permiten el planeamiento de acciones cualificadas.

RESUMO Objetivo: Identificar potencialidades e limites da atuação da equipe de enfermagem na Atenção Primária em Saúde Indígena. Métodos: Estudo de abordagem quantitativa orientado pela Teoria da Intervenção Práxica da Enfermagem em Saúde Coletiva. Participaram 230 profissionais de enfermagem, respondendo um instrumento sobre a frequência das ações realizadas na assistência, gestão, ensino e pesquisa. Resultados: Foram 168 técnicos de enfermagem e 62 enfermeiros. Como potencialidades, 80% participam da assistência na maior parte do tempo. Destacam-se: consulta de enfermagem e visita domiciliária realizada por 90,3% e 71% dos enfermeiros, respectivamente. Como limite, o envolvimento na educação e pesquisa é pequeno: apenas 2% dos entrevistados realizaram pesquisa científica, refletindo a necessidade de ampliar e qualificar o cuidado e aprimorar o uso das práticas tradicionais, superando o modelo biomédico. Considerações finais: A assistência de enfermagem é essencial na modificação e monitoramento dos perfis epidemiológicos da população indígena, e os resultados permitem o planejamento de ações qualificadas.

Queimaduras em crianças e adolescentes atendidos em um pronto-socorro infantil / Burns on children and adolescents assisted at a pediatric emergency room / Quemaduras en niños y adolescentes atendidos en una sala de emergencias pediátricas

Objetivo: Caracterizar os atendimentos por queimaduras em crianças e adolescentes em um Pronto-Socorro Infantil, no período de 2008 a 2018. Métodos: Estudo descritivo e retrospectivo, de abordagem quantitativa. Foram coletados dados secundários de sujeitos de 0 a 14 anos de idade, vítimas de queimaduras, disponíveis em prontuários e no sistema hospitalar. Foram conduzidas análises estatísticas descritiva e de associação (teste Qui-quadrado de Pearson p<0,05). Resultados: Identificaram-se 79 admissões por queimaduras, sendo 64,6% do sexo masculino. A maioria dos atendimentos (62%) correspondeu a crianças menores de 5 anos de idade. Do total analisado, 62% tiveram mais de 10% de Superfície Corporal Queimada. Houve predominância de queimaduras de 2.º grau (57%) e escaldaduras (58,2%). Conclusão: As queimaduras por escaldaduras e de 2.º grau foram as mais frequentes e acometeram mais o sexo masculino, o que reforça a necessidade de ações de promoção da saúde e prevenção de queimaduras envolvendo crianças e adolescentes (AU).

Purpose: To characterize the care for burns on children and adolescents at a Pediatric Emergency Room from 2008 to 2018. Method: Retrospective and descriptive study with quantitative approach. Data gathered from secondary data on subjects from zero to 14 years old, who were victims of burns, available in medical records and in the hospital system. Descriptive statistical analysis and association were conducted (Pearson's chi-square test p <0.05). Results: There were 79 admissions for burns, 64,6% were male. In most cases (62%), children under 5 years of age were involved. On the total analyzed, 62% presented less than 10% of Total Body Surface Area. There had been a predominance of second-degree burns (57%) and scalding (58.2%). Conclusion: Second-degree and scalding burns were the most frequent and affected the male sex the most, which reinforces the need for actions of health promotion and prevention of burns involving children and adolescents (AU).

Objetivo: Caracterizar la atención de los casos de quemaduras de niños y adolescentes en una sala de Emergencias Pediátricas de 2008 a 2018. Método: Estudio descriptivo y retrospectivo con abordaje cuantitativo. Se recolectaron datos secundarios de sujetos de cero a 14 años de edad, que fueron víctimas de quemaduras, disponibles en las historias clínicas y en el sistema hospitalario. Se realizaron análisis estadístico descriptivo y por asociación (Prueba de chi cuadrado de Pearson p <0,05). Resultados: Se identificaron 79 admisiones, el 64,6% era del sexo masculino. La mayoría de las consultas (62%) correspondía a niños con menos de 5 años de edad. Del total analizado, el 62% tenía más del 10% de la Superficie Corporal Quemada. Predominaron las quemaduras de 2º grado (57%) y las escaldaduras (58,2%). Conclusión: Las quemaduras de 2º grado y las escaldaduras fueron las más frecuentes y afectaron más al sexo masculino, lo que indica que es necesario tomar acciones para la promoción de la salud y prevención de las quemaduras en niños y adolescentes (AU).

ISTAP classification for skin tears: Validation for Brazilian Portuguese.

The objective of this study was to evaluate interobserver reliability and the concurrent criterion validity of the adapted version of the International Skin Tear Advisory Panel (ISTAP) Skin Tear Classification System to Brazilian Portuguese. For the evaluation of interobserver reliability using the photograph database, 36 nurses classified 30 skin tears (STs) into three groups, according to its definitions (adapted version). For the evaluation through clinical application, 23 nurses classified 12 STs present in 8 thoracic and cardiovascular postoperative patients at a tertiary hospital in Sao Paulo, Brazil. For the data collection of patients, an enterostomal therapist nurse classified the ST found by simultaneously using the adapted ISTAP version and the Skin Tear Audit Research (STAR) Classification System to test the concurrent criterion validity. The average of 17.83 correct answers (SD = 5.03) resulted from 1080 photograph observations, with Fleiss κ = 0.279 (reasonable concordance level). The interobserver reliability in the clinical application resulted in a global correct answer percentage of 76.7% in 85 observations. The concurrent criterion validity was attested by the total correlation (r = 1) between ISTAP and STAR. The ISTAP classification for ST is a reliable instrument and also valid in Brazil, making it another option to be used in clinical practice.

Álcool, alcoolismo e alcoolista: atitudes dos enfermeiros da Estratégia Saúde da Família / Alcohol, alcoholism and alcoholism: attitudes of nurses of the family health strategy

Objetivo: avaliar as atitudes dos enfermeiros da Estratégia Saúde da Família-ESF em relação ao álcool, ao alcoolismo e ao alcoolista e correlacionar as atitudes com as práticas, tempo de formação e atuação. Método: Estudo correlacional, observacional, corte transversal realizado nas ESF de oito municípios do Estado de Minas Gerais. Foram aplicados o questionário de avaliação das práticas e a Escala de Atitudes frente ao Álcool, ao Alcoolismo e ao Alcoolista-EAFAAA. Os dados foram analisados por meio da correlação de Spearman. Resultados: 50 enfermeiros participaram do estudo e apresentaram escore total da EAFAAA de 3,1 (DP = 0,4). As correlações entre a EAFAA e o questionário de práticas foram negativas e de fraca intensidade (-0,23;p=0,107) e com tempo de formação (-0,60;p=0,679) e atuação (0,01;p=0,966) foram de fraca intensidade. Conclusão: Os enfermeiros apresentaram tendências a atitudes negativas e não foram evidenciadas correlações entre a EAFAAA com as características dos enfermeiros. (AU)

Objective: To assess the nurses' attitudes from Family Health Strategy-FHS regarding alcohol, alcoholism, and alcoholics and correlate these attitudes with the nurses' practices, time since graduation as a nurse and work at the FHS. Method: Correlational, observational and cross-sectional study performed at the FHS in eight cities in the state of Minas Gerais It was applied the practice assessment questionnaire and the Attitude Scale towards Alcohol, Alcoholism and Alcoholist-EAFAAA. Data were analyzed using Spearman correlation. Results: 50 nurses participated in the study and had a total EAFAAA score of 3.1 (SD = 0.4). The correlations between EAFAA and the practice questionnaire were negative and of low intensity (-0.23; p = 0.107) and with time of formation (-0.60; p = 0.679) and performance (0.01; p = 0.966) were of low intensity. Conclusion: Nurses showed tendencies towards negatives attitudes and no correlation was found between EAFAAA and nurses' characteristics. (AU)

Objetivo: Evaluar las actitudes de los enfermeros de la Estrategia de Salud de la Familia-ESF en relación con el alcohol, alcoholismo y alcoholista y correlacionar las actitudes con las prácticas de los enfermeros, el tiempo de formación y actuación en la ESF. Método: Estudio correlacional, observacional, transversal realizado en la EFS de ocho municipios del estado de Minas Gerais. Fue aplicado el cuestionario de evaluación de la práctica y la Escala de actitud hacia el alcoholismo, el alcoholismo y el alcoholismo-EAFAAA. Los datos se analizaron mediante la correlación de Spearman. Resultados: 50 enfermeros participaron en el estudio y tuvieron un puntaje EAFAAA total de 3.1 (DE = 0.4). Las correlaciones entre EAFAA y el cuestionario de práctica fueron negativas y de baja intensidad (-0.23; p = 0.107) y con tiempo de formación (-0.60; p = 0.679) y rendimiento (0.01; p = 0.966) fueron de baja intensidad. Conclusión: Los enfermeros presentaron tendencias a actitudes negativas y no se encontró correlación entre EAFAAA y las características de las enfermeras. (AU)

Ensino das Práticas Integrativas e Complementares nos cursos de enfermagem do Estado de São Paulo / Teaching of Integrative and Complementary Practices in Nursing Courses in the State of São Paulo / Enseñanza de prácticas integradoras y complementarias en cursos de enfermería en el estado de São Paulo

Objetivo: analisar a oferta de disciplinas sobre as Práticas Integrativas e Complementares nos cursos de graduação em Enfermagem no Estado de São Paulo. Método: estudo descrito e retrospectivo com abordagem quantitativa. A coleta de dados foi realizada por meio da busca nas páginas web das instituições a„m de coletar os dados das grades curriculares. Foi realizada a análise descritiva dos dados. Resultados: foram selecionadas 172 instituições de ensino superior no Estado de São Paulo sendo 102 (59,3 %) localizadas no interior do Estado, 152 (88,4%) instituições privadas de ensino, 31 (18%) apresentaram na grade curricular disciplinas relacionadas a Práticas Integrativas e Complementares, destas disciplinas 17 (9,9%) eram obrigatórias, 66 (38,4%) presenciais e com carga horária média de 403,6 horas (DP=411,8). Conclusões: ainda há uma escassez de instituições públicas e privadas do Estado de São Paulo que oferecem disciplinas nos cursos de graduação em Enfermagem sobre Práticas Integrativas e Complementares.(AU)

Quality of life in patients who undergo conventional or robotic-assisted total laparoscopic hysterectomy: Protocol for a systematic review of randomized controlled trials.

BACKGROUND: Hysterectomy for benign gynecologic diseases, especially dysfunctional uterine bleeding, is one of the most common gynecologic interventions. The uterus can be removed using abdominal, vaginal, laparoscopic, or robotic-assisted laparoscopic hysterectomy. In a robotic-assisted procedure, the surgeon directs the robot while seated at a console in the operating room. This differs from laparoscopic hysterectomy because a "robot" performs the operation, while the surgeon watches a monitor. This systematic review will compare quality of life (QOL) in patients who undergo total robotic-assisted laparoscopic hysterectomy for benign indications and those who undergo conventional laparoscopic surgery. METHODS: We will perform a systematic review according to the Cochrane Methodology for randomized controlled trials. The review will include studies reporting use of QOL metrics to assess patients who undergo total hysterectomy for benign indications using robotic-assisted technique or conventional laparoscopic surgery. QOL will be the primary outcome and will be measured using validated instruments. An overall search strategy will be developed and adapted for Embase, MEDLINE, LILACS, and CENTRAL databases. Two reviewers will independently select the eligible studies, assess the risk of bias, and extract the data from included studies. Similar outcomes measured in at least 2 trials will be plotted in the meta-analysis using Review Manager 5.3. The quality of evidence will be determined using the GRADE approach. RESULTS: This systematic review is designed to provide high quality evidence on QOL in patients undergoing total hysterectomy for benign indications using either robotic-assisted or conventional laparoscopic surgery. CONCLUSION: It is expected that high-quality evidence on QOL can be used to guide decision-making by institutions and clinicians to improve health care; the evidence can also be used in future studies. PROSPERO REGISTRATION NUMBER: PROSPERO CRD 42019129913.

Confirmatory Factor Analysis and Reliability of the Burn Specific Health Scale-Revised in Brazilian Burned Patients.

BACKGROUND AND PURPOSE: The aim of the study was to analyze the factor structure and the reliability of the Brazilian-Portuguese version of the Burn Specific Health Scale-Revised (BSHS-R) in a sample of Brazilian burned adults. METHODS: This study was a cross-sectional study. The internal consistency was analyzed using Cronbach's α, considering coefficients ≥.70 as appropriate. We conducted confirmatory factor analysis (CFA) to test the hypothesis that the BSHS-R Brazilian-Portuguese version has a factor structure similar to the original. We assessed the factor structure of the BSHS-R Brazilian-Portuguese version by CFA, examining three models: three-factor, six-factor, and seven-factor structure. RESULTS: The participants were 299 burned adults. The CFA indicated good model fit indices for the seven-factor model (root mean square error of approximation = .062; goodness-of-fit index = .844; adjusted goodness-of-fit index = .809; Akaike information criterion = 1,054.06). The seven-factor BSHS-R Brazilian-Portuguese version showed Cronbach's α of .93. CONCLUSIONS: The BSHS-R Brazilian-Portuguese version with seven factors is reliable and valid and measures the perceived health status construct.

Validation of the Perceived Stigmatization Questionnaire for Brazilian adult burn patients.

Currently, there is no questionnaire to assess perceived stigmatization among people with visible differences in Brazil. The Perceived Stigmatization Questionnaire (PSQ), developed in the United States, is a valid instrument to assess the perception of stigmatizing behaviours among burn survivors. The objective of this cross-sectional and multicentre study was to assess the factor structure, reliability and validity of the Brazilian Portuguese version of the PSQ in burn patients. A Brazilian version of the 21-item PSQ was answered by 240 adult burn patients, undergoing rehabilitation in two burns units in Brazil. We tested its construct validity by correlating PSQ scores with depression (Beck Depression Index-BDI) and self-esteem (Rosenberg Self-Esteem Scale-RSE), as well as with two domains of the Revised Burn Specific Health Scale-BSHS-R: affect and body image, and interpersonal relationships. We used Confirmatory Item Factor Analysis (CIFA) to test whether the data fit a measurement model involving a three-factor structure (absence of friendly behaviour; confusing/staring behaviour; and hostile behaviour). We conducted Exploratory Factor Analyses (EFA) of the subscale in a 50% random sample of individuals (training split), treating items as ordinal categorical using unweighted least squares estimation. To assess discriminant validity of the Brazilian version of the PSQ we correlated PSQ scores with known groups (sex, total body surface area burned, and visibility of the scars) and assessed its reliability by means of Cronbach's alpha and using test-retest. Goodness-of-fit indices for confirmatory factor analysis were satisfactory for the PSQ, but not for the hostile behaviour subscale, which was modified to improve fit by eliminating 3 items. Cronbach's alphas for the PSQ refined version (PSQ-R) ranged from 0.65 to 0.88, with test-retest reliability 0.87 for the total score. The PSQ-R scores correlated strongly with depression (0.63; p < 0.001), self-esteem (-0.57; p < 0.001), body image (-0.63; p < 0.001), and interpersonal relationships (-0.55; p < 0.001). PSQ-R total scores were significantly lower for patients with visible scars (effect size = 0.51, p = 0.029). The PSQ-R showed reliability and validity comparable to the original version. However, the cross-cultural structure of the subscale "hostile behaviour" and sensitivity to change of the PSQ should be further evaluated.

[Translation and cultural adaptation of the Perceived Stigmatization Questionnaire for burn victims in Brazil]. / Tradução e adaptação transcultural do Perceived Stigmatization Questionnaire para vítimas de queimaduras no Brasil.

This methodological study aimed to describe the process of translation and cultural adaptation of the Perceived stigmatization Questionnaire (PSQ) and analyze the internal consistency of the items in the step of pre-testing. The PSQ was developed to evaluate the perception of stigmatizing behaviors of burn victims. The adaptation process was carried out from August 2012 to February 2013, comprising the steps outlined in the literature. As part of this process, the pre-test with 30 adult burn victims was held. All participants at this step reported to understand the instrument items and the scale of responses. There were no suggestions or changes in the tested version. The value of Cronbach's alpha at pre-test was 0.87. The contribution of this study is to describe the operation of each of the steps of this methodological process and show the internal consistency of the items in the pre-test.

Translation and cultural adaptation of the Perceived Stigmatization Questionnaire for burn victims in Brazil / Tradução e adaptação transcultural do Perceived Stigmatization Questionnaire para vítimas de queimaduras no Brasil / Traduccion y adaptacion transcultural del Perceived Stigmatization Questionnaire para victimas de quemaduras en el Brasil

This methodological study aimed to describe the process of translation and cultural adaptation of the Perceived stigmatization Questionnaire (PSQ) and analyze the internal consistency of the items in the step of pre-testing. The PSQ was developed to evaluate the perception of stigmatizing behaviors of burn victims. The adaptation process was carried out from August 2012 to February 2013, comprising the steps outlined in the literature. As part of this process, the pre-test with 30 adult burn victims was held. All participants at this step reported to understand the instrument items and the scale of responses. There were no suggestions or changes in the tested version. The value of Cronbach’s alpha at pre-test was 0.87. The contribution of this study is to describe the operation of each of the steps of this methodological process and show the internal consistency of the items in the pre-test.

Este estudio tuvo como objetivos describir el proceso de traducción y adaptación cultural del instrumento Perceived Stigmatization Questionnaire (PSQ) y analizar la consistencia interna de los ítems en la etapa del pre-test. El PSQ fue desarrollado para la evaluación de la percepción de los comportamientos estigmatizantes de víctimas de quemaduras. El proceso de adaptación fue realizado de agosto del 2012 a febrero del 2013, incluyendo las etapas preconizadas en la literatura. Como parte de ese proceso, fue realizado el pre-test con 30 adultos víctimas de quemaduras. Todos los participantes de esa etapa informaron comprender los ítems del instrumento y la escala de respuesta. No hubo sugerencias o cambios en la versión probada. El valor del alfa de Cronbach en el pre-test fue de 0,87. La contribución del estudio está en la descripción de la operacionalización de cada una de las etapas de ese proceso metodológico y demuestra la consistencia interna de los ítems en el pre-test.

Este estudo metodológico teve como objetivos descrever o processo de tradução e adaptação cultural do instrumento Perceived Stigmatization Questionnaire (PSQ) e analisar a consistência interna dos itens na etapa do pré-teste. O PSQ foi desenvolvido para avaliação da percepção de comportamentos estigmatizantes de vítimas de queimaduras. O processo de adaptação foi realizado de agosto de 2012 a fevereiro de 2013, compreendendo as etapas preconizadas na literatura. Como parte desse processo, foi realizado o pré-teste com 30 adultos vítimas de queimaduras. Todos os participantes dessa etapa reportaram compreender os itens do instrumento e a escala de respostas. Não houve sugestões ou alterações na versão testada. O valor do alfa de Cronbach no pré-teste foi de 0,87. A contribuição do estudo reside em descrever a operacionalização de cada uma das etapas desse processo metodológico e mostrar a consistência interna dos itens no pré-teste.

Percepção dos enfermeiros sobre cuidados paliativos e o manejo da dor na UTI / Nurses’ perception on palliative care and management of painat the ICU

Cuidar do ser humano no processo de morte é um desafio para os enfermeiros que atuam em Unidade de Terapia Intensiva(UTI). O presente estudo teve como objetivos identificar e analisar a percepção dos enfermeiros acerca dos cuidadospaliativos e o manejo da dor em uma Unidade de Terapia Intensiva e caracterizar a amostra. Trata-se de um estudo quanti--qualitativo desenvolvido em uma Unidade de Terapia Intensiva de Campinas, estado de São Paulo. Participaram do estudooito enfermeiros. Os dados foram coletados no período de junho a agosto de 2011 mediante entrevista semiestruturadagravada individualmente. Os dados quantitativos foram analisados por meio de estatística descritiva e os qualitativos segundoa metodologia de análise de conteúdo. Os enfermeiros que atuam na UTI formam uma equipe heterogênea, comdiversidades no tempo de experiência como enfermeiro, tempo de atuação em UTI e trabalho na instituição. Com a análisedos discursos, foram evidenciadas cinco categorias: o conceito de cuidados paliativos, os cuidados de enfermagemem cuidados paliativos na UTI, medidas para avaliar e controlar a dor, a falta de um consenso para cuidados paliativose controle da dor e a integração da família na UTI. As dificuldades dos enfermeiros em relação aos cuidados paliativose manejo da dor nos remete a importância da abordagem do tema desde a graduação e de atividades educativas com oobjetivo da educação permanente dos profissionais sobre o tema.(AU)

Taking care of a human being in the death process is a challenge for nurses working at the Intensive Care Unit (ICU). Thisstudy aimed to identify and analyze the nurses’ perception on palliative care and management of pain in an Intensive CareUnit and characterize the sample. This quanti-qualitative study was developed at an Intensive Care Unit of Campinas, inthe state of São Paulo. Eight nurses participated in the study. Data were collected from June to August 2011 through semi--structured interviews recorded individually. Quantitative data were analyzed through descriptive statistics and qualitativedata were analyzed according to the content analysis methodology. The nurses working in the ICU form a heterogeneousteam having different time experience as a nurse, different working time in the ICU and in the institution. By analyzingthe speeches, five categories were evidenced: palliative care concept, nursing care in palliative care at the ICU, measuresto evaluate and control pain, lack of consensus for palliative care and pain control and family integration at the ICU. Thedifficulty of the nurses in relation to palliative care and pain management highlights the importance of approaching thetheme since undergraduate level and of the education activities aimed at a permanent education of the professionals aboutthe theme.(AU)