Nursing diagnoses and interventions in children submitted to cochlear implantation.

OBJECTIVE: Identifying the main nursing diagnoses and interventions in children submitted to cochlear implant in the immediate postoperative period. METHOD: A cross-sectional study conducted between February and April 2016, considering nursing history (anamnesis and physical examination) and nursing diagnoses (NANDA - International) with their respective interventions (Nursing Intervention Classification - NIC). Descriptive statistical analysis was used to construct the results. RESULTS: A total of 19 children participated in this study. The main nursing diagnoses listed were: impaired verbal communication, impaired skin integrity, risk for infection, risk for falls, and risk for bleeding (n=19; 100%). Regarding the nursing interventions, the following prevailed: Improvement in communication: auditory deficit, Skin surveillance, Protection against infection, Prevention of falls and Precautions against bleeding (n=19; 100%). CONCLUSION: Nursing diagnoses and interventions related to the cochlear implant postoperative period were related to communication, bleeding control, surgical wound care, infection prevention, comfort and well-being. OBJETIVO: Identificar os principais diagnósticos e intervenções de enfermagem em crianças submetidas a implante coclear em pós-operatório imediato. MÉTODO: Estudo transversal realizado entre fevereiro e abril de 2016. Foram considerados o histórico de enfermagem (anamnese e exame físico) e os diagnósticos de enfermagem (NANDA - Internacional) com suas respectivas intervenções (Nursing Intervention Classification - NIC). Para construção dos resultados utilizou-se da análise estatística descritiva. RESULTADOS: Participaram do presente estudo 19 crianças. Os principais diagnósticos de enfermagem elencados foram: Comunicação verbal prejudicada, Integridade da pele prejudicada, Risco de infecção, Risco de queda e Risco de sangramento (n=19; 100%). Quanto às intervenções de enfermagem, prevaleceram: Melhora na comunicação: deficit auditivo, Supervisão da pele, Proteção contra infecção, Prevenção de quedas e Precauções contra sangramento (n=19; 100%). CONCLUSÃO: Os diagnósticos e as intervenções de enfermagem referentes ao pós-operatório de implante coclear relacionaram-se com comunicação, controle de sangramento, cuidados com a ferida operatória, prevenção de infecção, conforto e bem-estar.

Religiosity and alcohol use in adolescents with orofacial cleft: correlational study.

OBJECTIVE: To evaluate the correlation between religiosity and alcohol use among adolescents with orofacial clefts. METHODS: Cross-sectional study, developed in a Brazilian public and tertiary hospital, between December 2021 and March 2022. Data collection was hybrid, and three instruments were used: Sociodemographic Questionnaire, Durel Religiosity Scale, and the Alcohol Use Disorders Identification Test. For statistical analysis, the following tests were used: χ2, Fisher's Exact, Mann-Whitney and Spearman's Correlation Coefficient, in addition to analyses of linear correlation strength and bivariate logistic regression. The significance level adopted for all tests was 5% (p≤0.05). RESULTS: 370 adolescents participated, with a mean age of 15.2 years (±1.8). Among them, 23 (5.4%) used alcohol riskly or harmfully, being more frequent among male adolescents (p=0.001), those of mixed race (p=0.046), attending high school (p=0.011), with no religion (p<0.001), or who did not attend religious services (p<0.001). Levels of organizational, non-organizational and intrinsic religiosity were significantly lower among adolescents with risky or harmful alcohol use (p=0.005; p<0.001 and p=0.002, respectively). There was a moderate correlation between risky or harmful alcohol use and non-organizational (r=0.31; p=0.002) and intrinsic (r=0.36; p<0.001) religiosity. Male adolescents (p<0.001; OR=6.58), closest in age to 18 years (p<0.001; OR=1.37), and non-practitioners of religion (p<0.001; OR=6. 48) presented higher odds of risky or harmful alcohol use. CONCLUSIONS: Adolescents with higher levels of organizational and intrinsic religiosity used less alcohol, while males, closest in age to 18 years, and non-practitioners of religion presented higher odds of using alcohol riskly or harmfully.

Smoking in adolescents with cleft lip and/or palate: prevalence and associated factors.

OBJECTIVE: To assess the prevalence and factors associated with smoking in adolescents with cleft lip and/or palate. METHODS: This is a cross-sectional study, developed in a Brazilian public and tertiary hospital between November 2018 and August 2019. Adolescents aged between 12 and 19 years old, previously submitted to cheiloplasty and/or palatoplasty surgeries were included. Data collection was carried out through interviews, guided by questionnaires referring to sociodemographic issues, use and factors associated with smoking. For statistical analysis, Fisher's Exact Test, Chi-square, Student's t test and bivariate logistic regression were used, all with a significance level of 5% (p≤0.05). RESULTS: 102 adolescents participated. The prevalence of smoking was 20.6% (n=21). Having cleft lip and palate was associated with smoking (p=0.012). The bivariate analysis showed that not dating (p=0.001; OR=0.19) and owning a home (p=0.032; OR=0.33) were configured as protective factors for the act of being a smoker, while believing that smoking facilitates interaction with young people or with the group of friends (p=0.043; OR=2.95), having friends who use alcoholic beverages (p=0.002; OR=8.40), having friends who use drugs, except cigarettes (p=0.002; OR=5.33), use alcoholic beverages (p<0.001; OR=10.67) and sexual initiation (p<0.001; OR=7.00), were associated with being a smoker. CONCLUSIONS: From the knowledge of the profile of adolescents most vulnerable to tobacco use, it is possible to plan and implement educational and preventive actions.

Palatoplasty in children: nursing diagnoses and interventions related to the immediate postoperative period.

OBJECTIVE: To identify the main nursing diagnoses and interventions in children in the immediate postoperative period of palatoplasty. METHOD: Documentary and retrospective study, developed in a Brazilian public and tertiary hospital, between August and September 2020. Children who underwent only palatoplasty, between January and December 2019, aged between 10 and 24 months, were included. Those with medical syndromes and/or comorbidities were excluded. The Theoretical Framework of Basic Human Needs and the NANDA International and Nursing Interventions Classification Taxonomies were used. Data underwent descriptive statistical analysis. RESULTS: The sample consisted of 126 children. Psychobiological needs such as oxygenation, hydration, nutrition, elimination, cutaneous-mucosal and physical integrity, pain and environmental perception predominated. Based on them, nine nursing diagnoses, with four focusing on the problem and five on risk, as well as 17 interventions, were identified. CONCLUSION: The use of standardized languages to identify affected human needs and, based on them, diagnoses and interventions, favored clinical reasoning for the construction and organization of clinical nursing practice.

Correlation between burden and sleep quality in informal caregivers of infants with orofacial cleft.

OBJECTIVE: To evaluate the correlation between burden and sleep quality in caregivers of infants with cleft lip and/or palate. METHODS: This descriptive cross-sectional study was carried out in a Brazilian tertiary public hospital between March and September 2020. The sample included the main informal, literate caregivers of infants with cleft lip and/or palate, aged 18 years or older. The instruments used were the Burden Interview Scale and the Pittsburgh Sleep Quality Index. Data were collected during the infants' hospitalization. Statistical analysis adopted Pearson and Spearman correlations, with a 5% significance level. RESULTS: A total of 31 informal caregivers participated in the study, most of them mothers (n=28; 90%), with a mean age of 30 years (standard deviation - SD=7.5), low socioeconomic status (n=20; 64%), who completed high school (n=19; 61%), were married (58%), had two children (n=15; 48%), and no employment relationship (n=18; 58%). A moderate correlation was found between sleep quality and burden (r=0.39; p=0.032) and between burden and subjective sleep quality (r=0.39; p=0.029), sleep latency (r=0.43; p=0.017), and daytime dysfunction (r=0.49; p<0.001). CONCLUSIONS: The study showed that the higher the burden, the lower the sleep quality. The findings indicate the need to plan and implement interventions to minimize the burden experienced by these informal caregivers in order to improve their sleep quality.

Religious/spiritual coping in informal caregivers of children with cleft lip and/or dysphagic palate.

OBJECTIVES: to identify the use of religious/spiritual coping in informal caregivers of children with cleft lip and/or palate, dysphagic, powered exclusively by probe. METHODS: descriptive and cross-sectional study, including 30 informal caregivers. For data collection, a Sociodemographic Questionnaire and the Brief Religious/Spiritual Coping Scale were used. For statistical analysis, ANOVA, Student's t and Spearman's correlation tests were used, with a significance level of 5%. RESULTS: the use of religious/spiritual coping was high among participants (mean=3.71), with a predominance of positive (mean=3.30) compared to negative (mean=1.88). It was evident that the greater the reported importance of religiosity/spirituality in the participants' lives, the greater the positive coping (p=0.001). CONCLUSIONS: informal caregivers used positive religious/spiritual coping as a way of coping with care demands related to the child's health condition. These findings point to the importance of including spirituality/religiosity as health indicators.

Religiosity, spirituality, and self-esteem in adolescents with cleft lip and palate: a correlational study. / Religiosidade, espiritualidade e autoestima em adolescentes com fissura de lábio e palato: estudo correlacional.

OBJECTIVE: To evaluate the correlation between religiosity, spirituality, and self-esteem in adolescents with uni- and bilateral cleft lip and palate. METHOD: Correlational and cross-sectional study developed in a public and tertiary hospital in Brazil between July 2018 and February 2019. The sample comprised 100 adolescents divided into two groups: G1 (unilateral cleft, 50 participants) and G2 (bilateral cleft, 50 participants). For data collection, three instruments were used: Sociodemographic Questionnaire, DUREL Religion index, Rosenberg self-esteem scale. Statistical analysis was performed with the tests Chi-squared, Mann-Whitney, Pearson Correlation, and analysis of linear correlation strength, with a 5% significance level (p ≥ 0.05). RESULTS: Only organizational religiosity was higher in G1 when compared with G2 (p = 0.03). The overall self-esteem was satisfactory for both groups; however, there was no significant difference between them (p = 0.34). No correlation between religiosity and spirituality with self-esteem were identified for G1 and G2. CONCLUSION: The adolescents with uni- or bilateral cleft lip and palate presented high levels of religiosity, spirituality, and self-esteem. However, no correlation between these variables was identified.

Factors related to the use of religious coping by informal caregivers: an integrative review.

OBJECTIVES: to identify the factors related to the use of religious coping in informal caregivers. METHODS: integrative literature review carried out through a search in the databases LILACS, PubMed, Scopus, Web of Science, and CINAHL, in addition to the Virtual Health Library and SciELO. The study selected primary articles in English, Portuguese, and Spanish, using the descriptors Coping Behavior, Caregivers, Spirituality, and Religion, which were combined with each other and with synonyms. There was no time limit for the publications. RESULTS: nine articles were selected. Factors related to the use of religious coping in informal caregivers included: having an advanced age, experiencing traumatic situations, being under overload, being a spouse or mother, caring for hospitalized individuals, or for those with chronic diseases and high degrees of dependence. CONCLUSIONS: the factors related to the use of religious coping are multifaceted and involve physical, psychological, psychosocial, and situational aspects.

Parental care for infants with feeding tube: psychosocial repercussions.

OBJECTIVES: to understand the psychosocial repercussions experienced by caregiving parents, resulting from care for the child with dysphagic cleft lip and palate. METHODS: qualitative study, developed in a tertiary hospital in September 2016. The sample defined by theoretical saturation consisted of seven mothers. Data collection was performed by unstructured interview, being audio-recorded and fully transcribed. Symbolic Interactionism was used as theoretical framework, and Thematic Content Analysis as methodological framework. RESULTS: the following themes emerged: diagnosisimpact and coping; coping with overload and stress; interaction between caregivers as an acceptance and coping strategy; impact on family and social life of caregivers; and curiosity coping, and family and community prejudice. FINAL CONSIDERATIONS: despite the physical and emotional overload, the mother figure plays the main and determining role in care, reflecting the complexity of care.

Questions of informal caregivers of children regarding the postoperative period of cochlear implant.

OBJECTIVE: To identify the main questions of informal caregivers of children with hearing impairments on the postoperative care of cochlear implant. METHOD: Cross-sectional study developed in a public and tertiary hospital of the state of São Paulo, Brazil. The sample consisted of 48 informal caregivers who were monitoring children subjected to cochlear implant. Data collection took place during the preoperative nursing consultation, by structured interview, between September 2016 and July 2017. The questions identified were categorized by similarity. RESULTS: The questions were related to: rest, dressing, feeding, length of stay, system activation time, infection, removal of stitches, bleeding, medicines, immediate sound stimulation, and pain. CONCLUSION: The prevalent questions were about rest, dressing, and feeding, and identifying them made it possible to plan and implement a nursing care aimed at the caregiver needs, as well as prepare them for care maintenance after hospital discharge.

Eventos adversos em crianças submetidas a cirurgias orofaciais / Adverse events in children submitted to orofacial surgery / Eventos adversos en niños sometidos a cirugía orofacial

Objetivo: Identificar os eventos adversos no pós-operatório imediato de queiloplastia e/ou palatoplastia em crianças e comparar os eventos identificados aos notificados ao Núcleo de Segurança do Paciente. Métodos: Estudo descritivo, retrospectivo e quantitativo, realizado em um hospital público e terciário brasileiro. Os dados foram coletados por meio da descrição nos registros de enfermagem e comparados aos notificados ao Núcleo de Segurança do Paciente, referente a junho e dezembro de 2019. Os resultados foram submetidos a análise estatística descritiva. Resultados: A amostra constou de 203 crianças, das quais 51% (n=103) apresentaram evento adverso. Foram identificados 176 eventos adversos, de 8 tipos, com prevalência da laringite pós-extubação (n=50; 28%), edema de língua (n=34; 19%) e lesão de comissura labial (n=25; 14%). Destes, apenas 5% (n=9) foram notificados ao Núcleo de Segurança do Paciente. Conclusão: Os eventos adversos prevalentes se relacionaram a cavidade oral e tecidos adjacentes, e a subnotificação foi expressiva. (AU)

Objective: To identify adverse events in the immediate postoperative period of cheiloplasty and/or palatoplasty in children and compare the identified events to those notified to the Patient Safety Center. Methods: Descriptive, retrospective and quantitative study, carried out in a Brazilian public and tertiary hospital. Data were collected through descriptions in nursing records and compared to those notified to the Patient Safety Center, referring to June and December 2019. The results were subjected to descriptive statistical analysis. Results: The sample consisted of 203 children, of which 51% (n=103) had an adverse event. A total of 176 adverse events of 8 types were identified, with prevalence of post-extubation laryngitis (n=50; 28%), tongue edema (n=34; 19%) and labral commissure lesion (n=25; 14%). Of these, only 5% (n=9) were notified to the Patient Safety Center. Conclusion: The prevalent adverse events were related to the oral cavity and adjacent tissues, and underreporting was significant. (AU)

Objetivo: Identificar eventos adversos en el postoperatorio inmediato de queiloplastia y/o palatoplastia en niños y comparar los eventos identificados con los notificados al Centro de Seguridad del Paciente. Métodos: Estudio descriptivo, retrospectivo y cuantitativo, realizado en un hospital público y terciario brasileño. Los datos se recolectaron mediante descripciones en registros de enfermería y se compararon con los notificados al Centro de Seguridad del Paciente, referidos a junio y diciembre de 2019. Los resultados fueron sometidos a análisis estadístico descriptivo. Resultados: La muestra estuvo conformada por 203 niños, de los cuales el 51% (n = 103) tuvo un evento adverso. Se identificaron un total de 176 eventos adversos de 8 tipos, con prevalencia de laringitis posextubación (n=50; 28%), edema de lengua (n=34; 19%) y lesión de la comisura del labrum (n=25; 14%). De estos, solo el 5% (n=9) fueron notificados al Centro de Seguridad del Paciente. Conclusion: Los eventos adversos prevalentes se relacionaron con la cavidad bucal y los tejidos adyacentes y el subregistro fue significativo. (AU)

Fatores associados à adesão ao aleitamento materno em lactentes com fissura orofacial: revisão de escopo / Factors associated with breastfeeding adherence in infants with orofacial clefts: a scoping review / Factores asociados a la adherencia a la lactancia materna en lactantes con fisura orofacial: revisión del alcance

RESUMO: Objetivo: Mapear os fatores associados à adesão ao aleitamento materno em lactentes com fissura orofacial. Método: Revisão de escopo conforme recomendações do Instituto Joanna Briggs, com busca realizada em março de 2023, nas bases de dados PubMed, CINAHL, Web of Science, SCOPUS, EMBASE, LILACS, ProQuest e BDTD. Resultados: Foram selecionados 31 documentos. Fatores associados a adesão ao aleitamento materno incluíram: complexidade anatômica da fissura, orientação/treinamento pré e pós-natal, desejo de amamentar, experiência prévia, conhecimento dos benefícios da amamentação, uso de obturadores palatinos, uso de sonda alimentadora, apoio social, familiar e profissional, ordenha e oferta por utensílios e realização precoce da queiloplastia. Conclusão: Embora a complexidade da fissura consista em um fator não modificável precocemente, as demais variáveis que influenciam à adesão ao aleitamento materno são passíveis de intervenções. Assim, o apoio de todos os envolvidos no processo de amamentação é fundamental para sua otimização.

ABSTRACT Objective: To map the factors associated with breastfeeding adherence in infants with orofacial clefts. Method: Scoping review according to the recommendations of the Joanna Briggs Institute, with a search carried out in March 2023 in the PubMed, CINAHL, Web of Science, SCOPUS, EMBASE, LILACS, ProQuest and BDTD databases. Results: A total of 31 documents were selected. Factors associated with adherence to breastfeeding included: anatomical complexity of the cleft, preand post-natal guidance/training, desire to breastfeed, previous experience, knowledge of the benefits of breastfeeding, use of palatal obturators, use of feeding tube, social, family, and professional support, milking and offering by utensils and early performance of cheiloplasty. Conclusion: Although the complexity of the cleft is a factor that cannot be changed early on, the other variables that influence adherence to breastfeeding can be intervened upon. Thus, the support of all those involved in the breastfeeding process is fundamental for its optimization.

RESUMEN: Objetivo: Mapear los factores asociados a la adherencia a la lactancia materna en lactantes con fisuras orofaciales. Método: Revisión de alcance según recomendaciones del Instituto Joanna Briggs, la búsqueda se realizó en marzo de 2023, en las bases de datos PubMed, CINAHL, Web of Science, SCOPUS, EMBASE, LILACS, ProQuest y BDTD. Resultados: Se seleccionaron 31 documentos. Los factores asociados a la adherencia a la lactancia materna incluyeron: complejidad anatómica de la fisura, orientación/capacitación prenatal y posnatal, deseo de amamantar, experiencia previa, conocimiento sobre los beneficios de la lactancia materna, uso de obturadores palatinos, uso de sonda de alimentación, apoyo social, familiar y profesional, extracción de leche y administración mediante utensilios y queiloplastía temprana. Conclusión: Si bien la complejidad de la fisura es un factor que no puede modificarse tempranamente, las demás variables que influyen en la adherencia a la lactancia materna son pasibles de intervención. Por lo tanto, el apoyo de todos los implicados en el proceso de lactancia materna es fundamental para su optimización.

Diagnósticos e intervenções de enfermagem em crianças em pósoperatório imediato de queiloplastia / Nursing diagnoses and interventions in children in the immediate postoperative period of cheiloplasty / Diagnósticos e intervenciones de enfermería en niños en el postoperatorio inmediato de queiloplastia

Objetivo: identificar os principais diagnósticos e intervenções de enfermagem em crianças em pós-operatório imediato de queiloplastia. Métodos: estudo documental e retrospectivo, desenvolvido entre março e agosto de 2020, em um hospital público, de nível terciário, referência no tratamento de pacientes com anomalias craniofaciais e síndromes relacionadas. Utilizou-se o Referencial Teórico das Necessidades Humanas Básicas. Referente ao Processo de Enfermagem, foram considerados dados do histórico de enfermagem e, a partir deles, os diagnósticos e as intervenções, por meio das taxonomias da NANDA Internacional e da Nursing Intervention Classification, respectivamente. Utilizou-se a análise estatística descritiva. Resultados: a amostra constou de 78 prontuários. Predominaram as necessidades psicobiológicas: oxigenação, hidratação, nutrição, eliminação, integridade cutâneo-mucosa e física, percepção dolorosa e ambiental. Foram identificados 11 diagnósticos de enfermagem, sendo seis com foco no problema e cinco de risco. Elencaram-se ainda, 14 intervenções de enfermagem. Conclusão: a utilização dos Sistemas de Linguagens Padronizadas norteou a identificação dos diagnósticos e intervenções de enfermagem, subsidiando o raciocínio clínico para a construção e organização do cuidado. (AU)

Objective: to identify the main nursing diagnoses and interventions in children in the immediate postoperative period of cheiloplasty. Methods: documentary and retrospective study, carried out between March and August 2020, in a public, tertiary-level hospital, a reference in the treatment of patients with craniofacial anomalies and related syndromes. The Theoretical Framework of Basic Human Needs was used. Regarding the Nursing Process, data from the nursing history were considered and, based on them, diagnoses and interventions, through the taxonomies of NANDA International and the Nursing Intervention Classification, respectively. Descriptive statistical analysis was used. Results: the sample consisted of 78 medical records. Psychobiological needs predominated: oxygenation, hydration, nutrition, elimination, cutaneous-mucous and physical integrity, pain and environmental perception. Eleven nursing diagnoses were identified, six focused on the problem and five on risk. 14 nursing interventions were also listed. Conclusion: the use of Standard Language Systems guided the identification of nursing diagnoses and interventions, supporting clinical reasoning for the construction and organization of care. (AU)

Objetivo: identificar los principales diagnósticos e intervenciones de enfermería en niños en el postoperatorio inmediato de queiloplastia. Métodos: estudio documental y retrospectivo, realizado entre marzo y agosto de 2020, en un hospital público de tercer nivel, referencia en el tratamiento de pacientes con anomalías craneofaciales y síndromes relacionados. Se utilizó el Marco Teórico de las Necesidades Humanas Básicas. En cuanto al Proceso de Enfermería, se consideraron datos de la historia de enfermería y, a partir de ellos, diagnósticos e intervenciones, a través de las taxonomías de la NANDA Internacional y la Nursing Intervention Classification, respectivamente. Se utilizó análisis estadístico descriptivo. Resultados: la muestra estuvo constituida por 78 historias clínicas. Predominaron las necesidades psicobiológicas: oxigenación, hidratación, nutrición, eliminación, cutáneo-mucosa e integridad física, dolor y percepción ambiental. Fueron identificados once diagnósticos de enfermería, seis enfocados al problema y cinco al riesgo. También se listaron 14 intervenciones de enfermería. Conclusión: el uso de los Sistemas de Lenguaje Estándar orientó la identificación de diagnósticos e intervenciones de enfermería, apoyando el razonamiento clínico para la construcción y organización del cuidado. (AU)

Correlation between burden and sleep quality in informal caregivers of infants with orofacial cleft / Correlação entre sobrecarga e qualidade do sono em cuidadores informais de lactentes com fissura orofacial

Abstract Objective: To evaluate the correlation between burden and sleep quality in caregivers of infants with cleft lip and/or palate. Methods: This descriptive cross-sectional study was carried out in a Brazilian tertiary public hospital between March and September 2020. The sample included the main informal, literate caregivers of infants with cleft lip and/or palate, aged 18 years or older. The instruments used were the Burden Interview Scale and the Pittsburgh Sleep Quality Index. Data were collected during the infants' hospitalization. Statistical analysis adopted Pearson and Spearman correlations, with a 5% significance level. Results: A total of 31 informal caregivers participated in the study, most of them mothers (n=28; 90%), with a mean age of 30 years (standard deviation - SD=7.5), low socioeconomic status (n=20; 64%), who completed high school (n=19; 61%), were married (58%), had two children (n=15; 48%), and no employment relationship (n=18; 58%). A moderate correlation was found between sleep quality and burden (r=0.39; p=0.032) and between burden and subjective sleep quality (r=0.39; p=0.029), sleep latency (r=0.43; p=0.017), and daytime dysfunction (r=0.49; p<0.001). Conclusions: The study showed that the higher the burden, the lower the sleep quality. The findings indicate the need to plan and implement interventions to minimize the burden experienced by these informal caregivers in order to improve their sleep quality.

Resumo Objetivo: Avaliar a correlação entre a sobrecarga e a qualidade do sono em cuidadores de lactentes com fissura de lábio e/ou palato. Métodos: Estudo descritivo e transversal, realizado em um hospital público e terciário brasileiro entre março e setembro de 2020. Foram incluídos cuidadores informais principais de lactentes com fissura de lábio e/ou palato, alfabetizados e com idade igual ou superior a 18 anos. Utilizaram-se a Escala de Burden Interview e o Índice da Qualidade de Sono de Pittsburgh. A coleta de dados aconteceu durante a internação dos lactentes. Para a análise estatística, utilizaram-se as Correlações de Pearson e de Spearman, com nível de significância de 5%. Resultados: Participaram do estudo 31 cuidadores informais, dos quais prevaleceram as mães (n=28; 90%), com média de idade de 30 anos (desvio padrão — DP=7,5), pertencentes à classificação socioeconômica baixa (n=20; 64%), com ensino médio completo (n=19; 61%), casadas (58%), com dois filhos (n=15; 48%) e sem vínculo empregatício (n=18; 58%). Observou-se correlação moderada entre a qualidade do sono e a sobrecarga (r=0,39; p=0,032), e entre a sobrecarga e a qualidade subjetiva do sono (r=0,39; p=0,029), a latência do sono (r=0,43; p=0,017) e a disfunção durante o dia (r=0,49; p<0,001). Conclusões: Evidenciou-se que quanto maior a sobrecarga, menor foi a qualidade do sono. Os achados apontam a necessidade de planejar e implementar intervenções que minimizem a sobrecarga vivenciada por esses cuidadores informais, a fim de promover a qualidade do sono deles.

Correlation between religiosity, spirituality and quality of life in adolescents with and without cleft lip and palate.

OBJECTIVE: to correlate spirituality and religiosity with quality of life of adolescents with and without cleft lip and palate. METHODS: cross-sectional and correlational study involving two groups: case group (n = 40) and comparison group (n = 40). The Duke University Religion Index (DUREL) and the World Health Organization Quality of Life Bref were used for data collection. The Mann-Whitney, Chi-Square, Student's t-test and Pearson's correlation tests were used in the statistical analyses, with a significance level of 5% (p ≤ 0.05). RESULTS: organizational religiosity and overall quality of life were significantly higher in the case group (p = 0.031 and p = 0.012, respectively). As for quality of life, the Environment Domain was significantly higher in the case group (p < 0.001). In the correlation between religiosity and spirituality, non-organizational religiosity had a strong correlation (r = 0.62) with organizational religiosity (p < 0.001). In the correlation of religiosity and spirituality with quality of life, only a moderate correlation between spirituality and overall quality of life was identified (r = -0.35, p = 0.026). CONCLUSION: there was no relationship of religiosity and spirituality with quality of life among adolescents with cleft lip and palate for most aspects evaluated.

Smoking in adolescents with cleft lip and/or palate: prevalence and associated factors / Tabagismo em adolescentes com fissura de lábio e/ou palato: prevalência e fatores associados

Abstract Objective: To assess the prevalence and factors associated with smoking in adolescents with cleft lip and/or palate. Methods: This is a cross-sectional study, developed in a Brazilian public and tertiary hospital between November 2018 and August 2019. Adolescents aged between 12 and 19 years old, previously submitted to cheiloplasty and/or palatoplasty surgeries were included. Data collection was carried out through interviews, guided by questionnaires referring to sociodemographic issues, use and factors associated with smoking. For statistical analysis, Fisher's Exact Test, Chi-square, Student's t test and bivariate logistic regression were used, all with a significance level of 5% (p≤0.05). Results: 102 adolescents participated. The prevalence of smoking was 20.6% (n=21). Having cleft lip and palate was associated with smoking (p=0.012). The bivariate analysis showed that not dating (p=0.001; OR=0.19) and owning a home (p=0.032; OR=0.33) were configured as protective factors for the act of being a smoker, while believing that smoking facilitates interaction with young people or with the group of friends (p=0.043; OR=2.95), having friends who use alcoholic beverages (p=0.002; OR=8.40), having friends who use drugs, except cigarettes (p=0.002; OR=5.33), use alcoholic beverages (p<0.001; OR=10.67) and sexual initiation (p<0.001; OR=7.00), were associated with being a smoker. Conclusions: From the knowledge of the profile of adolescents most vulnerable to tobacco use, it is possible to plan and implement educational and preventive actions.

RESUMO Objetivo: Avaliar a prevalência e os fatores associados ao tabagismo em adolescentes com fissura de lábio e/ou palato. Métodos: Estudo de corte transversal, desenvolvido em um hospital público e terciário brasileiro entre novembro de 2018 e agosto de 2019. Foram incluídos adolescentes com idade entre 12 e 19 anos, submetidos previamente às cirurgias de queiloplastia e/ou palatoplastia. A coleta de dados foi realizada por meio de entrevista, guiada por questionários referentes a questões sociodemográficas, uso e fatores associados ao tabagismo. Para a análise estatística, utilizaram-se os testes: exato de Fisher, qui-quadrado, t de Student e regressão logística bivariada, todos com nível de significância de 5% (p ≤ 0,05). Resultados: Participaram 102 adolescentes. A prevalência do tabagismo foi de 20,6% (n=21). Possuir fissura de lábio e palato associou-se ao tabagismo (p=0,012). A análise bivariada mostrou que não namorar (p=0,001; OR=0,19) e possuir habitação própria (p=0,032; OR=0,33) configuraram fatores de proteção para o ato de ser tabagista, enquanto acreditar que fumar facilita a interação com os jovens ou com o grupo de amigos (p=0,043; OR=2,95), ter amigos que usam bebida alcoólica (p=0,002; OR=8,40), ter amigos que usam drogas, exceto o cigarro (p=0,002; OR=5,33), usar bebida alcoólica (p<0,001; OR=10,67) e iniciação sexual (p<0,001; OR=7,00) associaram-se a ser tabagista. Conclusões: Pelo conhecimento do perfil dos adolescentes mais vulneráveis ao uso do tabaco, é possível planejar e programar ações educativas e preventivas.

Sizing of nursing staff associated with self-care promotion in a pediatric semi-intensive care unit. / Dimensionamento de pessoal de enfermagem referente à promoção do autocuidado em unidade de terapia semi-intensiva pediátrica.

OBJECTIVES: To calculate and compare the nursing staff size associated with self-care promotion at a pediatric semi-intensive care unit. METHODS: This was a prospective study in which 31 children and their caregivers participated. The nursing workload associated with each participant was evaluated at two different times (first and second hospital stays) using the Nursing Activities Score instrument. The first hospital stay corresponded to self-care promotion. Staff size was calculated according to the nursing hours recommended by the Nursing Activities Score instrument and by Conselho Federal de Enfermagem (COFEN) resolution no. 527/16, in the two hospital stays, and the results were compared. RESULTS: The nursing workload in the first hospital stay (14.6 hours) was higher than the nursing workload in the second stay (9.9 hours) (p < 0.001). The Nursing Activities Score revealed that according to the nursing hours, the nursing staff size corresponded to 26 and 18 professionals in the first and second hospital stays, respectively, and to 15 professionals according to COFEN resolution no. 527/16. CONCLUSION: The number of personnel responsible for promoting self-care in pediatric semi-intensive care units, according to the nursing hours suggested by the Nursing Activities Score, was higher than that recommended by the existing legislation. This demonstrates the necessity of reconsidering staff size for this healthcare profile.

OBJETIVOS: Calcular e comparar o dimensionamento de pessoal no que diz respeito à promoção do autocuidado em unidade de terapia semi-intensiva pediátrica. MÉTODOS: Estudo prospectivo, do qual participaram 31 crianças e seus respectivos cuidadores. Os participantes foram avaliados em dois momentos (primeira e segunda internação) quanto à carga de trabalho de enfermagem, por meio do Nursing Activities Score. A primeira internação correspondeu à promoção do autocuidado. O dimensionamento de pessoal foi calculado segundo as horas do Nursing Activities Score e a resolução do Conselho Federal de Enfermagem (COFEN) 527/16, nas duas internações, e estes dados foram posteriormente comparados. RESULTADOS: A carga de trabalho de enfermagem na primeira internação (14,6 horas) foi maior em comparação à segunda (9,9 horas) (p < 0,001). O dimensionamento de pessoal segundo as horas, de acordo com o Nursing Activities Score, foi de 26 e 18 profissionais, e de 15 profissionais, conforme a resolução do COFEN 527/16. CONCLUSÃO: O quantitativo de profissionais referente à promoção do autocuidado em unidade de terapia semi-intensiva pediátrica, segundo as horas do Nursing Activities Score, foi superior ao recomendado pela legislação existente, demonstrando a necessidade de se reconsiderar o dimensionamento de pessoal neste perfil assistencial.

Religious/spiritual coping in informal caregivers of children with cleft lip and/or dysphagic palate / Coping religioso/espiritual en cuidadores informales de niños con labio leporino y/o fisura del paladar / Coping religioso/espiritual em cuidadores informais de crianças com fissura de lábio e/ou palato disfágicas

ABSTRACT Objectives: to identify the use of religious/spiritual coping in informal caregivers of children with cleft lip and/or palate, dysphagic, powered exclusively by probe. Methods: descriptive and cross-sectional study, including 30 informal caregivers. For data collection, a Sociodemographic Questionnaire and the Brief Religious/Spiritual Coping Scale were used. For statistical analysis, ANOVA, Student's t and Spearman's correlation tests were used, with a significance level of 5%. Results: the use of religious/spiritual coping was high among participants (mean=3.71), with a predominance of positive (mean=3.30) compared to negative (mean=1.88). It was evident that the greater the reported importance of religiosity/spirituality in the participants' lives, the greater the positive coping (p=0.001). Conclusions: informal caregivers used positive religious/spiritual coping as a way of coping with care demands related to the child's health condition. These findings point to the importance of including spirituality/religiosity as health indicators.

RESUMEN Objetivos: identificar el uso del coping religioso/espiritual en cuidadores informales de niños con labio leporino y/o fisura del paladar alimentado exclusivamente por sonda. Métodos: estudio descriptivo y transversal, incluyendo 30 cuidadores informales. La recolecta de datos, se utilizó una Encuesta Sociodemográfica y Escala de Coping Religioso/Espiritual Breve. Para el análisis estadístico, se utilizaron los test de ANOVA, t de Student y correlación de Spearman, con nivel de significación de 5%. Resultados: uso del coping religioso/espiritual fue alto entre los participantes (mediana=3,71), con predominio del positivo (mediana=3,30) comparado al negativo (mediana=1,88). Evidenciado que, cuanto mayor la importancia relatada de la religiosidad/espiritualidad en la vida de los participantes, mayor fue el coping positivo (p=0,001). Conclusiones: los cuidadores informales utilizaron el coping religioso/espiritual positivo como modalidad de enfrentamiento de demandas de cuidados relacionadas a condición de salud del niño. Esos hallados apuntan la importancia de incluir la espiritualidad/religiosidad como indicadores de salud.

RESUMO Objetivos: identificar o uso do coping religioso/espiritual em cuidadores informais de crianças com fissura de lábio e/ou palato, disfágicas, alimentadas exclusivamente por sonda. Métodos: estudo descritivo e transversal, incluindo 30 cuidadores informais. Para a coleta de dados, utilizou-se um Questionário Sociodemográfico e a Escala de Coping Religioso/Espiritual Breve. Para a análise estatística, utilizaram-se os testes de ANOVA, t de Student e a correlação de Spearman, com nível de significância de 5%. Resultados: o uso do coping religioso/espiritual foi alto entre os participantes (média=3,71), com predomínio do positivo (média=3,30) comparado ao negativo (média=1,88). Evidenciou-se que, quanto maior a importância relatada da religiosidade/espiritualidade na vida dos participantes, maior foi o coping positivo (p=0,001). Conclusões: os cuidadores informais utilizaram o coping religioso/espiritual positivo como modalidade de enfrentamento das demandas de cuidados relacionadas à condição de saúde da criança. Esses achados apontam a importância de incluir a espiritualidade/religiosidade como indicadores de saúde.

Palatoplasty in children: nursing diagnoses and interventions related to the immediate postoperative period / Palatoplastía en niños: diagnósticos e intervenciones de enfermería referentes al postoperatorio inmediato / Palatoplastia em crianças: diagnósticos e intervenções de enfermagem referentes ao pós-operatório imediato

Abstract Objective: To identify the main nursing diagnoses and interventions in children in the immediate postoperative period of palatoplasty. Method: Documentary and retrospective study, developed in a Brazilian public and tertiary hospital, between August and September 2020. Children who underwent only palatoplasty, between January and December 2019, aged between 10 and 24 months, were included. Those with medical syndromes and/or comorbidities were excluded. The Theoretical Framework of Basic Human Needs and the NANDA International and Nursing Interventions Classification Taxonomies were used. Data underwent descriptive statistical analysis. Results: The sample consisted of 126 children. Psychobiological needs such as oxygenation, hydration, nutrition, elimination, cutaneous-mucosal and physical integrity, pain and environmental perception predominated. Based on them, nine nursing diagnoses, with four focusing on the problem and five on risk, as well as 17 interventions, were identified. Conclusion: The use of standardized languages to identify affected human needs and, based on them, diagnoses and interventions, favored clinical reasoning for the construction and organization of clinical nursing practice.

RESUMEN Objetivo: identificar los principales diagnósticos e intervenciones de enfermería en niños en postoperatorio inmediato de palatoplastía. Método: estudio documental y retrospectivo, desarrollado en un hospital público y terciario brasileño, entre agosto y septiembre de 2020. Se incluyeron niños sometidos exclusivamente a palatoplastía, que realizaron la cirugía entre enero y diciembre de 2019, con edad entre 10 y 24 meses. Se excluyeron aquellos con síndromes y/o comorbidades clínicas. Se utilizó el Referencial Teórico de las Necesidades Humanas Básicas y las Taxonomías NANDA Internacional y la Nursing Interventions Classification. Los datos fueron sometidos al análisis estadístico descriptivo. Resultados: la muestra constó de 126 niños. Predominaron las necesidades psicobiológicas: oxigenación, hidratación, nutrición, eliminación, integridad cutáneo-mucosa y física, percepción dolorosa y ambiental. A partir de eso se identificaron 9 diagnósticos de enfermería, siendo 4 con enfoque en el problema y 5 de riesgo, además de 17 intervenciones. Conclusión: la utilización de lenguajes estandarizado en la identificación de las necesidades humanas afectadas y, a partir de ellas los diagnósticos e intervenciones, favoreció el raciocinio clínico para que se construyese y se organizase la práctica clínica de enfermería.

RESUMO Objetivo: identificar os principais diagnósticos e intervenções de enfermagem em crianças em pós-operatório imediato de palatoplastia. Método: estudo documental e retrospectivo, desenvolvido em um hospital público e terciário brasileiro, entre agosto e setembro de 2020. Foram incluídas crianças submetidas exclusivamente a palatoplastia, que realizaram a cirurgia entre janeiro e dezembro de 2019, com idade entre 10 e 24 meses. Excluíram-se aquelas com síndromes e/ou comorbidades clínicas. Utilizou-se o Referencial Teórico das Necessidades Humanas Básicas e as Taxonomias NANDA Internacional e da Nursing Interventions Classification. Os dados foram submetidos a análise estatística descritiva. Resultados: a amostra constou de 126 crianças. Predominaram as necessidades psicobiológicas: oxigenação, hidratação, nutrição, eliminação, integridade cutâneo-mucosa e física, percepção dolorosa e ambiental. A partir delas foram identificados 9 diagnósticos de enfermagem, sendo 4 com foco no problema e 5 de risco, além de 17 intervenções. Conclusão: a utilização de linguagens padronizadas na identificação das necessidades humanas afetadas e, a partir delas os diagnósticos e intervenções, favoreceu o raciocínio clínico para a construção e organização da prática clínica de enfermagem.

Absenteísmo da equipe de enfermagem de um hospital público e terciário: etiologia e fatores associados / Absenteeism of nursing team from a public tertiary hospital: etiology and associated factors / Ausentismo del personal de enfermería de un hospital público y terciario: etiología y factores asociados

Objetivo: identificar a taxa de absenteísmo da equipe de enfermagem, sua etiologia e os fatores associados. Método: estudo descritivo, analítico e retrospectivo, desenvolvido em um hospital público e terciário brasileiro, entre janeiro e março de 2021. Para a coleta de dados, foi utilizado o banco de dados do Departamento de Recursos Humanos da Instituição, referente ao ano de 2019. Na análise estatística utilizou-se testes indutivos, com nível de significância de 5% (p≤0,05). Protocolo de pesquisa aprovado pelo Comitê de Ética em Pesquisa. Resultados: foram analisados dados de 95 profissionais. O percentual médio de absenteísmo foi de 10,56%, sendo mais prevalente entre os técnicos/auxiliares de enfermagem (7,56%) em comparação aos enfermeiros (3,00%), e significativamente maior entre os profissionais atuantes no período diurno (p=0,004). Conclusão: a taxa de absenteísmo foi alta e superior ao estipulado pela legislação vigente, sendo motivada principalmente por licenças médicas, prevalente entre técnicos/auxiliares de enfermagem e associada a atuação no período diurno.

Objective: to identify the absenteeism rate of the nursing team, its etiology and associated factors. Method: descriptive, analytical and retrospective study, developed in a Brazilian public tertiary hospital, between January and March 2021. For data collection, the institution's Human Resources Department database was used, referring to the year 2019. In the statistical analysis, inductive tests were used, with a significance level of 5% (p≤0.05). Research protocol approved by the Research Ethics Committee. Results: data from 95 professionals were analyzed. The average percentage of absenteeism was 10.56%, being more prevalent among nursing technicians/assistants (7.56%) compared to nurses (3.00%), and significantly higher among professionals working during the day (p=0.004). Conclusion: the absenteeism rate was high and higher than stipulated by current legislation, being mainly motivated by sick leave, prevalent among nursing technicians/assistants and associated with daytime work.

Objetivo: identificar la tasa de ausentismo del equipo de enfermería, su etiología y factores asociados. Método: estudio descriptivo, analítico y retrospectivo, desarrollado en un hospital público y terciario brasileño, entre enero y marzo de 2021. Para la recolección de datos, se utilizó la base de datos del Departamento de Recursos Humanos de la institución, referente al año 2019. En el análisis estadístico, se utilizaron pruebas inductivas obtenidos con un nivel de significancia del 5% (p≤0.05). El Comité de Ética en Investigación aprobó el Protocolo de investigación. Resultados: se analizaron datos de 95 profesionales. El porcentaje medio de ausentismo fue de 10,56%, siendo más prevalente entre los técnicos/auxiliares de enfermería (7,56%) frente a los enfermeros (3,00%) y significativamente más elevado entre los profesionales que trabajan de día (p=0,004). Conclusión: la tasa de ausentismo fue alta y superior a lo estipulado por la legislación vigente, siendo motivada principalmente por la baja por enfermedad, frecuente entre los técnicos/auxiliares de enfermería y asociada al trabajo en el periodo diurno.