Effectiveness of aromatherapy massage on the stress of the surgical center nursing team: a pilot study. / Efetividade da massagem com aromaterapia no estresse da equipe de enfermagem do centro cirúrgico: estudo-piloto.

OBJECTIVE: To verify the effectiveness of aromatherapy with essential oils of lavender (Lavandula angustifolia) and geranium (Pelargonium graveolens) associated with massage for stress relief of a nursing staff of the surgical center through evaluation of biophysiological and psychological parameters. METHOD: Pilot study, controlled and randomized clinical trial performed with the nursing team of a surgical center of a teaching hospital in the interior of the state of São Paulo. The intervention comprised six aromatherapy massages with essential oils diluted in neutral cream at concentration 1% each. Heart rate and blood pressure levels were measured before and after each massage session. The Work Stress Scale (WSS) and the List of Stress Symptoms (LSS) were applied before and at the end of the intervention. Statistical analysis was performed with the paired t-test and chi-square test, 95% confidence interval and p <0.05. RESULTS: There was a statistically significant reduction in heart rate and blood pressure levels after massage sessions. CONCLUSION: The use of aromatherapy has demonstrated effectiveness for lowering biophysiological parameters of the surgical center nursing staff. Brazilian Registry of Clinical Trials: RBR-6mgqn3.

The development of communication skills and the teacher's performance in the nursing student's perspective.

OBJECTIVE: To understand experiences in the development of communication skills and the teacher's role in this teaching-learning process under the perspective of undergraduate nursing students by considering two types of curriculum organization. METHOD: Descriptive study with a qualitative approach conducted in two public schools located in São Paulo state, Brazil. Data were collected by means of self-completed forms from 81 students in the second and fourth years of the undergraduate program. Results were analyzed in light of Content Analysis. RESULTS: Results showed that the development of such skills is related to: students' individual characteristics, patients' characteristics, those of the health-disease process, the health-care team's profile and the theoretical knowledge acquired on communication in health-care provision and nursing. The teacher's role was perceived as one that supports and encourages interactions with patients and health-care teams by teaching and providing orientation about interpersonal communication. CONCLUSIONS: Students identify and value the importance of their teachers' performance in the development and acquisition of communication skills. Additionally, students who experience active teaching-learning methodologies acknowledge the teacher as essential to provide opportunities for students to express their knowledge and thoughts. OBJETIVO: Compreender, sob a ótica de graduandos de enfermagem, as experiências no desenvolvimento de habilidades comunicativas e a atuação do professor neste processo de ensino-aprendizagem, considerando dois tipos de organização curricular. MÉTODO: Pesquisa descritiva com abordagem qualitativa, realizada em duas instituições de ensino públicas, situadas no interior do estado de São Paulo, Brasil. A coleta dos dados foi realizada pelo autopreenchimento de formulário por 81 alunos de segundo e quartos anos da graduação. Os resultados foram analisados à luz da Análise de Conteúdo. RESULTADOS: Revelaram que o desenvolvimento desta habilidade está relacionado à: características individuais dos alunos, dos pacientes, do processo saúde-doença, perfil da equipe e dos conhecimentos teóricos sobre comunicação em saúde e em enfermagem. O papel do professor foi percebido apoiando e incentivando as interações com pacientes e equipes de saúde e ensinando e orientando sobre comunicação interpessoal. CONCLUSÃO: Os alunos identificam e valorizam a importância da atuação de seus professores no desenvolvimento e aquisição de habilidades comunicativas. Além disso, os estudantes que vivenciaram as metodologias ativas de ensino-aprendizagem reconhecem o docente essencial para oportunizar a expressão de conhecimentos e pensamentos dos alunos.

[Massage with aromatherapy: effectiveness on anxiety of users with personality disorders in psychiatric hospitalization]. / Massagem com aromaterapia: efetividade sobre a ansiedade de usuárioscom transtornos de personalidade em internação psiquiátrica.

OBJECTIVE: To investigate the effectiveness of aromatherapy massage using the essential oils (0.5%) of Lavandula angustifolia and Pelargonium graveolens for anxiety reduction in patients with personality disorders during psychiatric hospitalization. METHOD: Uncontrolled clinical trial with 50 subjects submitted to six massages with aromatherapy, performed on alternate days, on the cervical and the posterior thoracic regions. Vital data (heart and respiratory rate) were collected before and after each session and an anxiety scale (Trait Anxiety Inventory-State) was applied at the beginning and end of the intervention. The results were statistically analyzed with the chi square test and paired t test. RESULTS: There was a statistically significant decrease (p < 0.001) of the heart and respiratory mean rates after each intervention session, as well as in the inventory score. CONCLUSION: Aromatherapy has demonstrated effectiveness in anxiety relief, considering the decrease of heart and respiratory rates in patients diagnosed with personality disorders during psychiatric hospitalization.

[Safe surgery checklist: analysis of the safety and communication of teams from a teaching hospital]. / Checklist de cirurgia segura: análise da segurança e comunicação das equipes de um hospital escola.

This study aimed to apply the WHO surgical safety checklist in the surgical specialties of a university hospital and to evaluate the opinion of the team regarding the influence of its application on the safety of the surgical process and on the interpersonal communication of the team. It is a descriptive, analytical qualitative field study conducted in the surgical center of a university hospital Data were collected by applying the checklist in a total of 30 surgeries. The researcher conducted its application in three phases, and then members of the surgical team were invited to voluntarily participate in the study, signifying their agreement to participate by signing an informed consent form and answering guiding questions. Bardin's Content Analysis Method was used to organize and analyze the data. The subjects did not notice any changes in their interpersonal communication when using the checklist; however, they gave suggestions and reported that its use provided greater safety to the procedure.

[The importance of communication during the postoperative recovery period]. / A importância da comunicação durante o período de recuperação pós-operatória.

The objective of this study was to learn about the importance of communication when the nursing team gives postoperative orientations to patients and/or relatives at a private institution, and learn their perception about those orientations. This cross-sectional, descriptive study was performed using a qualitative approach, having Interpersonal Communication and Content Analysis as the theoretical and methodological frameworks, respectively. Participants were 16 patients interviewed in the postoperative period. Results showed that the nursing team focused the orientations on the instrumental techniques of the professions and did not approach the individuals in a holistic manner. It was also observed that when the nurse stands away from the patient and/or does not provide appropriate information, it generates feelings of anxiety, fear, insecurity and a sensation of lack of care in the patients. On the other hand, when the nursing team is present and provides coherent information, patients reported high satisfaction and a feeling of being well cared for.

Efficacy of Flower Therapy for Anxiety in Overweight or Obese Adults: A Randomized Placebo-Controlled Clinical Trial.

Objective: The aim of this study was to compare the efficacy of flower therapy for the treatment of anxiety in overweight or obese adults with that of a placebo. The authors examined improvement in sleep patterns, reduction in binge eating, and change in resting heart rate (RHR). Design: This was a randomized, double-blind, placebo-controlled clinical trial with a parallel-group design and two arms. Setting/Location: Clinical Research Unit, Medical School, São Paulo State University, Botucatu, SP, Brazil. Subjects: The study included 40 participants in the placebo group and 41 in the intervention group. Participants were of both genders, from 20 to 59 years of age, overweight or obese, with moderate to high anxiety. Interventions: The participants were divided into two random groups: one group was treated with Bach flower remedies (BFR) (bottles containing 30 mL of 30% hydro-brandy solution with two drops each of Impatiens, White Chestnut, Cherry Plum, Chicory, Crab Apple, and Pine), and the other group was given a placebo (same solution without BFR). The patients were instructed to orally ingest the solution by placing four drops directly in the mouth four times a day for 4 weeks. Outcome measures: The primary outcome was anxiety (State-Trait Anxiety Inventory [STAI]). Secondary outcomes were sleep (Pittsburgh Sleep Quality Index [PSQI]), binge eating (Binge Eating Scale [BES]), and RHR (electrocardiogram). Results: Multivariate analysis showed significant reductions in scores for the following variables in the intervention group when compared with the placebo group: STAI (ß = -0.190; p < 0.001), PSQI (ß = -0.160; p = 0.027), BES (ß = -0.226; p = 0.001), and RHR (ß = -0.07; p = 0.003). Conclusions: The anxiety symptoms, binge eating, and RHRs of the individuals treated with flower therapy decreased, and their sleep patterns improved when compared with those treated with the placebo. Registered at the Brazilian Registry of Clinical Trials (no. RBR-47-kfxh).

[Communicating pediatric surgery suspension: feelings of the relatives involved in the process]. / A comunicação da suspensão de cirurgias pediátricas: sentimentos dos familiares envolvidos no processo*.

Hospitalization is a complex experience; this can be made worse if surgical intervention is required, especially when the patient is a child. When surgery is suspended, patient and family can experience feelings of insecurity, distress, and anxiety. The objective of this study was to identify and describe the perceptions of fifteen mothers or guardians of children between 0 and 18 years old admitted in a teaching hospital, after receiving news that surgery for their child was suspended. This was a descriptive qualitative study which used Interpersonal Communication as theoretical reference and Analysis of Content as the methodology. Results showed that suspension of pediatric surgery in our institution causes repercussions to patients, their families, and institution organisation; that communication between health team professionals, patients and families is inadequate; and that the nurses' participation in informing surgery suspension must be effective.

Mental health in primary care: experience of matrix strategy in the rural area.

OBJECTIVE: to report the development of Mental Health actions shared between the Family Health Strategy located in a rural area and the Matrix Support Team by showing the communication resulting from this singular configuration. METHOD: report of experience about the implementation of actions of the Family Health Support Center (Portuguese acronym: NASF) in mental health care for a rural population. RESULTS: the following health needs were identified: psychoactive drugs consumption, lack of activities for collective care and difficulty with access to service. The expansion of actions and intersectoral involvement of actors were demonstrated as the educational attitudes were implemented. FINAL CONSIDERATIONS: the articulation between family health workers, matrix support and community was key for the implementation of mental health care aligned with the psychosocial approach.

Anxiety, sleep quality, and binge eating in overweight or obese adults. / Ansiedade, qualidade do sono e compulsão alimentar em adultos com sobrepeso ou obesidade.

OBJECTIVE: To analyze the relationship of anxiety to binge eating and sleep quality in overweight or obese adults. METHOD: Transversal study, conducted between May 2015 and January 2017, with an intentional sample composed of literate individuals of both sexes, aged 20 to 59 years, who presented body mass index higher or equal to 25 kg/m2. State-Trait Anxiety Inventory, Binge Eating Scale, and Pittsburgh Sleep Quality Index were employed. Pearson or Spearman correlation coefficient was adopted for data analysis, according to its distribution. RESULTS: The sample comprised 130 individuals. The overall and young adults' samples presented a positive correlation between anxiety and binge eating scores (p=0.0011) and sleep quality score (p=0.0081). Adults who were 45 or older presented an inverse relation between age and anxiety (p=0.0003). CONCLUSION: The overall sample and young adults who presented higher anxiety state had higher indexes of binge eating and a worse sleep quality, whereas for middle-aged adults, higher age was related to a lower anxiety score. Brazilian Registry of Clinical Trials (Registro Brasileiro de Ensaios Clínicos): n° RBR-47kfxh.

Movement undertaken by newly graduated nurses towards the strengthening of their professional autonomy and towards patient autonomy.

This study involved newly graduated nurses performing in a public hospital and aimed at apprehending how they interpret the reality of their practice as well as their knowledge and experiences; at identifying and problematizing aspects related to the caregiving practice in terms of compliance with the autonomy bioethical framework and at pointing out ways to overcome the problems identified. The strategy adopted for data collection was the focal group and the theoretical framework was based on the Grounded Theory. Two phenomena emerged from the results: 1) Perceiving the fragility of nurse and patient autonomy and 2) Moving towards the strengthening of nurse and patient autonomy. This allowed for the identification of the core category: movement undertaken by newly graduated nurses towards the strengthening of their professional autonomy and towards patient autonomy. Understanding the experience enabled us to expand the knowledge concerning newly graduate nurses' coping, thus favoring our action as nursing professors.

[Communicative reactions of nursing students regarding their first curricular internship period]. / Reações comunicativas dos alunos de enfermagem frente ao primeiro estágio curricular.

The objective of the present study is to describe and analyze the reactions of nursing students, presented during their first curricular internship. It is a cross-section field study, with data analyzed according to the method of content analysis. The results describe the training field, the relationship with the nursing team, the patients and the professor in the period of training. In the conclusions, we can affirm that the stress and the contradictions experienced in the first period of internship are part of the student's growth and education. The professor is responsible for determining the type of interaction that the students will experience. He/She needs to be capable of listening, encouraging and for his/her own qualification, in order to support the students with the early experiences of the practice, so that the first internship a becomes motivating factor for the students.

Meanings of flower therapy for anxiety in people with overweight or obesity.

OBJECTIVE: To understand the experience from the perspective of the participant of a clinical research, which had as intervention the flower therapy for anxiety of individuals with overweight and obesity. METHOD: qualitative study, developed by semi-structured interview with 42 participants from a clinical research and data submitted to content analysis. RESULTS: after analysis, five thematic categories emerged: seeking natural alternatives to aid in control of anxiety and obesity; perceiving the benefits of flower therapy in itself and in family and professional relationships; recognizing flower therapy as source of tranquility and self-knowledge; perceiving changes in sleep quality; acquiring self-control and guidance on food and relational needs. FINAL CONSIDERATIONS: the participants showed the intention of seeking natural alternatives to aid the control of anxiety and obesity, employing complementary therapies to strengthen their health. Consequently, participants reported self-control in feeding and in family and professional relationships.

The teaching approach on communicative skills in different teaching methodologies.

OBJECTIVE: to understand, from the perspective of professors, which are the facilities and difficulties in the development of communication skills in nursing undergraduates who experiment different teaching-learning methodologies. METHOD: qualitative research performed with 30 nursing professors from two public education institutions. The data was collected by semi-structured individual interview with guiding questions. We used Bardin's content analysis for the data processing and analysis. RESULTS: the development of communication skills is influenced by factors such as the experience of practical activities, students' individual characteristics, use of active methodologies, access to the mass media, relationship of proximity between student and professor, and knowledge of theoretical concepts of communication and nursing. FINAL CONSIDERATIONS: there is similarity between the influential factors, however, the use of active methodologies seems to favor the development of communication skills.

[How to follow communicative competence progress in nursing students]. / Como acompanhar a progressão da competência comunicativa no aluno de Enfermagem.

This work is aimed at suggesting methodological foundations for following Nursing student's progress in communicative competence. Using qualitative methodology and theoretical reference of interpersonal communication, the research was developed through interviews with 13 professors with experience both in teaching activities and communication research in Nursing. Interviewees reported that they follow their students' progress in communicative competence through the observation of their communicative abilities with patients; by fostering moments for the expression of thoughts, feelings and perceptions; by giving feedback on the development of communicative abilities; by stimulating their communication abilities; by performing formative assessments and tutoring.

Multidisciplinary team of intensive therapy: humanization and fragmentation of the work process. / Equipe multiprofissional de terapia intensiva: humanização e fragmentação do processo de trabalho.

OBJECTIVE:: to understand the meaning of humanized care in intensive care units considering the experience of the multidisciplinary team. METHOD:: descriptive and exploratory qualitative research. For this purpose, we conducted semi-structured interviews with 24 professionals of the heath-care team, and, after transcription, we organized the qualitative data according to content analysis. RESULTS:: from two main categories, we were able to understand that humanized care is characterized in the actions of health-care: effective communication, team work, empathy, singularity, and integrality; and mischaracterized in the management processes, specifically in the fragmentation of the work process and health-care, in the precarious work conditions, and in differing conceptual aspects of the political proposal of humanization. CONCLUSION:: care activities in intensive therapy are guided by the humanization of care and corroborate the hospital management as a challenge to be overcome to boost advances in the operationalization of this Brazilian policy.

Mental health in primary care: experience of matrix strategy in the rural area / Salud mental en atención primaria: experiencia de estrategia matricial en el área rural / Saúde mental na atenção básica: experiência de matriciamento na área rural

ABSTRACT Objective: to report the development of Mental Health actions shared between the Family Health Strategy located in a rural area and the Matrix Support Team by showing the communication resulting from this singular configuration. Method: report of experience about the implementation of actions of the Family Health Support Center (Portuguese acronym: NASF) in mental health care for a rural population. Results: the following health needs were identified: psychoactive drugs consumption, lack of activities for collective care and difficulty with access to service. The expansion of actions and intersectoral involvement of actors were demonstrated as the educational attitudes were implemented. Final considerations: the articulation between family health workers, matrix support and community was key for the implementation of mental health care aligned with the psychosocial approach.

RESUMEN Objetivo: relatar el desarrollo de acciones de Salud Mental compartidas entre la Estrategia Salud de la Familia ubicada en un área rural y el Núcleo de Apoyo Matricial, demostrando las comunicaciones derivadas de esa configuración singular. Método: relato de experiencia acerca de la implantación de las acciones del Núcleo de Apoyo a la Salud de la Familia en el cuidado de salud mental para una población de área rural. Resultados: se identificaron las necesidades de salud: consumo de psicofármacos, escasez de actividades para el cuidado colectivo y dificultad de acceso al servicio. La ampliación de las acciones y la participación de los actores con la intersectorialidad quedaron evidentes conforme las actitudes educativas fueron implementadas. Consideraciones finales: la articulación entre los trabajadores de la salud de la familia, del apoyo matricial y de la comunidad fue central para la efectividad del cuidado en salud mental alineado al modo psicosocial.

RESUMO Objetivo: relatar o desenvolvimento de ações de Saúde Mental compartilhadas entre a Estratégia Saúde da Família alocada em uma área rural e o Núcleo de Apoio Matricial, evidenciando as interlocuções decorrentes dessa configuração singular. Método: relato de experiência acerca da implantação das ações do Núcleo de Apoio à Saúde da Família no cuidado de saúde mental para uma população de área rural. Resultados: foram identificadas as necessidades de saúde: consumo de psicofármacos, escassez de atividades para o cuidado coletivo e dificuldade de acesso ao serviço. Conforme as atitudes educacionais foram implementadas, a ampliação das ações e o envolvimento dos atores com a intersetorialidade ficaram evidentes. Considerações Finais: a articulação entre os trabalhadores da saúde da família, do apoio matricial e da comunidade foi central para a efetivação do cuidado em saúde mental alinhado ao modo psicossocial.

Ansiedade, qualidade do sono e compulsão alimentar em adultos com sobrepeso ou obesidade / Ansiedad, calidad del sueño y compulsión por comer en adultos con sobrepeso u obesidad / Anxiety, sleep quality, and binge eating in overweight or obese adults

RESUMO Objetivo: Analisar a relação da ansiedade com a compulsão alimentar e a qualidade do sono em adultos com sobrepeso ou obesidade. Método: Estudo transversal, realizado entre maio de 2015 e janeiro de 2017, com amostra intencional composta por indivíduos de ambos os sexos, alfabetizados, com idade entre 20 e 59 anos, que apresentavam índice de massa corporal maior ou igual a 25 kg/m2. Utilizaram-se o Inventário de Ansiedade Traço-Estado, Escala de Compulsão Alimentar Periódica e Questionário de Padrão do Sono de Pittsburgh. Adotaram-se o coeficiente de correlação de Pearson ou Spearman na análise dos dados, de acordo com a distribuição destes. Resultados: A amostra foi constituída por 130 indivíduos. A amostra geral e os adultos jovens apresentaram correlação positiva entre os escores de ansiedade e os de compulsão alimentar (p=0,0011) e qualidade do sono (p=0,0081). Adultos com 45 anos ou mais apresentaram relação inversa da idade com a ansiedade (p=0,0003). Conclusão: A amostra geral e adultos jovens que apresentaram maior estado de ansiedade tinham maiores índices de compulsão alimentar e pior qualidade do sono. Contrariamente, nos adultos de meia-idade, quanto maior a idade, menor o escore de ansiedade. Registro Brasileiro de Ensaios Clínicos: n° RBR-47kfxh

RESUMEN Objetivo: Analizar la relación entre la ansiedad y la compulsión por comer y la calidad del sueño en adultos con sobrepeso u obesidad. Método: Estudio transversal, realizado entre mayo de 2015 y enero de 2017, con una muestra intencional compuesta por individuos de ambos sexos, alfabetizados, de edades comprendidas entre 20 y 59 años, con un índice de masa corporal mayor o igual a 25 kg/m2. Se utilizaron el Cuestionario de Ansiedad Estado Rasgo, la Escala de Atracón y el Índice de Calidad de Sueño de Pittsburgh. En el análisis de los datos se adoptó el coeficiente de correlación de Pearson o Spearman, según su distribución. Resultados: La muestra constaba de 130 individuos. La muestra general y los adultos jóvenes presentaron una correlación positiva entre las puntuaciones en ansiedad y compulsión por la comida (p=0,0011) y de la calidad del sueño (p=0,0081). En los adultos de 45 años o más se verificó una relación inversa entre la edad y la ansiedad (p=0,0003). Conclusión: La muestra general y los adultos jóvenes con mayor estado de ansiedad tenían mayores puntuaciones en compulsión por la comida y peor calidad del sueño. Por el contrario, en los adultos de mediana edad, cuanto mayor era la edad, menor era la puntuación en ansiedad. Registro Brasileño de Ensayos Clínicos: n° RBR-47kfxh

ABSTRACT Objective: To analyze the relationship of anxiety to binge eating and sleep quality in overweight or obese adults. Method: Transversal study, conducted between May 2015 and January 2017, with an intentional sample composed of literate individuals of both sexes, aged 20 to 59 years, who presented body mass index higher or equal to 25 kg/m2. State-Trait Anxiety Inventory, Binge Eating Scale, and Pittsburgh Sleep Quality Index were employed. Pearson or Spearman correlation coefficient was adopted for data analysis, according to its distribution. Results: The sample comprised 130 individuals. The overall and young adults' samples presented a positive correlation between anxiety and binge eating scores (p=0.0011) and sleep quality score (p=0.0081). Adults who were 45 or older presented an inverse relation between age and anxiety (p=0.0003). Conclusion: The overall sample and young adults who presented higher anxiety state had higher indexes of binge eating and a worse sleep quality, whereas for middle-aged adults, higher age was related to a lower anxiety score. Brazilian Registry of Clinical Trials (Registro Brasileiro de Ensaios Clínicos): n° RBR-47kfxh

Aromaterapia para a ansiedade e estresse de professores de enfermagem / Aromatherapy for anxiety and stress of nursing teachers

Objetivo: investigar a efetividade do uso da aromaterapia com os óleos essenciais de lavanda (Lavandula angustifolia) ou ylang-ylang (Cananga odorata), associada à massagem, para o alívio da ansiedade e do estresse. Método: trata-se de um estudo quantitativo, exploratório-descritivo e correlacional com delineamento quase-experimental do tipo antes e depois. Realizou-se uma intervenção com seis sessões de massagem com aromaterapia com 21 professores de enfermagem verificado por meio de parâmetros psicológicos e biofisiológicos, antes e após cada sessão da intervenção. Aplicaram-se, no início e ao término da intervenção, o Inventário de Ansiedade Traço-Estado e a Lista de Sintomas de Stress. Analisaram-se os resultados com o Teste t de Student, considerando p-valor<0,05, e organizaram-se tabelas que os ilustram. Resultados: verificou-se que a pressão arterial apresentou redução efetiva em algumas sessões de aromaterapia. Observou-se que o estresse obteve redução de maior magnitude quando comparado à ansiedade e o grupo que utilizou ylang-ylang, maior redução da ansiedade que o grupo lavanda. Conclusão: demonstra-se efetividade parcial da aromaterapia associada à massagem, utilizando óleos essenciais de lavanda ou ylang-ylang em relação aos parâmetros biofisiológicos.(AU)

Objective: to investigate the effectiveness of the use of aromatherapy with essential oils of lavender (Lavandula angustifolia) or ylang-ylang (Cananga odorata), associated with massage, for the relief of anxiety and stress. Method: this is a quantitative study, exploratory-descriptive and correlational with quasi-experimental design of type before and after. We performed a chart with six sessions of massage with aromatherapy with 21 teachers of nursing checked by means of psychological parameters and biophysiological, before and after each session of the intervention. There were applied, at the beginning and at the end of the intervention, the State-Trait Anxiety Inventory and the List of Symptoms of Stress. The results were analyzed with the Student t test, whereas p-value<0.05, and organized tables that illustrate them. Results: there was found that blood pressure presented effective reduction in some aromatherapy sessions. There was observed that the stress obtained reduction of greater magnitude when compared to anxiety and the group that used ylang-ylang, a greater reduction of anxiety then the group lavender. Conclusion: it is demonstrated partial effectiveness of aromatherapy associated with massage, using essential oils of lavender or ylangylang, in relation to the biophysiological parameters.(AU)

Objetivo: investigar la eficacia del uso de la aromaterapia con óleos esenciales de lavanda (Lavandula angustifolia) o ylang-ylang (Cananga odorata), asociado con el masaje, para el alivio de la ansiedad y el estrés. Método: se trata de un estudio cuantitativo del tipo exploratorio-descriptivo y correlacional, con diseño cuasi-experimental del tipo antes y después. Hemos realizado un gráfico con seis sesiones de masaje con aromaterapia con 21 maestros de enfermería verificados por medio de parámetros psicológicos y biofisiológicos, antes y después de cada período de sesiones de la intervención. Aplica si, al comienzo y al final de la intervención, el State-Trait Anxiety Inventory y la lista de síntomas de estrés. Los resultados se analizaron con la prueba t de Student, mientras que el valor de p<0.05 y organizaron tablas que ilústrenlas. Resultados: se encontró que la presión arterial presentó una reducción eficaz en algunas sesiones de aromaterapia. Se observó que el estrés obtenido reducción de mayor magnitud en comparación con ansiedad y el grupo que usó ylang-ylang, una mayor reducción de la ansiedad que el grupo de lavanda. Conclusión: se demostró la eficacia parcial de la aromaterapia asociados con el masaje con aceites esenciales de lavanda o ylang-ylang, en relación con los parámetros biofisiológicos.(AU)

Compreensão de pacientes às orientações de enfermagem no cateterismo cardíaco: uma pesquisa qualitativa / Comprensión de pacientes de las indicaciones de enfermería sobre cateterismo cardíaco: una investigación cualitativa / Patients' understanding of nursing instructions in cardiac catheterism: a qualitative study

RESUMO Objetivo: compreender o conhecimento dos pacientes sobre o procedimento do cateterismo cardíaco a fim de elaborar orientações de enfermagem no pré-exame. Métodos: pesquisa qualitativa com 31 pacientes adultos de um hospital de ensino do interior do estado de São Paulo, realizada no primeiro semestre de 2015. Os dados foram coletados mediante entrevista semiestruturada e analisados pelo método de Análise de Conteúdo. Resultados: dos discursos emergiram três categorias: Compreensão dos sinais e sintomas que levaram à necessidade de realização do cateterismo cardíaco, Assimilação parcial das informações recebidas na forma escrita pelos pacientes, e Desconhecimento sobre o procedimento de cateterismo cardíaco realizado. Os resultados apontam para pacientes que recebem orientações insuficientes para a compreensão de procedimento tão complexo. Conclusão: o planejamento adequado de orientações em saúde, ao ser construído e colocado em prática, esclarece e fortalece os indivíduos para a promoção da saúde e promove o reconhecimento das ações de enfermagem.

RESUMEN: Objetivo: Comprender el conocimiento del paciente sobre el procedimiento de cateterismo cardíaco, a efectos de elaborar indicaciones de enfermería previas al estudio. Métodos: Investigación cualitativa con 31 pacientes adultos de un hospital de enseñanza del interior del estado de São Paulo, realizada en el primer semestre de 2015. Datos recolectados mediante entrevista semiestructurada, estudiados según Análisis de Contenido. Resultados: Surgieron tres categorías de los discursos: Comprensión de señales y síntomas que determinaron la necesidad de realizar un cateterismo cardíaco, Asimilación parcial de la información escrita recibida por los pacientes, y Desconocimiento del procedimiento de cateterismo cardíaco realizado. Los resultados demuestran que los pacientes reciben indicaciones insuficientes para comprender un proceso tan complejo. Conclusión: La planificación adecuada de indicaciones de salud, al elaborarse y ponerse en práctica, brinda claridad y fortaleza a los individuos en la promoción de salud, y promueve el reconocimiento de las acciones de enfermería.

ABSTRACT Objective: To understand patients' knowledge about the cardiac catheterization procedure in order to elaborate pre-catheterization nursing instructions. Methods: Qualitative study with 31 adult patients from a teaching hospital in the inland of the state of São Paulo, conducted in the first half of 2015. Data was collected through semi-structured interviews and analyzed with the use of Content Analysis. Results: Three categories emerged from the statements, as follows: Understanding of the signs and symptoms that led to the need to perform cardiac catheterization; Partial assimilation of written information received by the patients, and Ignorance of the cardiac catheterization procedure performed. Conclusion: The construction and implementation of adequate planning of health instructions clarifies the doubts of the individuals, so that they are more prepared to make sound decisions regarding their health, and promotes the recognition of nursing actions.

Meanings of flower therapy for anxiety in people with overweight or obesity / Significados de la terapia floral para la ansiedad en personas con sobrepeso u obesidad / Significados da terapia floral para ansiedade em pessoas com sobrepeso ou obesidade

ABSTRACT Objective: To understand the experience from the perspective of the participant of a clinical research, which had as intervention the flower therapy for anxiety of individuals with overweight and obesity. Method: qualitative study, developed by semi-structured interview with 42 participants from a clinical research and data submitted to content analysis. Results: after analysis, five thematic categories emerged: seeking natural alternatives to aid in control of anxiety and obesity; perceiving the benefits of flower therapy in itself and in family and professional relationships; recognizing flower therapy as source of tranquility and self-knowledge; perceiving changes in sleep quality; acquiring self-control and guidance on food and relational needs. Final considerations: the participants showed the intention of seeking natural alternatives to aid the control of anxiety and obesity, employing complementary therapies to strengthen their health. Consequently, participants reported self-control in feeding and in family and professional relationships.

RESUMEN Objetivo: Comprender la experiencia desde la perspectiva del participante de una investigación clínica, que tuvo como intervención la terapia floral para ansiedad de individuos con sobrepeso y obesidad. Método: estudio cualitativo, desarrollado por entrevista semiestructurada con 42 participantes de una investigación clínica y datos sometidos al análisis de contenido. Resultados: después del análisis, surgieron cinco categorías temáticas: Buscando alternativas naturales para auxiliar en el control de la ansiedad y la obesidad; Percibiendo los beneficios de la terapia floral en sí mismo y en personas de las relaciones familiares y profesionales; Reconociendo la terapia floral como fuente de tranquilidad y autoconocimiento; Percibiendo cambios en la calidad del sueño; Adquiriendo autocontrol y direccionamiento en las necesidades alimentarias y relacionales. Consideraciones finales: los participantes revelan la intención de buscar alternativas naturales para auxiliar el control de la ansiedad y la obesidad, apropiándose de terapias complementarias para fortalecer su salud. Como consecuencia, los participantes relataron autocontrol en la alimentación y en las relaciones familiares y profesionales.

RESUMO Objetivo: Compreender a experiência sob a perspectiva do participante de uma pesquisa clínica, que teve como intervenção a terapia floral para ansiedade de indivíduos com sobrepeso e obesidade. Método: estudo qualitativo, desenvolvido por entrevista semiestruturada com 42 participantes de uma pesquisa clínica e dados submetidos à análise de conteúdo. Resultados: após análise, emergiram cinco categorias temáticas: Buscando alternativas naturais para auxiliar no controle da ansiedade e obesidade; Percebendo os benefícios da terapia floral em si mesmo e em pessoas das relações familiares e profissionais; Reconhecendo a terapia floral como fonte de tranquilidade e autoconhecimento; Percebendo mudanças na qualidade do sono; Adquirindo autocontrole e direcionamento nas necessidades alimentares e relacionais. Considerações finais: os participantes revelam a intenção de buscar alternativas naturais para auxiliar o controle da ansiedade e obesidade, apropriando-se de terapias complementares para fortalecer sua saúde. Como consequência, os participantes relataram autocontrole na alimentação e nas relações familiares e profissionais.