Prevalence of pressure injury and associated factors in hospitalized adult patients with cancer.

INTRODUCTION: Hospitalized cancer patients experience limitations in their daily activities resulting from the severity of their condition. Such changes alter patients' sensory perception and hinder their mobility, thus predisposing them to the development of PI. OBJECTIVE: The goal of this study was to analyze the prevalence of PI and associated factors in hospitalized cancer patients. MATERIALS AND METHODS: This observational, epidemiological, cross-sectional, descriptive study was carried out in the inpatient and ICU settings of an oncological hospital in São Paulo, Brazil. RESULTS: A total of 341 patients who met the inclusion criteria and agreed to participate in the study were interviewed and assessed. Data obtained in the interviews were analyzed for logistic regression analysis. Pressure injury prevalence was 10% (34 patients). The use of disposable diapers was significantly associated with the development of PI, with a 6.077 increased chance of PI in such patients in the ICU setting. In this epidemiologic study of 341 hospitalized cancer patients, the prevalence of PI was 10%. The use of disposable diapers was the only factor associated with the presence of PI after logistic regression analysis. CONCLUSION: Knowing the risk factors of this specific population was essential to implement actions and optimize indications of disposable diaper use. There is an absence of epidemiologic records due to limited publications available on the subject; creating a program to prevent PI development within the inpatient, assisted population.

Use of Oxidized Regenerated Cellulose/Collagen Matrix in Chronic Diabetic Foot Ulcers: A Systematic Review.

OBJECTIVE: Diabetic wounds that do not heal completely usually exhibit inflammatory markers, increased protease activity, and reduced levels of growth factors and cell count. A systematic review was performed to determine whether there is enough evidence to support the use of an oxidized regenerated cellulose/collagen matrix (ORC+C) to treat diabetic foot ulcers (DFUs). METHODS: Study authors analyzed randomized controlled trials (RCTs) on ORC+C dressings for the treatment of DFUs. A literature search was conducted for all available reports of relevant studies published in journals indexed in PubMed, LILACS, and SciELO databases. There were no restrictions based on date of publication. A population-intervention-comparison-outcome framework was built on MeSH terms and keywords. Two independent researchers analyzed all articles for data collection and used the Cochrane Collaboration tool for risk-of-bias assessment. RESULTS: At first, 316 related studies were located in the databases. After evaluating these studies for methodological similarities, only 3 were considered eligible for the review. One RCT was considered at high risk of bias. Results from this meta-analysis of 2 studies showed no significant improvement in wound healing rates of DFUs when ORC+C was compared with standard wound care. CONCLUSIONS: Because of several methodology flaws in the reviewed studies, these results suggest that there is currently no research evidence to suggest that the use of ORC+C improves wound healing rates of DFUs. Additional research with high-quality RCTs focused on diabetic ulcers is necessary.

Self-esteem of raped women.

This qualitative study shows the results of workshops held with health workers and public health users (raped women), aimed at raising these women's self-esteem and creating awareness among health workers who attend them. Neuro-Linguistic Programming techniques were used to bring back life experiences, which contributed to a re-reading and to minimize causal factors of low self-esteem. Themes like repugnance, fear and the fruit of rape; image and place; death; revenge; support and solidarity; domestic violence and bad care delivery to victims were addressed during the meetings. The stories were transcribed and analyzed, preserving content fidelity. Experiences lived at home and with loved and admired people, and mainly experiences resulting from the rape were responsible for the low self-esteem. The evaluations indicated the workshops as an opportunity to reflect, to return to normal life and to reconstruct self-esteem, for the raped women as well for the health workers who deliver care to them.

Self-esteem of raped women / Autoestima de las mujeres que sufrieron violencias / Auto-estima de mulheres que sofreram violência

This qualitative study shows the results of workshops held with health workers and public health users (raped women), aimed at raising these women's self-esteem and creating awareness among health workers who attend them. Neuro-Linguistic Programming techniques were used to bring back life experiences, which contributed to a re-reading and to minimize causal factors of low self-esteem. Themes like repugnance, fear and the fruit of rape; image and place; death; revenge; support and solidarity; domestic violence and bad care delivery to victims were addressed during the meetings. The stories were transcribed and analyzed, preserving content fidelity. Experiences lived at home and with loved and admired people, and mainly experiences resulting from the rape were responsible for the low self-esteem. The evaluations indicated the workshops as an opportunity to reflect, to return to normal life and to reconstruct self-esteem, for the raped women as well for the health workers who deliver care to them.

Este estudio cualitativo muestra resultados de oficinas de autoestima realizadas con usuarias (mujeres que sufrieron violencia sexual) y profesionales de instituciones de salud, con objeto de elevar la autoestima de esas mujeres y sensibilizar los profesionales que las asisten. Con las técnicas de la Programación Neurolinguística, surgieron experiencias vividas, favoreciendo nueva lectura y minimización de los factores causales de la baja autoestima. En los encuentros, fueron tratados temas como: asco, miedo y el fruto de la violación; imagen y local; muerte; venganza; apoyo y solidariedad; violación domestica y la mala atención a las victimas. Las historias fueron copiadas y analizadas, manteniendo la fidelidad del contenido. La responsabilidad por este problema de baja autoestima vino de experiencias negativas vividas en el hogar y con personas de nuestro circulo de afecto e admiración, principalmente las que surgieron con la violación. Las evaluaciones mostraron que las oficinas constituyen un medio de reflexión, retorno de la vida normal y reconstrucción de la autoestima, tanto para las victimas de violencia sexual como para los profesionales que las asisten.

Estudo qualitativo que mostra resultados de oficinas de auto-estima realizadas com usuárias (mulheres que foram violentadas sexualmente) e profissionais da área da saúde, com o objetivo de elevar a auto-estima dessas mulheres e sensibilizar os profissionais que as atendem. Foram utilizadas técnicas da PNL, que possibilitaram trazer à tona experiências vividas, contribuindo para uma releitura e minimização dos fatores causais da baixa auto-estima. Nas oficinas foram abordados temas como: o nojo, medo e fruto do estupro; imagem e local; morte; vingança; apoio e solidariedade; violência doméstica e o mau atendimento às vítimas. As histórias foram transcritas e analisadas, mantendo a fidelidade dos conteúdos. Responderam pela baixa auto-estima experiências vivenciadas no lar e junto a pessoas pelas quais se nutria afeição e admiração, e aquelas advindas principalmente da violência sofrida. As avaliações apontaram as oficinas como oportunidade de reflexão, retomada da vida normal e reconstrução da auto-estima, tanto para as vítimas da violência como para os profissionais da saúde que as atendem.

Auto-estima dos alunos de graduação de enfermagem / Self-steem of undergraduate students of nursing

Este estudo avalia a auto-estima dos alunos de Graduação em Enfermagem, que por meio da Oficina desenvolvem mecanismos para melhoria da auto-estima, acreditando ser a fase mais propícia para se tornarem multiplicadores das ações de saúde. Metodologia: foi realizado com 156 alunos do 3§ ano. Foram utilizadas técnicas do sociodrama, da neurolingüística e a avaliação foi elaborada segundo Minayo. Foi possível verificar que a auto-estima é normalmente confundida com a auto-imagem e estas são estereotipadas, em ambos os sexos. Por estar voltado e preocupado com o bem estar e a qualidade de vida do cliente/paciente, o profissional de enfermagem negligencia a si próprio. Neste caso, a Oficina, foi essencial para que os alunos pudessem resgatar maior conhecimento interior sobre si, e que para prestar assistência eficaz aos clientes/pacientes, devem estar saudáveis física e psicologicamente.

[Self-esteem of nursing undergraduate students]. / Auto-estima dos alunos de graduação de enfermagem.

UNLABELLED: This study evaluates the self-esteem of undergraduate students of nursing, that through a workshop developed mechanisms for improving their self-esteem, considering that this is the most propitious time for students to multiply health care actions. METHODOLOGY: the research was carried out with 156 undergraduate students of the third year. Socio-drama techniques of Neurolinguistics were used and the evaluation was done according to Minayo. It was possible to observe that students usually confuse self-esteem and self-image, and that both are stereotyped for for men and women. As nurses are always worried about the client/patient's life quality, they neglect themselves. In this case, the Workshops were essential for the students to rescue interior knowledge about themselves, and to realize that in order to take good care of clients/patients, they must be physically and psychologically healthy.