Clinical Characteristics and Outcomes among Vaccinated and Unvaccinated Patients with Cardiovascular Disease Who Were Hospitalized for COVID-19 in Brazil: Retrospective Cohort.

INTRODUCTION: COVID-19 in Brazil has already caused, and it still causes, several impacts on health, economy, and education. The risk factors for death involved those with cardiovascular diseases (CVD), which were prioritized for the vaccination of COVID-19. OBJECTIVE: To investigate the clinical characteristics and outcomes between vaccinated and unvaccinated patients with cardiovascular diseases hospitalized for COVID-19 in Brazil in the year 2022. METHODS: A retrospective cohort was analyzed from the year 2022, with cases being hospitalized by COVID-19 being drawn from SIVEP-GRIPE surveillance. We compared clinical characteristics, comorbidities, and outcomes between CVD carriers and non-carriers, and we also compared vaccinated with two doses vs. those that are unvaccinated in CVD carriers. We performed chi-square, odds ratio, logistic regression, and survival analysis. RESULTS: We included, in the cohort, 112,459 hospital inpatients. An amount of 71,661 (63.72%) of the hospitalized patients had CVD. Regarding deaths, 37,888 (33.69%) died. Regarding vaccination against COVID-19, 20,855 (18.54%) people were not vaccinated with any dose among those with CVD. Death p- < 0.001 (OR 1.307-CI 1.235-1.383) and fever p- < 0.001 (OR 1.156-CI 1.098-1.218) were associated with the unvaccinated CVD carriers, and diarrhea p-0.015 (OR 1.116-CI 1.022-1.218), dyspnea p-0.022 (OR 1.074-CI 1.011-1.142), and respiratory distress p-0.021 (OR 1.070-CI 1.011-1.134) were also recorded. Those patients who possessed predictors of death, including invasive ventilation (p- < 0.001 (OR 8.816-CI 8.313-9.350)), were admitted to the ICU p- < 0.001 (OR 1.754-CI 1.684-1.827), and some had respiratory distress p- < 0.001 (OR 1.367-CI 1.312-1.423), dyspnea p < 0.001 (OR 1.341-CI 1.284-1.400), O2 saturation < 95% p- < 0. 001 (OR 1.307-CI 1.254-1.363), they were unvaccinated against COVID-19 p- < 0.001 (OR 1.258-CI 1.200-1.319), they were of male sex p- < 0.001 (OR 1.179-CI 1.138-1.221), they had diarrhea p-0.018 (OR 1.081-CI 1.013-1.154), and they may have been old p < 0.001 (OR 1.034-CI 1.033-1.035). Survival was shorter for the unvaccinated p-0.003, and p- <0.001. CONCLUSIONS: We highlight the predictors of death for those unvaccinated against COVID-19 in this research, and we evidenced the benefits of the COVID-19 vaccine in reducing deaths in hospitalized CVD patients.

Characteristics and outcomes of severe COVID-19 in hospitalized patients with cardiovascular diseases in the Amazonian region of Brazil: a retrospective cohort.

The northern region of Brazil is already vulnerable to other infectious diseases and it was no different in COVID-19. However, cardiovascular diseases still lead the causes of death. Thus, the objective of this study is to identify the clinical predictors and outcome of severe COVID-19 in hospitalized patients with and without CVD in this region of the Amazon. A retrospective cohort, referring to the notifications from January 1 to December 31, 2020, including cases confirmed by molecular testing. The study consisted of 9223 confirmed cases for COVID-19. Of these, 6011 (65.17%) did not have cardiovascular disease and 3212 (34.83%) had some cardiovascular disease. The significance of deaths was in the age group of < 1 to 59 CVD carriers (< 0.001). Predictor of mortality were invasive ventilation for patients with CVD, (OR 23,688 CI 18,180-30,866), followed by chronic kidney disease (OR 2442 CI 1568-3740), dyspnea (OR 2312 CI 1817-3941), respiratory distress (OR 1523 CI 1210-2919), cough (OR 1268 CI 1005-1599), Lower oxygen saturation 95% (OR 1281 CI 1039-1579), diabetes mellitus (OR 1267 CI 1050-1528) and age (OR 1051 CI 1044-1058). Carriers of CVD had a lower survival rate (< 0.0001). The order of the predictors of death differed among the non-carriers, as well as the high odds ratio in the predictors of CVD, only cough was an independent predictor. The age group under 59 years was associated with deaths. We also show the shorter survival in CVD carriers, as well as the higher cardiovascular morbidity rate than other studies in the literature.

Surveillance Quality Indicators Highlight the Need for Improving Tuberculosis Diagnostics and Monitoring in a Hyperendemic Area of the Brazilian Amazon Region.

The city of Ananindeua, State of Pará, Brazil, is a hyperendemic area for tuberculosis (TB). The present study describes the population characteristics and epidemiological indicators of TB cases from Ananindeua, from 2018 to 2020. The TB cases were screened from the Municipal Health Department of Ananindeua database, and the secondary data were obtained from the Brazilian Notifiable Diseases Information System (SINAN). A high percentage of cases did not undergo a rapid molecular test (74.9%) or culture (84.8%) for diagnosis of TB; a chest X-ray examination for diagnosis of TB was performed in 74.47% of new cases. The SINAN form data was incomplete on susceptibility test results (<0.01−92.7). Sputum smear microscopy for monitoring treatment was recorded in the follow-up form in 34.3% and after the 6th month in 61.1% of cases. The cure rate (60.31%) was below the recommendation by the Brazilian Ministry of Health. The quality indicators showed many weaknesses: (I) lack of availability of smear microscopy as a diagnostic test in a hyper-endemic area; (II) low availability of specific exams such as culture and rapid molecular test (RMT); (III) low adherence to smear microscopy to monitor the evolution of cases during treatment; (IV) absence of drug susceptibility test data; (V) failure to fill in essential variables for TB surveillance.

Socio-Epidemiological Features and Spatial Distribution of Malaria in an Area under Mining Activity in the Brazilian Amazon Region.

Malaria is an acute febrile infectious disease that represents an important public health problem in the Brazilian amazon region. The present study described the socio-epidemiological and spatial characteristics of malaria in a population from the Tapajós mining areas, Pará, Brazilian Amazon. A cross-sectional study, including individuals from Itaituba city, an area under mining activity influence, was conducted. The geographic coordinates were obtained in the field using the Global Positioning System (GPS) Garmin 78csx; for spatial analysis, we used the Kernel Density Estimator with the application of scanning statistics with the SaTScan software. Of the 908 individuals, 311 were positive for malaria. Most of the malaria cases were associated with male individuals, gold miners and with a monthly income of 4-6 salaries. Binary logistic regression analysis demonstrated that gold miners were nearly five times more likely to acquire malaria. In addition, a context of risk for sexually transmitted infections, substance abuse and poor support conditions was observed, worsening the healthcare scenario in this endemic area for malaria. The spatial distribution of malaria cases is irregular in the municipality with hotspot areas located in the Amana Flona that coincide with areas of illegal mining and high human mobility. Finally, the presented socio-epidemiological and spatial distribution data may aid in the development of more effective control measures for malaria in the area.

Risk factors associated with the severity of COVID-19 in a region of the Brazilian Amazon.

The Brazilian Northern region registered a high incidence of COVID-19 cases, particularly in the state of Pará. The present study investigated the risk factors associated with the severity of COVID-19 in a Brazilian Amazon region of 100,819 cases. An epidemiological, cross-sectional, analytical and demographic study, analyzing data on confirmed cases for COVID-19 available at the Brazilian Ministry of Health's surveillance platform, was conducted. Variables such as, municipalities of residence, age, gender, signs and symptoms, comorbidities were included and associated with COVID-19 cases and outcomes. The spatial distribution was performed using the ArcGIS program. A total of 100,819 cases were evaluated. Overall, patients had the mean age of 42.3 years, were female (51.2%) and with lethality reaching 4.79% of cases. Main symptoms included fever (66.5%), cough (61.9%) and sore throat (39.8%). Regarding comorbidities, most of the patients presented cardiovascular disease (5.1%) and diabetes (4.2%). Neurological disease increased risk of death by nearly 15 times, followed by obesity (5.16 times) and immunodeficiency (5.09 time). The municipalities with the highest incidence rate were Parauapebas, Canaã dos Carajás and Jacareacanga. Similarity between the Lower Amazon, Marajó and Southwest mesoregions of Pará state were observed concerning the highest morbidity rates. The obtained data demonstrated that the majority of cases occurred among young adults, females, with the classic influenza symptoms and chronic diseases. Finally, data suggest that the highest incidences were no longer in the metropolitan region of the state. The higher lethality rate than in Brazil may be associated with the greater impacts of the disease in this Amazonian population, or factors associated with fragile epidemiological surveillance in the notification of cases of cure.

Epidemiological and spatial profile of influenza syndrome confirmed for COVID-19 at the beginning of the pandemic in the state of Pará-Brazil / Perfil epidemiológico e espacial da síndrome gripal confirmada para COVID-19 no início da pandemia no estado do Pará-Brasil

Introduction: COVID-19 broke out in Wuhan in China in December 2019, soon reached pandemic level causing thousands of deaths worldwide. It presents mostly mild flu cases; however, it can evolve into a severe respiratory syndrome that is responsible for hospitalizations and deaths. Objective: To describe the epidemiological and spatial profile of confirmed cases of influenza-like syndrome (GB) by COVID-19 in the state of Pará. Method: Descriptive and ecological study, referring to cases of COVID-19 reported in the E-SUS VE. From the variables of the epidemiological profile, spatial distribution and temporal trend of the disease. Results: The spatial distribution showed that the concentration of cases is located in the southern municipalities of the state. In the profile variables: female gender (53.16%), age group (61.14%) 30 and 59 years, chronic heart disease represented (41.99%), diabetes (31.22%) and (16.30%) chronic respiratory diseases Health professionals infected (8%). Clinical features: fever (71.99%), cough (64.57%), and sore throat (46.78%). Confirmation criteria: rapid antibody test (84.39%), rapid antigen test (7.61%), and RT-PCR (7.48%). The temporal trend of the disease showed the peak of cases in the 20th epidemiological week. Conclusion: Mostly women, most frequent heart diseases and diabetes, confirmed by rapid test and classical symptoms of GS. A flattening of the curve was observed after the 21st week, possibly due to the lockdown intervention. However, it was shown the high number of cases on 07/07/2020 in several regions, specifically in municipalities of the southern region of the state.

Introdução: A COVID-19 surgiu em Wuhan na China em dezembro de 2019, logo alcançou o nível de pandemia causando milhares de mortes no mundo. Se apresenta em sua maioria casos gripais leves, entretanto pode evoluir para uma síndrome respiratória grave que é responsável pelas hospitalizações e óbitos. Objetivo: Descrever o perfil epidemiológico e espacial dos casos confirmados de Síndrome Gripal (SG) por COVID-19 no estado do Pará. Método: Estudo descritivo e ecológico, referente aos casos de COVID-19 notificados no E-SUS VE. A partir das variáveis do perfil epidemiológico, distribuição espacial e tendência temporal da doença. Resultados: A distribuição espacial mostrou que a concentração dos casos localiza-se nos municípios do Sul do estado. Nas viariáveis do perfil: sexo feminino (53,16%), faixa etária (61,14%) 30 e 59 anos, doenças cardíacas crônicas representou (41,99%), diabetes (31,22%) e (16,30%) doenças respiratórias crônicas Profissionais da saúde infectados (8%). Características clínicas: febre (71,99%),tosse (64,57%) e dor de garganta (46,78%). Critério de confirmação: teste rápido- anticorpo (84.39%), teste rápido antígeno (7.61%) e RT-PCR (7.48%). Na tendência temporal da doença evidenciou-se o pico de casos na 20º semana epidemiológica. Conclusão: A maioria mulheres, doenças cardíacas e diabetes mais evidentes, confirmados a maioria por teste rápido e sintomatologia clássica da SG. Observou-se o achatamento da curva após a 21º semana, possivelmente, por conta da intervenção lockdown. Entretanto mostrou-se a alta de casos na data de 07/07/2020 em diversas regiões, especificamente em municípios da região sul do estado.

First Insights into Clinical and Resistance Features of Infections by Klebsiella pneumoniae among Oncological Patients from a Referral Center in Amazon Region, Brazil.

Klebsiella pneumoniae appears as one of the most prevalent pathogens among cancer patients. The present study investigates the clinical, epidemiological and microbiological aspects related to infections caused by K. pneumoniae in cancer patients treated at an oncology referral center in the state of Pará, Amazon region, Brazil. Between July 2017 to July 2019, an epidemiological, observational, cross-sectional study, with a descriptive and analytical approach was conducted, including patients with confirmed diagnosis of cancer who acquired infection by K. pneumoniae 72 h after hospital admission. K. pneumoniae isolates included in the study were obtained from different clinical materials (blood, urine, catheter tip and bladder catheter, orotracheal secretions, oncological and surgical wounds). Antimicrobial susceptibility testing and molecular detection of the carbapenemase-encoding genes were performed. A high prevalence of MDR K. pneumoniae isolates was observed, including two colistin-resistant isolates and seven isolates harboring blaKPC-1 gene. To conclude, our findings provide the firsts insights into the epidemiology and infection by K. pneumoniae in the state of Pará, Brazil, and may be useful on treatment guidance and establishment of strategies to control the spread of resistance strains of K. pneumoniae in the region.

Satisfação do usuário como indicador de qualidade em uma estratégia saúde da família / User satisfaction as an indicator of quality in a family health strategy / La satisfacción del usuario como indicador de calidad en una estrategia de salud familiar

Objetivo: Descrever a satisfação dos usuários dos serviços de saúde de uma Estratégia Saúde da Família, de um município do estado do Pará. Método: Pesquisa de campo descritiva, com abordagem qualitativa. A coleta de dados se deu por meio de entrevista semiestruturada com 20 usuários homens e mulheres adultos, no mês de setembro de 2019. A análise de conteúdo seguiu orientação de Bardin. Resultados: Emergiram do estudo três categorias temáticas: Tema 1- A satisfação dos usuários com o acesso ao atendimento na unidade. Tema 2 - A Satisfação dos usuários com o atendimento terapêutico na unidade e o Tema 3 ­ A satisfação dos usuários com as relações interpessoais na unidade. Conclusão: Os usuários estão satisfeitos quanto acessibilidade e atendimento na unidade; que compreendem sobre seu problema de saúde e o que deve ser feito para seu controle; que as relações interpessoais são importantes para que se sintam bem acolhidos.(AU)

Objective: To describe the satisfaction of the users of the health services of a Family Health Strategy, of a municipality in the state of Pará. Method: Descriptive field research, with qualitative approach. Data were collected through a semi-structured interview with 20 adult male and female users in September 2019. The content analysis followed Bardin's guidance. Results: Three thematic categories emerged from the study: Theme 1- User satisfaction with access to care in the unit. Theme 2 - The satisfaction of users with the therapeutic care in the unit and Theme 3 - The satisfaction of users with interpersonal relations in the unit. Conclusion: Users are satisfied with accessibility and care in the unit; that they understand about their health problem and what should be done to control it; that interpersonal relationships are important for them to feel welcome.(AU)

Objetivo: Describir la satisfacción de los usuarios de los servicios de salud de una Estrategia de Salud Familiar, de un municipio del estado de Pará. Método: Investigación de campo descriptiva, con enfoque cualitativo. Los datos se reunieron mediante una entrevista semiestructurada con 20 usuarios adultos de ambos sexos en septiembre de 2019. El análisis del contenido siguió la orientación de Bardin. Resultados: Del estudio surgieron tres categorías temáticas: Tema 1- Satisfacción del usuario con el acceso a la atención en la unidad. Tema 2 - La satisfacción de los usuarios con la atención terapéutica en la unidad y Tema 3 - La satisfacción de los usuarios con las relaciones interpersonales en la unidad. Conclusión: Los usuarios están satisfechos con la accesibilidad y la atención en la unidad; que comprenden su problema de salud y lo que se debe hacer para controlarlo; que las relaciones interpersonales son importantes para que se sientan bienvenidos.(AU)

Risk Factors for Acute Renal Failure after Cardiac Catheterization Most Cited in the Literature: An Integrative Review.

Acute renal failure (ARF) represents 17% of the complications of cardiac catheterization (CC), with a high death rate and longer hospitalization time. The objective of this review is to describe the most cited risk factors for acute kidney failure in the literature. It is a descriptive and exploratory Integrative Literature Review (ILR) with a qualitative approach, using articles published in the Latin American and Caribbean Health Sciences Literature (LILACS) and PubMed databases between the years of 2009 and 2019 in English, Portuguese, and Spanish, including original articles, reviews, and case studies. The search was made using the following descriptors: cardiac catheterism, kidney diseases, risk factors, coronary catheterization, acute kidney injury, acute renal failure, and nephropathies. The organization and analysis of the data was through the application of a questionnaire that was structured by the authors, and the results are presented in a table. For the final sample, 10 articles were sought. The highlighted factors were being elderly, hypertensive, and diabetic; having previous kidney disease, hypotension, heart failure, higher contrast volumes, and types; the use of non-steroidal anti-inflammatory drugs associated to other risk factors; and atrial fibrillation. Atrial fibrillation was the main finding, which has recently been documented. The identification of risk factors provides health professionals with information to plan measures to prevent ARF, minimizing complications, length of stay, and mortality.

Percepciones de los estudiantes de enfermería sobre los tipos de prejuicios en el ejercicio de la profesión / Nursing students perceptions about typologies of prejudices in the exercise of the profession

Este artículo describe la percepción de los estudiantes de enfermería sobre los tipos de prejuicios experimentados con relación a la enfermería. METODOLOGÍA: Estudio exploratorio con un enfoque cualitativo, llevado a cabo en una institución de educación superior privada, en Belém-Pa (Brasil), de mayo a noviembre de 2019, a través de una entrevista semiestructurada, con muestreo de saturación, en un total de 30 participantes. Los datos se analizaron utilizando el método de Bardin. RESULTADOS: Se enumeraron cuatro categorías, a saber: 'Elección de la profesión', 'Tipos de prejuicio', 'Las causas y / o razones de los prejuicios experimentados en la profesión' y 'Las estrategias para hacer frente a los prejuicios. CONCLUSIÓN: Existe una necesidad urgente de abordar formas de combatir los prejuicios durante la licenciatura, teniendo en cuenta su prevalencia e impacto, para que las/os profesionales y estudiantes de enfermería tengan más seguridad y autonomía para desarrollar su trabajo con más motivación y entusiasmo

This article describes the perception of nursing students about the types of prejudices experienced in relation to nursing. METHODOLOGY: Exploratory study with a qualitative approach, carried out at a private higher education institution, in Belém-Pa (Brazil), from May to November 2019, through a semi-structured interview, with saturation sampling, in total of 30 participants. Data will be analyzed using the Bardin method. RESULTS: Four categories were listed, which are: 'Choice of profession', 'Types of prejudice', 'The causes and / or reasons of prejudice experienced in the profession' and 'Strategies for dealing with prejudice'. CONCLUSION: There is an urgent need to address ways to combat prejudice during undergraduate studies, taking into account its prevalence and impact, so that nursing professionals and students have more security and autonomy to carry out their work with more motivation and enthusiasm

As implicações da COVID-19 no sistema cardiovascular: prognóstico e intercorrências / Implications of COVID-19 on the cardiovascular system: prognosis and intercurrences

Objetivo: descrever as implicações da COVID-19 no sistema cardiovascular: prognósticos e intercorrências. Método: trata-se de uma revisão integrativa da literatura, realizada nas bases de dados, Science Direct, National Library of Medicine National Institutes of Health dos EUA (PUBMED), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Cochrane Collaboration e Medical Literature Analysis and Retrieval System Online (MEDLINE) com os descritores, Cardiovascular System; Cardiovascular Diseases; Coronary Disease, e a palavra-chave Covid-19. Incluíram-se estudos originais, relatos de casos, revisões sistemáticas na série temporal 2019-2020. Resultados: a busca resultou em 13 artigos, todos na língua inglesa, emergindo os pontos-chave: potencialização das complicações cardiovasculares pela infecção por COVID-19; aumento da mortalidade de origens cardiovasculares influenciadas pela infecção por COVID-19. Conclusão: o envolvimento do sistema cardiovascular no COVID-19 pode determinar a gravidade da doença, potencializado na presença de fatores de riscos cardiovasculares, repercutindo em complicações que necessitam de tratamento intensivo e morte. De maneira geral, todos os pacientes com COVID-19 são passíveis de ter comprometimento cardiológico, fato que pode depender de antecedentes mórbidos pessoais, resposta inflamatória e liberadores bioquímicos.

Objective: to describe the implications of COVID-19 in the cardiovascular system: prognosis and intercurrences. Method: This is an Integrative Literature Review, performed in the databases, Science direct, National Library of Medicine National Institutes of Health (PUBMED), Latin American and Caribbean Literature in Health Sciences (LILACS), Cochrane Collaboration and Medical Literature Analysis and Retrieval System Online (MEDLINE) with the descriptors, Cardiovascular system; Cardiovascular Diseases; Coronary Disease, and the keyword Covid-19. It included original studies, case reports, systematic reviews in the time series 2019-2020. Results: The search resulted in 13 articles, all in English language, emerging the key points, Potentiation of cardiovascular complications by COVID-19 infection; Increased mortality of cardiovascular origin influenced by COVID-19 infection. Conclusion: The involvement of the cardiovascular system in COVID-19 may determine the severity of the disease, potentiated in the presence of cardiovascular risk factors, resulting in complications that require intensive treatment and death. In general, all patients with COVID-19 are likely to have cardiological impairment, which may depend on personal morbid antecedents, inflammatory response and biochemical liberators.

O estágio curricular supervisionado em enfermagem sob a ótica dos concluintes do curso / The supervised internship in nursing, from the perspective of graduates of course / Las prácticas supervisadas de enfermería, bajo la óptica del concluintes del curso

Objetivo: Investigar as dificuldades e contribuições do estágio supervisionado sob a ótica dos estudantes de enfermagem de uma instituição privada do município de Belém-Pa. Método: Estudo de caráter exploratório, de campo com abordagem qualitativa. A coleta de dados, por meio de entrevista semiestruturada ocorreu no mês de maio de 2019. A análise de dados foi de conteúdo segundo Bardin. Resultados: Evidenciaram-se uma divergência equilibrada entre os participantes, sobre o estágio como lugar de aprendizagem, visto que ao pensar sobre esse aspecto os estudantes associam a aprendizagem, ao relacionar teoria com a prática clínica e a realização de procedimentos técnicos específicos das atividades de enfermagem. Os estudantes identificam as dificuldades e as suas consequências para seu aprendizado e a contribuição do estágio para sua formação profissional. Conclusão: O estágio supervisionado é o momento de se desenvolverem competências e habilidades de ser enfermeiro tanto no aspecto assistencial, quanto gerencial.(AU)

Objective: To investigate the difficulties and contributions of the supervised internship from the perspective of the nursing students of a private institution in the city of Belém-Pa. Method: Exploratory, field study with qualitative approach. Data collection through semi-structured interviews occurred in May 2019. Data analysis was based on Bardin's content. Results: A Balanced divergence was evidenced among the participants about the internship as A place of learning, since when thinking about this aspect, students associate learning, by linking theory with clinical practice and the realization of Specific Technical procedures of nursing activities. Students identify the difficulties and their consequences for their learning and the contribution of the internship to their professional training. Conclusion: The supervised internship is the moment to develop competencies and skills to be a nurse in both the care and managerial aspects.(AU)

Objetivo: Investigar las dificultades y aportaciones de la pasantía supervisada desde la perspectiva de los estudiantes de enfermería de una institución privada en la ciudad de Belém-Pa. Método: Exploratorio, estudio de campo con enfoque cualitativo. La recopilación de datos a través de entrevistas semiestructuradas se produjo en mayo de 2019. El análisis de datos se basó en el contenido de Bardin. Resultados: Se evidenizó una divergencia equilibrada entre los participantes sobre la pasantía como lugar de aprendizaje, ya que al pensar en este aspecto, los estudiantes asocian el aprendizaje, vinculando la teoría con la práctica clínica y la realización de Procedimientos técnicos específicos de las actividades de enfermería. Los estudiantes identifican las dificultades y sus consecuencias para su aprendizaje y la contribución de las prácticas a su formación profesional. Conclusión: La pasantía supervisada es el momento de desarrollar competencias y habilidades para ser enfermera tanto en el aspecto asistencial como en el de gestión.(AU)

Contribuições da enfermagem na potencialização do processo de adaptação ao paciente com doença renal crônica / Contributions of nursing in the potentialization of the process of adaptation to patients with chronic renal disease / Contribuciones de la enfermería en la potencialización del proceso de adaptación a pacientes con enfermedad renal crónica

Objetivo: Identificar as ações assistenciais-educativas da enfermagem ao paciente com Doença Renal Crônica em uso de hemodiálise e como estas tem contribuído no processo de adaptação do paciente. Método: Trata-se de revisão integrativa da literatura realizada nas bases de dados da Literatura Latino-Americana (LILACS) e National Library of Medicine National Institutes of Health dos EUA (PUBMED), sendo selecionada a amostra de 11 artigos. Resultados: Os artigos encontrados descrevem as contribuições das ações assistenciais-educativas de enfermagem aos pacientes com Doença Renal Crônica em necessidade de hemodiálise, no que tange ao seu processo de adaptação e integridade. Conclusão: As condutas de enfermagem com maior grau de mudança e condução de melhores resultados foram as ações educativas, com consequentes redução de risco, redução da progressão de lesão renal.(AU)

Objective: To identify nursing care-educational actions to the patient with chronic renal disease using hemodialysis and how this has contributed to the patient's adaptation process. Methods: It is an integrative review of the literature carried out in the Latin American Literature (LILACS) and National Library of Medicine (PUBMED) databases, with a sample of 11 articles selected. Results: The articles found describe the contributions of care-educational nursing actions to patients with Chronic Renal Disease in need of hemodialysis, regarding their process of adaptation and integrity. Conclusion: The nursing conducts with greater degree of change and conduction of better results were educational actions, with consequent reduction of risk, reduction of the progression of renal injury.(AU)

Objetivo: Identificar acciones de atención de enfermería y educación para el paciente con enfermedad renal crónica mediante hemodiálisis y cómo esto ha contribuido al proceso de adaptación del paciente. Metodos: Es una revisión integradora de la literatura realizada en las bases de datos de Literatura Latinoamericana (LILACS) y de la Biblioteca Nacional de Medicina (PUBMED), con una muestra de 11 artículos seleccionados. Resultados: Los artículos encontrados describen las contribuciones de las acciones de enfermería de cuidado y educación a pacientes con enfermedad renal crónica que necesitan hemodiálisis, en relación con su proceso de adaptación e integridad. Conclusión: Las conductas de enfermería con mayor grado de cambio y la conducción de mejores resultados fueron acciones educativas, con la consiguiente reducción del riesgo, reducción de la progresión de la lesión renal.(AU)

Promoção do aleitamento materno na assistência pré-natal pelo enfermeiro / Promotion of breastfeeding in pre-natal care by the nurse

Objetivo: realizar uma ação educativa sobre o aleitamento materno, para gestantes na sala de espera das consultas de pré-natal, em uma unidade municipal de saúde. Método: trata-se de um estudo descritivo, tipo relato de experiência. Refere-se a um jogo de perguntas aplicado a 15 gestantes, depois, ocorreu a discussão dos temas abordados. Resultados: percebeu-se que as gestantes ainda acreditam em muitos mitos que podem aumentar as chances de desmame precoce, baixo peso e adoecimento da criança, porém, estão cada vez mais informadas sobre a importância da amamentação, mas ainda precisam de orientações e atenção nesse momento da vida delas, pois ainda existem alguns mitos que prevalecem, podendo dificultar a adesão à amamentação exclusiva. Conclusão: tornam-se as ações em saúde relevantes, pois estimulam a troca de saberes entre profissionais e usuários e colaboram positivamente na promoção do aleitamento materno e no empoderamento dessas mulheres para a execução dessa prática. Desperta-se, nos acadêmicos, além disso, por meio de ações educativas em saúde, o lado educador inerente ao profissional enfermeiro.(AU)

Objective: to carry out an educational action on breastfeeding for pregnant women in the waiting room for prenatal consultations in a municipal health unit. Method: it is a descriptive study, type of experience report. Refers to a game of questions applied to 15 pregnant women, after which the discussion of the topics discussed took place. Results: pregnant women still believe in many myths that may increase their chances of early weaning, low weight and illness, but they are increasingly informed about the importance of breastfeeding, but they still need guidance and attention. of their lives, as there are still some myths that prevail, which may make adherence to exclusive breastfeeding difficult. Conclusion: relevant health actions become important, since they stimulate the exchange of knowledge between professionals and users and collaborate positively in the promotion of breastfeeding and in the empowerment of these women to carry out this practice. In the academics, moreover, the educational side inherent to the nurse professional is awakened through educational actions in health.(AU)

Objetivo: realizar una acción educativa sobre lactancia materna, para gestantes en la sala de espera de consultas prenatales, en una unidad municipal de salud. Método: se trata de un estudio descriptivo, tipo relato de experiencia. Se refiere a un juego de preguntas aplicado a 15 gestantes, enseguida, ocurrió una discusión de os temas abordados. Resultados: se percibió que las gestantes todavía creen en muchos mitos que pueden aumentar las chances de destete precoz, bajo peso y enfermedad del niño, sin embargo, están cada vez más informadas sobre la importancia del amamantamiento, pero todavía necesitan de orientaciones y atención en este momento de sus vidas, pues aún existen algunos mitos que prevalecen, pudiendo dificultar la adhesión al amamantamiento exclusivo. Concusión: se convierten las acciones en salud relevantes, pues estimulan el cambio de saberes entre profesionales y usuarios y colaboran positivamente en la promoción de la lactancia materna y en el empoderamiento de esas mujeres para la ejecución de esta práctica. Se despierta, en los académicos, además de eso, por medio de acciones educativas en salud, el lado educador inherente al profesional enfermero. (AU)

Perfil clínico e epidemiológico no primeiro ano de vida* / Clinical and epidemiological profile in the first year of life

Objetivo: conhecer o perfil clínico e epidemiológico da saúde infantil durante o primeiro ano de vida. Método: trata-se de um estudo quantitativo, descritivo, transversal e analítico, com a análise de 61 prontuários de crianças, de ambos os sexos, residentes na área da Estratégia de Saúde da Família. Analisaram-se os dados por estatística descritiva. Resultados: constatou-se que 57% das crianças atendidas eram do sexo feminino e 43%, do sexo masculino; 24% das crianças realizaram aleitamento materno exclusivo, enquanto 29% incluíram alimentação suplementar antes do 6º mês de vida; observou-se que 12,12% das crianças tiveram a primeira consulta em até quinze dias de vida. Conclusão: concluiu-se que as manifestações clínicas mais prevalentes na população menor de um ano são contribuintes para um possível direcionamento do planejamento estratégico. Fornecem-se, pelo perfil epidemiológico, contribuições para o profissional enfermeiro desenvolver ações que evidenciem a importância do aleitamento materno exclusivo e, consequentemente, a redução dos casos de diarreia nessa população.(AU)

Objective: to know the clinical and epidemiological profile of child health during the first year of life. Method: this is a quantitative, descriptive, cross-sectional and analytical study, analyzing 61 medical records of children of both sexes, residing in the Family Health Strategy area. Data was analyzed by descriptive statistics. Results: it was found that 57% of the children attended were female and 43% male; 24% of children were exclusively breastfed, while 29% included supplementary feeding before the 6th month of life; it was observed that 12.12% of the children had their first consultation within fifteen days of life. Conclusion: It was concluded that the most prevalent clinical manifestations in the population younger than one year contribute to a possible direction of strategic planning. Through the epidemiological profile, contributions are provided to the professional nurse to develop actions that highlight the importance of exclusive breastfeeding and, consequently, the reduction of diarrhea cases in this population.(AU)

Objetivo: conocer el perfil clínico y epidemiológico de la salud infantil durante el primer año de vida. Método: este es un estudio cuantitativo, descriptivo, transversal y analítico, que analiza 61 registros médicos de niños de ambos sexos, que residen en el área de la Estrategia de Salud Familiar. Los datos fueron analizados por estadística descriptiva. Resultados: se comprobó que el 57% de los niños atendidos eran mujeres y el 43% hombres; el 24% de los niños fueron amamantados exclusivamente, mientras que el 29% incluyó alimentación suplementaria antes del sexto mes de vida; se observó que el 12,12% de los niños tuvieron su primera consulta dentro de los quince días de vida. Conclusión: se concluyó que las manifestaciones clínicas más prevalentes en la población menor de un año contribuyen a una posible dirección de planificación estratégica. A través del perfil epidemiológico, se proporcionan contribuciones al enfermero profesional para desarrollar acciones que resalten la importancia de la lactancia materna exclusiva y, en consecuencia, la reducción de los casos de diarrea en esta población.(AU)