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1.
Rev. Rol enferm ; 43(1,supl): 374-379, ene. 2020. tab
Artigo em Inglês | IBECS-Express | IBECS | ID: ibc-ET1-5084

RESUMO

Introduction: Trauma is an important cause of death among young people and 30-40% of this mortality rate is due to hypovolemic shock, intensified by trauma's lethal triad: Hypothermia, Acidosis, and Coagulopathy. Nurses are responsible for managing fluid therapy administration in trauma victims. The purpose of this study is to analyse the reasons why intravenous fluid therapy is recommended for trauma patients' hemodynamic stabilization. Methods: This narrative literature review included published and unpublished studies in English, Spanish or Portuguese between 1994 and January 2019. The search results were analyzed by two independent reviewers. Inclusion criteria encompasses quantitative studies involving trauma victims aged over 18 who underwent fluid therapy in a prehospital assessment context. Results and Discussion: 11 quantitative studies were included. 9 involved the use of fluid therapy for hypotension treatment and 2 of the studies analyzed involved the use of warmed fluid therapy for hypothermia treatment. The analysis performed reveals that the administration of aggressive fluid therapy seems to be responsible for the worsening of the lethal triad. In the presence of traumatic brain injury, permissive hypotension is not allowed due to the negative impact on cerebral perfusion pressure. Used as warming measure, warmed fluid therapy does not seem to have a significant impact on body temperature. Conclusions: There is no consensus regarding the administration of fluid therapy to trauma patients. This conclusion clearly supports the need to develop more randomized controlled trials in order to understand the effectiveness of such measure when it comes to control hypovolemia and hypothermia


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2.
Referência ; serV(1): 19097-19097, jan. 2020. tab
Artigo em Português | BDENF - Enfermagem | ID: biblio-1115141

RESUMO

Contexto: Crónica e potencialmente incapacitante, com uma baixa qualidade de vida descrita, a artrite reumatoide (AR) afeta 0,5% da população adulta mundial. As intervenções de telemedicina apresentam-se como uma medida que melhora os cuidados de saúde, reduzindo os custos e o impacto da doença. Objetivo: Avaliar a efetividade das intervenções de telemedicina no autocuidado, gestão da dor e da fadiga, literacia e qualidade de vida, nas pessoas com AR. Método de revisão: Será utilizada a metodologia do Joanna Briggs Institute para revisões umbrella. A localização, seleção e extração dos estudos será realizada por dois revisores independentes. Apresentação e interpretação dos resultados: Pretende-se obter dados sobre a efetividade das intervenções de telemedicina no impacto da AR nas pessoas, contribuindo para a divulgação da melhor evidência disponível. Conclusão: O protocolo estabelecido possibilita uma execução precisa por parte de todos os investigadores, contribuindo para o planeamento de intervenções de enfermagem que minorizem o impacto da AR nos autocuidados, gestão da dor e da fadiga, literacia em saúde e qualidade de vida.


Context: Rheumatoid arthritis (RA) is a chronic and potentially disabling disease associated with a poor quality of life that affects 0.5% of the adult population worldwide. Telemedicine interventions are a measure for improving health care, reducing the costs and the impact of the disease. Objective: To assess the effectiveness of telemedicine interventions in improving the self-care, pain and fatigue management, health literacy, and quality of life of people with RA. Method of review: The Joanna Briggs Institute methodology for umbrella reviews will be used. Two independent reviewers will identify, select, and extract the studies. Presentation and interpretation of results: The aim is to obtain data on the effectiveness of telemedicine interventions in the impact of RA on people, contributing to the dissemination of the best available evidence. Conclusion: This protocol will contribute to an effective planning of nursing interventions that minimize the impact of RA on self-care, pain and fatigue management, health literacy, and quality of life.


Marco contextual: Crónica y potencialmente discapacitante, con una baja calidad de vida descrita, la artritis reumatoide (AR) afecta al 0,5% de la población adulta mundial. Las intervenciones de telemedicina se presentan como una medida que mejora la atención de la salud, reduciendo así los costes y el impacto de la enfermedad. Objetivo: Evaluar la efectividad de las intervenciones de telemedicina en el autocuidado, manejo del dolor y fatiga, la alfabetización y la calidad de vida en personas con AR. Método de revisión: La metodología del Instituto Joanna Briggs se utilizará para las revisiones umbrella. La ubicación, selección y extracción de los estudios será realizada por dos revisores independientes. Presentación e interpretación de los resultados: El objetivo es obtener datos sobre la eficacia de las intervenciones de telemedicina en el impacto de la AR en las personas, contribuyendo así a la difusión de las mejores pruebas disponibles. Conclusión: El protocolo establecido permite una ejecución precisa por parte de todos los investigadores, lo que contribuye a la planificación de intervenciones de enfermería que minimicen el impacto de la AR en el autocuidado, la gestión del dolor y la fatiga, la alfabetización en la salud y la calidad de vida.


Assuntos
Artrite Reumatoide , Qualidade de Vida , Autocuidado , Educação em Saúde , Telemedicina
3.
Artigo em Português | LILACS-Express | LILACS | ID: biblio-1088510

RESUMO

Resumo Objetivo Caracterizar a auto-perceção de resiliência das crianças e adolescentes; analisar as diferenças na perceção dos pais e sua relação com algumas variáveis de contexto sociodemográfico. Métodos Estudo transversal realizado no âmbito do Projeto MaiSaúdeMental, numa amostra não probabilística de conveniência de 567 crianças e adolescentes, 50,6% do sexo feminino, idade entre 9-17 anos (média= 12,40; Dp= 1,59 anos) de escolas do ensino básico da região centro de Portugal e 592 pais (média idade= 40,43 anos; Dp= 2,58 anos). Utilizou-se um questionário de caracterização sociodemográfica e a subescala Internal Assets do Healthy Kids Resilience Assessment Module (versão 6.0), adaptada à população Portuguesa por Martins (2005), composta por 18 itens e seis dimensões. Resultados Das crianças / adolescentes 78,8% moravam com os pais. Dos progenitores a maioria tinha entre 40 e 41 anos. A resiliência foi classificada como moderada por 47,8%, das crianças / adolescentes, numa distribuição idêntica pelos pais. O test-t mostrou que as crianças têm uma auto-percepção mais positiva de resiliência, face à percepção dos pais, com diferenças significativas em todas as dimensões (p <0,000). Os pais mais jovens têm uma perceção mais positiva da resiliência dos filhos, mas apenas significativa na empatia (p = 0,036) e resolução de problemas (p = 0,001). A resiliência diminuiu significativamente com o aumento da idade e escolaridade e foi mais elevada em crianças que vivem com os pais. Conclusão Os resultados do estudo evidenciam diferenças entre a perceção de resiliência nas crianças e pais, sendo esta influenciada por características sociodemográficas.


Resumen Objetivo Caracterizar la autopercepción de resiliencia de los niños y adolescentes; analizar las diferencias en la percepción de los padres y su relación con algunas variables de contexto sociodemográfico. Métodos Estudio transversal realizado en el ámbito del Proyecto "MaiSaúdeMental" (Más Salud Mental), en un muestreo no probabilístico de conveniencia de 567 niños y adolescentes, 50,6% de sexo femenino, edad entre 9 y 17 años (promedio= 12,40; Dp= 1,59 años) de escuelas primarias de la región centro de Portugal y 592 padres (edad promedio= 40,43 años; Dp= 2,58 años). Se utilizó un cuestionario de caracterización sociodemográfica y la subescala Internal Assets del Healthy Kids Resilience Assessment Module (versión 6.0), adaptada a la población portuguesa por Martins (2005), compuesta por 18 ítems y 6 dimensiones. Resultados De los niños/adolescentes, 78,8% vivían con los padres. De los progenitores, la mayoría tenía entre 40 y 41 años. La resiliencia fue clasificada como moderada por el 47,8% de los niños/adolescentes, en una distribución idéntica por los padres. El test-T mostró que los niños tienen una autopercepción más positiva de resiliencia, frente a la percepción de los padres, con diferencias significativas en todas las dimensiones (p<0,000). Los padres más jóvenes tienen una percepción más positiva de la resiliencia de los hijos, pero poco significativa en la empatía (p=0,036) y resolución de problemas (p=0,001). La resiliencia se redujo significativamente con el aumento de la edad y escolaridad y fue más elevada en niños que viven con los padres. Conclusión Los resultados del estudio dejan en evidencia diferencias entre la percepción de resiliencia en los niños y padres, de modo que está influenciada por características sociodemográficas.


Abstract Objective To characterize self-perception of resilience in children and adolescents, and to analyze how this self-perception differs from the perception of their parents in correlation with sociodemographic variables. Methods This was a cross-sectional study conducted as part of the MAISaúdeMental (More Mental Health) project with a nonprobability convenience sample including 567 children and adolescents, 50.6% of whom were females aged between 9 and 17 years old (mean = 12.40; SD = 1.59 years old) enrolled in basic education schools from Central Portugal, and 592 parents (mean age = 40.43 years old; SD = 2.58 years old). A questionnaire for sociodemographic characterization was used, along with the Healthy Kids Resilience Assessment Module (version 6.0) Internal Assets subscale, adapted to the Portuguese population by Martins (2005), composed of 18 items and 6 dimensions. Results Out of the total number of children/adolescents, 78.8% lived with their parents. Out of the total number of parents, most were between the ages of 40 and 41 years old. Resilience was classified as moderate by 47.8% of children/adolescents at an identical distribution in parents. The t-test showed children's self-perception of resilience to be more positive when compared to their parents with significant differences seen in all dimensions (p <0.000). Younger parents showed a more positive perception of their children's resilience, significant only for "empathy and respect" (0.036) and "problem-solving skills" (0.001). Resilience decreased significantly with age and higher education levels, and children living with their parents showed higher resilience. Conclusion Study results show differences between the perceptions of resilience in children and their parents, which are influenced by sociodemographic characteristics.

4.
Acta Paul. Enferm. (Online) ; 33: eAPE20190256, 2020. tab
Artigo em Português | LILACS-Express | LILACS, BDENF - Enfermagem | ID: biblio-1100871

RESUMO

Resumo Objetivo Avaliar o nível de conhecimentos dos agentes educativos sobre os fatores de risco para a saúde mental de crianças e adolescentes e analisar a sua associação com variáveis sociodemográficas. Métodos Estudo quantitativo, com recurso a uma amostra não probabilística de 136 agentes educativos (62,5% professores, 32,4% enfermeiros e 5,1% polícias), na sua maioria mulheres (70,6%) e média de idades de 48,34 anos. A colheita de dados, com recurso a um questionário de auto-preenchimento, realizou-se no ano lectivo de 2018 em quatro escolas do concelho de Viseu - Região centro de Portugal. Testes estatísticos utilizados: Qui-Quadrado e Análise de Regressão Múltipla. Resultados Na generalidade os agentes educativos revelaram possuir conhecimentos sobre os fatores de risco para a saúde mental, destacando-se 39,71% que chegam mesmo a evidenciar excelentes conhecimentos. Em termos comparativos, os enfermeiros são os que evidenciam melhores níveis de conhecimentos ( x̄ =15,546), seguindo-se os professores ( x̄ =13,318) e, por fim, os polícias ( x̄ =8,571), diferenças estas significativas (x2=14,725; p= 0,004). O estudo multivariado inferiu ser o género a única variável a se revelar preditora do nível de conhecimentos, explicando 11,5% da sua variabilidade (p=0,002), evidenciando as mulheres maior nível de conhecimentos. Já o efeito preditivo da variável categoria profissional (p=0,051) e tempo de experiência profissional (p=0,0179) não se revelou significativo. Conclusão O facto do género ter sido a única variável que se revelou preditiva do nível de conhecimentos, faz-nos ponderar da necessidade de se adoptarem estratégias diferenciadas em programas de formação, onde as características e vulnerabilidade dos dois sexos sejam salvaguardadas.


Resumen Objetivo Evaluar el nivel de conocimiento de los agentes educativos sobre los factores de riesgo para la salud mental de niños y adolescentes y analizar su relación con variables sociodemográficas. Métodos Estudio cuantitativo, con un muestreo no probabilístico de 136 agentes educativos (62,5% profesores, 32,4% enfermeros y 5,1% policías), en su mayoría mujeres (70,6%) y con un promedio de edad de 48,34 años. La recolección de datos se realizó mediante un cuestionario autocompletado, en el año lectivo 2018, en cuatro escuelas del concejo de Viseu, en la región centro de Portugal. Las pruebas estadísticas utilizadas fueron: prueba χ2 de Pearson y Análisis de Regresión Múltiple. Resultados En general, los agentes educativos revelaron tener conocimientos sobre los factores de riesgo para la salud mental, con un 39,71% que logró demostrar excelentes conocimientos. En términos comparativos, los enfermeros son los que demuestran mejores niveles de conocimiento ( x̄ =15,546), seguidos de los profesores ( x̄ =13,318) y por último los policías ( x̄ =8,571), diferencias estas significativas (x2=14,725; p= 0,004). Con el estudio multivariado se reveló que el género es la única variable que se mostró predictiva del nivel de conocimiento, que explica el 11,5% de su variabilidad (p=0,002) y demuestra mayor nivel de conocimiento en mujeres. Por otro lado, el efecto predictivo de la variable categoría profesional (p=0,051) y tiempo de experiencia profesional (p=0,0179) no demostró ser significativo. Conclusión El hecho de que el género haya sido la única variable que demostró ser predictiva del nivel de conocimiento nos hace considerar la necesidad de adoptar estrategias diferenciadas en programas de capacitación, en los que las características y vulnerabilidad de los dos sexos sean resguardadas.


Abstract Objective To assess the level of knowledge of education agents about risk factors for mental health in children and adolescents, and to analyze these factors connection with sociodemographic variables. Methods This was a quantitative study that used non-probabilistic sample of 136 education agents (62.5% professors, 32.4% nurses and 5.1% police officers). Most of participants were women (70.6%) with mean age of 48.34 years old. Data collection was performed through a self-completion questionnaire during 2018 academic year in four schools of the municipality of Viseu, Central Portugal. Statistical tests used were chi-square and multiple regression analysis. Results In general, education agents showed to have knowledge about risk factors for mental health, highlighting that 39.71% of them had excellent knowledge. In comparative terms, nurses showed better level of knowledge ( x̄ =15.546), followed by professors ( x̄ =13.318) and, police officers ( x̄ =8.571). Differences between participants were significant (x2=14.725; p= 0.004). The multivariate study demonstrated that gender was the only variable to prove to be a predictor of the level of knowledge, explaining the 11.5% of variability (p=0.002), and showing that women had a greater level of knowledge. The predictive effect of the variable professional category (p=0.051) and years of professional experience (p=0.0179) was not significant. Conclusion The fact that gender was the only variable that proved to be predictive of the level of knowledge led us consider the need of adopting differentiated strategies for training programs, in which the characteristics and vulnerability of both sexes should be protected.

5.
Referência ; serIV(23): 99-106, dez. 2019. tab
Artigo em Português | BDENF - Enfermagem | ID: biblio-1098636

RESUMO

Enquadramento: Reconhecer a violência e dar assistência às vítimas ou agressor são desafios para a enfermagem. Objetivos: Adaptar para o Brasil e verificar as propriedades psicométricas do Questionário de Conhecimento sobre Práticas de Enfermagem Forenses. Metodologia: Estudo metodológico, com graduandos de enfermagem, envolvendo adaptação idiomática e semântica e verificação das propriedades psicométricas (validação de construto convergente e divergente e fidedignidade). Resultados: A versão do questionário adaptada para o idioma do Brasil apresentou, na validação semântica geral, boa/muito boa aceitação (97,0%), alta relevância (56,0%) e fácil compreensão (83,0%). Na avaliação específica dos itens a relevância variou de 61 a 95%, o entendimento foi maior que 93,0% e a clareza maior que 90,0%. Nas medidas psicométricas, com 253 estudantes, obtiveram-se validades de construto convergente e divergente satisfatórias apenas para duas das subescalas e fidedignidade global satisfatória. Conclusão: A adaptação idiomática e semântica do questionário para o Brasil e a fidedignidade foram satisfatórias. Recomenda-se avaliar o conteúdo dos itens e a sua relação com os aspetos teóricos, o número de itens e reorganização da constelação das subescalas.


Background: Recognizing violence and providing assistance to victims or aggressors are challenges facing nursing. Objective: To adapt the Knowledge Questionnaire over Forensics Nursing Practices to Brazil and verify its psychometric properties. Methodology: Methodological study with nursing undergraduates, involving linguistic and semantic adaptation and analysis of the psychometric properties (convergent and divergent validity and reliability). Results: In its general semantic validation, the questionnaire version adapted to Brazilian Portuguese showed good/very good acceptance (97.0%), high relevance (56%), and easy comprehension (83.0%). In terms of item evaluation, the relevance ranged from 61 to 95.0% and its comprehension and clarity were higher than 93.0% and 90.0%, respectively. The analysis of the psychometric properties with 253 students showed that both convergent validity and divergent validity were satisfactory only for two subscales and that the overall reliability was satisfactory. Conclusion: The linguistic and semantic adaptation of the questionnaire to Brazilian Portuguese was satisfactory, as well as its reliability. It is recommended that the content of the items and their association with the theoretical aspects, the number of items, and the subscales' reorganization should be assessed.


Marco contextual: Reconocer la violencia y proporcionar asistencia a las víctimas o agresores son retos para la enfermería. Objetivos: Adaptar para Brasil y verificar las propiedades psicométricas del Cuestionario de Conocimientos sobre Prácticas de Enfermería Forense. Metodología: Estudio metodológico, con graduandos de enfermería, que comprende la adaptación idiomática y semántica, así como la verificación de las propiedades psicométricas (validez de constructo convergente y divergente y fiabilidad). Resultados: La versión del cuestionario adaptada al idioma de Brasil presentó, en la validación semántica general, buena/muy buena aceptación (97,0%), alta relevancia (56,0%) y fácil comprensión (83,0%). En la evaluación específica de los ítems la relevancia osciló entre el 61 y el 95%, la comprensión fue superior al 93,0% y la claridad superior al 90,0%. En las mediciones psicométricas, con 253 estudiantes, se obtuvo una validez de constructo convergente y divergente satisfactoria solo para dos de las subescalas, y una fiabilidad global satisfactoria. Conclusión: La adaptación idiomática y semántica del cuestionario para Brasil y la fiabilidad fueron satisfactorias. Se recomienda evaluar el contenido de los ítems y su relación con los aspectos teóricos, el número de ítems y la reorganización del conjunto de subescalas.


Assuntos
Violência , Estudo de Validação , Enfermagem Forense , Cuidados de Enfermagem
6.
Referência ; serIV(22): 51-61, set. 2019. ilus, tab
Artigo em Português | LILACS-Express | BDENF - Enfermagem, LILACS | ID: biblio-1098614

RESUMO

Enquadramento: A dor é gerida de forma ineficaz pelos enfermeiros, em parte pela inexistência de um instrumento capaz de medir e monitorizar esta prática. Objetivo: Avaliar as propriedades psicométricas da Escala de Práticas de Enfermagem na Gestão da Dor. Metodologia: Este estudo descritivo-correlacional avaliou a consistência interna através do alfa de Cronbach e a análise fatorial confirmatória através da matriz de covariâncias - algoritmo da máxima verosimilhança. Resultados: Foram incluídos 260 enfermeiros com uma média de 35,42 anos, sendo 78,5% mulheres. Após o refinamento da escala, a consistência interna global foi de a = 0,95 e por fatores de: Avaliação inicial a = 0,85; Planeamento a = 0,76; Execução de intervenções não farmacológicas a = 0,80; Ensino à pessoa com dor a = 0,89; Registo a = 0,76; Reavaliação a = 0,81, e Execução de intervenções farmacológicas a = 0,70. Os valores médios mais elevados dos scores globais são relativos às intervenções farmacológicas (3,13 ± 0,60). Conclusão: A escala é fiável e válida na avaliação das práticas de gestão da dor em enfermeiros portugueses. Os enfermeiros aplicam maioritariamente as intervenções farmacológicas para gerir a dor dos utentes.


Background: Pain is inefficiently managed by nurses in part due to the lack of tools capable of measuring and monitoring such practice. Objective: To assess the psychometric properties of the Nursing Care Scale for Pain Management. Methodology: This descriptive correlational study assessed internal consistency using Cronbach's alpha coefficient and confirmatory factor analysis using the covariance matrix - maximum likelihood algorithm. Results: The study involved 260 nurses with a mean age of 35.42 years, 78.5% of whom were women. After the refinement of the scale, the overall internal consistency was a = 0.95, and the score by factors was: initial assessment a = 0.85; Planning a = 0.76; Implementation of non-pharmacological interventions a = 0.80; Educating the person with pain a = 0.89; Registration a = 0.76; Reassessment a = 0.81, and Implementation of pharmacological interventions a = 0.70. The highest mean values of the overall scores are related to pharmacological interventions (3.13 ± 0.60). Conclusion: The scale is a reliable and valid tool for assessing the pain management practices of Portuguese nurses. Most nurses apply pharmacological interventions to manage the pain endured by patients.


Marco contextual: Los enfermeros gestionan de manera ineficaz el dolor, en parte debido a que no disponen de un instrumento capaz de medir y monitorear esta práctica. Objetivo: Evaluar las propiedades psicométricas de la escala de prácticas de enfermería en la gestión del dolor. Metodología: Este estudio descriptivo-correlacional evaluó la consistencia interna a través del alfa de Cronbach y el análisis factorial confirmatorio a través de la matriz de covarianza - algoritmo de máxima verosimilitud. Resultados: Se incluyeron 260 enfermeros con una edad media de 35,42 años, de los cuales el 78,5% eran mujeres. Tras el perfeccionamiento de la escala, la consistencia interna global fue a = 0,95 y por factores de: Evaluación inicial a = 0,85; Planificación a = 0,76; Ejecución de intervenciones no farmacológicas a = 0,80; Enseñanza a la persona con dolor a = 0,89; Registro a = 0,76; Reevaluación a = 0,81, y Ejecución de intervenciones farmacológicas a = 0,70. Los valores medios más altos de las puntuaciones globales están relacionados con las intervenciones farmacológicas (3,13 ± 0,60). Conclusión: La escala es fiable y válida en la evaluación de las prácticas de la gestión del dolor en enfermeros portugueses. La mayoría de los enfermeros aplican intervenciones farmacológicas para controlar el dolor en los pacientes.

7.
JBI Database System Rev Implement Rep ; 17(12): 2483-2490, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31290793

RESUMO

OBJECTIVE: This scoping review aims to map non-pharmacological interventions for reducing acute pain for adult victims of trauma. INTRODUCTION: Acute pain, as a consequence of either a pathological or traumatic event or even due to invasive and non-invasive healthcare procedures, is highly prevalent in critically ill patients. However, specific acute pain as a direct consequence of trauma is one of the least studied areas of acute pain. INCLUSION CRITERIA: This scoping review will consider studies on adult victims of trauma, aged 18 years or over, in prehospital emergency care, emergency departments and trauma centers. All studies that focus on non-pharmacological interventions designed to reduce acute pain, implemented and evaluated by health professionals in any form, duration, frequency and intensity, will be considered. METHODS: An initial search of PubMed and CINAHL will be undertaken, followed by a second search for published and unpublished studies from 2000 to the present in major healthcare related electronic databases. Studies in English, French, Spanish and Portuguese will be included. Data extraction will be performed independently by two reviewers in tabular form and include details about the interventions, populations, study methods and outcomes of interest. A narrative synthesis will accompany the results and will describe how they relate to the review objectives.

8.
Enferm. foco (Brasília) ; 10(4): 122-128, 2019. ilus
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1052818

RESUMO

Objetivo: Construir algoritmos de intervenção de enfermagem pré-hospitalar a vítimas de trauma. Metodologia: Revisão Narrativa da Literatura, entre 2008 e 2019, nas principais bases de dados. Dois revisores independentes realizaram a avaliação crítica, extração e síntese dos dados. A construção dos algoritmos resultou do processo interpretativo da revisão narrativa por três peritos na área. Utilizou-se o modelo teórico de Virgínia Henderson. Resultados: Obtiveram-se 17 documentos, seis foram incluídos no desenvolvimento dos metaparadigmas Saúde, Pessoa e Ambiente e 16 para a elaboração e construção de Algoritmos de avaliação, diagnóstico e intervenções de enfermagem às vítimas de trauma. Conclusões: A revisão possibilitou a operacionalização do modelo teórico de Henderson para a assistência pré-hospitalar permitindo a criação de algoritmos orientadores da prática de enfermagem. (AU)


Objective: To construct pre-hospital nursing intervention algorithms for trauma victims. Methodology: Literature Narrative Review, between 2008 and 2019, in the main databases. Two independent reviewers carried out the critical evaluation, extraction and synthesis of data. The construction of the algorithms resulted from the interpretive process of the narrative review by three experts. The theoretical model of Virginia Henderson was used. Results: Seventeen documents were obtained, six were included in the development of the metaparadigm Health, Person and Environment and 16 were included in the development and construction of assessment, diagnosis and nursing interventions algorithms for trauma victims. Conclusions: The review enabled the operationalization of Henderson's theoretical model for pre-hospital care, allowing the creation of algorithms to guide nursing practice. (AU)


Objetivo: Construir algoritmos de intervención de enfermería prehospitalaria para víctimas de traumatismos. Metodología: Revisión narrativa de literatura, entre 2008 y 2019, en las principales bases de datos. Dos revisores independientes realizaron la evaluación crítica, extracción y síntesis de los datos. La construcción de los algoritmos fue el resultado del proceso interpretativo de la revisión por parte de tres expertos. Se utilizó el modelo de Virginia Henderson. Resultados: Se obtuvieron diecisiete documentos, seis se incluyeron en el desarrollo de los metaparadigmas y 16 se incluyeron en el desarrollo y construcción de algoritmos de evaluación, diagnóstico e intervenciones de enfermería. Conclusiones: La revisión permitió la operacionalización del modelo de Henderson para la atención prehospitalaria, permitiendo la creación de algoritmos. (AU)


Assuntos
Enfermagem Baseada em Evidências , Ferimentos e Lesões , Teoria de Enfermagem , Assistência Pré-Hospitalar , Cuidados de Enfermagem
9.
Rev. Rol enferm ; 41(11/12,supl): 57-64, nov.-dic. 2018. tab, graf
Artigo em Inglês | IBECS | ID: ibc-179942

RESUMO

Background: Topical ozone has been recently used in the treatment of venous leg ulcers due to its immunological, antimicrobial and oxygenation properties, but its efficacy still lacks evidence. Objectives: To determine the effectiveness of topical ozone therapy in the healing rate, healing time reduction and in the decrease of bacterial load in venous leg ulcers. Methods: A systematic literature review with meta-analysis of studies published between January 2000 and November 2016 was carried out on PubMed, EBSCO, Scielo, and grey literature. The methodology proposed by Cochrane was followed. Critical appraisal, data extraction, and data synthesis were performed by two inde-pendent reviewers.results. Among 275 studies screened, three controlled trials (one of which rando-mized) were included, corresponding to a total of 133 participants. All these trials demonstrated that ozone therapy is more effective than conventional therapy in healing rate, as well as in reducing healing time and signs of infection (bacterial load). The meta-analysis confirmed the higher efficacy of ozone therapy in the healing rate (Odds Ratio = 7.28; CI 95% = 3.56 to 14.89; p < 0.001). For the other outcomes it was not possible to perform meta-analysis due to the use of different assessment methods. Conclusions: Topical ozone therapy may be a therapeutic option for the treatment of venous leg ulcers. However, more randomized and controlled studies are ne-eded to evaluate its efficacy in reducing healing time and bacterial load, as well as on the safety of this therapy. It is also important that these studies use uniform therapeutic and assessment methods


No disponible


Assuntos
Humanos , Úlcera Varicosa/terapia , Ozônio/administração & dosagem , Técnicas de Fechamento de Ferimentos/enfermagem , Cicatrização , Úlcera Varicosa/enfermagem , Administração Tópica , Resultado do Tratamento
10.
Rev. Rol enferm ; 41(11/12,supl): 73-78, nov.-dic. 2018. tab, graf
Artigo em Inglês | IBECS | ID: ibc-179944

RESUMO

Context: Compressive therapy, especially with short-stretch bandage (SSB), is re-commended in the treatment of varicose ulcers, with proved effectiveness in the healing rate or reduction of wound size. However, there is still insufficient evidence of the advantages of this type of therapy in terms of pain, quality of life (QoL) and cost of treatment. Objectives: To compare the effectiveness of SSB with other types of treatments (with or without compression) to improve pain, QoL and cost of the treatment of venous ulcers. Methodology: A systematic literature review (Cochrane methodology) was carried out on PubMed, EBSCO, Scielo, Google Academic, and grey literature. Only experi-mental or quasi-experimental studies, with adults with varicose ulcer were inclu-ded. Two independent reviewers performed critical appraisal, data extraction, and data synthesis. Results: Among 3133 hits screened, 4 randomized controlled trials (RCTs) were in-cluded, including a total of 977 patients. From these 4 trials: 2 analyzed the QoL, without significant differences between SSB and multiple layer compression; 2 showed a trend towards greater reduction of pain with SSB, but without statistically significant difference; 2 studies evaluated the cost of treatment, with contradictory results. It was not possible to perform a meta-analysis due to high heterogeneity. Conclusions: There is no evidence that SSB is more effective than other compression systems in terms of pain, QoL and cost of treatment in people with venous ulcers. More RCT's are needed, using uniform assessment tools, to allow for more robust conclusions, namely through meta-analysis


No disponible


Assuntos
Humanos , Úlcera Varicosa/terapia , Bandagens Compressivas , Manejo da Dor/métodos , Úlcera Varicosa/enfermagem , Avaliação de Custo-Efetividade , Qualidade de Vida , Perfil de Impacto da Doença
11.
Rev. Rol enferm ; 41(11/12,supl): 118-123, nov.-dic. 2018. tab
Artigo em Inglês | IBECS | ID: ibc-179951

RESUMO

Introduction and objective: The proactive involvement of health and education pro-fessionals with a focus on development transition groups is an important pillar for achieving the oral health goals for 2020 established by the World Health Organization and require reinforcement of actions for health promotion and prevention of oral diseases. Thus, it is justified to develop a program of oral health promotion in schools, such as ProSorriso (Costa, 2014), in order to evaluate the effectiveness of the Program. Methods: Quasi-experimental study, with measures' application before and after the implementation of the ProSorriso Program, in 200 adolescents, aged between 11-16 years (mean of 13.21±1.014 years). This Program is developed in three pha-ses: diagnosis, intervention and evaluation of the oral health of adolescents. The application of the Questionnaires of Eating Habits, Oral Hygiene and Oral Health Knowledge, as well as mouth observation according to WHO criteria (1997), occu-rred before and after participation in the program. Results: Adolescents improved their oral health after active participation in ProSo-rriso, presenting fewer decayed teeth and more filled teeth. Their dental plaque biofilm also improved with significant benefits for adolescents who benefited from the Program interventions (t = 7.389; p = .000). Adolescents' knowledge about oral health and nutrition enhanced significantly after participation in the ProSorriso Program (t = -6.510; p = .000); (t = 2.523; p = .012). Conclusions: Adolescents improved their health status, eating habits, hygiene and oral health knowledge, recognizing the effectiveness of the implementation of the ProSorriso Program as a determinant of adolescents present and future health


No disponible


Assuntos
Humanos , Masculino , Feminino , Adolescente , Saúde Bucal/estatística & dados numéricos , Diagnóstico Bucal/métodos , Índice de Higiene Oral , Comportamento Alimentar , Comportamento do Adolescente , Avaliação de Eficácia-Efetividade de Intervenções , Estilo de Vida Saudável , Hábitos , Conhecimentos, Atitudes e Prática em Saúde
12.
Rev. Rol enferm ; 41(11/12,supl): 144-147, nov.-dic. 2018. ilus, tab
Artigo em Inglês | IBECS | ID: ibc-179955

RESUMO

Introduction: Based on the inherent benchmark of mentoring and perceptoring, and conscious of the challenge of reducing the estimated school dropout rate of 12% for the Polytechnic Institute of Viseu (IPV), the main aim of the project Su-pervision and Mentoring in Higher Education: Dynamics of Success (SuperES) is to promote the development of pedagogical supervision skills with focus on teacher - student dyads, and thus enhance the quality of teaching in the IPV. The direct beneficiaries are the IPV assistants, and subsequently the students, who will benefit from a pedagogical didactic literacy program (Cunha et al., 2017). Objective: To promote the pedagogical supervision skills of the IPV assistants, which can reduce failure and school dropouts. Methods: The sample will consist of approximately 210 assistants and 900 students. The methodology is based on an experimental research with two groups: the expe-rimental group, which will receive training, and the control group. To monitor the effectiveness of the program, a battery of questionnaires will be applied before and after its implementation. Results and discussion: Of the 17 activities executed, the evaluation of the pedagogi-cal supervision skills is highlighted. They are: (I) the construction/implementation/evaluation of the SuperES Program; (II) the construction of a computer platform/website - Didactics & School Supervision: Caixa Geral de Ajudas; (III) the creation of a tool, "Supervision +", used for the self-monitoring of pedagogical skills. Conclusions: The Super ES program integrates a research action that aims to implement/test training and research tools on the process of pedagogical supervision


No disponible


Assuntos
Humanos , Educação Superior , Avaliação Educacional/estatística & dados numéricos , Mentores/estatística & dados numéricos , Portugal , Estudantes/estatística & dados numéricos , Estudos Controlados Antes e Depois
13.
Rev. port. enferm. saúde mental ; (spe6): 16, nov. 2018. ilus, tab
Artigo em Português | LILACS-Express | BDENF - Enfermagem, LILACS | ID: biblio-1101821

RESUMO

INTRODUÇÃO: Estudo baseado no processo de intervenção de uma família que vivenciou uma gravidez e maternidade adolescente, não planeada, fruto de uma relação ocasional através de correspondência virtual. A resiliência constitui uma das variáveis descritas na literatura que parece conferir proteção para a adaptação à maternidade e que interfere no processo de vinculação. OBJETIVO: Avaliar a influência da resiliência e de um suporte social efetivo numa adolescente que tenha experienciado gravidez e/ou maternidade precoces. METODOLOGIA: Estudo de caso não experimental, qualitativo, de follow-up. Avaliação e intervenção familiar desenvolvida em 3 momentos distintos, tendo sido utilizados como instrumentos de recolha de dados: entrevista, questionários, escalas e observação, tendo como referencial teórico-operativo o Modelo Dinâmico de Avaliação e Intervenção Familiar (Figueiredo, 2013). RESULTADOS: Numa primeira fase: Relação conflituosa com os progenitores, prévia à gestação precoce. No final da mesma, a jovem interrompe o seu percurso escolar. Após o parto, verificou-se uma (in)definição do papel parental: a avó exercia um papel superprotetor sobre o recém-nascido, sobrepondo-se à mãe nas diversas esferas (prestação de cuidados, vinculação). Follow-up: Exercício do papel parental da adolescente adequado, sem sobreposição de papéis. Vinculação forte e saudável entre jovem mãe e filho. Recém-nascido bem cuidado. Adolescente resiliente e satisfeita com o apoio que recebe da comunidade envolvente. Retoma o seu percurso escolar, pessoal, familiar e social. CONCLUSÕES: Mães adolescentes que beneficiam de um apoio social e familiar adequado, e que possuem fatores protetores de ordem individual e relacional conseguem atingir um nível favorável de adaptação à maternidade.


BACKGROUND: Study based on the intervention process of a family that experienced an unplanned adolescent pregnancy and motherhood, as a result of an occasional relationship through virtual correspondence. Resilience is one of the variables described in the literature that seems to confer protection for adaptation to motherhood and that interferes in the bonding process. OBJECTIVE: Evaluating the influence of resilience and effective social support in an adolescent who has experienced early pregnancy and / or maternity. METHODS: Non-experimental, qualitative, follow-up case study. Evaluation and family intervention developed in 3 different moments, using as data-gathering instruments: interview, questionnaires, scales and observation, using as a theoretical-operational reference the Dynamic Model of Family Assessment and Intervention (Figueiredo, 2013). RESULTS: In a first phase: Conflict relationship with the parents, prior to the early gestation. At the end of it, the young woman interrupts her school journey. After parturition, there was an (in) definition of the parental role: the grandmother played an overprotective role over the newborn, overlapping the mother in the various spheres (care, bonding). Follow-up: Adequate adolescent parental role exercise, without overlapping roles. Strong and healthy bonding between young mother and son. Well-baby newborn. Teen resilient and satisfied with the support she receives from the surrounding community. It resumes its school, personal, familiar and social journey. CONCLUSIONS: Adolescent mothers who benefit from adequate social and family support and who have protective factors of an individual and relational nature manage to reach a favorable level of adaptation to motherhood.


INTRODUCCIÓN: Estudio basado en el proceso de intervención de una familia que vivió un embarazo y maternidad adolescente, no planeada, fruto de una relación ocasional a través de correspondencia virtual. La resiliencia constituye una de las variables descritas en la literatura que parece conferir protección para la adaptación a la maternidad y que interfiere en el proceso de vinculación. OBJETIVO: Evaluar la influencia de la resiliencia y de un soporte social efectivo en una adolescente que haya experimentado embarazo y / o maternidad precoces. METODOLOGIA: Estudio de caso no experimental, cualitativo, de seguimiento. La evaluación e intervención familiar desarrollada en 3 momentos distintos, habiendo sido utilizados como instrumentos de recogida de datos: entrevista, cuestionarios, escalas y observación, teniendo como referencial teórico-operativo el Modelo Dinámico de Evaluación e Intervención Familiar (Figueiredo, 2013). RESULTADOS: En una primera fase: Relación conflictiva con los progenitores, previa a la gestación precoz. Al final de la misma, la joven interrumpe su recorrido escolar. Después del parto, se verificó una (in) definición del papel parental: la abuela ejercía un papel superprotector sobre el recién nacido, superponiéndose a la madre en las diversas esferas (prestación de cuidados, vinculación). Seguimiento: Ejercicio del papel parental de la adolescente adecuado, sin superposición de papeles. Vinculación fuerte y saludable entre joven madre y hijo. Recién nacido bien cuidado. Adolescente resiliente y satisfecha con el apoyo que recibe de la comunidad circundante. Retoma su recorrido escolar, personal, familiar y social. CONCLUSIONES: Las madres adolescentes que se benefician de un apoyo social y familiar adecuado, y que poseen factores protectores de orden individual y relacional logran alcanzar un nivel favorable de adaptación a la maternidad.

14.
JBI Database System Rev Implement Rep ; 15(5): 1440-1472, 2017 05.
Artigo em Inglês | MEDLINE | ID: mdl-28498176

RESUMO

BACKGROUND: Delirium is associated with increased intensive care unit and hospital length of stay, prolonged duration of mechanical ventilation, unplanned removal of tubes and catheters, and increased morbidity and mortality. Prophylactic treatment with low-dose haloperidol may have beneficial effects for critically ill patients with a high risk of delirium. OBJECTIVES: To identify the effectiveness of haloperidol prophylaxis in critically ill patients with a high risk for delirium. INCLUSION CRITERIA TYPES OF PARTICIPANTS: Patients with a predicted high risk of delirium, aged 18 years or over, and in intensive care units. Patients with a history of concurrent antipsychotic medication use were excluded. TYPES OF INTERVENTION(S)/PHENOMENA OF INTEREST: Haloperidol prophylaxis for preventing delirium. TYPES OF STUDIES: Experimental and epidemiological study designs. OUTCOMES: Primary outcome is the incidence of delirium. Secondary outcomes are duration of mechanical ventilation, incidence of re-intubation, incidence of unplanned/accidental removal of tubes/lines and catheters, intensive care unit and hospital length of stay, and re-admissions to both settings. SEARCH STRATEGY: An initial search of MEDLINE and CINAHL was undertaken, followed by a second search for published and unpublished studies from January 1967 to September 2015 in major healthcare-related electronic databases. Studies in English, Spanish and Portuguese were included. METHODOLOGICAL QUALITY: Two independent reviewers assessed the methodological quality of five studies using the standardized critical appraisal instrument from the Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument. There was general agreement among the reviewers to exclude one relevant study due to methodological quality. DATA EXTRACTION: Data were extracted using the JBI data extraction form for experimental studies and included details about the interventions, populations, study methods and outcomes of significance to the review questions. DATA SYNTHESIS: Significant differences were found between participants, interventions, outcome measures (clinical heterogeneity) and designs (methodological heterogeneity). For these reasons, we were unable to perform a meta-analysis. Therefore, the results have been described in a narrative format. RESULTS: Five studies met the inclusion criteria. One of these studies was excluded due to poor methodological quality. The remaining four original studies (total of 1142 patients) were included in this review. Three studies were randomized controlled trials and one was a cohort study.Two studies confirmed the effectiveness of haloperidol prophylaxis in critically ill patients with a high risk of delirium. These studies showed that short-term prophylactic administration of low-dose intravenous haloperidol significantly decreased the incidence of delirium in elderly patients admitted to intensive care units after non-cardiac surgery and in general intensive care unit patients with a high risk of delirium.However, the two remaining studies showed contradictory results in mechanically ventilated critically ill adults, revealing that the administration of haloperidol reduced delirium prevalence, delayed its occurrence, and/or shorten its duration. CONCLUSIONS: The evidence related to the effectiveness of haloperidol prophylaxis in critically ill patients with a high risk of delirium is contradictory. However, balancing the benefits and low side effects associated with haloperidol prophylaxis, this preventive intervention may be useful to reduce the incidence of delirium in critically ill adults in intensive care units.


Assuntos
Antipsicóticos/farmacologia , Estado Terminal/psicologia , Delírio/prevenção & controle , Haloperidol/farmacologia , Resultado do Tratamento , Administração Intravenosa , Idoso , Idoso de 80 Anos ou mais , Antipsicóticos/administração & dosagem , Estudos de Coortes , Estado Terminal/terapia , Delírio/tratamento farmacológico , Delírio/epidemiologia , Delírio/mortalidade , Haloperidol/administração & dosagem , Hospitalização/estatística & dados numéricos , Humanos , Incidência , Unidades de Terapia Intensiva/estatística & dados numéricos , Tempo de Internação/tendências , Pessoa de Meia-Idade , Avaliação de Resultados da Assistência ao Paciente , Ensaios Clínicos Controlados Aleatórios como Assunto , Respiração Artificial/efeitos adversos , Fatores de Risco
15.
Aten. prim. (Barc., Ed. impr.) ; 48(cong): 151-156, sept. 2016. graf
Artigo em Inglês | IBECS | ID: ibc-158827

RESUMO

OBJECTIVES: To assess the adherence to therapeutic regimen; to determine the Hemoglobin Glycation Index (HbA1c); to analyse the relationship that exists between the adherence to therapeutic regimen and metabolic control. DESIGN: correlational analytical study, carried out according to a cross-sectional perspective. PARTICIPANTS: A non-probabilistic sample of 266 people with type 1 diabetes aged between 18 and 78 years old (mean M = 51.02 ± SD = 18.710), attending follow-up diabetes consultations. Mostly male individuals (51.88%), with low schooling level (50.75% had only inished elementar school). Measuring Instruments: We used the following data collection tools: a questionnaire on clinical and socio-demographic data, blood analysis of venous blood to determine the glycated hemoglobin level (HbA1c). Three self-report scales were used: Accession to Diabetes Treatment (Matos, 1999), Self-perception Scale (Vaz Serra, 1986) and Social Support Scale (Matos & Rodrigues, 2000). RESULTS: In a sample in which the mean disease duration is 12.75 years, 69.17% of the sample run glycemic control tests between once a day and four times a year and 42.86% of them undergo insulin treatment. In the last 3 weeks, 26.32% of these people have experienced an average of 4.22 to 44.36%, hypoglycemic crises and experienced an average of 6.18 hyperglycemic crises.57% of the individuals have showed a poor metabolic control (mean HbA1c higher than 7.5% (HbA1c mean M ≥ 7.50%). The mean psychosocial proile revealed individuals who show a decent self-esteem (M = 70.81) and acceptable social support (M = 58.89). CONCLUSIONS: The results suggest we should develop a kind of investigation that could be used to monitor the strenght of the mediation effect effect of the psychosocial predictive dimension of the adherence, since it has become essential to support a multidisciplinary approach which center lays in the promotion of a co-responsible self-management from the person who suffers from diabetes. This will enable a better quality of life; fewer years of people's lives lost prematurely and a better health with less economical costs for citizens and healthcare systems


No disponible


Assuntos
Humanos , Adesão à Medicação/estatística & dados numéricos , Diabetes Mellitus Tipo 1/tratamento farmacológico , Metabolismo , Estudos Transversais , Índice Glicêmico , Hemoglobina A Glicada/análise
16.
Aten. prim. (Barc., Ed. impr.) ; 48(cong): 240-246, sept. 2016. tab, graf
Artigo em Inglês | IBECS | ID: ibc-158843

RESUMO

INTRODUCTION: Breast cancer is the most common form of cancer among women worldwide and, therefore, deserves the highest attention and assistance from medical services. Considering patients' satisfaction as an indication of healthcare quality, women who have undergone a mastectomy will assess the medical care received. This assessment will be based on what is expected from that medical care and on the expected improvement of her health condition. . OBJECTIVE: To determine the level of satisfaction of women who have undergone a mastectomy with the medical care provided by nurses, doctors and by the way hospital services are organized. DESIGN: A descriptive and cross-sectional study, developed in Portugal. PARTICIPANTS: A non-probabilistic sample formed by 153 women who underwent a mastectomy with an average age of 55, married (67.3%), unemployed (56.2%), living in a rural area (71.2%) and living on minimum wage (54.9%). Measurement instrument: European Organization for Research and Treatment of Cancer (EORTC) IN-PATSAT32 questionnaire. RESULTS: 113 (73.85%) of the 153 women are satisfied with the medical care provided and 40 (26.14%) of them show their lack of satisfaction. A highly significant percentage of women (49.01%) feel fairly satisfied with the medical care provided by nurses and with the way services are organized (37.9). On the other hand (37.9%) show their dissatisfaction towards doctors. The family network proved to be a predictor of the satisfaction with doctors (Beta= 0.163; P = .044) and the period of hospitalization predicts the satisfaction with the organization (Beta= 0.171; P = .011). Both predictors will be useful to explain the 3% variability in patients' satisfaction. CONCLUSIONS: Monitoring the satisfaction with the medical care received is a fundamental strategy to promote the well-being of women who underwent a mastectomy


No disponible


Assuntos
Humanos , Feminino , Mastectomia/estatística & dados numéricos , Neoplasias da Mama/cirurgia , Qualidade da Assistência à Saúde/estatística & dados numéricos , Satisfação do Paciente/estatística & dados numéricos , Assistência à Saúde/estatística & dados numéricos , Pesquisas sobre Serviços de Saúde/estatística & dados numéricos , Psicometria/instrumentação
17.
Aten. prim. (Barc., Ed. impr.) ; 48(cong): 247-252, sept. 2016. tab
Artigo em Inglês | IBECS | ID: ibc-158844

RESUMO

BACKGROUND: The concept of self-perception of parental competence refers to how parents perceive their performance, beliefs and attitudes in their role as parents, the ability to address specific problems and find effective solutions. OBJECTIVES: To evaluate the self-perception of competence in parents of preschool children and the relationship with sociodemographic variables. MATERIAL AND METHODS: Cross-sectional and observational study with 792 parents, women average age 34.15 (Dp = 5.01), men 36.1 years old (Dp = 5.34), living in Portugal. The analyse includes sociodemographic characterization and the Questionnaire d'Auto-Évaluation de la Compétence Éducative Parentale (QAECEP) (Terrisse and Trudelle, 1988) validated to the Portuguese population by Aparício (2012). RESULTS: The validation study of QAECEP indicated good internal consistency (Cronbach's Alpha = 0.773). Self-perception of competence, and satisfaction is high in 51,1% of parents. The older parents see themselves as most competent and effective, with significant results for mothers (Chi-square = 21.755; P = .010). Parents with higher level of education perceive themselves as more satisfied, motivated and competent, but only significant for the mothers (P = .000). The high/medium familiar incomes influences significantly the perception of satisfaction, motivation and global parenting competence (P = .000). Feelings of low efficacy (P = .05) higher satisfaction (AR = 2.6) and global competence (P = .036) are significant in parents of younger children. CONCLUSIONS: Age, income and education level influences the self-perception of parental performance, so in health promotion activities is important to identify the parental feelings and increase their self-confidence in the defence of an positive parenting


No disponible


Assuntos
Humanos , Pré-Escolar , Educação Infantil , Poder Familiar , Pais/psicologia , Autorrelato , Relações Pais-Filho
18.
JBI Database System Rev Implement Rep ; 14(5): 96-102, 2016 05.
Artigo em Inglês | MEDLINE | ID: mdl-27532467

RESUMO

REVIEW QUESTION/OBJECTIVE: The objective of this review is to identify the effects of emergency department (ED) overcrowding on admitted patient outcomes.More specifically, the questions are: does ED overcrowding increase the admitted patient's mortality? Does ED overcrowding increase the admitted patient's hospital length-of-stay? Does ED overcrowding increase the delay in door-to-needle time to treatment (time to antibiotic, time to thrombolysis and time to analgesic)?


Assuntos
Aglomeração , Serviço Hospitalar de Emergência , Hospitalização , Humanos , Tempo de Internação , Avaliação de Resultados em Cuidados de Saúde , Revisões Sistemáticas como Assunto
19.
Aten. prim. (Barc., Ed. impr.) ; 47(cong): 24-28, dic. 2015. tab, graf
Artigo em Inglês | IBECS | ID: ibc-158806

RESUMO

BACKGROUND: Parental beliefs, attitudes and practices in children's nutrition may determine deviations in the acquisition of the child's food preferences and in their self-regulation, who can influence their nutritional status. OBJECTIVES: To evaluate the parental attitudes, beliefs and practices about child feeding and their relationship to the child's nutritional status. METHODS: Cross-sectional and descriptive study developed in a sample of 1393 parents (mother: mean = 34.47 years old; SD = 5.29; father: mean = 36.87; SD = 5.69), from 1424 children, average age 4.58 (SD = 0.99), living in some regions of Portugal. Children's anthropometric measurements were evaluated and classified according to the NCHS referential (CDC, 2000). The Child Feeding Questionnaire was used (Birch et al, 2001). RESULTS: Overall, 60.2% of children had normal weight, 5.5% underweight, 34.3% overweight (including obesity 17.4%), weight is significantly higher in males (36.8%) (Qui-square = 31.22; p = 0.000). Feeding practices that had higher mean values were perceived responsibility (mean = 13.43) and pressure to eat (mean = 14.21). Beliefs of concern, and practices of pressure to eat and reward are significantly higher in parents with lower income (p = 0.000). Performed a linear regression (stepwise method) between BMI and parental eating practices, we found that the greater concern about the child's weight (β = 0:24; p = 0.000) and greater practices of control (β = 0:12; p = 0.000), higher BMI and higher pressure to eat (β = -0.240; p = 0.000), the lower the child's BMI, explaining 12.4% of the BMI variability. CONCLUSIONS: These results are a further contribution to the evidences of the influence of controlling eating behaviour in the child's self-regulation capacity, with implications on their food behaviour and increasing the risk of future obesity. This highlights the importance of assessing the practices of families in nutrition education programs, adjusting them to the growth pace and profile of children


No disponible


Assuntos
Humanos , Pré-Escolar , Poder Familiar/tendências , Transtornos da Nutrição Infantil/epidemiologia , Estado Nutricional , Nutrição da Criança , Estudos Transversais , Conhecimentos, Atitudes e Prática em Saúde , Relações Pais-Filho , Comportamento Alimentar , Características da Família , Portugal/epidemiologia
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