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3.
Rev Bras Enferm ; 73(1): e20170738, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-32049214

RESUMO

OBJECTIVE: to evaluate the nursing team knowledge of a cancer hospital on care for patients with Malignant Fungating Wounds (MFW) and to analyze associated sociodemographic and educational factors. METHOD: an observational and cross-sectional study, conducted between September and October 2015, after approval by the Research Ethics Committee. A questionnaire was applied containing sociodemographic, educational and related components to the accomplishment of dressings, dressings choice and orientation. Data were analyzed by using Chi-square, Fisher's exact test, Student's t-Test and Pearson's correlation. RESULTS: 37 professionals participated in the study, most of whom were technicians (56.8%), women (91.9%) and with a mean age of 32 years. The professionals presented 56.5% of correct answers. There were no statistically significant associations between sociodemographic/educational variables and number of correct answers. CONCLUSION: there was a lack of important knowledge about care for patients with MFW, which should guide strategies for the oncology staff training.

4.
Rev. bras. enferm ; 73(1): e20170738, 2020. tab, graf
Artigo em Inglês | LILACS-Express | ID: biblio-1057749

RESUMO

ABSTRACT Objective: to evaluate the nursing team knowledge of a cancer hospital on care for patients with Malignant Fungating Wounds (MFW) and to analyze associated sociodemographic and educational factors. Method: an observational and cross-sectional study, conducted between September and October 2015, after approval by the Research Ethics Committee. A questionnaire was applied containing sociodemographic, educational and related components to the accomplishment of dressings, dressings choice and orientation. Data were analyzed by using Chi-square, Fisher's exact test, Student's t-Test and Pearson's correlation. Results: 37 professionals participated in the study, most of whom were technicians (56.8%), women (91.9%) and with a mean age of 32 years. The professionals presented 56.5% of correct answers. There were no statistically significant associations between sociodemographic/educational variables and number of correct answers. Conclusion: there was a lack of important knowledge about care for patients with MFW, which should guide strategies for the oncology staff training.


RESUMEN Objetivo: evaluar el conocimiento del equipo de enfermería de un hospital oncológico sobre el cuidado de pacientes con Úlceras Neoplásicas Malignas (UNM) y analizar factores sociodemográficos y educativos asociados. Método: estudio observacional y transversal, realizado entre septiembre y octubre de 2015, tras la aprobación por el Comité de Ética en Investigación. Se aplicó un cuestionario que contenía componentes sociodemográficos, educativos y relacionados con la realización de curativos, elección de coberturas y orientación. Los datos fueron analizados a través del Test Qui-Cuadrado, Exacto de Fisher, Test t de Student y correlación de Pearson. Resultados: en el estudio 37 profesionales, siendo la mayoría técnicos (56,8%), mujeres (91,9%) y con edad media de 32 años. Los profesionales presentaron un 56,5% de aciertos. No hubo asociaciones estadísticamente significativas entre variables sociodemográficas/educativas y número de aciertos. Conclusión: se observó déficit de conocimientos importantes sobre el cuidado de pacientes con UNM, lo que debió orientar estrategias para capacitación de los equipos actuantes en Oncología.


RESUMO Objetivo: avaliar o conhecimento da equipe de enfermagem de um hospital oncológico sobre o cuidado de pacientes com Feridas Neoplásicas Malignas (FNM) e analisar fatores sociodemográficos e educacionais associados. Método: estudo observacional e transversal, realizado entre setembro e outubro de 2015, após aprovação por Comitê de Ética em Pesquisa. Foi aplicado questionário contendo componentes sociodemográficos, educacionais e relacionados à realização de curativos, escolha de coberturas e orientação. Os dados foram analisados por meio do Teste Qui-Quadrado, Exato de Fisher, Teste t de Student e correlação de Pearson. Resultados: participaram do estudo 37 profissonais, sendo a maioria técnicos (56,8%), mulheres (91,9%) e com idade média de 32 anos. Os profissionais apresentaram 56,5% de acertos. Não houve associações estatisticamente significativas entre variáveis sociodemográficas/educacionais e número de acertos. Conclusão: observou-se déficit de conhecimentos importantes sobre o cuidado de pacientes com FNM, o que deve nortear estratégias para capacitação das equipes atuantes em Oncologia.

5.
Aquichan ; 18(4): 477-491, Oct.-Dec. 2018. tab, graf
Artigo em Português | LILACS-Express | ID: biblio-1011132

RESUMO

RESUMO Objetivo: identificar e analisar os instrumentos utilizados para a avaliação das complicações da pele periestoma por meio de revisão integrativa. Materiais e métodos: realizou-se revisão nas bases e portais de dados: Biblioteca Virtual da Saúde (BVS), PubMed/MEDLINE, CINAHL, Scopus e Web of Science, de janeiro a fevereiro de 2018. Durante a busca nas bases de dados, foram utilizados os descritores: estomia, colostomia, dermatite; e as palavras-chave: instrumentos, complicação da pele periestoma e avaliação da pele periestoma. Foram incluídos estudos que atenderam aos seguintes critérios: estar disponível na íntegra, estar publicado em espanhol, inglês e português, sem limite temporal e versar sobre os instrumentos de avaliação das condições da pele periestoma. Resultados: a análise identificou a existência de nove instrumentos, com diferentes parâmetros para descrever a pele periestoma. De maneira geral, estes descrevem as alterações com base na classificação da complicação, na causa dos danos na pele ou nas características clínicas presentes. Os estudos mostraram, ainda, que a maioria dos instrumentos não possui propriedades de medida testadas. Conclusão: dos nove instrumentos de avaliação identificados, apenas quatro possuem propriedades de medidas testadas. O enfermeiro deve conhecer os instrumentos confiáveis e válidos disponíveis para descrever e classificar a gravidade dos problemas da pele periestoma, o que contribui para a sistematização de um diagnóstico mais acurado e melhora, portanto, a qualidade do cuidado.


RESUMEN Objetivo: identificar y analizar las herramientas utilizadas para evaluar las complicaciones de la piel periestoma a través de revisión integradora de la literatura. Materiales y método: la búsqueda se dio en estas bases y portales de datos: Biblioteca Virtual de la Salud (BVS), PubMed/MEDLINE, CINAHL, Scopus y Web of Science, de enero a febrero de 2018. Durante la búsqueda en las bases de datos, se utilizaron los descriptores: ostomía, colostomía, dermatitis y las palabras clave: instrumentos, complicaciones de la piel periestoma y evaluación de la piel periestoma. Se incluyeron estudios que cumplieron los siguientes criterios: que estén disponibles en su totalidad, que estén publicados en español, inglés y portugués, no se tuvo en cuenta el rango de tiempo y tenía que ser acerca de las herramientas de evaluación de las condiciones de la piel periestoma. Resultados: el análisis identificó la existencia de nueve instrumentos con diferentes parámetros para describir la piel periestoma. En general, los instrumentos describen los cambios basados en la clasificación de la complicación, en la causa del daño a la piel o en las características clínicas presentes. Los estudios evidenciaron, además, que la mayoría de los instrumentos no poseen propiedades de medida probadas. Conclusión: de los nueve instrumentos de evaluación identificados, solo cuatro tienen propiedades de medidas probadas. El enfermero debe conocer los instrumentos existentes confiables y válidos para describir y clasificar la gravedad de los problemas de la piel periestoma, lo que aporta a la sistematización de un diagnóstico más preciso y mejora, por lo tanto, la calidad del cuidado.


ABSTRACT Objective: The aim of this study was to identify and analyze the tools used to evaluate the peristomal skin complications by an integrative review. Materials and methods: A literature review was performed through the following databases: Virtual Health Library (BVS), PUBMED/MEDLINE, CINAHL, Scopus and Web of Science, from January to February 2018. During the search in the databases, the following descriptors were used: stoma, colostomy, and dermatitis. The keywords were: tools, peristomal skin complication and peristomal skin assessment. Studies were added to the following inclusion criteria: articles published in Portuguese, English or Spanish, full paper access, no time limit and they had to be about tools for peristomal skin complications assessment. Results: The analysis identified the existence of nine tools with different parameters to describe peristomal skin complications. In general, they describe the peristomal skin changes based on classification, the peristomal skin complications or in the present clinical characteristics. The majority of the tools have not tested psychometric measures. Conclusion: Four out of the nine instruments identified have psychometric measures tested. The nurse should be aware and must know the existing valid and reliable tools to describe and classify how grave is the skin issue. This in order to give an accurate diagnosis and to improve the care quality.

6.
J Wound Ostomy Continence Nurs ; 45(5): 413-418, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30086103

RESUMO

PURPOSE: The aim of this study was to compare the effects of 0.2% polyhexamethylene biguanide (PHMB) to 0.8% metronidazole on malignant wound (MW) odor, health-related quality of life (HRQOL), and pain upon application. DESIGN: A double-blinded, randomized, clinical trial. SUBJECTS AND SETTING: Twenty-four patients with malodorous MWs hospitalized in a referral cancer center in Sao Paulo, Brazil, participated in the trial. METHODS: Participants were randomly allocated to treatment with 0.8% metronidazole solution (control group) or 0.2% PHMB (experimental group). Study outcomes were measured at baseline (day 0), 4 days, and 8 days. The primary end point was the odor that was measured in terms of its intensity, quality, and impact on participants during the study period. Health-related quality of life was measured with the Ferrans and Powers Quality of Life Index-Wounds Version (FPQLI-WV) on day 0 and on the day when odor was completely eliminated as per evaluation by the investigators. Pain intensity related to application of the control and experimental solutions was measured as a secondary outcome using a scale of 0 to 10. RESULTS: Twenty patients (83.3%) were classified as having "no wound odor" at 4 days, and 100% achieved no wound odor by day 8 (P < .001). Odor control in patients with MW significantly influenced their general HRQOL (P = .002). We found no difference in odor elimination, or HRQOL, when patients managed with PHMB were compared to those managed with metronidazole. There were no statistically significant differences over time in pain measurement between the 2 groups. CONCLUSIONS: Both PHMB and metronidazole significantly reduced odor in malodorous MWs within 4 days. Neither solution was found to be more effective than the other in the magnitude of odor reduction or its effect on condition-specific HRQOL.


Assuntos
Biguanidas/farmacologia , Metronidazol/farmacologia , Odorantes/prevenção & controle , Ferimentos e Lesões/complicações , Ferimentos e Lesões/tratamento farmacológico , Adulto , Idoso , Idoso de 80 Anos ou mais , Anti-Infecciosos Locais/farmacologia , Anti-Infecciosos Locais/uso terapêutico , Biguanidas/uso terapêutico , Brasil , Método Duplo-Cego , Feminino , Humanos , Masculino , Metronidazol/uso terapêutico , Pessoa de Meia-Idade , Dor/tratamento farmacológico , Qualidade de Vida/psicologia
8.
Rev Lat Am Enfermagem ; 25: e2970, 2018 Jan 08.
Artigo em Inglês, Português, Espanhol | MEDLINE | ID: mdl-29319744

RESUMO

OBJECTIVES: to analyze the prevalence of urinary incontinence and its associated factors in hospital patients. METHOD: this is a cross-sectional epidemiological study whose data were collected using the instruments Sociodemographic and Clinical Data, Characteristics of Urinary Leakage and International Consultation on Incontinence Questionnaire - Short Form. Prevalence was surveyed on a single day for four consecutive months. Data were analyzed using Chi-square test, Fisher's exact test, Student t-test, Mann-Whitney test and logistic regression (forward stepwise). RESULTS: the final sample consisted of 319 hospital adults (57.1% female), mean age of 47.9 years (SD=21.1). The prevalence of urinary incontinence was 22.9% (28% in women and 16.1% in men) and the associated factors were: female sex (OR=3.89), age (OR=1.03), asthma (OR=3.66), use of laxatives (OR=3.26), use of diaper during the evaluation (OR=2.75), use of diaper at home (OR=10.29), and use of diaper at some point during the hospital stay (OR=6.74). CONCLUSION: the findings of this study differ from those found in the scarce existing literature on the subject in hospital patients. There is a need for previous studies such as this before proposing the implementation of preventive and therapeutic actions during the hospital stay.


Assuntos
Incontinência Urinária/epidemiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Estudos Epidemiológicos , Feminino , Hospitalização , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Fatores de Risco , Adulto Jovem
9.
Rev Esc Enferm USP ; 51: e03250, 2017 Oct 09.
Artigo em Inglês | MEDLINE | ID: mdl-29019529

RESUMO

OBJECTIVE: To assess health-related quality of life, its predictors and magnitude of changes in health-related quality of life in patients with chronic wounds receiving specialized outpatient treatment. METHOD: Secondary, retrospective, descriptive, quantitative study with patients with chronic wounds from two specialized outpatient services in Brazil assessed through Ferrans & Powers Quality of Life Index-Wound Version, Visual Analog Pain Scale, Global Assessment Scale, Pressure Ulcer Scale for Healing, sociodemographic and clinical questionnaires at baseline and after 60 days of treatment. Data were analyzed by ANOVA, Spearman Coefficient, Mann-Whitney test and multivariate logistic regression. RESULTS: Twenty-seven patients participated in the study. The overall health-related quality of life scale, health and functioning subscale and socioeconomic subscale scores increased after 60 days of treatment compared to baseline. Pain reduction was a predictor of changes in overall health-related quality of life score as well as religious practice in the family subscale. 92.6% patients perceived moderate to extensive changes in health-related quality of life. CONCLUSION: there was improvement of health-related quality of life for the sample studied in the period; pain and religious practice have emerged as predictors of changes in health-related quality of life.


Assuntos
Qualidade de Vida , Úlcera , Brasil , Doença Crônica , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Dor/etiologia , Medição da Dor , Prognóstico , Estudos Retrospectivos , Úlcera/complicações , Úlcera/terapia
10.
Rev Bras Enferm ; 70(2): 294-300, 2017 Apr.
Artigo em Português, Inglês | MEDLINE | ID: mdl-28403297

RESUMO

OBJECTIVE: describe and analyze the nursing team's knowledge about classification, evaluation and measures to prevent pressure ulcers (PU) in patients hospitalized in the ICU of a teaching hospital in the city of Manaus. METHOD: a descriptive and exploratory study was conducted after approval by a research ethics committee. Data were collected using a validated instrument. The study sample was made up of 40 nursing staff members, of whom 14 were nurses and 26 were nursing technicians/aides. Data were analyzed through descriptive statistics and Student's t-test, with value of p<0.05. RESULTS: the overall mean of hits was 63.4% for technicians/aides and 51.4% for nurses, with statistically significant differences between the groups only for the PU prevention category (p<0.001). CONCLUSION: a deficit of knowledge on PU prevention was found among nurses and nursing technicians/aides, demanding the training of these professionals.


Assuntos
Competência Clínica/normas , Conhecimento , Enfermeiras e Enfermeiros/normas , Lesão por Pressão/enfermagem , Lesão por Pressão/prevenção & controle , Adulto , Brasil , Avaliação Educacional/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/psicologia , Assistentes de Enfermagem/psicologia , Assistentes de Enfermagem/normas
11.
Rev. bras. enferm ; 70(2): 294-300, Mar.-Apr. 2017. tab
Artigo em Inglês | LILACS-Express | ID: biblio-843646

RESUMO

ABSTRACT Objective: describe and analyze the nursing team's knowledge about classification, evaluation and measures to prevent pressure ulcers (PU) in patients hospitalized in the ICU of a teaching hospital in the city of Manaus. Method: a descriptive and exploratory study was conducted after approval by a research ethics committee. Data were collected using a validated instrument. The study sample was made up of 40 nursing staff members, of whom 14 were nurses and 26 were nursing technicians/aides. Data were analyzed through descriptive statistics and Student's t-test, with value of p<0.05. Results: the overall mean of hits was 63.4% for technicians/aides and 51.4% for nurses, with statistically significant differences between the groups only for the PU prevention category (p<0.001). Conclusion: a deficit of knowledge on PU prevention was found among nurses and nursing technicians/aides, demanding the training of these professionals.


RESUMEN Objetivo: describir y analizar los conocimientos del equipo de enfermería sobre clasificación, evaluación y medidas de prevención de úlceras por presión (UP) en pacientes internados en UTI de Hospital Universitario de la ciudad de Manaos. Método: estudio descriptivo y exploratorio, aprobado por Comité de Ética en Investigación Datos recolectados mediante instrumento validado. Muestra de 40 trabajadores, 14 de ellos enfermeros y 26 técnicos/auxiliares de enfermería. Los datos fueron analizados por estadística descriptiva y test t de Student, con valor de p<0,05. Resultados: los promedios globales de aciertos fueron de 63,4% para los técnicos/auxiliares y del 51,4% para los enfermeros, con diferencia estadísticamente significativa entre los grupos sólo para la categoría de prevención de UP (p<0,001). Conclusión: detectado déficit de conocimientos sobre prevención de UP entre enfermeros y técnicos/auxiliares de enfermería, resultando imperiosa la capacitación de estos profesionales.


RESUMO Objetivo: Descrever e analisar os conhecimentos da equipe de enfermagem acerca da classificação, avaliação e medidas de prevenção de úlceras por pressão (UP), em pacientes internados na UTI de um Hospital Universitário da cidade de Manaus. Método: Estudo descritivo e exploratório aprovado por Comitê de Ética em Pesquisa. Os dados foram coletados por meio de um instrumento validado. Amostra de 40 funcionários, sendo 14 enfermeiros e 26 técnicos/auxiliares de enfermagem. Os dados foram analisados por estatística descritiva e teste t de Student, com valor de p<0,05. Resultados: As médias globais de acertos foram 63,4% para os técnicos/auxiliares e 51,4% para os enfermeiros, com diferença estatisticamente significativa entre os grupos somente para a categoria de prevenção de UP (p<0,001). Conclusão: Déficit de conhecimentos sobre a prevenção de UP entre enfermeiros e técnicos/auxiliares de enfermagem, tornando mandatória a capacitação desses profissionais.

12.
Rev. Esc. Enferm. USP ; 51: e03250, 2017. tab, graf
Artigo em Inglês | LILACS-Express | ID: biblio-956640

RESUMO

Abstract OBJECTIVE To assess health-related quality of life, its predictors and magnitude of changes in health-related quality of life in patients with chronic wounds receiving specialized outpatient treatment. METHOD Secondary, retrospective, descriptive, quantitative study with patients with chronic wounds from two specialized outpatient services in Brazil assessed through Ferrans & Powers Quality of Life Index-Wound Version, Visual Analog Pain Scale, Global Assessment Scale, Pressure Ulcer Scale for Healing, sociodemographic and clinical questionnaires at baseline and after 60 days of treatment. Data were analyzed by ANOVA, Spearman Coefficient, Mann-Whitney test and multivariate logistic regression. RESULTS Twenty-seven patients participated in the study. The overall health-related quality of life scale, health and functioning subscale and socioeconomic subscale scores increased after 60 days of treatment compared to baseline. Pain reduction was a predictor of changes in overall health-related quality of life score as well as religious practice in the family subscale. 92.6% patients perceived moderate to extensive changes in health-related quality of life. CONCLUSION there was improvement of health-related quality of life for the sample studied in the period; pain and religious practice have emerged as predictors of changes in health-related quality of life.


Resumo OBJETIVO Avaliar a qualidade de vida relacionada à saúde, seus fatores preditivos e a magnitude das mudanças na qualidade de vida de pessoas com feridas crônicas em tratamento ambulatorial especializado. MÉTODO Estudo secundário, retrospectivo, descritivo, quantitativo, realizado com pacientes atendidos em dois serviços ambulatoriais especializados no Brasil, os quais foram entrevistados no momento inicial e após 60 dias de tratamento pelos questionários Índice de Qualidade de Vida de Ferrans & Powers − Versão Feridas, Escala Numérica de Dor, Escala de Avaliação Global de Mudança, Pressure Ulcer Scale for Healing e dados sociodemográficos e clínicos. Os dados foram analisados por meio de coeficiente de Spearman, teste de Mann-Whitney e regressão linear. RESULTADOS O estudo foi composto por 27 pacientes. Houve melhora na qualidade de vida após 60 dias de tratamento nas dimensões Saúde e Funcionamento e Socioeconômica. A redução da dor constituiu um fator preditor de mudança na qualidade de vida total, assim como a prática religiosa no domínio Família. 92,6% dos pacientes perceberam mudança de moderada a grande na qualidade de vida. CONCLUSÃO Houve melhora da qualidade de vida relacionada à saúde para a amostra estudada no período; dor e prática religiosa emergiram como preditores de mudanças na qualidade de vida relacionada à saúde.


Resumen OBJETIVO Evaluar la calidad de vida relacionada con la salud, sus factores predictivos y la magnitud de los cambios en la calidad de vida de personas con heridas crónicas en tratamiento de ambulatorio especializado. METODOLOGÍA estudio secundario, retrospectivo, descriptivo, cuantitativo, compuesto de 27 pacientes atendidos en dos servicios de ambulatorio especializados en Brasil que fueron entrevistados en el momento inicial y luego de 60 días de tratamiento mediante los cuestionarios Índice de Calidad de Vida de Ferrans & Powers - Versión Heridas, Escala Numérica de Dolor, Escala de Evaluación Global de Cambio, Pressure Ulcer Scale for Healing y datos sociodemográficos y clínicos. Los datos fueron analizados mediante el coeficiente de Spearman, prueba de Mann-Whitney y regresión lineal. RESULTADOS hubo mejora en la calidad de vida tras 60 días de tratamiento en las dimensiones Salud y Funcionamiento y Socioeconómica. La reducción del dolor constituyó un factor predictor de cambio en la calidad de vida total, así como la práctica religiosa en el dominio Familia. El 92,6% de los pacientes percibieron cambio de moderado a grande en la calidad de vida. CONCLUSIÓN Hubo mejora de la calidad de vida relacionada con la salud para la muestra estudiada en el período; dolor y práctica religiosa emergieron como predictores de cambios en la calidad de vida relacionada con la salud.

13.
Rev. latinoam. enferm. (Online) ; 25: e2970, 2017. tab
Artigo em Inglês | LILACS | ID: biblio-961139

RESUMO

ABSTRACT Objectives: to analyze the prevalence of urinary incontinence and its associated factors in hospital patients. Method: this is a cross-sectional epidemiological study whose data were collected using the instruments Sociodemographic and Clinical Data, Characteristics of Urinary Leakage and International Consultation on Incontinence Questionnaire - Short Form. Prevalence was surveyed on a single day for four consecutive months. Data were analyzed using Chi-square test, Fisher's exact test, Student t-test, Mann-Whitney test and logistic regression (forward stepwise). Results: the final sample consisted of 319 hospital adults (57.1% female), mean age of 47.9 years (SD=21.1). The prevalence of urinary incontinence was 22.9% (28% in women and 16.1% in men) and the associated factors were: female sex (OR=3.89), age (OR=1.03), asthma (OR=3.66), use of laxatives (OR=3.26), use of diaper during the evaluation (OR=2.75), use of diaper at home (OR=10.29), and use of diaper at some point during the hospital stay (OR=6.74). Conclusion: the findings of this study differ from those found in the scarce existing literature on the subject in hospital patients. There is a need for previous studies such as this before proposing the implementation of preventive and therapeutic actions during the hospital stay.


RESUMO Objetivos: analisar a prevalência da incontinência urinária e os seus fatores associados em pacientes hospitalizados. Método: trata-se de um estudo epidemiológico transversal, no qual os dados foram coletados através dos instrumentos Dados Sociodemograficos e Clínicos, Características das Perdas Urinárias e International Consultation on Incontinence Questionnaire - Short Form. A prevalência foi levantada em um único dia por quatro meses consecutivos. Os dados foram analisados utilizando-se os testes qui-quadrado, de Fisher, t-student, Mann-Whitney e regressão logística (forward stepwise). Resultados: a amostra final foi composta de 319 adultos hospitalizados (57,1% mulheres), com idade média de 47,9 anos (DP=21,1). A prevalência de incontinência urinária foi 22,9% (28% para mulheres e 16,1% para homens) e os fatores associados a ela foram: sexo feminino (OR=3,89), idade (OR=1,03), asma (OR=3,66), uso de laxantes (OR=3,26), o uso de fralda no momento da avaliação (OR=2,75), o uso de fralda em casa (OR=10,29) e o uso de fralda em algum momento da internação (OR=6,74). Conclusão: estes achados diferem daqueles encontrados na escassa literatura existente sobre o tema para pacientes hospitalizados. A necessidade de tais estudos precede a proposição de intervenções preventivas e terapêuticas durante o período de internação.


RESUMEN Objetivos: analizar la prevalencia de la incontinencia urinaria y sus factores asociados en pacientes hospitalarios. Método: se trata de un estudio epidemiológico transversal cuyos datos se recopilaron mediante el uso de los instrumentos Datos Sociodemográficos y Clínicos, Características de las Pérdidas Urinarias y International Consultation on Incontinence Questionnaire - Short Form. La prevalencia fue investigada en un solo día durante cuatro meses consecutivos. Los datos se analizaron mediante el uso de las pruebas de ji-cuadrado, exacta de Fisher, t de Student, Mann-Whitney y regresión logística (forward stepwise). Resultados: la muestra final consistió en 319 adultos hospitalarios (57,1% mujeres), con edad promedio de 47,9 años (DE=21,1). La prevalencia de la incontinencia urinaria fue del 22,9% (el 28% para las mujeres y el 16,1% para los hombres) y los factores asociados fueron: sexo femenino (OR=3,89), edad (OR=1,03), asma (OR=3,66), uso de laxantes (OR=3,26), uso de pañales en el momento de la evaluación (OR=2,75), uso de pañales en el hogar (OR=10,29) y uso de pañales en algún momento durante la estancia hospitalaria (OR=6,74). Conclusión: los resultados de este estudio difieren de los encontrados en la escasa literatura existente sobre el tema para pacientes hospitalarios. Existe la necesidad de estudios previos como este antes de proponer la implementación de acciones preventivas y terapéuticas durante el periodo de la estancia hospitalaria.


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Adulto Jovem , Incontinência Urinária/epidemiologia , Estudos Epidemiológicos , Prevalência , Estudos Transversais , Fatores de Risco , Hospitalização
14.
J Wound Ostomy Continence Nurs ; 43(2): 158-64, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26808303

RESUMO

PURPOSE: We examined health-related quality of life (HRQOL) in persons with ostomies receiving outpatient care. We also analyzed relationships among HRQOL, demographic, and pertinent clinical factors. DESIGN: We used a descriptive, exploratory, cross-sectional study design to collect and analyze data. Data in this article are a secondary analysis of data collected from a primary study, developed by Santos and Gomboski, on the adaptation and validation of the City of Hope-Quality of Life-Ostomy Questionnaire (COH-QOL-OQ) to the Portuguese language in Brazil. SUBJECTS AND SETTING: A convenience sample of 215 adults living with an ostomy was evaluated. Slightly more than half (51.6%) were men, 67.5% underwent colostomy surgery, and 59.1% underwent cancer-related ostomy surgery. Subjects received care in specialized health care units in 3 cities in the Brazilian state of Rio Grande do Sul. METHODS: After approval by the Research Ethics Committee and permission from health care units, data were collected using 2 instruments: the World Health Organization Quality of Life-Short Version (WHOQOL-Bref) (generic HRQOL instrument) and the COH-QOL-OQ (disease specific HRQOL instrument). Data were analyzed using χ test and logistic regression (via a stepwise forward method). Patients were classified into 3 groups according to the means and standard deviations of the scores: low, moderate, and high quality of life (QOL). RESULTS: Ostomy patients had total scores of 69.6 ± 20.2 and 6.1 ± 1.4 for the WHOQOL-Bref and COH-QOL-OQ instruments, respectively. Patients with shorter times since their ostomy creation had worse scores on both the specific QOL (P = .006) and generic QOL (P = .019) instruments. Patients who did not practice religion (P = .027; odds ratio [OR] = 3.39) and those without a partner/spouse (P = .007; OR = 4.90) had increased probability of having worse scores on the WHOQOL-Bref (generic instrument). CONCLUSION: Persons living with ostomies were found to have scores indicating moderate HRQOL on a disease-specific and generic instrument. Shorter time since ostomy creation, lack of religious practice, and lack of a partner negatively influenced the HRQOL of these patients.


Assuntos
Assistência Ambulatorial , Nível de Saúde , Estomia , Qualidade de Vida , Adulto , Brasil , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores Socioeconômicos , Inquéritos e Questionários , Fatores de Tempo
15.
Rev Esc Enferm USP ; 49(5): 858-63, 2015 Oct.
Artigo em Português | MEDLINE | ID: mdl-26516758

RESUMO

OBJECTIVE: Verifying the evidence of therapeutic efficacy in the topical application of metronidazole for controlling wound odor. METHODS: A systematic literature review, according to the Cochrane Collaboration recommendations. RESULTS: 329 articles were identified in the Cochrane, LILACS, SciELO, CINAHL and PubMed databases, with 14 of them being included in the final sample. Two of the studies were double-blind randomized clinical trial studies. CONCLUSION: The actual effectiveness of metronidazole in controlling wound odor cannot yet be evidenced due to the absence of strong evidence from studies on the subject, despite clinical practice recommending its benefits.


Assuntos
Desodorantes/farmacologia , Metronidazol/farmacologia , Odorantes , Ferimentos e Lesões , Humanos
16.
Rev. Esc. Enferm. USP ; 49(5): 858-863, Oct. 2015. graf
Artigo em Inglês | LILACS | ID: lil-763313

RESUMO

AbstractOBJECTIVEVerifying the evidence of therapeutic efficacy in the topical application of metronidazole for controlling wound odor.METHODSA systematic literature review, according to the Cochrane Collaboration recommendations.RESULTS329 articles were identified in the Cochrane, LILACS, SciELO, CINAHL and PubMed databases, with 14 of them being included in the final sample. Two of the studies were double-blind randomized clinical trial studies.CONCLUSIONThe actual effectiveness of metronidazole in controlling wound odor cannot yet be evidenced due to the absence of strong evidence from studies on the subject, despite clinical practice recommending its benefits.


ResumenOBJETIVOVerificar las evidencias de la aplicación tópica de metronidazol en la efectividad terapéutica para el control del olor de heridas.MÉTODORevisión sistemática de literatura, según las recomendaciones de la Cochrane Collaboration.RESULTADOSSe identificaron 329 artículos en las bases de datos Cochrane, LILACS, ScIELO, Cinahl y PubMed, incluyéndose 14 de ellos en la muestra final. De esos, dos estudios son del tipo ensayo clínico, randomizado y doble ciego.CONCLUSIÓNEn virtud de la ausencia de estudios de fuerte evidencia acerca de la efectividad del metronidazol en el control del olor en heridas, aún no se puede evidenciar su real efectividad para dicho fin, pese a que la práctica clínica recomiende sus beneficios.


ResumoOBJETIVOVerificar as evidências da aplicação tópica de metronidazol na eficácia terapêutica para controle de odor de feridas. Método: Revisão sistemática de literatura, segundo as recomendações da Cochrane Collaboration .RESULTADOSIdentificaram-se 329 artigos nas bases de dados Cochrane, LILACS, ScIELO, Cinahl e PubMed, incluindo-se 14 deles na amostra final. Desses, dois estudos são do tipo ensaio clínico, randomizado e duplo-cego.CONCLUSÃODevido à ausência de estudos de forte evidência sobre a eficácia do metronidazol no controle de odor em feridas, ainda não se pode evidenciar a sua real eficácia para tal objetivo, apesar da prática clínica recomendar seus benefícios.


Assuntos
Humanos , Desodorantes/farmacologia , Metronidazol/farmacologia , Odorantes , Ferimentos e Lesões
17.
Rev Esc Enferm USP ; 49(4): 674-80, 2015 Aug.
Artigo em Português | MEDLINE | ID: mdl-26353106

RESUMO

OBJECTIVE: To identify and analyse skin tear prevalence and factors associated with its occurrence. METHOD: Systematic review of literature of studies published until June 2014 including studies published in full in English, Spanish or Portuguese. The studies were analysed according to the Strengthening the Reporting of Observational Studies in Epidemiology and the Guidelines for Critically Appraising Studies of Prevalence or Incidence of a Health Problem. RESULTS: The analysis of eight studies showed skin tear prevalence of 3.3% to 22% in the hospital setting and 5.5% to 19.5% in homecare. Advanced age, dependence on basic activities of daily life, frail elderly, level of mobility, agitated behavior, non-responsiveness, greater risk for concurrent development of pressure ulcers, cognitive impairment, spasticity and photoaging were cited as risk factors. CONCLUSION: Skin tear prevalence ranged from 3.3% to 22% and is mainly associated with advanced age and dependence on basic activities of daily life.


Assuntos
Pele/lesões , Humanos , Prevalência , Ferimentos e Lesões/epidemiologia
18.
Rev. Esc. Enferm. USP ; 49(4): 674-680, July-Aug. 2015. tab
Artigo em Inglês | LILACS | ID: lil-757482

RESUMO

OBJECTIVETo identify and analyse skin tear prevalence and factors associated with its occurrence.METHODSystematic review of literature of studies published until June 2014 including studies published in full in English, Spanish or Portuguese. The studies were analysed according to the Strengthening the Reporting of Observational Studies in Epidemiology and the Guidelines for Critically Appraising Studies of Prevalence or Incidence of a Health Problem.RESULTSThe analysis of eight studies showed skin tear prevalence of 3.3% to 22% in the hospital setting and 5.5% to 19.5% in homecare. Advanced age, dependence on basic activities of daily life, frail elderly, level of mobility, agitated behavior, non-responsiveness, greater risk for concurrent development of pressure ulcers, cognitive impairment, spasticity and photoaging were cited as risk factors.CONCLUSIONSkin tear prevalence ranged from 3.3% to 22% and is mainly associated with advanced age and dependence on basic activities of daily life.


OBJETIVOIdentificar y analizar la prevalencia de lesión por fricción y los factores asociados con su ocurrencia.MÉTODORevisión sistemática de la literatura publicada hasta junio de 2014 con la inclusión de estudios publicados integralmente en inglés, español o portugués. Los estudios fueron analizados según el Strengthening the Reporting of Observational Studies in Epidemiology y el Guidelines for Critically Appraising Studies of Prevalence or Incidence of a Health Problem.RESULTADOSLos análisis de ocho estudios mostraron prevalencia de lesión del 3,3% al 22% en el escenario hospitalario y del 5,5% al 19,5% en el domiciliario. Edad avanzada, dependencia para las actividades básicas de vida diarias, anciano frágil, nivel de movilidad, comportamiento agitado, falta de responsividad, mayor riesgo para el desarrollo concomitante de úlcera por presión, afectación cognitiva, espasticidad y fotoenvejecimiento fueron los factores de riesgo citados.CONCLUSIÓNLa prevalencia de lesión varió del 3,3% al 22%, estando asociada principalmente con la edad avanzada y la dependencia para las actividades básicas de vida diarias.


OBJETIVOIdentificar e analisar a prevalência de lesão por fricção e os fatores associados à sua ocorrência.MÉTODORevisão sistemática da literatura publicada até junho de 2014 com a inclusão de estudos publicados na íntegra em inglês, espanhol ou português. Os estudos foram analisados segundo o Strengthening the Reporting of Observational Studies in Epidemiology e o Guidelines for Critically Appraising Studies of Prevalence or Incidence of a Health Problem.RESULTADOSAs análises de oito estudos mostraram prevalência de lesão de 3,3% a 22% no cenário hospitalar e 5,5% a 19,5% no domiciliar. Idade avançada, dependência para as atividades básicas de vida diárias, idoso frágil, nível de mobilidade, comportamento agitado, arresponsividade, maior risco para o desenvolvimento concomitante de úlcera por pressão, comprometimento cognitivo, espasticidade e fotoenvelhecimento foram os fatores de risco citados.CONCLUSÃOA prevalência de lesão variou de 3,3% a 22%, estando associada principalmente à idade avançada e dependência para as atividades básicas de vida diárias.


Assuntos
Humanos , Pele/lesões , Prevalência , Ferimentos e Lesões/epidemiologia
19.
Rev Esc Enferm USP ; 49(3): 443-52, 2015 Jun.
Artigo em Português | MEDLINE | ID: mdl-26107705

RESUMO

OBJECTIVE: To estimate the prevalence of self-reported constipation and associated factors in the general population of a Brazilian city. METHOD: Secondary analysis of an epidemiological study, population-based, cross-sectional study, about bowel habits of Brazilian population. A total of 2,162 individuals were interviewed using two instruments: sociodemographic data and the adapted and validated Brazilian version of the "Bowel Function in the Community" tool. RESULTS: There was a prevalence of 25.2% for the self-reported constipation, 37.2% among women and 10.2% among men. Stroke and old age were associated with constipation in the three statistical models used. CONCLUSION: The prevalence found showed to be similar to the findings in the literature, although some associated factors obtained here have never been investigated.


Assuntos
Constipação Intestinal/epidemiologia , Autorrelato , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Brasil/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Inquéritos e Questionários , Adulto Jovem
20.
Rev. Esc. Enferm. USP ; 49(3): 440-449, Jun/2015. tab, graf
Artigo em Inglês | LILACS | ID: lil-749036

RESUMO

OBJECTIVE To estimate the prevalence of self-reported constipation and associated factors in the general population of a Brazilian city. METHOD Secondary analysis of an epidemiological study, population-based, cross-sectional study, about bowel habits of Brazilian population. A total of 2,162 individuals were interviewed using two instruments: sociodemographic data and the adapted and validated Brazilian version of the "Bowel Function in the Community" tool. RESULTS There was a prevalence of 25.2% for the self-reported constipation, 37.2% among women and 10.2% among men. Stroke and old age were associated with constipation in the three statistical models used. CONCLUSION The prevalence found showed to be similar to the findings in the literature, although some associated factors obtained here have never been investigated. .


OBJETIVO Estimar la prevalencia de estreñimiento autorreferido y los factores asociados en la población general de una ciudad brasileña. MÉTODO Análisis secundario de un estudio epidemiológico, de base poblacional y transversal, acerca del hábito intestinal en la población brasileña. Fueron entrevistados 2.162 individuos utilizándose dos instrumentos: datos sociodemográficos y hábito intestinal en la población. RESULTADOS Se logró prevalencia del 25,2% para el estreñimiento autorreferido, siendo el 37,2% para mujeres y el 10,2% entre los hombres. Accidente Vascular Encefálico y edad avanzada presentaron asociación con constipación en los tres modelos estadísticos utilizados. CONCLUSIÓN La prevalencia encontrada se mostró similar a los hallazgos de la literatura internacional, aunque algunos factores asociados aquí obtenidos nunca se hayan investigado. .


OBJETIVO Estimar a prevalência de constipação intestinal autorreferida e os fatores associados na população geral de uma cidade brasileira. MÉTODO Análise secundária de um estudo epidemiológico, de base populacional e transversal, sobre o hábito intestinal na população brasileira. Foram entrevistados 2.162 indivíduos utilizando-se dois instrumentos: dados sociodemográficos e hábito intestinal na população. RESULTADOS Obteve-se prevalência de 25,2% para a constipação autorreferida, sendo 37,2% para mulheres e 10,2% entre homens. Acidente Vascular Encefálico e idade avançada apresentaram associação com constipação nos três modelos estatísticos utilizados. CONCLUSÃO A prevalência encontrada mostrou-se similar aos achados na literatura internacional, embora alguns fatores associados aqui obtidos nunca tenham sido investigados. .


Assuntos
Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem , Constipação Intestinal/epidemiologia , Autorrelato , Brasil/epidemiologia , Estudos Transversais , Prevalência , Inquéritos e Questionários
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