Perceptions and Expectations of Youth Regarding the Respect for Their Rights in the Hospital.

Information obtained from children themselves regarding the characteristics of the ideal hospital that ensure well-being during a hospital stay is scarce. Here, we report the opinions, perceptions, and expectations of 700 children and adolescents about their experiences, assessed through a mixed-method research approach with age-appropriate questionnaires, three open-ended questions, and an analysis of optional pictorial and textual narratives. Most children indicated that, while they acknowledged the expertise of hospital staff, they also noted several shortcomings, e.g., insufficiently understandable medical information as well as emotional and cognitive support. The continuity of schooling and the right to suffer as little as possible were also critical issues. Adolescents valued in particular the quality of care and services provided, the hospital's adherence to equality and non-discrimination rights, and protection systems but negatively perceived several aspects related to play and participation. Significant differences in the co-occurrences of the most frequently used text terms with the keywords "hospital" and "child/adolescent" between age groups highlight variations in the way patients perceive and articulate their experiences within the hospital setting depending on the cognitive processes linked to age. In drawings, prevailing attention was placed on the physical context of the hospital room, with figures expressing mostly negative emotions. Specifically, in this regard, the main emotion in children was sadness, and, in adolescents, it was fear. Overall, these insights are pivotal in the context of our research objectives as they shed light on the nuanced preferences, needs, and perspectives of children and adolescents during their hospital stays. Recognizing the identified shortcomings, we propose recommendations emphasizing the improvement of medical communication clarity, enhancement of emotional and cognitive support, and the improvement of programs to avoid instructional gaps during hospital stays. Addressing these specific needs is critical for a more comprehensive approach to pediatric healthcare provision.

Health professionals' perceptions of planned home birth care within the Brazilian health system.

BACKGROUND: The American College of Obstetricians and Gynecologists, in its opinion of the Committee on Midwifery Practice, points out that planned home birth is a woman's and family's right to experience, but also to choose and be informed about, their baby's place of birth. The aim of this study was to understand obstetric nurses' perceptions of planned home childbirth care within the framework of the Brazilian obstetric model. METHOD: A qualitative study, with Snowball Sampling recruitment, totaling 20 obstetric nurses through semi-structured interviews between September 2022 and January 2023, remotely, using the Google Meet application and the recording feature. After the data had been collected, the material was transcribed in full and subjected to content analysis in the thematic modality with the support of ATLAS.ti 8.0 software. RESULTS: Obstetric care at home emerged as a counterpoint to hospital care and the biomedical model, providing care at home based on scientific evidence and humanization, bringing qualified information as a facilitator of access and financial costs as an obstacle to effective home birth. CONCLUSION: Understanding obstetric nurses' perceptions of planned home birth care in the context of the Brazilian obstetric model shows the need for progress as a public policy and for strategies to ensure quality and regulation.

Percepción de los pacientes respecto a la humanización del cuidado enfermero en una unidad de hemodiálisis / Patients' perception of the humanization of nursing care in a hemodialysis unit

Objetivo:Analizar la percepción de los pacientes sobre la humanización de los cuidados de enfermería en una unidad de hemodiálisis.Material y Método: Estudio descriptivo transversal, realizado en 2023 en la unidad de hemodiálisis del Hospital Universitario de Jaén. Se utilizó el cuestionario PCHE 3ªversión (32 ítems, escala Likert 1-4), obteniéndose una puntuación sobre percepción global del cuidado humanizado y 3 puntuaciones correspondientes a las dimensiones: “Cualidades del hacer de enfermería”, “Apertura a la comunicación para proporcionar educación para la salud a la persona” y “Priorizar el sujeto de cuidado”. También se recogieron las variables sexo, edad y tiempo en hemodiálisis. Se realizó un análisis descriptivo, y se comparó la puntuación global y de las 3 dimensiones con la variable sexo (U-Mann-Whitney) y con las otras variables (Rho-Spearman). Resultados: Se analizaron 38 cuestionarios, 57,9% hombres, edad media: 65,2±15,28años, mediana tiempo en hemodiálisis: 42 (P25:8-P75:96) meses. Alpha de Cronbach del cuestionario: 0,919. Un 73,7% calificó como “siempre” la percepción global del cuidado humanizado, y un 5,3% “nunca”. Analizando las respuestas “siempre” y “nunca” en cada dimensión, encontramos: “Comunicación” (63,2% vs 5,3%), “Priorizar al paciente” (63,2% vs 5,3%) y “Cualidades del hacer” (84,2% vs 5,3%). Los pacientes con >1 año en hemodiálisis presentaron peor puntuación total PCHE (p=0,03), también encontramos correlación entre “tiempo en diálisis” y la dimensión “Cualidades del hacer” (Rho-Spearman:-0,346; p=0,039).Conclusiones: La percepción por parte de los pacientes en hemodiálisis sobre el cuidado humanizado de enfermería ha sido buena, identificándose áreas de mejora en la comunicación y priorización del paciente (AU)

Objective: To analyze patients’ perception of the humaniza-tion of care in a hemodialysis unit.Material and Methods: A descriptive cross-sectional study was conducted in 2023 in the hemodialysis unit of the Uni-versity Hospital of Jaén.The PCHE questionnaire 3rd version was used (32 items, Li-kert scale 1-4), obtaining a score on the overall perception of humanized care and three scores corresponding to the dimensions: “Qualities of nursing care,” “Openness to com-munication for providing health education to the individual, and “Prioritizing the subject of care”. Sex, age, and time on hemodialysis were also collected as variables. Descriptive analysis was performed, and the overall score and the scores of the three dimensions were compared with the sex variable (U-Mann-Whitney) and other variables (Rho-Spearman).Results: Thirty-eight questionnaires were analyzed, 57.9% male, mean age: 65.2±15.28 years, median time on hemo-dialysis: 42 (P25:8-P75:96) months. Cronbach’s alpha for the questionnaire was 0.919. 73.7% rated the overall perception of humanized care as “always,” and 5.3% as “never.” Percen-tages for “always” and “never” responses in each dimension were: “Communication” (63.2% vs. 5.3%), “Prioritizing the patient” (63.2% vs. 5.3%), and “Qualities of care” (84.2% vs. 5.3%). Patients with >1 year on hemodialysis had a lower to-tal PCHE score (p=0.03), and we also found a correlation be-tween “time on dialysis” and the “Qualities of care” dimension (Rho-Spearman: -0.346; p=0.039).Conclusions: The perception of humanized nursing care by hemodialysis patients has been high, identifying areas for im-provement in communication and patient prioritization (AU)

Violência obstétrica e bioética: percepção dos estudantes da saúde do Brasil

esta pesquisa traz uma abordagem qualitativa exploratória, com objetivo de identificar a percepção dos estudantes da área da saúde sobre a violência obstétrica e sua relação com uma perspectiva bioética pautada nos princípios previstos na Declaração Universal sobre Bioética e Direitos Humanos. Para esse fim, foi aplicado questionário eletrônico a 102 estudantes da área da saúde, cujo perfil majoritário era do sexo feminino, de até 25 anos, residentes no Distrito Federal, que não têm filhos. A partir das respostas, pode-se perceber que o conhecimento sobre violência obstétrica não se deu necessariamente no contexto formal acadêmico, tendo ocorrido a partir de sítios da internet e das mídias tradicionais. Com relação ao conhecimento em Bioética, embora a maioria dos participantes tenha afirmado possuir, percebeu-se que ele era limitado quanto ao teor da Declaração Universal sobre Bioética e Direitos Humanos e sua aplicação no caso concreto. Conclui-se que há uma lacuna significativa na formação ética de profissionais de saúde e que a comunidade acadêmica deve estimular o desenvolvimento do pensamento crítico de seus alunos, ao invés de coibi-lo.

the research has an exploratory qualitative approach to identify health students' perception of obstetric violence and its relationship with a bioethical perspective based on the postulates of the Universal Declaration on Bioethics and Human Rights. For this purpose, an electronic questionnaire was applied to 102 health students, the majority female, up to 25 years of age, and inhabitants of the Federal District, Brazil, without children. From the answers, it is possible to perceive that knowledge about obstetric violence does not necessarily occur in the formal academic context, having considerable importance in the debate among students and other sources of information, such as the internet and media. Concerning knowledge of Bioethics, although most of the participants claimed to have, it is perceived that it was limited in terms of the meaning of the Universal Declaration on Bioethics and Human Rights and its application in the specific case. It is concluded that there is a significant gap in the ethical training of health professionals and that the academic community should stimulate the development of critical thinking in their students instead of inhibiting it.

la investigación trae un enfoque cualitativo exploratorio, con el propósito de identificar la percepción de los estudiantes del área de salud acerca de la violencia obstétrica y su relación con una perspectiva bioética pautada en los postulados previstos en la Declaración Universal sobre Bioética y Derechos Humanos. Para tal, se aplicó cuestionario electrónico a 102 estudiantes del área de la salud, cuyo perfil mayoritario era del sexo femenino, de hasta 25 años, habitantes del Distrito Federal, Brasil, sin hijos. A partir de las respuestas, se logra percibir que el conocimiento acerca de la violencia obstétrica no necesariamente ocurre en el contexto formal académico, teniendo considerable importancia el debate entre alumnos y otras fuentes de información, como internet y media. En relación con el conocimiento en Bioética, aunque la mayoría de los participantes ha afirmado tener, se percibe que era limitado en cuanto al sentido de la Declaración Universal sobre Bioética y Derechos Humanos y su aplicación en el caso concreto. Se concluye que hay un vacío significativo en la formación ética de profesionales de salud y que la comunidad académica debe estimular el desarrollo del pensamiento crítico de sus estudiantes en lugar de cohibirlo.

Estresores del paciente crítico y la atención humanizada: una revisión sistemática / Stressors of the critical patient and humanized attention: a systematic review

INTRODUCCIÓN: Las Unidades de Cuidados Intensivos (UCI) han sido y siguen siendo un territorio hostil donde se proporcionan cuidados de Enfermería. Debido a los avances científico-tecnológicos se ha impuesto una atención alejada de aspectos humanos y la exclusión de las familias en los cuidados, dejando a un lado la perspectiva holística de los mismos. El objetivo de este trabajo es identificar los factores estresantes que sufren los pacientes y sus familiares en una UCI y cómo poder solventarlos. MATERIAL Y MÉTODO: Se llevó a cabo una revisión sistemática, en las bases de datos WOS, SCOPUS y Pubmed. RESULTADOS: Los diferentes estudios obtienen resultados similares. La mayoría de ellos establecen como principal factor estresante al dolor, sobre el cual se puede trabajar de diferentes maneras para paliarlo. El resto de los factores se repiten en los artículos difiriendo en el orden de prioridad de estos estresores; unos priorizan tener tubos en la nariz y en la boca, otros no poder comunicarse con su entorno, tener sed, etc. Todos sugieren la importancia de la implantación de prácticas humanizadas en el cuidado del paciente crítico y sus familias. CONCLUSIÓN: La UCI, a pesar de ser un lugar idóneo para la recuperación de pacientes críticos e inestables, también es considerada un lugar hostil, amenazante y desagradable en la cual están presentes numerosos factores estresantes. La identificación de los factores estresantes para la implementación de proyectos humanizados en UCI, permite aplicar cuidados desde una perspectiva holística, mejorando la evolución de los pacientes. (AU)

INTRODUCTION: The Intensive Care Unit (ICU) have been and continue to be a hostile territory where nursing care is provided. Due to scientific-technological progress, care has been imposed away from human aspects and the exclusion of families in care, leaving aside their holistic perspective. The goal of this work is to identify the stressfull factors suffered by patients and their relatives in an ICU and how to solve them. MATERIAL AND METHOD: A Systematic review was carried out in the WOS, SCOPUS and PubMed databases. RESULTS: The different studies obtain similar results. Most of them established pain as the main stressor, which can be worked on in different ways to relieve it. The rest of the factors are repeated in the articles differing in the order of priority. Some prioritize having tubes in their nose and mouth; others not being able to communicate with their environment, being thirsty, etc. All suggest the importance of the implantation of humanized practices in the care of critical patients and their families. CONCLUSION: The ICU, despite being and ideal place for the recovery of critical and unstable patients, is also considered a hostile, threating and unpleasant place in which numerous stressors are present. The identification of stressors for the implantation of humanized projects in ICU allows to apply care from a holistic perspective, improving the evaluation of patients. (AU)

Percepción de los usuarios sobre los comportamientos de cuidado humanizado en hospitales públicos de Corrientes / Users' perception of humanized care behaviors in public hospitals in Corrientes

Ante el riesgo de deshumanización de los profesionales que brindan el cuidado al paciente, a causa de la gran reestructuración administrativa de la mayoría de los sistemas de cuidado de salud en el mundo, se hace necesario el rescate del aspecto humano, espiritual y transpersonalObjetivo: describir la percepción de los usuarios sobre los comportamientos de cuidado humanizado en los hospitales públicos de Corrientes en el año 2022.Metodología: Se realizó un estudio descriptivo y transversal, se encuestó a usuarios atendidos en hospitales públicos de la Provincia de Corrientes, se utilizó el cuestionario "Percepción de comportamientos de cuidado humanizado de enfermería (PCHE) Clinicountry ­ 3ª versión. Para el análisis de los datos se utilizaron medidas de tendencia central y de dispersión, frecuencias absolutas y relativas.Resultados: Se encuestaron a 175 usuarios de hospitales públicos de la provincia de Corrientes, la edad media fue de 45, 69 años (DS= 16,97 años), el 64, 4 % es de género femenino. En relación al análisis general de la percepción de comportamientos de cuidado humanizado en los usuarios de servicios de salud atendidos en hospitales públicos, se observó que 131 (74,9%) usuarios percibieron el comportamiento de forma positiva.Conclusión: Se logró describir que la percepción sobre el comportamiento de cuidado humanizado de enfermería en los hospitales públicos de Corrientes fue positiva en la mayoría de los usuarios, se identificaron dimensiones que requieren de estrategias para mejorar el cuidado[AU]

Given the risk of dehumanization in patient care, due to the great administrative restructuring of most health care systems in the world, it is necessary to rescue the human, spiritual and transpersonal aspect.Objective: describe the perception of users about humanized care behaviors in public hospitals in Corrientes in the year 2022.Methodology: A descriptive and cross-sectional study was carried out, surveying users treated in public hospitals in the Province of Corrientes, using the questionnaire "Perception of humanized nursing care behaviors (PCHE) Clinicountry - 3rd version. for the analysis of the data, measures of central tendency and dispersion, absolute and relative frequencies were used.Results: 175 users of public hospitals in the province of Corrientes were surveyed, the mean age was 45.69 years (SD= 16.97 years), 64.4% are female. In relation to the general analysis of the perception of humanized care behaviors in users of health services treated in public hospitals, it was observed that 131 (74.9%) users perceived the behavior positively.Conclusion: It was possible to describe that the perception of the behavior of humanized nursing care in the public hospitals of Corrientes was positive in the majority of the users, dimensions hat require strategies to improve care were identified[AU]

Diante do risco de desumanização no atendimento ao paciente, devido à grande reestruturação administrativa da maioria dos sistemas de saúde do mundo, é necessário resgatar o aspecto humano, espiritual e transpessoal.Objetivo: descrever a percepção dos usuários sobre condutas de atendimento humanizado em hospitais públicos de Corrientes no ano de 2022.Metodologia: Realizou-se um estudo descritivo e transversal, pesquisando usuários atendidos em hospitais públicos da Província de Corrientes, utilizando o questionário "Percepção de condutas de cuidado humanizado de enfermagem (PCHE) Clinicountry - 3ª versão. para a análise dos dados, foram utilizadas medidas de tendência central e dispersão, frequências absolutas e relativas.Resultados: foram pesquisados 175 usuários de hospitais públicos da província de Corrientes, a idade média foi de 45,69 anos (DP= 16,97 anos), 64,4% são mulheres. Em relação à análise geral da percepção de comportamentos de cuidado humanizado em usuários de serviços de saúde atendidos em hospitais públicos, observou-se que 131 (74,9%) usuários perceberam o comportamento de forma positiva.Conclusão: Foi possível descrever que a percepção do comportamento de cuidado humanizado de enfermagem nos hospitais públicos de Corrientes foi positiva na maioria dos usuários, foram identificadas dimensões que requerem estratégias para melhorar o cuidado[AU]

O uso de história em quadrinhos no cuidado à criança na unidade de terapia intensiva pediátrica / The use of comics in the care of children in the pediatric intensive care unit / El uso del cómic en el cuidado de los niños en la unidad de cuidados intensivos pediátricos

RESUMO Objetivo: Conhecer a participação da criança no cuidado de Enfermagem a partir de uma intervenção lúdica na Unidade de Terapia Intensiva Pediátrica. Método: Estudo qualitativo, realizado entre outubro de 2022 a fevereiro de 2023 na Unidade de Terapia Intensiva Pediátrica com dez crianças entre cinco e 11 anos, no Maranhão, Brasil. Utilizou-se uma história em quadrinhos sobre crianças hospitalizadas. Optou-se pela Análise Temática de Minayo para análise dos dados. Resultados: A participação da criança no cuidado deu-se por liberdade de expressão e estímulo a conhecer a situação clínica de forma própria para a idade. O uso dos quadrinhos mostrou-se uma tecnologia para brincar, educar e cuidar, pois reuniu elementos lúdicos e educativos capazes de intervir nessas três dimensões. Conclusão: A participação da criança no cuidado envolveu escuta sensível, comunicação adequada para a idade, abordagem inclusiva e o permitir ser criança enquanto aprende sobre si e o ambiente.

ABSTRACT Objective: To learn about children's participation in nursing care through a playful intervention in the Pediatric Intensive Care Unit. Method: Qualitative study carried out between October 2022 and February 2023 in the Pediatric Intensive Care Unit with ten children between five and 11 years old in Maranhão, Brazil. A comic book about hospitalized children was used. Minayo's Thematic Analysis was used to analyze the data. Results: The child's participation in the care took place through freedom of expression and encouragement to learn about the clinical situation in a way that was appropriate for their age. Comics proved to be a technology for playing, educating, and caring, combining playful and educational elements capable of intervening in these three dimensions. Conclusion: The child's participation in care involved sensitive listening, age-appropriate communication, an inclusive approach, and allowing them to be a child while learning about themselves and their environment.

RESUMEN Objetivo: Conocer la participación de los niños en los cuidados de enfermería a través de una intervención lúdica en la Unidad de Cuidados Intensivos Pediátricos. Método: Estudio cualitativo, realizado entre octubre de 2022 y febrero de 2023 en una Unidad de Cuidados Intensivos Pediátricos con diez niños de entre cinco y once años, en Maranhão, Brasil. Se utilizó un cómic sobre niños hospitalizados. Para analizar los datos se utilizó el análisis temático de Minayo. Resultados: La participación del niño en los cuidados adoptó la forma de libertad de expresión y estímulo para conocer la situación clínica de forma adecuada a su edad. El uso del cómic resultó ser una tecnología para jugar, educar y cuidar, ya que reunía elementos lúdicos y educativos capaces de intervenir en estas tres dimensiones. Conclusión: La participación del niño en los cuidados implicaba una escucha sensible, una comunicación adecuada a su edad, un enfoque integrador y permitir ser un niño mientras aprendía sobre sí mismo y su entorno.

Discursividade de profissionais de enfermagem sobre tecnologias leves na assistência a pacientes hospitalizados com covid-19 / Discursividad de profesionales de enfermería sobre tecnologías ligeras en la asistencia a pacientes hospitalizados con covid-19 / Discursivity of nursing professionals on light technologies in assistance to hospitalized patients with covid-19

Objetivo: compreender a utilização de tecnologias leves por profissionais de enfermagem na assistência a pacientes hospitalizados com covid-19. Método: estudo de abordagem qualitativa, desenvolvido com 23 profissionais de enfermagem, de hospitais de referência, para atendimento de pessoas com covid-19, entre maio e junho de 2021. A técnica de coleta de dados utilizada foi entrevista semiestruturada. Utilizou-se o referencial teórico-analítico da Análise de Discurso, de matriz francesa. Resultados: elaboraram-se as formações discursivas necessidades de saúde de pessoas hospitalizadas por covid-19, na perspectiva de profissionais de enfermagem; cuidados de enfermagem aos pacientes hospitalizados com covid-19 e tecnologias utilizadas; dificuldades enfrentadas na assistência de enfermagem aos pacientes hospitalizados com covid-19. Considerações finais: os profissionais de enfermagem não conseguiram identificar as tecnologias leves em suas práticas de cuidados, embora em seus discursos tenha sido identificado traços da utilização dessas tecnologias no seu cotidiano de trabalho.

Objetivo: comprender el uso de tecnologías ligeras por profesionales de enfermería en la asistencia a pacientes hospitalizados con covid-19. Método: estudio de abordaje cualitativo, desarrollado con 23 profesionales de enfermería, de hospitales de referencia, para atención de personas con covid-19, entre mayo y junio de 2021. La técnica de recolección de datos utilizada fue entrevista semiestructurada. Se utilizó el referencial teórico-analítico del Análisis de Discurso, de matriz francesa. Resultados: se elaboraron las formaciones discursivas necesidades de salud de personas hospitalizadas por covid-19, desde la perspectiva de profesionales de enfermería; cuidados de enfermería a los pacientes hospitalizados con covid-19 y tecnologías utilizadas; dificultades enfrentadas en la asistencia de enfermería a los pacientes hospitalizados con covid-19. Consideraciones finales: los profesionales de enfermería no consiguieron identificar las tecnologías ligeras en sus prácticas de atención, aunque en sus discursos se identificaron rasgos de la utilización de esas tecnologías en su cotidiano de trabajo.

Objective: to understand the use of light technologies by nursing professionals in the care of hospitalized patients with covid-19. Method: qualitative study, developed with 23 nursing professionals, from reference hospitals for care of people with covid-19, between May and June 2021. The data collection technique used was semi-structured interview. The theoretical-analytical framework of Discourse Analysis, of French matrix, was used. Results: the discursive training of health needs of people hospitalized with covid-19 was developed from the perspective of nursing professionals; nursing care for hospitalized patients with covid-19 and technologies used; difficulties faced in nursing care for hospitalized patients with covid-19. Final considerations: nursing professionals could not identify the light technologies in their care practices, although their discourses revealed traces of the use of these technologies in their daily work.

Entre ouvidos e palavras: um ensaio sobre medicina narrativa, redes sociais e humanização na Atenção Primária à Saúde / In between hearings and words: an essay on narrative medicine, social media, and humanization in Primary Health Care / Entre oídos y palabras: un ensayo sobre medicina narrativa, redes sociales y la humanización en la atención primaria de la salud

Este ensaio almejou refletir sobre a relação entre medicina narrativa, redes sociais e humanização a partir da utilização, por um dos autores, das redes sociais para compartilhamentos de histórias vivenciadas no contexto da Atenção Primária à Saúde. Questões acerca dos modelos de atenção em saúde vigentes, da escuta e da narrativa como dispositivos de humanização do cuidado e da emergência das redes sociais como potencializadoras da prática de saúde humanizada surgiram como importantes pontos a serem analisados à luz da literatura vigente. Ao fim, foram compartilhados apontamentos para utilização da medicina narrativa como ferramenta para uma prática humanizadora.(AU)

Abstract This essay reflects on the relationship between narrative medicine, social media, and humanization based on the use of social media by one of the authors to share experiences in the context of primary health care. Questions about prevailing health care models, listening, and narrative as dispositives of the humanization of care and the emergence of social media as drivers of humanized health practices arose as important points that need to be analyzed in the light of current literature. In the conclusion we present some considerations relating to the use of narrative medicine as a tool for promoting humanizing practices.(AU)

Resumen El objetivo de este ensayo fue reflexionar sobre la relación entre la medicina narrativa, las redes sociales y la humanización, a partir de la utilización, por parte de uno de los autores, de las redes sociales para compartición de historias vividas en el contexto de la Atención Primaria de la Salud. Surgieron preguntas sobre los modelos de atención de salud vigentes, de la escucha y de la narrativa como dispositivos de humanización del cuidado y de la emergencia de las redes sociales como potenciadoras de la práctica de salud humanizada como puntos importantes a analizar a la luz de la literatura vigente. Al final, se compartieron observaciones para la utilización de la medicina narrativa como herramienta para una práctica humanizadora.(AU)

Intersections of the arts and art therapies in the humanization of care in hospitals: Experiences from the music therapy service of the University Hospital Fundación Santa Fe de Bogotá, Colombia.

Humanization of care is becoming an increasingly important aspect in providing high-quality health services and the arts are more and more implemented to support and foster humanization and person-centered care efforts. Musical experiences are one of the most frequently encountered art forms in medical settings. Music therapy as a healthcare profession has a decades-long tradition in hospitals, both in inpatient and outpatient areas. However, while studies regarding the effectiveness of music therapy are on the forefront of clinical research, little attention has been paid to the profession's inherent opportunities to assist the hospitals' strategies in terms of humanization of care. Yet, the musical experiences in music therapy are especially versatile in supporting healthcare users from a holistic perspective, contributing to a more compassionate, personalized, and humanized environment. In this article, the basic pillars of humanized and person-centered care will be outlined, followed by examples of seven intersections in which the music therapy service of the University Hospital Fundación Santa Fe de Bogotá aligns with its Humanized and Compassionate Care Model. The aim of this article is to stimulate the discussion on music therapy not only as a profession that provides safe and effective treatment, but also as a therapeutic art experience that can add value for hospitals on their path toward a more humanized care culture.

Significados de la humanización en cuidado crítico. Vivencias y acciones de profesionales sanitarios en Unidades de Cuidado Intensivo en Bogotá y Cartagena (Colombia) / Significats de la humanització en cura crítica. Vivències i accions de professionals sanitaris a Unitats de Cura Intensiva a Bogotà i Cartagena (Colòmbia) / Meanings of humanization in critical care. Experiences and actions of health professionals in Intensive Care Units in Bogota and Cartagena (Colombia)

La humanización en la prestación de servicios de salud es un imperativo ético, incluso para las Unidades de Cuidado Intensivo (UCI), donde brindar atención integral centrada en pacientes y familiares, y no en lo tecnológico, es un reto. Se presenta un estudio cualitativo que utilizó entrevistas semiestructuradas en línea, observación participante y diario de campo. Participaron 10 trabajadores de UCI privadas y 10 en UCI públicas: 6 fisioterapeutas, 5 médicos, 4 sanitarios de enfermería y 5 enfermeras. Para analizar la información se realizó codificación, categorización y hermenéutica de ideas. Se descubrieron dos posturas frente a la humanización: como obligación (deontología) o como acto respeto (profesionalismo). Se comprende y practica la humanización como: 1) buen trato y cordialidad al realizar intervenciones; 2) ponerse en el lugar del paciente reconociendo que tiene familia; 3) cuidados que garantizan confort al paciente mediante acciones sobre el cuerpo;4) cumplir con objetivos terapéuticos evitando sufrimiento o daño; 5) reconocer la dignidad del paciente; 6) atención a la vulnerabilidad del paciente, especialmente oncológico. Existen barreras para la humanización: la pandemia, los insumos de la UCI, las normas institucionales rígidas, entre otras. En conclusión, los significados otorgados a la humanización en cuidado crítico están mediadas por prácticas con énfasis en aspectos biológicos e ideas relacionadas con el respeto por la dignidad humana (intimidad), el buen trato y evitar sufrimiento al paciente. La pandemia generó crisis en la atención humanizada expresada, entre otras, en ausencia de apoyo psicosocial al personal que trabaja en UCI.(AU)

La humanització en la prestació de serveis de salut és un imperatiu ètic, fins i tot per a les Unitats de Cura Intensiva (UCI), on brindar atenció integral centrada en pacients i familiars, i no en l’aspecte tecnològic, és un repte. Es presenta un estudi qualitatiu que va utilitzar entrevistes semi-estructurades en línia, observació participant i diari de camp. Van participar 10 treballadors d'UCI privades i 10 en UCI públiques: 6 fisioterapeutes, 5 metges, 4 sanitaris d'infermeria i 5 infermeres. Per a analitzar la informació es va realitzar codificació, categorització i hermenèutica d'idees. Es van descobrir dues postures enfront de la humanització: com a obligació (deontologia)o com a acte respecto (professionalisme). Es comprèn i practica la humanització com: 1) bon tracte i cordialitat en realitzar intervencions; 2) posar-se en el lloc del pacient reconeixent que té família; 3) cures que garanteixen confort al pacient mitjançant accions sobre el cos; 4) complir amb objectius terapèutics evitant sofriment o mal; 5) reconèixer la dignitat del pacient; 6) atenció a la vulnerabilitat del pacient, especialment oncològic. Existeixen barreres per a la humanització: la pandèmia, els inputs de l'UCI, les normes institucionals rígides, entre altres. En conclusió, els significats atorgats a la humanització en cura crítica estan mediades per pràctiques amb èmfasis en aspectes biològics i idees relacionades amb el respecte per la dignitat humana (intimitat), el bon tracte i evitar sofriment al pacient. La pandèmia va generar crisi en l'atenció humanitzada expressada, entre altres, en absència de suport psicosocial al personal que treballa en UCI.(AU)

Humanization in the provision of health services is an ethical imperative; even for Intensive Care Units (ICU), where achieving comprehensive care focused on patients and families and not on technology is a challenge. A qualitative study is presented that used semi-structured online interviews, participant observation, and field diary. 10 private ICU workers and 10 public ICU workers participated: 6 physiotherapists, 5 doctors, 4 nursing assistants and 5 nurses. To analyse the information, ideas were codified, categorized and hermeneutics performed. Two positions were found regarding humanization, as an obligation (deontology) or as an act of respect (professionalism). Humanization is understood and practiced as: 1) good treatment and cordiality when carrying out interventions; 2) put yourself in the patient's shoes, recognizing that you have a family; 3) care that guarantees comfort to the patient through actions on the body; 4) meet therapeutic objectives avoiding suffering or harm; 5) recognize the dignity of the patient; 6) attention to the vulnerability of the patient, especially cancer. There are barriers to humanization: the pandemic, ICU supplies, rigid institutional regulations, and others. In conclusions the meanings given to humanization in critical care are mediated by practices with an emphasis on biological aspects and ideas related to respect for human dignity (privacy), good treatment and avoiding suffering to the patient. The pandemic generated a crisis for humanized care, expressed, among others, in the absence of psychosocial support for personnel working in the ICU.(AU)

Impact of the COVID-19 Pandemic on Patient- and Family-Centered Care and on the Mental Health of Health Care Workers, Patients, and Families.

During the COVID-19 pandemic, hospitals around the world were forced to reorganize their processes in an attempt to contain the spread of the virus while still providing adequate care to patients. In the Pediatric Intensive Care Unit (PICU) setting, changes in family visitation protocols and restrictions on parent chaperones during hospitalization, as well as other changes, interfered with care. Based on a narrative review of the literature, supported by the authors' observations in practice, we aimed to describe the impact of the pandemic on patient and family-centered care (PFCC) in the PICU environment, especially regarding the presence of family members, family support, and communication with patients and their families, as well as the effects of changes in these practices on the mental health of those involved. In this context, several strategies were used to sustain PFCC, and, despite many challenges, attempts were made to achieve the bare-minimum goals of humanized care for patients, families, and providers alike.

Evaluación de los Comportamientos de Cuidado Humano de las enfermeras: perspectiva de personas adultas hospitalizadas / Evaluation of Caring Behaviours by nurses: A perspective by hospitalized adult persons

Objetivo: evaluar los comportamientos del cuidado humano brindado por profesionales de Enfermería desde la perspectiva de personas adultas atendidas en un hospital de especialidades en México. Método: estudio descriptivo transversal realizado entre septiembre y diciembre de 2020. Se efectuó muestreo por conveniencia en los servicios de cirugía, traumatología y medicina interna. Se midieron variables sociodemográficas, clínicas y la escala Caring Behaviors Assessment en su versión validada al español. Esta incluye 63 comportamientos de cuidado humano brindado por los enfermeros medidos con escala Likert (de 1 nunca a 5 siempre). Se llevó a cabo estadística descriptiva y bivariante. Resultados: participaron 103 personas con una media de edad de 45,3 años. El 50,5% era hombre y el 72,8% tenía escolarización secundaria o menor. Evaluaron que las enfermeras mostraban comportamientos de cuidado humano casi siempre o siempre (X= 4,28; DE 0,46) en la escala global. La subescala de Asistencia a las Necesidades Humanas obtuvo el mayor promedio (X= 4,73; DE= 0,46) mientras que la de Enseñanza/Aprendizaje obtuvo el más bajo (X= 3,54; DE= 1,13). Trato respetuoso, individualizado y manejo de equipos fueron los comportamientos de cuidado mejor evaluados. Las visitas en los traslados, el hablar sobre la vida fuera del hospital, la planificación de metas de salud, el tacto para el consuelo y la consideración de necesidades espirituales, los peor evaluados. Conclusiones: los comportamientos de cuidado mejor evaluados fueron los relacionados con las habilidades instrumentales de los enfermeros y el respeto al paciente. El contacto físico, la conversación con el paciente y la consideración de las necesidades espirituales fueron algunos de los comportamientos pendientes de desarrollar.(AU)

Objective: to evaluate the caring behaviour provided by Nursing professionals, from the perspective of adult persons managed at a Tertiary Care Hospital in Mexico. Method: a descriptive cross-sectional study conducted between September and December 2020. There was convenience sampling at the Surgery, Orthopaedic Surgery and Internal Medicine Departments. Sociodemographic and clinical variables were measured. The Caring Behaviours Assessment scale was used in its version validated in Spanish, which includes 62 caring behaviours provided by nurses and measured with the Likert scale (from 1: never to 5: always). Descriptive and bivariate statistic was applied. Results: the study included 103 persons with 45.3 years as mean age; 50,5% were male and 72.8% had secondary or lower schooling. The evaluation confirmed that nurses showed caring behaviours almost always or always (X= 4.28; SD 0.46) in the overall scale. The Assistance to Human Needs subscale obtained the highest average (X= 4.73; SD= 0.46) while Teaching/Learning obtained the lowest (X= 3.54; SD= 1.13). Respectful and individualized treatment, and equipment operation were the best scored caring behaviours, while the ones with worse scores were visits during transfers, discussing life outside hospital, planning health goals, tact for comforting, and the consideration of spiritual needs. Conclusions: the caring behaviours better scored were those associated with the instrumental skills of nurses and respect to patients. Physical contact, conversation with the patient, and consideration of spiritual needs were some of the behaviours still pending development.(AU)

Parto cesariana em cena: assistência de enfermagem humanizada / Cesarean deliveries on the scene: humanized nursing care

Introdução: O centro do conceito de humanização é a dignidade e o respeito à vida humana, enfatizando a dimensão ética na relação entre pacientes e profissionais de saúde. O tema humanização na área da saúde é de extrema relevância, uma vez que consagra como premissa básica o atendimento de qualidade ao paciente. Os profissionais de enfermagem envolvidos especialmente no processo do parto cesariana devem oferecer assistência qualificada, acolhedora e humanizada. Objetivo: Avaliar a assistência de enfermagem no parto cesariana, no centro obstétrico sob o olhar da humanização. Métodos: Tratou-se de um estudo exploratório de abordagem qualitativa. Participaram do estudo 10 profissionais de enfermagem, sendo 6 enfermeiras obstetras e 4 técnicas em enfermagem, todas do sexo feminino, idade entre 25 e 38 anos, tempo de atuação na área entre 1 e 13 anos. A coleta de dados foi configurada por meio de entrevista semiestruturada, e análise de dados por categorização dos dados. Resultados e Conclusão: A equipe de enfermagem está humanizando o parto cesariana, de acordo com as diretrizes do Ministério da Saúde, mesmo com a limitação do parto cirúrgico, a cena se configura no binômio e família, observou-se o respeito à escolha do acompanhante, sala aquecida e na penumbra, contato pele a pele, corte tardio do cordão umbilical, e aleitamento na primeira hora do parto, além do envolvimento da equipe de enfermagem, demonstrando respeito à individualidade, ética e postura proativa no que se refere ao parto em cena.

Introduction: At the core of the concept of humanization are dignity and respect to human life, emphasizing the ethical dimension of the relationship between patients and healthcare professionals. The matter of humanization in healthcare is extremely relevant as it establishes quality patient care as a basic premise. Nursing professionals especially involved in the cesarian delivery process should offer qualified, welcoming, and humanized care. Objective: To evaluate nursing care during cesarean deliveries at an obstetric unit from the viewpoint of humanization. Methods: This is an exploratory study with a qualitative approach. Participants were 10 nursing professionals, of which 6 were obstetric nurses and 4 were practical nurses; all of them were female, aged between 25 and 38 years, and had been working in nursing for 1 to 13 years. Data collection was performed via a semistructured interview, and data analysis was done by categorizing data. Results and conclusion: The nursing team is humanizing cesarian deliveries, according to guidelines by the Ministry of Health; despite the limitations of surgical delivery, the scene revolves around the binome and the family, and we observed respect for the choice of support partner, heated room, dimmed lights, skin-to-skin contact, delayed umbilical cord clamping, and breastfeeding in the first postpartum hour. In addition, the involvement of the nursing team demonstrated respect to individuality, ethics, and a proactive approach when considering the delivery scene.

The family in the intensive care unit in the face of a situational crisis.

OBJECTIVE: to explore the experience of family members of a relative hospitalised in the Intensive Care Unit and recognise their emotions and needs and describe the phases or milestones they go through and the strategies they use to cope with the situations that arise. METHOD: Qualitative study developed under the grounded theory method proposed by Anselm Strauss and Juliet Corbin. During the period from July 2017 to July 2019, semi-structured interviews were conducted with 26 relatives of hospitalised patients in fifteen third-level private clinics in the city of Manizales and Medellín, Colombia. In the latter, 200 h of participant observation were performed in ICUs of two private third-level clinics. The analysis procedure consisted of a microanalysis of the data and the process of open, axial, and selective coding of the information was continued. RESULTS: We identified that the experience of relatives when they accompany their sick relative in the Intensive Care Unit is represented in two categories: family disorganisation which is characterised by generating a change and mismatch in family dynamics and, family reorganisation in which a restoration of order is sought to cope with the situation. CONCLUSIONS: The family in the Intensive Care Unit develops a situational crisis characterised by intense, varied, and negative emotions and needs that wear down the relatives. Faced with this, family members undertake a reorganisation process to restore the order of family dynamics to cope with the situation and overcome difficulties.

La familia en la unidad de cuidados intensivos frente a una crisis situacional / The family in the intensive care unit in the face of a situational crisis

Objetivo:Explorar cómo vive una familia la experiencia de tener un pariente hospitalizado en la unidad de cuidados intensivos (UCI) y reconocer sus emociones y necesidades, describir las fases o momentos por los que pasan y las estrategias que utilizan para hacerle frente a las situaciones que se les presentan.Método:Estudio cualitativo desarrollado bajo el método de la teoría fundamentada propuesta por Anselm Strauss y Juliet Corbin. Durante el periodo de julio de 2017 a julio del 2019 se realizaron entrevistas semiestructuradas a 26 familiares de pacientes hospitalizados en 15 clínicas privadas de tercer nivel de la ciudad de Manizales y Medellín, Colombia. En esta última se realizó 200h de observación participante en la UCI de 2 clínicas privadas de tercer nivel. El procedimiento de análisis consistió en un microanálisis de los datos, y se continuó con el proceso de codificación abierta, axial y selectiva de la información.Resultados:Se identificó que la experiencia de los familiares cuando acompañan a su pariente enfermo en la UCI se representa en 2 categorías: 1) Desorganización familiar (como una crisis situacional): implica un cambio y un desajuste de la dinámica familiar, y 2) Reorganización familiar en la que se busca un restablecimiento del orden para hacerle frente a la situación.Conclusiones:La familia en la UCI desarrolla una crisis situacional caracterizada por emociones y necesidades intensas, variadas y negativas que desgastan a los familiares. Frente a esto, los familiares emprenden un proceso de reorganización para restablecer el orden de la dinámica familiar para hacerle frente a la situación y superar las dificultades.

Objective:To explore the experience of family members of a relative hospitalized in the intensive care unit and recognize their emotions and needs and describe the phases or milestones they go through and the strategies they use to cope with the situations that arise.Method:Qualitative study developed under the grounded theory method proposed by Anselm Strauss and Juliet Corbin. During the period from July 2017 to July 2019, semi-structured interviews were conducted with 26 relatives of hospitalized patients in fifteen third-level private clinics in the city of Manizales and Medellín, Colombia. In the latter, 200 hours of participant observation were performed in ICUs of two private third-level clinics. The analysis procedure consisted of a microanalysis of the data and the process of open, axial, and selective coding of the information was continued.Results:We identified that the experience of relatives when they accompany their sick relative in the intensive care unit is represented in two categories: family disorganization which is characterized by generating a change and mismatch in family dynamics and, family reorganization in which a restoration of order is sought to cope with the situation.Conclusions:The family in the intensive care unit develops a situational crisis characterized by intense, varied, and negative emotions and needs that wear down the relatives. Faced with this, family members undertake a reorganization process to restore the order of family dynamics to cope with the situation and overcome difficulties.

Práticas discursivas acerca do poder decisório da mulher no parto / Prácticas discursivas sobre el poder de decisión de la mujer en el parto / Discursive practices about the decisionmaking power of women in childbirth

Este artigo analisou o poder decisório da mulher no parto expresso nas práticas discursivas de enfermeiras e médicos residentes da área de obstetrícia. Estudo qualitativo com 22 residentes de uma maternidade. Os dados foram coletados por meio de entrevistas e submetidos à análise do discurso à luz de Michel Foucault. As práticas discursivas enfocam o controle dos riscos e a normalização do comportamento cooperativo da parturiente, culminando em restrições no poder decisório das mulheres. Também valorizam a humanização do parto, por meio do protagonismo e da corresponsabilização feminina, o que tensiona o saber-poder médico. Evidenciou-se que há ancoragem na medicalização, reproduzida pelo ensino de obstetrícia, e na lógica neoliberal, associando o autogoverno das mulheres ao consumo. Autonomia e saúde como direitos precisam ser fortalecidos pelos atores sociais do ensino e da assistência em obstetrícia.(AU)

Este artículo analizó el poder de decisión de la mujer en el parto expresado en las prácticas discursivas de enfermeras y médicos residentes del área de obstetricia. Estudio cualitativo con 22 internos de una maternidad. Los datos se colectaron por medio de entrevistas y se sometieron a análisis del discurso a la luz de Michel Foucault. Las prácticas discursivas enfocan el control de los riesgos y la normalización del comportamiento cooperativo de la parturienta, culminando en restricciones del poder de decisión de las mujeres. También evalúan la humanización del parto, por medio del protagonismo y de la corresponsabilización femenina, lo que causa tensión sobre el saber-poder médico. Se puso en evidencia que hay anclaje en la medicalización, reproducida por la enseñanza de la obstetricia y en la lógica neoliberal, asociando el autogobierno de las mujeres al consumo. La autonomía y la salud como derechos precisan ser fortalecidas por los actores sociales de la enseñanza y de la asistencia en obstetricia.(AU)

This article analyzed the decision-making power of women in childbirth expressed in the discursive practices of nurses and resident physicians in the area of obstetrics. Qualitative study with 22 residents of a maternity hospital. Data were collected through interviews and submitted to discourse analysis following Michel Foucault's views. The discursive practices focus on risk control and normalization of the cooperative behavior of the parturient woman, culminating in restrictions on the decision-making power of women. They also value the humanization of childbirth, through the protagonism and co-responsibility of women, stressing the medical knowledge-power. It was evident an anchor in medicalization, reproduced by midwifery teaching, and in the neoliberal logic, associating women's self-government to consumption. Autonomy and health as rights need to be strengthened by the social actors of midwifery teaching and assistance.(AU)

Humanización del cuidado desde la perspectiva de niños-niñas y adolescentes hospitalizados: revisión integrativa

Objetivo: Analizar los factores que contribuyen en la percepción de la humanización del cuidado de niñas, niños y adolescentes hospitalizados. Material y Método: Se realizó una revisión integrativa de literatura entre los años 2016 y 2021, utilizando las bases de datos de la Biblioteca Virtual en Salud. Para la búsqueda y selección de artículos se utilizó la metodología de Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). La muestra quedó conformada por 20 artículos. La calidad de los artículos se evaluó a través de las guías: Metodología e Investigación en Cirugía (MINCIR) para estudios observacionales descriptivos y Programa de Habilidades en Lectura Crítica Español CASPe. Resultados: Los factores asociados a la humanización del cuidado se agrupan en factores del sistema de salud, como el establecimiento y personal de salud. Un segundo grupo de factores se relacionan con la percepción del niño(a) o adolescente, lo que se asocia con factores de salud mental, ámbito corporal y satisfacción. Conclusión: Entre los factores asociados a la humanización del cuidado desde la percepción de niños(as) y adolescentes destacan aspectos relacionados a la mirada del Otro como ser humano y sujeto de derecho.

Objective: To analyze the factors that contribute to the perception of the humanization of the care of hospitalized children and adolescents. Material and Method: An integrative literature review was conducted between 2016 and 2021, using the Virtual Health Library databases. For the search and selection of articles, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology was used. The simple consisted of 20 articles. The quality of the articles was evaluated through the Methodology and Research in Surgery (MINCIR) for descriptive observational studies and Spanish Critical Reading Skills Program (CASPe) guidelines. Results: The factors associated with the humanization of care are grouped into health system factors, such as the health facility and personnel. A second group of factors is related to the perception of the child or adolescent, which is associated with mental health factors, body environment and satisfaction. Conclusion: Among the factors associated with the humanization of care from the perception of children and adolescents, aspects related to the view of the Other as a human being and subject of rights stand out.

Objetivo: Analisar os fatores que contribuem para a percepção da humanização do atendimento de crianças e adolescentes hospitalizados. Material e Método: Uma revisão integrativa da literatura foi realizada entre 2016 e 2021, utilizando as bases de dados da Biblioteca Virtual em Saúde. Para a busca e seleção dos artigos, foi utilizada a metodologia Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). A amostra consistia em 20 artigos. A qualidade dos artigos foi avaliada utilizando as diretrizes Metodologia e Pesquisa em Cirurgia (MINCIR) para estudos observacionais descritivos e Programa de Habilidades Críticas de Leitura em Espanhol (CASPe). Resultados: Os fatores associados à humanização do atendimento estão agrupados em fatores do sistema de saúde, tais como a instalação de saúde e o pessoal de saúde. Um segundo grupo de fatores está relacionado à percepção da criança ou adolescente, que está associado a fatores de saúde mental, ambiente corporal e satisfação. Conclusão: Entre os fatores associados à humanização do cuidado a partir da percepção das crianças e adolescentes, destacam-se aspectos relacionados à visão do Outro como ser humano e sujeito de direitos.

Estrategia de enfermería para disminuir ansiedad del paciente en procedimientos endoscópicos: ensayo clínico aleatorizado

Objetivo: Determinar la efectividad de una intervención de enfermería de acompañamiento significativo estructurado para disminuir la ansiedad en pacientes que van a ser sometidos a una endoscopia digestiva alta en un hospital público, Región del Biobío, Chile. Material y Método: Ensayo clínico aleatorizado, simple ciego, con evaluación por terceros, realizado entre enero y junio de 2021, con una muestra de 126 pacientes. Los instrumentos y parámetros hemodinámicos que midieron variables sociodemográficas, psicológicas, fisiológicas y bioquímicas fueron: Cuestionario sociodemográfico, Cuestionario de ansiedad Estado-Rasgo, Escala Visual Análoga, Frecuencia cardiaca, Presión arterial (PA) sistólica, media y diastólica, Oximetría de pulso, Glicemia y Potasio sanguíneo. La intervención consistió en la presencia visual y táctil de un acompañante significativo, antes, durante y después del procedimiento endoscópico. El análisis de datos con SPSS v.18 consideró estadística descriptiva e inferencial (valor p= 5%) con T-Student y U de Mann-Whitney. Resultados: Edad promedio 52 años, educación media completa, casados y con hijos; hubo diferencias significativas en variables psicológicas (p< 0,05) en las tres etapas, variables fisiológicas (PA media (p= 0,0025) y diastólica (p= 0,0002) intraprocedimiento; PA media (p= 0,0021) y diastólica (p= 0,0021) postprocedimiento, pulso medio o mediano (p< 0,05) en pre (p= 0,0035) y postprocedimiento endoscópico (p= 0,0003)). En la oximetría de pulso y las variables bioquímicas no se advirtieron diferencias significativas. Conclusión: A través del acompañamiento significativo, intervención simple, fácil, bajo costo y no farmacológica, disminuye la ansiedad y riesgo del paciente, se mejora la satisfacción usuaria y la relación equipo de salud/comunidad.

Objective: To determine the effectiveness of a significant structured follow-up nursing intervention to reduce anxiety in patients undergoing upper digestive endoscopy in a public hospital in the Biobío Region, Chile. Material and Method: Randomized, single-blind clinical trial, with evaluation by third parties, carried out between January and June 2021, with a sample consisting of 126 patients. The instruments and hemodynamic parameters that measured sociodemographic, psychological, physiological, and biochemical variables were: Sociodemographic Questionnaire, State-Trait Anxiety Questionnaire, Visual Analog Scale, heart rate, systolic, mean, and diastolic blood pressure (BP), pulse oximetry, glycemia and blood potassium. The intervention consisted of the visual and tactile presence of a significant companion, before, during, and after the endoscopic procedure. Data analysis with SPSS v.18 considered descriptive and inferential statistics (p value= 5%) with T-Student and Mann-Whitney U test. Results: Average age 52 years, completed secondary education, married with children; there were significant differences in psychological variables (p< 0.05) in the three stages, physiological variables (mean (p= 0.0025) and diastolic (p= 0.0002) intra-procedure BP, mean (p= 0.0021) and diastolic (p= 0.0021) post-procedure BP, average or median pulse (p< 0.05) in the pre (p= 0.0035) and post-endoscopic procedures (p= 0.0003). No significant differences were observed in pulse oximetry and biochemical variables. Conclusion: Through significant follow-up, simple, easy, low-cost and non-pharmacological intervention, patient anxiety and risk were reduced, user satisfaction and the health team/community relationship were improved.

Objetivo: Determinar a eficácia de uma intervenção de enfermagem estruturada de acompanhamento significativo para reduzir a ansiedade em pacientes que vão se submeter a uma endoscopia digestiva alta em um hospital público na Região de Biobío, Chile. Material e Método: Ensaio clínico randomizado, simples-cego, com avaliação por terceiros, realizado entre janeiro e junho de 2021, com uma amostra de 126 pacientes. Os instrumentos e parâmetros hemodinâmicos que mediram as variáveis sociodemográficas, psicológicas, fisiológicas e bioquímicas foram: Questionário Sociodemográfico, Questionário de Ansiedade Traço-Estado, Escala Visual Analógica, frequência cardíaca, pressão arterial (PA) sistólica, média e diastólica, oximetria de pulso, glicemia e potássio sanguíneo. A intervenção consistiu na presença visual e tátil de um acompanhante significativo, antes, durante e após o procedimento endoscópico. Análise dos dados com SPSS v.18, considerada estatística descritiva e inferencial (valor de p= 5%) com T-Student e teste U de Mann-Whitney. Resultados: Média de idade 52 anos, ensino médio completo, casado e com filhos; houve diferenças significativas nas variáveis psicológicas (p< 0,05) nas três etapas, variáveis fisiológicas (PA média (p= 0,0025) e diastólica (p= 0,0002) intra-procedimento, PA média (p= 0,0021) e diastólica (p= 0,0021) pós-procedimento, pulso médio ou mediano (p< 0,05) no pré (p= 0,0035) e pós-procedimento endoscópico (p= 0,0003). Não foram observadas diferenças significativas na oximetria de pulso e nas variáveis bioquímicas. Conclusão: Através de acompanhamento significativo, intervenção simple, fácil, de baixo custo e não farmacológica foi possível conseguir a redução da ansiedade e do risco do paciente, a melhora da satisfação do usuário e da relação equipe de saúde/comunidade.