Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 80.697
Filtrar
1.
Texto & contexto enferm ; 29: e20180451, Jan.-Dec. 2020. tab
Artigo em Inglês | LILACS, BDENF - Enfermagem | ID: biblio-1101983

RESUMO

ABSTRACT Objective: to analyze the relationship between the characteristics of patients in cancer treatment, their family caregivers, the care provided with the overload, as well as between overload and the care skills. Method: a cross-sectional study conducted at the chemotherapy and radiotherapy services of a university hospital in Rio Grande do Sul (Brazil) from March to August 2017, with 132 family caregivers of patients in cancer treatment. Data was collected by an instrument that characterizes patients, caregivers and care (the Brazilian version of the Caring Ability Inventory) and the Zarit Overload Scale. The following coefficients were used: Spearman correlation, Mann-Whitney or Kruskal-Wallis. Results: there was a significant relationship between the total overload and the patient's level of dependence (p=0.021) and help from others (p=0.009). The "care impact" factor was significantly related with the patient's level of dependence (p=0.006), the caregiver's gender (p=0.035) and the care help (p=0.043). Regarding the "perception of self-efficacy" factor, there was a significant relationship involving the caregiver's age (p=0.036) and, in the "caregiver expectation" factor, a significant relationship was observed with the care help (p=0.002). There was a significant and negative correlation between the total care skill and the overload factor related to interpersonal relationship (p=0.035); and between the "courage" dimension and the "perception of self-efficacy" (p=0.032) and "interpersonal relationship" (p=0.008) factors. Conclusion: the characteristics of the patient, the caregiver and the care provided influence the overload of the family caregiver, and this overload, in turn, interferes with the care skills. These results should be considered when planning interventions that aim to guide and prepare family caregivers for home care.


RESUMEN Objetivo: analizar la asociación de las características de pacientes en tratamiento oncológico, las de sus cuidadores familiares y las de los cuidados prestados con la sobrecarga, y entre esta última y la habilidade de cuidado. Método: estudio transversal desarrollado en los servicios de quimioterapia y radioterapia de un hospital universitario de Rio Grande do Sul (Brasil), entre marzo y agosto de 2017, con 132 cuidadores familiares de pacientes en tratamiento oncológico. Los datos se recolectaron por medio de un instrumento para caracterizar a los pacientes, a los cuidadores y a los cuidados, la versión brasileña del Caring Ability Inventory, y por medio de la Escala de Sobrecarga de Zarit. Se utilizaron los siguientes coeficientes: correlación de Spearman, Mann-Whitney o Kruskal-Wallis. Resultados: se observó una asociación significativa de la sobrecarga total con el grado de dependencia del paciente (p=0,021) y la ayuda de terceros para prestar los cuidados (p=0,009). El factor "impacto de los cuidados" se asoció de manera significativa con el grado de dependencia del paciente (p=0,006), el sexo del cuidador (p=0,035) y la ayuda para ofrecer los cuidados (p=0,043). En el factor "percepción de la autoeficiencia" se registró una asociación significativa con la edad del cuidador (p=0,036) y en el factor "expectativa con respecto a ofrecer los cuidados" se observó una asociación significativa con la ayuda para ofrecerlos (p=0,002). Se registró una asociación significativa y negativa entre la habilidad total de los cuidados y el factor de la sobrecarga relacionado con la relación interpersonal (p=0,035); y de la dimensión "coraje" y los factores "percepción de la autoeficiencia" (p=0,032) y relación interpersonal (p=0,008). Conclusión: las características del paciente, del cuidador y de los cuidados prestados influyen sobre la sobrecarga del cuidador familiar; y dicha sobrecarga, a su vez, interfiere en la habilidade de cuidar. Estos resultados deben ser considerados al planificar intervenciones destinadas a orientar y preparar a los cuidadores familiares para prestar cuidados domiciliarios.


RESUMO Objetivo: analisar a associação entre as características de pacientes em tratamento oncológico, de seus cuidadores familiares e do cuidado prestado com a sobrecarga, e desta com a habilidade de cuidado. Método: estudo transversal desenvolvido nos serviços de quimioterapia e radioterapia de um hospital universitário do Rio Grande do Sul (Brasil), no período de março a agosto de 2017, com 132 cuidadores familiares de pacientes em tratamento oncológico. Os dados foram coletados por instrumento de caracterização dos pacientes, dos cuidadores e do cuidado, - versão brasileira do Caring Ability Inventory e a Escala de Sobrecarga de Zarit. Os seguintes coeficientes foram utilizados: correlação de Spearman, Mann-Whitney ou Kruskal-Wallis. Resultados: foi observada associação significativa da sobrecarga total com o grau de dependência do paciente (p=0,021) e auxílio de terceiros para o cuidado (p=0,009). O fator impacto de cuidado associou-se de modo significativo com o grau de dependência do paciente (p=0,006), sexo do cuidador (p=0,035) e auxílio para o cuidado (p= 0,043). No fator percepção de autoeficácia houve associação significativa com a idade do cuidador (p=0,036) e, no fator expectativa face ao cuidar, observou-se associação significativa com o auxílio para o cuidado (p=0,002). Houve correlação significativa e negativa entre a habilidade de cuidado total e o fator da sobrecarga relacionado à relação interpessoal (p=0,035); e da dimensão coragem e os fatores percepção de autoeficácia (p=0,032) e relação interpessoal (p=0,008). Conclusão: as características do paciente, do cuidador e do cuidado prestado influenciam na sobrecarga do cuidador familiar e esta, por sua vez, interfere na habilidade de cuidado. Esses resultados devem ser considerados no planejamento de intervenções que visem orientar e preparar os cuidadores familiares para cuidados domiciliares.


Assuntos
Humanos , Família , Enfermagem , Cuidadores , Assistência Domiciliar , Neoplasias , Estudos Transversais , Serviços de Assistência Domiciliar
2.
Texto & contexto enferm ; 29: e20190075, Jan.-Dec. 2020. tab
Artigo em Inglês | LILACS, BDENF - Enfermagem | ID: biblio-1101973

RESUMO

ABSTRACT Objective: to analyze the dialogical educative process as a strategy to prepare the relatives of children with special health needs in the transition from hospital to home. Method: qualitative study developed from the Creative Sensitive Method, carried out between February and June 2018 at the Inpatient Unit of a public hospital located in the city of Rio de Janeiro. Family caregivers of nine children with special health needs in transition from hospital to home were included in the study, totaling nine participants. The empirical material was evaluated through the analysis of the French discourse. Results: the educative process allowed the relatives to unveil demands for technological and medicative care, modified habitual elements, clinically complex care and social demands to be worked on by the nurse in the transition from hospital to home. From the analysis, the following category emerged: The educative process as a strategy to prepare the relatives of children with special health needs in the transition from hospital to home. The dialogue was produced, however, without exhausting the I-You relationship, maintaining the dialogicity in the group and encouraging the exchange between the different realities of the relatives. Conclusion: the educative dialogic process is an adequate strategy to prepare the relatives of children with special health needs in the hospital-home transition, where the nurses act as coordinators, suggesting a minimum program-related content.


RESUMEN Objetivo: analizar el proceso educativo dialógico como estrategia de preparación de los familiares de niños con necesidades especiales en la transición del hospital a la casa. Método: estudio cualitativo desarrollado a partir del Método Creativo Sensible, realizado entre febrero y junio de 2018 en la Unidad de Pacientes Internados de un hospital público situado en la ciudad de Rio de Janeiro. El estudio se realizó con familiares cuidadores de nueve niños con necesidades especiales en transición del hospital hacia la casa, compuesto por el total de 9 participantes. El material empírico se evaluó por medio del análisis de discurso francés. Resultados: el proceso educativo permitió que los familiares develaran demandas de cuidados, tecnológicas y medicamentosas, cuidados habituales modificados, cuidados clínicamente complejos y demandas sociales que deben ser trabajadas por el enfermero en la transición del hospital hacia la casa. Del análisis, emergió la categoría: el proceso educativo como estrategia de preparación de los familiares de niños con necesidades especiales en la transición del hospital a la casa. El diálogo se produjo, sin embargo, sin agotar la relación yo-tu, manteniendo el carácter dialógico en el grupo e incentivando el intercambio entre las diferentes realidades de los familiares. Conclusión: el proceso educativo dialógico es una estrategia adecuada para preparar los familiares de niños con necesidades especiales de salud en la transición hospital-casa, en el cual los enfermeros actúan como coordinadores, sugiriendo un contenido programático mínimo.


RESUMO Objetivo: analisar o processo educativo dialógico como estratégia de preparo dos familiares de crianças com necessidades especiais de saúde na transição do hospital para casa. Método: estudo qualitativo desenvolvido a partir do Método Criativo Sensível, realizado entre fevereiro e junho de 2018 na Unidade de Pacientes Internos de um hospital público localizado na cidade do Rio de Janeiro. Familiares cuidadores de nove crianças com necessidades especiais de saúde em transição do hospital para casa integraram o estudo, totalizando nove participantes. O material empírico foi avaliado por meio da análise do discurso francesa. Resultados: o processo educativo permitiu que os familiares desvelassem demandas de cuidados tecnológicas e medicamentosas, habituais modificados, cuidados clinicamente complexos e demandas sociais a serem trabalhados pelo enfermeiro na transição do hospital para a casa. Da análise, emergiu a categoria: o processo educativo como estratégia de preparo dos familiares de crianças com necessidades especiais de saúde na transição do hospital para casa. O diálogo foi produzido, porém, sem esgotar a relação eu-tu, mantendo a dialogicidade no grupo e incentivando o intercâmbio entre as diferentes realidades dos familiares. Conclusão: o processo educativo dialógico é uma estratégia adequada para preparar os familiares de crianças com necessidades especiais de saúde na transição hospital-casa, no qual os enfermeiros atuam como coordenadores, sugerindo um conteúdo programático mínimo.


Assuntos
Adulto , Pessoa de Meia-Idade , Enfermagem Pediátrica , Doença Crônica , Crianças com Deficiência , Família , Saúde Pública , Educação em Saúde , Cuidadores
3.
Rev. enferm. UERJ ; 28: e44488, jan.-dez. 2020.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1096023

RESUMO

Objetivo: identificar dúvidas de puérperas e familiares sobre cuidados domiciliares com o recém-nascido de baixo risco e analisar a roda de conversa, mediada por simulador realístico de baixa fidelidade, como uma tecnologia educativa para o preparo de famílias no processo de alta da maternidade. Método: pesquisa qualitativa, incluindo dezenove familiares de recém-nascidos de baixo risco em um hospital municipal de Rio das Ostras, Rio de Janeiro, de maio a outubro de 2018, por entrevista semiestruturada. Dados submetidos à Análise Temática. Resultados: as dúvidas dos familiares versaram sobre cuidados com higiene, alimentação, ambiente, afeto, saúde, sono e doenças. A roda de conversa com simulador de baixa fidelidade foi considerada uma estratégia positiva para mediar o aprendizado. Conclusão: a tecnologia educativa revelou-se útil na instrumentalização de famílias no processo de alta da maternidade, visto que o cuidador fortalece suas potencialidades, retira dúvidas e troca informações e experiências no grupo.


Objective: to identify puerperal and family members' questions about home care with low-risk newborns and to analyze the conversation circle, mediated by a realistic low fidelity simulator, as an educational technology for the preparation of families in the maternity discharge process. Method: qualitative research conducted with nineteen relatives of low-risk newborns in the municipal hospital in Rio das Ostras, Rio de Janeiro, Brazil, from May to October 2018, through semi-structured interview. Data submitted to thematic analysis. Results: the family members' doubts were about care with hygiene, food, environment, affection, health, sleep and diseases. The conversation wheel with low fidelity simulator was considered a positive strategy to mediate learning. Conclusion: the educational technology proved to be useful in the instrumentalization of families in the maternity discharge process, as the caregiver strengthens their potential, removes doubts and exchanges information and experiences in the group.


Objetivo: identificar dudas puerperales y familiares sobre atención domiciliaria con recién nacidos de bajo riesgo y analizar el círculo de conversación, mediado por simulador realista de baja fidelidad, como una tecnología educativa de preparación de familias en el proceso de alta de la maternidad. Método: investigación cualitativa, con diecinueve familiares de recién nacidos de bajo riesgo en un hospital municipal en Río das Ostras, Río de Janeiro, de mayo a octubre de 2018, a través de entrevistas semiestructuradas. Se utilizó a Análisis temático. Resultados: las dudas fueron sobre higiene, alimentación, medio ambiente, afecto, salud, sueño y enfermedades. El círculo de conversación con simulador se consideró una estrategia positiva para mediar en el aprendizaje. Conclusión: la tecnología educativa demostró ser útil en la instrumentalización de familias en el proceso de alta de la maternidad, porque el cuidador fortalece su potencial, elimina dudas e intercambia información y experiencias en el grupo.


Assuntos
Humanos , Masculino , Feminino , Adulto , Adulto Jovem , Alta do Paciente , Recém-Nascido , Família , Cuidadores/educação , Tecnologia Educacional , Assistência Domiciliar/educação , Brasil , Tecnologia Educacional/métodos , Pesquisa Qualitativa , Treinamento por Simulação , Maternidades , Hospitais Municipais
4.
MMWR Morb Mortal Wkly Rep ; 69(40): 1457-1459, 2020 Oct 09.
Artigo em Inglês | MEDLINE | ID: mdl-33031365

RESUMO

There is increasing evidence that children and adolescents can efficiently transmit SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19) (1-3). During July-August 2020, four state health departments and CDC investigated a COVID-19 outbreak that occurred during a 3-week family gathering of five households in which an adolescent aged 13 years was the index and suspected primary patient; 11 subsequent cases occurred.


Assuntos
Infecções por Coronavirus/epidemiologia , Surtos de Doenças , Família , Pneumonia Viral/epidemiologia , Adolescente , Adulto , Idoso , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Estados Unidos/epidemiologia , Adulto Jovem
5.
BMC Infect Dis ; 20(1): 724, 2020 Oct 02.
Artigo em Inglês | MEDLINE | ID: mdl-33008310

RESUMO

BACKGROUND: Spinal neuroschistosomiasis (SN) is one of the most severe clinical presentations of schistosomiasis infection and an ectopic form of the disease caused by any species of Schistosoma. In Brazil, all cases of this clinical manifestation are related to Schistosoma mansoni, the only species present in the country. Although many cases have been reported in various endemic areas in Brazil, this is the first time in the literature that SN is described in two brothers. CASE PRESENTATION: Two cases of SN were accidentally diagnosed during an epidemiological survey in an urban area endemic for schistosomiasis transmission. Both patients complained of low back pain and muscle weakness in the lower limbs. Sphincter dysfunction and various degrees of paresthesia were also reported. The patients' disease was classified as hepato-intestinal stage schistosomiasis mansoni at the onset of the chronic form. A positive parasitological stool test for S. mansoni, clinical evidence of myeloradicular damage and exclusion of other causes of damage were the basic criteria for diagnosis. After treatment with praziquantel and corticosteroid, the patients presented an improvement in symptoms, although some complaints persisted. CONCLUSIONS: It is important to consider SN when patients come from areas endemic for transmission of schistosomiasis mansoni. Clinical physicians and neurologists should consider this diagnostic hypothesis, because recovery from neurological injuries is directly related to early treatment. As, described here in two brothers, a genetic predisposition may be related to neurological involvement. Primary care physicians should thus try to evaluate family members and close relatives in order to arrive at prompt schistosomiasis diagnosis in asymptomatic individuals and propose treatment in an attempt to avoid progression to SN.


Assuntos
Neuroesquistossomose/diagnóstico por imagem , Schistosoma mansoni , Esquistossomose mansoni/diagnóstico por imagem , Doenças da Coluna Vertebral/diagnóstico por imagem , Adulto , Animais , Brasil/epidemiologia , Progressão da Doença , Família , Humanos , Masculino , Debilidade Muscular , Neuroesquistossomose/fisiopatologia , Irmãos , Doenças da Coluna Vertebral/fisiopatologia
6.
Rev Med Liege ; 75(10): 686-691, 2020 Oct.
Artigo em Francês | MEDLINE | ID: mdl-33030847

RESUMO

Global developmental delay (GDD) and intellectual development disorder (IDD) are common but heterogeneous pediatric conditions. Guided by a rigorous clinical and anamnestic examination, the diagnostic approach is a dynamic process which is not limited to the intelligence quotient measurement. A large panel of paraclinical tests allows etiological exploration; this generally includes biological, genetic, metabolic and iconographic examinations. To maximize therapeutic efficiency and standardize practices, this document provides a guideline for the management of pediatric GDD/IDD.


Assuntos
Deficiências do Desenvolvimento , Deficiência Intelectual , Criança , Cognição , Deficiências do Desenvolvimento/diagnóstico , Deficiências do Desenvolvimento/etiologia , Família , Humanos , Deficiência Intelectual/diagnóstico , Deficiência Intelectual/etiologia
7.
Psychiatr Danub ; 32(Suppl 3): 320-336, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33030447

RESUMO

The war in Bosnia and Herzegovina (1992-1995) was an extremely hard traumatic event with different losses, separations of people, injuries, hard physical and psychical suffering of everyone. Children were especially in difficult conditions. One of the most remarkable things about children, as anyone who works with them soon finds out, is their resilience. While children are vulnerable to psychic damage and, if the damage is deep enough, to delays in emotional and even physical growth, they also have an astonishing capacity to bounce back. This is one of the most rewarding things about treating traumatized children. For many children, it takes very little, perhaps only some words of understanding, to help them tap into their own ability to heal. Taking care of child war psycho-trauma was a difficult task for me, as the war-time head of Department of psychiatry, without enough knowledge in child psycho-trauma and as person with a high responsibility, to organize together with other psychological caretakers of children, especially refugee children. This presentation will be some kind of my remembrance of period of 20-25 years ago when we, I think did good work of what we could and what we knew.


Assuntos
Transtornos de Estresse Pós-Traumáticos/psicologia , Transtornos de Estresse Pós-Traumáticos/terapia , Guerra/psicologia , Adolescente , Adulto , Idoso , Bósnia e Herzegóvina , Criança , Família/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Refugiados/psicologia , Resiliência Psicológica , Transtornos de Estresse Pós-Traumáticos/reabilitação , Adulto Jovem
8.
Rev Prat ; 70(6): 667-673, 2020 Jun.
Artigo em Francês | MEDLINE | ID: mdl-33058616

RESUMO

School refusal. School refusal covers a very heterogeneous set of problems ranging from refusal of schooling - in terms of engagement in learning or in situations of evaluation, in relation to knowledge - to school phobia or anxious school refusal. Furthermore, the clinical form of children and adolescents refusing school is determined by a wide range of factors - individual, family, school and cultural - that interact with each other and change over time. In the context of a multidimensional approach, the apprehension of school refusal involves a dialogue between the family, health professionals and the various players in national education. This approach makes it possible to think about the developmental trajectory of the child and lead to the establishment of a personalized care project.


Assuntos
Transtornos Fóbicos , Adolescente , Ansiedade , Criança , Família , Humanos , Transtornos Fóbicos/diagnóstico , Transtornos Fóbicos/terapia , Instituições Acadêmicas
9.
Rev Prat ; 70(6): 674-680, 2020 Jun.
Artigo em Francês | MEDLINE | ID: mdl-33058617

RESUMO

Child's learning disabilities. Learning disabilities are a frequent reason for consultation. If they are more frequent at the beginning of schooling, they may appear later. The family's complaint should be heard, and a rigorous integrative and multidimensional diagnostic approach should be carried out in order to identify the specific disorders at the origin of these difficulties. The therapeutic project set up will aim to accompany the young person, to re-educate the most disabling difficulties and to help him or her find alternative strategies. The impact of the disorders in the different dimensions of his or her development will be reduced, contributing to a better self-esteem and a rein estiment of his or hers schooling. The doctor's role is thus to accompany the child and his or her family along the path of care and to ensure that it is well coordinated.


Assuntos
Deficiências da Aprendizagem , Adolescente , Criança , Família , Feminino , Humanos , Deficiências da Aprendizagem/diagnóstico , Deficiências da Aprendizagem/epidemiologia , Deficiências da Aprendizagem/terapia , Masculino , Encaminhamento e Consulta , Autoimagem
10.
Rev Prat ; 70(6): 683-686, 2020 Jun.
Artigo em Francês | MEDLINE | ID: mdl-33058619

RESUMO

Developmental coordination disorder. The diagnosis of dyspraxia or developmental coordination disorder is based on motor coordination skills significantly below the expected level for the age of the child, assessed by a validated and standardized motor skills scale. This deficit must have an impact on activities of daily life, leisure and academic achievement. It should not be secondary to a neurological condition. It is a common disorder with a prevalence around 5%. The diagnosis is based on questioning of the family and the child, a clinical examination and an evaluation with standardized tools of motor skills and writing. It requires the intervention of a doctor, if possible trained in neurodevelopmental disorders, and of an occupational therapist. Interventions should focus on activities that are essential to the child's daily and school life.


Assuntos
Transtornos das Habilidades Motoras , Criança , Família , Humanos , Atividades de Lazer , Transtornos das Habilidades Motoras/diagnóstico , Transtornos das Habilidades Motoras/epidemiologia , Transtornos das Habilidades Motoras/terapia , Prevalência
11.
Virulence ; 11(1): 1240-1249, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-32930632

RESUMO

Eight members of a big family with laboratory-confirmed COVID-19 pneumonia were admitted to First Hospital of Jilin University, Changchun, China, from 28 January to 5 February 2020. The clinical records, laboratory results, and chest computed tomography (CT) scans were retrospectively reviewed. Throat swab samples were positive for severe acute respiratory syndrome coronavirus 2, confirmed by the Center for Disease Control and Prevention of Changchun. All eight patients had fever of different degrees; and 6, 3, and 2 had cough; diarrhea; and sore throat. With disease progression, the percentage of lymphocytes in older patients increased, CT images worsened, and the ratio of lymphocytes increased when images revealed inflammation absorption. Although the CT images showed ground-glass opacities in the youngest patient, his lymphocyte count did not decrease with mild clinical symptoms, and the images showed that inflammation was quickly absorbed. Only the oldest patient developed critical illness. The C reaction protein (CRP) levels of Patient 5 increased significantly, and the rate of decline was the slowest, while his condition was the most severe. The clinical manifestations of COVID-19 in this family cluster varied with contact, age, and underlying disease. Lymphocyte count and quality of chest CT images appeared inversely associated with disease severity. CRP changes may be an indicator of disease severity and prognosis.


Assuntos
Betacoronavirus , Técnicas de Laboratório Clínico , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/transmissão , Pneumonia Viral/diagnóstico , Pneumonia Viral/transmissão , Adulto , Idoso , Idoso de 80 Anos ou mais , Betacoronavirus/patogenicidade , China/epidemiologia , Infecções por Coronavirus/epidemiologia , Família , Feminino , Humanos , Pulmão/diagnóstico por imagem , Masculino , Pessoa de Meia-Idade , Pandemias , Linhagem , Pneumonia Viral/epidemiologia , Estudos Retrospectivos , Fatores de Tempo , Tomografia Computadorizada por Raios X , Virulência
12.
Niger J Clin Pract ; 23(9): 1229-1236, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32913161

RESUMO

Aims: This study was carried out to evaluate the degree of accuracy of age-based weight estimation methods in assessing the weight of the Nigerian child. Method: The weights of one thousand, four hundred and fifty-six (1,456) children were measured and compared with the updated Advanced Paediatric Life Support (APLS), Best guess, Nelson and Luscombe & Owen methods. Result: The updated APLS, Nelson and Luscombe & Owen methods underestimated the weights in younger children while overestimating in older ones. Best guess overestimated the weights across all ages. The Nelson formula had the best agreement within 10% and 20% of the measured weights among all methods. A linear regression analysis produced an equation for weight estimation: weight (W) = 2.058 Y + 9.925, where W is weight in kilogram and Y is the age in years. Conclusion: None of the weight estimation formulae assessed was entirely accurate in our study, though the Nelson method showed superior agreement.


Assuntos
Antropometria/métodos , Peso Corporal , Adolescente , Idoso , Criança , Pré-Escolar , Família , Feminino , Humanos , Lactente , Masculino , Nigéria
13.
Rev Bras Enferm ; 73(suppl 2): e20200260, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-32965401

RESUMO

OBJECTIVE: to develop a protocol of recommendations for facing dissemination of COVID-19 in Brazilian Nursing Homes. METHOD: a study of experts' recommendations using a structured form applied through the Delphi Technique, obtaining 100% agreement among professionals after four rounds of analysis. The population comprised six nurses members of the Scientific Department of Gerontological Nursing of the Brazilian Association of Nursing (Associação Brasileira de Enfermagem). RESULTS: the protocol was structured in a nucleus of nursing interventions to face the spread of COVID-19 in Nursing Homes, consisting of 8 actions. FINAL CONSIDERATIONS: the protocol can help nurse managers to organize assistance to face the pandemic, which can be adaptable to each reality, making training nurses and health teams easier.


Assuntos
Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Instituição de Longa Permanência para Idosos , Avaliação em Enfermagem/métodos , Casas de Saúde , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Adulto , Idoso , Brasil/epidemiologia , Comunicação , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/enfermagem , Infecções por Coronavirus/transmissão , Técnica Delfos , Desinfecção/métodos , Desinfecção/normas , Família , Feminino , Enfermagem Geriátrica , Educação em Saúde , Humanos , Masculino , Eliminação de Resíduos de Serviços de Saúde/métodos , Pessoa de Meia-Idade , Práticas Mortuárias/métodos , Avaliação em Enfermagem/organização & administração , Avaliação em Enfermagem/normas , Saúde do Trabalhador , Isolamento de Pacientes , Pneumonia Viral/epidemiologia , Pneumonia Viral/enfermagem , Pneumonia Viral/transmissão
14.
Rev Prat ; 70(4): 444-446, 2020 Apr.
Artigo em Francês | MEDLINE | ID: mdl-32877106

RESUMO

How to talk about a serious event to a child? Talking to a child about a serious event is difficult. Should we be afraid of causing him trauma? We will present two clinical situations each involving a pedophile father. The contrasting evolutions make it possible to highlight the important elements to be taken into account in this type of situation, by insisting on the variables relating to the child rather than the pressure that can be put by the entourage and the urgency of the event. Then, we will discuss the case of the death of a loved one and an other on the announcement to a child of a collective disaster: the spread of the Covid-19.


Assuntos
Comunicação , Família , Relações Pais-Filho , Betacoronavirus , Criança , Infecções por Coronavirus , Morte , Humanos , Pandemias , Pedofilia , Pneumonia Viral , Psicologia da Criança
15.
Zhong Nan Da Xue Xue Bao Yi Xue Ban ; 45(6): 649-656, 2020 Jun 28.
Artigo em Inglês, Chinês | MEDLINE | ID: mdl-32879121

RESUMO

OBJECTIVES: To understand medical students' mental health, professional pride, and intention to work in the front-line during coronavirus disease 2019 (COVID-19) pandemic, and provide a reference for psychological intervention. METHODS: We used the depression-anxiety-stress scale and self-designed questionnaire on professional pride, intention to work in the front-line and the extent of family support. Medical students from 4 medical schools in Fujian and Hunan were investigated. Their mental health status, professional pride and first-line work willingness with different characteristics were compared, and the influential factors for professional pride and first-line work willingness were analyzed. RESULTS: A total of 266 valid questionnaires were collected. During the pandemic, there were significant differences in the proportion of depressed students among different college and universities, majors and stages (P<0.05), and the professional pride was significantly different (P<0.001). Medical students with different mental health status showed significant differences in professional pride (P<0.01). Marriage, pressure and extent of family support were the influential factors for their professional pride (P<0.05). The latter two were also influential factors for their intention to work in the front-line (P<0.05). CONCLUSIONS: During the pandemic, students from college and nursing have relatively better mental health and higher professional pride. The professional pride is low in medical students who married, with abnormal stress or low family support. The intention to work in front-line is decreased in students with abnormal stress or low family support.


Assuntos
Infecções por Coronavirus/psicologia , Saúde Mental , Pneumonia Viral/psicologia , Estudantes de Medicina/psicologia , Betacoronavirus , China , Família , Humanos , Intenção , Pandemias , Profissionalismo , Apoio Social , Estresse Psicológico , Inquéritos e Questionários
16.
Psychiatr Danub ; 32(Suppl 1): 207-209, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32890391

RESUMO

BACKGROUND: Mental disorder is known to be as a loss of existential paradigm; individual's functioning is lacking in all areas. Therefore, it is difficult to point out what the patients exactly need because their needs are set on a broad range of a difficult boundary. The level of care that follows will be complex and multifactorial because nursing will challenge the interaction with the individual as a whole: behaviors and relations with family members. At this stage exploring interpersonal conflicts, with past and present aggression behaviors will be crucial. SUBJECTS AND METHODS: Aim of this paper is to investigate the professional experience in a work context where the patient's clinical condition poses a daily challenge from a physical and emotional perspective. Narrative investigation is performed here in order to explore the psychological load of the professional's psychological experience and its implication in facing aggressive situations. Moreover, this investigation highlights the importance of some professional and personal resources that can be made available to the operator. RESULTS: These tools could improve the understanding of the subjective experience of acute events guiding the individual through an exploration of the phenomenology of what happened decreasing the intimate stress load. CONCLUSIONS: A constant updating, the knowledge of de-escalation techniques and sharing the experience in dedicated settings could be important allies in the management of risk events.


Assuntos
Agressão , Saúde Mental , Relações Enfermeiro-Paciente , Existencialismo , Família , Humanos
17.
Rev Prat ; 70(4): 453-459, 2020 Apr.
Artigo em Francês | MEDLINE | ID: mdl-32877109

RESUMO

The child and his allergenic environment. Environment's allergens may promote sensitization and after that generate symptoms (allergy). Allergic diseases are frequent in childhood and food allergy increase. Environmental factors may be aeroallergens but also food allergens. The first step of the therapeutic possibilities is to avoid the allergens, with lifestyle modifications. Emergency plan is necessary for school. A first prevention level is feasible and probably useful for food allergy, but not for respiratory allergy.


Assuntos
Alérgenos , Hipersensibilidade Alimentar , Criança , Família , Humanos
18.
Rev Prat ; 70(2): 222-226, 2020 Feb.
Artigo em Francês | MEDLINE | ID: mdl-32877146

RESUMO

Disabled child, care and ethical aspects. The child's doctor occupies a privileged place in the life of a child with a disability. At all times, he must be an adviser, favouring a global approach and support to ensure optimal autonomy. Discovery of a neurodevelopmental disorder justifies a systematic search for the various causes known to date. Identification and knowledge of a precise diagnosis is an essential element in constructing the life plan for a disabled child. The announcement of the diagnosis is an integral part of the care system, it only makes sense when combined with tailor-made and step by step support. This requires that the doctor has a good knowledge of the main childcare structures, guidance agencies, and available financial aid. Multidisciplinary consultations enable a global approach to support a child with a disability. More children with disabilities become adults as medical care progresses. Transition from "children" to "adult" consultations represents a major challenge. However, some cases could be life-threatening. The decision on whether to continue the various therapies have to be considered and discussed with the child and his family, with reference to the notion of "unreasonable obstinacy". Drafting an individual certificate of "remarkable patient" will best help the implementation of end-of-life support measures.


Assuntos
Crianças com Deficiência , Ética Médica , Adulto , Criança , Família , Humanos , Masculino , Encaminhamento e Consulta
19.
Artigo em Alemão | MEDLINE | ID: mdl-32960295

RESUMO

BACKGROUND: Identification of child abuse is a daily challenge in medical work. The estimated number of unreported cases of child abuse and neglect is high. OBJECTIVES: The aim of this study was to investigate the effectiveness of the redesigned clinical child protection program of a major German pediatric hospital and to improve programs in other hospitals for children and physicians through presentation of the advantages of the new structure. METHODS: All cases of child protection at the Altona Children's Hospital were retrospectively analyzed before and after restructuring of the clinic's child protection program for a two-year period each, and a comparison was made. The child protection program was restructured and the new program subsequently managed by a fulltime coordinator. RESULTS: The prevalence of both suspected and substantiated cases of child abuse was significantly higher after restructuring of the child protection program. Before the change, 24 cases were investigated, of which 23 were substantiated; afterward, 124 cases were investigated and 89 were substantiated. Despite the high number of false-positive suspected cases, stigmatization of the families during the clarification progress was avoided by using a very sensitive approach, and the family was not confronted until the suspicion was affirmed. CONCLUSION: The presented concept of child protection in medical clinics seems to facilitate a higher detection rate of child abuse cases. The reduction in the number of undetected cases and thereby prevention of possible escalation of abuse, as well as the decline in the immense social follow-up costs, justifies the increased personnel costs.


Assuntos
Maus-Tratos Infantis/diagnóstico , Maus-Tratos Infantis/prevenção & controle , Criança , Bem-Estar da Criança , Família , Alemanha/epidemiologia , Humanos , Estudos Retrospectivos
20.
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue ; 32(8): 998-1002, 2020 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-32912417

RESUMO

OBJECTIVE: To investigate the nurses' attitude towards open visitation policy in intensive care unit (ICU) and its potential influence factors, and further to provide evidence for carrying out this policy in ICU. METHODS: A self-designed, anonymous online questionnaire of "attitude of ICU nurses to open visiting system in ICU" was performed in 31 provinces, autonomous regions and municipalities in China from October to December 2019, using convenient sampling method approach. Only nurses working in ICU (including specialized ICU, but excluding the critical ward in general ward) and willing to participate in the survey were included. The survey included 35 items, including the general information of each participant, the attitude towards the implementation of the open visitation system in ICU and its potential influencing factors. Ordinal Logistic regression analysis was used to identify the significant influencing factors. RESULTS: A total of 1 558 questionnaires were sent out and 1 546 effective questionnaires were retrieved, with a response rate of 99.2%. Overall, 32.2% of them agreed with the policy, 41.3% of them disagree with the policy and 26.5% of them were uncertain. The Ordinal Logistic regression analysis showed that the independent influencing factors of ICU nurses' attitude towards open visitation policy including the possibility of increasing healthcare-associated infection [disagree: ß = 1.327, 95% confidence interval (95%CI) was 0.242 to 2.413, P = 0.017; uncertain: ß = 0.697, 95%CI was 0.244 to 1.151, P = 0.003], the improvement of nurses' job satisfaction (disagree: ß = -1.406, 95%CI was -1.750 to -1.062, P = 0.000; uncertain: ß = -0.748, 95%CI was -1.030 to -0.466, P = 0.000), the information support for medical staffs from family members (disagree: ß = -0.644, 95%CI was -1.048 to -0.240, P = 0.002; uncertain: ß = -0.422, 95%CI was -0.721 to -0.124, P = 0.006), the feasibility that the family members can assist the nurses in the basic nursing for patients (uncertain: ß = -0.465, 95%CI was -0.729 to -0.202, P = 0.001), reducing the time that a nurse spent on caring for the patients (uncertain: ß = 0.349, 95%CI was 0.052 to 0.646, P = 0.021), improving early rehabilitation (disagree: ß = -0.593, 95%CI was -1.166 to -0.019, P = 0.043), and getting psychological support for patients from family members (disagree: ß = 1.293, 95%CI was 0.426 to 2.159, P = 0.003), family members' satisfaction (disagree: ß = -0.981, 95%CI was -1.431 to -0.531, P = 0.000). CONCLUSIONS: ICU nurses in China have realized that open visitation policy has positive effect on patients' early rehabilitation, willing to live and satisfaction; meanwhile, this policy may need more improvement in many ways such as healthcare-associated infection control, disinfection and isolation, allocation of human resources and time spent treating and caring for patients.


Assuntos
Unidades de Terapia Intensiva , Visitas a Pacientes , China , Família , Humanos , Política Organizacional
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA