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1.
Soins Psychiatr ; 39(317): 27-30, 2018.
Artigo em Francês | MEDLINE | ID: mdl-30047455

RESUMO

Non-pharmacological alternatives which avoid or reduce the use of seclusion and restraint help to defuse psychological and/or physical tension to move towards appeasement. For the professional, the encounter with the patient requires questioning, reflection, availability as well as creativity. Mediation techniques such as hydrotherapy or equine assisted therapy, as well as the caregiver's general attitude, are perfect illustrations. Testimony.


Assuntos
Negociação/métodos , Relações Enfermeiro-Paciente , Isolamento de Pacientes/psicologia , Restrição Física/psicologia , Estresse Psicológico/complicações , Estresse Psicológico/enfermagem , Adaptação Psicológica , Atitude do Pessoal de Saúde , Comunicação , Criatividade , Terapia Assistida por Cavalos , França , Humanos , Hidroterapia/enfermagem , Negociação/psicologia
2.
Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) ; 9(3): 682-687, jul.-set. 2017.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-982967

RESUMO

Objective: This study describes the therapeutic potential of a workshop in the territory for users of the Psychosocial Care Center and discuss the proposed therapy workshop and user interaction with the territory. Methods: Descriptive and exploratory research. The data resulted from participant observation and interviews as two coordinators. Thematic kind of content analysis was used for data processing. Results: As a result we obtained two thematic categories: Pool and the territory, and Benefits of a Pool Workshop. Conclusion: The workshop held in the territory allows the user to see himself/herself as part of it and also reframe the ways of living in that territory. The notion of belonging, social acceptance and citizenship are keys in building the social subject.


Objetivo: Descrever o potencial terapêutico de uma oficina no território para os usuários de saúde mental e discutir a proposta terapêutica da oficina e a interação dos usuários com o território. Método: Trata-se de estudo descritivo-exploratório. Os dados resultaram da observação participante e das entrevistas com os coordenadores, sendo utilizada a Análise de Conteúdo do tipo Temática para o tratamento dos dados. Resultados: Apresentaram-se duas categorias temáticas: Piscina e o território; e Os benefícios da Oficina de Piscina. Conclusão: A oficina realizada no território permite que o usuário se perceba parte dele e, ainda, ressignificar as formas de viver naquele território, bem como a noção de pertença, de aceitação social e cidadania que são fundamentais na construção do sujeito social.


Objetivo: El presente estudio describe el potencial terapéutico de un taller en el territorio, para los usuarios del Centro de Atención Psicosocial y discutir el taller de terapia propuesta y la interacción del usuario con el territorio. Método: La investigación descriptiva y exploratoria. Los datos de resultado de la observación participante y entrevistas como dos coordinadores. Tipo temático de análisis de contenido fue utilizado para el procesamiento de datos. Resultados: Como resultado se obtuvieron dos categorías temáticas: Piscina y el territorio; y Privilegios taller. El taller realizado en el territorio permite que el usuario se da cuenta parte de ella y también replantear las formas de vivir en ese territorio. Conclusión: La noción de pertenencia, aceptación social y la ciudadanía son clave en la construcción del sujeto social.


Assuntos
Masculino , Feminino , Humanos , Hidroterapia/enfermagem , Hidroterapia/psicologia , Hidroterapia/tendências , Hidroterapia , Serviços de Saúde Mental/tendências , Serviços de Saúde Mental , Enfermagem Psiquiátrica/tendências , Brasil , Psiquiatria Comunitária/métodos , Psiquiatria Comunitária/tendências
4.
Nurs Womens Health ; 19(6): 526-32, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26682659

RESUMO

At our university-affiliated medical center, a major renovation of the women's health and birthing unit resulted in the temporary loss of the permanent tub used for water immersion therapy during labor. Because 40 percent of the women in the nurse-midwifery practice utilize hydrotherapy, we undertook a rigorous search for an interim solution. We developed a safe and cost-effective strategy that can be easily replicated and utilized by others to provide hydrotherapy for laboring women.


Assuntos
Salas de Parto/economia , Hidroterapia/economia , Parto Normal/economia , Posicionamento do Paciente/economia , Banhos , Feminino , Humanos , Hidroterapia/enfermagem , Recém-Nascido , Tocologia/economia , Parto Normal/enfermagem , Manejo da Dor/economia , Posicionamento do Paciente/enfermagem , Gravidez , Apoio Social
7.
J Nurs Meas ; 18(1): 36-48, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20486476

RESUMO

While effective for labor pain, hydrotherapy is not often used. The purpose of this study was to develop and test an instrument of nurses' perceptions of the barriers to the use of hydrotherapy in labor. Following generation of items and review by content experts, the Nurses' Perceptions of the Use of Hydrotherapy in Labor (NPUHL) questionnaire was administered to 65 intrapartum nurses (phase I) and to 401 nurses (phase II). In phase I, the mean score of the NPUHL was significantly and negatively correlated with the Labor Support Scale (r = -.30, p = .016), indicating that nurses who demonstrated more labor-supportive behaviors also perceived fewer barriers to the use of hydrotherapy in labor. In phase II, exploratory factor analysis revealed five factors: Health Care Environment, Knowledge and Beliefs, Personal Concerns, Effort Required for Hydrotherapy, and Technology. There was a significant negative correlation (r = -.61) between use of hydrotherapy and the total NPUHL score and those of its subscales (r = -.12 to -.61); nurses with access to hydrotherapy tubs perceived fewer barriers to hydrotherapy than nurses without (t = 9.71, df= 387, p < .01). For the revised 30-item NPUHL, Cronbach's alpha was .93, and subscale alphas ranged from .58 to .93. The 30-item NPUHL scale demonstrated evidence of good initial reliability and validity.


Assuntos
Atitude do Pessoal de Saúde , Hidroterapia/enfermagem , Trabalho de Parto , Enfermagem Obstétrica , Inquéritos e Questionários , Distribuição de Qui-Quadrado , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Relações Enfermeiro-Paciente , Gravidez
8.
J Obstet Gynecol Neonatal Nurs ; 38(6): 667-675, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-19930280

RESUMO

OBJECTIVE: To determine nurses' perceived barriers to the use of hydrotherapy in labor. While effective in relieving pain, reducing anxiety, encouraging relaxation, and promoting a sense of control, hydrotherapy is rarely used during labor. DESIGN: Comparative descriptive survey design. SETTING: A national convention and perinatal listserves. PARTICIPANTS: Intrapartum nurses (N=401) attending a national convention (Association of Women's Health, Obstetric, and Neonatal Nurses, 2007; n=225) and members of perinatal listserves (n=176) were recruited. METHODS: A questionnaire was designed for this study (Nurses' Perception of the Use of Hydrotherapy in Labor). The questionnaire was available in paper format and online. RESULTS: Institutional but not individual characteristics (age, education, and role) were associated with Nurses' Perception of the Use of Hydrotherapy in Labor. Nurses who reported higher epidural rates (r=.45, p=.000) and Cesarean section rates (r=.30, p=.000) reported more barriers. There was no difference in perception of barriers for nurses at hospitals providing different levels of care; there were significant differences when primary care providers were considered. Intrapartum nurses in facilities where certified nurse-midwives do most deliveries reported significantly fewer barriers than nurses who worked in facilities where physicians attended most deliveries (F=6.84, df=2, p=.000). CONCLUSION: The culture of the birthing unit in which nurses provide care influences perception of barriers to the use of hydrotherapy in labor. Providing hydrotherapy requires a supportive environment, adequate nursing policies and staffing, and collaborative relationships among the health care team.


Assuntos
Acesso aos Serviços de Saúde , Hidroterapia/enfermagem , Trabalho de Parto , Enfermagem Obstétrica , Adulto , Atitude do Pessoal de Saúde , Assistência à Saúde , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Relações Enfermeiro-Paciente , Gravidez , Inquéritos e Questionários
11.
J Obstet Gynecol Neonatal Nurs ; 37(1): 116-22, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-18226165

RESUMO

OBJECTIVE: To observe and describe the positions and movements women choose while immersed in water during the first stage of labor. DESIGN: Descriptive, observational pilot study. SETTING: A rural community hospital that provided hydrotherapy in labor. PARTICIPANTS: Women (N = 7) who intended to use hydrotherapy in labor were recruited prenatally from a midwife-managed practice. MEASURES: For 15 minutes of each hour during the first stage of labor, position and movements of the participants were observed and recorded on a laptop computer. The observational tool was developed for this study from a review of the literature and interviews with nursing experts; 435 observations were recorded. Women were free to choose when and how long to use hydrotherapy and had no restriction on their positions and movements. RESULTS: Only 3 of the 7 participants labored in the tub. Women demonstrated a greater range of positions and movements in the tub than in bed, both throughout labor and during late first-stage labor (7-10 cm of dilatation). Women had more contractions and made more rhythmic movements while in the tub than in bed. CONCLUSIONS: Hydrotherapy may encourage upright positions and movements that facilitate labor progress and coping, helping women avoid unnecessary interventions.


Assuntos
Parto Obstétrico/enfermagem , Hidroterapia/enfermagem , Dor do Parto/psicologia , Primeira Fase do Trabalho de Parto/psicologia , Parto Normal/enfermagem , Postura , Tomada de Decisões , Parto Obstétrico/psicologia , Feminino , Humanos , Hidroterapia/psicologia , Recém-Nascido , Dor do Parto/enfermagem , Parto Normal/psicologia , Projetos Piloto , Gravidez , Resultado da Gravidez , População Rural , Resultado do Tratamento , Água
12.
Biol Res Nurs ; 8(3): 195-201, 2007 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-17172318

RESUMO

While still experimental, measurement of external uterine electromyographic (EMG) activity is a more sensitive and noninvasive method for measuring uterine contractility in human labor than the methods currently used in clinical practice. Hydrotherapy is purported to improve contractility in labor, yet there have been no reports of abdominal uterine EMG activity measured during immersion. To test telemetric EMG equipment and different waterproofing techniques under dry and immersed conditions, the authors recorded surface EMG activity from the abdominal muscles of 11 healthy, nonpregnant women, 22 to 51 years of age. After attaching one pair of electrodes to the skin on either side of the umbilicus and applying the waterproofing material, the authors tested the signal by asking participants to perform a short series of leg lifts while seated in a chair to evoke abdominal muscle contractions. They were then immersed to the chest in a hydrotherapy tub while performing two to three leg lifts over 60 s every 5 min for 60 min with 20 lb of weight suspended from their ankles to counteract the buoyancy effect of water. EMG activity was continuously recorded. They then repeated the dry-measures sequence. While waterproofing remained intact, EMG signals were essentially unchanged between dry and wet conditions. Of the 11 waterproofing applications tested, 10 failed at some point. In the data from the successful application, EMG signals in both channels exhibited stable baselines throughout and an absence of low-frequency artifact. The development of this technique allows for the recording of external uterine EMG activity during hydrotherapy. The authors have begun using it to investigate the effects of hydrotherapy on uterine contractility during human labor.


Assuntos
Eletromiografia/instrumentação , Hidroterapia , Parto Normal , Curativos Oclusivos/normas , Telemetria/instrumentação , Monitorização Uterina/instrumentação , Adulto , Pesquisa em Enfermagem Clínica , Eletromiografia/enfermagem , Falha de Equipamento , Segurança de Equipamentos , Feminino , Humanos , Hidroterapia/métodos , Hidroterapia/enfermagem , Imersão , Teste de Materiais , Pessoa de Meia-Idade , Parto Normal/métodos , Parto Normal/enfermagem , Gravidez , Telemetria/enfermagem , Monitorização Uterina/enfermagem
13.
MCN Am J Matern Child Nurs ; 31(6): 364-70; quiz 371-2, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-17149111

RESUMO

Complementary therapies have been a part of nursing practice for centuries and are supported today as a part of nursing practice by many state boards of nursing. Some of these modalities can be used by nurses as a part of their comprehensive plan of labor support for women during the childbirth experience. This article describes five complementary therapies (aromatherapy, massage, use of birth balls, music therapy, and hydrotherapy), and how one large Midwestern hospital system implemented an educational program for nurses that helped them integrate complementary therapies into their nursing care for laboring women.


Assuntos
Terapias Complementares , Dor do Parto/enfermagem , Enfermagem Obstétrica/organização & administração , Aromaterapia/enfermagem , Atitude do Pessoal de Saúde , Terapias Complementares/educação , Terapias Complementares/enfermagem , Terapias Complementares/organização & administração , Educação Continuada em Enfermagem/organização & administração , Medicina Baseada em Evidências , Feminino , Humanos , Hidroterapia/enfermagem , Capacitação em Serviço/organização & administração , Dor do Parto/psicologia , Massagem/enfermagem , Meio-Oeste dos Estados Unidos , Musicoterapia , Papel do Profissional de Enfermagem , Pesquisa em Avaliação de Enfermagem , Recursos Humanos de Enfermagem no Hospital/educação , Recursos Humanos de Enfermagem no Hospital/organização & administração , Recursos Humanos de Enfermagem no Hospital/psicologia , Enfermagem Obstétrica/educação , Inovação Organizacional , Satisfação do Paciente , Gravidez , Comitê de Profissionais/organização & administração , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde
14.
Aquichan ; 5(1): 138-147, oct. 2005. tab
Artigo em Espanhol | LILACS, BDENF - Enfermagem | ID: lil-447655

RESUMO

El objetivo del proyecto realizado en la Especialización de Gestión en Rehabilitación fue implementar un programa de vigilancia y control del área de la piscina del Instituto de Ortopedia Infantil Roosevelt, para mejorar las condiciones sanitarias del agua y evitar la aparición y reproducción de agentes patógenos en el medio y en los usuarios que ingresan a ella.El Instituto Roosevelt es una entidad prestadora de servicios de salud ubicada en Bogotá, en donde la hidroterapia hace parte de la intervención fisioterapéutica. Al realizar un diagnóstico del área se evidenció que no se estaban haciendo los procesos indispensables que aseguraran las condiciones higiénico-sanitarias del agua de la piscina, razón por la cual se vio la necesidad de realizar una serie de actividades encaminadas a garantizar la calidad del agua y el adecuado funcionamiento del área para la protección de la salud de los pacientes, acompañantes, estudiantes, fisioterapeutas y operadores.Finalmente se logró en un alto porcentaje la implementación del Programa, siendo evidente el compromiso e interés institucional por éste


Assuntos
Centros de Reabilitação/provisão & distribução , Centros de Reabilitação , Hidroterapia/classificação , Hidroterapia/enfermagem , Hidroterapia , Piscinas/normas
17.
In. Pargas Torres, Feridia. Enfermeria en la medicina natural y tradicional. La Habana, Ecimed, 2005. , ilus, tab.
Monografia em Espanhol | CUMED | ID: cum-37026
18.
Aust Crit Care ; 16(3): 111-5, 2003 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-14533215

RESUMO

The ascending peripheral neuropathy and paralysis that result from Guillain-Barre Syndrome's (GBS) demyelination of peripheral nerves is a challenge to health professionals; the patient requires support during the acute disease process and during the remyelination recovery period, often lasting months to years. The staff of a major metropolitan teaching hospital's critical care unit (CCU) and physiotherapy departments developed a hydrotherapy treatment programme for a ventilated patient with GBS. Through careful planning and appropriate preparation, it was found that hydrotherapy could successfully and safely be incorporated into a patient's treatment regimen. The benefits included improved range of movement due to the supportive nature of water, anecdotal increased strength, size and movement of remyelinating muscles and a psychological improvement. Although this patient has not recovered from GBS to be independent, hydrotherapy was a valuable part of the treatment regimen and it could be suggested the increase muscle strength lead to improved respiratory function and enabled weaning from ventilation, reducing intensive care length of stay and cost.


Assuntos
Hidroterapia/enfermagem , Respiração Artificial/enfermagem , Idoso , Terapia por Exercício/métodos , Feminino , Síndrome de Guillain-Barré/complicações , Síndrome de Guillain-Barré/enfermagem , Humanos , Hidroterapia/métodos , Equipe de Assistência ao Paciente , Insuficiência Respiratória/etiologia , Insuficiência Respiratória/enfermagem , Resultado do Tratamento
19.
MCN Am J Matern Child Nurs ; 28(4): 242-5, 2003.
Artigo em Inglês | MEDLINE | ID: mdl-12840690

RESUMO

The purpose of this article is to present a case of a pregnant woman with nephrotic syndrome who had unusually painful edema, and to share an intervention used to relieve her discomfort. The labial edema experienced by this patient was particularly problematic and interfered with normal activity; the hydrotherapy used in this case for treatment was successful in reducing the edema and the pain associated with it. When addressing atypical clinical problems such as this one, nurses can use evidence-based, inexpensive interventions to help their patients.


Assuntos
Edema/terapia , Hidroterapia/métodos , Complicações na Gravidez/terapia , Doenças da Vulva/terapia , Atividades Cotidianas , Adulto , Edema/etiologia , Feminino , Humanos , Hidroterapia/enfermagem , Imersão , Enfermagem Materno-Infantil/métodos , Síndrome Nefrótica/complicações , Papel do Profissional de Enfermagem , Dor/etiologia , Pré-Eclâmpsia/complicações , Gravidez , Complicações na Gravidez/etiologia , Resultado do Tratamento , Doenças da Vulva/etiologia , Perda de Peso
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