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1.
Rev. enferm. UERJ ; 29: e51932, jan.-dez. 2021.
Artigo em Inglês, Português | LILACS | ID: biblio-1224598

RESUMO

Objetivo: analisar a produção do conhecimento sobre a experiência da família acerca dos cuidados paliativos da criança com câncer hospitalizada na unidade de terapia intensiva e discutir o papel da enfermagem no atendimento à família da criança com câncer frente aos cuidados paliativos. Método: revisão integrativa realizada na PUBMED, LILACS, SCOPUS, SCIELO e CINAHL entre janeiro e março de 2020. Resultados: a amostra foi composta por 13 artigos, originando duas categorias: O impacto do cuidado paliativo da criança com câncer na dinâmica familiar e o cuidado multiprofissional, em especial dos enfermeiros, à família da criança com câncer. Conclusão: os estudos revelaram o panorama nacional e internacional dos cuidados paliativos à criança com câncer e a desestruturação da dinâmica familiar nos aspectos físicos, sociais, psicológicos, e financeiros, caracterizando o período como estressante e doloroso. Os enfermeiros estabelecem condutas terapêuticas objetivando promover qualidade de vida para crianças em cuidados paliativos e seus familiares.


Objective: to examine production of knowledge on families' experience of palliative care for children with cancer hospitalized in an intensive care center and discuss the role of nursing in assisting the family of the child in palliative cancer care. Method: this integrative review was conducted on PubMed, LILACS, Scopus, SciELO and CINAHL between January and March 2020. Results: from the sample of 13 articles, two categories originated: The impact of palliative cancer care for children on family dynamics and multiprofessional care, especially by nurses, for the family of the child with cancer. Conclusion: the studies revealed the national and international panorama of palliative care for children with cancer and the breakdown of physical, social, psychological, and financial family dynamics, characterizing the period as stressful and painful. Nurses establish therapeutic approaches aimed at promoting quality of life for children in palliative care and their families.


Objetivo: analizar la producción de conocimiento sobre la experiencia familiar en los cuidados paliativos de niños con cáncer, hospitalizados en la unidad de cuidados intensivos, y discutir el papel de la enfermería en la asistencia a la familia del niño con cáncer frente a los cuidados paliativos. Método: Revisión integradora realizada en PUBMED, LILACS, SCOPUS, SCIELO y CINAHL entre enero y marzo de 2020. Resultados: La muestra estuvo conformada por 13 artículos, originando dos categorías: El impacto de los cuidados paliativos para niños con cáncer en la dinámica familiar y los cuidados multiprofesionales, especialmente de las enfermeras, a la familia del niño con cáncer. Conclusión: Los estudios revelaron el panorama nacional e internacional de los cuidados paliativos para niños con cáncer y la ruptura de la dinámica familiar en aspectos físicos, sociales, psicológicos y económicos, caracterizándolo como un período estresante y doloroso. Las enfermeras establecen enfoques terapéuticos dirigidos a promover la calidad de vida de los niños en cuidados paliativos y sus familias.


Assuntos
Humanos , Masculino , Feminino , Criança , Cuidados Paliativos , Família/psicologia , Criança Hospitalizada , Conhecimentos, Atitudes e Prática em Saúde , Unidades de Terapia Intensiva , Neoplasias/terapia , Papel do Profissional de Enfermagem , Neoplasias/enfermagem , Relações Enfermeiro-Paciente
2.
Clin Nurse Spec ; 35(6): 314-317, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34606211

RESUMO

PURPOSE/OBJECTIVES: Blood culture collection is a common procedure performed in emergency departments. Rate of blood culture contamination is a metric that is tracked by organizations to ensure appropriate treatment for patients suspected of having bacteremia and ensure appropriate use of hospital resources. A team of nurses and technicians undertook a quality improvement project to decrease blood culture contamination rates in a suburban emergency department. DESCRIPTION OF THE PROJECT: The project included use of standardized blood culture collection kits, creation of a dedicated collection team, and implementation of a new blood culture collection device. OUTCOME: Through this work, blood culture contamination rates decreased from greater than 3.0% to less than 1.5% consistently for nearly 24 months. CONCLUSIONS: Providing feedback and continued monitoring has made this quality improvement initiative a success for the department and the organization and has resulted in cost savings of nearly 2 million dollars.


Assuntos
Hemocultura/métodos , Serviço Hospitalar de Emergência/organização & administração , Contaminação de Equipamentos/prevenção & controle , Enfermeiras Clínicas , Melhoria de Qualidade/organização & administração , Bacteriemia/enfermagem , Contaminação de Equipamentos/estatística & dados numéricos , Humanos , Pesquisa em Avaliação de Enfermagem
3.
Clin Nurse Spec ; 35(6): 318-326, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34606212

RESUMO

INTRODUCTION: Individuals with early-onset Alzheimer's disease face many challenges and barriers older adults with late-onset Alzheimer's do not. Unfortunately, information about early-onset Alzheimer's disease is in its infancy stage in comparison with late-onset Alzheimer's. PURPOSE/AIMS: The purpose of this study was to examine the lived experiences of a 54-year-old man with early-onset Alzheimer's disease and his family (wife, sister, and mother) to understand the effects on the family unit. DESIGN: Interpretive phenomenology was used to guide this study. METHODS: All participants completed 2 in-person one-on-one interviews, and a final interview was completed online. Field notes, member checks, and triangulation were used to enhance the study's credibility. RESULTS: This article focuses on the theme "'A big curve ball': Disruption of the life cycle." Participants indicated the major financial and social challenges experienced by Joe and his wife. Furthermore, participants emphasized the importance of acceptance and maintaining a positive attitude to help cope with Joe's diagnosis. CONCLUSIONS: The accounts of Joe and his family shed light on an area relatively void in the literature. In addition, Joe's experiences may provide comfort for other families facing early-onset Alzheimer's disease. The implications for community health nurses in assisting individuals with early-onset Alzheimer's disease and their families are discussed.


Assuntos
Adaptação Psicológica , Doença de Alzheimer/psicologia , Família/psicologia , Idade de Início , Doença de Alzheimer/enfermagem , Enfermagem em Saúde Comunitária , Humanos , Masculino , Pessoa de Meia-Idade
4.
Br J Community Nurs ; 26(10): 474-480, 2021 Oct 02.
Artigo em Inglês | MEDLINE | ID: mdl-34632792

RESUMO

Despite its many devastating effects, the COVID-19 pandemic has had a positive impact in the ways in which society, scientific institutions, governing bodies, businesses, educational organisations, and communication have functioned unchallenged over the years. Rapid advancement in science enabled identification and characterisation of the virus and in developing vaccines to combat the disease. The mysterious ways in which the virus attacks the vital organs that lead on to multiorgan failure and thrombosis of the arterial and venous system have also been revealed. The ability to study the microcirculatory changes at the bedside and predict prognosis is a way forward. All the evidence suggests that the outcome of COVID-19 infection is related to the severity of the disease seen in the intensive care unit setting. This article discusses microcirculatory changes and immune coagulopathy caused by COVID-19.


Assuntos
COVID-19 , Microcirculação , Trombose , COVID-19/complicações , COVID-19/enfermagem , Humanos , Trombose/virologia
5.
Medicine (Baltimore) ; 100(37): e27256, 2021 Sep 17.
Artigo em Inglês | MEDLINE | ID: mdl-34664874

RESUMO

ABSTRACT: International evidence-based guidelines recommend self-management support for stroke survivors to improve their health outcomes. We developed a 4-week nurse-led stroke self-management programme (SSMP) and conducted a randomised controlled trial to assess its effects. This paper reports the findings of a qualitative study nested within the randomised controlled trial to explore stroke survivors' experiences of SSMP participation. Semi-structured interviews were conducted with all adult participants who were clinically diagnosed with a first or recurrent ischaemic or haemorrhagic stroke, residing at home, communicable in Cantonese, had a Montreal Cognitive Assessment score below the second percentile, and participated in at least 1 SSMP session. All interviews were conducted in Cantonese, lasted approximately 45 minutes, and were audio-recorded. Interview data were transcribed verbatim and analysed thematically. Sixty-four stroke survivors (mean age 66.33 years, SD 12.34) were recruited, and 59 were interviewed via phone immediately after completion of SSMP. Three themes were derived. Overall, participants were satisfied with the SSMP. Their understanding of self-management was improved, and they recognised its importance in recovery. Their confidence in self-management was also enhanced through the use of multifaceted strategies. Suggestions were made to enhance their participation experiences, including increased home visits and group sessions, making group session attendance optional and arranging them more accessibly, meeting the survivors who shared their survival experiences in the videos, and access to the videos online. This study concurred that the SSMP enhanced stroke survivors' self-efficacy in self-management. Rearrangement of the programme format and enhancements in accessibility could be further examined to enable more effective stroke self-management.


Assuntos
Vida Independente/psicologia , Autogestão/psicologia , Acidente Vascular Cerebral/enfermagem , Sobreviventes/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Vida Independente/lesões , Entrevistas como Assunto/métodos , Masculino , Pessoa de Meia-Idade , Teoria de Enfermagem , Avaliação de Programas e Projetos de Saúde/métodos , Avaliação de Programas e Projetos de Saúde/estatística & dados numéricos , Pesquisa Qualitativa , Autogestão/métodos , Autogestão/estatística & dados numéricos , Acidente Vascular Cerebral/psicologia , Reabilitação do Acidente Vascular Cerebral/enfermagem , Reabilitação do Acidente Vascular Cerebral/psicologia , Reabilitação do Acidente Vascular Cerebral/normas , Sobreviventes/estatística & dados numéricos
6.
Nursing ; 51(10): 42-48, 2021 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-34580263

RESUMO

ABSTRACT: Patient safety attendants (PSAs) provide constant direct observation to patients who have cognitive impairments or thoughts. Some estimates report that an acute care hospital in the United States may spend more than $1 million annually on PSAs, an expenditure often not reimbursed. With no national defined standards to regulate or monitor PSA use, this study sought to determine the impact of COVID-19 on a PSA reduction program in a large Midwestern healthcare system.


Assuntos
Pessoal Técnico de Saúde/estatística & dados numéricos , COVID-19/epidemiologia , Segurança do Paciente , Pessoal Técnico de Saúde/economia , Disfunção Cognitiva/enfermagem , Humanos , Meio-Oeste dos Estados Unidos/epidemiologia , Avaliação de Programas e Projetos de Saúde
7.
Br J Community Nurs ; 26(Sup9): S6-S11, 2021 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-34473537

RESUMO

Wound bed preparation is the management of a wound in order to optimise healing and/or facilitate other therapeutic measures. It is the most pivotal step in healing wounds. Early referral to a specialist wound clinic can markedly improve the wound healing process. This overview will discuss the techniques involved in the preparation of the wound bed that will effectively accelerate the healing process. The process begins with a correct diagnosis of the wound and optimising the patient's medical condition. The TIMERS framework is discussed. Wound dressings, including the use of negative-pressure wound therapy, are discussed, along with debridement techniques and agents. The timing of wound intervention and evaluating progress will also be discussed, and wound bed preparation strategies will be included. There has been an added challenge of wound care in the community as a result of the COVID-19 pandemic. The present article provides an overview of how to prepare a wound bed in the community.


Assuntos
Enfermagem em Saúde Comunitária , Ferimentos e Lesões , Bandagens , COVID-19 , Desbridamento/métodos , Desbridamento/enfermagem , Humanos , Ferimentos e Lesões/enfermagem
8.
Br J Community Nurs ; 26(9): 438-443, 2021 Sep 02.
Artigo em Inglês | MEDLINE | ID: mdl-34473556

RESUMO

This article offers a review of what is known so far about post-acute covid-19 and the underlying pathophysiology related to this condition. The main focus will be on the respiratory symptoms. It will then explore how community nurses can monitor and support patients with symptoms of breathlessness with a supporting discussion of the current recommendations for the management and treatment of patients presenting with symptoms of breathlessness. Palliation of symptoms will be highlighted but managing the supportive care needs for patients affected by COVID-19 and nearing the end of life is outside the scope of this article.


Assuntos
COVID-19/complicações , Enfermagem em Saúde Comunitária , Dispneia , COVID-19/enfermagem , COVID-19/fisiopatologia , Dispneia/etiologia , Dispneia/enfermagem , Humanos , Cuidados Paliativos
9.
Br J Community Nurs ; 26(Sup10): S30-S35, 2021 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-34542312

RESUMO

During the second wave of the COVID-19 pandemic, district nursing teams were overwhelmed with their caseload due to the palliative care needs of their patients. This led to patients with wet legs and chronic wounds deteriorating due to staffing levels. Therefore, the Swansea Bay University Health Board and Lymphoedema Network Wales teams redeployed two working time equivalents (WTE) into the community to take over the management of these patients with chronic wounds for 4 months. The clinicians came from a variety of different backgrounds, including nursing, physiotherapy, emergency medicine and occupational therapy. Between the teams, 866 visits were carried out over the 4-month period, where patients' compression therapy was altered to promote healing and reduce oedema. At the end of the 4-month period, 21% of the patients were discharged off the district nursing caseload completely, while of the 60% who were still active caseload patients, 35% were in increased compression and 20% had reduced need for visits.


Assuntos
COVID-19 , Enfermagem em Saúde Comunitária , Linfedema , Pandemias , COVID-19/epidemiologia , Enfermagem em Saúde Comunitária/organização & administração , Humanos , Linfedema/enfermagem , Reino Unido/epidemiologia
10.
Br J Community Nurs ; 26(Sup10): S6-S15, 2021 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-34542313

RESUMO

Management of secondary head and neck lymphoedema has undergone little research investigation. Its treatment is time and labour intensive and involves multiple therapeutic modalities without a clear understanding of which is most effective. This study aimed to determine the feasibility of a randomised controlled trial comparing two therapeutic modalities to manage head and neck lymphoedema. The secondary objective was to evaluate the clinical effects of these treatments. Participants were randomised to receive treatment with manual lymphatic drainage or compression over 6 weeks, with the primary outcome-percentage tissue water-measured 12 weeks after treatment. Six participants were recruited until the study was ceased due to restrictions imposed by the COVID-19 pandemic. Some 86% of required attendances were completed. Percentage tissue water increased in all participants at 12 weeks. No consistent trends were identified between internal and external lymphoedema. The small number of people recruited to this study informs its feasibility outcomes but limits any conclusions about clinical implications.


Assuntos
COVID-19 , Linfedema , Pesquisa em Enfermagem , Pandemias , COVID-19/epidemiologia , Bandagens Compressivas , Estudos de Viabilidade , Cabeça , Humanos , Linfedema/enfermagem , Drenagem Linfática Manual , Pescoço , Pesquisa em Enfermagem/organização & administração , Resultado do Tratamento , Reino Unido/epidemiologia
11.
Br J Community Nurs ; 26(Sup10): S16-S21, 2021 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-34542314

RESUMO

Reticence to apply compression therapy has been widely observed in clinical practice, compounded by an absence of evidenced-based pathways for application of prompt compression prior to measuring ankle brachial pressure index (ABPI). Importantly, delaying compression therapy for patients with chronic oedema and lymphorrhoea causes many avoidable complications. In 2017, Lymphoedema Network Wales (LNW) developed an evidenced-based pathway to improve the management of chronic oedema and wet legs (lymphorrhoea) for community nurses. During the past 4 years, the Chronic Oedema Wet Leg Pathway has been presented, published and used internationally, as well as being translated into different languages. It is commonly used in community nursing Teams as an evidenced-based document. However, like all documents and guidelines, when more evidence becomes available, the pathway needs updating. Therefore, this clinical focus article will present the new and enhanced Chronic Oedema Wet Leg Pathway, introducing a new level four compression section, which increases the layers of compression bandaging for patients with venous insufficiency or who are morbidly obese.


Assuntos
Procedimentos Clínicos , Linfedema , Doença Crônica , Humanos , Perna (Membro) , Linfedema/enfermagem , País de Gales
12.
Br J Community Nurs ; 26(Sup10): S22-S28, 2021 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-34542317

RESUMO

The use of compression therapy to treat chronic oedema of the lower limbs can be a challenge, especially when this is undertaken by clinicians who have limited experience and knowledge of the theoretical principles which underpin its use in clinical practice. This articles aims to discuss the reasoning which underpins the use of compression hosiery in the management of lymphoedema and how this understanding can improve treatment outcomes and reduce the burden of disease on patients and clinical resources.


Assuntos
Linfedema , Meias de Compressão , Doença Crônica , Humanos , Extremidade Inferior , Linfedema/enfermagem , Resultado do Tratamento
13.
Nurs Womens Health ; 25(5): 366-376, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34478736

RESUMO

The purpose of this review is to describe health care interactions between nurses and women with perinatal substance use disorders, including interactions with their infants from the perspective of the nurses. Findings from 11 qualitative inclusion articles were synthesized using a metasummary approach. The majority of articles showed that nurses experience problematic interactions when providing care to women with perinatal substance use disorders and their infants, although some results indicated that some nurses engage in interactions that are assuring. Six types of conflictual interactions were identified: inadequate care, distressing, condemning, deficient knowledge, rejecting, and dissatisfying. Two types of therapeutic interactions were identified: compassionate and supportive. The findings underscore the importance of managing stigma, enhancing knowledge of the science of addiction processes, and promoting best practices when caring for this population.


Assuntos
Empatia , Relações Enfermeiro-Paciente , Enfermeiras e Enfermeiros/psicologia , Assistência Perinatal , Transtornos Relacionados ao Uso de Substâncias , Atenção à Saúde , Feminino , Humanos , Lactente , Síndrome de Abstinência Neonatal/etiologia , Síndrome de Abstinência Neonatal/enfermagem , Gravidez
14.
Ir Med J ; 114(7): 410, 2021 08 19.
Artigo em Inglês | MEDLINE | ID: mdl-34520645

RESUMO

Aim To gain an understanding of the impact of COVID-19 on the daily life, healthcare needs, mental wellbeing and outlook of patients with Interstitial Lung Disease (ILD) and their caregivers. Methods ILD patients and caregivers were invited to participate in a quantitative survey. Respondents could self-select to then participate in in-depth structured telephone interviews. Survey data was compared to Department of Health COVID-19 public opinion tracker findings for the comparable time period. Results There were 170 survey respones (111 patients and 59 caregivers) and 14 in-depth interview participants. 32% (n=36) of patients and 42% (n=25) of caregivers expressed extreme worry regarding COVID-19 on a 1-10 scale. 83% (n=92) of patients expressed concern about safe hospital access, 33% (n=37) had received a telephone consultation with their clinician, 43% (n=48) reported test delays, 47% (n=52) were exercising less, 23% (n=26) reported worse sleep and 15% (n=17) reported being financially worse off. Carers reported that sleep was worse for 58% (n=34), 42% (n=25) reported being worse off financially, and 40% (n=24) reported a worse diet. Worry (66%, n=39), stress (51%, n=30), anxiety (49%, n=29) were commonly reported by carers. Discussion ILD patients and caregivers reported higher levels of worry regarding COVID-19 compared to the general public. Alternative pathways for quality ILD patient care and interventions to reduce the burden of care on ILD caregivers are required.


Assuntos
COVID-19/psicologia , Cuidadores/psicologia , Doenças Pulmonares Intersticiais/psicologia , Qualidade de Vida/psicologia , Estresse Psicológico/psicologia , Adulto , COVID-19/epidemiologia , Humanos , Doenças Pulmonares Intersticiais/enfermagem , Masculino , Pessoa de Meia-Idade , Determinação de Necessidades de Cuidados de Saúde
15.
Rev Esp Salud Publica ; 952021 Sep 27.
Artigo em Espanhol | MEDLINE | ID: mdl-34565793

RESUMO

OBJECTIVE: The Best Practice Spotlight Organizations Program is being developed in Spain to reduce the variability of clinical practice by implementing clinical practice guidelines from the Registered Nurses' Association of Ontario. This study described the results of the implementation of the guide "Risk assessment and prevention of pressure ulcers". METHODS: We carried out a retrospective observational study (2015-2018) at the Hospital Universitario Virgen de las Nieves on 4,464 patients from 22 hospitalization units, analyzing type of unit, risk assessment, preventive measures, origin and category of ulcers. Descriptive analysis and contingency tables were performed with the Chi-square statistic p<0.05. RESULTS: The patients at risk were 62.2% in medical units, 53.4% in surgical units and 90% in intensive care. The application of preventive measures was 67.9%, 60.2% and 92.1% (respectively) for each unit. In medical units, 13.1% of pressure ulcers were identified, of which 68.1% were present at the time of admission. While in surgical units and intensive care they developed during hospitalization (60.8% and 88.9% respectively) (p<0.001). The presence of ulcers seemed to show a decreasing trend in the years analyzed (19.6% to 11.2%). CONCLUSIONS: There are favorable environments for implantation (medical units and intensive care) that reflect a higher level of risk assessment, use of pressure management surfaces and a decrease in prevalence. The recommendations have not been implemented homogeneously, with differences depending on the type of unit.


Assuntos
Guias de Prática Clínica como Assunto , Lesão por Pressão , Humanos , Pesquisa em Avaliação de Enfermagem , Ontário , Lesão por Pressão/enfermagem , Estudos Retrospectivos , Medição de Risco , Sociedades de Enfermagem , Espanha
18.
Nurs Clin North Am ; 56(3): 413-425, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34366161

RESUMO

Catheter-associated urinary tract infections (CAUTI) have a high financial and human impact on patients and society at large, making CAUTI prevention strategies essential. A shift has occurred where nurses play an increased role in infection prevention. Nurses promote staff and patient education on CAUTI prevention, identification of appropriate urinary incontinence management, and implementation of bundles and patient care strategies to minimize complications from urinary incontinence management. Because they understand the severity of CAUTI and current recommendations, nurses at the bedside are in the best position to identify appropriate indications of indwelling urinary catheters and external urine collection devices for patients.


Assuntos
Infecções Relacionadas a Cateter/prevenção & controle , Papel do Profissional de Enfermagem , Cateterismo Urinário/enfermagem , Infecções Urinárias/prevenção & controle , Infecções Relacionadas a Cateter/enfermagem , Humanos , Controle de Infecções/métodos , Cateterismo Urinário/efeitos adversos , Cateteres Urinários/efeitos adversos , Infecções Urinárias/enfermagem
19.
Medicine (Baltimore) ; 100(31): e26172, 2021 Aug 06.
Artigo em Inglês | MEDLINE | ID: mdl-34397789

RESUMO

ABSTRACT: There are needs to evaluate the risk factors for urinary infection after retrograde upper urinary lithotripsy, to provide insights into the management and nursing care of patients with retrograde upper urinary lithotripsy.Patients who received retrograde upper urinary lithotripsy with a Foley 20 urinary tube insertion from June 1, 2019 to December 31, 2020 in our hospital were selected. Patients were grouped urinary infection and no infection group according to the culture results of urine, and the clinical data of the 2 groups of patients were collected and compared. Single factor and logistic regression analysis were used to analyze the risk factors of urinary tract infection after retrograde upper urinary lithotripsy.Four hundred ten patients with retrograde upper urinary lithotripsy were included, of whom 62 patients had the urinary tract infection, the incidence of urinary tract infection was 15.12%. There were significant differences in the gender, age, diabetes, stone diameter, duration of urinary tube insertion and duration of surgery between infection and no-infection group (all P < .05). The Escherichia coli (62.90%) was the most commonly seen bacterial in patients with urinary tract infection. Female (odds ratio [OR]: 1.602, 95% confidence interval 95% [CI]: 1.132∼2.472), age >50 years (OR: 2.247, 95% CI: 1.346∼3.244), diabetes (OR: 2.228, 95% CI: 1.033∼3.451), stone diameter ≥2 cm (OR: 2.152, 95% CI: 1.395∼3.099), duration of urinary tube insertion ≥3 days (OR: 1.942, 95% CI:1.158∼2.632), duration of surgery ≥90 minutes (OR: 2.128, 95% CI: 1.104∼3.846) were the independent risk factors for the postoperative urinary tract infection in patients with retrograde upper urinary lithotripsy (all P < .05).The incidence of urinary tract infection in patients undergoing retrograde upper urinary lithotripsy was high, counteractive measures targeted on those risk factors are needed to prevent and reduce the postoperative urinary infection in clinical settings.


Assuntos
Cálculos Renais/terapia , Litotripsia/efeitos adversos , Cálculos Ureterais/terapia , Infecções Urinárias/epidemiologia , Infecções Urinárias/etiologia , Fatores Etários , Diabetes Mellitus/epidemiologia , Feminino , Humanos , Incidência , Litotripsia/métodos , Litotripsia/enfermagem , Masculino , Pessoa de Meia-Idade , Duração da Cirurgia , Fatores de Risco , Fatores Sexuais , Fatores de Tempo , Cateterismo Urinário
20.
Ann Glob Health ; 87(1): 79, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34434715

RESUMO

Introduction: The mental health of people working in Covid-19 wards (nurses, doctors, etc.) may be compromised due to the specific conditions of the workplace and patients. Therefore, the aim of this study was to investigate the relationship between mental burden and quality of work life in nurses in intensive care units of Covid-19 patients. Method: In this cross-sectional study, a sample of 200 people-100 nurses in care units for patients with COVID-19 (group 1) and 100 nurses in non-COVID-19 patient care units (group 2-in three university hospitals were obtained. These 200 samples were randomly extracted from the list of employees and selected. Data were collected using three questionnaires, including (1) a demographic, (2) the NASA-Task Load Index (1988) (Hart & Staveland, 1988) and (3) National Institute for Occupational Safety and Health (NIOSH) Quality of Life. Data were analyzed using SPSS-24 software and descriptive and analytical statistical methods. Results: The overall mean scores of nurses' quality of work life were significantly different between the two groups (P < 0.05). The average score of quality of life in nurses caring for patients with COVID-19 is 92.57, more than nurses caring for patients without COVID-19, 79.43. Among the dimensions of mental workload: Performance and efficiency, with an average score of 77.32 ± 15.85, had the highest score, while discouragement and failure, with an average score of 58.04 ± 26.72, had the lowest score of mental workload. There is a significant difference between the mental load of work in the two groups (P = 0.001). There is a significant inverse relationship between total quality of work life and total mental workload (r = -14 and P = 0.01). Conclusion: In this study, it was observed that nurses caring for Covid-19 patients are in a more unfavorable situation in terms of the studied characteristics. Due to the work period, these nurses have a high workload and a low quality of work life to compensate for the mental and physical deficiencies required by a long presence in the work environment.


Assuntos
COVID-19 , Enfermeiras e Enfermeiros , Qualidade de Vida , Carga de Trabalho , Adulto , COVID-19/epidemiologia , COVID-19/enfermagem , Estudos Transversais , Feminino , Humanos , Irã (Geográfico)/epidemiologia , Masculino , Enfermeiras e Enfermeiros/psicologia , Enfermeiras e Enfermeiros/estatística & dados numéricos , Inquéritos e Questionários , Carga de Trabalho/psicologia
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