[Content validation of the nursing diagnosis Nausea]. / Validação de conteúdo do diagnóstico de enfermagem Náusea.

This study aimed to evaluate the content validity of the nursing diagnosis of nausea in the immediate post-operative period, considering Fehring's model. Descriptive study with 52 nurses experts who responded an instrument containing identification and validation of nausea diagnosis data. Most experts considered the domain 12 (Comfort), Class 1 (Physical Comfort) and the statement (Nausea) adequate to the diagnosis. Modifications were suggested in the current definition of this nursing diagnosis. Four defining characteristics were considered primary (reported nausea, increased salivation, aversion to food and vomiting sensation) and eight secondary (increased swallowing, sour taste in the mouth, pallor, tachycardia, diaphoresis, sensation of hot and cold, changes in blood pressure and pupil dilation). The total score for the diagnosis of nausea was 0.79. Reports of nausea, vomiting sensation, increased salivation and aversion to food are strong predictors of nursing diagnosis of nausea.

[Use of patients' classification instruments: analysis of the brazilian production of knowledge]. / Utilização de instrumentos de cassificação de pacientes: análise da produção do conhecimento brasileira.

OBJECTIVE: To analyze the production of scientific knowledge about the use of patients' classification instruments in care and management practice in Brazil. METHOD: Integrative literature review with databases search in: Latin American and Caribbean Literature on Health Sciences (LILACS), Medical Literature Analysis and Retrieval System on-line (MEDLINE), Cumulative Index to Nursing and Allied Health Literature (CINAHL) and SCOPUS, between January 2002 through December 2013. RESULTS: 1,194 studies were found, 31 met the inclusion criteria. We observed a higher number of studies in the category care plans and workload (n=15), followed by the category evaluation of psychometric properties (n=14). CONCLUSION: Brazilian knowledge production has not yet investigated some purposes of using instruments for classifying patients in professional nursing practice. The identification of unexplored areas can guide future research on the topic.


[Duration of smoking cessation for the prevention of surgical wound healing complications]. / Tempo de cessação do tabagismo para a prevenção de complicações na cicatrização de feridas cirúrgicas.

The study aimed to find scientific evidence about the duration of preoperative smoking cessation required to reduce surgical wound healing complications. An integrative review was performed in the databases, Latin American and Caribbean Literature on Health Sciences (LILACS) and Medical Literature Analysis and Retrieval System Online (MEDLINE), from 08/17/2012 to 09/17/2012, using the keywords: tobacco use cessation and wound healing; tobacco use cessation and preoperative period; tobacco use cessation and perioperative period (LILACS) and tobacco use cessation and perioperative period; tobacco use cessation and wound healing (MEDLINE). Out of the 81 eligible studies, 12 were included. The duration of smoking cessation needed to reduce healing complications was at least four weeks (four studies with level of evidence I, three studies with level of evidence II, two studies with level of evidence IV, and one study with level of evidence VII).

Influence of self-efficiency beliefs on the health and well-being of university students in COVID-19.

OBJECTIVE: To analyze general self-efficacy beliefs in university students during the COVID-19 pandemic and their correlation with psychological well-being and anxiety and depressive symptoms. METHOD: Cross-sectional study, carried out with nursing, medicine and psychology students from a higher education institution in the state of São Paulo, Brazil. The sample consisted of 329 students and data collection took place through a questionnaire and scales, from August to December 2020. Mann-Whitney test and Spearman's correlation coefficient were used for analysis of the variables. RESULTS: Participants' self-efficacy was median (34.3±7.5). Higher self-efficacy scores were correlated with better psychological well-being (p<0.001; r= -0.582) and absence of anxiety (p<0.001) and depressive (p<0.001) symptoms. CONCLUSION: High self-efficacy beliefs were associated with better mental health outcomes. Strengthening self-efficacy in universities can help improve students' health behaviors and prevent mental illness.

Interventions for Strengthening General Self-Efficacy Beliefs in College Students: An Integrative Review.

OBJECTIVE: To assess the evidence regarding the effectiveness of interventions aimed at strengthening self-efficacy beliefs in college students. METHODS: Integrative Review conducted on the Lilacs, PubMed, CinahL, Cochrane Collaboration Databases, Scopus, and PsycInfo databases. The methodological quality of the studies was assessed using tools proposed by the Joanna Briggs Institute, and the results were analyzed descriptively. RESULTS: Out of the 10 selected studies, six demonstrated that interventions aimed at strengthening self-efficacy were effective (Levels of Evidence II and III), and four revealed contrary results (Levels of Evidence I and II). Programs aimed at enhancing self-efficacy should include content on positive mental health, psychoeducation strategies, cover a period of eight to twelve weeks, and consider the completion of homework assignments. CONCLUSION: The synthesis of evidence pointed to pathways for building an effective self-efficacy strengthening program to be implemented in universities.

Coping strategies of family members of intensive care unit patients.

OBJECTIVE: To analyse the coping strategies of family members of patients admitted to intensive care units. DESIGN: A cross-sectional study developed with 70 relatives of patients admitted to the intensive care unit. SETTING: An adult intensive care unit at a university hospital in Brazil. MAIN OUTCOME MEASURES: Coping strategies were identified by the Folkman and Lazarus Inventory of Coping Strategies and statistically compared to the sociodemographic data of family members and patients' clinical data. RESULTS: Coping strategies focused on emotion were the most used, especially those attributed to the escape-avoidance factor. There was a significant association (p < 0.05) between women and the use of adaptive strategies focused on the problem; less education and lower income with maladaptive strategies focused on emotion; second-degree relatives and the positive reassessment factor; participants involved in religious activities and the social support factor. Regarding the clinical variables, patients admitted to the intensive care unit for more than seven days showed an association (p < 0.05) with the social support factor. CONCLUSION: Family members used adaptive coping strategies more focused on emotion. Additionally, the lower the educational and economic levels, the greater the use of maladaptive strategies focused on emotion.

Impact of an intervention through Facebook to strengthen Self-esteem in nursing students.

OBJECTIVE: to evaluate the impact of the "Strengthening Self-Esteem" intervention proposed by the Nursing Interventions Classification, conducted through the use of Facebook, on the self-esteem and self-efficacy levels of nursing undergraduates. METHOD: quasi-experimental study carried out in two Higher Education Institutions. The sample consisted of 74 students. Two data collection tools were applied before and after the intervention: Rosenberg Self-Esteem Scale and General and Perceived Self-Efficacy Scale. The students were submitted to the intervention for ten sessions. Posts were made in private profile created on Facebook and consisted of positive messages, reflective texts and pictures, all supported by the persuasive resources of Bandura's theoretical framework. RESULTS: of the 264 students who answered the pretest, 74 (28.03%) participated in the interventions and the post-test. Rosenberg self-esteem (p=0.026) and self-efficacy (p=0.001) scores after the intervention were significantly higher than those obtained before, confirming the effectiveness of the intervention. CONCLUSION: the "Strengthening Self-Esteem" intervention was effective for improving students' self-esteem and self-efficacy levels. Such interventions help spread knowledge and build mentally healthier individuals.

Influence of self-efficiency beliefs on the health and well-being of university students in COVID-19 / Influencia de las creencias de autoeficiencia en la salud y el bienestar de los estudiantes universitarios en COVID-19 / Influência das crenças de autoeficácia na saúde e bem-estar de estudantes universitários na COVID-19

ABSTRACT Objective: To analyze general self-efficacy beliefs in university students during the COVID-19 pandemic and their correlation with psychological well-being and anxiety and depressive symptoms. Method: Cross-sectional study, carried out with nursing, medicine and psychology students from a higher education institution in the state of São Paulo, Brazil. The sample consisted of 329 students and data collection took place through a questionnaire and scales, from August to December 2020. Mann-Whitney test and Spearman's correlation coefficient were used for analysis of the variables. Results: Participants' self-efficacy was median (34.3±7.5). Higher self-efficacy scores were correlated with better psychological well-being (p<0.001; r= -0.582) and absence of anxiety (p<0.001) and depressive (p<0.001) symptoms. Conclusion: High self-efficacy beliefs were associated with better mental health outcomes. Strengthening self-efficacy in universities can help improve students' health behaviors and prevent mental illness.

RESUMEN Objetivo: Analizar las creencias generales de autoeficacia en estudiantes universitarios durante la pandemia de COVID-19 y su correlación con el bienestar psicológico y la sintomatología ansiosa y depresiva. Método: Estudio transversal, realizado con estudiantes de enfermería, medicina y psicología de una institución de enseñanza superior del estado de São Paulo, Brasil. La muestra estuvo conformada por 329 estudiantes y la recolección de datos se realizó a través de cuestionario y escalas, de agosto a diciembre de 2020. Para el análisis de las variables se utilizó la prueba de Mann-Whitney y el coeficiente de correlación de Spearman. Resultados: La autoeficacia de los participantes fue mediana (34,3±7,5). Las puntuaciones más altas de autoeficacia se correlacionaron con un mejor bienestar psicológico (p<0,001; r= -0,582) y ausencia de síntomas de ansiedad (p<0,001) y depresivos (p<0,001). Conclusión: Las creencias de alta autoeficacia se asociaron con mejores resultados de salud mental. Fortalecer la autoeficacia en las universidades puede ayudar a mejorar los comportamientos de salud de los estudiantes y prevenir enfermedades mentales.

RESUMO Objetivo: Analisar as crenças de autoeficácia geral em universitários, durante a pandemia da covid-19 e sua correlação com bem-estar psicológico e sintomas ansiosos e depressivos. Método: Estudo transversal, desenvolvido com estudantes de enfermagem, medicina e psicologia de instituição de ensino superior do estado de São Paulo, Brasil. A amostra foi de 329 estudantes e a coleta de dados ocorreu por meio de questionário e escalas, de agosto a dezembro de 2020.Utilizaram-se o teste Mann-Whitney e coeficiente de correlação de Spearman para análise das variáveis. Resultados: A autoeficácia dos participantes foi mediana (34,3±7,5). Maiores escores de autoeficácia foram correlacionados a melhor estado de bem-estar psicológico (p<0,001; r= -0,582) e ausência de sintomas ansiosos (p<0,001) e depressivos (p<0,001). Conclusão: Crenças elevadas de autoeficácia foram associadas a melhores desfechos em saúde mental. O fortalecimento da autoeficácia nas universidades pode ajudar a melhorar os comportamentos de saúde dos estudantes e prevenir doenças mentais.

Musculoskeletal symptoms in Primary Health Care professionals / Sintomas osteomusculares em profissionais da Atenção Primária à Saúde / Síntomas musculoesqueléticos en profesionales de Atención Primaria de Salud

Background and Objectives: musculoskeletal diseases affect the musculoskeletal system and have multifactorial causes, with a higher risk of developing in some work activities. This study aimed to analyze the occurrence of musculoskeletal symptoms in Primary Health Care professionals. Methods: a comparative study among healthcare professionals from two municipalities. A structured questionnaire containing sociodemographic and professional variables and the Nordic Musculoskeletal Questionnaire were applied. Results: a total of 429 healthcare professionals have participated; 85 (19.8%) from municipality A and 344 (80.2%) from municipality B. There was no difference in the percentage of professionals with musculoskeletal symptoms between the municipalities (p>0.05). The main pain complaints in the last 12 months were for the lumbar region (56.2%), neck/cervical (48.4%), shoulders (44.7%), back/thoracic region (35.3%) and ankles/foot (31.7%). The lowest rates of pain complaints were for elbows (10.5%) and forearms (14.6%). In the last 12 months, 203 (48.7%) professionals avoided their daily activities of working, at-home service or leisure/pastime due to musculoskeletal problems/symptoms. Conclusion: Primary Health Care professionals from the studied municipalities reported main complaints of musculoskeletal symptoms, in the last 12 months, in the lumbar region, neck/cervical, shoulders, dorsal/thoracic region and ankles/foot. The regions with the fewest complaint rates were elbows and forearms. There were no significant differences in the number of professionals with complaints of musculoskeletal symptoms between the municipalities. This study provides new knowledge by contributing with information that can guide the planning and implementation of actions to promote health and prevent musculoskeletal disorders in Primary Health Care workers.(AU)

Justificativa e Objetivo: as doenças osteomusculares afetam o sistema osteomuscular e possuem causas multifatoriais, com maior risco de desenvolvimento em algumas atividades laborais. Este estudo objetivou analisar a ocorrência de sintomas osteomusculares em profissionais da Atenção Primária à Saúde. Métodos: estudo comparativo entre profissionais de saúde de dois municípios. Foi aplicado um questionário estruturado contendo variáveis sociodemográficas e profissionais, e o Questionário Nórdico de Sintomas Osteomusculares. Resultados: participaram 429 profissionais, sendo 85 (19.8%) do município de pequeno porte e 344 (80,2%) do município de grande porte. Não houve diferença nos porcentuais de profissionais com sintomas osteomusculares entre os municípios (p>0,05). As principais queixas de dor, nos últimos 12 meses, foram para a região lombar (56,2%), pescoço/cervical (48,4%), ombros (44,7%), região dorsal/torácica (35,3%) e tornozelos/pés (31,7%). Os menores índices de queixas de dor foram para os cotovelos (10,5%) e antebraços (14,6%). Nos últimos 12 meses, 203 (48,7%) profissionais evitaram as atividades diárias de trabalho, serviço doméstico ou lazer/passatempo, em decorrência de problemas/sintomas osteomusculares. Conclusão: os profissionais da Atenção Primária à Saúde relataram queixas de sintomas osteomusculares, nos últimos 12 meses, na região lombar, no pescoço/cervical, ombros, região dorsal/torácica e tornozelos/pés. As regiões com menores queixas foram os cotovelos e antebraços. Não houve diferenças significativas do número de profissionais com queixas de sintomas osteomusculares entre os municípios. O estudo agrega novos conhecimentos, ao contribuir com informações capazes de direcionar o planejamento e a implementação de ações de promoção da saúde e prevenção de lesões osteomusculares nos trabalhadores da Atenção Primária à Saúde.(AU)

Justificación y Objetivos: las enfermedades musculoesqueléticas afectan al sistema musculoesquelético y tienen causas multifactoriales, con un mayor riesgo de desarrollarse en algunas actividades laborales. Este estudio tuvo como objetivo analizar la aparición de síntomas musculoesqueléticos en profesionales de Atención Primaria de Salud. Métodos: un estudio comparativo entre profesionales de la salud de dos municipios. Se aplicó un cuestionario estructurado que contiene variables sociodemográficas y profesionales, y el Cuestionario Nórdico de Síntomas Musculoesqueléticos. Resultados: participaron 429 profesionales; 85 (19.8%) del municipio A y 344 (80,2%) del municipio B. No hubo diferencias en el porcentaje de profesionales con síntomas musculoesqueléticos entre los municipios (p>0,05). Las mayores quejas de dolor, en los últimos 12 meses, fueron para la región lumbar (56,2%), el cuello/cervical (48,4%), los hombros (44,7%), la espalda/región torácica (35,3%) y los tobillos/pies (31,7%). Las tasas más bajas de quejas de dolor se dieron en los codos (10,5%) y los antebrazos (14,6%). En los últimos 12 meses, 203 (48,7%) profesionales evitaron las actividades diarias de trabajo, servicio doméstico u ocio/pasatiempo debido a problemas/síntomas musculoesqueléticos. Conclusión: los profesionales de la Atención Primaria de Salud de los municipios estudiados relatan las mayores quejas de síntomas osteomusculares, en los últimos 12 meses, en la región lumbar, cuello/región cervical, hombros, región dorsal/torácica y tobillos/pies. Las regiones con menos quejas fueron los codos y los antebrazos. No hubo diferencias significativas en el número de profesionales con quejas de síntomas musculoesqueléticos entre los municipios. El estudio añade nuevos conocimientos al contribuir con información capaz de dirigir la planificación y la implementación de acciones para promover la salud y prevenir los trastornos musculoesqueléticos en los trabajadores de la Atención Primaria de Salud.(AU)

Interventions for Strengthening General Self-Efficacy Beliefs in College Students: An Integrative Review / Intervenciones para Fortalecer las Creencias de Autoeficacia General en Estudiantes Universitarios: Revisión Integrativa / Intervenções para Fortalecimento das Crenças de Autoeficácia Geral em Estudantes Universitários: Revisão Integrativa

ABSTRACT Objective: To assess the evidence regarding the effectiveness of interventions aimed at strengthening self-efficacy beliefs in college students. Methods: Integrative Review conducted on the Lilacs, PubMed, CinahL, Cochrane Collaboration Databases, Scopus, and PsycInfo databases. The methodological quality of the studies was assessed using tools proposed by the Joanna Briggs Institute, and the results were analyzed descriptively. Results: Out of the 10 selected studies, six demonstrated that interventions aimed at strengthening self-efficacy were effective (Levels of Evidence II and III), and four revealed contrary results (Levels of Evidence I and II). Programs aimed at enhancing self-efficacy should include content on positive mental health, psychoeducation strategies, cover a period of eight to twelve weeks, and consider the completion of homework assignments. Conclusion: The synthesis of evidence pointed to pathways for building an effective self-efficacy strengthening program to be implemented in universities.

RESUMEN Objetivo: Evaluar las evidencias sobre la efectividad de las intervenciones para fortalecer las creencias de autoeficacia en estudiantes universitarios. Métodos: Revisión Integrativa realizada en las bases de datos Lilacs, PubMed, CinahL, Cochrane Collaboration Databases, Scopus y PsycInfo. La calidad metodológica de los estudios se evaluó utilizando herramientas propuestas por el Instituto Joanna Briggs y los resultados se analizaron de forma descriptiva. Resultados: De los 10 estudios seleccionados, seis demostraron que las intervenciones para fortalecer la autoeficacia fueron efectivas (niveles de evidencia II y III) y cuatro arrojaron resultados contrarios (niveles de evidencia I y II). Los programas dirigidos al fortalecimiento de la autoeficacia deben incluir contenido sobre salud mental positiva, estrategias de psicoeducación, abarcar un período de ocho a doce semanas y considerar la realización de ejercicios para hacer en casa. Conclusión: La síntesis de evidencia señala el camino para la construcción de un programa efectivo de fortalecimiento de las creencias de autoeficacia que debe implementarse en las universidades.

RESUMO Objetivo: Avaliar as evidências sobre a efetividade das intervenções para fortalecer as crenças de autoeficácia em universitários. Métodos: Revisão Integrativa, realizada nas bases de dados Lilacs, PubMed, CinahL, Cochrane Collaboration Databases, Scopus e PsycInfo. A qualidade metodológica dos estudos foi avaliada por meio de ferramentas propostas pelo Joanna Briggs Institute e os resultados foram analisados de forma descritiva. Resultados: Dos 10 estudos selecionados, seis demonstraram que as intervenções para fortalecer a autoeficácia foram efetivas (níveis de evidências II e III) e quatro revelaram resultados contrários (níveis de evidências I e II). Os programas direcionados ao fortalecimento da autoeficácia devem possuir conteúdo sobre saúde mental positiva, estratégias de psicoeducação, abranger o período de oito a doze semanas e considerar a realização de exercícios para casa. Conclusão: A síntese das evidências apontou caminhos para a construção de um programa efetivo de fortalecimento das crenças de autoeficácia a ser implementado em universidades.

[The administration of volatile anesthetics as a factor related to nausea and vomiting in the postoperative period: integrative review of the literature]. / A administração de anestésicos voláteis como fator relacionado às náuseas e vômitos no período pós-operatório.

This study was aimed at analyzing available evidence on volatile anesthetics administration, and nursing diagnosis of nausea in the immediate postoperative period. It was based on a literature revision in the following data bases: Latin American and Caribbean Literature in the Health Sciences (Lilacs), PubMed, Cumulative Index to Nursing and Allied Health Literature (Cinahl), and Cochrane Database of Systematic Reviews (CDSR). The sample encompasses nine studies. Volatile anesthetics administration during the postoperative period is a factor related to nausea and vomiting, according to two studies with evidence level II, two with evidence level IV one with evidence level VI and four literature revisions. The results suggest that there is a connection between volatile anesthetics, nausea and vomiting.

Relationship between anxiety, depressive symptoms and compulsive overeating disorder in patients with cardiovascular diseases.

OBJECTIVES: to identify the presence of compulsive overeating disorder in patients with cardiovascular diseases and to verify its relation with sociodemographic, clinical variables and the presence of anxiety and depressive symptoms. METHOD: cross-sectional, correlational study with a sample of 111 patients with cardiovascular diseases. The presence of anxiety and depressive symptoms was assessed by the Hospital Anxiety and Depression Scale instrument and compulsive overeating disorder was assessed through a likert instrument called the Periodic Eating Disorder Scale (Binge Eating Scale). RESULTS: there was a predominance of patients without compulsive overeating disorder (n=91, 82%), followed by moderated compulsive overeating (n=15, 13.5%) and severe (n=5, 4.5%) associating to high levels of body mass index (p=0.010) and the presence of anxiety (p=0.017). CONCLUSION: Compulsive overeating disorder was present in 18% of the patients, being associated with body mass index and anxiety, suggesting that health professionals should pay attention to the comprehensive evaluation of patients with cardiovascular diseases. Important results emerged from this study, emphasizing the need to implement programs to improve the patients' mental and physical health in both primary and specialized care services.

Strategies for coping with family members of patients with mental disorders.

OBJECTIVE: to identify the coping strategies of family members of patients with mental disorders and relate them to family member sociodemographic variables and to the patient's clinical variables. METHOD: this was a descriptive study conducted at a psychiatric hospital in the interior of the state of São Paulo, with 40 family members of hospitalized patients over the age of 18, and who followed the patient before and during hospitalization. We used tools to characterize the subjects and the Folkman and Lazarus Inventory of Coping Strategies. RESULTS: the coping strategies most often used by family members were social support and problem solving. Mothers and fathers used more functional strategies (self-control p=0.037, positive reappraisal p=0.037, and social support p=0,021). We found no significant differences between the strategies and other variables examined. CONCLUSION: despite the suffering resulting from the illness of a dear one, family members make more use of functional strategies, allowing them to cope with adversities in a more well-adjusted way. OBJETIVO: identificar as estratégias de enfrentamento de familiares de pacientes com transtornos mentais e relacioná-las com as variáveis sociodemográficas do familiar e clínicas do paciente. MÉTODO: estudo descritivo, desenvolvido em hospital psiquiátrico do interior do estado de São Paulo, com 40 familiares de pacientes internados, maiores de 18 anos e que acompanhavam o paciente antes e durante a internação. Foram utilizados instrumentos para caracterização dos sujeitos e o Inventário de Estratégias de Enfrentamento de Folkman e Lazarus. RESULTADOS: as estratégias de enfrentamento mais utilizadas pelos familiares foram suporte social e resolução de problemas. Pais e mães utilizaram mais estratégias funcionais (autocontrole p=0,037; reavaliação positiva p=0,037; suporte social p=0,021). Não foram evidenciadas diferenças significativas entre as estratégias e as demais variáveis estudadas. CONCLUSÃO: apesar do sofrimento causado pelo impacto do adoecimento do seu ente querido, os familiares utilizam mais estratégias funcionais, permitindo-lhes enfrentar as adversidades de forma mais ajustada. OBJETIVO: identificar las estrategias de enfrentamiento de familiares de pacientes con trastornos mentales y relacionarlas con las variables sociodemográficas del familiar y clínicas del paciente. MÉTODO: estudio descriptivo, desarrollado en un hospital psiquiátrico del interior del estado de Sao Paulo, con 40 familiares de pacientes internados, mayores de 18 años y que acompañaban el paciente antes y durante la internación. Fueron utilizados instrumentos para caracterización de los sujetos y el Inventario de Estrategias de Enfrentamiento de Folkman y Lazarus. RESULTADOS: las estrategias de enfrentamiento más utilizadas por los familiares fueron el soporte social y la resolución de problemas. Los padres y madres utilizaron más estrategias funcionales (autocontrol p=0,037; reevaluación positiva p=0,037; soporte social p=0,021). No fueron evidenciadas diferencias significativas entre las estrategias y las demás variables estudiadas. CONCLUSIÓN: a pesar del sufrimiento causado por el impacto de la enfermedad de su ser querido, los familiares utilizan más estrategias funcionales, permitiéndoles enfrentar las adversidades de forma más ajustada.

Anxiety, depression, resilience and self-esteem in individuals with cardiovascular diseases.

Objectives: to analyze the relationship between anxiety and depression symptoms, resilience and self-esteem with sociodemographic and clinical characteristics; correlate resilience and self-esteem with age and duration of the disease; check associations between anxiety and depression with measures of resilience and self-esteem among individuals with cardiovascular diseases. Method: correlational study conducted in a large university hospital in the interior of the state of São Paulo, Brazil. The population was composed of adult inpatients with cardiovascular diseases. A non-probabilistic consecutive sample was composed of 120 patients. Variables of interest were assessed using the Hospital Anxiety and Depression Scale, Resilience Scale, and Rosenberg Self-Esteem Scale. Results: anxiety and depression symptoms were present in 32.5% and 17.5% of the patients, respectively, and were associated with the female sex (p = 0.002; p = 0.022). Manifestations of depression were associated with the presence of comorbidities (p = 0.020). More resilient patients did not present depression symptoms (p < 0.001) and anxious women were more resilient (p = 0.042). The highest scores regarding self-esteem were present in patients with anxiety and depression. Men presented higher resilience and lower self-esteem compared to women. Conclusion: patients with anxiety and depression were less resilient but presented higher self-esteem.

Health status and the return to work after traffic accidents. / Estado de saúde e retorno ao trabalho após os acidentes de trânsito.

OBJECTIVE: to compare the health status of traffic accident victims, at hospital discharge and after six months, and to analyze the predictive variables of their health status and return to work. METHOD: observational, longitudinal study. Data were collected through interviews and medical records of 102 patients with a mean age of 33 years; with the majority being men and victims of motorcycle accidents. The variables were analyzed by means of validated tools, student's t-test, multiple linear regression, and logistic regression. RESULTS: there was an improvement of perception in the patients' health status six months after hospital discharge and functional capacity. The individuals who returned to work showed better health-related quality of life evaluation. CONCLUSION: improvement of the perceived health status six months after hospital discharge was found. Factors that influenced the patients' return to work were not identified.

Impacto de intervenção psicoeducacional na autoeficácia percebida de estudantes de enfermagem / Impact of psychoeducational intervention on nursing students' perceived self-efficacy / Impacto de intervención psicoeducacional en la autoeficacia percibida de estudiantes de enfermería

Objetivo: avaliar o impacto de um programa psicoeducacional nos níveis de autoeficácia, autoestima e sintomas ansiosos e depressivos em estudantes no início da graduação em enfermagem. Método: pesquisa multicêntrica, quase experimental, do tipo tempo-série, desenvolvida em duas instituições de ensino superior públicas, com 82 estudantes, no período de setembro de 2018 a maio de 2019. O programa psicoeducacional foi elaborado com base no construto da autoeficácia, baseando-se nas atividades de enfermagem da intervenção "Fortalecimento da autoestima", proposta pela Nursing Interventions Classification. Os desfechos avaliados foram: autoeficácia, mensurada pela Escala de Autoeficácia Geral e Percebida; autoestima, mensurada pela Escala de Autoestima de Rosenberg; sintomas ansiosos e depressivos, avaliados pela Escala Hospitalar de Ansiedade e Depressão. Resultados: a intervenção psicoeducacional teve efeito positivo na percepção de autoeficácia geral dos estudantes. A autoestima e os sintomas ansiosos e depressivos não foram influenciados. Conclusão: os níveis de autoeficácia foram positivamente impactados pelo programa implementado.

Objective: to evaluate the impact of a psychoeducational program on the levels of self-efficacy, self-esteem, and anxious and depressive symptoms in students starting their undergraduate nursing program. Method: this quasi-experimental, multicenter, time-series type study was conducted with 82 students at two public institutions of higher education, from September 2018 to May 2019. Based on the self-efficacy construct, the psychoeducational program contemplated nursing activities of the "Strengthening self-esteem" intervention proposed by the Nursing Interventions Classification. The outcomes evaluated were self-efficacy, on the General and Perceived Self-Efficacy Scale; self-esteem, on the Rosenberg Self-Esteem Scale; and anxious and depressive symptoms, on the Hospital Anxiety and Depression Scale. Results: the psychoeducational intervention had a positive effect on the students' perception of general self-efficacy. Self-esteem and anxious and depressive symptoms were not influenced. Conclusion: the program impacted levels of self-efficacy positively.

Objetivo: evaluar el impacto de un programa psicoeducativo en los niveles de autoeficacia, autoestima y síntomas ansiosos y depresivos en estudiantes al inicio de sus estudios universitarios en enfermería. Método: investigación multicéntrica, cuasi-experimental, tipo serie temporal, desarrollada en dos instituciones públicas de educación superior, con 82 estudiantes, de septiembre de 2018 a mayo de 2019. El programa psicoeducativo se desarrolló con base en el constructo de autoeficacia y las actividades de enfermería de la intervención "Fortalecimiento de la autoestima", propuesta por la Nursing Interventions Classification. Los resultados evaluados fueron: autoeficacia, medida por la Escala de Autoeficacia General y Percibida; autoestima, medida por la Escala de Autoestima de Rosenberg; síntomas de ansiedad y depresión, evaluados por la Escala Hospitalaria de Ansiedad y Depresión. Resultados: la intervención psicoeducativa tuvo un efecto positivo sobre la percepción de autoeficacia general de los estudiantes. La autoestima y los síntomas de ansiedad y depresión no se vieron afectados. Conclusión: los niveles de autoeficacia fueron impactados positivamente por el programa implementado.

Impacto dos sintomas de ansiedade e depressão na autoeficácia percebida em estudantes de enfermagem / Impacto de los síntomas de ansiedad y depresión en la autoeficacia percibida de estudiantes de enfermería / Impact of anxiety and depression symptoms on perceived self-efficacy in nursing students

Resumo Objetivo: Identificar a relação da autoeficácia percebida com a autoestima e a presença de sintomas de ansiedade e depressão de estudantes no início do curso de graduação em Enfermagem. Métodos: Estudo transversal, desenvolvido em duas Instituições de Ensino Superior públicas. A amostra foi constituída por 82 participantes. Utilizaram-se três instrumentos validados para mensuração das variáveis: Escala de Autoestima Rosenberg, Escala de Autoeficácia Geral e Percebida e Escala Hospitalar de Ansiedade e Depressão. Resultados: A maioria dos estudantes apresentou sintomas ansiosos (73,2%) e níveis moderados de autoestima (89,0%) e de percepção de autoeficácia. Os universitários com sintomas de ansiedade e depressão apresentaram escores de autoeficácia percebida inferiores àqueles sem ansiedade e sem depressão (p<0,001). Conclusão: A presença de ansiedade e depressão compromete a percepção de autoeficácia de graduandos de enfermagem. Esses resultados adequam-se como um estímulo para a implementação de programas de ajuda em saúde mental nas universidades, que, em médio e longo prazos, poderão propiciar enfermeiros mais saudáveis, satisfeitos e que proporcionarão a seus clientes uma assistência competente e segura.

Resumen Objetivo: Identificar la relación de la autoeficacia percibida con la autoestima y la presencia de síntomas de ansiedad y depresión de estudiantes al inicio de la carrera de grado de Enfermería. Métodos: Estudio transversal, llevado a cabo en dos instituciones públicas de educación superior. La muestra estuvo compuesta por 82 participantes. Se utilizaron tres instrumentos validados para la medición de las variables: Escala de Autoestima Rosenberg, Escala de Autoeficacia General y Percibida y Escala Hospitalaria de Ansiedad y Depresión. Resultados: La mayoría de los estudiantes presentó síntomas ansiosos (73,2 %) y niveles moderados de autoestima (89,0 %) y de percepción de autoeficacia. Los universitarios con síntomas de ansiedad y depresión presentaron una puntuación de autoeficacia percibida inferior a aquellos sin ansiedad ni depresión (p<0,001). Conclusión: La presencia de ansiedad y depresión compromete la percepción de autoeficacia de estudiantes universitarios de enfermería. Estos resultados se presentan como un estímulo para la implementación de programas de ayuda en salud mental en las universidades que, en el medio y largo plazo, podrán proporcionar enfermeros más saludables, satisfechos y que ofrecerán a sus clientes una atención competente y segura.

Abstract Objective: To identify the relationship between perceived self-efficacy and self-esteem and the presence of anxiety and depression symptoms in students at the beginning of the undergraduate nursing course. Methods: Cross-sectional study developed in two public Higher Education Institutions. The sample consisted of 82 participants. Three validated instruments were used to measure the variables: Rosenberg Self-Esteem Scale, General Self-Efficacy Scale and Hospital Anxiety and Depression Scale. Results: Most students showed anxious symptoms (73.2%) and moderate levels of self-esteem (89.0%) and perceived self-efficacy. College students with anxiety and depression symptoms had lower scores of perceived self-efficacy than those without anxiety and depression (p<0.001). Conclusion: The presence of anxiety and depression compromises undergraduate nursing students' perceived self-efficacy. These results are adequate stimulus for the implementation of mental health care programs at universities, which, in the medium and long term, may provide healthier, more satisfied nurses that will offer competent and safe care to their clients.

Nutritional status of adolescents related to cardiovascular risk and body image / Estado nutricional de adolescentes relacionado ao risco cardiovascular e imagem corporal

The purpose of this study was to identify the relationship of nutritional status to body image and to cardiovascular riskof adolescents in public and private schools. This was a descriptive, cross-sectional and quantitative study performed intwo schools from the State of São Paulo, involving 546 teenagers from both sexes. The Thompson & Gray device wasused to identify body image; anthropometric data such as weight, height and the waist circumference were assessed.Statistical analysis used the following tests: Student t, Fisher, chi-squared and multiple correspondence analysis betweenvariables collected from adolescents in both schools. In both schools, female gender, eutrophic nutritional status, absenceof cardiovascular risk, and dissatisfaction with body image for overweight were prevalent. When comparing schools, thepublic schools showed more students with underweight and obese body mass indices (BMI), higher cardiovascular riskindex and body image dissatisfaction related to thinness. On the other hand, the private school presented more studentswith a BMI of overweight, and dissatisfaction due to being overweight. The conclusion is that regardless of the nutritionalstatus of adolescents, there is body image dissatisfaction in both schools, and high cardiovascular risk is predominant in thepublic school in overweight and obese students and may lead to cardiovascular diseases in adulthood(AU)

Identificar estado nutricional relacionado à imagem corporal e ao risco cardiovascular de adolescentes das escolaspública e privada. Trata se de um estudo descritivo, transversal e quantitativo realizado em duas escolas do Estado deSão Paulo, sendo 546 adolescentes de ambos os sexos. Foi utilizado o instrumento de Thompson & Gray para identificara imagem corporal; aferidos dados antropométricos como peso, altura e o perimetro da cintura. A Análise estatísticautilizou os testes: t de Student, Fisher, qui-quadrado e análise de correspondência múltipla entre as variáveis coletadasdos adolescentes nas duas escolas. Em ambas as escolas, foi prevalente o sexo feminino, o estado nutricional estrófico,ausência do risco cardiovascular e a insatisfação com a imagem corporal para excesso de peso. Ao comparar as escolas,a escola pública apresentou mais alunos com o Índice de Massa Corporal (IMC) abaixo do peso e obesos, maior índice derisco cardiovascular e insatisfação da imagem corporal relacionada à magreza. Já a escola privada apresentou mais alunoscom IMC de sobrepeso, insatisfeitos devido ao excesso de peso. Conclui-se que independente do estado nutricional dosadolescentes, há insatisfação da imagem corporal em ambas as escolas, e o risco cardiovascular elevado predominantementena escola pública, em escolares com sobrepeso e obesidade podendo levar a doenças cardiovasculares na fase adulta(AU)

Impact of self-esteem and of the sociodemographic factors on the self-efficacy of udergraduate nursing students / Efecto de la autoestima y de los factores sociodemográficos sobre la autoeficacia de estudiantes universitarios de enfermería / Impacto da autoestima e dos fatores sociodemográficos na autoeficácia de estudantes de graduação em enfermagem

ABSTRACT Objectives: to identify self-efficacy and self-esteem levels in undergraduate nursing students and to verify the mutual relationship between these constructs and with sociodemographic variables. Method: a cross-sectional study, with a sample of 264 students from two universities. Self-esteem and self-efficacy were measured by the Brazilian versions of the Rosenberg's Self-Esteem and of the General and Perceived Self-Efficacy scales, respectively. Results: a predominance of moderate to high self-efficacy was identified, with a mean score of 35.29 and moderate self-esteem, with a mean of 23.48. Self-efficacy was associated with the male gender, priority option in the college entrance examination by nursing, satisfaction with the course and absence of overload, besides correlating positively with age and self-esteem. Conclusion: self-efficacy and self-esteem levels were moderate/high and moderate, respectively. These constructs have shown a mutual relationship and assume an indispensable role both in the individual's personal life and in the professionalization process. These findings point to the need to strengthen mental health in this population, especially in vulnerable students (female, activity overload, dissatisfaction with the course and low self-esteem and self-efficacy), in order to foster their sense of value and the belief in their abilities.

RESUMEN Objetivos: identificar los niveles de autoeficacia y autoestima en estudiantes universitarios de enfermería y verificar la relación de estos constructos entre sí y con las variables sociodemográficas. Método: estudio transversal con una muestra compuesta por 264 estudiantes de dos instituciones de enseñanza superior. La autoestima y la autoeficacia se midieron conforme a las versiones brasileñas de la Escala de Autoestima de Rosenberg y de la Escala de Autoeficacia General y Percibida, respectivamente. Resultados: se identificó un predominio de autoeficacia de moderada a alta, con un puntaje medio de 35,29 y de autoestima moderada, con una media de 23,48. La autoeficacia se asoció con el sexo masculino, con opción prioritaria de ingreso a la carrera de enfermería, satisfacción con la carrera y ausencia de sobrecarga, además de correlacionarse positivamente con la edad y la autoestima. Conclusión: los niveles de autoeficacia y autoestima fueron moderados/altos y moderados, respectivamente. Estos constructos evidenciaron una relación entre sí y asumen un rol imprescindible tanto en la vida personal del individuo como en el proceso de profesionalización. Estos hallazgos apuntan a la necesidad de fortalecer la salud mental en esta población, especialmente en estudiantes vulnerables (sexo femenino, sobrecarga de actividades, insatisfacción con la carrera y bajos niveles de autoestima y autoeficacia), de modo de favorecer la sensación de valor que se atribuyen como personas y lo que creen con respecto a sus capacidades.

RESUMO Objetivos: identificar os níveis de autoeficácia e autoestima em estudantes de graduação em enfermagem e verificar a relação destes constructos entre si e com variáveis sociodemográficas. Método: estudo transversal, com amostra constituída por 264 estudantes de duas instituições de ensino superior. A autoestima e a autoeficácia foram mensuradas pelas versões brasileiras das Escalas de Autoestima de Rosenberg e de Autoeficácia Geral e Percebida, respectivamente. Resultados: identificou-se predomínio de autoeficácia moderada a alta, com pontuação média de 35,29 e de autoestima moderada, com uma média de 23,48. A autoeficácia foi associada ao sexo masculino, opção prioritária no vestibular pela enfermagem, satisfação com o curso e ausência de sobrecarga, além de correlacionar-se positivamente com a idade e autoestima. Conclusão: os níveis de autoeficácia e autoestima foram moderados/altos e moderados, respectivamente. Estes constructos mostraram relação entre si e assumem um papel imprescindível tanto na vida pessoal do indivíduo como no processo de profissionalização. Estes achados apontam para a necessidade do fortalecimento da saúde mental nesta população, sobretudo, em estudantes vulneráveis (sexo feminino, sobrecarga de atividades, insatisfação com o curso e baixa autoestima e autoeficácia), de modo a favorecer o sentimento de valor que atribuem a si próprios e a crença em suas capacidades.

Readmissions due to traffic accidents at a general hospital.

OBJECTIVE: to verify the occurrence and the causes of hospital readmissions within a year after discharge from hospitalizations due to traffic accidents. METHODS: victims of multiple traumas due to traffic accidents were included, who were admitted to an Intensive Care Unit. Sociodemographic data, accident circumstances, body regions affected and cause of readmission were collected from the patient histories. RESULTS: among the 109 victims of traffic accidents, the majority were young and adult men. Most hospitalizations due to accidents involved motorcycle drivers (56.9%). The causes of the return to the hospital were: need to continue the surgical treatment (63.2%), surgical site infection (26.3%) and fall related to the physical sequelae of the trauma (10.5%). The rehospitalization rate corresponded to 174/1,000 people/year. CONCLUSION: the hospital readmission rate in the study population is similar to the rates found in other studies. Victims of severe limb traumas need multiple surgical procedures, lengthier hospitalizations and extended rehabilitation.