ESTIMA, Brazilian Journal of Enterostomal Therapy, 2019
Objectives: To analyze the risk factors for urinary incontinence (UI) in institutionalized elderl... more Objectives: To analyze the risk factors for urinary incontinence (UI) in institutionalized elderly. Methods: Cross-sectional, analytical, documentary study done by collection in 203 medical records of a long-stay institution in northeastern Brazil. An instrument for sociodemographic and health characterization and the values of the Mini Mental State Examination (MMSE) were used. The data were analyzed from the descriptive, inferential and multiple logistic regression. Results: The prevalence of UI was 42.36% and higher in women (66.28%), older (mean: 79.62 years) and dependent (89.53%). There was an association between age (p = 0.01), sex (p = 0.024), marital status (p = 0.007), religion (p = 0.015), with whom resided before institutionalization (p = 0.033), degree of dependency (p < 0.001), MMSE values (p < 0.001) and cardiovascular (p < 0.001) and neurological diseases (p < 0,001). The risk factors for UI were number of diseases (OR = 1.17; 95%CI = 1.02-1.34), consumpt...
Objective: to identify nursing diagnoses in elderly using oral medications. Method: descriptive s... more Objective: to identify nursing diagnoses in elderly using oral medications. Method: descriptive study with a qualitative approach, conducted with 20 elderly patients in a Primary Health Care Unit in Fortaleza. There were semi-structured interviews for the production of data and the diagnostic reasoning process proposed by LeFevre was used to reason the diagnoses based on the International Classification for Nursing Practice. Results: the following nursing diagnoses were elaborated: risk for fall, impaired ability to manage the drug regimen, decreased fluid intake, insufficient physical exercise, impaired adherence to therapy system, insufficient knowledge about medication system and low knowledge of medication. Conclusion: the identification of nursing diagnoses contributed to the early establishment of care actions directed to the elderly. Descriptors: Health; Use of Medicines; Nursing Diagnosis; Primary Health Care. RESUMO Objetivo: identificar os diagnósticos de enfermagem em ido...
Objective : to reflect about the clinical practice of nurses in the care of frail elderly. Method... more Objective : to reflect about the clinical practice of nurses in the care of frail elderly. Method : this is a theoretical reflection supported in the literature. Results : the fragility syndrome has reached worldwide repercussions; even so the frail elderly still lacks many strategies to maintain their autonomy and independence. To promote clinical appropriate practice to the frail elderly, nurses must be knowledgeable of the aging process and be updated with regard to the scientific evidence of weakness: the concept, diagnosis, prevention measures, interventions, assessments and results. Conclusion : this reflection puts us ahead of the nursing performance challenge in the transformation and adaptation of their clinical practice in the care of the frail elderly or fragility process. Descriptors : Geriatric Nursing; Frail Elderly; Evidence-Based Practice; Patient-Centered Care; Nursing Processes. RESUMO Objetivo : refletir sobre a pratica clinica do enfermeiro no cuidado ao idoso fr...
Objective: to describe the application of the nursing process to a working elderly based on the t... more Objective: to describe the application of the nursing process to a working elderly based on the theory of Virginia Henderson. Method: a descriptive study of the clinical case type, held in October 2015 with an elderly worker. Diagnoses, outcomes, and nursing interventions were made according to ICNP® Version in 2015 and based on the theory of Fundamental Human Needs of Virginia Henderson. Results: the elaborate nursing diagnoses were: food intake pattern impaired, fall risk, ineffective peripheral tissue perfusion and satisfaction at work. The implementation of interventions involved individual counseling activities of educational nature. Conclusion: it was possible to realize that diagnostics focused on the biological aspect prevailed, and intervention strategies were focused on the elderly orientation for her to meet the basic human needs. Descriptors: Nursing; Nursing Diagnosis of; Health of the Elderly; Worker ́s health. RESUMO Objetivo: descrever a aplicação do processo de enfe...
Objective : to elaborate nursing diagnoses for institutionalized frail elderly. Method : this is ... more Objective : to elaborate nursing diagnoses for institutionalized frail elderly. Method : this is a quantitative, descriptive, cross-sectional study with 53 elderly people in a Long-Term Care Institution for the Elderly. The Edmonton Frailty Scale and a Henderson-based data collection instrument were used. The diagnoses were based on CIPE®, version 2015. Data was analyzed in the SPSS and Stata software and presented in a table. Results : 178 Nursing diagnoses were elaborated, of which 15 were prevalent in more than 20% of the sample. "Impaired vision" (49.9%), "impaired vision" (37.7%), "insomnia" (28.3%), "impaired sleep" "(26.4%)," depressed mood "(24.5%) and" dry skin "(24.5%). Statistical significance was obtained between "Risk for falls" (p = 0.008) and "Dry skin" (p = 0.021) and the level of frailty. There was also a significant difference between the number of diagnoses and the level of frailt...
Objective : to describe the sociodemographic and health profile of institutionalized elderly peop... more Objective : to describe the sociodemographic and health profile of institutionalized elderly people. Method: This is a quantitative, descriptive, cross-sectional study based on the evaluation of 219 medical records of the elderly, using a semi-structured instrument. Data were analyzed with the help of the SPSS, version 20.0, and presented in tables. Results: there was a predominance of elderly women, mean age of 77 years, schooling from 4 to 15 years, single marital status, Catholics, coming from their own domicile, with institutionalization time of less than 5 years, retired, and elderly people who received visits. Regarding clinical characteristics, 44.7% had 3 to 4 comorbidities and 49.3% used 0 to 4 medicines. As for the degree of dependence, it was observed that 35.6% of the elderly presented grade III. Conclusion: it is noteworthy that the data described stimulate a reflection on issues that directly influence the process of adaptation of the elderly to institutionalization, a...
RESUMO Objetivo: elaborar diagnósticos de Enfermagem para idosos frágeis institucionalizados. Mét... more RESUMO Objetivo: elaborar diagnósticos de Enfermagem para idosos frágeis institucionalizados. Método: trata-se de um estudo quantitativo, descritivo, transversal, com 53 idosos em uma Instituição de Longa Permanência para Idosos. Utilizaram-se a escala de fragilidade de Edmonton e um instrumento de coleta de dados baseado em Henderson. Fundamentaram-se os diagnósticos na CIPE®, versão 2015. Analisaram-se os dados nos softwares SPSS e Stata apresentando-os em tabela. Resultados: elaboraram-se 178 diagnósticos de Enfermagem dos quais prevaleceram 15 em mais de 20% da amostra. Destacaram-se “Risco de Queda” (84,9%), “Visão prejudicada” (49,1%), “Marcha prejudicada” (37,7%), “Insônia” (28,3 %), “Sono prejudicado” (26,4%), “Humor deprimido” (24,5%) e “Pele seca” (24,5%). Obteve-se significância estatística entre “Risco de queda” (p = 0,008) e “Pele seca” (p= 0,021) e o nível de fragilidade. Houve, ainda, significância entre o número de diagnósticos e o nível de fragilidade (p<0,001) d...
RESUMO Objetivo: buscou-se descrever o perfil sociodemográfico e de saúde de idosos institucional... more RESUMO Objetivo: buscou-se descrever o perfil sociodemográfico e de saúde de idosos institucionalizados. Método: trata-se de um estudo quantitativo, descritivo, transversal, realizado a partir da avaliação de 219 prontuários de idosos, mediante a aplicação de um instrumento semiestruturado. Analisaram-se os dados com o auxílio do SPSS, versão 20.0, e os apresentaram em tabelas. Resultados: obteve-se predomínio de idosos do sexo feminino, média de idade de 77 anos, escolaridade de 4 a 15 anos de estudo, solteiros, católicos, provenientes de domicílio próprio com tempo de institucionalização menor que 5 anos, aposentados e que recebiam visitas. Viu-se acerca das características clínicas que 44,7% tinham de 3 a 4 comorbidades e 49,3% faziam uso de 0 a 4 medicações. Observou-se sobre o grau de dependência que 35,6% dos idosos apresentavam grau III. Conclusão: ressalta-se que os dados descritos estimulam a reflexão sobre questões que influenciam diretamente o processo de adaptação do ido...
Objetiva-se identificar as influências do trabalho noturno no sono dos trabalhadores de enfermage... more Objetiva-se identificar as influências do trabalho noturno no sono dos trabalhadores de enfermagem. Trata-se deuma revisão integrativa, realizada em outubro de 2015, nas Bases de dados: Literatura Latino-Americana e do Caribeem Ciências da Saúde (LILACS), Literatura Internacional em Ciências da Saúde (MEDLINE) and Banco de Dados deEnfermagem (BDENF), utilizando os Descritores em Ciências da Saúde: Sono; Enfermagem e Trabalho noturno. Foramincluídos artigos sobre a temática; de livre acesso; nos idiomas: inglês, português e espanhol; publicados na íntegra.Não houve recorte temporal. A amostra foi constituída de 13 artigos. Emergiram duas principais categorias: Qualidade dosono dos trabalhadores de enfermagem do turno noturno; e Repercussões do trabalho noturno na saúde do trabalhadorde enfermagem. Concluí-se que o trabalho noturno tem influência direta e indireta sobre a saúde do profissional,pois trabalhar no sentido inverso ao funcionamento fisiológico do organismo pode levar a alt...
RESUMOObjetivo: descrever os principais motivos que levaram os idosos à institucionalização. Méto... more RESUMOObjetivo: descrever os principais motivos que levaram os idosos à institucionalização. Método: estudo quantitativo, transversal, realizado em uma instituição de longa permanência para idosos, por consulta a 219 prontuários, utilizando-se um questionário. Para a associação das variáveis contínuas e categóricas, foram utilizados os testes Kruskal-wallis e o Teste Qui-Quadrado de Pearson considerando p<0,05, apresentados em tabela. Resultados: no total, 55,6% eram idosos do sexo feminino, com idade média de 77 (±0,55). Os principais motivos foram vontade própria, questões familiares, abandono e violência. As variáveis mais relacionadas aos motivos de institucionalização foram sexo (p=0,013), estado civil (p=0,041), com quem residia (p=<0,001), recebe visitas (p=0,011) e grau de dependência (p=<0,001). As causas determinantes encontradas que levaram os idosos à inserção em uma instituição de longa permanência chamam a atenção para a busca de ações e estratégias sociais e ...
Objectives: To analyze the risk factors for urinary incontinence (UI) in institutionalized elderl... more Objectives: To analyze the risk factors for urinary incontinence (UI) in institutionalized elderly. Methods: Cross-sectional, analytical, documentary study done by collection in 203 medical records of a long-stay institution in northeastern Brazil. An instrument for sociodemographic and health characterization and the values of the Mini Mental State Examination (MMSE) were used. The data were analyzed from the descriptive, inferential and multiple logistic regression. Results: The prevalence of UI was 42.36% and higher in women (66.28%), older (mean: 79.62 years) and dependent (89.53%). There was an association between age (p = 0.01), sex (p = 0.024), marital status (p = 0.007), religion (p = 0.015), with whom resided before institutionalization (p = 0.033), degree of dependency (p < 0.001), MMSE values (p < 0.001) and cardiovascular (p < 0.001) and neurological diseases (p < 0,001). The risk factors for UI were number of diseases (OR = 1.17; 95% CI = 1.02-1.34), consump...
Objective: to identify the evidence on nursing practices in intravenous therapy in newborns. Meth... more Objective: to identify the evidence on nursing practices in intravenous therapy in newborns. Method: integrative review in the PubMed, Scopus and SciELO databases. A total of 150 articles were selected, and after thorough reading, eight studies remained. Results: Most of the studies were descriptive and cross-sectional (50%), using peripheral venous catheter (62.5%). The years varied between 2006 and 2014. Brazilian studies corresponded to 37.5%. Conclusion: The main nursing practices were: use of saline solution for catheter clearing; use of larger caliber catheters; use of splints to support the limbs; adequate positioning of the upper limb during radiography for correct confirmation of the positioning of the tip of the peripherally inserted central catheter; management of pain with pharmacological and non-pharmacological actions. Descriptors: Nursing care; Newborn; Peripheral catheterization; Vascular access devices; Evidence-Based Clinical Practice.
INTRODUCTION: Chronic-degenerative diseases need specialized health care, especially in palliativ... more INTRODUCTION: Chronic-degenerative diseases need specialized health care, especially in palliative care, since from the beginning of the disease the elderly is in this classification. In this context, the study aimed to know the meaning of palliative care to the elderly person from the nurse METHODS: This is a descriptive, cross-sectional, qualitative study carried out in a private tertiary hospital in the Northeast of Brazil. The survey was conducted from March to June 2016, with 19 nurses. In the data collection, a semi-structured interview, with four questions were used: what does palliative care mean to you? What does care for the elderly in hospice care mean to you? What strategies do you adopt to promote palliative care for the elderly? Tell me about your experience in providing palliative care to the elderly. The technique of data analysis and organization was the Discourse of the Collective Subject. RESULTS: Four categories of palliative care were produced: meaning palliativ...
Introduction: Nursing care for institutionalized elderly should be done through systematized acti... more Introduction: Nursing care for institutionalized elderly should be done through systematized actions and by using the nursing process, directing the care actions to the affected needs with theoretical support and use of classification systems. In this context, the objective was to develop nursing diagnoses of the International Classification for Nursing Practice for institutionalized elderly. Method: This is a descriptive study, developed in a Long-stay Institution for Elderly People in Northeast Brazil. The survey was conducted from April to May 2016, with 28 institutionalized elderly. Data collection was guided by a form based in Henderson's theory and carried out through physical examination, clinical interview and records consultation. The nursing diagnoses were developed by using the International Classification for Nursing Practice version 2015. Data were analyzed using SPSS version 20.0. Results: Authors found 81 types of diagnoses, among which there was highlight to: impaired heart condition, productive cough, obesity, urinary incontinence, constipation, diarrhea, risk for falls, impaired sleep, impaired ability to perform hygiene, edema in the lower limbs and impaired vision, lack of recreational activity, positive socialization and positive religious belief. Most nursing diagnoses belonged to the needs of moving and maintaining desirable posture and communicating. Conclusion: There was an increased frequency of diagnoses related to biological needs.
Journal of Nursing Ufpe on Line Jnuol Doi 10 5205 01012007, Mar 3, 2015
RESUMO Objetivos : identificar o perfil e as necessidades de cuidadores informais de idosos e rel... more RESUMO Objetivos : identificar o perfil e as necessidades de cuidadores informais de idosos e relatar a aplicacao de intervencoes para a promocao do autocuidado. Metodo : estudo descritivo, tipo relato de experiencia, com 13 cuidadoras. O instrumento de coleta de dados continha perguntas sobre aspectos socioeconomicos, de saude, questoes fundamentadas na Teoria do Autocuidado de Orem e a escala de Zarit. A partir da analise dos dados, foram realizadas oficinas com tecnicas de relaxamento. O projeto de pesquisa foi aprovado pelo Comite de Etica em Pesquisa, P rotocolo 11517349. Resultados : as cuidadoras apresentaram sobrecarga moderada a severa e as tecnicas aplicadas foram eficazes na promocao do autocuidado. Conclusao : a enfermagem atuando por meio de atividades de educacao em saude e estrategias de relaxamento que estimularam o autocuidado exerceu papel fundamental no suporte ao cuidador, reduzindo aspectos negativos do seu cotidiano. Descritores : Cuidadores; Autocuidado; Terapia de Relaxamento; Cuidados de Enfermagem. ABSTRACT Objectives: to identify the profile and needs of informal caregivers of elderly and to report the implementation of interventions to promote self-care. Method: a descriptive study, experience report type with 13 caregivers. The data collection instrument contained questions about socioeconomic and health aspects based on the Orem’s Self-Care Theory and the Zarit scale. From the data analysis, workshops were held with relaxation techniques. The research project was approved by the Research Ethics Committee, Protocol no. 11517349. Results: caregivers had moderate to severe overload and applied techniques were effective in promoting self-care. Conclusion: nursing, acting through health education activities and relaxation strategies that stimulated self-care played key role in support the caregiver, reducing negative aspects of their daily lives. Descriptors: Caregivers; Self-care; Relaxation Therapy; Nursing Care. RESUMEN Objetivos: identificar el perfil y las necesidades de cuidadores informales de ancianos y relatar la aplicacion de intervenciones para la promocion de autocuidado. Metodo: estudio descriptivo tipo relato de experiencia con 13 cuidadoras. El instrumento de recoleccion de datos contenia preguntas sobre aspectos socioeconomicos, de salud, cuestiones fundamentadas en la Teoria del Autocuidado de Orem, y la escala de Zarit. A partir del analisis de los datos, fueron realizados talleres con tecnicas de relajamiento. El proyecto de investigacion fue aprobado por el Comite de Etica en Investigacion, Protocolo 11517349). Resultados: las cuidadoras presentaron sobrecarga moderada a severa y las tecnicas aplicadas fueron eficaces en la promocion del autocuidado. Conclusion: la Enfermeria actuando por medio de actividades de educacion en salud y estrategias de relajamiento que estimularon el autocuidado, ejercio papel fundamental en el soporte al cuidador, reduciendo aspectos negativos de lo cotidiano. Descriptores: Cuidadores; Autocuidado; Terapia de Relajamiento; Cuidados de Enfermeria. Normal 0 21 false false false PT-BR X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabela normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;}
Objetivo Avaliar a qualidade de vida de idosos frágeis institucionalizados. Métodos Estudo transv... more Objetivo Avaliar a qualidade de vida de idosos frágeis institucionalizados. Métodos Estudo transversal com a inclusão de 33 idosos frágeis e pré-frágeis, classificados a partir da Escala de Fragilidade de Edmonton. Foram aplicados: um instrumento para caracterização dos aspectos sociodemográficos e o instrumento World Health Organization Quality of Life for Older Persons para avaliação da qualidade de vida. Resultados Houve predomínio do sexo feminino (54,5%) e a média de idade foi de 76,8 anos (±9,3). Observou-se associação significativa entre a qualidade de vida e todas suas facetas, e houve forte relação entre qualidade de vida e “atividades passadas, presentes e futuras” (r=0,715; p<0,001). Conclusão A presença de fragilidade não interferiu diretamente na qualidade de vida de idosos e apresentou associação significativa com motivo de institucionalização.
Objective: to evaluate the effect of a pressure ulcer (PU) prevention protocol for the elderly at... more Objective: to evaluate the effect of a pressure ulcer (PU) prevention protocol for the elderly at home. Method: this is an experimental study with an intentional sample of 40 elderly who were discharged after hospitalization in five public hospitals and one private of Ceará state, and were randomly divided into experimental group (n = 20) and control group (n = 20). The groups were monitored at home for a month. For the experimental group, there was application of the protocol, and for the control group, elderly and caregivers were verbally instructed on how to act to prevent PU. This research was approved by COMEPE of Dr. José Frota Institute, protocol number: 2128/2010. Results: during the home care, 13 (65.0%) subjects in the control group did not present PU. In the experimental group, 18 (90%) did not present it, while two (10%) developed it, with an incidence of 22.5%. Conclusion: the protocol is valid and has attested reliability based on the most important aspects revealed fo...
ESTIMA, Brazilian Journal of Enterostomal Therapy, 2019
Objectives: To analyze the risk factors for urinary incontinence (UI) in institutionalized elderl... more Objectives: To analyze the risk factors for urinary incontinence (UI) in institutionalized elderly. Methods: Cross-sectional, analytical, documentary study done by collection in 203 medical records of a long-stay institution in northeastern Brazil. An instrument for sociodemographic and health characterization and the values of the Mini Mental State Examination (MMSE) were used. The data were analyzed from the descriptive, inferential and multiple logistic regression. Results: The prevalence of UI was 42.36% and higher in women (66.28%), older (mean: 79.62 years) and dependent (89.53%). There was an association between age (p = 0.01), sex (p = 0.024), marital status (p = 0.007), religion (p = 0.015), with whom resided before institutionalization (p = 0.033), degree of dependency (p < 0.001), MMSE values (p < 0.001) and cardiovascular (p < 0.001) and neurological diseases (p < 0,001). The risk factors for UI were number of diseases (OR = 1.17; 95%CI = 1.02-1.34), consumpt...
Objective: to identify nursing diagnoses in elderly using oral medications. Method: descriptive s... more Objective: to identify nursing diagnoses in elderly using oral medications. Method: descriptive study with a qualitative approach, conducted with 20 elderly patients in a Primary Health Care Unit in Fortaleza. There were semi-structured interviews for the production of data and the diagnostic reasoning process proposed by LeFevre was used to reason the diagnoses based on the International Classification for Nursing Practice. Results: the following nursing diagnoses were elaborated: risk for fall, impaired ability to manage the drug regimen, decreased fluid intake, insufficient physical exercise, impaired adherence to therapy system, insufficient knowledge about medication system and low knowledge of medication. Conclusion: the identification of nursing diagnoses contributed to the early establishment of care actions directed to the elderly. Descriptors: Health; Use of Medicines; Nursing Diagnosis; Primary Health Care. RESUMO Objetivo: identificar os diagnósticos de enfermagem em ido...
Objective : to reflect about the clinical practice of nurses in the care of frail elderly. Method... more Objective : to reflect about the clinical practice of nurses in the care of frail elderly. Method : this is a theoretical reflection supported in the literature. Results : the fragility syndrome has reached worldwide repercussions; even so the frail elderly still lacks many strategies to maintain their autonomy and independence. To promote clinical appropriate practice to the frail elderly, nurses must be knowledgeable of the aging process and be updated with regard to the scientific evidence of weakness: the concept, diagnosis, prevention measures, interventions, assessments and results. Conclusion : this reflection puts us ahead of the nursing performance challenge in the transformation and adaptation of their clinical practice in the care of the frail elderly or fragility process. Descriptors : Geriatric Nursing; Frail Elderly; Evidence-Based Practice; Patient-Centered Care; Nursing Processes. RESUMO Objetivo : refletir sobre a pratica clinica do enfermeiro no cuidado ao idoso fr...
Objective: to describe the application of the nursing process to a working elderly based on the t... more Objective: to describe the application of the nursing process to a working elderly based on the theory of Virginia Henderson. Method: a descriptive study of the clinical case type, held in October 2015 with an elderly worker. Diagnoses, outcomes, and nursing interventions were made according to ICNP® Version in 2015 and based on the theory of Fundamental Human Needs of Virginia Henderson. Results: the elaborate nursing diagnoses were: food intake pattern impaired, fall risk, ineffective peripheral tissue perfusion and satisfaction at work. The implementation of interventions involved individual counseling activities of educational nature. Conclusion: it was possible to realize that diagnostics focused on the biological aspect prevailed, and intervention strategies were focused on the elderly orientation for her to meet the basic human needs. Descriptors: Nursing; Nursing Diagnosis of; Health of the Elderly; Worker ́s health. RESUMO Objetivo: descrever a aplicação do processo de enfe...
Objective : to elaborate nursing diagnoses for institutionalized frail elderly. Method : this is ... more Objective : to elaborate nursing diagnoses for institutionalized frail elderly. Method : this is a quantitative, descriptive, cross-sectional study with 53 elderly people in a Long-Term Care Institution for the Elderly. The Edmonton Frailty Scale and a Henderson-based data collection instrument were used. The diagnoses were based on CIPE®, version 2015. Data was analyzed in the SPSS and Stata software and presented in a table. Results : 178 Nursing diagnoses were elaborated, of which 15 were prevalent in more than 20% of the sample. "Impaired vision" (49.9%), "impaired vision" (37.7%), "insomnia" (28.3%), "impaired sleep" "(26.4%)," depressed mood "(24.5%) and" dry skin "(24.5%). Statistical significance was obtained between "Risk for falls" (p = 0.008) and "Dry skin" (p = 0.021) and the level of frailty. There was also a significant difference between the number of diagnoses and the level of frailt...
Objective : to describe the sociodemographic and health profile of institutionalized elderly peop... more Objective : to describe the sociodemographic and health profile of institutionalized elderly people. Method: This is a quantitative, descriptive, cross-sectional study based on the evaluation of 219 medical records of the elderly, using a semi-structured instrument. Data were analyzed with the help of the SPSS, version 20.0, and presented in tables. Results: there was a predominance of elderly women, mean age of 77 years, schooling from 4 to 15 years, single marital status, Catholics, coming from their own domicile, with institutionalization time of less than 5 years, retired, and elderly people who received visits. Regarding clinical characteristics, 44.7% had 3 to 4 comorbidities and 49.3% used 0 to 4 medicines. As for the degree of dependence, it was observed that 35.6% of the elderly presented grade III. Conclusion: it is noteworthy that the data described stimulate a reflection on issues that directly influence the process of adaptation of the elderly to institutionalization, a...
RESUMO Objetivo: elaborar diagnósticos de Enfermagem para idosos frágeis institucionalizados. Mét... more RESUMO Objetivo: elaborar diagnósticos de Enfermagem para idosos frágeis institucionalizados. Método: trata-se de um estudo quantitativo, descritivo, transversal, com 53 idosos em uma Instituição de Longa Permanência para Idosos. Utilizaram-se a escala de fragilidade de Edmonton e um instrumento de coleta de dados baseado em Henderson. Fundamentaram-se os diagnósticos na CIPE®, versão 2015. Analisaram-se os dados nos softwares SPSS e Stata apresentando-os em tabela. Resultados: elaboraram-se 178 diagnósticos de Enfermagem dos quais prevaleceram 15 em mais de 20% da amostra. Destacaram-se “Risco de Queda” (84,9%), “Visão prejudicada” (49,1%), “Marcha prejudicada” (37,7%), “Insônia” (28,3 %), “Sono prejudicado” (26,4%), “Humor deprimido” (24,5%) e “Pele seca” (24,5%). Obteve-se significância estatística entre “Risco de queda” (p = 0,008) e “Pele seca” (p= 0,021) e o nível de fragilidade. Houve, ainda, significância entre o número de diagnósticos e o nível de fragilidade (p<0,001) d...
RESUMO Objetivo: buscou-se descrever o perfil sociodemográfico e de saúde de idosos institucional... more RESUMO Objetivo: buscou-se descrever o perfil sociodemográfico e de saúde de idosos institucionalizados. Método: trata-se de um estudo quantitativo, descritivo, transversal, realizado a partir da avaliação de 219 prontuários de idosos, mediante a aplicação de um instrumento semiestruturado. Analisaram-se os dados com o auxílio do SPSS, versão 20.0, e os apresentaram em tabelas. Resultados: obteve-se predomínio de idosos do sexo feminino, média de idade de 77 anos, escolaridade de 4 a 15 anos de estudo, solteiros, católicos, provenientes de domicílio próprio com tempo de institucionalização menor que 5 anos, aposentados e que recebiam visitas. Viu-se acerca das características clínicas que 44,7% tinham de 3 a 4 comorbidades e 49,3% faziam uso de 0 a 4 medicações. Observou-se sobre o grau de dependência que 35,6% dos idosos apresentavam grau III. Conclusão: ressalta-se que os dados descritos estimulam a reflexão sobre questões que influenciam diretamente o processo de adaptação do ido...
Objetiva-se identificar as influências do trabalho noturno no sono dos trabalhadores de enfermage... more Objetiva-se identificar as influências do trabalho noturno no sono dos trabalhadores de enfermagem. Trata-se deuma revisão integrativa, realizada em outubro de 2015, nas Bases de dados: Literatura Latino-Americana e do Caribeem Ciências da Saúde (LILACS), Literatura Internacional em Ciências da Saúde (MEDLINE) and Banco de Dados deEnfermagem (BDENF), utilizando os Descritores em Ciências da Saúde: Sono; Enfermagem e Trabalho noturno. Foramincluídos artigos sobre a temática; de livre acesso; nos idiomas: inglês, português e espanhol; publicados na íntegra.Não houve recorte temporal. A amostra foi constituída de 13 artigos. Emergiram duas principais categorias: Qualidade dosono dos trabalhadores de enfermagem do turno noturno; e Repercussões do trabalho noturno na saúde do trabalhadorde enfermagem. Concluí-se que o trabalho noturno tem influência direta e indireta sobre a saúde do profissional,pois trabalhar no sentido inverso ao funcionamento fisiológico do organismo pode levar a alt...
RESUMOObjetivo: descrever os principais motivos que levaram os idosos à institucionalização. Méto... more RESUMOObjetivo: descrever os principais motivos que levaram os idosos à institucionalização. Método: estudo quantitativo, transversal, realizado em uma instituição de longa permanência para idosos, por consulta a 219 prontuários, utilizando-se um questionário. Para a associação das variáveis contínuas e categóricas, foram utilizados os testes Kruskal-wallis e o Teste Qui-Quadrado de Pearson considerando p<0,05, apresentados em tabela. Resultados: no total, 55,6% eram idosos do sexo feminino, com idade média de 77 (±0,55). Os principais motivos foram vontade própria, questões familiares, abandono e violência. As variáveis mais relacionadas aos motivos de institucionalização foram sexo (p=0,013), estado civil (p=0,041), com quem residia (p=<0,001), recebe visitas (p=0,011) e grau de dependência (p=<0,001). As causas determinantes encontradas que levaram os idosos à inserção em uma instituição de longa permanência chamam a atenção para a busca de ações e estratégias sociais e ...
Objectives: To analyze the risk factors for urinary incontinence (UI) in institutionalized elderl... more Objectives: To analyze the risk factors for urinary incontinence (UI) in institutionalized elderly. Methods: Cross-sectional, analytical, documentary study done by collection in 203 medical records of a long-stay institution in northeastern Brazil. An instrument for sociodemographic and health characterization and the values of the Mini Mental State Examination (MMSE) were used. The data were analyzed from the descriptive, inferential and multiple logistic regression. Results: The prevalence of UI was 42.36% and higher in women (66.28%), older (mean: 79.62 years) and dependent (89.53%). There was an association between age (p = 0.01), sex (p = 0.024), marital status (p = 0.007), religion (p = 0.015), with whom resided before institutionalization (p = 0.033), degree of dependency (p < 0.001), MMSE values (p < 0.001) and cardiovascular (p < 0.001) and neurological diseases (p < 0,001). The risk factors for UI were number of diseases (OR = 1.17; 95% CI = 1.02-1.34), consump...
Objective: to identify the evidence on nursing practices in intravenous therapy in newborns. Meth... more Objective: to identify the evidence on nursing practices in intravenous therapy in newborns. Method: integrative review in the PubMed, Scopus and SciELO databases. A total of 150 articles were selected, and after thorough reading, eight studies remained. Results: Most of the studies were descriptive and cross-sectional (50%), using peripheral venous catheter (62.5%). The years varied between 2006 and 2014. Brazilian studies corresponded to 37.5%. Conclusion: The main nursing practices were: use of saline solution for catheter clearing; use of larger caliber catheters; use of splints to support the limbs; adequate positioning of the upper limb during radiography for correct confirmation of the positioning of the tip of the peripherally inserted central catheter; management of pain with pharmacological and non-pharmacological actions. Descriptors: Nursing care; Newborn; Peripheral catheterization; Vascular access devices; Evidence-Based Clinical Practice.
INTRODUCTION: Chronic-degenerative diseases need specialized health care, especially in palliativ... more INTRODUCTION: Chronic-degenerative diseases need specialized health care, especially in palliative care, since from the beginning of the disease the elderly is in this classification. In this context, the study aimed to know the meaning of palliative care to the elderly person from the nurse METHODS: This is a descriptive, cross-sectional, qualitative study carried out in a private tertiary hospital in the Northeast of Brazil. The survey was conducted from March to June 2016, with 19 nurses. In the data collection, a semi-structured interview, with four questions were used: what does palliative care mean to you? What does care for the elderly in hospice care mean to you? What strategies do you adopt to promote palliative care for the elderly? Tell me about your experience in providing palliative care to the elderly. The technique of data analysis and organization was the Discourse of the Collective Subject. RESULTS: Four categories of palliative care were produced: meaning palliativ...
Introduction: Nursing care for institutionalized elderly should be done through systematized acti... more Introduction: Nursing care for institutionalized elderly should be done through systematized actions and by using the nursing process, directing the care actions to the affected needs with theoretical support and use of classification systems. In this context, the objective was to develop nursing diagnoses of the International Classification for Nursing Practice for institutionalized elderly. Method: This is a descriptive study, developed in a Long-stay Institution for Elderly People in Northeast Brazil. The survey was conducted from April to May 2016, with 28 institutionalized elderly. Data collection was guided by a form based in Henderson's theory and carried out through physical examination, clinical interview and records consultation. The nursing diagnoses were developed by using the International Classification for Nursing Practice version 2015. Data were analyzed using SPSS version 20.0. Results: Authors found 81 types of diagnoses, among which there was highlight to: impaired heart condition, productive cough, obesity, urinary incontinence, constipation, diarrhea, risk for falls, impaired sleep, impaired ability to perform hygiene, edema in the lower limbs and impaired vision, lack of recreational activity, positive socialization and positive religious belief. Most nursing diagnoses belonged to the needs of moving and maintaining desirable posture and communicating. Conclusion: There was an increased frequency of diagnoses related to biological needs.
Journal of Nursing Ufpe on Line Jnuol Doi 10 5205 01012007, Mar 3, 2015
RESUMO Objetivos : identificar o perfil e as necessidades de cuidadores informais de idosos e rel... more RESUMO Objetivos : identificar o perfil e as necessidades de cuidadores informais de idosos e relatar a aplicacao de intervencoes para a promocao do autocuidado. Metodo : estudo descritivo, tipo relato de experiencia, com 13 cuidadoras. O instrumento de coleta de dados continha perguntas sobre aspectos socioeconomicos, de saude, questoes fundamentadas na Teoria do Autocuidado de Orem e a escala de Zarit. A partir da analise dos dados, foram realizadas oficinas com tecnicas de relaxamento. O projeto de pesquisa foi aprovado pelo Comite de Etica em Pesquisa, P rotocolo 11517349. Resultados : as cuidadoras apresentaram sobrecarga moderada a severa e as tecnicas aplicadas foram eficazes na promocao do autocuidado. Conclusao : a enfermagem atuando por meio de atividades de educacao em saude e estrategias de relaxamento que estimularam o autocuidado exerceu papel fundamental no suporte ao cuidador, reduzindo aspectos negativos do seu cotidiano. Descritores : Cuidadores; Autocuidado; Terapia de Relaxamento; Cuidados de Enfermagem. ABSTRACT Objectives: to identify the profile and needs of informal caregivers of elderly and to report the implementation of interventions to promote self-care. Method: a descriptive study, experience report type with 13 caregivers. The data collection instrument contained questions about socioeconomic and health aspects based on the Orem’s Self-Care Theory and the Zarit scale. From the data analysis, workshops were held with relaxation techniques. The research project was approved by the Research Ethics Committee, Protocol no. 11517349. Results: caregivers had moderate to severe overload and applied techniques were effective in promoting self-care. Conclusion: nursing, acting through health education activities and relaxation strategies that stimulated self-care played key role in support the caregiver, reducing negative aspects of their daily lives. Descriptors: Caregivers; Self-care; Relaxation Therapy; Nursing Care. RESUMEN Objetivos: identificar el perfil y las necesidades de cuidadores informales de ancianos y relatar la aplicacion de intervenciones para la promocion de autocuidado. Metodo: estudio descriptivo tipo relato de experiencia con 13 cuidadoras. El instrumento de recoleccion de datos contenia preguntas sobre aspectos socioeconomicos, de salud, cuestiones fundamentadas en la Teoria del Autocuidado de Orem, y la escala de Zarit. A partir del analisis de los datos, fueron realizados talleres con tecnicas de relajamiento. El proyecto de investigacion fue aprobado por el Comite de Etica en Investigacion, Protocolo 11517349). Resultados: las cuidadoras presentaron sobrecarga moderada a severa y las tecnicas aplicadas fueron eficaces en la promocion del autocuidado. Conclusion: la Enfermeria actuando por medio de actividades de educacion en salud y estrategias de relajamiento que estimularon el autocuidado, ejercio papel fundamental en el soporte al cuidador, reduciendo aspectos negativos de lo cotidiano. Descriptores: Cuidadores; Autocuidado; Terapia de Relajamiento; Cuidados de Enfermeria. Normal 0 21 false false false PT-BR X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabela normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;}
Objetivo Avaliar a qualidade de vida de idosos frágeis institucionalizados. Métodos Estudo transv... more Objetivo Avaliar a qualidade de vida de idosos frágeis institucionalizados. Métodos Estudo transversal com a inclusão de 33 idosos frágeis e pré-frágeis, classificados a partir da Escala de Fragilidade de Edmonton. Foram aplicados: um instrumento para caracterização dos aspectos sociodemográficos e o instrumento World Health Organization Quality of Life for Older Persons para avaliação da qualidade de vida. Resultados Houve predomínio do sexo feminino (54,5%) e a média de idade foi de 76,8 anos (±9,3). Observou-se associação significativa entre a qualidade de vida e todas suas facetas, e houve forte relação entre qualidade de vida e “atividades passadas, presentes e futuras” (r=0,715; p<0,001). Conclusão A presença de fragilidade não interferiu diretamente na qualidade de vida de idosos e apresentou associação significativa com motivo de institucionalização.
Objective: to evaluate the effect of a pressure ulcer (PU) prevention protocol for the elderly at... more Objective: to evaluate the effect of a pressure ulcer (PU) prevention protocol for the elderly at home. Method: this is an experimental study with an intentional sample of 40 elderly who were discharged after hospitalization in five public hospitals and one private of Ceará state, and were randomly divided into experimental group (n = 20) and control group (n = 20). The groups were monitored at home for a month. For the experimental group, there was application of the protocol, and for the control group, elderly and caregivers were verbally instructed on how to act to prevent PU. This research was approved by COMEPE of Dr. José Frota Institute, protocol number: 2128/2010. Results: during the home care, 13 (65.0%) subjects in the control group did not present PU. In the experimental group, 18 (90%) did not present it, while two (10%) developed it, with an incidence of 22.5%. Conclusion: the protocol is valid and has attested reliability based on the most important aspects revealed fo...
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