Background: Adolescent’s perception of nurse care imparted in the hemodialysis unit and the needs that they do not always express are an important starting point to optimize attention and care given by nurse professi...Background: Adolescent’s perception of nurse care imparted in the hemodialysis unit and the needs that they do not always express are an important starting point to optimize attention and care given by nurse professional;the goal is to reach the holistic focus characteristic of the discipline, and then generate scientific evidence that will help other health professionals, regarding given attention to patients in this step of their lives suffering chronic renal damage subjected to hemodialysis. Objective: To analyze the perception of adolescents with chronic kidney disease about nurse care in a hemodialysis unit. Methods: Qualitative and phenomenological study under the philosophic scope of Merleau Ponty, with a descriptive design;the information collection was through semi-structured interviews, field notes, and participants’ observation from three adolescents’ informers subjected to renal substitution by hemodialysis three times per week, in a high specialty medical unit in Mexico City. Selection of informers was by convenience and their previous authorization was requested by signed informed consent. The analysis of qualitative data was according to Rodríguez et al. Results: Four categories with seven subcategories emerged: Category 1, Adolescent’s perception regarding nursing care on hemodialysis;Category 2, Care during hemodialysis process;Category 3, The world of hemodialysis;Category 4, Corporeity from adolescent’s look. Conclusion: Nursing care to adolescents during hemodialysis must be accompanied by comprehension, communication, and knowledge of patients, regarding their needs perceived to know the way they live their chronic kidney illness, through their body, their world and the way they see themselves. The main characteristics of nurse care are communication and constant interaction with nurse-adolescent, this openness to an unknown world for them is seen as a pleasant interaction, perceived as necessary and it helps them to feel good in their hemodialysis treatment.展开更多
In the immediate postpartum period, women need to be observed by the obstetric nurse so that measures can be taken to prevent hemorrhages and reduce its complications. Most maternal deaths from hemorrhage are preventa...In the immediate postpartum period, women need to be observed by the obstetric nurse so that measures can be taken to prevent hemorrhages and reduce its complications. Most maternal deaths from hemorrhage are preventable with support measures for clinical practice, such as: guiding protocols, training of professionals, organization and management of health services and provision of adequate conditions for the parturition process. Objective: To validate Rangel’s instrument with its application in the Maternity Ward of the General Hospital of Huambo, Angola. Methodology: This is a descriptive study with a quantitative approach. This is the sixth stage, called pre-test, of the Translation and Cultural Adaptation process. This instrument was sent for evaluation by the validators using the electronic data collection form named Google forms, with a seven-point Likert-type scale (from 7—totally agree to 1—totally disagree). The analysis was performed with the Cronbach’s Alpha coefficient index (>0.91) and the Content Validity Index (CVI > 0.98). Results: Of the 10 items of evaluation criteria of the instrument analyzed by the 20 validators, 100% of them obtained a Cronbach’s Alpha index rating of 0.91: clarity;coherence;scientific writing;relevance;sequence;uniqueness and updating. Coverage, item criticality and objectivity reached a Cronbach’s Alpha of 0.95. The Content Validity Index was 0.95 for coverage, coherence, item criticality, scientific writing, relevance and updating. Conclusion: Rangel’s instrument for nursing care aimed at preventing and controlling hemorrhage in the third period of birth, translated into Angolan Portuguese and validated by nurses, through the statistical results obtained in the validation, was considered reliable and necessary for clinical nursing practice in Huambo, Angola. .展开更多
Background: Postpartum hemorrhage is one of the main causes of maternal mortality, mainly in underdeveloped countries. Deaths are mostly preventable, and are related to socioeconomic development, organization of healt...Background: Postpartum hemorrhage is one of the main causes of maternal mortality, mainly in underdeveloped countries. Deaths are mostly preventable, and are related to socioeconomic development, organization of health services and professional training. Objective: To systematize alerts for the prevention of postpartum hemorrhage. Method: This is a technical essay developed from reflections on previously produced and published texts about maternal mortality and has hemorrhage as the focus of this study. Results: It presents the concept, classification of hemorrhage, risk factors and their classification, prevention strategies, universal recommendations, pharmacological and non-pharmacological interventions when hemorrhage already exists, bleeding assessment techniques;clinical evaluation, by laboratory examination and by shock index. Conclusions: Hemorrhage is a preventable cause of maternal death through the accomplishment of multiple care. Hospital care must be conducted by qualified professionals and in adequate numbers. The risk diagnosis must be carried out during prenatal care with the recording of clinical data accessible in the health care network. All references studied are not specific to nursing, as hemorrhage prevention requires multidisciplinary action.展开更多
Objective: The objective was to identify spatial distribution patterns for preventable infant mortality and the main causes of death in three municipalities of Paraná state, Brazil. Design and Sample: Ecological ...Objective: The objective was to identify spatial distribution patterns for preventable infant mortality and the main causes of death in three municipalities of Paraná state, Brazil. Design and Sample: Ecological study on infant mortality among residents of the municipalities of Maringá, Sarandi and Pai?andu, between 2004 and 2008. Measures: Data were obtained from reports by the Infant Mortality Prevention Committee, georeferenced in 19 Demographic Expansion Areas and analyzed statistically using Local Moran’s Index. Results: Of the 284 deaths among children under one year of age, 68.7% were considered preventable, and higher percentages were found in outlying areas. The main causes were illnesses originated during the perinatal period (73.8%), external causes (11.3%) and diseases of the respiratory system (5.1%). Conclusion: It is necessary to implement actions and policies on child and prenatal assistance, in order to reduce the inequality observed between the central and outlying areas of the region under study.展开更多
The use of educational technology focused on child health promotion requires theoretical-methodological foundations to support aspects related to the growth and psychomotor development stage, articulating knowledge an...The use of educational technology focused on child health promotion requires theoretical-methodological foundations to support aspects related to the growth and psychomotor development stage, articulating knowledge and healthy habits as early as possible. This article is an integrative review to investigate the educational technologies used in health education actions to promote child health. The databases LILACS, MEDLINE, BDENF, PUBMED, CINAHL, and in the Virtual library Cochrane Library and SciELO were consulted. Thirteen articles were analyzed. The educational technologies have been employed to promote child health promotion actions and have contributed to the achievement of long-lasting results. The actions happen predominantly in the school context and light, light-hard and hard technologies are used. The association between light and hard technology obtained better results.展开更多
“Obesity is a disease.” This is the declaration by the American Medical Association in June, 2013. The purpose of this article is to provide an overview of options for patients who meet the criteria of obesity. Prim...“Obesity is a disease.” This is the declaration by the American Medical Association in June, 2013. The purpose of this article is to provide an overview of options for patients who meet the criteria of obesity. Primary care nurse practitioners are urged to confront obesity head on, with early, individualized intervention to reduce associated morbidity and mortality. Options for weight loss and maintenance are abundant and often confusing or unattractive to the patient. Working with patients to achieve realistic, reasonable, and patient-tailored goals for weight loss and exercise programs are paramount to achieving a healthy weight and lifestyle.展开更多
文摘Background: Adolescent’s perception of nurse care imparted in the hemodialysis unit and the needs that they do not always express are an important starting point to optimize attention and care given by nurse professional;the goal is to reach the holistic focus characteristic of the discipline, and then generate scientific evidence that will help other health professionals, regarding given attention to patients in this step of their lives suffering chronic renal damage subjected to hemodialysis. Objective: To analyze the perception of adolescents with chronic kidney disease about nurse care in a hemodialysis unit. Methods: Qualitative and phenomenological study under the philosophic scope of Merleau Ponty, with a descriptive design;the information collection was through semi-structured interviews, field notes, and participants’ observation from three adolescents’ informers subjected to renal substitution by hemodialysis three times per week, in a high specialty medical unit in Mexico City. Selection of informers was by convenience and their previous authorization was requested by signed informed consent. The analysis of qualitative data was according to Rodríguez et al. Results: Four categories with seven subcategories emerged: Category 1, Adolescent’s perception regarding nursing care on hemodialysis;Category 2, Care during hemodialysis process;Category 3, The world of hemodialysis;Category 4, Corporeity from adolescent’s look. Conclusion: Nursing care to adolescents during hemodialysis must be accompanied by comprehension, communication, and knowledge of patients, regarding their needs perceived to know the way they live their chronic kidney illness, through their body, their world and the way they see themselves. The main characteristics of nurse care are communication and constant interaction with nurse-adolescent, this openness to an unknown world for them is seen as a pleasant interaction, perceived as necessary and it helps them to feel good in their hemodialysis treatment.
文摘In the immediate postpartum period, women need to be observed by the obstetric nurse so that measures can be taken to prevent hemorrhages and reduce its complications. Most maternal deaths from hemorrhage are preventable with support measures for clinical practice, such as: guiding protocols, training of professionals, organization and management of health services and provision of adequate conditions for the parturition process. Objective: To validate Rangel’s instrument with its application in the Maternity Ward of the General Hospital of Huambo, Angola. Methodology: This is a descriptive study with a quantitative approach. This is the sixth stage, called pre-test, of the Translation and Cultural Adaptation process. This instrument was sent for evaluation by the validators using the electronic data collection form named Google forms, with a seven-point Likert-type scale (from 7—totally agree to 1—totally disagree). The analysis was performed with the Cronbach’s Alpha coefficient index (>0.91) and the Content Validity Index (CVI > 0.98). Results: Of the 10 items of evaluation criteria of the instrument analyzed by the 20 validators, 100% of them obtained a Cronbach’s Alpha index rating of 0.91: clarity;coherence;scientific writing;relevance;sequence;uniqueness and updating. Coverage, item criticality and objectivity reached a Cronbach’s Alpha of 0.95. The Content Validity Index was 0.95 for coverage, coherence, item criticality, scientific writing, relevance and updating. Conclusion: Rangel’s instrument for nursing care aimed at preventing and controlling hemorrhage in the third period of birth, translated into Angolan Portuguese and validated by nurses, through the statistical results obtained in the validation, was considered reliable and necessary for clinical nursing practice in Huambo, Angola. .
文摘Background: Postpartum hemorrhage is one of the main causes of maternal mortality, mainly in underdeveloped countries. Deaths are mostly preventable, and are related to socioeconomic development, organization of health services and professional training. Objective: To systematize alerts for the prevention of postpartum hemorrhage. Method: This is a technical essay developed from reflections on previously produced and published texts about maternal mortality and has hemorrhage as the focus of this study. Results: It presents the concept, classification of hemorrhage, risk factors and their classification, prevention strategies, universal recommendations, pharmacological and non-pharmacological interventions when hemorrhage already exists, bleeding assessment techniques;clinical evaluation, by laboratory examination and by shock index. Conclusions: Hemorrhage is a preventable cause of maternal death through the accomplishment of multiple care. Hospital care must be conducted by qualified professionals and in adequate numbers. The risk diagnosis must be carried out during prenatal care with the recording of clinical data accessible in the health care network. All references studied are not specific to nursing, as hemorrhage prevention requires multidisciplinary action.
文摘Objective: The objective was to identify spatial distribution patterns for preventable infant mortality and the main causes of death in three municipalities of Paraná state, Brazil. Design and Sample: Ecological study on infant mortality among residents of the municipalities of Maringá, Sarandi and Pai?andu, between 2004 and 2008. Measures: Data were obtained from reports by the Infant Mortality Prevention Committee, georeferenced in 19 Demographic Expansion Areas and analyzed statistically using Local Moran’s Index. Results: Of the 284 deaths among children under one year of age, 68.7% were considered preventable, and higher percentages were found in outlying areas. The main causes were illnesses originated during the perinatal period (73.8%), external causes (11.3%) and diseases of the respiratory system (5.1%). Conclusion: It is necessary to implement actions and policies on child and prenatal assistance, in order to reduce the inequality observed between the central and outlying areas of the region under study.
文摘The use of educational technology focused on child health promotion requires theoretical-methodological foundations to support aspects related to the growth and psychomotor development stage, articulating knowledge and healthy habits as early as possible. This article is an integrative review to investigate the educational technologies used in health education actions to promote child health. The databases LILACS, MEDLINE, BDENF, PUBMED, CINAHL, and in the Virtual library Cochrane Library and SciELO were consulted. Thirteen articles were analyzed. The educational technologies have been employed to promote child health promotion actions and have contributed to the achievement of long-lasting results. The actions happen predominantly in the school context and light, light-hard and hard technologies are used. The association between light and hard technology obtained better results.
文摘“Obesity is a disease.” This is the declaration by the American Medical Association in June, 2013. The purpose of this article is to provide an overview of options for patients who meet the criteria of obesity. Primary care nurse practitioners are urged to confront obesity head on, with early, individualized intervention to reduce associated morbidity and mortality. Options for weight loss and maintenance are abundant and often confusing or unattractive to the patient. Working with patients to achieve realistic, reasonable, and patient-tailored goals for weight loss and exercise programs are paramount to achieving a healthy weight and lifestyle.
