Objectives: To identify the guidelines provided to patients with venous ulcers submitted to telenursing and describe the outcome that occurred with patients with venous ulcers monitored remotely. Method: Cross-sectional and documentary study, carried out with 159 medical records of patients with venous ulcers submitted to telenursing at an enterostomal therapy clinic in Rio de Janeiro, Brazil. The inclusion criteria were patients with a diagnosis of venous ulcer submitted to Telenursing, from April 2018 to February 2020. Data analysis was performed using descriptive statistics (absolute and relative frequency for categorical variables), aided by the application spreadsheet Microsoft Excel. Results: A balance was identified between the participants in relation to gender; had a mean age (standard deviation) of 68.07 (5.28); completed elementary school or incomplete high school; retirees or pensioners. It was found that 40.88% of the patients had at least one underlying disease,predominantly systemic arterial hypertension and diabetes mellitus. The most prevalent guidelines were: resting with the lower limbs elevated, using compressive therapy with elastic stockings or elastic bandage, and changing the secondary dressing at home. Conclusion: The findings show the need to expand the nursing actions developed at the clinic, seeking to provide comprehensive health to patients.
Objectives: to identify the contents and characteristics of videos posted on YouTube that deal with Iramuteq software use as a tool to assist qualitative research and discuss the contribution of this social network to dissemination of knowledge, especially in the context of the COVID-19 pandemic. Method: this is an exploratory-descriptive study with a qualitative approach, carried out with YouTube videos, collected in June 2021 and subjected to thematic analysis. Results: a total of 43 videos on the researched topic were identified, with the majority (69.76%) published from 2020–2021. As for content, five categories were identified. Conclusion: the videos explain about Iramuteq installation, the textual corpus preparation, the errors identified by users and methods to correct them, the lexical analysis developed by the program and how to use it. The content is presented in a theoretical and practical way through the software interface presentation. Thus, YouTube’s contribution to developing teaching and disseminating knowledge is observed, both because it constitutes itself as a source for research and because it fosters dialogues between researchers, especially in a pandemic context.
Introduction. Colonization of a pressure injury with microorganisms can negatively affect wound healing. Thus, it is necessary to evaluate which products best facilitate wound healing. Objective. This case series evaluated the effectiveness of the antimicrobial polyhexamethylene biguanide (PHMB) on microorganisms in pressure injuries. Materials and Methods. Fourteen patients (14 wounds) were treated with PHMB in the hospital setting after collection of a wound swab sample for microbiological analysis and determination of the risk profile using the disk diffusion method. Results. Thirteen lesions (92.9%) were positive for 1 or more bacterial strains, the most prevalent of which were Staphylococcus aureus and Pseudomonas aeruginosa. Two strains of methicillin-resistant S aureus (MRSA) were also identified. Klebsiella pneumoniae demonstrated 100% resistance to the tested antibiotics, with Acinetobacter demonstrating 90% resistance, P aeruginosa 88.9%, Citrobacter freundii 87.5%, S aureus 66.7%, and MRSA 57.1%. Only Serratia marcescens demonstrated no resistance to any antibiotic tested. Polyhexamethylene biguanide was effective only against strains of S marcescens, which were not present in the second wound swab sample collected (after the application of PHMB); other microorganisms were present in the second wound swab sample collected. Conclusions. Polyhexamethylene biguanide has an immediate antimicrobial effect on S marcescens. However, it had no qualitative effect on the other microorganisms. Studies with larger populations and randomized clinical trial methodologies are necessary to elucidate additional findings concerning the effectiveness of PHMB in managing microorganisms in pressure injuries.
Objetivos:identificar as orientações fornecidas aos pacientes com úlceras venosas (UVs) submetidos à telenfermagem e descrever o desfecho ocorrido com os pacientes com UVs monitorados à distância. Método: estudo transversal e documental, realizado com 159 prontuários de pacientes com UV submetidos à telenfermagem numa clínica de estomaterapia no Rio de Janeiro. Os critérios de inclusão foram pacientes com diagnóstico de UV submetidos à telenfermagem, de abril de 2018 a fevereiro de 2020. A análise de dados ocorreu por meio de estatística descritiva (frequência absoluta e relativa para as variáveis categóricas), auxiliada por planilha do aplicativo Microsoft Excel. Resultados: identificou-se um equilíbrio entre os participantes em relação ao sexo; apresentaram idade média (desvio-padrão) de 68,07 (5,28); ensino fundamental completo ou médio incompleto; aposentados ou pensionistas. Verificou-se que 40,88% dos pacientes possuíam ao menos uma doença de base, predominando hipertensão arterial sistêmica e diabetes mellitus. As orientações mais prevalentes foram: repouso com os membros inferiores elevados, utilização da terapia compressiva com meia elástica ou atadura elástica e realização da troca de curativo secundário em sua residência. Conclusão: os achados evidenciam a necessidade de ampliar as ações de enfermagem desenvolvidas na Clínica, buscando proporcionar a saúde integral aos pacientes.
Objetivo: identificar as repercussões da estomia intestinal no cotidiano do indivíduo e de sua família. Método: Revisão integrativa da literatura realizada nas bases de dados MEDLINE, LILACS, BDENF e SCIELO. Foram incluídos artigos publicados entre 2014 e 2022, em idioma de língua portuguesa. A extração dos dados foi tabulada selecionando-se autores/ano, revista, título do artigo, objetivo e metodologia, sendo analisados cinco artigos. Resultados: Evidenciaram-se duas categorias temáticas, a saber: impactos decorrentes da estomia intestinal, as consequentes mudanças psicossociais e físicas e desafios vivenciados pelo uso da bolsa coletora. Conclusão: as repercussões da estomia intestinal, quer seja temporária ou definitiva, para o indivíduo e sua família são inúmeros, pois é um processo de redefinição do estilo de vida, considerando hábitos pessoais e sociais. Tal modificação requer a atenção de seus familiares devido às grandes mudanças no cotidiano do paciente a partir da cirurgia.
Objetivo: refletir acerca das contribuições da Teoria das Representações Sociais para a compreensão dos sentidos da aposentadoria no Brasil. Conteúdo: trata-se de um estudo teórico-reflexivo elaborado com base em leitura crítica de artigos científicos, disponíveis on-line em diversas bases de dados e obras clássicas sobre a teoria das representações sociais bem como aquelas relativas ao fenômeno da aposentadoria. Estrutura-se em duas seções: i) Teoria das Representações Sociais e ii) Os sentidos da Aposentadoria no Brasil. Considerações finais: verifica-se que pesquisas utilizando a teoria das representações sociais possibilitam conhecer o modo como a aposentadoria é compreendida por diferentes grupos sociais e, assim, fornecer subsídios para melhor orientar estes grupos tanto durante o planejamento da aposentadoria quanto na decisão de aposentar-se ou não.ABSTRACTObjective: to reflect on the contributions of the Theory of Social Representations to understanding the meanings of retirement in Brazil. Content: this theoretical-reflective study, based on a critical reading of scientific articles available online in databases and both classic studies of social representations theory and studies of the phenomenon of retirement, is divided into two sections: i) Theory of Social Representations and ii) The meanings of retirement in Brazil. Final remarks: research using the social representations theory was found to help understand how retirement is understood by different social groups and, thus, provide input to guide these groups better, both during retirement planning and in deciding whether or not to retire.RESUMENObjetivo: reflexionar sobre los aportes de la Teoría de las Representaciones Sociales para la comprensión de los significados de la Jubilación en Brasil. Contenido: se trata de un estudio teórico-reflexivo basado en la lectura crítica de artículos científicos, disponibles en línea en varias bases de datos y obras clásicos sobre la teoría de las representaciones sociales, así como las relacionadas con el fenómeno de la jubilación. Se divide en dos apartados: i) Teoría de las Representaciones Sociales y ii) Los significados de la jubilación en Brasil. Consideraciones finales: se constata que investigaciones que utilizan la teoría de las representaciones sociales pueden ayudar a conocer la forma cómo los diferentes grupos sociales entienden la jubilación y, por lo tanto, proporcionar subsidios para orientar mejor a estos grupos, tanto durante la planificación de la jubilación, como en la decisión de jubilarse o no.
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