This study aimed to evaluate the effect of the spiritual support intervention on spirituality and the clinical parameters of women who have undergone mastectomy. This is a pilot study of a randomized clinical trial. The spiritual support intervention was composed of meditation, guided imagery, music, and respiratory relaxation. The outcomes were: spirituality, blood pressure, heart rate, and oxygen saturation. A total of 27 patients were recruited for the study (intervention group, n = 13; control group, n = 14) (Clinical Trials: NCT 01866670/CAE: 00896312.0.0000.5393). The intervention helped patients with breast cancer to increase expression of their spirituality (p = 0.040) and it also decreased heart rate on the first (p = 0.038) and third day (p = 0.017). There was a difference in oxygen saturation on the second day in the control group (p = 0.039). Patients reported that their participation in the research was positive. This intervention had an effect on the sample of women who had undergone mastectomy.

Objective:to identify socio-demographic, clinical and psychological predictors of well-being and quality of life in men who underwent radical prostatectomy, in a 360-day follow-up. Method:longitudinal study with 120 men who underwent radical prostatectomy. Questionnaires were used for characterization and clinical evaluation of the participant, as well as the instruments Visual Analog Scale for Pain, The Ways of Coping Questionnaire, Hospital Depression and Anxiety Scale, Satisfaction with Social Support Scale, Marital Satisfaction Scale, Subjective Well-Being Scale and Expanded Prostate Cancer Index. For data analysis, the linear mixed-effects model was used. Results:the socio-demographic factors age and race were not predictors of the dependent variables; time of surgery, problem-focused coping, and anxiety were predictors of subjective well-being; pain, anxiety and depression were negative predictors of quality of life; emotion-focused coping was a positive predictor. Marital dissatisfaction was a predictor of both variables. Conclusion:predictor variables found were different from the literature: desire for changes in marital relationship presented a positive association with quality of life and well-being; emotion-focused coping was a predictor of quality of life; and anxiety was a predictor of subjective well-being.

Objective: To identify the relationship between risk factors for vascular trauma and the emergence of adverse events of infiltration or phlebitis for antineoplastic chemotherapy. Methods: A study with a quantitative, observational method with 30 women with breast cancer. Results: The type of catheter material presented an association that suggested risk (RR = 2.76, CI = 1.199, 6.369); the infusion rate factor presented RR = 2.22, however, CI = 0.7672, 6.436; the trajectory factors, number of punctures and vein mobility presented RR <1, but these cannot be considered as protective factors. Insertion site and the visibility of the vein presented a risk close to 1. Conclusion: The use of a metal catheter for venipuncture was considered in this study as a factor for Risk for Vascular Trauma. An analysis of the association for the RR showed these results were consistent with the research literature data. Keywords: Blood vessels/injuries; Antineoplastic agents/therapeutic use; Oncology nursing; Risk factors RESUMOObjetivo: identificar a relação entre os fatores de risco para trauma vascular e o surgimento de eventos adversos de infiltração ou flebite por quimioterapia antineoplásica. Métodos: Estudo de abordagem quantitativa observacional com 30 mulheres com câncer de mama. Resultados: O tipo de material do cateter apresentou associação que sugere risco (RR=2,76; IC=1,199;6,369); o fator velocidade de infusão apresentou RR=2,22; entretanto, IC= 0,7672; 6,436; os fatores trajetória, número de punção e mobilidade da veia apresentaram RR<1 mas não podem ser considerados como fatores de proteção. Local de inserção e a visibilidade da veia apresentaram risco próximo a 1. Conclusão: O uso de cateter com metal para punção venosa foi considerado neste estudo como fator para Risco de Trauma Vascular. A análise da associação pelo RR mostrou-se concordante com os dados da literatura pesquisada. Descritores: Vasos sanguíneos/lesões; Antineoplásicos/uso terapêutico; Enfermagem oncológica; Fatores de risco RESUMEN Objetivo: identificar la relación entre los factores de riesgo para el trauma vascular y el surgimiento de eventos adversos de infiltración o flebitis por quimioterapia antineoplásica. Métodos: Estudio de abordaje cuantitativo observacional realizado con 30 mujeres con cáncer de mama. Resultados: El tipo de material del catéter presentó asociación que sugiere riesgo (RR=2,76; IC=1,199; 6,369); el factor velocidad de infusión presentó RR=2,22; mientras que, IC= 0,7672; 6,436; los factores trayectoria, número de punción y movilidad de la vena presentaron RR<1 mas no pueden ser considerados como factores de protección. Local de inserción y la visibilidad de la vena presentaron riesgo próximo a 1. Conclusión: El uso de catéter con metal para punción venosa fue considerado en este estudio como un factor de Riesgo de Trauma Vascular. El análisis de la asociación por el RR se mostró concordante con los datos de la literatura investigada. Descriptores: Enfermería oncológica; Vasos sanguíneos/lesiones; Antineoplásicos/uso ...

RESUMOObjetivo: analisar a contribuição da metodologia da problematização na aprendizagem de habilidades comunicativas de estudantes de enfermagem para obtenção de dados subjetivos e manejo de emoções do paciente. Métodos: estudo descritivo, com o desenvolvimento da metodologia da problematização usando o arco de Maguerez. Um vídeo foi usado como disparador da problematização, posteriormente foram identificados os pontos-chave e, após a teorização, na hipótese de solução, os alunos responderam às questões formuladas inicialmente. A aplicação à realidade deu-se por simulação em grupos com cinco participantes; aos estudantes foram atribuídos papéis de enfermeiro, paciente, acompanhante e observador. Os estudantes que representaram enfermeiros avaliaram as queixas e intervieram no manejo de emoções dos que representaram os pacientes. Os observadores identificaram as técnicas comunicativas presentes na interação. Todos participaram do debriefing. Resultados: participaram do estudo 88 estudantes de graduação em Enfermagem de uma instituição pública. Na identificação dos pontos-chave, os estudantes destacaram 54 questões referentes aos aspectos da comunicação enfermeiro-paciente. Ao longo do desenvolvimento do arco foi possível identificar, nas falas dos participantes, os elementos condução da entrevista, obtenção de dados das queixas por meio da técnica OPQRST; manejo de emoções usando as técnicas comunicacionais NURSE, Ask-Tell-Ask, Tell Me More e comunicação terapêutica; além de outros tópicos identificados pelos estudantes. Conclusão: os dados revelaram que nas condições deste estudo o arco de Maguerez foi um método eficaz para o ensino do conteúdo proposto. Palavras-chave: Metodologia; Ensino; Educação em Enfermagem; Comunicação; Simulação. ABSTR ACTObjective: to analyze the contribution of the Problematization Methodology in the learning of communicative skills of nursing students in collecting subjective data and managing patients' emotions. Method: qualitative, descriptive study in which the Problematization Methodology was developed using the Maguerez Arc. A video was used to trigger discussion and raise key points. After theorizing about problem-solving hypotheses, the students answered the questions initially formulated. The solution was applied in practice through simulation, in which the roles of nurse, patient, companion and observer were assigned to the students. The students who played nurses assessed the patients complaint and intervened by managing the emotions patients represented. The observers identified communicative techniques used in the interaction. All the students took part in the debriefing. Results: 88 undergraduate students attending the nursing program of a public university took part in the study. During the identification of key points the students pointed out 54 issues that concerned communication between nurse and patient. The speech of students during the implementation of the Maguerez Arc reveal the following elements: interviewing elements; recording of complaints using the OPQRST ...

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metabolic dysfunction and diabetes, factors which appear to be related to higher CRC risk. Material and methods In order to explore this question, we conducted a case-control study nested within the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort to investigate the association between serum calcium levels and the risk of colorectal cancer (CRC) development. 975 first incident CRC cases were matched to 975 matched controls from within the cohort by sex, age, study centre, length of follow-up and some additional relevant variables. Serum calcium levels were measured using reflection X-ray fluorescence spectrometry on the pre-diagnostically-collected serum samples from cases and matched controls.Conditional logistic regression was used to calculate multivariable-adjusted odds ratios (OR) and 95% confidence intervals (CIs). Results and discussions Higher levels of serum calcium were associated with reduced risk of CRC (OR Q5vs.Q1 =0.69, 95% CI: 0.48-0.99; p trend =0.02). Sub-group analyses by anatomical sub-site suggest that the observed inverse cancer risk association is apparent in the colon (OR Q5vs.Q1 =0.61, 95% CI: 0.38-0.98; p trend =0.04) and not in the rectum (OR Q5vs.Q1 =0.99, 95% CI: 0.53-1.85; p trend =0.54) where the association appeared to be non-linear. The magnitude of the association in the colon is similar to that observed with dietary calcium at the same anatomical site. Stratified analysis by sex is suggestive of a stronger association for men than women. Conclusion In conclusion, elevated serum calcium levels are inversely associated with risk of CRC development, with some evidence for heterogeneity by anatomical sub-site and sex. Additional studies are necessary to confirm these findings and to further investigate potential underlying mechanisms for the role of serum calcium in CRC development.

Resumo:O objetivo do estudo foi demonstrar qual a conduta preventiva de maior impacto para a redução dos riscos de infecção do cateter venoso central (CVC). Metodologia: Trata-se de uma revisão integrativa, entre 2009 a 2014, nas bases de dados LILACS, MEDLINE e SciELO. Após a seleção do material, procedeu-se à leitura sistemática das referências buscando analisá-las de acordo com o tema em questão, foram selecionados 10 artigos. Resultados: As infecções da corrente sanguínea configuram uma complicação frequente, em que os CVC de curta permanência, são as principais causas destas infecções. A frequência de troca do curativo foi o mais encontrado pelo estudo. Conclusão: as condutas preventivas de maior impacto para a redução dos riscos de infecção do cateter venoso central são a implementação de programas de treinamento, educação contínua e a utilização de blundles. Descritores: cuidados de enfermagem, infecção hospitalar, infecções relacionadas a cateter. Nursing actions to prevent infection of central venous catheters: an integrative review Abstract:The aim of the study was to demonstrate the most important preventive approach to reduce the risks of central venous catheter (CVC) infection. Methodology: This is an integrative review, between 2009 and 2014, in the LILACS, MEDLINE and SciELO databases. After the selection of the material, a systematic reading of the references was made, analyzing them according to the theme in question, 10 articles were selected. Results: Bloodstream infections are a frequent complication, in which short-term CVCs are the main causes of these infections. The frequency of dressing replacement was the most commonly found in the study. Conclusion: the preventive measures that have the greatest impact in reducing the risks of central venous catheter infection are the implementation of training programs, continuing education and the use of blundles.

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