Objectives: to assess the predictors for the functional incapacity of the elderly in primary health care. Method: cross-sectional study, of which 388 older people participated, conducted in three Primary health care Units, using the Katz index and Lawton's scale. The research project was approved by the Research Ethics Committee. Results: regarding the degree of dependency for Basic Activities, 90.2% were less independent for dressing themselves; and for Instrumental Activities, 77.1% of the elderly were less independent for doing handwork. The functional incapacity for basic activities was associated with age and color; for instrumental activities, with age, education, income of the elderly and self-assessment of health. Conclusion: attention should be paid to the overall assessment of the elderly person, in order to tailor care plans geared towards the preservation of their autonomy and the promotion of active ageing. Descriptors: Primary Health Care; Elderly; Health of the Elderly, Daily Activities, Nursing. RESUMO Objetivos: avaliar os fatores preditores para incapacidade funcional de idosos atendidos na atenção básica. Método: estudo transversal, do qual participaram 388 idosos, realizado em três Unidades Básicas de Saúde, utilizando-se o Índice de Katz e a escala de Lawton. O projeto de pesquisa foi aprovado pelo Comitê de Ética em Pesquisa. Resultados: Quanto ao grau de dependência para Atividades Básicas, 90,2% eram menos independentes para vestir-se; e para as Atividades Instrumentais, 77,1% dos idosos foram menos independentes para fazer trabalhos manuais. A incapacidade funcional para atividades básicas esteve associada à idade e à cor; as atividades instrumentais, à idade, à escolaridade, à renda do idoso e à autoavaliação de saúde. Conclusão: deve-se atentar para a avaliação global da pessoa idosa, com vistas a adequar planos de cuidados voltados para a preservação da autonomia dos idosos e para a promoção do envelhecimento ativo. Descritores: Atenção Primária à Saúde; Idoso; Saúde do Idoso, Atividades Cotidianas, Enfermagem. RESUMEN Objetivos: valorar los factores predictores para la incapacidad funcional de adultos mayores atendidos en la atención básica. Método: estudio transversal, del cual han participado 388 adultos mayores, llevado a cabo en tres unidades de atención básica de salud, empleando el índice de Katz y la escala de Lawton. El proyecto de investigación ha sido aprobado por el Comité de Ética en Investigación brasileño. Resultados: En relación al grado de dependencia para sus actividades básicas, un 90,2% de los adultos mayores eran menos independientes para vestirse; y para las actividades instrumentales, un 77,1% eran menos independientes para los trabajos manuales. La incapacidad funcional para las actividades básicas está asociada con la edad y etnia; y la de las actividades instrumentales con la edad, nivel de instrucción, renta y autovaloración de la salud del adulto Rev Bras Enferm [Internet]. 2017 jan-fev;70(1):106-12.
Objective: To evaluate quality of life and the associated factors in people living with HIV/AIDS. Methods: A cross-sectional study was performed with 146 people with HIV, receiving outpatient treatment. The instruments used were: a questionnaire for socioeconomic, demographic, epidemiological and clinical evaluation and the WHOQOL-HIV BREF scale for the quality of life evaluation. A descriptive analysis and a stepwise forward multiple linear regression test were performed. Results: There was a predominance of male gender, lower educational level, and people who were asymptomatic. The Level of Independence and Environment domains had the worst scores. Having a paid occupation, the income per capita, having a religion, a longer time since diagnosis, and adherence to treatment were positively associated with quality of life. A homo-affective relationship, having been stigmatized or suffered prejudice, the presence of psychosocial symptoms, and having acquired opportunistic infections were predictors associated with a poorer quality of life. Conclusion: Quality of life had associated predictors and compromise in two areas of the scale. ResumoObjetivo: Avaliar a qualidade de vida em pessoas vivendo com HIV/AIDS e os fatores associados. Métodos: Estudo transversal, realizado com 146 pessoas com HIV em tratamento ambulatorial. Os instrumentos utilizados foram: questionário para avaliação socioeconômica, demográfica, epidemiológica e clínica e a escala WHOQOL HIV-bref para avaliação da qualidade de vida. Foi realizada análise descritiva e empregado o teste de Regressão linear múltipla com modelagem stepwise forward. Resultados: Houve prevalência do sexo masculino, baixa escolaridade e assintomáticos. Os domínios Nível de independência e Meio ambiente tiveram os piores escores. Ter ocupação remunerada, renda per capita, possuir religião, maior tempo de diagnóstico e adesão ao tratamento associaram-se positivamente à qualidade de vida. Relação homoafetiva, ter sofrido estigma ou preconceito, presença de sintomas psicossociais e ter adquirido infecções oportunistas foram preditores associados à pior qualidade de vida. Conclusão: A qualidade de vida apresentou preditores associados e comprometimento em dois domínios da escala.
Objectives: To evaluate the quality of life of people with intestinal stomas and verify its association with sociodemographic and clinical characteristics. Methods: A cross-sectional descriptive study was carried out with 96 people registered in an ostomy program, with the use of the City of Hope-Quality of Life-Ostomy Questionnaire. Results: The mean score of total QoL in this study was 6.2± 2.8. The highest mean score was found in the spiritual well-being dimension 7.5 (±1.9) and the lowest in the social well-being dimension 5.6 (±2.1). Sociodemographic characteristics (per capita income, education level, religion) and clinical characteristics (length of use and adaptation to the stoma, length of time needed for ostomized people to feel comfortable, difficulty with self-care, and limitation to perform activities of daily living) were associated with total quality of life and its dimensions (p <0.05). Conclusion: Intestinal stomas interfere with quality of life, especially in physical and social dimensions. ResumoObjetivos: Objetivou-se avaliar a qualidade de vida de pessoas com estomias intestinais de eliminação e verificar sua associação com características sociodemográficas e clínicas. Métodos: Trata-se de estudo descritivo e transversal realizado com 96 pessoas cadastradas em um Programa de estomizados, utilizando o City of Hope -Quality of Life -Ostomy Questionnary. Resultados: O escore médio de QV total deste estudo foi 6,2 ± 2,8. O maior escore médio foi encontrado no domínio Bem-estar espiritual 7,5 (±1,9) e o menor no domínio Bem-estar social 5,6 (±2,1). As características sociodemográficas (renda per capita, escolaridade, religião) e as características clínicas (permanência e adaptação à estomia, tempo de estomizado para sentir-se confortável, dificuldade para o autocuidado e limitação para realização de atividades diárias) associaram-se a qualidade de vida total e seus domínios (p <0,05). Conclusão: As estomias intestinais de eliminação interferem na qualidade de vida, principalmente nos âmbitos físico e social.
Objective: To identify in the literature studies on mobile technologies in Nursing. Method: Integrative literature review in which was used the Population, Interest and Context (PICo) strategy, the tool of the National Library of Medicine for formulation of the research question, and search without a determined period of time in the following bibliographic databases: Medical Literature and Retrieval System onLine/PubMed®), Cumulative Index to Nursing & Allied Health Literature (CINAHL), SCOPUS (Elsevier), Latin American and Caribbean Literature in Health Sciences (LILACS) and Nursing Database (BDENF). Data collection period was from January to March 2017. Results: Fifteen articles were selected, in which were addressed mobile technologies in Nursing for nurses, undergraduate students and patients. Conclusion: Mobile technologies in Nursing are a recent theme and enable care data sharing, experience acquisition by undergraduate students and patient empowerment.
OBJECTIVE: to analyze nursing care provided to cancer patients with oral mucositis based on the Nursing Process (NP). METHOD: this exploratory, descriptive, cross-sectional and quantitative study was conducted with 213 patients undergoing chemotherapy and/or radiotherapy in two cancer facilities: one philanthropic and one private service. RESULTS: the participants were mainly female, aged 45.8 years old on average, with up to 11 years of schooling and income of up to one times the minimum wage. Severe mucositis was related to chemotherapy associated with radiotherapy. Only 25.3% of the patients reported having received guidance from nurses during their treatment concerning self-care. The perceptions of patients regarding quality of care did not significantly differ between the private and public facilities. The basic human needs mainly affected were comfort, eating, and hygiene. Based on this finding, one NP was established listing the diagnoses, interventions and expected results to establish an ideal, though individualized, standard of nursing care to be provided to these patients. CONCLUSION: to understand oral mucositis is crucial to establish nursing care that includes prevention based on the implementation of an oral care plan.
Resumo Objetivo: Avaliar a qualidade de vida de pessoas com feridas crônicas. Métodos: Estudo transversal realizado com 176 pessoas com feridas crônicas em acompanhamento ambulatorial e domiciliar em um serviço público de saúde. Foram utilizados: formulário para a caracterização sociodemográfica, clínica e terapêutica e o questionário Cardiff Wound Impact Schedule para a mensuração da qualidade de vida. As análises foram descritivas e inferenciais empregando-se os testes t de Student, ANOVA, Mann Whitney e Kruskal-Wallis. Resultados: Dentre as pessoas acompanhadas em domicílio, predominaram lesões de origem vasculogênicas, com tempo de existência superior a 12 meses e área de até 25 cm2. No ambiente ambulatorial, prevaleceram feridas vasculogênicas e traumáticas, com tempo máximo de seis meses e extensão de até 25 cm2. Os fatores clínicos associados à qualidade de vida foram: tempo de duração da lesão, etiologia da lesão, grande extensão, aspecto do exsudato, presença de odor e de dor. O domínio de QV “bem-estar” apresentou maior impacto negativo decorrente da presença de lesão. Conclusão: Os fatores clínicos influenciaram diretamente os domínios de QV, sendo necessária a utilização de estratégias diferenciadas com o intuito de reduzir o impacto na QV por se tratarem de aspectos que poderiam ser atenuados ou evitados mediante a avaliação da lesão e a escolha do tratamento adequado.
An analysis on the profile of ostomy, multicenter studies that portray the specific characteristics of these patients, contributes to meeting their real needs and the targeting of public policies and health to improve the quality of life for these clients. This study aims to investigate the scientific profile about ostomy patients in the period [2004][2005][2006][2007][2008][2009][2010][2011][2012]. It is an integrative literature review performed by an electronic search in databases: Lilacs, Scielo, and Bdenf Magazine estimated , because it is a specialized journal of the Brazilian Society of Stomatherapy. The sample consisted of ten articles which contemplated the inclusion criteria. It was found that all studies were conducted in Brazil in various states and regions and the vast majority of nurses. The sociodemographic and epidemiological prevalence of ostomy shows female predominance of older adults, colorectal cancer as the main cause for the realization of the stoma and colostomy as the predominant type of ostomy. It appears that the focus of this issue is still of scientific infancy, with specific studies, little comprehensive and low regularity. It is suggested that further studies be conducted to support improved health care user.
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