Objective: To identify the relationship between frailty, sociodemographic characteristics, and social vulnerability of the elderly enrolled in a primary care service. Methods: This was an exploratory, comparative, and cross-sectional study with a quantitative research approach performed with 247 elderly people enrolled in a primary care service, in a city in the interior of São Paulo. A questionnaire was used for socio-demographic characterization of the participants, and the Edmonton Frail Scale was used to evaluate frailty. Vulnerability was classified according to the Paulista Index of Social Vulnerability. Data were analyzed in a descriptive and inferential manner. All ethical recommendations were met. Results: There was a prevalence of frail elderly women, with a mean age of 68.5 (SD=7.3) years, low education, who were retirees. There was a statistically significant difference between frailty and the number of diseases reported (p<0.001). Frailty correlated negatively with social vulnerability (r=-0.043). Conclusion: These results should receive attention from public administrators to understand frailty of the elderly in a context of social vulnerability. ResumoObjetivo: Identificar a relação entre fragilidade, características sociodemográficos e vulnerabilidade social de idosos cadastrados em um serviço de atendimento primário. Métodos: Trata-se de um estudo exploratório, comparativo e transversal, com abordagem quantitativa de investigação realizado com 247 idosos cadastrados em um serviço de atendimento primário, em um município do interior paulista. Utilizou-se questionário para caracterização sócio demográfica dos participantes e Escala de Fragilidade de Edmonton, para avaliar a fragilidade. A vulnerabilidade foi classificada segundo Índice Paulista de Vulnerabilidade Social. Os dados foram analisados de forma descritiva e inferencial. Todas as recomendações éticas foram respeitadas. Resultados: Houve prevalência de idosos frágeis pertencentes ao gênero feminino, com média de idade de 68,5 (dp=7,3) anos, baixa escolaridade e aposentados. Houve diferença estatisticamente significativa entre fragilidade e número de doenças relatadas (p<0,001). A fragilidade se correlacionou negativamente com a vulnerabilidade social (r=-0,043). Conclusão: Os resultados encontrados devem suscitar atenção aos gestores públicos para a necessidade de conhecer a fragilidade de idosos em contexto de vulnerabilidade social.

This exploratory and quantitative study aimed to identify the anxiety level of 40 caregivers and 40 patients before cardiac catheterization and to establish a correlation among them and with sociodemographic variables, by means of the Anxiety-State Scale (IDATE). It was concluded that most of the patients present low anxiety levels, while most caregivers demonstrate medium levels of anxiety. No statistical correlation was found between anxiety levels and sociodemographic variables in the correlation analysis. In a comparative analysis, we observed that male caregivers are more anxious than female ones. Nursing interventions during this period can be more efficient if they include actions to reduce anxiety among family members/caregivers.

This quantitative, descriptive, cross-sectional research aimed to determine the estimated productivity of health-related limitations at work in 129 nurses working in direct care delivery to critical and potentially critical patients. Instruments were applied for socio-demographic and functional characterization and for the evaluation of presenteeism (Work Limitations Questionnaire). Statistical Package for the Social Sciences software was used for data analysis. In this study, 75% of nurses obtained a lost productivity index of up to 4.84%. The physical demand domain represented the major limitation for these professionals (25%).Presenteeism was directly correlated to health care, occurrence and number of absences, and indirectly related to work time at the unit. It was concluded that organizational or individual factors influence individuals' productivity, in view of the circumstances involving care delivery to critical and potentially critical patients. Presenteísmo en enfermeros hospitalariosEstudio cuantitativo, descriptivo y transversal con el objetivo de determinar la productividad supuesta de las limitaciones en el trabajo relacionadas con la salud de 129 enfermeros que asisten a pacientes críticos y potencialmente críticos. Se utilizó un instrumento para la caracterización sociodemográfica y funcional y para la evaluación de la presencia. Se realizó un análisis estadístico de los datos con el software Statistical Package for the Social Sciences. En este estudio, 75 % de los enfermeros obtuvieron un índice de productividad perdida de hasta 4,84%. La demanda física fue el dominio que presentó mayor limitación (25%). La presencia se relacionó directamente a: realización de tratamiento de salud, ocurrencia y número de faltas, e indirectamente al tiempo en la unidad. Se concluye que existe influencia de factores organizacionales o individuales en la productividad del individuo frente a las circunstancias que involucran la asistencia al paciente crítico y potencialmente crítico.

Dedico este trabalho ao meu este trabalho ao meu este trabalho ao meu este trabalho ao meu amado amado amado amado espo espo espo esposo Francisco de Paulo so Francisco de Paulo so Francisco de Paulo so Francisco de Paulo Grazziano e aos nossos Raphael e Gustavo Grazziano e aos nossos Raphael e Gustavo Grazziano e aos nossos Raphael e Gustavo Grazziano e aos nossos Raphael e Gustavo e com carinho a t e com carinho a t e com carinho a t e com carinho a todos os enfermeiros. odos os enfermeiros. odos os enfermeiros. odos os enfermeiros. Agradecimentos Agradecimentos Agradecimentos Agradecimentos Considero que todo o trabalho é uma construção conjunta; não conseguimos chegar a nenhum lugar sozinhos. Somos apenas instrumentos para materializá-lo, pois todos os que fazem parte de nossas vidas possuem um papel, maior ou menor, na construção do nosso conhecimento. São várias as pessoas a quem devo agradecer, entretanto alguns contribuíram diretamente para que o presente estudo se materializasse. Dentre eles, destaco: Profª Drª Estela Regina Ferraz Bianchi que mais uma vez demonstrou sua competência ao ensinar, sua confiança ao me propor desafios, sua assertividade ao expor os meus equívocos, sua compreensão em entender os meus limites e o seu carinho e amizade nos momentos em que a vida me pôs à prova. Muito obrigada; teria sido muito mais difícil sem a sua ajuda. AGRADECIMENTOS ESPECIAIS AGRADECIMENTOS ESPECIAIS AGRADECIMENTOS ESPECIAIS AGRADECIMENTOS ESPECIAIS A Francisco de Paulo Grazziano, meu esposo, que mais uma vez demonstrou seu companheirismo, participando de todas as fases da pesquisa com carinho e paciência, me apoiando incondicionalmente. Paulo, tudo foi e é por você! Meu amor eterno. Ao meu irmão Vagner C. da Silva e minha cunhada Alessandra Cavalcante, pelo apoio, amor e contribuição na revisão gramatical.

Objective: Several features, such as workload, irregular practice of sports, and work experiences may contribute to the Burnout However, although different investigations have assessed the associations between demographic and academic characteristics and Burnout across different countries, few studies were conducted in Brazil, especially with nursing students. So, we assessed the association of demographic and academic variables to Burnout occurrence in nursing students.Methods: This is a quantitative, analytical and cross-sectional study. We applied a Form to demographic and academic characterization and the Maslach Burnout Inventory in 570 nursing students between April 2011 and March 2012. To compare the occurrence of Burnout and of its subscales regarding to sociodemographic and academic variables, we used the Chi-Square test and the Fisher exact test (Tables 2 × 2), p < .05. The Ethics Research Committee at the University approved this project under protocol No. 0380.0.243.000-10.Results: Burnout occurrence is higher among students enrolled in first semester, who attend 10 disciplines, without thoughts of leaving the course and who has no job activity. The high Emotional Exhaustion and low Professional Efficacy predominate among unemployed students, and who never thought in leaving the course. The high Cynicism predominated among students aged 20-24 years, enrolled in first semester, who does not work and without experience in healthcare.Conclusions: Few demographic and academic characteristics contribute to Burnout occurrence in nursing students, raising the need of interventions to relieve stress in this population.

Objetivo: Evaluar el efecto del relajamiento muscular progresivo em los niveles de estrés y bienestar en el trabajo de enfermeros hospitalarios. Método: Estudio de intervención, de tipe antes y después, longitudinal, que ha acompañado 16 enfermeros de una instituición hospitalaria por ocho semanas consecutivas sometidos a un protocolo de relajamiento muscular progresivo. Se han recogido los datos con cuestionario, Escala de Estrés em el Trabajo; Escala de Bienestar en el Trabajo. Se han utilizado las pruebas Shapiro-Wilk, T pareado, Wilcoxon, Sperman y Mann-Whitney. Resultados: Se observó reducción de los promedios de estrés (60/55 p=0,166) y aumento de los promedios de los factores de bienestar en el trabajo- afecto positivo, afecto negativo y realización (3.22/3,42 p=0,073; 2,07/2,29 p=0,094 e 3,71/3,92 p=0,060), respectivamente. Conclusiones: Hubo evidencias de que el relajamiento muscular progresivo ha reducido los promedios de estrés y ha promovido bienestar en el trabajo entre los enfermeros. Objective: To evaluate the effect of progressive muscle relaxation on the levels of stress and workplace well-being of hospital nurses.Method: This is an intervention, of the before-after type, longitudinal, which monitored 16 nurses from a hospital institution for eight consecutive weeks submitted to a progressive muscle relaxation protocol. Data were collected by questionnaire, Work Stress Scale and Well-being at Work Scale. Shapiro-Wilk, Wilcoxon, Sperman and Mann-Whitney tests were used.Results: The mean stress level decreased (60/55 p= 0.166) and the mean workplace well-being factors: positive affect, negative affect and fulfillment increased (3.22/3.42 p=0.073; 2.07/2.29 p=0.094 and 3.71/3.92 p=0.060), respectively.Conclusion: The study revealed that the progressive muscle relaxation reduced the means of stress and promoted well-being at work among the nurses.

Objective: to evaluate the effect of progressive muscle relaxation as a nursing procedure on the levels of stress for sufferers of multiple sclerosis. Method: random clinical trials conducted at the Neurology outpatients unit at a University Hospital. The sample consisted of 40 patients who were being monitored as outpatients (20 in a control group and 20 in an experimental group). The Progressive Muscle Relaxation technique was used. The control variables were collected through interviews that were recorded on forms and on the Perceived Stress Scale that we used. Five meetings were held every fortnight covering a period of eight weeks. The experimental group was advised to carry out daily progressive muscle relaxation activities. After eight weeks of these activities, they were evaluated again to measure their levels of stress. In order to analyze the data used, the software package Statistics for Social Sciences version 19.0 was used. Results: the application of the t test showed a significant reduction in the Perceived Stress Scale scores in the experimental group (p<0.001), which in turn proved that there was a reduction in the levels of stress after the application of the relaxation practic-es. Conclusion: the progressive muscle relaxation activities contributed to the reduction in stress levels for multiple sclerosis suffers and thus can be used in nursing for patients. Clinical Trials Identifier: NCT 02673827.

No abstract