Objective: to evaluate the complications of percutaneous renal biopsy based on outcomes and clinical indicators of the Nursing Outcomes Classification. Method: a prospective longitudinal study. The sample consisted of 13 patients submitted to percutaneous renal biopsy, with 65 evaluations. The patients were evaluated in five moments in the 24 hours after the procedure, using an instrument developed by the researchers based on five outcomes (Blood coagulation, Circulation status, Blood loss severity, Pain level, Comfort status: Physical) and 11 indicators. The Generalized Estimation Equation Test was used to compare the scores of the indicators. The project was approved by the institutional ethics committee. Results: in the 65 evaluations, a statistically significant difference was identified in the reduction of the scores of the following nursing outcomes: Blood coagulation, “hematuria” indicator; Circulation status, in the “systolic blood pressure and diastolic blood pressure” indicators and Comfort status: physical, in the “physical well-being” indicator. Conclusion: the evaluated patients did not show major complications. The clinical indicators signaled changes in circulation status, with reduced blood pressure, as well as in blood clotting observed by hematuria, but without hemodynamic instability. The comfort status was affected by the rest time after the procedure.
Objective: To evaluate the complementarity of the revised Face, Legs, Activity, Cry, Consolability scale and of the Inventory of Pain Behavior in Neurological Disability for the assessment of pain in children with severe neurological impairment. Method: Cross-sectional study conducted in pediatric units of a university hospital in the southern region of Brazil. The sample consisted of 26 children with severe neurological impairment, hospitalized from January to August 2019, and their caregivers. The data were analyzed by descriptive statistics; Kappa Coefficient, Fisher’s Exact Test and Spearman’s Coefficient were used (p≤0,05). Results: Most children primary diagnosis was cerebral palsy (80.8%). Pain was present in 50.0% of children with the application of the scale and in 34.6% with that of the inventory. Considering the two instruments, there was good agreement (84.6%) between respondents (k=0.692; 95% CI 0.437-0.967; p=0.000). Conclusion: The instruments can be used complementarily to assess pain in children with this profile.
El virus SARS-CoV-2 es altamente transmisible y causa la enfermedad por coronavirus denominada COVID-19, puede ser letal y su propagación ha sido considerada como pandemia en el 2020. Por este motivo a nivel mundial se aplicaron medidas de confinamiento y distanciamiento social que podrían ocasionar problemas psicológicos. Sin embargo, todavía existe un conocimiento mínimo sobre el impacto de estas medidas en la salud mental de la comunidad. El presente estudio evaluó como las medidas de aislamiento para prevenir la propagación del coronavirus SARS-CoV-2 han afectado el estado emocional de hombres y mujeres en el Ecuador, siendo la población evaluada de la zona 3 que incluyen las provincias de Tungurahua, Chimborazo, Cotopaxi y Pastaza. Se utilizaron dos formularios que fueron la evaluación del estado de ánimo [EVEA] y la escala de ansiedad y depresión de Goldberg en una población de 348 personas. Los resultados de la evaluación en el grupo estudiado demostraron diferencias significativas en los síntomas emocionales de depresión y hostilidad al ser comparada con estudios previos a la pandemia. Al ser evaluada la población con la escala de ansiedad y depresión de Goldberg, un 59,2% mostró indicios de ansiedad y un 54,8% de depresión. En la evaluación considerando la variable del sexo, la puntuación en la escala EVEA en mujeres (depresión: 3,79; ansiedad: 4,19) fue significativamente superior que en los hombres (depresión: 2,77; ansiedad: 3,33). En la escala Goldberg se observó de igual manera que las mujeres (depresión: 2,85; ansiedad: 4,9) reportan mayor puntuación que los hombres (depresión: 2,13; ansiedad: 3,50), estos resultados demostraron que el sexo femenino presentó un mayor deterioro emocional.
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