Objectives: to understand the psychosocial repercussions experienced by caregiving parents, resulting from care for the child with dysphagic cleft lip and palate. Methods: qualitative study, developed in a tertiary hospital in September 2016. The sample defined by theoretical saturation consisted of seven mothers. Data collection was performed by unstructured interview, being audio-recorded and fully transcribed. Symbolic Interactionism was used as theoretical framework, and Thematic Content Analysis as methodological framework. Results: the following themes emerged: diagnosisimpact and coping; coping with overload and stress; interaction between caregivers as an acceptance and coping strategy; impact on family and social life of caregivers; and curiosity coping, and family and community prejudice. Final considerations: despite the physical and emotional overload, the mother figure plays the main and determining role in care, reflecting the complexity of care.
Objective: Identifying the main nursing diagnoses and interventions in children submitted to cochlear implant in the immediate postoperative period. Method: A crosssectional study conducted between February and April 2016, considering nursing history (anamnesis and physical examination) and nursing diagnoses (NANDAInternational) with their respective interventions (Nursing Intervention Classification -NIC). Descriptive statistical analysis was used to construct the results. Results: A total of 19 children participated in this study. The main nursing diagnoses listed were: impaired verbal communication, impaired skin integrity, risk for infection, risk for falls, and risk for bleeding (n=19; 100%). Regarding the nursing interventions, the following prevailed: Improvement in communication: auditory deficit, Skin surveillance, Protection against infection, Prevention of falls and Precautions against bleeding (n=19; 100%). Conclusion: Nursing diagnoses and interventions related to the cochlear implant postoperative period were related to communication, bleeding control, surgical wound care, infection prevention, comfort and well-being. DESCRIPTORSPediatric Nursing; Cochlear Implantation; Hearing Loss; Nursing Process; Nursing Diagnosis.Nursing diagnoses and interventions in children submitted to cochlear implantation* Diagnósticos e intervenções de enfermagem em crianças submetidas a implante coclear Diagnósticos e intervenciones de enfermería en niños sometidos a implante coclear
ObjectivesTo calculate and compare the nursing staff size associated with self-care promotion at a pediatric semi-intensive care unit.MethodsThis was a prospective study in which 31 children and their caregivers participated. The nursing workload associated with each participant was evaluated at two different times (first and second hospital stays) using the Nursing Activities Score instrument. The first hospital stay corresponded to self-care promotion. Staff size was calculated according to the nursing hours recommended by the Nursing Activities Score instrument and by Conselho Federal de Enfermagem (COFEN) resolution no. 527/16, in the two hospital stays, and the results were compared.ResultsThe nursing workload in the first hospital stay (14.6 hours) was higher than the nursing workload in the second stay (9.9 hours) (p < 0.001). The Nursing Activities Score revealed that according to the nursing hours, the nursing staff size corresponded to 26 and 18 professionals in the first and second hospital stays, respectively, and to 15 professionals according to COFEN resolution no. 527/16.ConclusionThe number of personnel responsible for promoting self-care in pediatric semi-intensive care units, according to the nursing hours suggested by the Nursing Activities Score, was higher than that recommended by the existing legislation. This demonstrates the necessity of reconsidering staff size for this healthcare profile.
Objective:to correlate spirituality and religiosity with quality of life of adolescents with and without cleft lip and palate. Methods:cross-sectional and correlational study involving two groups: case group (n = 40) and comparison group (n = 40). The Duke University Religion Index (DUREL) and the World Health Organization Quality of Life Bref were used for data collection. The Mann-Whitney, Chi-Square, Student’s t-test and Pearson’s correlation tests were used in the statistical analyses, with a significance level of 5% (p ≤ 0.05). Results:organizational religiosity and overall quality of life were significantly higher in the case group (p = 0.031 and p = 0.012, respectively). As for quality of life, the Environment Domain was significantly higher in the case group (p < 0.001). In the correlation between religiosity and spirituality, non-organizational religiosity had a strong correlation (r = 0.62) with organizational religiosity (p < 0.001). In the correlation of religiosity and spirituality with quality of life, only a moderate correlation between spirituality and overall quality of life was identified (r = -0.35, p = 0.026). Conclusion:there was no relationship of religiosity and spirituality with quality of life among adolescents with cleft lip and palate for most aspects evaluated.
Objetivo: identificar as principais dúvidas de gestantes com diagnóstico pré-natal do bebê de fissura de lábio e/ou palato. Método: estudo descritivo, retrospectivo, quantitativo. A amostra foi composta por 15 de gestantes atendidas na consulta de enfermagem, em 2016, numa instituição pública paulista. Para a coleta de dados, utilizou-se instrumento institucional após aprovação do projeto por Comitê de Ética em Pesquisa. As dúvidas foram categorizadas como alimentação, higiene, protocolo cirúrgico, hipótese diagnóstica, pós-operatório e sofrimento/bullying. Os resultados foram submetidos à análise estatística descritiva. Resultados: idade média materna de 30 anos (±5,9), paterna de 31 anos (±10,4). Predomínio das seguintes características: classificação socioeconômica média inferior – 8 (53%); escolaridade dos progenitores, ensino superior completo – 15 (52%); bebês do sexo masculino – 11 (73%); diagnósticos de Fissura Transforame Unilateral Esquerda – 7 (47%). Salientaram-se dúvidas sobre: alimentação – 15 (100%) e higiene – 9 (60%). Conclusão: as principais dúvidas das gestantes foram sobre alimentação e higiene. Identificá-las permitiu direcionar as orientações para as necessidades reais dessa clientela.ABSTRACTObjective: to identify pregnant women’s main doubts at prenatal diagnosis of baby's cleft lip and/or palate. Method: this retrospective, quantitative, descriptive study considered a sample of 15 pregnant women attending nursing appointments in 2016 at a public institution in São Paulo. After the project was approved by the research ethics committee, data were collected using an institutional instrument. Doubts were categorized into feeding, hygiene, surgical protocol, diagnostic hypothesis, postoperative care and suffering/bullying. The results were subjected to descriptive statistical analysis. Results: the mothers’ mean age was 30 (±5.9) years, the fathers’ mean was 31 (±10.4) years. The following features predominated: low mean socioeconomic position – 8 (53%); higher education – 15 (52%); male babies – 11 (73%); left unilateral transforaminal cleft – 7 (47%). Doubts were raised on: food – 15 (100%) and hygiene – 9 (60%). Conclusion: the pregnant women’s main doubts were about food and hygiene. Identifying them made it possible to adjust guidelines to this clientele’s real needs.RESUMENObjetivo: identificar las principales dudas de mujeres embarazadas con diagnóstico prenatal del bebé de fisura de labio y/o palatina. Método: estudio descriptivo, retrospectivo, cuantitativo. La muestra se compuso de 15 mujeres embarazadas atendidas en la consulta de enfermería, en 2016, en una institución pública de São Paulo. Para la recolección de datos se utilizó un instrumento institucional después de la aprobación del proyecto por el Comité de Ética en Investigación. Las dudas se categorizaron como alimentación, higiene, protocolo quirúrgico, hipótesis diagnóstica, postoperatorio y sufrimiento/bullying. Los resultados se sometieron al análisis estadístico descriptivo. Resultados: promedio de edad materna de 30 años (±5,9), paterna de 31 años (±10,4). Predominio de los siguientes aspectos: clasificación socioeconómica media inferior – 8 (53%); escolaridad de los progenitores, enseñanza universitaria completa – 15 (52%); bebés de sexo masculino – 11 (73%); diagnósticos de Fisura Transforamen Unilateral Izquierda – 7 (47%). Se destacaron dudas sobre: alimentación – 15 (100%) e higiene – 9 (60%). Conclusión: las principales dudas de las embarazadas se basaron en alimentación e higiene. Identificarlas permitió consucir las orientaciones hacia las necesidades reales de esa clientela.
Objetivo: Analisar as repercussões do uso do coping religioso/espiritual positivo e negativo entre cuidadores informais. Métodos: Trata-se de uma revisão integrativa da literatura, utilizou-se as seguintes bases de dados: LILACS, PubMed, SCOPUS, Web of Science, Biblioteca Virtual de Saúde, Cinahl e Scielo, com os descritores: “coping behavior”, “caregivers”, “spirituality” e “religion”. Foram selecionados artigos primários nos idiomas inglês, português ou espanhol. Resultados: Foram selecionados 19 artigos. As repercussões do coping religioso/espiritual positivo incluíram sentimentos de esperança, motivação, confiança, consolo e aceitação, expectativas de melhora e cura, superação de situações pós-traumáticas, comportamento de saúde melhorado, diminuição de estresse, sobrecarga e sintomas depressivos, satisfação com o cuidar, melhora na percepção qualidade de vida e na saúde mental. Em contrapartida, as repercussões do coping religioso/espiritual negativo incluíram a depressão, sobrecarga, ansiedade, estresse, pior superação de situações pós-traumáticas, comportamento de saúde inadequados, insatisfação com o cuidado e pior percepção da qualidade de vida. Considerações finais: Embora a espiritualidade e a religiosidade se relacionem a contextos subjetivos e de significado individualizado, existem evidências de que seus benefícios têm sido crescentes, assim como de sua implementação na prática clínica. Nesse sentido, reforça-se a possibilidade da sua utilização como indicador de saúde de cuidadores informais.
Objective: to analyze the correlation between stress, overload and quality of life of informal caregivers of children with and without orofacial cleft and dysphagia. Method: a cross-sectional, case-control study carried out in a public and tertiary hospital, located in the inland of São Paulo, Brazil, which encompassed two groups: case and comparative. The case group consisted of 30 informal caregivers of children with orofacial cleft and dysphagia, using a feeding tube, while the comparative group consisted of 30 informal caregivers of children without orofacial cleft, fed orally. For data collection, the Bourden Interview Scale, Inventory of Stress Symptoms for Adults and the World Health Organization Quality of Life Bref were used. For statistical analysis, the following tests were used: chi-square, Student's t, Mann-Whitney and Pearson's correlation, all with a 5% significance level. Analysis of the linear correlation forces was also used. Results: in the case group, stress presented a moderate correlation with the overall quality of life (r=-0.41; p=0.025) and satisfaction with health (r=-0.42; p=0.021). Also in the case group, referring to quality of life, the Physical and Psychological domains presented a strong correlation with overload (r=-0.54, p=0.002; r=-0.55, p=0.002, respectively). In the comparative group, no correlations were identified. Conclusion: among the informal caregivers of children with orofacial cleft and dysphagia, there was a correlation between stress and the perception of global quality of life and satisfaction with health, as well as between overload and quality of life, in the physical and psychological dimensions.
This study consists in an integrative review of the literature, conducted through electronic search in Lilacs, PubMed, Scopus and Web of Science databases. Articles published in the last five years (2012)(2013)(2014)(2015)(2016)(2017), were selected, primary, available in full, in English, Portuguese or Spanish. The following descriptors were used: Spirituality, religion, quality of life and adolescence, which have been combined with their respective synonyms. A total of 10 articles were included, from which three thematic categories emerged: 1) Favoring and strengthening spirituality and/or religiosity in adolescents; 2) Repercussions of spirituality and/or religiosity referring to the situational confrontation; and 3) Influence of spirituality and/or religiosity in the quality of life of adolescents. There was consensus among the authors studied that there is a strong correlation between religiosity and / or spirituality in the quality of life of adolescents. Resumo Correlação entre espiritualidade, religiosidade e qualidade de vida em adolescentesTrata-se de revisão integrativa da literatura que selecionou artigos primários publicados entre 2012 e 2017, disponibilizados na íntegra, em inglês, português ou espanhol, correlacionando espiritualidade, religiosidade e qualidade de vida de adolescentes. Utilizaram-se os descritores "espiritualidade", "religião", "qualidade de vida" e "adolescente", que foram combinados entre si e com os respectivos sinônimos. Foram incluídos 10 artigos que geraram três categorias temáticas: 1) favorecimento e fortalecimento da espiritualidade e religiosidade de adolescentes; 2) repercussões da espiritualidade e religiosidade referente ao enfrentamento situacional; e 3) influência da espiritualidade e religiosidade na qualidade de vida dos adolescentes. Há consenso entre os autores estudados de que existe forte correlação entre essas duas questões no bem-estar da população estudada. Palavras-chave: Espiritualidade. Religião. Qualidade de vida. Adolescente. ResumenCorrelación entre espiritualidad, religiosidad y calidad de vida en adolescentes Se trata de una revisión integrativa de la bibliografía que seleccionó artículos primarios publicados entre 2012 y 2017, disponibles de forma completa, en inglés, portugués o español, correlacionando espiritualidad, religiosidad y calidad de vida de adolescentes. Se utilizaron los descriptores: "espiritualidad", "religión", "calidad de vida" y "adolescente", que fueron combinados entre sí y con sus respectivos sinónimos. Se incluyeron 10 artículos que generaron tres categorías temáticas: 1) Favorecimiento y fortalecimiento de la espiritualidad y la religiosidad de adolescentes; 2) Repercusiones de la espiritualidad y la religiosidad referente al enfrentamiento situacional; y 3) Influencia de la espiritualidad y la religiosidad en la calidad de vida de los adolescentes. Hay consenso entre los autores estudiados acerca de que existe una fuerte correlación entre estas dos cuestiones en el bienestar de los adolescentes. Palabras clave: Espiritualida...
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