The evaluation and examination of household contacts of leprosy patients is an important factor in breaking the epidemiological chain of transmission. This study aims to identify risk factors for the development of leprosy among household contacts of leprosy cases living in a peripheral area in the city of Belém-PA. This is a prospective, descriptive and cross-sectional study with a quantitative approach, which 2017 to 2018, intra-household contacts of leprosy patients seen at a health unit from 2016 to 2017. Dermatoneurological examinations and blood collection was performed to perform anti-PGL-I serology. 96 household contacts from 39 index cases were analyzed, of which the majority are female (65.62%), aged 31 to 50 years (37.49%), and only elementary school (54.17%). Conditions such as living with contaminating forms, housing with little healthiness and low schooling are present in the studied group and are at risk for illness from leprosy.
Objetivo: Construir e validar um instrumento de enfermagem para avaliação da dispneia, visando sua potencial aplicação na assistência à saúde. Métodos: Trata-se de um estudo prospectivo, transversal de abordagem quantitativa. Foi construído um instrumento com 13 itens que passou por validação de conteúdo com 12 enfermeiros atuantes na clínica de pneumologia de um Hospital Universitário, mediante avaliação de três variáveis: a clareza, a pertinência e a relevância. A análise estatística ocorreu por meio do Coeficiente de Correlação Intraclasse (ICC) (concordância 80%) e teste do qui-quadrado. Resultados: Individualmente, as três variáveis apresentaram índices elevados de correlação entre os juízes, os itens “gestão de cuidados” e “ficha de acompanhamento”, obtiveram 90,5% quanto a clareza. O item “sinais de desconforto respiratório” apresentou maior correlação referente a pertinência e a relevância com 93,9% em ambas. O ICC final do instrumento foi de 0,173 (ótima confiabilidade), com p valor 0.45. Apenas um item não conseguiu alcançar os valores mínimos estabelecidos, sendo excluído do instrumento final. Conclusão: Esta ferramenta possibilita o norteamento das condutas de enfermagem, auxiliando na tomada de decisão com satisfatório alcance da eficácia, uma vez que, evidencia as dimensões, classificações e influências da dispneia.
Objective: to analyze nurses' knowledge and practices regarding the care provided to patients in cardiopulmonary arrest in the emergency room of a medium and high complexity public hospital in Belém, State of Pará, Brazil. Method: this descriptive, exploratory, qualitative study included ten nurses, who work in the urgency and emergency service. Data collection took place from February to March 2019 through semi-structured interviews. Thematic content analysis proposed by Bardin was used to construct the data. Results: the studied population has deficient and sometimes insufficient knowledge, mostly marked by mistaken speeches and uncertainties, revealing gaps in knowledge and divergences in relation to the resuscitation science consensus necessary to perform adequate care during a cardiorespiratory arrest, and may compromise the effectiveness of cardiopulmonary resuscitation, causing damage to resuscitation and, consequently, contribute to the emergence and / or aggravation of sequelae, which can impact on increased morbidity and mortality. Conclusion: knowledge deficiency is multifactorial, which may be related to the lack of continuous and permanent education, and the lack of personal motivation for the constant search for knowledge, in addition to the lack of incentive to update proposed by the head of the service in the studied scenario.
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