Objective To identify self-care actions for the maintenance of arteriovenous fistula of renal patients. Method An integrative review study was conducted and literature were searched in Medline/PubMed, Scopus, CINAHL, LILACS, BDENF and SciELO Library databases using the descriptors chronic renal insufficiency, arteriovenous fistula, self-care, and knowledge. The inclusion criteria were that the documents be written in Portuguese, English, and Spanish, full text available, published in the last five years, and that they address the research question. Reflection articles, theses, dissertations, editorials of non-scientific journals, and research studies that did not follow the necessary methodological rigor were excluded. Data were analyzed with the IRAMUTEQ software. Results Fifteen articles were selected and comprised the final sample. Seven classes of self-care actions emerged from the text segments analysis and grouped into three categories: 1) Self-care actions that maintain the arteriovenous fistula; 2) Self-care actions for the prevention and the monitoring of complications with arteriovenous fistula; 3) Self-care actions directed at the perioperative period of arteriovenous fistula preparation. Conclusion The results allowed us to identify important care for the maintenance of arteriovenous fistula functionality. The self-care actions identified in this study can guide a nursing care policy for implementation with protocols that help identify problems related to self-care actions and, thus, subsidize the development of actions aimed at the renal patient. However, more studies with high levels of evidence that identify self-care actions with arteriovenous fistula and the factors involved in its implementation are needed.
Objectives: to identify elements that contribute to strengthen the family system of children with Zika virus congenital syndrome according to Betty Neuman's theory. Methods: qualitative research, carried out in the outpatient service of a public hospital in the city of Recife, Brazil, with 13 mothers, by semi-structured interviews. The IRAMUTEQ software was used for data analysis and the interpretation was carried out according to Betty Neuman's Systems Model Theory. Results: the dendrogram originated five categories, which we named: Family Routine, Health Service Assistance, Changes in Lifestyle, Support Network, and Social Repercussions of Care for the the Family Context. Final considerations: nursing actions based on Betty Neuman's theory provide subsidies for the recognition of elements that strengthen the defense lines of the family system. These resources can be explored, aiming to maintaining the well-being and balance in the context of the family system.
IntroductionThe prevalence of sexually transmitted infections in imprisoned women is high. In the prison school context, education in health is one of the best strategies to achieve positive indicators in terms of health promotion and disease prevention. The use of educational technologies, such as board games, can aid in the process of knowledge acquisition on a given subject matter. This article describes the protocol of a health educational intervention that addresses content about sexually transmitted infections directed to imprisoned women in a prison school.Methods and analysisA quasi-experimental study to test the effect of a board game on 64 imprisoned women’s level of knowledge about sexually transmitted infections. The Previna board game was specifically created and validated for these women. The primary outcome will be the level of knowledge on sexually transmitted infections, measured using a score obtained after the assessment conducted during the initial interview, immediately after the intervention and after 15 days.Ethics and disclosureThis study was approved by the Research Ethics Committee of the Federal University of Pernambuco (Opinion No. 3 986 050 and CAAE: 30035520.7.0000.5208). The results will be presented to the school and to the Federal University of Pernambuco, as part of the activities of a PhD Thesis in Nursing, and will be disclosed in peer-reviewed journals and scientific events.Trial registration numberRBR-2JWS7DV.
Conflitos de interesse: nada a declarar.Resumo Objetivo: Desvelar os estressores familiares no contexto da Síndrome Congênita do Zika Vírus à luz da Teoria do Modelo de Sistemas de Betty Neuman. Métodos: Pesquisa qualitativa, exploratória, realizada com 13 mães de crianças acometidas pelo agravo. Foram realizadas entrevistas semiestruturadas individuais no ambulatório de um hospital público da rede estadual de saúde de Pernambuco. Os dados foram analisados pelo software IRAMUTEQ por meio da técnica da Classificação Hierárquica Descendente, a qual originou um dendograma. Ademais, foram discutidos à luz da Teoria do Modelo de Sistemas de Betty Neuman. Resultados: O dendograma deu origem a cinco classes, a saber: Rotina Familiar, Assistência do Serviço de Saúde, Mudanças no Estilo de Vida, Rede de Apoio e Repercussões Sociais do Cuidado para o Contexto Familiar.Conclusão: As mudanças ocorridas na dinâmica das famílias proporcionam a identificação de um sistema familiar repleto de interações com estressores. O reconhecimento dos efeitos causados pelos estressores é o principal mecanismo para que medidas de enfrentamento sejam adotadas, possibilitando aos membros da família um sistema em estabilidade.
RESUMOO modelo de atenção à saúde primária, ainda é pouca satisfatória, sendo composta por um número reduzido de profissionais da saúde, onde apenas uma quantidade inferior da população é assistida por diferentes especialidades, remetendo ao modelo curativo. Tratase de um relato de experiência de acadêmicas dos cursos de enfermagem e farmácia, em conjunto com uma fisioterapeuta, buscando enfatizar a importância da atuação da equipe multiprofissional no âmbito da atenção básica, por meio de uma roda de conversa, onde se abordou sobre experiências vivenciadas durante as práticas realizadas em unidades básicas em um município do Oeste Paraense. A atuação de cada profissional se apresenta de maneira específica, as responsabilidades e compromissos, na atenção básica, são coletivos. Assim, a equipe multiprofissional tem um papel muito importante na Atenção Básica para garantir a universalidade, a integralidade e equidade da assistência, garantindo um atendimento satisfatório ao paciente, no qual o enfermeiro que atua na prevenção, proteção e reabilitação, conta com o apoio do profissional de farmácia, através da inserção da farmacoeconômia que auxilia na redução de gastos com medicamentos, no uso racional de medicamentos, na educação terapêutica, acompanhamento da farmacoterapia, identificação de problemas relacionados ao medicamento e interações medicamentosas, dentre outras competências, e de fisioterapeutas, através do acompanhamento na prevenção de agravos, na recuperação e reabilitação através das orientações e métodos do cuidado de fisioterapias. A equipe multiprofissional enaltece o modelo preventivo, e cada especialidade contribui na assistência de qualidade e resultados favoráveis ao paciente integralmente e coletivamente.
Introduction Board games can be used as a playful educational practice in the teaching and learning process, as they constitute an educational technology that can be a source of health knowledge and an aid in decision-making. The objective of this research was to assess the effect of a board game on imprisoned women’s knowledge about STIs. Methods A quasi-experimental study was conducted in 2022 with 64 imprisoned women who were students at a school located in a prison unit from the city of Recife, state of Pernambuco, Brazil. A 32-item instrument was used to assess knowledge about sexually transmitted infections before, immediately after the intervention and at 15 days. The intervention consisted in applying the Previna board game in a classroom. All the analyses were performed in the Stata software, version 16.0, with a 5% significance level. Results The knowledge mean in the pre-test was 23.62 (± 3.23) points, whereas it rose to 27.93 (± 2,28) in the immediate post-test, dropping to 27.34 (± 2.37) (p < 0.001) in post-test 2, which was performed 15 days after the intervention. There was a statistically significant difference in the means obtained between the pre-test and the immediate post-test (p < 0.001), with a difference of 4.241 points, as well as between the pre-test and post-test 2 (p < 0.001), a difference of 3.846 spots. Conclusions The Previna board game significantly increased its players’ knowledge about STIs, and such increase in knowledge remained significant during the follow-up period.
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