The purpose of this study is to investigate the specific quality of life of patients with diabetes mellitus. It is a crosssectional study, which was conducted from August 2-28, 2012 in two basic health units, in the interior of São Paulo. A convenience sample, made up of 75 patients, 18 years old or older, both sexes, in a group of self-monitoring of blood glucose, was used. The Diabetes 39 (D-39) Instrument Evaluation, containing five dimensions: energy and mobility (15 items), diabetes control (12), anxiety and worry (4) social overload (5) and sexual behavior (3), was used. Quality of life proved to be highly affected in the items related to the social overload dimension: embarrassment for having diabetes, being called diabetic and diabetes interfering with family life. The elucidation of the assessed factors contributes to the planning of educational programs, insofar as they may hinder the achievement of metabolic control in patients with diabetes.Descriptors: Quality of life. Diabetes Mellitus. Nursing. RESUMO Este estudo teve como objetivo investigar a qualidade de vida específica de pacientes com Diabetes Mellitus. Trata-se de estudo transversal, realizado de 02 a 28 de agosto de 2012, em duas unidades básicas de saúde do interior paulista. A amostra foi constituída por conveniência de 75 pacientes, com idade igual ou maior a 18 anos, de ambos os sexos, em um grupo de automonitorização da glicemia capilar. Utilizou-se o Instrumento de Avaliação de Diabetes 39 (D-39), contendo cinco dimensões:"energia e mobilidade" (15 itens), "controle do diabetes" (12), "ansiedade e preocupação" (4), "sobrecarga social" (5)
Objetivo: Identificar na literatura as principais ações de enfermagem para prevenção e tratamento das complicações mais frequentes nas estomias de eliminação intestinal. Método: Revisão integrativa que seguiu as fases: identificação do tema e seleção da questão de pesquisa; estabelecimento de critérios para inclusão e exclusão de estudos; categorização dos estudos; avaliação dos estudos incluídos na revisão integrativa; interpretação dos resultados; e síntese do conhecimento. O período utilizado foi de janeiro de 2007 a junho de 2017, nas bases de dados e nos portais Medical Literature Analysis and Retrieval System Online (MEDLINE), Biblioteca Virtual em Saúde (BVS), Excerpta Medica database (Embase), Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL) e Scopus Info Site. Os descritores utilizados foram estomia, enfermagem e complicações pós-operatórias. Resultados: Onze artigos responderam à questão norteadora: quais ações de enfermagem podem ser utilizadas na prevenção e tratamento das complicações em estomias intestinais? As complicações mais abordadas foram hérnia paraestomal, estenose, retração da estomia e separação mucocutânea. As ações de enfermagem mais citadas foram demarcação pré-operatória e acompanhamento com enfermeiro especialista no pré- e pós-operatório. Conclusão: A atuação do enfermeiro estomaterapeuta é essencial para a prevenção e tratamento das complicações em estomias intestinais, porém mais estudos de alto impacto são necessários para nortear suas ações.
Objective: To verify the frequency of physical restraint in patients and the factors associated with its use in the intensive care unit. Method: An observational and prospective study on the use of restraint in patients observed over two days, considering the variables: age and gender, personal and clinical characteristics, devices, adverse event and restraint use. The frequency was verified in three groups of patients with different conditions by applying the Chi-Squared, Likelihood Ratio or Kruskal-Wallis tests. The association of the variables was verified with the Multinomial Logistic Regression. Results: Eighty-four (84) patients participated. Restraint was observed in 77.4% of the 84 analyzed patients, and was more frequent in the presence of sedation, agitation and invasive devices. The chance of being restrained was at least five times higher in sedation conditions, whether in weaning or daily awakening, mechanical ventilation weaning, agitation or the presence of invasive devices. Conclusion: Restraint use was high and was associated with female gender, sedation, agitation and invasive airway. It is emphasized and important to apply policies to reduce restraint use in intensive care.
Objectives: To identify in the literature the main nursing actions for prevention and treatment of the most frequent complications in intestinal elimination stomies. Methods: Integrative review that followed the phases: identification of the theme and selection of the research question; establishment of criteria for inclusion and exclusion of studies; categorization of studies; evaluation of studies included in the integrative review; interpretation of results; and synthesis of knowledge. The period used was from January 2007 to June 2017, in the databases and in the portals Medical Literature Analysis and Retrieval System Online (MEDLINE), Biblioteca Virtual em Saúde (BVS), Excerpta Medica database (Embase), Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Scopus Info Site. The descriptors used were ostomy, nursing and postoperative complications. Results: Eleven articles answered the guiding question: which nursing actions can be used to prevent and treat complications in intestinal ostomies? The most commonly reported complications were a parastomal hernia, stenosis, retraction of the ostomy and mucocutaneous separation. The most cited nursing actions were preoperative demarcation and follow-up with specialist nurses in the pre- and postoperative periods. Conclusion: The role of the stomatherapist nurse is essential for the prevention and treatment of complications in the intestinal ostomies, but more studies of high impact are necessary to guide their actions.
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