Objetivo: avaliar níveis de estresse de pais de recém-nascidos em Unidade de Terapia Intensiva Neonatal. Métodos: pesquisa transversal e analítica realizada com 57 pais de recém-nascidos. Foi aplicado questionário de dados sociodemográficos do recém-nascido e dos pais e Parental Stress Scale: Neonatal Intensive Care Unit. Realizou-se análise de frequência, medidas de posição dos escores, teste de Mann-Whitney e teste t-Student. Resultados: no domínio “Alteração no papel de mãe/pai”, a concentração das respostas foi maior nos escores mais altos; no domínio “Sons e imagens”, nos escores mais baixos, tanto na internação quanto na alta da unidade de terapia intensiva. Conclusão: pais de bebê em Unidade de Terapia Intensiva Neonatal apresentaram níveis de estresse elevados associados à “Alteração no papel de mãe/pai” na internação e alta, e ao domínio “Aparência e comportamento do bebê”, no momento da internação.
Objective: to verify the association of sociodemographic and clinical variables, life habits and functional capacity with symptoms indicative of depression in chronic renal patients on hemodialysis. Method: cross-sectional study developed from February to October of 2017 with 183 patients undergoing hemodialysis in two renal units located in the state of Rio Grande do Sul. Data collected with clinic and sociodemographic questionnaire and Beck Depression Inventory. Analysis with descriptive and analytical statistics and the chi-square test. Results: 55.2% of participants were elderly, 66.4% men, 90.7% retired, and 60.3% presented depressive symptoms. An association was found between symptoms indicative of depression and the female sex, greater number of comorbidities and post-hemodialysis intercurrences, emotional and physical symptoms, inactivity, failing to perform usual activities and the need for assistance in day-to-day. Conclusion: depressive symptoms are associated with burden of comorbidities, greater number of disease complications, hemodialytic intercurrences and functional dependence. Physical exercise practice can be an effective care strategy.
RESUMOObjetivo: analisar as evidências sobre práticas tradicionais e complementares implementadas por profissionais da saúde para a melhoria da qualidade de vida e depressão de pacientes renais crônicos em hemodiálise. Método: trata-se de estudo bibliográfico, tipo revisão integrativa, com artigos originais publicados de 2012 a setembro de 2017 nas bases BDENF, LILACS, MEDLINE, Scopus e Web of Science. Analisaram-se 26 artigos a partir de figuras. Resultados: evidenciaram-se qualidade de vida prejudicada pela doença renal e hemodiálise e escores de depressão entre 10,2 e 33,6; implantaram-se, mais frequentemente, atividades do tipo mente-corpo, terapia física e outras práticas para a saúde, além do uso de produtos naturais, respectivamente. Incluíram-se, entre as abordagens mente-corpo, atividades educativas, musicoterapia, terapia psicológica e outras, que reduziram a depressão e melhoraram a qualidade de vida. Conclusão: constatou-se que as práticas tradicionais e complementares compreenderam, principalmente, abordagens mente-corpo, que produtos naturais merecem mais investigações e tais ações podem melhorar a qualidade de vida, os sintomas depressivos e devem ser utilizadas para qualificar o cuidado. Descritores: Terapias Complementares; Insuficiência Renal Crônica; Qualidade de Vida; Depressão; Terapias Mente-Corpo; Exercício. ABSTRACT Objective: to analyze the evidence on traditional and complementary practices implemented by health professionals to improve the quality of life and depression of chronic renal patients on hemodialysis. Method: this is a bibliographical study, type integrative, with original articles published from 2012 to September 2017 in the databases BDENF, LILACS, MEDLINE, Scopus and Web of Science. We analyzed 26 articles from figures. Results: quality of life was impaired by renal disease and hemodialysis and depression scores between 10.2 and 33.6; mind-body activities, physical therapy and other health practices, as well as the use of natural products, were implemented more frequently. Included among mind-body approaches were educational activities, music therapy, psychological therapy and others, which reduced depression and improved quality of life. Conclusion: it was found that traditional and complementary practices mainly understood mind-body approaches, that natural products deserve further investigation and such actions can improve quality of life, depressive symptoms and should be used to qualify care. Descriptors: Complementary Therapies; Chronic Renal Insufficiency; Quality of life; Depression; Mind-Body Therapies; Exercise. RESUMEN Objetivo: analizar las evidencias sobre prácticas tradicionales y complementarias implementadas por profesionales de la salud para mejorar la calidad de vida y depresión de pacientes renales crónicos en hemodiálisis. Método: se trata de un estudio bibliográfico, tipo revisión integrativa, con artículos originales publicados de 2012 a septiembre de 2017 en las bases BDENF, LILACS, MEDLINE, Scopus y Web of Science. Se analizaron 26 artículos a partir de figuras. Resultados: se evidenció calidad de vida perjudicada por la enfermedad renal y hemodiálisis, puntajes de depresión entre 10,2 y 33,6; se implantó más a menudo actividades del tipo mente-cuerpo, terapia física y otras prácticas para la salud, y uso de productos naturales, respectivamente. Se incluyeron entre los abordajes mente-cuerpo actividades educativas, musicoterapia, terapia psicológica y otras, que redujeron depresión y mejoraron calidad de vida. Conclusión: se constató que las prácticas tradicionales y complementarias comprendieron principalmente abordajes mente-cuerpo, que productos naturales merecen más investigaciones y tales acciones pueden mejorar la calidad de vida, síntomas depresivos y ser utilizadas para calificar el cuidado. Descritores: Terapias Complementarias; Insuficiencia Renal Crónica; Calidad de Vida; Depresión; Terapias Mente-cuerpo; Ejercicios.
Aim: to describe the process of implementation of the Sistematization of Nursing Assistance (SNA) in a Post Anesthesic Recovering Unit of a general hospital. Methodology: It concerns to an experience report that emerged from the acting as a nurse in the respective unit, allied to the insertion in the Post Graduation lato sensu course in Nursing in a Surgery Center, Anesthesic Recovering and Center of Sterilization material in a private university of the state of Rio Grande do Sul. Results: the implementation of the Sistematization of Nursing Assistance is a process that requires culture change from the old paradigm of practicing Nursing that, sometimes, is reluctant in registrating its actions. In this sense, the nurse performs an important role that goes from the expansion of the scientific knowledge, followed by educational actions directed to the nursing staff, until the implementation, monitoring and evaluation of the quality of the patient assistance, extended to the relatives. Final considerations: during the implementation of the sistematization of the nursing assistance several difficulties emerged from the nurses concerning the execution, knowledge and staff quantity. Besides that, it was evidenced that the use of information technologies can be used as a facilitator factor in the operalization of the daily actions of the nurse and, in this way, contribute to decrease possible errors and to obtain greater reliability to caring. It was evidenced gradual empowerment of the nurses during the implementation of the assistance, and this one, besides contributing to the expansion of quality and safety of the patients, increased their recognition by attended patients. Sistematization of Assistance in Nursing in a Post
Chronic Kidney Disease is associated with the use of polypharmacy and is associated with increased risk of adverse events, drug interactions and decreased adherence to drug treatment. The aim of the present study was to evaluate treatment adherence in patients with chronic kidney disease undergoing hemodialysis. We conducted a cross-sectional, descriptive and analytical survey of all patients enrolled and followed in the Nephrology services of the Ijuí Charity Hospital and the Kidney Clinic, attached to the Santo Ângelo Hospital, from January to June 2017. Data collection was performed through an individual interview, using a structured and validated questionnaire. Depression was assessed by applying the Beck Depression Inventory and adherence was by the Morisky Adhesion Scale. 184 patients were interviewed, and among those interviewed, 66.2% had low adherence. Infarction, repetitive infections and depression were factors statistically significantly associated with poor adherence, as well as the use of more than six medications. Performing physical activities was associated with a greater adherence to medication use. 45.7% of patients responded that they had at some point forgotten to take their medication, and 42.4% stopped taking their medication when they felt their symptoms were under control. Therefore, health education actions, as well as pharmacotherapeutic follow-up of these patients, should be performed with a focus on improving adherence and quality of life, with a view to increasing survival.
Doutora em Ciências-Enfermagem In Memorian RESUMONo Brasil há inúmeras crianças e adolescentes institucionalizados. O acolhimento institucional é realizado como medida de proteção pela ocorrência de violação ao direito à saúde física ou mental. O contexto de vida e o desenvolvimento desses na instituição podem contribuir para a manifestação de processos patológicos. Objetivo: refletir sobre a assistência prestada às crianças e adolescentes em uma instituição de acolhimento. Metodologia: relato de experiência construído a partir da atuação de uma das autoras como assistente social em instituição filantrópica de acolhimento para crianças e adolescentes de um município do noroeste do Rio Grande do Sul, mantido por uma igreja evangélica. O registro de percepções e reflexões foi realizado no primeiro semestre de 2016. Resultados: os menores acolhidos deveriam permanecer temporariamente na instituição, mas muitos permanecem por um longo período e boa parte do seu desenvolvimento ocorre nesse local. Dessa forma, a assistência é multidisciplinar, com escuta terapêutica, ações de reinserção à família extensa, emancipação e atenção psíquica. Conclusão: crianças e adolescentes em situação de acolhimento institucional permanecem muito tempo institucionalizados e apresentam sofrimento psíquico. A atenção deve ser humanizada e compreender ações como escuta terapêutica, reinserção familiar, estabelelcimento de limites e desenvolvimento de capacidade para crescimento pessoal e preparo para a vida fora desse ambiente.
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