Objective To determine and to analyze the theoretical and practical knowledge of Nursing professionals on indirect blood pressure measurement.Methods This cross-sectional study included 31 professionals of a coronary care unit (86% of the Nursing staff in the unit). Of these, 38.7% of professionals were nurses and 61.3% nurse technicians. A validated questionnaire was used to theoretical evaluation and for practice assessment the auscultatory technique was applied in a simulation environment, under a non-participant observation.Results To the theoretical knowledge of the stages of preparation of patient and environment, 12.9% mentioned 5-minute of rest, 48.4% checked calibration, and 29.0% chose adequate cuff width. A total of 64.5% of professionals avoided rounding values, and 22.6% mentioned the 6-month deadline period for the equipment calibration. On average, in practice assessment, 65% of the steps were followed. Lacks in knowledge were primary concerning lack of checking the device calibration and stethoscope, measurement of arm circumference to choose the cuff size, and the record of arm used in blood pressure measurement.Conclusion Knowledge was poor and had disparities between theory and practice with evidence of steps taken without proper awareness and lack of consideration of important knowledge during implementation of blood pressure measurement. Educational and operational interventions should be applied systematically with institutional involvement to ensure safe care with reliable values.

We aimed to evaluate the presence of depression, the ability to perform activities of daily living, and the cognitive function of elderly with hypertension registered in a unit of the family health strategy. A descriptive-quantitative research conducted in Minas Gerais, Brazil, from December 2011 to January 2012, with 172 elderly patients, using a characterization instrument; the Yesavage Geriatric Depression Scale; the Katz Activities of Daily Living Scale; and the Mini-Mental State Examination. We found depressive symptoms in 30.2% of the sample, 93% of the elderly were classified as independent, 2.2% presented partial dependence, and 4.8%, total dependence. By associating the variables "ability to perform activities of daily living" and "depression", we found a statistically significant difference. Thus, we concluded that elderly patients with hypertension present depressive symptoms in a percentage higher than that found in the general population and that most have the ability to perform activities of daily living.

The aim is to evaluate the medication incidents relating to incorrect oral medication preparation and administration through enteral feeding tubes in hospitalized patients. A cross-sectional design was used to observe 374 doses of medications at three Brazilian hospitals. The patients consisted mostly of females (48.6%), elderly (65.71%), using polyurethane tubes (82.9%), with jejunal access (82.9%), and circulatory system diseases (45.71%). The most common medication incidents identified were: mixing tablets with other drug(s) (43.5%) and not labelling the prepared medication (60.4%). With regards to incorrect medication administration, not flushing the tube between medications (86.5%) and administering medications together (65.6%) were the most common errors. Tube obstruction was identified in 36.5% of doses administered. There was an association between tube obstruction and mixing tablet with other drug(s); tablet incorrectly reconstituted; tube not flushed prior to medication administration; tube not properly flushed between medications; concurrent administration of a medication and enteral formula; and enteral feeding not interrupted prior to medication administration. The results contribute to the development of knowledge in order to improve hospital nursing practice, especially in developing countries. Future studies should be conducted in order to access patients' outcomes related to incorrect oral medication preparation and administration through feeding tubes.

Objective:to identify the nursing interventions associated with the most accurate and frequently used NANDA International, Inc. (NANDA-I) nursing diagnoses for patients with liver cirrhosis. Method:this is a descriptive, quantitative, cross-sectional study. Results:a total of 12 nursing diagnoses were evaluated, seven of which showed high accuracy (IVC ≥ 0.8); 70 interventions were identified and 23 (32.86%) were common to more than one diagnosis. Conclusion:in general, nurses often perform nursing interventions suggested in the NIC for the seven highly accurate nursing diagnoses identified in this study to care patients with liver cirrhosis. Accurate and valid nursing diagnoses guide the selection of appropriate interventions that nurses can perform to enhance patient safety and thus improve patient health outcomes.

The aim of this study was to describe the process of developing a nursing assessment tool for hospitalized adult patients with liver cirrhosis. A descriptive study was carried out in three stages. First, we conducted a literature review to develop a data collection tool on the basis of the Conceptual Model of Wanda Horta. Second, the data collection tool was assessed through an expert panel. Third, we conducted the pilot testing in hospitalized patients. Most of the comments offered by the panel members were accepted to improve the tool. The final version was in the form of a questionnaire with open-closed questions. The panel members concluded that the tool was useful for accurate nursing diagnosis. Horta's Conceptual Model assisted with the development of this data collection tool to help nurses identify accurate nursing diagnosis in hospitalized patients with liver cirrhosis. We hope that the tool can be used by all nurses in clinical practice.

Nutrition and health-related quality of life among people with hypertension Alimentação e qualidade de vida relacionada à saúde de pessoas com hipertensão arterial sistêmica Nutrición y calidad de vida relacionada con la salud de personas con hipertensión arterial

Objective: to assess life satisfaction of elderly people practicing physical activity in social projects. Method: this is a study with a descriptive and transversal design carried out with 37 elderly people practicing physical activity in social projects in the southern Minas Gerais state, Brazil. Two instruments were used for data collection, one aiming to characterize the sample and another one intending to assess life satisfaction. The mean score, calculated for the instrument to assess life satisfaction, consisted in the attribution of values to the "nominal answers", so that it was possible to understand the variation among them and establish an answer representing the perception of most of the interviewed individuals. This research was approved by the Research Ethics Committee of Universidade Jose do Rosario Vellano (Protocol 269-2010). Results: with regard to the time of participation in social projects, it was found that 32.4% of the individuals participate in projects involving physical activity for 3-4 years. Regarding chronic diseases presented by the elderly people, it was found that 86.4% have some disease, being high blood pressure the most reported one. Considering life satisfaction, it was found a mean total score of 3.88; in the physical health aspect, the score was 3.94; in the mental health aspect, 3.81; in the physical capacity aspect, 3.66; and in the social involvement, 4.14. Conclusion: physical activity, along with the participation in social projects, allows the elderly person's resocialization, improvements to her/his quality of life, and promotion of citizenship. Descriptors: elderly; physical activity; health of the elderly; old age assistance; aging.RESUMOObjetivo: avaliar a satisfação com a vida de idosos praticantes de atividade física em projetos sociais. Método: trata-se de estudo de caráter descritivo com delineamento transversal realizado com 37 idosos praticantes de atividade física em projetos sociais no sul de Minas Gerais. Para a coleta de dados foram utilizados dois instrumentos, um destinado à caracterização da amostra e outro para avaliação da satisfação com a vida. O escore médio, calculado para o instrumento de avaliação da satisfação com a vida, consistiu na atribuição de valores às “respostas nominais”, de tal forma que se possibilitasse entender a variação entre elas e estabelecer uma resposta que representa a percepção da maioria dos entrevistados. Esta pesquisa foi aprovada pelo Comitê de Ética em Pesquisa da Universidade José do Rosário Vellano (Protocolo n. 269/2010). Resultados: com relação ao tempo de participação em projetos sociais, constatou-se que 32,4% dos indivíduos participam de projetos voltados a atividade física há 3-4 anos. Em relação às doenças crônicas apresentadas pelos idosos, constatou-se que 86,4% possuem alguma doença, sendo a hipertensão arterial a mais relatada. Considerando-se a satisfação com a vida, encontrou-se um escore total médio de 3,88; no aspecto saúde física, o escore foi de 3,94; no aspecto saúde mental, 3,81; no aspecto capacidade física, 3,66; e no envolvimento social, 4,14. Conclusão: a atividade física, juntamente com a participação em projetos sociais, possibilita a ressocialização do idoso, melhorias em sua qualidade de vida e promoção da cidadania. Descritores: idoso; atividade física; saúde do idoso; assistência a idosos; envelhecimento.RESUMENObjetivo: evaluar la satisfacción con la vida de los ancianos practicantes de actividad física en proyectos sociales. Método: esto es un estudio de carácter descriptivo con diseño transversal realizado con 37 ancianos practicantes de actividad física en proyectos sociales en el sur del estado de Minas Gerais, Brasil. Para la recogida de datos fueron utilizados dos instrumentos, uno para la caracterización de la muestra y otro para evaluación de la satisfacción con la vida. La puntuación media, calculada para el instrumento de evaluación de la satisfacción con la vida, consistió en la atribución de valores a las "respuestas nominales", de tal manera que se pudiese comprender la variación entre ellas y establecer una respuesta que representa la percepción de la mayoría de los entrevistados. Esta investigación fue aprobada por el Comité de Ética en Investigación de la Universidade José do Rosário Vellano (Protocolo 269/2010). Resultados: con relación al tiempo de participación en proyectos sociales, se constató que 32,4% de los individuos participan en proyectos de actividad física hay 3-4 años. En cuanto a las enfermedades crónicas presentadas por los ancianos, se constató que 86,4% tienen alguna enfermedad, siendo la hipertensión arterial la más reportada. Considerándose la satisfacción con la vida, se encontró una puntuación total media de 3,88; en el aspecto salud física, la puntuación fue de 3,94; en en el envolvimiento social, 4,14. Conclusión: la actividad física, junto con la participación en proyectos sociales, posibilita la resocialización del anciano, mejoras eel aspecto salud mental, 3,81; en el aspecto capacidad física, 3,66; y n su calidad de vida y promoción de la ciudadanía. Descriptores: anciano; actividad física; salud del anciano; asistencia a los ancianos; envejecimiento.

doi: 10.5216/ree.v15i2.17034 - http://dx.doi.org/10.5216/ree.v15i2.17034. RESUMO O objetivo deste estudo foi verificar a associação da depressão com o estilo de vida em idosos hipertensos atendidos em uma Unidade de Estratégia de Saúde da Família, localizada no Sul de Minas Gerais. Pesquisa quantitativa, analítica, com 102 idosos hipertensos, aos quais se aplicou entrevista para verificar perfil, questões relacionadas à saúde, depressão, atividade física, etilismo e tabagismo, no período de junho a julho/2011. Utilizou-se o Teste Exato Fisher para a realização da análise estatística. Verificou-se que 73 (71,5%) eram mulheres; 28 (27,45%) tinham de 60-65 anos; 44 (43,1%) apresentaram sintomas de depressão; seis (5,9%) foram classificados como sedentários; 25 (24,5%) consomem bebida alcoólica e 14 (13,7%) são tabagistas. Pôde-se concluir que os idosos hipertensos apresentam sintomas depressivos em uma porcentagem superior àquela encontrada na população geral, entretanto não houve diferença estatisticamente significativa ao associar as variáveis relacionadas ao estilo de vida com a depressão. Descritores: Hipertensão; Depressão; Estilo de Vida; Idoso.