Objective. To identify the profile of nursing diagnoses in people with hypertension and diabetes in primary health care. Methods. A cross-sectional study involving 175 individuals followed up in eight primary health units of Minas Gerais, Brazil. Data collection was made through interview and physical examination, and diagnostic inference was made according with NANDA-I Taxonomy II. Results. The average age of the users was 62.1 years and the female gender predominated (66.9%). A total of 26 diagnoses were identified, an average of 16 per client (standard deviation=3.9). The most frequent problem-focused diagnosis were: Ineffective Health Management (98.9%), Ineffective Peripheral Tissue Perfusion (78.3%), Sedentary lifestyle (74.3%), Obesity (54.3%) and Insomnia (51.4%). With respect to the defining characteristics and related factors, the average per person was 24 and 28, respectively. Conclusion. In this group of clients, the most frequent diagnoses were in the domain activity/rest. These diagnoses are the basis for planning nursing interventions and provide improved quality of life for these clients.

ABSTRACT:The aim was to develop a nursing care protocol for the prevention and treatment of chemotherapy-induced mucositis at an outpatient clinic of a High Complexity Center in Oncology. A qualitative convergent-care research was undertaken. The construction of the protocol was driven by the criteria of Evidence-Based Practice. Data were collected from January to June 2013 in two steps. Firstly, we collected data on medical charts of customers to obtain sociodemographic and therapeutic data and nursing interventions performed for prevention, detection and treatment of mucositis. After this first step, workshops were held with the nurses to validate the available material and human resources, besides the feasible care to compose the protocol. Care was related to oral hygiene, mouth rinse, cryotherapy, laser therapy and interventions related to the nutritional scope. The implementation of this care protocol has standardized the care strategies. DESCRIPTORS: PREVENCIÓN Y TRATAMIENTO DE LA MUCOSITIS EN AMBULATORIO DE ONCOLOGÍA: UNA CONSTRUCCIÓN COLECTIVA RESUMEN:El objetivo fue elaborar un protocolo asistencial de enfermería para prevención y tratamiento de la mucositis inducida por quimioterapia en un ambulatorio de un Centro de Alta Complejidad en Oncología. Investigación cualitativa del tipo ConvergenteAsistencial. La construcción del protocolo fue orientada por los criterios de la Práctica Basada en Evidencias. La recopilación de datos fue realizada en el periodo de enero a junio de 2013 en dos etapas. Inicialmente, recopilamos datos en los historiales médicos de los clientes, con el fin de conocer datos sociodemográficos y terapéuticos e intervenciones de enfermería para prevención, detección y tratamiento de la mucositis. Después de esta primera etapa, se procedió a la realización de talleres con las enfermeras, con miras a la validación de los recursos materiales y humanos disponibles, además de los cuidados razonables para componer el protocolo. Han surgido cuidados relacionados con la higiene oral, enjuague bucal, crioterapia, terapia láser y intervenciones relacionadas con el ámbito nutricional. La implementación de este protocolo de cuidados estandarizó las estrategias de cuidado.DESCRIPTORES: Enfermería oncológica. Quimioterapia. Mucositis. Cuidados de enfermería.

Objective: Evaluating the effectiveness of a musical intervention in reducing anxiety and vital parameters in people suffering from head and neck cancer. Method: A randomized controlled clinical trial, performed in a head and neck outpatient clinic with 40 participants, subdivided into two groups (intervention and control). The classical music "Spring" from The Four Seasons by Vivaldi was used as an intervention. The State-Trait Anxiety Inventory (STAI) was used as the data collection instrument, along with an inventory of socio-demographic and clinical data. Student's t-test was used to verify intragroup and intergroup statistical significance. Results: Participants presented a statistically significant reduction in levels of perceived anxiety (t = 12.68; p<0.001), as well as blood pressure levels (t = 4.56; p<0.001); pulse (t = 6.15; p<0.001) and respiratory rate (t = 5.10; p<0.001). Conclusion: Music has proven to be an effective non-pharmacological therapeutic resource in managing anxiety in an outpatient setting for people with cancer, as well as in reducing blood pressure, pulse and respiratory rate. Brazilian Registry of Clinical Trials: RBR-7W4YJJ. descriPtOrs Music Therapy; Anxiety; Head and Neck Neoplasms; Humanization of Assistance; Oncology Nursing. Control of anxiety through music in a head and neck outpatient clinic: a randomized clinical trialUso da música no controle da ansiedade em ambulatório de cabeça e pescoço: ensaio clínico randomizado Uso de música en el control de la ansiedad en clínicas externas de cabeza y cuello: ensayo clínico aleatorizado

Objective: to construct and validate educational technology on COVID-19 and essential care for families of children/adolescents with sickle cell disease. Methods: this is a methodological study, in three stages: 1) elaborated educational technology, using the Doak, Doak and Root theoretical-methodological model; 2) content and appearance validation by the content validity coefficient. Delphi technique was applied in two rounds (Delphi I [12 judges]/Delphi II [11 judges]); 3) conducting a pilot test with six families. Results: “Sickle cell disease and COVID-19: essential care” included: consequences of COVID-19 in sickle cell disease, guidelines for reducing the risks of contracting the virus and having complications, signs and symptoms of COVID-19, guidelines in case of child/adolescent with suspicion or symptoms of COVID-19. Global content validity coefficient (Delphi II): 0.98. Conclusion: educational technology presented content and appearance validity for families of children/adolescents with sickle cell disease, related to COVID-19.

ABSTRACT Objectives: to identify and synthesize scientific evidence on prevention and management of extravasation of antineoplastic agents in adult patients by nurses. Methods: scoping review, according to Joanna Briggs Institute and PRISMA-ScR. Research was conducted in five electronic databases, Cochrane Library and eight catalogs of theses and dissertations. Data collection occurred from April to July 2018, with no time limit. The extracted data were analyzed and synthesized in a narrative way. Results: a total of 3,110 records were retrieved and 18 studies were kept for review. Most publications (66.6%) had a qualitative approach and addressed both aspects, i.e., prevention and management of extravasation of chemotherapy in adult patients. Conclusions: the implementation of protocols based on scientific evidence on prevention and management of extravasation of antineoplastic agents is paramount in order to provide patient safety and support to the nursing staff.

Objetivo: descrever o conhecimento de adolescentes do 9o ano do ensino fundamental de escolas públicas sobre vacinas, as doenças imunopreveníveis e as doenças transmissíveis.Métodos: Estudo epidemiológico transversal, descritivo, desenvolvido com 605 adolescentes de 22 escolas públicas de um município de grande porte do Estado de Minas Gerais, Brasil.Resultados: as fontes de informação mais citadas pelos adolescentes sobre infecções transmissíveis e formas de prevenção foram a escola (65,1%), comunicação de massa (48,4%), e pai e mãe (29,9%). Sobre o conhecimento de infecções/doenças imunopreveníveis, 61,5% dos adolescentes citaram a febre amarela (FA) e 5,6% o papilomavírus humano (HPV). Ademais, 60,7% relataram serem vacinado contra a paralisia infantil, 56% contra a FA, e 5% contra o HPV. A cobertura vacinal média identificada na coleta de dados foi de 45,1%, aumentando para 91% após a vacinação. Considerando as respostas dos adolescentes sobre as vacinas presentes no cartão e qual imunobiológico já tivesse vacinado, a análise de Kappa evidenciou concordância substancial em relação à vacina contra FA e concordância moderada entre as demais vacinas.Conclusão: Evidenciou-se: (des)informação dos adolescentes sobre vacinas, doenças transmissíveis e as imunopreveníveis; baixa cobertura vacinal (41%); a comunicação/informação em saúde foram efetivas na decisão dos adolescentes de se vacinarem, aumentando a cobertura vacinal (91%).

Objective: to identify and synthesize the scientific evidence on cancer patient safety in the administration of antineoplastic and immunotherapeutic chemotherapeutic agents. Method: a scoping review, according to the Joanna Briggs Institute and to the recommendations of the PRISMA-ScR international guide. The research was conducted in five electronic databases, the Cochrane Library and eight catalogs of theses and dissertations. The inclusion criteria were the following: studies related to patient safety in the administration of antineoplastic and immunotherapeutic chemotherapy by nurses in places where cancer care occurs, published entirely in Portuguese, Spanish and/or English, with no time limit. The extracted data were analyzed and synthesized in narrative form. Results: a total of 14,444 records were retrieved and 47 studies were kept for review. Most publications (44.7%) had a qualitative approach, while 40.4% were quantitative and 14.9%, mixed. When summarizing the findings, the following themes emerged: Safety standards in parenteral administration of antineoplastic chemotherapy; Good practices for patient safety using oral antineoplastic therapy; Administration and safe handling of immunotherapies; Prevention and management of errors related to the administration of antineoplastic and immunotherapeutic chemotherapeutic agents. Conclusion: patients safety with cancer in the administration of antineoplastic therapy occurs when there is implementation of evidence-based protocols, continuing education of nurses and implementation of safety standards and processes, as a strategy to prevent errors in drug administration.

Construção e avaliação de bundle frente ao extravasamento de antineoplásicos: estudo metodológico Bundle construction and assessment before antineoplastic extravasation: a methodological study Construcción y evaluación de bundle ante la extravasación de antineoplásicos: estudio metodológico