Associação Brasileira de Enfermagem em Nefrologia: compromisso com a qualidade do exercício profissional da especialidade

Barbosa, Dulce Aparecida; Belasco, Angélica Gonçalves Silva

doi:10.1590/s0103-21002009000800001

Cited by 2 publications

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“…A doença renal crônica é considerada problema de saúde pública em todo o mundo (1) . O Brasil tem hoje a terceira maior população mundial em diálise, e esse número vêm crescendo em média 9,4% ao ano (2) .…”

Section: Introductionunclassified

Scientific practices in clinic nurses hemodialysis / Práticas científicas dos enfermeiros em clínicas de hemodiálise / Prácticas científicas enfermeras en clínica de hemodiálisis

et al. 2015

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Este estudo objetivou identificar como a produção científica está inserida enquanto prática nas atividades dos enfermeiros que trabalham em clínicas de hemodiálise da cidade do Recife e Região Metropolitana. Estudo transversal, exploratório de abordagem quantitativa, desenvolvido em 14 clínicas de hemodiálise. A amostra foi composta por 84 enfermeiros. A análise dos dados foi feita no software SPSS versão 13. Pesquisa aprovada sob protocolo nº 2151-11 e CAAE nº 0280.0.099.000-10. Verificou-se que as atividades científicas estão sendo iniciadas, 39,3% da amostra já participaram de alguma pesquisa junto a outros profissionais e 22,6% já realizaram alguma pesquisa na clínica que trabalha. Sendo os especialistas em Nefrologia os mais dedicados à pesquisa. Contudo apenas 11,9% informaram ter publicado seus trabalhos em revista científica. Os resultados deste estudo evidenciaram que ainda há necessidade de avançar as práticas científicas, mas já se percebe o início de um despertar pelo conhecimento. Descritores: Enfermagem; Pesquisa em enfermagem; Diálise renal; Insuficiência renal crônica; Educação.

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Section: Introductionunclassified

Scientific practices in clinic nurses hemodialysis / Práticas científicas dos enfermeiros em clínicas de hemodiálise / Prácticas científicas enfermeras en clínica de hemodiálisis

et al. 2015

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Monitoramento do anticorpo anti-HBs em indivíduos renais crônicos vacinados contra hepatite B de um município do interior paulista

Lopes¹

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Vaccination is the most important, inexpensive and effective method to prevent the transmission of hepatitis B virus (HBV). The vaccine is indicated for individuals with chronic renal failure due to the increased risk for acquiring HBV during hemodialysis and transfusion of blood or derivatives, should be administered as early as possible to patients entering the dialysis program, while individuals are good responders. This study aimed to evaluate the monitoring of anti-HBs antibodies in patients with chronic renal failure who initiated hemodialysis in 2005 and remained in follow-up for up to four years in the city of Ribeirão Preto, state of São Paulo. It is a retrospective cohort study which was developed in four hemodialysis units that assist individuals with chronic renal failure in Ribeirão Preto. The source of information was composed of the review of health records and the sample was consisted of 102 individuals with chronic renal failure. Of the 102 participants, 58.8% were male and the predominant age group was ≤ 45 years; 52.3% of them died; 18.5% were undergone to kidney transplantation; 20% were transferred; and in 9.2% of the cases, the reasons for discontinuing follow up were not described in the records. The proportion of individuals who received the complete vaccination against hepatitis B was of 35.3%; the vaccination scheme used for immunization in 94.4% of the individuals was of three doses of 40 mcg; and in 5.6% was of four doses of 40 mcg; the vaccination was performed before initiating hemodialysis in 13.9% of individuals. 16.7% of them received the booster dose of vaccine and the number of doses ranged from one to three doses. The seroconversion rate of hepatitis B vaccine in hemodialysis patients who received the full vaccination schedule was of 72.2%. Related to the anti-HBs test in the period of admission to the hemodialysis unit, 29.4% of the patients had records of this test. The titers of anti-HBs were not accomplished every six months in 62.7% of the individuals. Evaluating the persistence of vaccine immunity against hepatitis B virus in hemodialysis patients, 39.2% of the them remained with the titers of anti-HBs always reagents throughout the study, being therefore, responders to the vaccine against hepatitis B. Data analysis highlighted unsatisfactory rates of vaccination against hepatitis B during the hemodialysis treatment as well as difficulties to follow the vaccination protocol implemented, give a booster dose, and request serology for anti-HBs. Thus, it was observed the need for professional staff who works at hemodialysis units to adopt, in their practice, the use of instruments to facilitate and enable greater control and monitoring of hepatitis B vaccination and titers of anti-HBs.

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Associação Brasileira de Enfermagem em Nefrologia: compromisso com a qualidade do exercício profissional da especialidade

Cited by 2 publications

References 0 publications

Scientific practices in clinic nurses hemodialysis / Práticas científicas dos enfermeiros em clínicas de hemodiálise / Prácticas científicas enfermeras en clínica de hemodiálisis

Scientific practices in clinic nurses hemodialysis / Práticas científicas dos enfermeiros em clínicas de hemodiálise / Prácticas científicas enfermeras en clínica de hemodiálisis

Monitoramento do anticorpo anti-HBs em indivíduos renais crônicos vacinados contra hepatite B de um município do interior paulista

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