Ana Paula Almeida Corrêa

Prevalence of smoking among employees of a university hospital

Este e um estudo transversal, e teve como objetivo identificar a prevalencia do tabagismo em funcionarios de um hospital universitario do Sul do Brasil. A coleta de dados ocorreu no ano 2008, durante exame periodico de saude dos funcionarios, por meio de questionario, de acordo com a condicao tabagica dos mesmos. A amostra ficou constituida por 1.475 sujeitos, desses, 979 (66,4%) eram nao fumantes, 295 (20%) ex-fumantes e 201 (13,6%) fumantes. O predominio de fumantes esta entre funcionarios com menor nivel de instrucao e entre aqueles que exerciam atividades em cargos administrativos. Identificou-se, entre os fumantes, dependencia leve, desejo e grau de motivacao elevados para cessar o tabagismo, sendo o principal motivo a preocupacao com a saude. Assim, considerando-se a motivacao dos funcionarios para parar de fumar, recomenda-se aproveitar esse momento para realizar trabalho de educacao em saude e apoio profissional especifico, para que o processo de cessacao do tabagismo ocorra.This cross-sectional study aimed to identify the prevalence of smoking among employees of a university hospital in Southern Brazil. Data collection happened in 2008, during the periodic health exam, using a questionnaire, according to the smoking status of the employees. The sample consisted of 1,475 subjects, in which 979 (66.4%) were non-smokers, 295 (20%) former smokers and 201 (13.6%) smokers. Smoking was more prevalent among employees with lower education levels and among professionals in administrative positions. Among smokers, low dependence was identified, as well as desire and high degree of motivation to stop smoking, with health concerns as the main reason. Thus, taking into account the motivation of smokers to stop smoking, this is an appropriate time for health education and specific support to employees in the process of smoking cessation.

Tabagismo em uma escola de enfermagem do sul do Brasil

This cross-sectional study aimed at identifying the prevalence of smoking among students, professors, and administrative technical staff in a nursing school in southern Brazil. The data was collected in 2009 through specific questionnaires given to smokers, ex-smokers, and nonsmokers. The sample constituted of 426 subjects, 21 (5%) smokers, 26 (6.1%) ex-smokers and 376 (88.9%) nonsmokers, which represented 77.5% of the studied population. The prevalence of smokers is among the administrative technical staff, 8 (38.1%); of ex-smokers among professors, 9 (34.6%); and nonsmokers among students, 317 (83.6%), with significant statistical difference (p<0,001). The majority of smokers have lower formal educational levels and very low nicotine dependence (0-2 points). The knowledge of the prevalence of smoking in the institution favors intervention that seeks to prevent and cease the practice of smoking tobacco in health and educational environment. dEscriptors: Smoking. Prevalence. Nursing. Nursing students.This cross-sectional study aimed at identifying the prevalence of smoking among students, professors, and administrative technical staff in a nursing school in southern Brazil. The data was collected in 2009 through specific questionnaires given to smokers, ex-smokers, and nonsmokers. The sample constituted of 426 subjects, 21 (5%) smokers, 26 (6.1%) ex-smokers and 376 (88.9%) nonsmokers, which represented 77.5% of the studied population. The prevalence of smokers is among the administrative technical staff, 8 (38.1%); of ex-smokers among professors, 9 (34.6%); and nonsmokers among students, 317 (83.6%), with significant statistical difference (p<0,001). The majority of smokers have lower formal educational levels and very low nicotine dependence (0-2 points). The knowledge of the prevalence of smoking in the institution favors intervention that seeks to prevent and cease the practice of smoking tobacco in health and educational environment. dEscriptors: Smoking. Prevalence. Nursing. Nursing students. tabaqUismo En Una EscUEla dE EnfErmEria al sUr dEl brasil rEsUmEn: Es un estudio transversal con el objetivo de identificar la prevalencia de fumadores entre los profesores, estudiantes y personal administrativo de una escuela de enfermeria en el sur de Brasil. Los datos se recolectaron en 2009, a traves de cuestionarios especificos para los fumadores, ex fumadores y no fumadores y se analizaron mediante paquete estadistico para las Ciencias Sociales. La muestra consistio de 426 sujetos, 21 (5%) fumadores, 26 (6,1%) ex fumadores y 376 (88,9%) no fumadores, lo que representa el 77,5% de la poblacion estudiada. La prevalencia de fumadores se encuentra entre el personal administrativo, 8 (38,1%); de los ex fumadores entre los profesores, 9 (34,6%); y no fumadores entre los estudiantes, 317 (83,6%), diferencia estadisticamente significativa (p <0,001). La mayoria de los fumadores tienen poca educacion y muy baja dependencia a la nicotina (0-2 puntos). El conocimiento de la prevalencia del tabaquismo en la institucion favorece el uso de intervenciones dirigidas a la prevencion y el cese de la practica de fumar en este ambiente de salud y educacion. dEscriptorEs: Tabaquismo. Prevalencia. Enfermeria. Estudiantes de enfermeria.

Nasoenteral tube: factors associated with delay between indication and use in emergency services

Objetivo: conhecer o tempo entre indicacao e uso da sonda nasoenteral (SNE) e fatores associados a atrasos. Metodo: coorte prospectiva que acompanhou adultos de uma Emergencia brasileira, desde a indicacao ao uso da SNE, avaliando-se variaveis clinicas e do processo de trabalho. Adotou-se o modelo de Equacoes de Estimacoes Generalizadas para identificar fatores associados a atrasos em cada etapa do processo. Resultados: o tempo entre indicacao e uso da SNE foi 573 (IQR: 360-1093) minutos, em 150 insercoes de SNE. Insercoes em pacientes que anteriormente nao a utilizavam, retardos na rotina assistencial medica, da nutricao e enfermagem, uso de ventilacao mecânica, noradrenalina e jejum foram fatores para maior tempo ate o uso da sonda. Conclusao: o tempo entre indicacao e uso de SNE foi elevado, excedendo 10 horas em metade dos casos. Fatores relacionados as condicoes clinicas do paciente e a gestao da assistencia contribuiriam para atrasos.OBJECTIVE to know the time between indication and use of a nasoenteral tube (NET) and factors associated with delays. METHOD A prospective cohort study that followed adults in a Brazilian emergency department, since the indication of the use of a NET, evaluating clinical variables and the work process. The Generalized Estimated Equations model was adopted to identify factors associated with the delays in each stage of the process. RESULTS the time between indication and use of NET was 573 (IQR: 3601,093) minutes, in 150 insertions of NET. Insertions in patients who previously did not use it; delays in the medical, nutrition, and nursing care routine; use of mechanical ventilation; noradrenaline; and fasting were factors for longer time before the use of the tube. CONCLUSION the time between indication and use of NET was high, exceeding 10 hours in half of the cases. Factors related to the clinical condition of the patient and to the care management would contribute to delays.

Complicações durante a internação de receptores de transplante renal

The objective of the study was to identify the complications in patients that have received a renal transplant. A Historical cohort performed in a university hospital from January/2007 through January/2009 with a sample of 179 patients; data collected retrospectively from the medical history of patients and submitted to statistical analyses. Mean age of patients was 43 (SD=13.7) years, 114 (63.7%) men, 95 (65.1%) non smokers and 118(66.93%) received the graft from a deceased donor. The main complications were rejection 68 (32.1%) and infection 62 (29.2%). There was statistical significance between rejection and median days of hospital stay (p < 0.001); days of use of central venous catheter (p = 0.010) and smoking status (p = 0.008); infection and central venous catheter (p = 0.029); median days of hospital stay (p < 0.001) and time of use of urinary catheter (p = 0.009). It was concluded that it is important to reduce the days of hospital stay and permanence of catheters, which may be considered in the planning of nursing care.O objetivo do estudo foi identificar complicacoes ocorridas em pacientes receptores de transplante renal. Coorte historica realizada em hospital universitario entre janeiro de 2007 e janeiro de 2009 com amostra de 179 pacientes; dados coletados retrospectivamente em base de dados e prontuario e, em seguida, analisados estatisticamente. A media de idade dos pacientes foi de 43 (DP=13,7) anos, sendo 114 (63,7%) homens, 95 (65,1%) nao fumantes e 118 (66,3%) receptores de doadores falecidos. As principais complicacoes foram rejeicao 68 (32,1%) e infeccao 62 (29,2%). Houve associacao estatisticamente significativa entre rejeicao e mediana dos dias de internacao (p<0,001); dias de uso de cateter venoso central (p=0,010) e status tabagico (p=0,008); infeccao e cateter venoso central (p=0,029), mediana dos dias de internacao (p<0,001) e tempo de uso de sonda vesical (p=0,009). Concluiu-se ser importante diminuir os dias de internacao e a permanencia de cateteres, o que pode ser levado em consideracao no planejamento do cuidado de enfermagem.

Smoking in a nursing school in southern Brazil

This cross-sectional study aimed at identifying the prevalence of smoking among students, professors, and administrative technical staff in a nursing school in southern Brazil. The data was collected in 2009 through specific questionnaires given to smokers, ex-smokers, and nonsmokers. The sample constituted of 426 subjects, 21 (5%) smokers, 26 (6.1%) ex-smokers and 376 (88.9%) nonsmokers, which represented 77.5% of the studied population. The prevalence of smokers is among the administrative technical staff, 8 (38.1%); of ex-smokers among professors, 9 (34.6%); and nonsmokers among students, 317 (83.6%), with significant statistical difference (p<0,001). The majority of smokers have lower formal educational levels and very low nicotine dependence (0-2 points). The knowledge of the prevalence of smoking in the institution favors intervention that seeks to prevent and cease the practice of smoking tobacco in health and educational environment. dEscriptors: Smoking. Prevalence. Nursing. Nursing students.This cross-sectional study aimed at identifying the prevalence of smoking among students, professors, and administrative technical staff in a nursing school in southern Brazil. The data was collected in 2009 through specific questionnaires given to smokers, ex-smokers, and nonsmokers. The sample constituted of 426 subjects, 21 (5%) smokers, 26 (6.1%) ex-smokers and 376 (88.9%) nonsmokers, which represented 77.5% of the studied population. The prevalence of smokers is among the administrative technical staff, 8 (38.1%); of ex-smokers among professors, 9 (34.6%); and nonsmokers among students, 317 (83.6%), with significant statistical difference (p<0,001). The majority of smokers have lower formal educational levels and very low nicotine dependence (0-2 points). The knowledge of the prevalence of smoking in the institution favors intervention that seeks to prevent and cease the practice of smoking tobacco in health and educational environment. dEscriptors: Smoking. Prevalence. Nursing. Nursing students. tabaqUismo En Una EscUEla dE EnfErmEria al sUr dEl brasil rEsUmEn: Es un estudio transversal con el objetivo de identificar la prevalencia de fumadores entre los profesores, estudiantes y personal administrativo de una escuela de enfermeria en el sur de Brasil. Los datos se recolectaron en 2009, a traves de cuestionarios especificos para los fumadores, ex fumadores y no fumadores y se analizaron mediante paquete estadistico para las Ciencias Sociales. La muestra consistio de 426 sujetos, 21 (5%) fumadores, 26 (6,1%) ex fumadores y 376 (88,9%) no fumadores, lo que representa el 77,5% de la poblacion estudiada. La prevalencia de fumadores se encuentra entre el personal administrativo, 8 (38,1%); de los ex fumadores entre los profesores, 9 (34,6%); y no fumadores entre los estudiantes, 317 (83,6%), diferencia estadisticamente significativa (p <0,001). La mayoria de los fumadores tienen poca educacion y muy baja dependencia a la nicotina (0-2 puntos). El conocimiento de la prevalencia del tabaquismo en la institucion favorece el uso de intervenciones dirigidas a la prevencion y el cese de la practica de fumar en este ambiente de salud y educacion. dEscriptorEs: Tabaquismo. Prevalencia. Enfermeria. Estudiantes de enfermeria.

Prevalência do tabagismo em funcionários de um hospital universitário

Este e um estudo transversal, e teve como objetivo identificar a prevalencia do tabagismo em funcionarios de um hospital universitario do Sul do Brasil. A coleta de dados ocorreu no ano 2008, durante exame periodico de saude dos funcionarios, por meio de questionario, de acordo com a condicao tabagica dos mesmos. A amostra ficou constituida por 1.475 sujeitos, desses, 979 (66,4%) eram nao fumantes, 295 (20%) ex-fumantes e 201 (13,6%) fumantes. O predominio de fumantes esta entre funcionarios com menor nivel de instrucao e entre aqueles que exerciam atividades em cargos administrativos. Identificou-se, entre os fumantes, dependencia leve, desejo e grau de motivacao elevados para cessar o tabagismo, sendo o principal motivo a preocupacao com a saude. Assim, considerando-se a motivacao dos funcionarios para parar de fumar, recomenda-se aproveitar esse momento para realizar trabalho de educacao em saude e apoio profissional especifico, para que o processo de cessacao do tabagismo ocorra.This cross-sectional study aimed to identify the prevalence of smoking among employees of a university hospital in Southern Brazil. Data collection happened in 2008, during the periodic health exam, using a questionnaire, according to the smoking status of the employees. The sample consisted of 1,475 subjects, in which 979 (66.4%) were non-smokers, 295 (20%) former smokers and 201 (13.6%) smokers. Smoking was more prevalent among employees with lower education levels and among professionals in administrative positions. Among smokers, low dependence was identified, as well as desire and high degree of motivation to stop smoking, with health concerns as the main reason. Thus, taking into account the motivation of smokers to stop smoking, this is an appropriate time for health education and specific support to employees in the process of smoking cessation.

Motivos que contribuem para indivíduos de uma escola de nível superior tornarem-se ou não tabagistas

Estudo transversal que objetivou identificar motivos que contribuem para individuos de uma escola de nivel superior tornarem-se ou nao tabagistas. Os dados foram coletados em 2009, em questionarios especificos, analisados estatisticamente. A amostra foi de 426 sujeitos, destes 21 (5%) fumantes, 26 (6,1%) ex-fumantes e 376 (88,9%) naofumantes. A principal motivacao dos fumantes para cessar o tabagismo sao os problemas de saude advindos do cigarro e dentre os fatores que dificultam esse processo esta a dependencia a nicotina. Ex-fumantes dizem que questoes emocionais e o prazer causado pelo cigarro podem faze-los voltar a fumar, e se mantem em abstinencia por estarem determinados a nao querer fumar. Nao-fumantes relatam nao gostarem do cigarro, seu cheiro e fumaca. Os motivos para ser ou nao tabagista podem subsidiar a realizacao de acoes de educacao em saude, com vistas a coibir o inicio e promover a sua cessacao.

Sonda nasoenteral : fatores associados ao delay entre indicação e uso em emergência

Objetivo: conhecer o tempo entre indicacao e uso da sonda nasoenteral (SNE) e fatores associados a atrasos. Metodo: coorte prospectiva que acompanhou adultos de uma Emergencia brasileira, desde a indicacao ao uso da SNE, avaliando-se variaveis clinicas e do processo de trabalho. Adotou-se o modelo de Equacoes de Estimacoes Generalizadas para identificar fatores associados a atrasos em cada etapa do processo. Resultados: o tempo entre indicacao e uso da SNE foi 573 (IQR: 360-1093) minutos, em 150 insercoes de SNE. Insercoes em pacientes que anteriormente nao a utilizavam, retardos na rotina assistencial medica, da nutricao e enfermagem, uso de ventilacao mecânica, noradrenalina e jejum foram fatores para maior tempo ate o uso da sonda. Conclusao: o tempo entre indicacao e uso de SNE foi elevado, excedendo 10 horas em metade dos casos. Fatores relacionados as condicoes clinicas do paciente e a gestao da assistencia contribuiriam para atrasos.OBJECTIVE to know the time between indication and use of a nasoenteral tube (NET) and factors associated with delays. METHOD A prospective cohort study that followed adults in a Brazilian emergency department, since the indication of the use of a NET, evaluating clinical variables and the work process. The Generalized Estimated Equations model was adopted to identify factors associated with the delays in each stage of the process. RESULTS the time between indication and use of NET was 573 (IQR: 3601,093) minutes, in 150 insertions of NET. Insertions in patients who previously did not use it; delays in the medical, nutrition, and nursing care routine; use of mechanical ventilation; noradrenaline; and fasting were factors for longer time before the use of the tube. CONCLUSION the time between indication and use of NET was high, exceeding 10 hours in half of the cases. Factors related to the clinical condition of the patient and to the care management would contribute to delays.

Profile and motivation for smoking cessation in surgical inpatients

Estudo transversal que objetivou identificar o perfil e a motivacao para a cessacao do tabagismo em pacientes cirurgicos hospitalizados. A amostra foi aleatoria de 100 pacientes de um hospital universitario do Sul do Brasil. Os dados foram coletados entre fevereiro e maio de 2013 e analisados pela estatistica descritiva. Os resultados evidenciaram que 58(58%) eram homens, com idade de 54,5±13,8 anos, 79(79%) brancos, 38(38%) casados e 67 (67%) com ensino fundamental. Oinicio do fumo ocorreu aos 17±6,6 anos, com consumo de20(10-28,7) cigarros/dia e com37,4±14,4 anos de fumo. Noventa e um (91%) pacientes desejavam parar de fumar, 57(57%) estavam na fase de preparacao, 36(36%) apresentavam baixa dependencia a nicotina e 35(35%) receberam incentivos para cessar o tabagismo. Conclui-se que ainternacao e um momento propicio para abordagem do tabagismo, no entanto, a equipe de saude ainda nao intervem de maneira eficaz e sistematizada.The aim of this cross-sectional study was to describe the profile of smokers hospitalized for surgery, and investigate their motivation to quit. The sample consisted of 100 patients recruited from a university hospital in southern Brazil. Data were collected between February and May 2013, and analyzed using descriptive statistics. The sample was predominantly male (n=58; 58%) and had a mean age of 54.5±13.8 years. Seventy-nine (79%) of the participants were white, 38(38%) were married and 67(67%) had primary education only. Patients started smoking at a mean age of 17±6.6 years, smoked approximately 20(10 to 28.7) cigarettes/day and had been smoking for a mean of 37.4±14.4 years. Ninety-one (91%) patients wanted to stop smoking, 57(57%) were in the preparation phase, 36(36%) had low nicotine dependence and 35(35%) had been encouraged to quit. We concluded that, although hospitalization is a good moment to address smoking cessation, health care professionals do not enact effective and systematic interventions in this regard.

Complications during the hospitalization of kidney transplant recipients

The objective of the study was to identify the complications in patients that have received a renal transplant. A Historical cohort performed in a university hospital from January/2007 through January/2009 with a sample of 179 patients; data collected retrospectively from the medical history of patients and submitted to statistical analyses. Mean age of patients was 43 (SD=13.7) years, 114 (63.7%) men, 95 (65.1%) non smokers and 118(66.93%) received the graft from a deceased donor. The main complications were rejection 68 (32.1%) and infection 62 (29.2%). There was statistical significance between rejection and median days of hospital stay (p < 0.001); days of use of central venous catheter (p = 0.010) and smoking status (p = 0.008); infection and central venous catheter (p = 0.029); median days of hospital stay (p < 0.001) and time of use of urinary catheter (p = 0.009). It was concluded that it is important to reduce the days of hospital stay and permanence of catheters, which may be considered in the planning of nursing care.O objetivo do estudo foi identificar complicacoes ocorridas em pacientes receptores de transplante renal. Coorte historica realizada em hospital universitario entre janeiro de 2007 e janeiro de 2009 com amostra de 179 pacientes; dados coletados retrospectivamente em base de dados e prontuario e, em seguida, analisados estatisticamente. A media de idade dos pacientes foi de 43 (DP=13,7) anos, sendo 114 (63,7%) homens, 95 (65,1%) nao fumantes e 118 (66,3%) receptores de doadores falecidos. As principais complicacoes foram rejeicao 68 (32,1%) e infeccao 62 (29,2%). Houve associacao estatisticamente significativa entre rejeicao e mediana dos dias de internacao (p<0,001); dias de uso de cateter venoso central (p=0,010) e status tabagico (p=0,008); infeccao e cateter venoso central (p=0,029), mediana dos dias de internacao (p<0,001) e tempo de uso de sonda vesical (p=0,009). Concluiu-se ser importante diminuir os dias de internacao e a permanencia de cateteres, o que pode ser levado em consideracao no planejamento do cuidado de enfermagem.