Ana Raquel Medeiros Beck

Cuidadores de crianças com câncer: aspectos da vida afetados pela atividade de cuidador

Pretendeu-se, neste estudo, descrever como as atividades relacionadas ao cuidar afetam a vida de cuidadores de criancas com câncer, o grau de dependencia da crianca para desempenhar as atividades de vida diaria (AVD), o grau de ajuda recebida de outros e o quanto alguns aspectos da vida do cuidador sao afetados pela atividade de cuidar. O estudo foi descritivo, comparativo e transversal. Foram entrevistados 50 cuidadores de criancas entre tres e dez anos num hospital infantil, referencia no tratamento de doencas onco-hematologicas, em Campinas, SP. As atividades relacionadas ao cuidar ocasionaram serios prejuizos na vida dos cuidadores. Portanto, avaliar estes aspectos pode auxiliar o enfermeiro a evidenciar, amenizar e planejar a assistencia aos cuidadores de criancas com câncer.This study aimed at demonstrating that the caregiving role affected the lives of caregivers of children with cancer the childs degree of dependence regarding the performance of daily life activities (DLA), the degree of help offered by others and the degree to which some aspects of the caregivers life were affected by caregiving activities. Interviews were held with fifty caregivers of children between the ages of three and ten in a childrens hospital, a referral center for cancer and hematological disorders in Campinas, Sao Paulo. These caregiving activities seriously affect the lives of the caregivers and, therefore, an assessment of these aspects may help the nurse detect the problems and plan the healthcare needed by the caregivers of children with cancer.

Caregivers of children with cancer: aspects of life affectcet by the caregiver role

Pretendeu-se, neste estudo, descrever como as atividades relacionadas ao cuidar afetam a vida de cuidadores de criancas com câncer, o grau de dependencia da crianca para desempenhar as atividades de vida diaria (AVD), o grau de ajuda recebida de outros e o quanto alguns aspectos da vida do cuidador sao afetados pela atividade de cuidar. O estudo foi descritivo, comparativo e transversal. Foram entrevistados 50 cuidadores de criancas entre tres e dez anos num hospital infantil, referencia no tratamento de doencas onco-hematologicas, em Campinas, SP. As atividades relacionadas ao cuidar ocasionaram serios prejuizos na vida dos cuidadores. Portanto, avaliar estes aspectos pode auxiliar o enfermeiro a evidenciar, amenizar e planejar a assistencia aos cuidadores de criancas com câncer.This study aimed at demonstrating that the caregiving role affected the lives of caregivers of children with cancer the childs degree of dependence regarding the performance of daily life activities (DLA), the degree of help offered by others and the degree to which some aspects of the caregivers life were affected by caregiving activities. Interviews were held with fifty caregivers of children between the ages of three and ten in a childrens hospital, a referral center for cancer and hematological disorders in Campinas, Sao Paulo. These caregiving activities seriously affect the lives of the caregivers and, therefore, an assessment of these aspects may help the nurse detect the problems and plan the healthcare needed by the caregivers of children with cancer.

Nursing diagnoses of diabetic patient medical charts: a descriptive study

Aim: identifying taxonomy II nursing diagnoses from the North American Nursing Diagnoses Association International using nursing records associated with outpatient diabetic treatment. Method: a descriptive and retrospective study. Data obtained from 35 patients’ medical charts, using a tool devised by the authors and analyzed using relative and absolute frequencies. Result: from eight diagnoses, three of the following showed up in more than 50% of the samples: Ineffective health maintenance; Imbalanced nutrition - more than body requirements; Sedentary lifestyle. Discussion: The findings show that these three diagnoses relate to a very important and unique issue in treating diabetic patients: the difficulty on the part of patients to adhere to treatment and self-care. Conclusion: The findings show that nursing diagnoses are useful with regard to identifying phenomena that require attention in specific treatment contexts, as well as acting as a guide in terms of the assistance offered.

TOXIC EXPOSURES IN CHILDREN INVOLVING LEGALLY AND ILLEGALLY COMMERCIALIZED HOUSEHOLD SANITIZERS

ABSTRACT Objectives: To analyze and to compare clinical repercussions of accidents involving legally and illegally commercialized household sanitizers in children under 7 years of age. Methods: A descriptive cross-sectional design was used to collect data from electronic database of a regional Poison Control Center during one year. Data were analyzed by means of descriptive non-parametric statistics and association tests. Results: The sample had 737 reported cases. Most of the accidents occurred with children under 3 years of age (median: 1 year of age; interquartile interval: 1-3 years of age), at home (92.9%), by ingestion (97.2%). Products involved were cleaning products with low toxicity and no caustic effects (38.9%); caustics (24.1%); hydrocarbons (19.3%); pesticides/rodenticides (16.6%), and other products (1.1%). Seventy accidents were due to exposures to illegal products, mainly caustics (n=47) and rodenticides (n=15). Among the 337 children presenting post-exposure clinical manifestations, the most frequent were vomiting (n=125), oral burns (n=74), cough (n=35), drooling (n=26), and abdominal pain (n=25). Clinical manifestations were significantly more frequent after illegal products exposure (55/70 versus 282/667, p<0.01). Nineteen children had to be hospitalized (caustics, n=17; illegal products, n=12; median time of hospitalization: 2 days), 22 were submitted to esophagogastroduodenoscopy (sodium hydroxide, n=14; illegal products, n=14); and 12 cases had endoscopic alterations (severe in 2). No deaths occurred. Conclusion: Toxic exposures owing to illegal household sanitizer products are associated with greater morbidity when compared with legal ones.

Procedimentos de mensuração e verificação de posicionamento da sonda gástrica em recém-nascidos: revisão integrativa

ABSTRACT Objective: to investigate evidence in the literature on procedures for measuring gastric tube insertion in newborns and verifying its placement, using alternative procedures to radiological examination. Method: an integrative review of the literature carried out in the Cochrane, LILACS, CINAHL, EMBASE, MEDLINE and Scopus databases using the descriptors “Intubation, gastrointestinal” and “newborns” in original articles. Results: seventeen publications were included and categorized as “measuring method” or “technique for verifying placement”. Regarding measuring methods, the measurements of two morphological distances and the application of two formulas, one based on weight and another based on height, were found. Regarding the techniques for assessing placement, the following were found: electromagnetic tracing, diaphragm electrical activity, CO2 detection, indigo carmine solution, epigastrium auscultation, gastric secretion aspiration, color inspection, and evaluation of pH, enzymes and bilirubin. Conclusion: the measuring method using nose to earlobe to a point midway between the xiphoid process and the umbilicus measurement presents the best evidence. Equations based on weight and height need to be experimentally tested. The return of secretion into the tube aspiration, color assessment and secretion pH are reliable indicators to identify gastric tube placement, and are the currently indicated techniques.Objective: to investigate evidence in the literature on procedures for measuring gastric tube insertion in newborns and verifying its placement, using alternative procedures to radiological examination. Method: an integrative review of the literature carried out in the Cochrane, LILACS, CINAHL, EMBASE, MEDLINE and Scopus databases using the descriptors “Intubation, gastrointestinal” and “newborns” in original articles. Results: seventeen publications were included and categorized as “measuring method” or “technique for verifying placement”. Regarding measuring methods, the measurements of two morphological distances and the application of two formulas, one based on weight and another based on height, were found. Regarding the techniques for assessing placement, the following were found: electromagnetic tracing, diaphragm electrical activity, CO2 detection, indigo carmine solution, epigastrium auscultation, gastric secretion aspiration, color inspection, and evaluation of pH, enzymes and bilirubin. Conclusion: the measuring method using nose to earlobe to a point midway between the xiphoid process and the umbilicus measurement presents the best evidence. Equations based on weight and height need to be experimentally tested. The return of secretion into the tube aspiration, color assessment and secretion pH are reliable indicators to identify gastric tube placement, and are the currently indicated techniques.

Instrumentos para avaliação da qualidade de vida em crianças e adolescentes com diabetes mellitus

Objective: to review the literature on existing instruments to evaluate the quality of life in children and adolescents with diabetes mellitus, adapted and validated for use in Brazil. Methodology: this was an integrative review study with the guiding question: “what are the existing instruments in the national literature that can be used to evaluate the quality of life in diabetic children and adolescents?” The PICO strategy was used: “patient, intervention, comparison, and outcomes.” The analysis of the instruments found was performed using the JBI QARI instrument (Joanna Briggs Institute – Qualitative Assesment and Review Instrument) for the evaluation of systematic reviews. Scientific publications indexed in databases were evaluated. Results: four instruments were identified. They are: Quality of Life Instrument for Young People with Diabetes (IQVJD), DISABKIDS Generic Module, Pediatric Quality of Life InventoryTM version 4.0 (PedsQLTM 4.0), and KIDSCREEN-52. The classification, according to the JBI QARI instrument, showed positive results for eight out of 10 items evaluated in all analyzed studies. The dissemination and incorporation of these instruments in the clinical practice can help the development of care plans tailored to each patient.

Cuidantes de niños con cáncer: aspectos de la vida afectados por la actividad de cuidar

Pretendeu-se, neste estudo, descrever como as atividades relacionadas ao cuidar afetam a vida de cuidadores de criancas com câncer, o grau de dependencia da crianca para desempenhar as atividades de vida diaria (AVD), o grau de ajuda recebida de outros e o quanto alguns aspectos da vida do cuidador sao afetados pela atividade de cuidar. O estudo foi descritivo, comparativo e transversal. Foram entrevistados 50 cuidadores de criancas entre tres e dez anos num hospital infantil, referencia no tratamento de doencas onco-hematologicas, em Campinas, SP. As atividades relacionadas ao cuidar ocasionaram serios prejuizos na vida dos cuidadores. Portanto, avaliar estes aspectos pode auxiliar o enfermeiro a evidenciar, amenizar e planejar a assistencia aos cuidadores de criancas com câncer.This study aimed at demonstrating that the caregiving role affected the lives of caregivers of children with cancer the childs degree of dependence regarding the performance of daily life activities (DLA), the degree of help offered by others and the degree to which some aspects of the caregivers life were affected by caregiving activities. Interviews were held with fifty caregivers of children between the ages of three and ten in a childrens hospital, a referral center for cancer and hematological disorders in Campinas, Sao Paulo. These caregiving activities seriously affect the lives of the caregivers and, therefore, an assessment of these aspects may help the nurse detect the problems and plan the healthcare needed by the caregivers of children with cancer.