Antonio Francisco Machado Pereira

Fatores preditores para incapacidade funcional de idosos atendidos na atenção básica

Objetivos: valorar los factores predictores para la incapacidad funcional de adultos mayores atendidos en la atencion basica. Metodo: estudio transversal, del cual han participado 388 adultos mayores, llevado a cabo en tres unidades de atencion basica de salud, empleando el indice de Katz y la escala de Lawton. El proyecto de investigacion ha sido aprobado por el Comite de Etica en Investigacion brasileno. Resultados: En relacion al grado de dependencia para sus actividades basicas, un 90,2% de los adultos mayores eran menos independientes para vestirse; y para las actividades instrumentales, un 77,1% eran menos independientes para los trabajos manuales. La incapacidad funcional para las actividades basicas esta asociada con la edad y etnia; y la de las actividades instrumentales con la edad, nivel de instruccion, renta y autovaloracion de la salud del adulto mayor. Conclusion: la valoracion del adulto mayor debe ser llevada en consideracion, con el fin de adecuar los cuidados dirigidos a la mantencion de su autonomia y promocion del envejecimiento activo.Objectives: to assess the predictors for the functional incapacity of the elderly in primary health care. Method: cross-sectional study, of which 388 older people participated, conducted in three Primary health care Units, using the Katz index and Lawtons scale. The research project was approved by the Research Ethics Committee. Results: regarding the degree of dependency for Basic Activities, 90.2% were less independent for dressing themselves; and for Instrumental Activities, 77.1% of the elderly were less independent for doing handwork. The functional incapacity for basic activities was associated with age and color; for instrumental activities, with age, education, income of the elderly and self-assessment of health. Conclusion: attention should be paid to the overall assessment of the elderly person, in order to tailor care plans geared towards the preservation of their autonomy and the promotion of active ageing.

Predictors for the functional incapacity of the elderly in primary health care

Objetivos: valorar los factores predictores para la incapacidad funcional de adultos mayores atendidos en la atencion basica. Metodo: estudio transversal, del cual han participado 388 adultos mayores, llevado a cabo en tres unidades de atencion basica de salud, empleando el indice de Katz y la escala de Lawton. El proyecto de investigacion ha sido aprobado por el Comite de Etica en Investigacion brasileno. Resultados: En relacion al grado de dependencia para sus actividades basicas, un 90,2% de los adultos mayores eran menos independientes para vestirse; y para las actividades instrumentales, un 77,1% eran menos independientes para los trabajos manuales. La incapacidad funcional para las actividades basicas esta asociada con la edad y etnia; y la de las actividades instrumentales con la edad, nivel de instruccion, renta y autovaloracion de la salud del adulto mayor. Conclusion: la valoracion del adulto mayor debe ser llevada en consideracion, con el fin de adecuar los cuidados dirigidos a la mantencion de su autonomia y promocion del envejecimiento activo.Objectives: to assess the predictors for the functional incapacity of the elderly in primary health care. Method: cross-sectional study, of which 388 older people participated, conducted in three Primary health care Units, using the Katz index and Lawtons scale. The research project was approved by the Research Ethics Committee. Results: regarding the degree of dependency for Basic Activities, 90.2% were less independent for dressing themselves; and for Instrumental Activities, 77.1% of the elderly were less independent for doing handwork. The functional incapacity for basic activities was associated with age and color; for instrumental activities, with age, education, income of the elderly and self-assessment of health. Conclusion: attention should be paid to the overall assessment of the elderly person, in order to tailor care plans geared towards the preservation of their autonomy and the promotion of active ageing.

Factores predictores para la incapacidad funcional de adultos mayores atendidos en la atención básica

Objetivos: valorar los factores predictores para la incapacidad funcional de adultos mayores atendidos en la atencion basica. Metodo: estudio transversal, del cual han participado 388 adultos mayores, llevado a cabo en tres unidades de atencion basica de salud, empleando el indice de Katz y la escala de Lawton. El proyecto de investigacion ha sido aprobado por el Comite de Etica en Investigacion brasileno. Resultados: En relacion al grado de dependencia para sus actividades basicas, un 90,2% de los adultos mayores eran menos independientes para vestirse; y para las actividades instrumentales, un 77,1% eran menos independientes para los trabajos manuales. La incapacidad funcional para las actividades basicas esta asociada con la edad y etnia; y la de las actividades instrumentales con la edad, nivel de instruccion, renta y autovaloracion de la salud del adulto mayor. Conclusion: la valoracion del adulto mayor debe ser llevada en consideracion, con el fin de adecuar los cuidados dirigidos a la mantencion de su autonomia y promocion del envejecimiento activo.Objectives: to assess the predictors for the functional incapacity of the elderly in primary health care. Method: cross-sectional study, of which 388 older people participated, conducted in three Primary health care Units, using the Katz index and Lawtons scale. The research project was approved by the Research Ethics Committee. Results: regarding the degree of dependency for Basic Activities, 90.2% were less independent for dressing themselves; and for Instrumental Activities, 77.1% of the elderly were less independent for doing handwork. The functional incapacity for basic activities was associated with age and color; for instrumental activities, with age, education, income of the elderly and self-assessment of health. Conclusion: attention should be paid to the overall assessment of the elderly person, in order to tailor care plans geared towards the preservation of their autonomy and the promotion of active ageing.

Construction and validation of a virtual learning object on intestinal elimination stoma

OBJECTIVE To construct and validate a virtual learning object (VLO) on intestinal elimination stoma. METHODS Applied, descriptive and quantitative study. In 2014, eight stoma therapists and eight experts in computer science took part of the research. The VLO included four steps: i) planning, ii) construction of VLO and changes of content; iii) development of dynamic, and iv) conclusion and analysis. The VLO was inserted into the Moodle virtual learning environment. The ergonomic and pedagogical validation of the VLO was performed. RESULTS The experts appreciated the VLO satisfactorily, and scored it between good and full agreement. CONCLUSION The VLO on intestinal elimination stoma is a tool that can be implemented at undergraduate programs in nursing and continuing education programs for nurses in clinical practice, contributing significantly to improve the theoretical skills necessary for the care of ostomized people safely, with quality and enabling self-care.

Construcción y validación de un objeto virtual de aprendizaje sobre estomas intestinales de eliminación

OBJECTIVE To construct and validate a virtual learning object (VLO) on intestinal elimination stoma. METHODS Applied, descriptive and quantitative study. In 2014, eight stoma therapists and eight experts in computer science took part of the research. The VLO included four steps: i) planning, ii) construction of VLO and changes of content; iii) development of dynamic, and iv) conclusion and analysis. The VLO was inserted into the Moodle virtual learning environment. The ergonomic and pedagogical validation of the VLO was performed. RESULTS The experts appreciated the VLO satisfactorily, and scored it between good and full agreement. CONCLUSION The VLO on intestinal elimination stoma is a tool that can be implemented at undergraduate programs in nursing and continuing education programs for nurses in clinical practice, contributing significantly to improve the theoretical skills necessary for the care of ostomized people safely, with quality and enabling self-care.

Construção e validação de um objeto virtual de aprendizagem sobre estomas intestinais de eliminação

OBJECTIVE To construct and validate a virtual learning object (VLO) on intestinal elimination stoma. METHODS Applied, descriptive and quantitative study. In 2014, eight stoma therapists and eight experts in computer science took part of the research. The VLO included four steps: i) planning, ii) construction of VLO and changes of content; iii) development of dynamic, and iv) conclusion and analysis. The VLO was inserted into the Moodle virtual learning environment. The ergonomic and pedagogical validation of the VLO was performed. RESULTS The experts appreciated the VLO satisfactorily, and scored it between good and full agreement. CONCLUSION The VLO on intestinal elimination stoma is a tool that can be implemented at undergraduate programs in nursing and continuing education programs for nurses in clinical practice, contributing significantly to improve the theoretical skills necessary for the care of ostomized people safely, with quality and enabling self-care.

A SEGURANÇA DO PACIENTE EM ÂMBITO HOSPITALAR: REVISÃO INTEGRATIVA DA LITERATURA

Revisao integrativa com o objetivo de identificar as principais tematicas abordadas em ambiente hospitalar para a seguranca do paciente. A busca ocorreu em tres bases de dados eletronicas, abrangendo o periodo de 2009 a 2015, com os descritores: “Seguranca do Paciente”, “Controle de risco” e “Hospitalizacao”. A amostra do estudo constituiu-se de 34 artigos. Houve aumento significativo no numero de publicacoes sobre a tematica em 2013, mais de 100% comparando-se ao ano de 2009. Dos estudos, 22,22% tratavam sobre eventos adversos e 18,52% sobre erros na administracao de medicamentos. Dentre as medidas preventivas, 37,93% destacam a educacao continuada e 13,79% a lavagem das maos e a identificacao correta do paciente. A opcao estrategica pela seguranca tem sido incluida nas agendas das instituicoes, organizacoes e sistemas de saude como prioridade. Logo, sugere-se ampliar o foco da pesquisa para a melhoria na qualidade do cuidado.