Carla Braz Evangelista

Complications in adolescent pregnancy: systematic review of the literature

Sexual activity during adolescence can lead to unwanted pregnancy, which in turn can result in serious maternal and fetal complications. The present study aimed to evaluate the complications related to adolescent pregnancy, through a systematic review using the Medical Subject Headings: “pregnancy complication” AND “adolescent” OR “pregnancy in adolescence”. Only full original articles in English or Portuguese with a clearly described methodology, were included. No qualitative studies, reviews or meta-analyses, editorials, case series, or case reports were included. The sample consisted of 15 articles; in that 10 were cross-sectional and 5 were cohort studies. The overall prevalence of adolescent pregnancy was 10%, and among the Brazilian studies, the adolescent pregnancy rate was 26%. The cesarean delivery rate was lower than that reported in the general population. The main maternal and neonatal complications were hypertensive disorders of pregnancy, prematurity and low birth weight, respectively. Adolescent pregnancy is related to increased frequency of neonatal and maternal complications and lower prevalence of cesarean delivery.

Percepção dos enfermeiros sobre o significado dos cuidados paliativos em pacientes com câncer terminal

This study sought to assess the perception of nurses with respect to cancer patients under palliative care. It is an exploratory study with a qualitative approach conducted with nurses from a hospital attending cancer patients under palliative care located in the city of Joao Pessoa, State of Paraiba. The study included nine nurses who worked in the hospital. The empirical material was collected using the technique of semi-structured interviews and analyzed using the content analysis technique. The interpretative analysis of the interviews led to the definition of three categories: Improving the quality of life through the alleviation of pain and suffering; Palliative Care: a multi-professional study of terminal patients and their families in the grieving process; Communication: a source of dignity in the terminal care process. The conclusion reached is that the study revealed that the nurses involved acknowledge the importance of the multidisciplinary team. It enables the nurses to reflect on the use of communication as an essential element of care for patient and family under palliative care. It is hoped that the data obtained may foster further research on the topic.

REPRESENTAÇÕES SOCIAIS E ENVELHECIMENTO: UMA REVISÃO INTEGRATIVA DE LITERATURA

Objective: To investigate themed social representations and aging in scientific publications in the health field. Material and Methods: this is an integrative review of the literature performed in the database Electronic Library Online (SciELO) of the Virtual Library in Health (VLH). The sample consisted of 25 articles available between 2000 and 2011. The descriptor ‘social representations and aging’ was selected for retrieving papers. Results: The analysis of the results was carried out by content analysis technique. In this respect, three thematic categories emerged: (1) Quality of life and health-disease process; (2) social representations about aging, elaborated by elderly members of living together groups; and (3) Care for the elderly people: family-caregivers relationship and institutionalization. Conclusion: The diverse studies have indicated the desire of the elderly in achieving their own autonomy, improving health and quality of life. It is also emphasized the benefits of family ties and care, as well as the overload to which caregivers are subjected. DESCRIPTORES: Social Perception. Aging. Health.

Espiritualidade no cuidar de pacientes em cuidados paliativos: Um estudo com enfermeiros

Objective: To understand spirituality from the point of view of nurses who care for patients under palliative care. Methods: This is a qualitative field study, conducted with ten nurses working at a hospital in Joao Pessoa (PB). The empirical material was collected through semi-structured interviews and analyzed using the content analysis technique. Results: The results showed that nurses consider spirituality as a source of strength, comfort and faith, and that when cultivated by patients under palliative care, it helps to improve their condition and accept the dying process. Family support, forgiveness, love, belief, faith and hope were identified as the spiritual needs of these patients, which can be met using various strategies. Conclusion: It is evident that nurses recognize the importance of the spiritual dimension in the palliative care of patients, however, there is still unpreparedness to deal with spiritual matters.Objetivo: Compreender a espiritualidade sob o ponto de vista de enfermeiros que cuidam de pacientes em regime de cuidados paliativos. Metodos: Trata-se de uma pesquisa de campo, de natureza qualitativa, realizada com dez enfermeiros vinculados a um hospital de Joao Pessoa (PB). O material empirico foi coletado mediante entrevista semiestruturada e analisado por meio da tecnica de analise de conteudo. Resultados: Os enfermeiros consideram a espiritualidade como fonte de forca, conforto e fe e que, quando cultivada pelos pacientes em cuidados paliativos, contribui para melhorar a sua condicao e aceitar o processo de finitude. Identificaram o apoio familiar, perdao, amor, crenca, fe e esperanca como necessidades espirituais desses pacientes, as quais podem ser atendidas por eles utilizando variadas estrategias. Conclusao: Evidencia-se que os enfermeiros reconhecem a importância da dimensao espiritual no atendimento de pacientes sob cuidados paliativos, no entanto, ainda existe despreparo para lidar com as questoes espirituais.

Palliative care and spirituality: an integrative literature review.

OBJECTIVE to analyze scientifi c articles published in international online journals about palliative care and spirituality. METHODS an integrative literature review with data collected in September 2014 from the LILACS, SCIELO, MEDLINE/PubMed, and IBECS databases. RESULTS thirty-nine publications were identifi ed and their textual analysis facilitated through four thematic approaches: the meaning of spirituality in the context of palliative care; palliative care and spiritual support; spirituality and relief of pain and other symptoms in patients under palliative care; and instruments to evaluate the spiritual dimension of the scope of palliative care. CONCLUSION this study examined the relevance of the spiritual dimension in the care of patients with palliative care and the need for developing new studies to disseminate knowledge about this topic. DESCRIPTORS Palliative Care; Palliative Care at End of Live; Spirituality; Religion; Health.

Cuidados paliativos y espiritualidad: revision integrativa de literatura

OBJECTIVE to analyze scientifi c articles published in international online journals about palliative care and spirituality. METHODS an integrative literature review with data collected in September 2014 from the LILACS, SCIELO, MEDLINE/PubMed, and IBECS databases. RESULTS thirty-nine publications were identifi ed and their textual analysis facilitated through four thematic approaches: the meaning of spirituality in the context of palliative care; palliative care and spiritual support; spirituality and relief of pain and other symptoms in patients under palliative care; and instruments to evaluate the spiritual dimension of the scope of palliative care. CONCLUSION this study examined the relevance of the spiritual dimension in the care of patients with palliative care and the need for developing new studies to disseminate knowledge about this topic. DESCRIPTORS Palliative Care; Palliative Care at End of Live; Spirituality; Religion; Health.

Cuidados paliativos e espiritualidade: revisao integrativa da literatura

OBJECTIVE to analyze scientifi c articles published in international online journals about palliative care and spirituality. METHODS an integrative literature review with data collected in September 2014 from the LILACS, SCIELO, MEDLINE/PubMed, and IBECS databases. RESULTS thirty-nine publications were identifi ed and their textual analysis facilitated through four thematic approaches: the meaning of spirituality in the context of palliative care; palliative care and spiritual support; spirituality and relief of pain and other symptoms in patients under palliative care; and instruments to evaluate the spiritual dimension of the scope of palliative care. CONCLUSION this study examined the relevance of the spiritual dimension in the care of patients with palliative care and the need for developing new studies to disseminate knowledge about this topic. DESCRIPTORS Palliative Care; Palliative Care at End of Live; Spirituality; Religion; Health.

Espiritualidad en la atención al paciente en cuidados paliativos: Un estudio con enfermeros

Objective: To understand spirituality from the point of view of nurses who care for patients under palliative care. Methods: This is a qualitative field study, conducted with ten nurses working at a hospital in Joao Pessoa (PB). The empirical material was collected through semi-structured interviews and analyzed using the content analysis technique. Results: The results showed that nurses consider spirituality as a source of strength, comfort and faith, and that when cultivated by patients under palliative care, it helps to improve their condition and accept the dying process. Family support, forgiveness, love, belief, faith and hope were identified as the spiritual needs of these patients, which can be met using various strategies. Conclusion: It is evident that nurses recognize the importance of the spiritual dimension in the palliative care of patients, however, there is still unpreparedness to deal with spiritual matters.Objetivo: Compreender a espiritualidade sob o ponto de vista de enfermeiros que cuidam de pacientes em regime de cuidados paliativos. Metodos: Trata-se de uma pesquisa de campo, de natureza qualitativa, realizada com dez enfermeiros vinculados a um hospital de Joao Pessoa (PB). O material empirico foi coletado mediante entrevista semiestruturada e analisado por meio da tecnica de analise de conteudo. Resultados: Os enfermeiros consideram a espiritualidade como fonte de forca, conforto e fe e que, quando cultivada pelos pacientes em cuidados paliativos, contribui para melhorar a sua condicao e aceitar o processo de finitude. Identificaram o apoio familiar, perdao, amor, crenca, fe e esperanca como necessidades espirituais desses pacientes, as quais podem ser atendidas por eles utilizando variadas estrategias. Conclusao: Evidencia-se que os enfermeiros reconhecem a importância da dimensao espiritual no atendimento de pacientes sob cuidados paliativos, no entanto, ainda existe despreparo para lidar com as questoes espirituais.

Spirituality in patient care under palliative care: A study with nurses

Objective: To understand spirituality from the point of view of nurses who care for patients under palliative care. Methods: This is a qualitative field study, conducted with ten nurses working at a hospital in Joao Pessoa (PB). The empirical material was collected through semi-structured interviews and analyzed using the content analysis technique. Results: The results showed that nurses consider spirituality as a source of strength, comfort and faith, and that when cultivated by patients under palliative care, it helps to improve their condition and accept the dying process. Family support, forgiveness, love, belief, faith and hope were identified as the spiritual needs of these patients, which can be met using various strategies. Conclusion: It is evident that nurses recognize the importance of the spiritual dimension in the palliative care of patients, however, there is still unpreparedness to deal with spiritual matters.Objetivo: Compreender a espiritualidade sob o ponto de vista de enfermeiros que cuidam de pacientes em regime de cuidados paliativos. Metodos: Trata-se de uma pesquisa de campo, de natureza qualitativa, realizada com dez enfermeiros vinculados a um hospital de Joao Pessoa (PB). O material empirico foi coletado mediante entrevista semiestruturada e analisado por meio da tecnica de analise de conteudo. Resultados: Os enfermeiros consideram a espiritualidade como fonte de forca, conforto e fe e que, quando cultivada pelos pacientes em cuidados paliativos, contribui para melhorar a sua condicao e aceitar o processo de finitude. Identificaram o apoio familiar, perdao, amor, crenca, fe e esperanca como necessidades espirituais desses pacientes, as quais podem ser atendidas por eles utilizando variadas estrategias. Conclusao: Evidencia-se que os enfermeiros reconhecem a importância da dimensao espiritual no atendimento de pacientes sob cuidados paliativos, no entanto, ainda existe despreparo para lidar com as questoes espirituais.

Palliative care: the speech medical residents

Introduction: palliative care is provided by a multidisciplinary team that consists of Nursing, Psychology, Physiotherapy, Social work, and Medicine. Although this type of therapy is essential for patients outside of the healing possibilities, it is evident that these caring procedures are little disseminated in medical courses resulting in lack of knowledge by newly graduated doctors. Objectives: to investigate the medical residents’ speech about the goals of palliative care. Methods: this was an exploratory research with a qualitative approach. The study included 19 medical residents in the area of anesthesia and surgery at a hospital in Joao Pessoa-PB. The empirical material was analyzed qualitatively by the collective subject speech technique. Results: it was possible to identify the following core ideas from the speeches of participants: palliative care aimed at improving the quality of life of patients with incurable diseases and at terminal stages; this care seeks to provide comfort and dignity to the patient without therapeutic possibility of cure; they provide relief from symptoms, pain, and suffering for the terminally ill patient. Conclusions: resident physicians understand that the palliative care aimed at improving the quality of life through symptom relief and pain control, through which Palliative care: the speech medical residents Abdon Moreira Lustosa1, Fernando Dutra2, Marcia Adriana Dias Meirelles Moreira3, Carla Braz Evangelista4, Marcella Costa Souto Duarte5, Ana Aline Lacet Zaccara6, Fernando Andre Costa de Souza7 1 Medico.Mestrando da Universidade Cruzeiro do Sul. Sao PauloSP. Anestesiologista e Preceptor da Residencia Medica em Anestesiologia do Hospital Universitario Lauro Wanderley da Universidade Federal da Paraiba – UFPB. Joao Pessoa, PB – Brasil. 2 Quimico. Doutor. Coordenador do Curso de Quimica, professor do Curso de Quimica e do Programa de Mestrado em Ciencias da Saude da Universidade Cruzeiro do Sul. Sao Paulo, SP – Brasil. 3 Medica. Mestranda da Universidade Cruzeiro do Sul. Sao Paulo – SP. Professor do Centro de Ciencias Medicas e Supervisora da Residencia Medica em Anestesiologia da UFPB. Joao Pessoa, PB – Brasil. 4 Enfermeira .Mestranda da Universidade Federal da Paraiba. Membro do Nucleo de Estudos e Pesquisas em Bioetica do Centro de Ciencias da Saude-CCS da UFPB. Joao Pessoa, PB – Brasil. 5 Enfermeira. Doutoranda da Universidade Federal da Paraiba. Professora do Curso de Graduacao em Enfermagem, Centro Universitario de Joao Pessoa/UNIPE. Joao Pessoa, PB – Brasil. 6 Enfermeira. Mestre. Membro do Nucleo de Estudos e Pesquisas em Bioetica CCS/UFPB. Joao Pessoa, PB – Brasil. 7 Academico do Curso de Medicina da Faculdade de Medicina de Nova EsperancaFAMENE. Joao Pessoa, PB – Brasil. Cuidados paliativos: discurso de medicos residentes DOI: 10.5935/2238-3182.20150072