Cristiane de Lion Botero Couto Lopes

Critérios para avaliação das dificuldades na limpeza de artigos de uso único

Neste estudo foram elaborados criterios para avaliacao das dificuldades na limpeza de artigos de uso unico (AUU), que embasem a decisao de investir na validacao de protocolos de reuso. Trata-se de uma pesquisa metodologica, realizada no Hospital Universitario da Universidade de Sao Paulo e teve como objetivos: identificar os AUU utilizados na Instituicao com indicacao para o reprocessamento, propor um instrumento de avaliacao do grau de risco dos AUU para a limpeza, classificar os AUU por meio de nove criterios estabelecidos no instrumento e avaliar a sua aplicabilidade. Foram identificados e classificados trinta e dois AUU, atribuindo-se para cada criterio uma cor alusiva aos sinais de trânsito, de acordo com o risco, para auxiliar na tomada de decisao quanto ao reuso. Conclui-se que os criterios propostos permitiram estabelecer um diagnostico do grau de risco relacionado a limpeza dos AUU analisados e as consequentes implicacoes na seguranca do processo de esterilizacao.In this study, we elaborated criteria to evaluate difficulties in cleaning single-use articles (SVA), which will be used for decision making about investments in the validation of reuse protocols. This methodological research was carried out at a University Hospital and aimed to: identify SVA used and reused at the institution; propose an instrument to measure risk levels of SVA for cleaning; classify SVA using 9 criteria established in the proposed instrument and evaluate its applicability. We identified 32 SVA, whose risks were classified using the colors used in traffic lights, with a view to supporting decision making about reuse. The proposed criteria make it possible to diagnose the risk of cleaning the SVA under analysis, as well as their implications for the safety of the sterilization process.

Evaluation of single-use reprocessed laparoscopic instrument sterilization

This experimental, comparative, laboratory study evaluated the effectiveness of the sterilization of single-use laparoscopic instruments--SULIs (grasper, dissector, scissors, Veress needle and electrosurgical probe system), after contamination-challenge with bacterial spores and sheep blood, and compared the results of the sterilization tests with those of the equivalent reusable instruments. The cleaning methods used were; ultrasonic washer with pulsatile water jet and enzymatic detergent, manual cleaning, cleaning with pressurized water and rinsing. The SULIs were sterilized with ethylene oxide and the reusable instruments in an autoclave. Sterility tests showed 100% negative results for recovery of contaminate microorganisms in both groups. It was concluded that, regarding the sterilization, that it is possible to reprocess SULIs.

Aromatherapy with ylang ylang for anxiety and self-esteem: a pilot study

Objective : To verify if the use of ylang ylang essential oil by cutaneous applica - tion or inhalation alters the anxiety and self-esteem perception and phy...Objetivo: Verificar se o uso do oleo essencial de ylang ylang por meio de aplicacao cutânea ou inalatoria altera a percepcao da ansiedade e da autoestima e os parâmetros fisiologicos como pressao arterial e temperatura. Metodo: Estudo piloto no qual participaram 34 profissionais da equipe de enfermagem randomizados em tres grupos: um recebeu o oleo essencial de ylang ylang via cutânea, o segundo o recebeu via inalatoria e o terceiro (placebo) recebeu essencia de ylang ylang via cutânea. A avaliacao foi feita por meio do Inventario de Ansiedade (IDATE) e da escala de autoestima de Dela Coleta que foram aplicadas antes, ao final de 30, 60 e 90 dias e 15 dias (follow up) apos o termino do uso.Resultados: Na avaliacao intragrupo, antes e apos a intervencao, houve diferenca significante para os tres grupos na variavel autoestima (valores de p: G1=0,014; G2=0,016; G3=0,038). Nao houve diferencas nas analises entre grupos para a ansiedade ou para os parâmetros fisiologicos. Conclusao: Houve alteracoes significativas apenas na percepcao da ansiedade intragrupo para os tres grupos.OBJECTIVE To verify if the use of ylang ylang essential oil by cutaneous application or inhalation alters the anxiety and self-esteem perception and physiological parameters as blood pressure and temperature. Method : A pilot study with 34 professionals from a nursing group randomized in three groups: one received the ylang ylang essential oil by cutaneous application, the second received through inhalation and the third (placebo) received the ylang ylang essence through cutaneous application. The assessment was done by an Anxiety Inventory (IDATE) and the Dela Coleta self-esteem scale, applied on baseline, after 30, 60 and 90 days and after 15 days post-intervention (follow up). Results : In the pre and post-intervention intergroup analysis, there was a significant difference in self-esteem for the three groups (p values: G1=0.014; G2=0.016; G3=0.038). There were no differences in the analysis between groups for anxiety or for physiological parameters. Conclusion : It was found significant alterations only to the intergroup perception of self-esteem for the three groups.

The use of aromatherapy to improve self-esteem

The objectives of this study were to verify if inhaling rose and ylang-ylang essential oils has any effect on ones perception of self-esteem, and compare their efficiency. The study was approved by the University of São Paulo Hospital Research Ethics Committee. Participants were 43 workers from the Sanitation Department and from the Materials and Sterilization Center, and the study took place from May to July 2009. Subjects were randomly assigned to one of three groups: two that received the essential oils and a third that received placebo (rose essence). The self-esteem evaluation was performed using a scale validated in Brazil, which was applied before using the aromas, as well as 30 and 60 days after the use. Results showed that the sample consisted of 88.6% individuals with medium and high self-esteem, and that the essential oils did not make any significant changes to their perception of self-esteem.The objectives of this study were to verify if inhaling rose and ylang-ylang essential oils has any effect on ones perception of self-esteem, and compare their efficiency. The study was approved by the University of Sao Paulo Hospital Research Ethics Committee. Participants were 43 workers from the Sanitation Department and from the Materials and Sterilization Center, and the study took place from May to July 2009. Subjects were randomly assigned to one of three groups: two that received the essential oils and a third that received placebo (rose essence). The self-esteem evaluation was performed using a scale validated in Brazil, which was applied before using the aromas, as well as 30 and 60 days after the use. Results showed that the sample consisted of 88.6% individuals with medium and high self-esteem, and that the essential oils did not make any significant changes to their perception of self-esteem.

Avaliação da esterilidade do instrumental laparoscópico de uso único reprocessado

This experimental, comparative, laboratory study evaluated the effectiveness of the sterilization of single-use laparoscopic instruments--SULIs (grasper, dissector, scissors, Veress needle and electrosurgical probe system), after contamination-challenge with bacterial spores and sheep blood, and compared the results of the sterilization tests with those of the equivalent reusable instruments. The cleaning methods used were; ultrasonic washer with pulsatile water jet and enzymatic detergent, manual cleaning, cleaning with pressurized water and rinsing. The SULIs were sterilized with ethylene oxide and the reusable instruments in an autoclave. Sterility tests showed 100% negative results for recovery of contaminate microorganisms in both groups. It was concluded that, regarding the sterilization, that it is possible to reprocess SULIs.

Criteria for evaluating dificulties in cleaning single-use articles

Neste estudo foram elaborados criterios para avaliacao das dificuldades na limpeza de artigos de uso unico (AUU), que embasem a decisao de investir na validacao de protocolos de reuso. Trata-se de uma pesquisa metodologica, realizada no Hospital Universitario da Universidade de Sao Paulo e teve como objetivos: identificar os AUU utilizados na Instituicao com indicacao para o reprocessamento, propor um instrumento de avaliacao do grau de risco dos AUU para a limpeza, classificar os AUU por meio de nove criterios estabelecidos no instrumento e avaliar a sua aplicabilidade. Foram identificados e classificados trinta e dois AUU, atribuindo-se para cada criterio uma cor alusiva aos sinais de trânsito, de acordo com o risco, para auxiliar na tomada de decisao quanto ao reuso. Conclui-se que os criterios propostos permitiram estabelecer um diagnostico do grau de risco relacionado a limpeza dos AUU analisados e as consequentes implicacoes na seguranca do processo de esterilizacao.In this study, we elaborated criteria to evaluate difficulties in cleaning single-use articles (SVA), which will be used for decision making about investments in the validation of reuse protocols. This methodological research was carried out at a University Hospital and aimed to: identify SVA used and reused at the institution; propose an instrument to measure risk levels of SVA for cleaning; classify SVA using 9 criteria established in the proposed instrument and evaluate its applicability. We identified 32 SVA, whose risks were classified using the colors used in traffic lights, with a view to supporting decision making about reuse. The proposed criteria make it possible to diagnose the risk of cleaning the SVA under analysis, as well as their implications for the safety of the sterilization process.

Aderência ao tratamento por estatinas e fatores associados em usuárias do Sistema Único de Saúde

Objective : To verify if the use of ylang ylang essential oil by cutaneous applica - tion or inhalation alters the anxiety and self-esteem perception and phy...Objetivo: Verificar se o uso do oleo essencial de ylang ylang por meio de aplicacao cutânea ou inalatoria altera a percepcao da ansiedade e da autoestima e os parâmetros fisiologicos como pressao arterial e temperatura. Metodo: Estudo piloto no qual participaram 34 profissionais da equipe de enfermagem randomizados em tres grupos: um recebeu o oleo essencial de ylang ylang via cutânea, o segundo o recebeu via inalatoria e o terceiro (placebo) recebeu essencia de ylang ylang via cutânea. A avaliacao foi feita por meio do Inventario de Ansiedade (IDATE) e da escala de autoestima de Dela Coleta que foram aplicadas antes, ao final de 30, 60 e 90 dias e 15 dias (follow up) apos o termino do uso.Resultados: Na avaliacao intragrupo, antes e apos a intervencao, houve diferenca significante para os tres grupos na variavel autoestima (valores de p: G1=0,014; G2=0,016; G3=0,038). Nao houve diferencas nas analises entre grupos para a ansiedade ou para os parâmetros fisiologicos. Conclusao: Houve alteracoes significativas apenas na percepcao da ansiedade intragrupo para os tres grupos.OBJECTIVE To verify if the use of ylang ylang essential oil by cutaneous application or inhalation alters the anxiety and self-esteem perception and physiological parameters as blood pressure and temperature. Method : A pilot study with 34 professionals from a nursing group randomized in three groups: one received the ylang ylang essential oil by cutaneous application, the second received through inhalation and the third (placebo) received the ylang ylang essence through cutaneous application. The assessment was done by an Anxiety Inventory (IDATE) and the Dela Coleta self-esteem scale, applied on baseline, after 30, 60 and 90 days and after 15 days post-intervention (follow up). Results : In the pre and post-intervention intergroup analysis, there was a significant difference in self-esteem for the three groups (p values: G1=0.014; G2=0.016; G3=0.038). There were no differences in the analysis between groups for anxiety or for physiological parameters. Conclusion : It was found significant alterations only to the intergroup perception of self-esteem for the three groups.

Aromaterapia con ylang-ylang para la ansiedad y autoestima: un estudio piloto

Objective : To verify if the use of ylang ylang essential oil by cutaneous applica - tion or inhalation alters the anxiety and self-esteem perception and phy...Objetivo: Verificar se o uso do oleo essencial de ylang ylang por meio de aplicacao cutânea ou inalatoria altera a percepcao da ansiedade e da autoestima e os parâmetros fisiologicos como pressao arterial e temperatura. Metodo: Estudo piloto no qual participaram 34 profissionais da equipe de enfermagem randomizados em tres grupos: um recebeu o oleo essencial de ylang ylang via cutânea, o segundo o recebeu via inalatoria e o terceiro (placebo) recebeu essencia de ylang ylang via cutânea. A avaliacao foi feita por meio do Inventario de Ansiedade (IDATE) e da escala de autoestima de Dela Coleta que foram aplicadas antes, ao final de 30, 60 e 90 dias e 15 dias (follow up) apos o termino do uso.Resultados: Na avaliacao intragrupo, antes e apos a intervencao, houve diferenca significante para os tres grupos na variavel autoestima (valores de p: G1=0,014; G2=0,016; G3=0,038). Nao houve diferencas nas analises entre grupos para a ansiedade ou para os parâmetros fisiologicos. Conclusao: Houve alteracoes significativas apenas na percepcao da ansiedade intragrupo para os tres grupos.OBJECTIVE To verify if the use of ylang ylang essential oil by cutaneous application or inhalation alters the anxiety and self-esteem perception and physiological parameters as blood pressure and temperature. Method : A pilot study with 34 professionals from a nursing group randomized in three groups: one received the ylang ylang essential oil by cutaneous application, the second received through inhalation and the third (placebo) received the ylang ylang essence through cutaneous application. The assessment was done by an Anxiety Inventory (IDATE) and the Dela Coleta self-esteem scale, applied on baseline, after 30, 60 and 90 days and after 15 days post-intervention (follow up). Results : In the pre and post-intervention intergroup analysis, there was a significant difference in self-esteem for the three groups (p values: G1=0.014; G2=0.016; G3=0.038). There were no differences in the analysis between groups for anxiety or for physiological parameters. Conclusion : It was found significant alterations only to the intergroup perception of self-esteem for the three groups.

Aromaterapia com ylang ylang para ansiedade e autoestima: estudo piloto

Objective : To verify if the use of ylang ylang essential oil by cutaneous applica - tion or inhalation alters the anxiety and self-esteem perception and phy...Objetivo: Verificar se o uso do oleo essencial de ylang ylang por meio de aplicacao cutânea ou inalatoria altera a percepcao da ansiedade e da autoestima e os parâmetros fisiologicos como pressao arterial e temperatura. Metodo: Estudo piloto no qual participaram 34 profissionais da equipe de enfermagem randomizados em tres grupos: um recebeu o oleo essencial de ylang ylang via cutânea, o segundo o recebeu via inalatoria e o terceiro (placebo) recebeu essencia de ylang ylang via cutânea. A avaliacao foi feita por meio do Inventario de Ansiedade (IDATE) e da escala de autoestima de Dela Coleta que foram aplicadas antes, ao final de 30, 60 e 90 dias e 15 dias (follow up) apos o termino do uso.Resultados: Na avaliacao intragrupo, antes e apos a intervencao, houve diferenca significante para os tres grupos na variavel autoestima (valores de p: G1=0,014; G2=0,016; G3=0,038). Nao houve diferencas nas analises entre grupos para a ansiedade ou para os parâmetros fisiologicos. Conclusao: Houve alteracoes significativas apenas na percepcao da ansiedade intragrupo para os tres grupos.OBJECTIVE To verify if the use of ylang ylang essential oil by cutaneous application or inhalation alters the anxiety and self-esteem perception and physiological parameters as blood pressure and temperature. Method : A pilot study with 34 professionals from a nursing group randomized in three groups: one received the ylang ylang essential oil by cutaneous application, the second received through inhalation and the third (placebo) received the ylang ylang essence through cutaneous application. The assessment was done by an Anxiety Inventory (IDATE) and the Dela Coleta self-esteem scale, applied on baseline, after 30, 60 and 90 days and after 15 days post-intervention (follow up). Results : In the pre and post-intervention intergroup analysis, there was a significant difference in self-esteem for the three groups (p values: G1=0.014; G2=0.016; G3=0.038). There were no differences in the analysis between groups for anxiety or for physiological parameters. Conclusion : It was found significant alterations only to the intergroup perception of self-esteem for the three groups.

Evaluación de la esterilidad del instrumental laparoscópico descartable reprocesado

This experimental, comparative, laboratory study evaluated the effectiveness of the sterilization of single-use laparoscopic instruments--SULIs (grasper, dissector, scissors, Veress needle and electrosurgical probe system), after contamination-challenge with bacterial spores and sheep blood, and compared the results of the sterilization tests with those of the equivalent reusable instruments. The cleaning methods used were; ultrasonic washer with pulsatile water jet and enzymatic detergent, manual cleaning, cleaning with pressurized water and rinsing. The SULIs were sterilized with ethylene oxide and the reusable instruments in an autoclave. Sterility tests showed 100% negative results for recovery of contaminate microorganisms in both groups. It was concluded that, regarding the sterilization, that it is possible to reprocess SULIs.