Daniela de Aquino Freire

Risk factors for hip disarticulation: case series / Fatores de risco para desarticulação de quadril: série de casos / Factores de riesgo para desarticulación de cadera..

Objetivo: identificar os fatores de risco para a necessidade da desarticulacao de quadril em um hospital publico. Metodo: trata-se de um estudo transversal, do tipo serie de casos, descritivo-analitico realizado em um hospital publico estadual localizado no municipio de Recife - PE. As informacoes foram coletadas por meio de dados captados a partir de prontuarios de pacientes que realizaram o procedimento entre janeiro de 2009 a dezembro de 2015. Resultados: foram analisados 12 prontuarios de pacientes que realizaram a desarticulacao de quadril no periodo estabelecido. A faixa etaria variou entre 29 e 73 anos e 58,3% dos pacientes eram portadores de Diabetes Mellitus. O motivo principal da alta foi o obito. Com relacao ao fator principal para a desarticulacao de quadril, a fasceite necrotizante e a gangrena representaram 75% dos casos. Conclusao: com a amostra analisada, podemos dizer que foi possivel identificar uma provavel associacao entre o diabetes mellitus e a desarticulacao coxo-femoral. No entanto, sao necessarios mais estudos para firmar tal associacao. Palavras-chave : Desarticulacao, Gangrena, Diabetes mellitus

Representações sociais de estudantes de escolas públicas sobre as pessoas que vivem com HIV/Aids

RESUMO O estudo objetivou analisar as representacoes sociais dos jovens e adultos acerca de suas vivencias ante a pessoa com Virus da Imunodeficiencia Humana/Sindrome de Imunodeficiencia Adquirida (HIV/Aids). Trata-se de um estudo descritivo, de carater exploratorio com abordagem qualitativa, desenvolvido com 59 alunos do Programa de Educacao de Jovens e Adultos, matriculados em duas escolas do municipio de Recife. Utilizou-se a tecnica de entrevistas. Os dados foram analisados com apoio do software Alceste 4.5. Conclui-se que ha necessidade de integrar temas sobre a conscientizacao social acerca da Aids. Ressalta-se a importância do enfermeiro como facilitador em colaborar para a desmistificacao de sentimentos e atitudes referentes as pessoas com HIV.

Práticas de biossegurança de profissionais de saúde nos cuidados ao indivíduo com HIV

Aim: to identify professional practices about biosafety in the care of people living with Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome. Method: descriptive, exploratory study with a qualitative approach, which was carried out with 46 health professionals. A semi-structured interview was used and the analysis was performed using the Bardin content analysis technique. Results: the professionals demonstrate to have knowledge about the use of Personal Protective Equipment, evidencing a frequency of use according to the professional category, type of contact and procedure. In front of the outpatient need, the most cited equipment and utilities were glove, cap and capote. Conclusion: it was evident that professionals consciously perform biosafety and this can be positively reflected in the care taken, both in the protection of patients and of professionals, that is, in the care of the other and of themselves.

Fatores predisponentes para o desenvolvimento da lesão por pressão em pacientes idosos: uma revisão integrativa

Objetivo: identificar na literatura cientifica quais sao os fatores de risco para o surgimento das lesoes por pressao em idosos. Metodo: revisao integrativa realizada nas bases de dados: LILACS, MEDLINE, SciELO, IBECS e BDENF, incluindo publicacoes nacionais e internacionais, no periodo de 2006 a 2015. Resultados:

Autoimagem e autocuidado na vivência de pacientes estomizados: o olhar da enfermagem

O objetivo deste estudo foi analisar a percepcao de pacientes estomizados sobre a sua autoimagem e autocuidado. Trata-se de estudo exploratoriodescritivo e qualitativo realizado em um hospital publico da cidade do Recife, Pernambuco, com a participacao de 11 pessoas com estomas digestivos de eliminacao. Utilizou-se entrevista semiestruturada, cujos dados foram submetidos a analise de conteudo. Dos 11 pacientes, sete eram do sexo feminino, com idade variando de 19 a 93 anos. Por meio das entrevistas emergiram tres categorias tematicas: conhecimento insuficiente para o autocuidado; viver com a colostomia e suas dificuldades; o enfrentamento relacionado ao viver com a bolsa de colostomia. Sendo assim, foi possivel perceber que a autoimagem e o autocuidado dos pacientes colostomizados estao ligados a sentimentos de vergonha, medo, inseguranca, invasao e sofrimento, os quais refletem diretamente na vida social, amorosa e laboral, sendo identificadas ainda dificuldades acerca da adaptacao e aceitacao da colostomia, refletindo no isolamento social. Recomenda-se que a enfermagem se aprofunde nos conhecimentos sobre estomas, principalmente em relacao ao autocuidado e aceitacao do paciente com um olhar diferenciado, auxiliando as pessoas estomizadas a encarar essa experiencia e que possam trabalhar em redes de apoios, contribuindo para melhor adaptacao e melhor qualidade de vida dos estomizados.(AU)

Immediate and Late Complications of Temporary and Permanent Hemodialysis Catheters

This study aimed to identify the immediate and late complications of temporary and permanent catheters for hemodialysis in a nephrology service. This is an exploratory-descriptive study with quantitative approach, performed in a Nephrology center that is reference in the State and located in Recife/Pernambuco. The sutdy was conducted in the period from April to September 2015 using an instrument developed by the authors, consisting of socio-demographic and clinical data. The study included 40 patients who had a total of 57 complications. The most frequent immediate complication was hematoma (33.4%) and the most common late complication was decreased blood flow (46.1%). Results led to conclude that the nursing staff, in particular, should be alert to the occurrence of complications. For this, it is suggested that training and continuing education be developed as a way to improve the performance of the nursing staff before any sort of problem related to catheters for hemodialysis. Key words: Complications; Catheters; Renal dialysis; Nephrology.

Performance Of Nurses In Radiotherapy Services

Objective: This study aimed to know the performance of nurses in radiotherapy services. Methods and Results: It is a cross-sectional, descriptive and exploratory study with a quantitative approach, developed from June to July 2015. The study sample was composed of eight nurses. The data were collected through a structured questionnaire, analyzed through descriptive statistics. It was verified that nurses are not only restricted to care, buy they work in the supervision of the nursing team, monitor the work process, elaborate the action plan, select materials and equipment, schedule the consultations. In addition, it was possible to observe the importance of the nursing consultation for the individualization of the care and effectiveness of the treatment for the patient. Conclusion: It is observed that for a good progress of the radiotherapy service, there is a need for a trained nursing team with conditions to deal with the complexity and requirements that this modality of treatment demands. Keywords: Neoplasms; Radiotherapy; Nursing; Nursing Care.

Emergência oncológica: atuação dos enfermeiros no extravasamento de drogas quimioterápicas antineoplásicas

Objective: To investigate the work of nurses in the extravasation of antineoplastic chemotherapeutic drugs. Methods: A cross-sectional study with a quantitative approach was performed with a sample of 21 nurses in a referral cancer hospital. Data were collected with a semi-structured questionnaire from October to November 2015 and analyzed through simple and percentage frequency. Results: Nurses had sufficient knowledge about risk factors, prevention, and recognition of signs and symptoms of occurrence of extravasation of chemotherapeutic drugs. However, the same was not observed regarding questions about classification of antineoplastic drugs and interventions aimed at the occurrence of this health condition. Conclusion: The results found are important, as they point to questions that must be reflected upon by hospital managers and educational institutions, apart from professionals concerned with the improvement of health care for the population affected by such disease.Objetivo: Investigar a atuacao dos enfermeiros no extravasamento de quimioterapicos antineoplasicos. Metodos: Estudo transversal, com abordagem quantitativa, realizado em um hospital de referencia em oncologia, com uma amostra de 21 enfermeiros. Os dados foram coletados por meio da aplicacao de questionario semiestruturado, nos meses de outubro e novembro de 2015, analisados por meio da frequencia simples e percentual. Resultados: Os enfermeiros evidenciaram conhecimento suficiente quanto aos fatores de risco, prevencao e reconhecimento de sinais e sintomas da ocorrencia de extravasamento por quimioterapicos. No entanto, o mesmo nao foi verificado quanto as questoes relacionadas a: classificacao das drogas antineoplasicas e intervencoes voltadas a ocorrencia do agravo. Conclusao: Os resultados encontrados sao importantes, vez que apontam para questoes que devem ser refletidas por gestores hospitalares e de instituicoes formadoras, assim como profissionais preocupados com a melhoria da assistencia a populacao acometida por essa patologia.

Lesions Associated with Pelvic Fracture: An Integrating Literature Review

Objective: To review in the scientific literature the main lesions associated with pelvic fractures. Methods and Results: An integrative review was carried out in the databases: LILACS, MEDLINE, SciELO and BDENF, including national and international publications, from 2006 to 2016, obtaining a sample for analysis of nineteen articles. Pelvic fractures can have a significant impact on the genitourinary system, with some patients having a direct lesion concomitant with the urethra or bladder. The thoracic trauma resulting from pelvic fracture, among them, rib fractures, accompanied by pneumothorax and pulmonary contusion, are often associated with abdominal injuries, the organs most affected are thoracic/abdominal organs, especially bladder, spleen, liver, urethra and kidneys. Bone lesions, including fractures of the upper and lower limbs, cranial fractures are also frequently associated with pelvic trauma, as well as hematological complications, mainly thromboembolism, deep vein thrombosis and hemorrhage. Conclusion: This study made it possible to analyze the production of lesions associated with pelvic fractures. In this context, we emphasize the need for studies that also emphasize care for these patients through humanized care, in order to minimize physical discomforts and social, psychic and emotional problems that can be generated by these injuries.

Spirituality and HIV: a Bibliometric Study in the Health Area

The study aimed to analyze the bibliometric profile of scientific production in health area on studies that address the theme of spirituality and HIV. The bibliometric research was conducted in the PubMed database. The keywords “HIV” and “Spirituality” were used, considering the period 2006-2015, resulting in a sample of 65 articles. The data showed that about language, it is clear that English was predominant, with 95.4% productions. As the year of publication, 2011 had the largest volume of published articles with 21.5%, and 2010 was no publication recorded. Regarding the journals, the Journal of General Internal Medicine was the most published research on the subject of this study. The quantitative method had a higher prevalence, and the most used instrument was WHOQOL-Bref. The data show incipient publications on Spirituality and HIV, especially at national level, demonstrating the need for more research on this topic.