Franciéle Marabotti Costa Leite

Baby-Friendly Hospital Initiative: evaluation of the Ten Steps to Successful Breastfeeding

Objective: To asses the performance of the Ten Steps to Successful Breastfeeding in an university hospital. Methods: Descriptive and quantitative research, in which 103 people were interviewed in the outpatient prenatal clinic, in the maternity-ward and in the Neonatal Intensive Care Unit of a university hospital in Vitoria, Southeast Brazil. The “Institutional Self-Evaluation Questionnaire” of the Baby Friendly Hospital Initiative was applied. Using this tool, the outcome was measured by the concordance index (CI) proposed by the World Health Organization and by the United Nations Children’s Fund. Results: Although the hospital does not have a policy that addresses promotion, protection and support for breastfeeding, 93.3% of the mothers had contact with their babies immediately after birth (step 4), 83.3% of the professionals guided mothers how to breastfeed (step 5), 86.6% of the neonates did not receive any food or drink other than breast milk (step 6), 100% of babies were housed together with their mothers (step 7), 83.3% of the women were encouraged for breastfeeding on demand (step 8) and 100% of the infants did not use bottles or pacifiers (step 9). Conclusions: 60% of the steps were completed by the hospital. The greatest difficulty was to inform pregnant women about the importance and the management of breastfeeding (step 3). Therefore, visits to pregnant women are recommended, in order to prepare them for breastfeeding and to explain about the infants’ healthy feeding habits.

Uso da Classificação Internacional para as Práticas de Enfermagem na assistência a mulheres mastectomizadas

RESUMO Objetivo: Caracterizar o perfil de mulheres submetidas a mastectomia participantes de um Programa de Reabilitacao; identificar os diagnosticos de enfermagem mais comuns e elaborar as intervencoes para cada diagnostico, utilizando a Classificacao Internacional para as Praticas de Enfermagem - CIPE/versao1.0. Metodos: Estudo descritivo realizado em hospital de referencia para Oncologia em Vitoria – ES. A amostra abrangeu 239 prontuarios sorteados aleatoriamente e os dados, coletados em maio de 2008, focaram os registros das consultas de enfermagem as mulheres mastectomizadas. Resultados: Dentre as 239 participantes, 64,8% tinham entre 40 e 59 anos, 55%, eram casadas, 48,2% cursaram o ensino fundamental incompleto, 60,7% eram da regiao metropolitana do Estado do ES e 34,3% exerciam atividades do lar. Os diagnosticos registrados nao possuiam relacao exclusiva com o câncer de mama e podem ser verificados em clientes com outras alteracoes de saude. Conclusao: A CIPE utiliza metodos praticos para elaboracao do diagnostico e selecao das intervencoes que facilitam a sistematizacao da assistencia de enfermagem. Descritores: Diagnostico de enfermagem; Neoplasias mamarias; Processos de enfermagem; MastectomiaObjective: To characterize the profile of women that underwent mastectomy and participated in a rehabilitation program, to identify the most common nursing diagnoses and interventions for each diagnosis, using the International Classification for Nursing Practice (ICNP), version1.0. Methods: It was a descriptive study conducted in a referral hospital for Oncology in the city of Vitoria, ES. The sample consisted of 239 randomly selected records and the data was collected in May 2008; the research focused on the records of nursing visits to women with mastectomies. Results: Among the 239 participants, 64.8% were between 40 and 59 years, 55% were married, 48.2% finished the elementary school, 60.7% were from the metropolitan region of the ES state, and 34.3 % were housewives. The diagnoses recorded did not have exclusive relationship with breast cancer and may be found in clients with other health alterations. Conclusion: The ICNP uses practical methods for making the diagnosis and selection of interventions that facilitate the systematization of nursing care.

Diagnósticos de enfermagem relacionados aos efeitos adversos da radioterapia

Radiotherapy is frequently used in cancer treatment, but it often causes several adverse effects, both immediate and late ones. Objective: To construct nursing diagnoses related to the adverse effects of radiotherapy. Methodology: This is a descriptive, exploratory study, consisting of three stages: literature review on the adverse effects of radiotherapy using textbooks on oncology, and fully available articles from Lilacs and Bdenf databases; selection of empirical indicators, and construction of the nursing diagnoses, according to the ICNP® 2011. Results: 97 diagnoses were constructed considering five different adverse effects (xerostomia, radiodermatitis, trismus, mucositis, and osteoradionecrosis). Conclusion: The previously elaborated diagnoses will be able to guide adequate interventions, allowing for individualized care, and contributing for the effective establishment of the nursing consultation at the Radiotherapy sector.Radiotherapy is frequently used in cancer treatment, but it often causes several adverse effects, both immediate and late ones. Objective: To construct nursing diagnoses related to the adverse effects of radiotherapy. Methodology: This is a descriptive, exploratory study, consisting of three stages: literature review on the adverse effects of radiotherapy using textbooks on oncology, and fully available articles from Lilacs and Bdenf databases; selection of empirical indicators, and construction of the nursing diagnoses, according to the ICNP® 2011. Results: 97 diagnoses were constructed considering five different adverse effects (xerostomia, radiodermatitis, trismus, mucositis, and osteoradionecrosis). Conclusion: The previously elaborated diagnoses will be able to guide adequate interventions, allowing for individualized care, and contributing for the effective establishment of the nursing consultation at the Radiotherapy sector.

Using the International Classification for Nursing Practice in the care of women with mastectomy

RESUMO Objetivo: Caracterizar o perfil de mulheres submetidas a mastectomia participantes de um Programa de Reabilitacao; identificar os diagnosticos de enfermagem mais comuns e elaborar as intervencoes para cada diagnostico, utilizando a Classificacao Internacional para as Praticas de Enfermagem - CIPE/versao1.0. Metodos: Estudo descritivo realizado em hospital de referencia para Oncologia em Vitoria – ES. A amostra abrangeu 239 prontuarios sorteados aleatoriamente e os dados, coletados em maio de 2008, focaram os registros das consultas de enfermagem as mulheres mastectomizadas. Resultados: Dentre as 239 participantes, 64,8% tinham entre 40 e 59 anos, 55%, eram casadas, 48,2% cursaram o ensino fundamental incompleto, 60,7% eram da regiao metropolitana do Estado do ES e 34,3% exerciam atividades do lar. Os diagnosticos registrados nao possuiam relacao exclusiva com o câncer de mama e podem ser verificados em clientes com outras alteracoes de saude. Conclusao: A CIPE utiliza metodos praticos para elaboracao do diagnostico e selecao das intervencoes que facilitam a sistematizacao da assistencia de enfermagem. Descritores: Diagnostico de enfermagem; Neoplasias mamarias; Processos de enfermagem; MastectomiaObjective: To characterize the profile of women that underwent mastectomy and participated in a rehabilitation program, to identify the most common nursing diagnoses and interventions for each diagnosis, using the International Classification for Nursing Practice (ICNP), version1.0. Methods: It was a descriptive study conducted in a referral hospital for Oncology in the city of Vitoria, ES. The sample consisted of 239 randomly selected records and the data was collected in May 2008; the research focused on the records of nursing visits to women with mastectomies. Results: Among the 239 participants, 64.8% were between 40 and 59 years, 55% were married, 48.2% finished the elementary school, 60.7% were from the metropolitan region of the ES state, and 34.3 % were housewives. The diagnoses recorded did not have exclusive relationship with breast cancer and may be found in clients with other health alterations. Conclusion: The ICNP uses practical methods for making the diagnosis and selection of interventions that facilitate the systematization of nursing care.

Iniciativa Hospital Amigo da Criança: avaliação dos Dez Passos para o Sucesso do Aleitamento Materno

Objective: To asses the performance of the Ten Steps to Successful Breastfeeding in an university hospital. Methods: Descriptive and quantitative research, in which 103 people were interviewed in the outpatient prenatal clinic, in the maternity-ward and in the Neonatal Intensive Care Unit of a university hospital in Vitoria, Southeast Brazil. The “Institutional Self-Evaluation Questionnaire” of the Baby Friendly Hospital Initiative was applied. Using this tool, the outcome was measured by the concordance index (CI) proposed by the World Health Organization and by the United Nations Children’s Fund. Results: Although the hospital does not have a policy that addresses promotion, protection and support for breastfeeding, 93.3% of the mothers had contact with their babies immediately after birth (step 4), 83.3% of the professionals guided mothers how to breastfeed (step 5), 86.6% of the neonates did not receive any food or drink other than breast milk (step 6), 100% of babies were housed together with their mothers (step 7), 83.3% of the women were encouraged for breastfeeding on demand (step 8) and 100% of the infants did not use bottles or pacifiers (step 9). Conclusions: 60% of the steps were completed by the hospital. The greatest difficulty was to inform pregnant women about the importance and the management of breastfeeding (step 3). Therefore, visits to pregnant women are recommended, in order to prepare them for breastfeeding and to explain about the infants’ healthy feeding habits.

Estratégias de enfrentamento e relação com condições sociodemográficas de mulheres com câncer de mama

OBJECTIVE: To examine the relationship among the coping strategies adopted by women with breast cancer using tamoxifen and sociodemographic conditions. METHODS: A cross-sectional study, with a quantitative approach. Data were obtained in an interview conducted with 270 women, with a diagnosis of breast cancer using tamoxifen, users of the outpatient Ylza Bianco center, belonging to the Hospital Santa Rita de Cassia, in Vitoria / ES (Brazil). The analysis was performed using SPSS - Version 13.0 - 2004. RESULTS: Illiterate women faced the problem by prioritizing the search for religious practices (p <0.05); and women with higher education, belonging to economic class B, with family income more than three times the minimum wage and who lived in urban areas employ more coping strategies that are focused on the problem (p <0.05). CONCLUSION: The coping strategy adopted is associated with sociodemographic characteristics.Objective: To examine the relationship among the coping strategies adopted by women with breast cancer using tamoxifen and sociodemographic conditions. Methods: A cross-sectional study, with a quantitative approach. Data were obtained in an interview conducted with 270 women, with a diagnosis of breast cancer using tamoxifen, users of the outpatient Ylza Bianco center, belonging to the Hospital Santa Rita de Cassia, in Vitoria / ES (Brazil). The analysis was performed using SPSS - Version 13.0 - 2004. Results: Illiterate women faced the problem by prioritizing the search for religious practices (p <0.05); and women with higher education, belonging to economic class B, with family income more than three times the minimum wage and who lived in urban areas employ more coping strategies that are focused on the problem (p <0.05). Conclusion: The coping strategy adopted is associated with sociodemographic characteristics.

Which factors influence women in the decision to breastfeed

OBJECTIVE Identify the factors that influence women in the decision to breastfeed. METHODS Integrative review. Information was gathered from original articles, case studies, theoretical studies, consensus and systematic reviews published between 2007-2013 in Spanish, Portuguese and English and recovered in the databases MEDLINE and LILACS. The descriptors used in this study were: breastfeeding, maternal behavior, risk factors, lactation and newborn. RESULTS Were included 30 articles, grouped into five categories. Factors influencing the decision of the breastfeeding woman are a convergence of breastfeedings advantages, benefits and justifications, family, social and professional support, sociodemographic and clinical characteristics of women, personal experience and family tradition and personal choice. CONCLUSION The decision to breastfeed by women is influenced by a convergence of factors. It is essential the role of nursing to encourage women in the decision to initiate and maintain breastfeeding her child.

Coping strategies and the relationship with sociodemographic conditions of women with breast cancer

OBJECTIVE: To examine the relationship among the coping strategies adopted by women with breast cancer using tamoxifen and sociodemographic conditions. METHODS: A cross-sectional study, with a quantitative approach. Data were obtained in an interview conducted with 270 women, with a diagnosis of breast cancer using tamoxifen, users of the outpatient Ylza Bianco center, belonging to the Hospital Santa Rita de Cassia, in Vitoria / ES (Brazil). The analysis was performed using SPSS - Version 13.0 - 2004. RESULTS: Illiterate women faced the problem by prioritizing the search for religious practices (p <0.05); and women with higher education, belonging to economic class B, with family income more than three times the minimum wage and who lived in urban areas employ more coping strategies that are focused on the problem (p <0.05). CONCLUSION: The coping strategy adopted is associated with sociodemographic characteristics.Objective: To examine the relationship among the coping strategies adopted by women with breast cancer using tamoxifen and sociodemographic conditions. Methods: A cross-sectional study, with a quantitative approach. Data were obtained in an interview conducted with 270 women, with a diagnosis of breast cancer using tamoxifen, users of the outpatient Ylza Bianco center, belonging to the Hospital Santa Rita de Cassia, in Vitoria / ES (Brazil). The analysis was performed using SPSS - Version 13.0 - 2004. Results: Illiterate women faced the problem by prioritizing the search for religious practices (p <0.05); and women with higher education, belonging to economic class B, with family income more than three times the minimum wage and who lived in urban areas employ more coping strategies that are focused on the problem (p <0.05). Conclusion: The coping strategy adopted is associated with sociodemographic characteristics.

A intervenção de enfermagem : relaxamento e seus efeitos no sistema imunológico de puérperas

Objecti ves: To evaluate the effects of relaxation techniques in the levels of immunoglobulin A (IgA) in saliva of postpartum women, in relationship to the variables: age, education level, marital status, type of delivery and parity. Methods: This experimental, randomized trial was conducted in a maternity ward of Espirito Santo (Brazil). The sample consisted of 60 postpartum women. The experimental group consisted of 30 postpartum women who received the relaxation technique proposed by Benson. The levels were collected using a specific form and level of salivary IgA by immunoturbidimetry in two stages: up to 24 hours postpartum, and 7 days later. Results: We observed a significant increase of IgA levels in the experimental group (p = 0.01) after the practice of relaxation, and a lack of relationship between the control variables and IgA. Conclusion: Relaxation can help increase immunological resistance in postpartum women.OBJECTIVES: To evaluate the effects of relaxation techniques in the levels of immunoglobulin A (IgA) in saliva of postpartum women, in relationship to the variables: age, education level, marital status, type of delivery and parity. METHODS: This experimental, randomized trial was conducted in a maternity ward of Espirito Santo (Brazil). The sample consisted of 60 postpartum women. The experimental group consisted of 30 postpartum women who received the relaxation technique proposed by Benson. The levels were collected using a specific form and level of salivary IgA by immunoturbidimetry in two stages: up to 24 hours postpartum, and 7 days later. RESULTS: We observed a significant increase of IgA levels in the experimental group (p = 0.01) after the practice of relaxation, and a lack of relationship between the control variables and IgA. CONCLUSIONS: Relaxation can help increase immunological resistance in postpartum women.

PREVALÊNCIA E FATORES ASSOCIADOS À VIOLÊNCIA DOMÉSTICA: ESTUDO EM UMA MATERNIDADE DE ALTO RISCO

Objective: to describe the prevalence of domestic violence among postpartum women treated at a high-risk maternity hospital, and to examine the association of these conditions with the demographic, socioeconomic and reproductive variables. Method: cross-sectional study, carried out with 302 postpartum women. The data were collected through interviews from a structured script with questions about the characterization of the participants and an instrument to identify violence, the Abuse Assessment Screen. Results: among the interviewees, 43% reported experiencing mistreatment throughout their lives, 7.6% were victims of physical violence in the last year, and 4.6% were in a situation of physical violence during their pregnancy. Women aged between 31-43 years old (PR: 1.5; 1.1-2.1), having three or more gestations (PR: 1.8; 95% IC: 1.2-2.7) and evangelical women (PR: 1.6 95% CI: 1.1-2.3) more often experienced mistreatment in life. The absence of a partner was associated with a history of physical violence in the last year and during gestation (p<0.05). Conclusion: this study reaffirms that violence is a phenomenon that is present in women’s lives, including during the gestational period, and it has been associated with the demographic and obstetric condition of the woman. DESCRIPTORS: Violence against women. Domestic violence. Pregnant women. Assaulted women. Marital mistreatment. Cross-sectional studies. http://dx.doi.org/10.1590/0104-07072018000810017Objective: to describe the prevalence of domestic violence among postpartum women treated at a high-risk maternity hospital, and to examine the association of these conditions with the demographic, socioeconomic and reproductive variables. Method: cross-sectional study, carried out with 302 postpartum women. The data were collected through interviews from a structured script with questions about the characterization of the participants and an instrument to identify violence, the Abuse Assessment Screen. Results: among the interviewees, 43% reported experiencing mistreatment throughout their lives, 7.6% were victims of physical violence in the last year, and 4.6% were in a situation of physical violence during their pregnancy. Women aged between 31-43 years old (PR: 1.5; 1.1-2.1), having three or more gestations (PR: 1.8; 95% IC: 1.2-2.7) and evangelical women (PR: 1.6 95% CI: 1.1-2.3) more often experienced mistreatment in life. The absence of a partner was associated with a history of physical violence in the last year and during gestation (p<0.05). Conclusion: this study reaffirms that violence is a phenomenon that is present in women’s lives, including during the gestational period, and it has been associated with the demographic and obstetric condition of the woman