Gabriela de Sousa Martins Melo

Changes in patients' quality of life with venous ulcers treated at the outpatient clinic of a university hospital

Objective: to verify changes in the quality of life (QL) of clinic patients with venous ulcers (VU) in the clinic of a University Hospital in Natal city/RN, Northeast of Brazil. Method: this is about a cross-sectional, descriptive study, from quantitative approach, conducted with 50 patients with VU treated at the vascular clinic of a university hospital in Natal / RN. The study was approved by the Ethics Committee of the UFRN (No. 279/09). Data collection was performed in two months by implementing means of a structured form concerning data of socio-demographic, health, clinical and care of the patient. The data were categorized in the Microsoft Excel and processed by SPSS 15.0 by descriptive and inferential statistics. Results: the respondents have experienced discrimination of society, showed changes in quality of life after the occurrence of ulcer in relation to leisure and pain; social restriction; education and transportation; employment restrictions, financial and social progression; physical appearance and discrimination; restriction of home activity. By comparing these changes with the time of injury, it was observed that the time of injury influences the change in QL (ρ = 0.000). Conclusion: Identified that several socio-demographic factors, clinical and care are influenced by UV, reflecting on the QL of patients. Thus, denoting that the more chronic the injury is more negative changes occur in their QL. Descriptors: quality of life; venous ulcers; nursing.

Validação de instrumento para avaliação da habilidade de mensuração da pressão arterial

O estudo objetivou validar um instrumento para avaliacao da habilidade dos graduandos de enfermagem para mensuracao da pressao arterial. Estudo metodologico, desenvolvido com 27 enfermeiros juizes do estudo, docentes disciplina de semiologia e/ ou semiotecnica, com no minimo 1 ano de experiencia nas disciplinas. Foi realizado em duas etapas: levantamento da literatura para a elaboracao do instrumento do tipo checklist e posterior submissao para validacao de conteudo mediante aplicacao do Indice Kappa, aceitando-se o valor > 0,61 (nivel bom), e Indice de Validade de Conteudo (IVC) > 0,75. Com base na revisao incluiram-se 28 itens no checklist, dos quais todos obtiveram indice Kappa e IVC aceitos para a validade de conteudo, e nove deles necessitaram de alteracoes. O instrumento pode ser considerado valido em seu conteudo, com todos os itens considerados adequados, tanto separadamente, como de maneira global.This study aimed to validate an instrument for evaluation the ability of nursing students to measure the blood pressure. It is a methodological study, developed with 27 nurses, teachers of semiology and/or semiotic disciplines, with at least 1 year of experience in disciplines, which acted as judges of the study. It was accomplished in two steps: first, a review of the literature to build the checklist instrument and subsequent submission for content validation by applying the Kappa, accepting the value > 0.61 (good level); and second, it was accomplished a Content Validity Index (CVI) > 0.75. Based on the literature review, 28 items were included in the checklist, with all of them showing Kappa index and CVI accepted for content validity, and nine of those items needed changes. The instrument can be considered valid in its content, with all its items being considered appropriate separately, as well as globally.

Utilization the SF-36 in the assessment of quality of life related to chronic diseases: literature review

ABSTRACT Objective : identify in the Brazilian scientific literature, the utilization of the SF-36 in assessing the quality of life related to chronic diseases. Method : this is a literature systematic review study, conducted in October 2009, in the databases of BIREME using the descriptors quality of life (QL) and chronic diseases, being selected one study in BDENF and three in LILACS. In the database Google Scholar were selected 20, using as descriptors quality of life, chronic diseases and SF-36. Inclusion criteria were: studies published from 2004 to 2009, held in Brazil, available in full text and free access. The results will be presented in table form. Results : of the 24 items surveyed, 83.3% were located in Scholar Google, 12.5% in LILACS and 4.2% in BDENF. Articles predominated (79.2%) in the year 2008 (29.2%), the journal of Arquivos de Neuropsiquiatria was the most raised the issue (16.7%), chronic illness was the most discussed renal chronic disease. Conclusion : the SF-36, despite being a tool to evaluate changes in QL in the last 4 weeks has been applied to diseases with chronic obtaining satisfactory results. Descriptors : quality of life; chronic diseases; a literature review. RESUMO Objetivo : Identificar na literatura cientifica nacional a utilizacao do SF-36 na avaliacao da qualidade de vida relacionada a doencas cronicas. Metodo : revisao de literatura realizada em outubro de 2009, nas bases de dados da BIREME utilizando os descritores qualidade de vida (QV) e doencas cronicas, sendo selecionado um estudo na BDENF e tres na LILACS. Na base de dados Google Academico foram selecionados 20 estudos, usando como descritores qualidade de vida, doencas cronicas e SF-36. Os criterios de inclusao foram: estudos publicados no periodo de 2004 a 2009, realizados no Brasil, disponivel em texto completo e de acesso livre. Os resultados serao apresentados em forma de tabela. Resultados : dos 24 artigos pesquisados, 83,3% estava localizado no Google academico, 12,5% no LILACS e 4,2% na BDENF. Predominaram artigos (79,2%), no ano de 2008 (29,2%); o periodico Arquivos de Neuropsiquiatria foi o que mais abordou o tema (16,7%), a doenca cronica mais abordada foi a insuficiencia renal cronica (29,2%) e quanto a aplicabilidade, a maioria (58,3%) nao relatou dificuldades. Conclusao : o SF-36, apesar de ser um instrumento que avalie as alteracoes na QV nas ultimas 4 semanas tem sido aplicado para doencas com carater cronico obtendo resultados satisfatorios. Descritores : qualidade de vida; doencas cronicas; revisao de literatura. RESUMEN Objetivo : identificar en la literatura cientifica brasilena, el uso del SF-36 para evaluar la calidad de vida relacionada con las enfermedades cronicas. Metodo : revision de la literatura realizada en octubre de 2009, las bases de datos indexados usando palabras clave de la calidad de vida (CV) y enfermedades cronicas, siendo seleccionada 1 estudio en la BDENF y 3 en el LILACS. En la base de datos Google Scholar, fueron seleccionados 20 estudios, con los descriptores calidad de vida, enfermedades cronicas y SF-36. Los criterios de inclusion fueron: estudios publicados desde 2004 hasta 2009, realizada en Brasil, disponible en texto completo y acceso libre. Los resultados se presentan en forma tabular. Resultados : de los 24 articulos de la encuesta, 83,3% estaban localizados en Google Academico, un 12,5% en LILACS y 4,2% en BDENF. Predominaron articulos (79,2%) en el ano 2008 (29,2%), en la revista Arquivos de Neuropsiquiatria (16,7%), la enfermedad cronica mas abordada fue la insuficiencia renal cronica (29, 2%) y cuanto la aplicabilidad, la mayoria (58,3%) no informaron dificultades. Conclusion : el SF-36, a pesar de ser una herramienta para evaluar los cambios en la calidad de vida en las ultimas 4 semanas ha sido aplicado a las enfermedades cronicas con la obtencion de resultados satisfactorios. Descriptores : calidad de vida; enfermedad cronica; revision de la literatura.

Facilitating aspects and barriers in the effectiveness of donation of organs and tissues

This study aims to ascertain the influence of the structure and process on the effectiveness of donation of organs and tissues. It is an evaluative, longitudinal study, with a quantitative approach, undertaken in six hospitals of Natal-RN, with 65 potential donors. The data collection instrument was a structured script of non-participant observation. The data were analyzed using descriptive statistics and the application of the Chi-squared, Fisher, and Mann Whitney tests. The effectiveness of donation was 27.7%. No significant difference occurred between structure and effectiveness of donation, however, inadequacies were observed in the physical resources (36.9%), material resources (30.8%), organizational structure (29.2%), and human resources (18.5%). In the process, the phases of maintenance (p=0.004), diagnosis of brain death (p=0.032), family interview (p≤0.001) and documentation (p=0.001) presented significant differences with effectiveness. The adequacy of the factors related to the structure and process is associated with the effectiveness of the donation. Improvement of these indices depends on the speed with which the process is conducted, in addition to the adequate structure.

FACILITADORES E BARREIRAS NA EFETIVIDADE DA DOAÇÃO DE ÓRGÃOS E TECIDOS

This study aims to ascertain the influence of the structure and process on the effectiveness of donation of organs and tissues. It is an evaluative, longitudinal study, with a quantitative approach, undertaken in six hospitals of Natal-RN, with 65 potential donors. The data collection instrument was a structured script of non-participant observation. The data were analyzed using descriptive statistics and the application of the Chi-squared, Fisher, and Mann Whitney tests. The effectiveness of donation was 27.7%. No significant difference occurred between structure and effectiveness of donation, however, inadequacies were observed in the physical resources (36.9%), material resources (30.8%), organizational structure (29.2%), and human resources (18.5%). In the process, the phases of maintenance (p=0.004), diagnosis of brain death (p=0.032), family interview (p≤0.001) and documentation (p=0.001) presented significant differences with effectiveness. The adequacy of the factors related to the structure and process is associated with the effectiveness of the donation. Improvement of these indices depends on the speed with which the process is conducted, in addition to the adequate structure.

Validation of an instrument for assessing the ability of blood pressure measurement

O estudo objetivou validar um instrumento para avaliacao da habilidade dos graduandos de enfermagem para mensuracao da pressao arterial. Estudo metodologico, desenvolvido com 27 enfermeiros juizes do estudo, docentes disciplina de semiologia e/ ou semiotecnica, com no minimo 1 ano de experiencia nas disciplinas. Foi realizado em duas etapas: levantamento da literatura para a elaboracao do instrumento do tipo checklist e posterior submissao para validacao de conteudo mediante aplicacao do Indice Kappa, aceitando-se o valor > 0,61 (nivel bom), e Indice de Validade de Conteudo (IVC) > 0,75. Com base na revisao incluiram-se 28 itens no checklist, dos quais todos obtiveram indice Kappa e IVC aceitos para a validade de conteudo, e nove deles necessitaram de alteracoes. O instrumento pode ser considerado valido em seu conteudo, com todos os itens considerados adequados, tanto separadamente, como de maneira global.This study aimed to validate an instrument for evaluation the ability of nursing students to measure the blood pressure. It is a methodological study, developed with 27 nurses, teachers of semiology and/or semiotic disciplines, with at least 1 year of experience in disciplines, which acted as judges of the study. It was accomplished in two steps: first, a review of the literature to build the checklist instrument and subsequent submission for content validation by applying the Kappa, accepting the value > 0.61 (good level); and second, it was accomplished a Content Validity Index (CVI) > 0.75. Based on the literature review, 28 items were included in the checklist, with all of them showing Kappa index and CVI accepted for content validity, and nine of those items needed changes. The instrument can be considered valid in its content, with all its items being considered appropriate separately, as well as globally.

Influence of pain on daily life of people with venous ulcers: evidence-based practice

ABSTRACT Objective : to evaluate the available evidence on the impact of pain on daily life of people with venous ulcers. Method : this is a study of integrative review followed the following steps: establishing the hypothesis and objectives, establishing criteria for inclusion or exclusion of articles, defining the information to be extracted from the selected items, results analysis, discussion and presentation of results. To select the articles we used three databases, Medline, Cinahl and ISI Web of Knowledge and the sample consisted of 18 articles. Results : in the works that were analyzed showed evidence that the pain of venous ulcers influences the patients daily life. Among people with venous ulcers, we found that the pain is a major aggravating to decreased quality of life, especially as regards the loss of mood, sleep disturbance, social isolation and loss of physical mobility. Conclusion : The pain of the wound can lead to a huge impact on the daily life of a person and, as such, the need of each patient must be acknowledged and considered in a holistic manner. Descriptors : venous ulcers; quality of life; pain; nursing. RESUMO Objetivo : avaliar as evidencias disponiveis sobre a influencia da dor na vida diaria da pessoa com ulcera venosa. Metodo : trata-se de um estudo de revisao integrativa obedeceu as seguintes etapas: estabelecimento da hipotese e objetivos; estabelecimento de criterios de inclusao e exclusao de artigos; definicao das informacoes a serem extraidas dos artigos selecionados; analise dos resultados; discussao e apresentacao dos resultados. Para a selecao dos artigos utilizou-se tres bases de dados, Medline, Cinahl e Isi Web Of Knowledge e a amostra constituiu-se de 18 artigos. Resultados : nos trabalhos que foram analisados evidenciamos que a dor da ulcera venosa influencia na vida diaria do paciente. Dentre as pessoas com ulcera venosa, verificamos que a dor e um dos grandes agravantes para a diminuicao da qualidade de vida, principalmente no que diz respeito a perda do humor, disturbios do sono, isolamento social e perda da mobilidade fisica. Conclusao : a dor da ferida pode levar a um enorme impacto na vida de uma pessoa diariamente e, como tal, a necessidade de cada paciente deve ser reconhecida e considerada de maneira holistica. Descritores : ulcera venosa; qualidade de vida; dor; enfermagem. RESUMEN Objetivo : evaluar la evidencia disponible sobre el impacto del dolor en la vida cotidiana de las personas con ulceras venosas. Metodo : se trata de un estudio de revision integradora seguido los siguientes pasos: el establecimiento de la hipotesis y objetivos, el establecimiento de los criterios para su inclusion o exclusion de los articulos, la definicion de la informacion que se extrae de los elementos seleccionados, la analisis de resultados, discusion y presentacion de resultados. Para seleccionar los articulos que utilizaron tres bases de datos, Medline, CINAHL y el ISI Web of Knowledge y la muestra estuvo constituida por 18 articulos. Resultados : en las obras que fueron analizados mostraron evidencia de que el dolor de las ulceras venosas influye en la vida diaria del paciente. Entre las personas con ulceras venosas, se encontro que el dolor es una de las principales agravantes de disminucion de la calidad de vida, especialmente en lo que respecta a la perdida del estado de animo, trastornos del sueno, aislamiento social y perdida de movilidad fisica. Conclusion : el dolor de la herida puede causar un gran impacto en la vida cotidiana de una persona y, como tal, la necesidad de cada paciente debe ser reconocida y considerada en forma integral. Descriptores : ulceras venosas; calidad de vida; dolor; enfermeria.

Characterization socio-demographic of patients with venous ulcers treated at a university hospital

ABSTRACT Objective : to characterize sociodemographic patients with venous ulcers (UV) participating in a study developed at University Hospital, Natal/RN. Methodology : this is an analytical study of therapeutic intervention intra-group, not randomized, with 18 patients performed with UV outpatient clinic of Angiology from a university hospital in Natal/RN. D ata collection was performed in four months, through a survey instrument consisting of a structured interview applied in the patients admission to the study and an observation script checks implemented in the ten checks subsequent admission following the categorization in Microsoft Excel and processed using the SPSS 15.0 by descriptive statistics. This study has been approved by the Ethics and Research/CEP HUOL UFRN (no 276/09). Results : identified himself a predominance among patients with UV female (88.9%), equality in the two age ranges, mostly with low education (83.3%) and low family income (77.8%), with any profession (94,4%), and for the current occupation most patients were retired or unemployed (55.6%). Conclusion : it was noticed a trend of emergence of UV, in females, with socio-economic conditions unfavorable and with low education. Descriptors : venous ulcer; nursing; hospital care. RESUMO Objetivo : caracterizar sociodemograficamente os portadores de ulcera venosa (UV) participantes de um estudo desenvolvido no Hospital Universitario, Natal/RN. Metodologia : trata-se de um estudo analitico de intervencao, do tipo terapeutico, nao randomizado intragrupo, realizado com 18 portadores de UV atendidos no ambulatorio de angiologia de um hospital universitario em Natal/RN. A coleta de dados foi realizada em quatro meses, por meio de um instrumento de pesquisa composto por um roteiro de entrevista aplicado na admissao do paciente ao estudo e um roteiro de observacao implementado nas dez verificacoes subsequentes a admissao . Os dados foram categorizados no Microsoft Excel e processados no SPSS 15.0 pela estatistica descritiva, apos parecer favoravel do Comite de Etica e Pesquisa/CEP do HUOL/UFRN (no 276/09 ). Resultados : identificou-se predominância entre os portadores de UV pesquisados, do sexo feminino (88,9%), igualdade quanto as duas faixas etarias consideradas, em sua maioria, com baixa escolaridade (83,3%) e baixa renda familiar (77,8%), como tambem tinham alguma profissao (94,4%) e quanto a ocupacao atual a maioria encontrava-se aposentado/desempregado (55,6%). Conclusao : percebeu-se uma tendencia de surgimento de UV, no sexo feminino, com condicoes socio-economicas desfavoraveis e com baixo nivel de escolaridade. Descritores : ulcera venosa; enfermagem;assistencia hospitalar. RESUMEN Objetivo : caracterizar los factores sociodemograficos de los pacientes con ulceras venosas (UV) los participantes en un estudio realizado en el Hospital Universitario, Natal / RN. Metodologia : se trata de un estudio analitico de la intervencion terapeutica de tipo no aleatorio intragrupo realizado realizado con 18 pacientes en la clinica de Angiologia de un hospital universitario en Natal/RN. Los datos fueron recolectados en cuatro meses mediante una encuesta que consiste en una entrevista estructurada al ingreso en el estudio y una guia de observacion. Los datos fueron categorizados en Microsoft Excel y procesados utilizando el paquete estadistico SPSS 15.0 por estadistica descriptiva e inferencial depues de la aprobacion por el Comite de Etica de la Universidad Federal del Rio Grande do Norte/UFRN. Resultados : la prevalencia en los pacientes con UV encuestados fueron de mujeres (88,9%), igual en los dos niveles de edad considerados, en su mayoria con bajo nivel educativo (83,3%) y de bajos ingresos (77,8%), (94, 4%) tuvieron alguna ocupacion y la ocupacion actual de la mayoria de los pacientes estaban jubilados o desempleados (55,6%). Conclusion : se observo una tendencia de aparicion de UV en las mujeres, con las condiciones socio-economicas desfavorables y con bajo nivel educativo. Descriptores : las ulceras; venosas de enfermeria; atencion hospitalaria.

Perfil epidemiológico de las emergencias traumáticas asistidas por un servicio prehospitalario móvil de urgencia

Objective: To describe the epidemiological profile of the traumatic emergencies assisted by a mobile prehospital emergency service in Northeastern Brazil. Methods: Documentary and quantitative study, performed from the patients’ records of the emergencies between January and June 2014, consisting the sample of 1,960 records. A structured questionnaire to collect data was used, and the analysis was by descriptive statistics.

Epidemiological profile of the traumatic emergencies assisted by a mobile prehospital emergency service

Objective: To describe the epidemiological profile of the traumatic emergencies assisted by a mobile prehospital emergency service in Northeastern Brazil. Methods: Documentary and quantitative study, performed from the patients’ records of the emergencies between January and June 2014, consisting the sample of 1,960 records. A structured questionnaire to collect data was used, and the analysis was by descriptive statistics.