Grazielle Roberta Freitas da Silva

Cancer patients with oral mucositis: challenges for nursing care

OBJECTIVE: to analyze nursing care provided to cancer patients with oral mucositis based on the Nursing Process (NP). METHOD: this exploratory, descriptive, cross-sectional and quantitative study was conducted with 213 patients undergoing chemotherapy and/or radiotherapy in two cancer facilities: one philanthropic and one private service. RESULTS: the participants were mainly female, aged 45.8 years old on average, with up to 11 years of schooling and income of up to one times the minimum wage. Severe mucositis was related to chemotherapy associated with radiotherapy. Only 25.3% of the patients reported having received guidance from nurses during their treatment concerning self-care. The perceptions of patients regarding quality of care did not significantly differ between the private and public facilities. The basic human needs mainly affected were comfort, eating, and hygiene. Based on this finding, one NP was established listing the diagnoses, interventions and expected results to establish an ideal, though individualized, standard of nursing care to be provided to these patients. CONCLUSION: to understand oral mucositis is crucial to establish nursing care that includes prevention based on the implementation of an oral care plan.OBJECTIVE: to analyze nursing care provided to cancer patients with oral mucositis based on the Nursing Process (NP). METHOD: this exploratory, descriptive, cross-sectional and quantitative study was conducted with 213 patients undergoing chemotherapy and/or radiotherapy in two cancer facilities: one philanthropic and one private service. RESULTS: the participants were mainly female, aged 45.8 years old on average, with up to 11 years of schooling and income of up to one times the minimum wage. Severe mucositis was related to chemotherapy associated with radiotherapy. Only 25.3% of the patients reported having received guidance from nurses during their treatment concerning self-care. The perceptions of patients regarding quality of care did not significantly differ between the private and public facilities. The basic human needs mainly affected were comfort, eating, and hygiene. Based on this finding, one NP was established listing the diagnoses, interventions and expected results to establish an ideal, though individualized, standard of nursing care to be provided to these patients. CONCLUSION: to understand oral mucositis is crucial to establish nursing care that includes prevention based on the implementation of an oral care plan.

Qualidade de vida de pacientes com úlceras vasculogênicas em tratamento ambulatorial

Objective: assess the quality of life of patients with vasculogenic ulcers in outpatient treatment. Methods: this is a quantitative, descriptive-comparative study of the type before and after, carried out at an outpatient unit specialized in the treatment of complex wounds, with patients suffering from vasculogenic ulcers, totaling 10 patients and 26 wounds. Results: the overall score for quality of life increased 6.8 units on average. In the overall evaluation, epithelialized tissue, presence of foul odor, conduction of surgical debridement and use of hydrogel were influencers of higher scores. Conclusion: there was a significant increase in quality of life scores in all areas and in the overall score. The aspects type of tissue and odor influenced significantly the increase of the scores of all the domains and of the overall score.

Relapsed Cases Of Leprosy In A Hyperendemic City In Northeast Brazil

Leprosy is a chronic infectious disease enhanced by unfavorable conditions of housing, sanitation and number of cohabitants, especially in cases of relapses. nObjective: To evaluate the relapsed cases of leprosy from 2001 to 2014 in a Brazilian capital. nMethods: This is a cross-sectional study conducted in Teresina, a city considered hyperendemic for leprosy. Association Tests (chi-square test or Fishers exact test) were carried out. nResults: Three hundred and six cases were reported, of which 42.5% were registered in Basic Health Units (BHUs) and 57.5%, in Reference Units (RUs), with predominance of multibacillary forms. There was an association of clinical form of the disease (p < 0.01) and number of affected nerves (p < 0.05) with health units that reported cases. The number of records where the clinical form was ignored was greater in BHUs than in RUs, and the record of the dimorphic form was more frequent in URs. nConclusions: There are similarities with other studies, but it is believed that underreporting of cases take place in the studied city. Thus, greater attention to confirm the diagnosis of relapse is necessary. Training health professionals on epidemiological surveillance is essentially important, as well as the approrpiate conduct in relapsed cases of the disease in the context of public health.

Assistive technology in health promotion for older people / Tecnologia Assistiva na Promoção da Saúde de Pessoas Idosas / Tecnología de Apoyo en la Promoción de la Salud de personas ancianas

Objective: To describe an Assistive Technology in the form of educational video on Health Promotion addressed to elderly people assisted by the Family Health Strategy. Methodology: A descriptive qualitative approach, performed by the method of content analysis of categorical type.The research was conducted at the Federal University of Piaui, July-August 2013. Results: Categories found: (1) Physical exercise, (2) Healthy food. Regarding the scientific content transmitted, the video is according to the current literature. About the suitability to the target audience and language, the Assistive Technology has features that bring the story and characters of the public, which facilitates the learning process, and others that may limit this process. Conclusion: The Assistive Technology is configured as an instrument of health education that can be used in the transmission of knowledge for elderly at the region that has been produced and it is expected that future work will stimulate the initiative. Descriptors: Health Promotion. Health of the Elderly. Video-Audio Media. Nursing.

O paciente oncológico com mucosite oral: desafios para o cuidado de enfermagem

OBJECTIVE: to analyze nursing care provided to cancer patients with oral mucositis based on the Nursing Process (NP). METHOD: this exploratory, descriptive, cross-sectional and quantitative study was conducted with 213 patients undergoing chemotherapy and/or radiotherapy in two cancer facilities: one philanthropic and one private service. RESULTS: the participants were mainly female, aged 45.8 years old on average, with up to 11 years of schooling and income of up to one times the minimum wage. Severe mucositis was related to chemotherapy associated with radiotherapy. Only 25.3% of the patients reported having received guidance from nurses during their treatment concerning self-care. The perceptions of patients regarding quality of care did not significantly differ between the private and public facilities. The basic human needs mainly affected were comfort, eating, and hygiene. Based on this finding, one NP was established listing the diagnoses, interventions and expected results to establish an ideal, though individualized, standard of nursing care to be provided to these patients. CONCLUSION: to understand oral mucositis is crucial to establish nursing care that includes prevention based on the implementation of an oral care plan.OBJECTIVE: to analyze nursing care provided to cancer patients with oral mucositis based on the Nursing Process (NP). METHOD: this exploratory, descriptive, cross-sectional and quantitative study was conducted with 213 patients undergoing chemotherapy and/or radiotherapy in two cancer facilities: one philanthropic and one private service. RESULTS: the participants were mainly female, aged 45.8 years old on average, with up to 11 years of schooling and income of up to one times the minimum wage. Severe mucositis was related to chemotherapy associated with radiotherapy. Only 25.3% of the patients reported having received guidance from nurses during their treatment concerning self-care. The perceptions of patients regarding quality of care did not significantly differ between the private and public facilities. The basic human needs mainly affected were comfort, eating, and hygiene. Based on this finding, one NP was established listing the diagnoses, interventions and expected results to establish an ideal, though individualized, standard of nursing care to be provided to these patients. CONCLUSION: to understand oral mucositis is crucial to establish nursing care that includes prevention based on the implementation of an oral care plan.

El paciente oncológico con mucositis oral: desafíos para el cuidado de enfermería

OBJECTIVE: to analyze nursing care provided to cancer patients with oral mucositis based on the Nursing Process (NP). METHOD: this exploratory, descriptive, cross-sectional and quantitative study was conducted with 213 patients undergoing chemotherapy and/or radiotherapy in two cancer facilities: one philanthropic and one private service. RESULTS: the participants were mainly female, aged 45.8 years old on average, with up to 11 years of schooling and income of up to one times the minimum wage. Severe mucositis was related to chemotherapy associated with radiotherapy. Only 25.3% of the patients reported having received guidance from nurses during their treatment concerning self-care. The perceptions of patients regarding quality of care did not significantly differ between the private and public facilities. The basic human needs mainly affected were comfort, eating, and hygiene. Based on this finding, one NP was established listing the diagnoses, interventions and expected results to establish an ideal, though individualized, standard of nursing care to be provided to these patients. CONCLUSION: to understand oral mucositis is crucial to establish nursing care that includes prevention based on the implementation of an oral care plan.OBJECTIVE: to analyze nursing care provided to cancer patients with oral mucositis based on the Nursing Process (NP). METHOD: this exploratory, descriptive, cross-sectional and quantitative study was conducted with 213 patients undergoing chemotherapy and/or radiotherapy in two cancer facilities: one philanthropic and one private service. RESULTS: the participants were mainly female, aged 45.8 years old on average, with up to 11 years of schooling and income of up to one times the minimum wage. Severe mucositis was related to chemotherapy associated with radiotherapy. Only 25.3% of the patients reported having received guidance from nurses during their treatment concerning self-care. The perceptions of patients regarding quality of care did not significantly differ between the private and public facilities. The basic human needs mainly affected were comfort, eating, and hygiene. Based on this finding, one NP was established listing the diagnoses, interventions and expected results to establish an ideal, though individualized, standard of nursing care to be provided to these patients. CONCLUSION: to understand oral mucositis is crucial to establish nursing care that includes prevention based on the implementation of an oral care plan.

Consulta de enfermagem a idosos: instrumentos da comunicação e papéis da enfermagem segundo Peplau

Objective: The main objective of this study was to identify the tools of communication and roles developed by nurses in interaction with seniors, according t...Objetivo: Este estudo teve como objetivo identificar os instrumentos da comunicacao e papeis desenvolvidos pelos enfermeiros na interacao com idosos, de acordo com a Teoria Peplau. Metodos: Trata-se de uma pesquisa descritiva com abordagem quantitativa, realizada por meio de filmagens das consultas de enfermagem realizadas entre maio e setembro de 2011, em unidades basicas de saude, em Joao Pessoa - PB. Resultados: Constatou-se que os instrumentos enfocados por Peplau sao utilizados pelos enfermeiros, destacando-se a escuta. Em relacao aos papeis descritos pela teorica, os mais identificados foram os de substituto e de lider. Conclusao: Os dados refletem a formacao de vinculos entre profissionais e a comunidade. Porem, e preciso buscar uma comunicacao efetiva durante o cuidar em enfermagem, possibilitando ao paciente conceituar seus problemas e, a partir do entendimento do seu estado de saude, empregar as intervencoes adequadas, buscando-se a qualidade da assistencia.

Nursing consultation for the elderly: instruments of communication and nursing roles according to Peplau

Objective: The main objective of this study was to identify the tools of communication and roles developed by nurses in interaction with seniors, according t...Objetivo: Este estudo teve como objetivo identificar os instrumentos da comunicacao e papeis desenvolvidos pelos enfermeiros na interacao com idosos, de acordo com a Teoria Peplau. Metodos: Trata-se de uma pesquisa descritiva com abordagem quantitativa, realizada por meio de filmagens das consultas de enfermagem realizadas entre maio e setembro de 2011, em unidades basicas de saude, em Joao Pessoa - PB. Resultados: Constatou-se que os instrumentos enfocados por Peplau sao utilizados pelos enfermeiros, destacando-se a escuta. Em relacao aos papeis descritos pela teorica, os mais identificados foram os de substituto e de lider. Conclusao: Os dados refletem a formacao de vinculos entre profissionais e a comunidade. Porem, e preciso buscar uma comunicacao efetiva durante o cuidar em enfermagem, possibilitando ao paciente conceituar seus problemas e, a partir do entendimento do seu estado de saude, empregar as intervencoes adequadas, buscando-se a qualidade da assistencia.

Consulta de enfermería para la tercera edad: instrumentos de comunicación y los papeles de la enfermería según Peplau

Objective: The main objective of this study was to identify the tools of communication and roles developed by nurses in interaction with seniors, according t...Objetivo: Este estudo teve como objetivo identificar os instrumentos da comunicacao e papeis desenvolvidos pelos enfermeiros na interacao com idosos, de acordo com a Teoria Peplau. Metodos: Trata-se de uma pesquisa descritiva com abordagem quantitativa, realizada por meio de filmagens das consultas de enfermagem realizadas entre maio e setembro de 2011, em unidades basicas de saude, em Joao Pessoa - PB. Resultados: Constatou-se que os instrumentos enfocados por Peplau sao utilizados pelos enfermeiros, destacando-se a escuta. Em relacao aos papeis descritos pela teorica, os mais identificados foram os de substituto e de lider. Conclusao: Os dados refletem a formacao de vinculos entre profissionais e a comunidade. Porem, e preciso buscar uma comunicacao efetiva durante o cuidar em enfermagem, possibilitando ao paciente conceituar seus problemas e, a partir do entendimento do seu estado de saude, empregar as intervencoes adequadas, buscando-se a qualidade da assistencia.

Diagnóstico da situação de saúde materno infantil no município de Tanque do Piauí-PI - doi:10.5020/18061230.2013.p79

Objective: To describe the diagnosis of maternal and child health in the city of Tanque do Piaui-PI. Methods: This is a cross-sectional, descriptive study using epidemiological survey by downloading the database for the years of 2007, 2008 and 2009 from the Ministry of Health official systems. The variables analyzed were: demographic and socioeconomic indicators; mortality; morbidity and risk factors; resource and coverage; and SISPRENATAL indicators. Results: With the results, the main epidemiological measures for the municipality were observed, especially regarding maternal and child health situation. It was noted a situation of social vulnerability, with high rates of illiteracy, precarious basic sanitation conditions, high rates of teenage pregnancy and cesarean deliveries, infant mortality and low birth weight rates in significant proportion, and inefficient supply of information systems. Conclusion: An increase in the maternal mortality rate, the percentage of teenage pregnancy, and in the number of low birth weight infants and cesarean deliveries has been verified.