José Luiz Tatagiba Lamas

Nurses of adult Intensive Care Unit: evaluation about direct and indirect blood pressure measurement

This is a descriptive and cross-sectional study with the aim to evaluate and self-evaluate the knowledge of nurses from adult Intensive Care Units about direct and indirect blood pressure measurement. Fifty-four nurses from three Intensive Care Units were approached. They answered a self-administered questionnaire with 65 questions (40 related to blood pressure). Nurses had insufficient performance on the test that assessed knowledge (average score 4.6). Half of the sample felt dissatisfied with their knowledge about blood pressure. After answering the questionnaire the subjects self-rated their knowledge as regular (48.2%), bad (27.8%) and poor (9.3%) indicating they are aware of the importance for the subject to practice. The results show the need of urgent implementation of continuing education for this sample, since they are professionals who work directly with a priority vital sign on care to critical patients.This is a descriptive and cross-sectional study with the aim to evaluate and self-evaluate the knowledge of nurses from adult Intensive Care Units about direct and indirect blood pressure measurement. Fifty-four nurses from three Intensive Care Units were approached. They answered a self-administered questionnaire with 65 questions (40 related to blood pressure). Nurses had insufficient performance on the test that assessed knowledge (average score 4.6). Half of the sample felt dissatisfied with their knowledge about blood pressure. After answering the questionnaire the subjects self-rated their knowledge as regular (48.2%), bad (27.8%) and poor (9.3%) indicating they are aware of the importance for the subject to practice. The results show the need of urgent implementation of continuing education for this sample, since they are professionals who work directly with a priority vital sign on care to critical patients.

Desenvolvimento de instrumento de coleta de dados de enfermagem para pacientes com câncer de pulmão em quimioterapia ambulatorial

O câncer e um grave problema de saude publica, e, dentre suas variedades, ha o câncer de pulmao, que vem crescendo na populacao brasileira e mundial. A principal causa do câncer de pulmao e o tabagismo. Ha tres formas de tratamento: cirurgia, radioterapia e quimioterapia; para essa patologia a mais utilizada e a terceira. A enfermeira deve estar apta a lidar com as dificuldades desses pacientes, que durante o tratamento ambulatorial manifestam em seus domicilios efeitos colaterais. Os objetivos desta pesquisa sao elaborar um instrumento de coleta de dados para pacientes com câncer de pulmao em quimioterapia ambulatorial e avaliar a validade de seus conteudos e sua confiabilidade. Teve como guia a teoria do autocuidado de Dorothea Orem. Para sua validacao, o instrumento foi primeiramente avaliado por juizes; apos isso, foram realizados o pre-teste e o teste de confiabilidade pelo metodo da equivalencia entre observadores. O instrumento se demonstrou confiavel, considerando aquilo que se pretendia medir.Resumen K e y w o r d s : Nursing Process. Self Care. Drug Therapy. Lung Neoplasms. Palabras clave: Procesos de Enfermería. Autocuidado. Quimioterapia. Neoplasias Pulmonares. DESENVOLVIMENTO DE INSTRUMENTO DE COLETA DE DADOS DE ENFERMAGEM PARA PACIENTES COM CÂNCER DE PULMÃO EM QUIMIOTERAPIA AMBULATORIAL Developing a Nursing Data Colleting Instrument to Patients with Lung Cancer Treated by Chemotherapy in Ambulatory Desarrollo de Instrumento de Recogida de Datos de Enfermería para Pacientes con Cáncer de Pulmón en Quimioterapia Ambulatoria O câncer é um grave problema de saúde pública, e, dentre suas variedades, há o câncer de pulmão, que vem crescendo na população brasileira e mundial. A principal causa do câncer de pulmão é o tabagismo. Há três formas de tratamento: cirurgia, radioterapia e quimioterapia; para essa patologia a mais utilizada é a terceira. A enfermeira deve estar apta a lidar com as dificuldades desses pacientes, que durante o tratamento ambulatorial manifestam em seus domicílios efeitos colaterais. Os objetivos desta pesquisa são elaborar um instrumento de coleta de dados para pacientes com câncer de pulmão em quimioterapia ambulatorial e avaliar a validade de seus conteúdos e sua confiabilidade. Teve como guia a teoria do autocuidado de Dorothea Orem. Para sua validação, o instrumento foi primeiramente avaliado por juízes; após isso, foram realizados o pré-teste e o teste de confiabilidade pelo método da equivalência entre observadores. O instrumento se demonstrou confiável, considerando aquilo que se pretendia medir. Cancer is a serious public health problem and among its varieties there is lung cancer, which is increasing among brazilian people and in all the world. Its main cause is tobacco use. There are three ways to treat lung cancer: surgery, radiotherapy and chemotherapy. The last one is the most used. Nurses should be apt to deal with problems of the patients, who are exposed to collateral effects at home. demonstrating in their homes side effects. The objectives of this research are preparing an instrument for collecting data for patients with cancer of the lung in outpatient chemotherapy, and assess the validity of its content and its reliability. This work was guided by selfcare theory, by Dorothea Orem. The instrument was validated by five judges. After that, it was submitted to a previous test and its reliability was determined by equivalence between obser vers. The instrument demonstrated reliability, measuring the parameters it is supposed to. El cáncer es un grave problema de salud pública y entre sus variedades existe el cáncer de pulmón, que está creciendo en la población brasileña y mundial. La principal causa de cáncer de pulmón es el tabaquismo. Existen tres formas de tratamiento, quirúrgica, por radioterapia y quimioterapia, siendo que para esta patología la más utilizada es la tercera. La enfermera debe estar habilitada para manejar dificultades de los usuarios que ante el tratamiento ambulatorio visiblemente pozo a su domicilio lado efectos. Los objetivos de esta investigación son elaborar un aparato desde colecta de datos para pacientes con cáncer de pulmón en quimioterapia en ambulatorio y evaluar la validad de sus contenidos y su confiabilidad. Tuvo como guía la teoría utilizada del auto-cuidado de Dorothea Orem.Para que sea comprobada la validez de dicho instrumento primeramente este fue evaluado por jueces, luego fue realizado un pre-test y el test de confiabilidad por el metodo de equivalencia entre los observadores. El instrumento demostró realmente su confiabilidad midiendo aquello a lo que se lo propuso a medir. 1Enfermeira, Universidade Estadual de Campinas , Mestre em Enfermagem pela Faculdade de Ciências Médicas FCM UNICAMPCampinas SP. 2Enfermeiro, Prof. Doutor, Departamento de Enfermagem, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, SP. 3Enfermeira, Ambulatório de Quimioterapia, Hospital das Clínicas, Universidade Estadual de Campinas, SP. Esc Anna Nery Rev Enferm 2008 mar; 12 (1): 130 5. Pesquisa Anita Moda Salvadori1 José Luiz Tatagiba Lamas2 Cláudia Zanon3

Fatores associados à hipertensão arterial e níveis pressóricos encontrados entre adolescentes trabalhadores

The aim of this study was to identify hypertension associated factors (AF) and verify blood pressure (BP) levels among adolescent workers. Interviews were conducted with 193 working adolescents - 135 men and 58 women between 16 and 18 years. After five minutes in seated position, their arm circumferences were measured and their BP was determined using correct (CCW) and standard (SCW) cuff widths. The values were related to AF. BP was, in average, 105.2/60.9 mmHg (CCW) and 101.0/57.9 (SCW-p<0.05). Among the AF found, only skin color and alcoholic drinking were associated to BP elevation, also noted in male adolescents. When using CCW, more hypertensive and borderline adolescents were found than using SCW. All of them had at least one AF. It can be concluded that there are several hypertension AF among this population, and some of them are already causing BP elevation. Studies such as this should be made frequently because adolescent blood pressure levels can predict hypertension in adulthood.The aim of this study was to identify hypertension associated factors (AF) and verify blood pressure (BP) levels among adolescent workers. Interviews were conducted with 193 working adolescents--135 men and 58 women between 16 and 18 years. After five minutes in seated position, their arm circumferences were measured and their BP was determined using correct (CCW) and standard (SCW) cuff widths. The values were related to AF. BP was, in average, 105.2/60.9 mmHg (CCW) and 101.0/57.9 (SCW- p < 0.05). Among the AF found, only skin color and alcoholic drinking were associated to BP elevation, also noted in male adolescents. When using CCW, more hypertensive and borderline adolescents were found than using SCW. All of them had at least one AF. It can be concluded that there are several hypertension AF among this population, and some of them are already causing BP elevation. Studies such as this should be made frequently because adolescent blood pressure levels can predict hypertension in adulthood.

Enfermeiros de Unidade de Terapia Intensiva adulto: avaliação sobre medida direta e indireta da pressão arterial

This is a descriptive and cross-sectional study with the aim to evaluate and self-evaluate the knowledge of nurses from adult Intensive Care Units about direct and indirect blood pressure measurement. Fifty-four nurses from three Intensive Care Units were approached. They answered a self-administered questionnaire with 65 questions (40 related to blood pressure). Nurses had insufficient performance on the test that assessed knowledge (average score 4.6). Half of the sample felt dissatisfied with their knowledge about blood pressure. After answering the questionnaire the subjects self-rated their knowledge as regular (48.2%), bad (27.8%) and poor (9.3%) indicating they are aware of the importance for the subject to practice. The results show the need of urgent implementation of continuing education for this sample, since they are professionals who work directly with a priority vital sign on care to critical patients.This is a descriptive and cross-sectional study with the aim to evaluate and self-evaluate the knowledge of nurses from adult Intensive Care Units about direct and indirect blood pressure measurement. Fifty-four nurses from three Intensive Care Units were approached. They answered a self-administered questionnaire with 65 questions (40 related to blood pressure). Nurses had insufficient performance on the test that assessed knowledge (average score 4.6). Half of the sample felt dissatisfied with their knowledge about blood pressure. After answering the questionnaire the subjects self-rated their knowledge as regular (48.2%), bad (27.8%) and poor (9.3%) indicating they are aware of the importance for the subject to practice. The results show the need of urgent implementation of continuing education for this sample, since they are professionals who work directly with a priority vital sign on care to critical patients.

Comparação entre as técnicas de mensuração da pressão arterial em um e em dois tempos

Medir la presion arterial es un paso inicial e indispensable en la busqueda de un adecuado diagnostico de hipertension, ya que los niveles de presion arterial representan un importante marcador de riesgo para enfermedades cardiovasculares. Sin embargo, medir la presion puede resultar en conclusiones inapropiadas si las normas tecnicas basicas no son obedecidas. En este estudio comparamos el uso de las tecnicas de medicion de la presion arterial a un tiempo con la tecnica a dos tiempos, recomendada por la American Heart Association en 2005. Hemos realizado mediciones por las dos tecnicas en 40 individuos adultos, utilizando como equipamiento tensiometro de mercurio y dispositivos digitales. Por medio del analisis de los datos se concluyo que la medicion a un tiempo mostro resultados similares a los obtenidos con la tecnica a dos tiempos.Measuring blood pressure is an essential and initial step in seeking a proper diagnosis of hypertension, once blood pressure levels are an important risk marker for cardiovascular disease. Measuring blood pressure, however, can result in inappropriate conclusions if basic technical standards are not obeyed. This study compared the use of the technique for measuring blood pressure in one step with the technique in two steps, recommended by the American Heart Association in 2005. Measurements were made by both techniques in fourteen adults, using mercury sphygmomanometer and a digital device. Through analysis of the data it was concluded that the technique in one step showed similar results to those obtained with the technique in two steps.

Processo de enfermagem na saúde mental: revisão integrativa da literatura.

Objective: to identify evidences from the literature on the application of nursing process in care developed by the nurse in mental health. Method: integrative literature review between 1990 and 2013, in the PubMed, Scopus, CINAHL and LILCACS bases. Descriptors: nursing processes, mental health, nursing care. Results: 19 papers were identified. Limited and partial usage of the nursing process in care established by a therapeutic relationship that respects the patients individuality. We observe care proposals systematized for patients that present pathological aspects in the limits between the physical and psychical, which might be a response to the influence of the practice based on evidences. Conclusion: it was found an antagonistic movement between care based on the relationship and located in the standardization of diagnoses that respond to physical malaise. A lack of evidence was verified for the usage of the nursing process in mental health, and we point at the necessity for the creation of new possibilities for dialogue between relational and biological perspectives.

Marcadores de saúde do homem em um município de pequeno porte

Objective: Identifying markers of mens health. Methods: Descriptive, exploratory study with a quantitative approach, held in a small town in Minas Gerais. The data collection occurred from October to December 2013, using 217 structured forms with information from men. Results: 134 (62%) forms were filled during visit at the primary health care unit and the rest, on the day of the nutritional census performed in the city; 58% of men were overweight and obese and the prevalence of hypertension and diabetes mellitus was 17.5% and 4.6% respectively. Cardiovascular diseases were greater among men and their diet includes a large percentage of processed foods. Conclusion: Health markers identified in man highlight the need for operationalization of strategies that strengthen the participation of the male audience on actions of health promotion.Objetivo: Identificar los marcadores de salud del hombre. Metodos: Estudio descriptivo, exploratorio, con abordaje cuantitativo, realizado en un pequeno municipio de Minas Gerais. La coleta de datos se produjo desde octubre hasta diciembre de 2013, utilizando 217 formularios estructurados con informaciones de los hombres. Resultados: 134 (62%) formularios fueron llenados durante el atendimiento en la Unidad de Atencion Primaria a la Salud, los demas, se completaron en el dia de la convocatoria nutricional realizada por el municipio; 58% de los hombres estaban con sobrepeso y obesidad; la prevalencia de la hipertension arterial y la diabetes mellitus fue de 17,5% y 4,6%, respectivamente. Las enfermedades cardiovasculares fueron predominantes entre los hombres y su dieta incluye un gran porcentaje de los alimentos procesados. Conclusion: Los marcadores de salud identificados en los hombres destacan la necesidad de operacionalizacion de estrategias que fortalezcan la participacion del publico masculino en acciones de promocion en salud.

Effects of different hormonal contraceptives in women's blood pressure values

OBJECTIVE To identify evidence in the literature of the relationship between the use of different hormonal contraceptive methods and alterations in womens blood pressure values. METHOD This is an integrative literature review, consisting of ten scientific articles published in PubMed and BVS, between 2012 and 2016, selected by keywords, available fully and free of charge, in English, Portuguese, or Spanish. RESULTS The articles showed that exogenous estrogen helps in the activation of the renin-angiotensin-aldosterone system causing hypertensive effects even in small doses; and that combined use with drospirenone reduces these effects. Routes of administration without passage through the liver and use of isolated progestin showed promising results in reducing the effects on blood pressure. CONCLUSION There is evidence in the literature of pressure alterations associated with different hormonal contraceptives and that personal history of morbidities are to be considered in an attempt to reduce the effects on the cardiovascular system.

Healthcare and discourse: exploration of interprofessional learning within a Brazilian context

ABSTRACT This paper reports a qualitative study on the contribution of a Program of Education through Work (PET) in Healthcare, based at a Brazilian State University, to interprofessional education. Data were collected from ten undergraduate students of Nursing, Medicine, and Phonoaudiology (speech therapy), who were part of PET at the University. Data were analyzed using the Discourse of the Collective Subject technique. Central ideas were gathered into three categories: (1) teamwork and interprofessionality; (2) PET influences on SUS (Brazilian Unified Health System); (3) teaching-service-community integration. The study found evidence that PET enabled the students with opportunities to be involved in an education that supported the SUS principles and guidelines and to engage with interprofessional learning where there were exchanges of different professional experiences. The PET also supported the development of critical thinking for professional performance, as well as an integrated teaching experience that could support community development.

Proceso de enfermería en salud mental: revisión integrativa de la literature

Objective: to identify evidences from the literature on the application of nursing process in care developed by the nurse in mental health. Method: integrative literature review between 1990 and 2013, in the PubMed, Scopus, CINAHL and LILCACS bases. Descriptors: nursing processes, mental health, nursing care. Results: 19 papers were identified. Limited and partial usage of the nursing process in care established by a therapeutic relationship that respects the patients individuality. We observe care proposals systematized for patients that present pathological aspects in the limits between the physical and psychical, which might be a response to the influence of the practice based on evidences. Conclusion: it was found an antagonistic movement between care based on the relationship and located in the standardization of diagnoses that respond to physical malaise. A lack of evidence was verified for the usage of the nursing process in mental health, and we point at the necessity for the creation of new possibilities for dialogue between relational and biological perspectives.