Juliana Bastoni da Silva

O sofrimento psíquico dos enfermeiros que lidam com pacientes oncológicos

In this qualitative study, four nurses of a teaching hospital in the city of Campinas, Sao Paulo-Brazil, all of them working with oncological patients were interviewed in order to verify the situation that most caused mental suffering in the day by day with these patients. Data collection were performed as proposed by the ethnographic approach and the non-directive interview and the direct observation was employed. The contain analysis has been utilized to the data analysis. The results have shown that many situations of the relationship nurses-oncological patients cause mental suffering in that professional. Those situations are tied to the work of the nurses, to the kind of patient treated by those professionals and to the kind of sickness presented by the patient. That study has shown that, many times, the nurses utilize defense mechanisms against that mental suffering. This work aims to contribute to the knowledge of the subject and therefore be itself a base in which one could elaborate measures that can make these problems that occur with the nurses that work in the Oncology area lighter. With that study to contribute to the comprehension of the challenge that the cancer, sickness that make professional and population frightened, is.In this qualitative study, four nurses of a teaching hospital in the city of Campinas, Sao Paulo-Brazil, all of them working with oncological patients were interviewed in order to verify the situation that most caused mental suffering in the day by day with these patients. Data collection were performed as proposed by the ethnografic approach and the non-directive interview and the direct observation was employed. The cointaint analysis has been utilized to the data analysis. The results have shown that many situations of the relationship nurses-oncological patients cause mental suffering in that professional. Those situations are tied to the work of the nurses, to the kind of patient treated by those professionals and to the kind of sickness presented by the patient. That study has shown that, many times, the nurses utilize defense mechanisms against that mental suffering. This work aims to contribute to the knowledge of the subject and therefore be itself a base in which one could elaborate mesures that can make these problems that occur with the nurses that work in the Oncology area lighter. With that study to contribute to the compreension of the challange that the cancer, sickness that make professional and population frighted, is.A fim de identificar as situacoes enfrentadas pelos enfermeiros, que mais lhes desencadeiam sofrimento psiquico no cotidiano com paciente oncologico, e verificar as formas encontradas por estes profissionais para lidar com tal sofrimento, foram entrevistados quatro enfermeiros de um hospital-escola da cidade de Campinas, estado de Sao Paulo, que trabalhavam com pacientes oncologicos. A abordagem etnografica foi empregada para realizar a coleta de dados. A entrevista nao-diretiva, associada com observacao de campo, foi a tecnica utilizada para esta coleta. Para a analise dos dados, foi empregado como referencial metodologico a Analise do Conteudo. Os resultados mostraram que muitas situacoes do relacionamento enfermeiro-paciente oncologico suscitam sofrimento psiquico neste profissional. Estas situacoes estao ligadas ao trabalho dos enfermeiros, ao tipo de paciente cuidado por estes profissionais e ao tipo de doenca que apresenta o paciente. O presente estudo mostrou que, muitas vezes, os enfermeiros usam mecanismos de defesa contra esse sofrimento psiquico. A intencao do trabalho e contribuir para o conhecimento do assunto e assim servir de base para a elaboracao de medidas que possam amenizar problemas dessa natureza, que ocorrem, com os enfermeiros, que atuam na Area de Oncologia. Com este estudo, espera-se poder contribuir para a compreensao do desafio que e o câncer, doenca que amedronta profissionais e a populacao em geral.

Associação entre flebite e retirada de cateteres intravenosos periféricos

The objective of this prospective study is to verify the incidence of phlebitis among patients with peripheral intravenous catheters and to identify possible relations between this complication and catheter-related variables. Seventy-six adult patients hospitalized in a Brazilian university hospital were evaluated, using charts with patient-related variables, peripheral intravenous catheters, and pharmacological therapy. Phlebitis was evaluated based on Infusion Nurses Society proposed classification. Inferential and descriptive statistics have been used. We observed 25.8% incidence of phlebitis, from which 40% presented pain occurrences, with erythema and edema. Among patients with phlebitis, 60% developed a complication episode, and the average period of permanence of peripheral intravenous catheters with phlebitis was 3.10 days. We observed phlebitis associations to adverse occurrences during the removal of peripheral intravenous catheters (p<0.001). Educational actions and professional training for nursing personnel are necessary for dealing with intravenous therapy, mainly on what is related to early detection of phlebitis. dESCRIpTORS: Intravenous infusions. Phlebitis. Nursing. Nursing care. Peripheral catheterization.Se trata de un estudio prospectivo para determinar la incidencia de flebitis en pacientes con cateter intravenoso periferico e identificar posibles asociaciones de esta complicacion con las variables relacionadas con el cateter intravenoso periferico. Se evaluaron setenta y seis pacientes adultos hospitalizados en el sector de enfermeria de un hospital universitario, mediante un formulario que contiene las variables relacionadas con los pacientes, el cateter intravenoso periferico y la terapia farmacologica. La flebitis fue evaluada de acuerdo a la clasificacion propuesta por la Infusion Nurses Society. Se utilizo la estadistica descriptiva e inferencial. La incidencia de flebitis fue del 25,8%, de los cuales, el 40% presento sintomas clinicos de dolor, con eritema y/o edema. Entre los pacientes con flebitis, el 60% desarrollo un episodio de complicacion, y el tiempo medio de permanencia del cateter intravenoso periferico con flebitis fue 3,10 dias. Se observo una relacion de la flebitis con la retirada de cateter intravenoso periferico por eventos adversos (p<0,001). Se necesitan acciones educativas y capacitacion del personal de enfermeria para el manejo de la terapia intravenosa, especialmente en lo que respecta a la deteccion temprana de flebitis.

Relation between phlebitis and peripheral intravenous catheter removal

The objective of this prospective study is to verify the incidence of phlebitis among patients with peripheral intravenous catheters and to identify possible relations between this complication and catheter-related variables. Seventy-six adult patients hospitalized in a Brazilian university hospital were evaluated, using charts with patient-related variables, peripheral intravenous catheters, and pharmacological therapy. Phlebitis was evaluated based on Infusion Nurses Society proposed classification. Inferential and descriptive statistics have been used. We observed 25.8% incidence of phlebitis, from which 40% presented pain occurrences, with erythema and edema. Among patients with phlebitis, 60% developed a complication episode, and the average period of permanence of peripheral intravenous catheters with phlebitis was 3.10 days. We observed phlebitis associations to adverse occurrences during the removal of peripheral intravenous catheters (p<0.001). Educational actions and professional training for nursing personnel are necessary for dealing with intravenous therapy, mainly on what is related to early detection of phlebitis. dESCRIpTORS: Intravenous infusions. Phlebitis. Nursing. Nursing care. Peripheral catheterization.Se trata de un estudio prospectivo para determinar la incidencia de flebitis en pacientes con cateter intravenoso periferico e identificar posibles asociaciones de esta complicacion con las variables relacionadas con el cateter intravenoso periferico. Se evaluaron setenta y seis pacientes adultos hospitalizados en el sector de enfermeria de un hospital universitario, mediante un formulario que contiene las variables relacionadas con los pacientes, el cateter intravenoso periferico y la terapia farmacologica. La flebitis fue evaluada de acuerdo a la clasificacion propuesta por la Infusion Nurses Society. Se utilizo la estadistica descriptiva e inferencial. La incidencia de flebitis fue del 25,8%, de los cuales, el 40% presento sintomas clinicos de dolor, con eritema y/o edema. Entre los pacientes con flebitis, el 60% desarrollo un episodio de complicacion, y el tiempo medio de permanencia del cateter intravenoso periferico con flebitis fue 3,10 dias. Se observo una relacion de la flebitis con la retirada de cateter intravenoso periferico por eventos adversos (p<0,001). Se necesitan acciones educativas y capacitacion del personal de enfermeria para el manejo de la terapia intravenosa, especialmente en lo que respecta a la deteccion temprana de flebitis.

Clinical and sociodemographic variables associated with diabetes-related distress in patients with type 2 diabetes mellitus

ABSTRACT Objective: To evaluate the relation between diabetes-related distress and the clinical and sociodemographic characteristics of type 2 diabetes mellitus patients. Methods: A cross-sectional study based on a secondary analysis of data collected at a specialized care outpatient center in Brazil. Participants completed a questionnaire on sociodemographic and clinical characteristics and the Brazilian version of the Diabetes Distress Scale (B-DDS). Results: About 31% of the 130 eligible patients reported diabetes distress, and the mean B-DDS score was 2.6. Multiple regression analysis showed the B-DDS score was positively correlated with marital status (p=0.0230), use of diet and physical activities for diabetes management (p=0.0180), and use of insulin therapy (p=0.0030). The “emotional burden”, “regimen-related distress”, and “interpersonal distress” domains from B-DDS were associated with the use of insulin therapy (p=0.0010), marital status (p=0.0110), and the presence of three or more comorbidities (p=0.0175). Conclusion: These findings suggest the clinical and sociodemographic variables are relatively weak predictors of diabetes-related distress. The highest scores in the B-DDS were observed in the emotional burden domain, indicating the presence of diabetes distress among the participants of the study.

The mental suffering of nurses who deal with oncological patients

In this qualitative study, four nurses of a teaching hospital in the city of Campinas, Sao Paulo-Brazil, all of them working with oncological patients were interviewed in order to verify the situation that most caused mental suffering in the day by day with these patients. Data collection were performed as proposed by the ethnographic approach and the non-directive interview and the direct observation was employed. The contain analysis has been utilized to the data analysis. The results have shown that many situations of the relationship nurses-oncological patients cause mental suffering in that professional. Those situations are tied to the work of the nurses, to the kind of patient treated by those professionals and to the kind of sickness presented by the patient. That study has shown that, many times, the nurses utilize defense mechanisms against that mental suffering. This work aims to contribute to the knowledge of the subject and therefore be itself a base in which one could elaborate measures that can make these problems that occur with the nurses that work in the Oncology area lighter. With that study to contribute to the comprehension of the challenge that the cancer, sickness that make professional and population frightened, is.In this qualitative study, four nurses of a teaching hospital in the city of Campinas, Sao Paulo-Brazil, all of them working with oncological patients were interviewed in order to verify the situation that most caused mental suffering in the day by day with these patients. Data collection were performed as proposed by the ethnografic approach and the non-directive interview and the direct observation was employed. The cointaint analysis has been utilized to the data analysis. The results have shown that many situations of the relationship nurses-oncological patients cause mental suffering in that professional. Those situations are tied to the work of the nurses, to the kind of patient treated by those professionals and to the kind of sickness presented by the patient. That study has shown that, many times, the nurses utilize defense mechanisms against that mental suffering. This work aims to contribute to the knowledge of the subject and therefore be itself a base in which one could elaborate mesures that can make these problems that occur with the nurses that work in the Oncology area lighter. With that study to contribute to the compreension of the challange that the cancer, sickness that make professional and population frighted, is.A fim de identificar as situacoes enfrentadas pelos enfermeiros, que mais lhes desencadeiam sofrimento psiquico no cotidiano com paciente oncologico, e verificar as formas encontradas por estes profissionais para lidar com tal sofrimento, foram entrevistados quatro enfermeiros de um hospital-escola da cidade de Campinas, estado de Sao Paulo, que trabalhavam com pacientes oncologicos. A abordagem etnografica foi empregada para realizar a coleta de dados. A entrevista nao-diretiva, associada com observacao de campo, foi a tecnica utilizada para esta coleta. Para a analise dos dados, foi empregado como referencial metodologico a Analise do Conteudo. Os resultados mostraram que muitas situacoes do relacionamento enfermeiro-paciente oncologico suscitam sofrimento psiquico neste profissional. Estas situacoes estao ligadas ao trabalho dos enfermeiros, ao tipo de paciente cuidado por estes profissionais e ao tipo de doenca que apresenta o paciente. O presente estudo mostrou que, muitas vezes, os enfermeiros usam mecanismos de defesa contra esse sofrimento psiquico. A intencao do trabalho e contribuir para o conhecimento do assunto e assim servir de base para a elaboracao de medidas que possam amenizar problemas dessa natureza, que ocorrem, com os enfermeiros, que atuam na Area de Oncologia. Com este estudo, espera-se poder contribuir para a compreensao do desafio que e o câncer, doenca que amedronta profissionais e a populacao em geral.

El sufrimiento psíquico de los enfermeros que tratan con pacientes oncológicos

In this qualitative study, four nurses of a teaching hospital in the city of Campinas, Sao Paulo-Brazil, all of them working with oncological patients were interviewed in order to verify the situation that most caused mental suffering in the day by day with these patients. Data collection were performed as proposed by the ethnographic approach and the non-directive interview and the direct observation was employed. The contain analysis has been utilized to the data analysis. The results have shown that many situations of the relationship nurses-oncological patients cause mental suffering in that professional. Those situations are tied to the work of the nurses, to the kind of patient treated by those professionals and to the kind of sickness presented by the patient. That study has shown that, many times, the nurses utilize defense mechanisms against that mental suffering. This work aims to contribute to the knowledge of the subject and therefore be itself a base in which one could elaborate measures that can make these problems that occur with the nurses that work in the Oncology area lighter. With that study to contribute to the comprehension of the challenge that the cancer, sickness that make professional and population frightened, is.In this qualitative study, four nurses of a teaching hospital in the city of Campinas, Sao Paulo-Brazil, all of them working with oncological patients were interviewed in order to verify the situation that most caused mental suffering in the day by day with these patients. Data collection were performed as proposed by the ethnografic approach and the non-directive interview and the direct observation was employed. The cointaint analysis has been utilized to the data analysis. The results have shown that many situations of the relationship nurses-oncological patients cause mental suffering in that professional. Those situations are tied to the work of the nurses, to the kind of patient treated by those professionals and to the kind of sickness presented by the patient. That study has shown that, many times, the nurses utilize defense mechanisms against that mental suffering. This work aims to contribute to the knowledge of the subject and therefore be itself a base in which one could elaborate mesures that can make these problems that occur with the nurses that work in the Oncology area lighter. With that study to contribute to the compreension of the challange that the cancer, sickness that make professional and population frighted, is.A fim de identificar as situacoes enfrentadas pelos enfermeiros, que mais lhes desencadeiam sofrimento psiquico no cotidiano com paciente oncologico, e verificar as formas encontradas por estes profissionais para lidar com tal sofrimento, foram entrevistados quatro enfermeiros de um hospital-escola da cidade de Campinas, estado de Sao Paulo, que trabalhavam com pacientes oncologicos. A abordagem etnografica foi empregada para realizar a coleta de dados. A entrevista nao-diretiva, associada com observacao de campo, foi a tecnica utilizada para esta coleta. Para a analise dos dados, foi empregado como referencial metodologico a Analise do Conteudo. Os resultados mostraram que muitas situacoes do relacionamento enfermeiro-paciente oncologico suscitam sofrimento psiquico neste profissional. Estas situacoes estao ligadas ao trabalho dos enfermeiros, ao tipo de paciente cuidado por estes profissionais e ao tipo de doenca que apresenta o paciente. O presente estudo mostrou que, muitas vezes, os enfermeiros usam mecanismos de defesa contra esse sofrimento psiquico. A intencao do trabalho e contribuir para o conhecimento do assunto e assim servir de base para a elaboracao de medidas que possam amenizar problemas dessa natureza, que ocorrem, com os enfermeiros, que atuam na Area de Oncologia. Com este estudo, espera-se poder contribuir para a compreensao do desafio que e o câncer, doenca que amedronta profissionais e a populacao em geral.