Juliana Rizzo Gnatta

Higiene bucal: prática relevante na prevenção de pneumonia hospitalar em pacientes em estado crítico

The objective of this article was to update knowledge on the microbiological aspects of the oral cavity and, verify the relation of oral hygiene with the prevention of pneumonia associated with mechanical ventilation. The studies analyzed were in favor of the use of antiseptics for decontaminating the oral cavity and pharynx, although there is still no standardization of procedures on the technique and products used in this process.The objective of this article was to update knowledge on the microbiological aspects of the oral cavity and, verify the relation of oral hygiene with the prevention of pneumonia associated with mechanical ventilation. The studies analyzed were in favor of the use of antiseptics for decontaminating the oral cavity and pharynx, although there is still no standardization of procedures on the technique and products used in this process.

Aromatherapy with ylang ylang for anxiety and self-esteem: a pilot study

Objective : To verify if the use of ylang ylang essential oil by cutaneous applica - tion or inhalation alters the anxiety and self-esteem perception and phy...Objetivo: Verificar se o uso do oleo essencial de ylang ylang por meio de aplicacao cutânea ou inalatoria altera a percepcao da ansiedade e da autoestima e os parâmetros fisiologicos como pressao arterial e temperatura. Metodo: Estudo piloto no qual participaram 34 profissionais da equipe de enfermagem randomizados em tres grupos: um recebeu o oleo essencial de ylang ylang via cutânea, o segundo o recebeu via inalatoria e o terceiro (placebo) recebeu essencia de ylang ylang via cutânea. A avaliacao foi feita por meio do Inventario de Ansiedade (IDATE) e da escala de autoestima de Dela Coleta que foram aplicadas antes, ao final de 30, 60 e 90 dias e 15 dias (follow up) apos o termino do uso.Resultados: Na avaliacao intragrupo, antes e apos a intervencao, houve diferenca significante para os tres grupos na variavel autoestima (valores de p: G1=0,014; G2=0,016; G3=0,038). Nao houve diferencas nas analises entre grupos para a ansiedade ou para os parâmetros fisiologicos. Conclusao: Houve alteracoes significativas apenas na percepcao da ansiedade intragrupo para os tres grupos.OBJECTIVE To verify if the use of ylang ylang essential oil by cutaneous application or inhalation alters the anxiety and self-esteem perception and physiological parameters as blood pressure and temperature. Method : A pilot study with 34 professionals from a nursing group randomized in three groups: one received the ylang ylang essential oil by cutaneous application, the second received through inhalation and the third (placebo) received the ylang ylang essence through cutaneous application. The assessment was done by an Anxiety Inventory (IDATE) and the Dela Coleta self-esteem scale, applied on baseline, after 30, 60 and 90 days and after 15 days post-intervention (follow up). Results : In the pre and post-intervention intergroup analysis, there was a significant difference in self-esteem for the three groups (p values: G1=0.014; G2=0.016; G3=0.038). There were no differences in the analysis between groups for anxiety or for physiological parameters. Conclusion : It was found significant alterations only to the intergroup perception of self-esteem for the three groups.

Atypical mycobacterias associated to acupuncuture: an integrative review

OBJETIVO: evaluar la evidencia existente sobre las principales fuentes o mecanismos de transmision de la infeccion por micobacterias atipicas asociadas con la acupuntura, y las especies causantes de infecciones. METODO: investigacion que llevo a cabo en Diciembre de 2011 con descriptores indexados en las bases de datos LILACS, MEDLINE, EMBASE, OvidSP y la Biblioteca Cochrane, sin restricciones en cuanto a la fecha de publicacion, tipo de estudio o de idioma. RESULTADOS: de las 16 publicaciones, solo una identifico la fuente de contaminacion: la solucion de glutaraldehido diluido utilizada para limpiar el equipo. Tres publicaciones establecieron como fuentes probables: las toallas, compresas calientes o el agua hervida, y la reutilizacion de las agujas reprocesadas. Cuatro publicaciones indicaron como fuentes posibles: las agujas contaminadas, la reutilizacion de agujas personales, la piel del paciente colonizada por micobacterias y la reutilizacion de agujas en sitios diferentes en el mismo paciente. Ocho de los estudios no mencionaron nada acerca de las fuentes. CONCLUSION: Entre los 295 casos, M. abscessus fue el agente patologico en mas del 96% de los mismos. Se deben llevar a cabo medidas bien establecidas de control recomendadas por organismos reguladores, como el de enfermeria, para la prevencion de la infeccion, y adaptarlas a la medicina complementaria y alternativaAIM to evaluate evidence concerning sources or mechanisms of infection transmission of atypical mycobacteria associated with acupuncture, and the species causing infections. METHOD research was performed in December 2011 in the databases of LILACS, MEDLINE, EMBASE, OvidSP and the Cochrane Library, without restrictions regarding publication date, study type or language. RESULTS of the 16 publications, only one identified the contamination source: diluted glutaraldehyde solution used to clean equipment. Three established likely sources: towels, hot packs or boiling tank water, and the reuse of reprocessed needles. Four indicated possible sources: contaminated needles, reuse of personal needles, patients skin colonized by mycobacteria and reuse of needles at different sites in the same patient. Eight of the studies did not mention the sources. CONCLUSION among 295 cases, M. abscessus was the pathological agent in over 96%. Well-established control practices for infection prevention should be implemented and adapted for complementary and alternative medicine.

The use of aromatherapy in alleviating anxiety

OBJECTIVES: To determine how the use of essential oils (OE) Lavender and Geranium change the perception of anxiety, and to compare their effectiveness in treating anxiety. METHODS: The sample included students from the first year of nursing school who were randomized into three groups: two groups received OE (in a gel polymer-based) and the other received a placebo (essence of Rose). A previously validated scale was used to assess anxiety. It was administered before the end of 30 and 60 days of use of aromatic gels. RESULTS: The group using Lavender exhibited a reduction of -11.80 in mean scores on the anxiety scale, but this was not statistically significant. CONCLUSION: Although not statistically significant, there was greater efficacy of Lavender EO in reducing anxiety.Objectives: To determine how the use of essential oils (OE) Lavender and Geranium change the perception of anxiety, and to compare their effectiveness in treating anxiety. Methods: The sample included students from the first year of nursing school who were randomized into three groups: two groups received OE (in a gel polymer-based) and the other received a placebo (essence of Rose). A previously validated scale was used to assess anxiety. It was administered before the end of 30 and 60 days of use of aromatic gels. Results: The group using Lavender exhibited a reduction of -11.80 in mean scores on the anxiety scale, but this was not statistically significant. Conclusion:

O uso da aromaterapia no alívo da ansiedade

OBJECTIVES: To determine how the use of essential oils (OE) Lavender and Geranium change the perception of anxiety, and to compare their effectiveness in treating anxiety. METHODS: The sample included students from the first year of nursing school who were randomized into three groups: two groups received OE (in a gel polymer-based) and the other received a placebo (essence of Rose). A previously validated scale was used to assess anxiety. It was administered before the end of 30 and 60 days of use of aromatic gels. RESULTS: The group using Lavender exhibited a reduction of -11.80 in mean scores on the anxiety scale, but this was not statistically significant. CONCLUSION: Although not statistically significant, there was greater efficacy of Lavender EO in reducing anxiety.Objectives: To determine how the use of essential oils (OE) Lavender and Geranium change the perception of anxiety, and to compare their effectiveness in treating anxiety. Methods: The sample included students from the first year of nursing school who were randomized into three groups: two groups received OE (in a gel polymer-based) and the other received a placebo (essence of Rose). A previously validated scale was used to assess anxiety. It was administered before the end of 30 and 60 days of use of aromatic gels. Results: The group using Lavender exhibited a reduction of -11.80 in mean scores on the anxiety scale, but this was not statistically significant. Conclusion:

Aromatherapy and nursing: historical and theoretical conception

Aromatherapy is a Practical or Complementary Health Therapy that uses volatile concentrates extracted from plants called essential oils, in order to improve physical, mental and emotional well-being. Aromatherapy has been practiced historically and worldwide by nurses and, as in Brazil is supported by the Federal Nursing Council, it is relevant to discuss this practice in the context of Nursing through Theories of Nursing. This study of theoretical reflection, exploratory and descriptive, aims to discuss the pharmacognosy of essential oils, the historical trajectory of Aromatherapy in Nursing and the conceptions to support Aromatherapy in light of eight Nursing Theorists (Florence Nightingale, Myra Levine, Hildegard Peplau, Martha Rogers, Callista Roy, Wanda Horta, Jean Watson and Katharine Kolcaba), contributing to its inclusion as a nursing care practice.Aromatherapy is a Practical or Complementary Health Therapy that uses volatile concentrates extracted from plants called essential oils, in order to improve physical, mental and emotional well-being. Aromatherapy has been practiced historically and worldwide by nurses and, as in Brazil is supported by the Federal Nursing Council, it is relevant to discuss this practice in the context of Nursing through Theories of Nursing. This study of theoretical reflection, exploratory and descriptive, aims to discuss the pharmacognosy of essential oils, the historical trajectory of Aromatherapy in Nursing and the conceptions to support Aromatherapy in light of eight Nursing Theorists (Florence Nightingale, Myra Levine, Hildegard Peplau, Martha Rogers, Callista Roy, Wanda Horta, Jean Watson and Katharine Kolcaba), contributing to its inclusion as a nursing care practice.

Comparison of hand hygiene antimicrobial efficacy: Melaleuca alternifolia essential oil versus triclosan

OBJETIVOS: este estudio objetivo evaluar la eficacia de la higienizacion de las manos realizada con dos formulas diferentes de jabones: aceite esencial de Melaleuca alternifolia al 0,3% versus triclosan al 0,5%, y compararlas con dos higienizaciones de referencia: procedimiento de la metodologia oficial (soft soap) versus procedimiento de la version draft (soft soap + propan-2-ol). METODO: utilizando la metodologia europea EN 1499, fueron determinados factores de reduccion logaritmica del numero de unidades formadoras de colonia de Escherichia coli K12 antes y despues de la higiene de las manos de 15 sujetos voluntarios y comparados por el test de Wilcoxon de una sola cola. RESULTADOS: Tomando como referencia el soft soap, no hubo diferencia entre el desempeno del jabon con Melaleuca alternifolia al 0,3% o jabon conteniendo triclosan al 0,5%. El soft soap + propan-2-ol se demostro mas eficaz en relacion a los demas procedimientos de higienizacion de las manos. CONCLUSION: estudios que verifiquen la eficacia terapeutica de aceite esencial en la higienizacion de las manos pueden mejorar la adhesion a esa practica.OBJECTIVE this study aimed to evaluate the efficacy of hand hygiene performed with two different soap formulations: 0.3% Melaleuca alternifolia essential oil versus 0.5% triclosan, and to compare them with two reference hygiene procedures: the official methodology procedure (soft soap) versus the draft version of the procedure (soft soap + propan-2-ol). METHOD using the European EN 1499 method, logarithmic reduction factors were determined for the number of colony forming units of Escherichia coli K12 before and after hand hygiene of 15 volunteer subjects, and compared using the one-tailed Wilcoxon test. RESULTS referring to the soft soap, there was no difference between the performance of soap with 0.3% M. alternifolia and soap containing 0.5% triclosan. The soft soap + propan-2-ol proved to be more effective than the other hand hygiene procedures. CONCLUSION studies to verify the therapeutic efficacy of essential oil in hand hygiene can improve adherence to this practice.

The use of aromatherapy to improve self-esteem

The objectives of this study were to verify if inhaling rose and ylang-ylang essential oils has any effect on ones perception of self-esteem, and compare their efficiency. The study was approved by the University of São Paulo Hospital Research Ethics Committee. Participants were 43 workers from the Sanitation Department and from the Materials and Sterilization Center, and the study took place from May to July 2009. Subjects were randomly assigned to one of three groups: two that received the essential oils and a third that received placebo (rose essence). The self-esteem evaluation was performed using a scale validated in Brazil, which was applied before using the aromas, as well as 30 and 60 days after the use. Results showed that the sample consisted of 88.6% individuals with medium and high self-esteem, and that the essential oils did not make any significant changes to their perception of self-esteem.The objectives of this study were to verify if inhaling rose and ylang-ylang essential oils has any effect on ones perception of self-esteem, and compare their efficiency. The study was approved by the University of Sao Paulo Hospital Research Ethics Committee. Participants were 43 workers from the Sanitation Department and from the Materials and Sterilization Center, and the study took place from May to July 2009. Subjects were randomly assigned to one of three groups: two that received the essential oils and a third that received placebo (rose essence). The self-esteem evaluation was performed using a scale validated in Brazil, which was applied before using the aromas, as well as 30 and 60 days after the use. Results showed that the sample consisted of 88.6% individuals with medium and high self-esteem, and that the essential oils did not make any significant changes to their perception of self-esteem.

Effectiveness of auriculotherapy for stress, based on experience of the therapist: a clinical trial*

Objective: To evaluate the efficacy of auriculotherapy with semipermanent needles on stress levels in the nursing staff of a teaching hospital. Methods: A clinical trial with forty-nine people randomized into three groups: group 1 (control), group 2 (less experienced therapists) and group 3 (more experienced therapists), conducted between January and July 2010. The subjects received eight sessions with the Shen Mein, kidney and brainstem points being assessed at baseline, after four and eight sessions, and at follow-up (15 days). Results: The ANOVA showed statistically significant differences between the results before and after between the groups in the third assessment (F = 3.404 / p = 0.042) and at follow-up (F = 4.106 / p = 0.023). These differences were between groups 1/3 in the third assessment (p = 0.036) and at follow-up (p = 0.033). A marginally significant result was found at follow-up between groups 1/2 (p = 0 059). Conclusion: Auriculotherapy with more experienced therapists effectively reduced stress in nursing professionals, however, one considers the need for more studies with this procedure.

Oral hygiene: a relevant practice to prevent hospital pneumonia in critically ill patients

The objective of this article was to update knowledge on the microbiological aspects of the oral cavity and, verify the relation of oral hygiene with the prevention of pneumonia associated with mechanical ventilation. The studies analyzed were in favor of the use of antiseptics for decontaminating the oral cavity and pharynx, although there is still no standardization of procedures on the technique and products used in this process.The objective of this article was to update knowledge on the microbiological aspects of the oral cavity and, verify the relation of oral hygiene with the prevention of pneumonia associated with mechanical ventilation. The studies analyzed were in favor of the use of antiseptics for decontaminating the oral cavity and pharynx, although there is still no standardization of procedures on the technique and products used in this process.