Maria Beatriz Guimarães Ferreira

Nursing care for women with pre-eclampsia and/or eclampsia: integrative review

OBJECTIVEnTo analyze the available evidence in the literature on nursing care for women with pre-eclampsia and/or eclampsia.nnnMETHODSnIntegrative review searching for primary studies in the databases PubMed, CINAHL, LILACS and SciELO.nnnRESULTSnThe sample size consisted of 17 primary studies published between January 2000 and December 2014, grouped into four categories: standardizing blood pressure measurement technique; training with simulation; instruments for standardization of care and quality of care The main nursing actions were: physical examination, early detection of signs of pre-eclampsia/eclampsia, monitoring of laboratory tests, fetal assessment, qualification and training of professionals. We identified the need for standardization of care from instruments, protocols and blood pressure measurement technique, early identification and treatment of hypertensive crisis through institutional protocols and review of cases and work processes.nnnCONCLUSIONnWomen with pre-eclampsia and/or eclampsia require specific nursing care, which must be guided by care protocols based on scientific evidence.nnnOBJETIVOnAnalisar as evidências disponíveis na literatura sobre assistência de enfermagem às mulheres com pré-eclâmpsia e/ou eclâmpsia.nnnMÉTODOnRevisão integrativa cuja busca dos estudos primários foi realizada nas bases de dados PubMed, CINAHL, LILACS e SciELO.nnnRESULTADOSnAmostra foi composta por 17 estudos primários, publicados entre janeiro de 2000 e dezembro de 2014, agrupados em quatro categorias: padronização da técnica de mensuração da pressão arterial; treinamentos com simulação; instrumentos para padronização da assistência e qualidade da assistência As principais ações de enfermagem foram: exame físico, identificação precoce de sinais de pré-eclâmpsia/eclâmpsia, acompanhamento de exames laboratoriais, avaliação fetal, capacitação e treinamento dos profissionais. Identificou-se a necessidade de padronização do atendimento a partir de instrumentos e protocolos e da técnica de aferição da pressão arterial, identificação e tratamento precoces da crise hipertensiva mediante protocolos institucionais e revisão de casos e processos de trabalho.nnnCONCLUSÃOnMulheres com pré-eclâmpsia e/ou eclâmpsia exigem cuidados de enfermagem específicos, os quais devem ser pautados em protocolos de cuidados baseados em evidências científicas.OBJETIVO: Analizar las evidencias disponibles en la literatura acerca de la asistencia de enfermeria a las mujeres con preeclampsia y/o eclampsia. METODO: Revision integradora, cuya busqueda de los estudios primarios se llevo a cabo en las bases de datos PubMed, CINAHL, LILACS y SciELO. RESULTADOS: La muestra estuvo compuesta de 17 estudios primarios, publicados entre enero de 2000 y diciembre de 2014, agrupados en cuatro categorias: estandarizacion de la tecnica de mensuracion de la presion arterial; entrenamientos con simulacion; instrumentos para la estandarizacion de la asistencia y calidad de la asistencia. Las principales acciones de enfermeria fueron: examen fisico, identificacion precoz de senales de preeclampsia/eclampsia, seguimiento de examenes de laboratorio, evaluacion fetal, capacitacion y entrenamiento de los profesionales. Se identifico la necesidad de estandarizacion de la atencion mediante instrumentos y protocolos y la tecnica de verificacion de la presion arterial, identificacion y tratamiento precoces de la crisis hipertensiva mediante protocolos institucionales y revision de casos y procesos laborales. CONCLUSION: Mujeres con preeclampsia e/o eclampsia demandan cuidados de enfermeria especificos, los que deben pautarse en protocolos de cuidados basados en evidencias cientificas.

Qualidade de vida no trabalho: discurso dos profissionais da Estratégia Saúde da Família

Objective: To understand the meanings that health professionals of the Family Health Strategy attribute to quality of life in the workplace. Method: This is a qualitative, descriptive study with a qualitative-quantitative approach, performed with 123 health professionals. Data were collected between July and September 2014 and subsequently exposed to descriptive analysis and the Collective Subject Discourse (CSD) analysis method, with the aid of the QualiQuantsoft® software. Results: The meanings given to quality of life in the workplace include both subjective aspects and those associated with work conditions and interpersonal relationships. Issues related to work conditions were the most relevant, totaling 121 key expressions, followed by interpersonal relationships in the workplace with 72 expressions. Conclusions: Professionals provide subjective meanings and objectives to the quality of life in the workplace, apart from recognizing the interference that this has on user health care.Objetivos: Comprender los significados que los profesionales de la Estrategia Salud de la Familia (ESF) atribuyen a la calidad de vida en el trabajo. Metodo: Investigacion cualitativa, descriptiva, con abordaje cualicantitativa, realizada en Unidades de ESF, con 123 profesionales de salud. Los datos fueron colectados entre Julio y Septiembre de 2014. El material resultante fue expuesto al metodo de Analisis del Discurso del Sujeto Colectivo, con auxilio del software QualiQuantsoft®. Resultados: Los significados conferidos a la calidad de vida en el trabajo emergen desde los aspectos subjetivos, como en quesitos de las condiciones laborales y relaciones interpersonales. Con 121 expresiones-clave, las cuestiones referentes a condiciones de trabajo fueron las mas expresivas, seguida por las relaciones interpersonales, con 72 expresiones-clave. Conclusion: Los profesionales confieren significados subjetivos y objetivos a la calidad de vida en el trabajo, ademas de reconocieren la interferencia del tema en la mejora de la asistencia al usuario.

Assistência de enfermagem a mulheres com pré-eclâmpsia e/ou eclâmpsia: revisão integrativa

OBJECTIVEnTo analyze the available evidence in the literature on nursing care for women with pre-eclampsia and/or eclampsia.nnnMETHODSnIntegrative review searching for primary studies in the databases PubMed, CINAHL, LILACS and SciELO.nnnRESULTSnThe sample size consisted of 17 primary studies published between January 2000 and December 2014, grouped into four categories: standardizing blood pressure measurement technique; training with simulation; instruments for standardization of care and quality of care The main nursing actions were: physical examination, early detection of signs of pre-eclampsia/eclampsia, monitoring of laboratory tests, fetal assessment, qualification and training of professionals. We identified the need for standardization of care from instruments, protocols and blood pressure measurement technique, early identification and treatment of hypertensive crisis through institutional protocols and review of cases and work processes.nnnCONCLUSIONnWomen with pre-eclampsia and/or eclampsia require specific nursing care, which must be guided by care protocols based on scientific evidence.nnnOBJETIVOnAnalisar as evidências disponíveis na literatura sobre assistência de enfermagem às mulheres com pré-eclâmpsia e/ou eclâmpsia.nnnMÉTODOnRevisão integrativa cuja busca dos estudos primários foi realizada nas bases de dados PubMed, CINAHL, LILACS e SciELO.nnnRESULTADOSnAmostra foi composta por 17 estudos primários, publicados entre janeiro de 2000 e dezembro de 2014, agrupados em quatro categorias: padronização da técnica de mensuração da pressão arterial; treinamentos com simulação; instrumentos para padronização da assistência e qualidade da assistência As principais ações de enfermagem foram: exame físico, identificação precoce de sinais de pré-eclâmpsia/eclâmpsia, acompanhamento de exames laboratoriais, avaliação fetal, capacitação e treinamento dos profissionais. Identificou-se a necessidade de padronização do atendimento a partir de instrumentos e protocolos e da técnica de aferição da pressão arterial, identificação e tratamento precoces da crise hipertensiva mediante protocolos institucionais e revisão de casos e processos de trabalho.nnnCONCLUSÃOnMulheres com pré-eclâmpsia e/ou eclâmpsia exigem cuidados de enfermagem específicos, os quais devem ser pautados em protocolos de cuidados baseados em evidências científicas.OBJETIVO: Analizar las evidencias disponibles en la literatura acerca de la asistencia de enfermeria a las mujeres con preeclampsia y/o eclampsia. METODO: Revision integradora, cuya busqueda de los estudios primarios se llevo a cabo en las bases de datos PubMed, CINAHL, LILACS y SciELO. RESULTADOS: La muestra estuvo compuesta de 17 estudios primarios, publicados entre enero de 2000 y diciembre de 2014, agrupados en cuatro categorias: estandarizacion de la tecnica de mensuracion de la presion arterial; entrenamientos con simulacion; instrumentos para la estandarizacion de la asistencia y calidad de la asistencia. Las principales acciones de enfermeria fueron: examen fisico, identificacion precoz de senales de preeclampsia/eclampsia, seguimiento de examenes de laboratorio, evaluacion fetal, capacitacion y entrenamiento de los profesionales. Se identifico la necesidad de estandarizacion de la atencion mediante instrumentos y protocolos y la tecnica de verificacion de la presion arterial, identificacion y tratamiento precoces de la crisis hipertensiva mediante protocolos institucionales y revision de casos y procesos laborales. CONCLUSION: Mujeres con preeclampsia e/o eclampsia demandan cuidados de enfermeria especificos, los que deben pautarse en protocolos de cuidados basados en evidencias cientificas.

Asistencia de enfermería a mujeres con preeclampsia y/o eclampsia: revisión integradora

OBJECTIVEnTo analyze the available evidence in the literature on nursing care for women with pre-eclampsia and/or eclampsia.nnnMETHODSnIntegrative review searching for primary studies in the databases PubMed, CINAHL, LILACS and SciELO.nnnRESULTSnThe sample size consisted of 17 primary studies published between January 2000 and December 2014, grouped into four categories: standardizing blood pressure measurement technique; training with simulation; instruments for standardization of care and quality of care The main nursing actions were: physical examination, early detection of signs of pre-eclampsia/eclampsia, monitoring of laboratory tests, fetal assessment, qualification and training of professionals. We identified the need for standardization of care from instruments, protocols and blood pressure measurement technique, early identification and treatment of hypertensive crisis through institutional protocols and review of cases and work processes.nnnCONCLUSIONnWomen with pre-eclampsia and/or eclampsia require specific nursing care, which must be guided by care protocols based on scientific evidence.nnnOBJETIVOnAnalisar as evidências disponíveis na literatura sobre assistência de enfermagem às mulheres com pré-eclâmpsia e/ou eclâmpsia.nnnMÉTODOnRevisão integrativa cuja busca dos estudos primários foi realizada nas bases de dados PubMed, CINAHL, LILACS e SciELO.nnnRESULTADOSnAmostra foi composta por 17 estudos primários, publicados entre janeiro de 2000 e dezembro de 2014, agrupados em quatro categorias: padronização da técnica de mensuração da pressão arterial; treinamentos com simulação; instrumentos para padronização da assistência e qualidade da assistência As principais ações de enfermagem foram: exame físico, identificação precoce de sinais de pré-eclâmpsia/eclâmpsia, acompanhamento de exames laboratoriais, avaliação fetal, capacitação e treinamento dos profissionais. Identificou-se a necessidade de padronização do atendimento a partir de instrumentos e protocolos e da técnica de aferição da pressão arterial, identificação e tratamento precoces da crise hipertensiva mediante protocolos institucionais e revisão de casos e processos de trabalho.nnnCONCLUSÃOnMulheres com pré-eclâmpsia e/ou eclâmpsia exigem cuidados de enfermagem específicos, os quais devem ser pautados em protocolos de cuidados baseados em evidências científicas.OBJETIVO: Analizar las evidencias disponibles en la literatura acerca de la asistencia de enfermeria a las mujeres con preeclampsia y/o eclampsia. METODO: Revision integradora, cuya busqueda de los estudios primarios se llevo a cabo en las bases de datos PubMed, CINAHL, LILACS y SciELO. RESULTADOS: La muestra estuvo compuesta de 17 estudios primarios, publicados entre enero de 2000 y diciembre de 2014, agrupados en cuatro categorias: estandarizacion de la tecnica de mensuracion de la presion arterial; entrenamientos con simulacion; instrumentos para la estandarizacion de la asistencia y calidad de la asistencia. Las principales acciones de enfermeria fueron: examen fisico, identificacion precoz de senales de preeclampsia/eclampsia, seguimiento de examenes de laboratorio, evaluacion fetal, capacitacion y entrenamiento de los profesionales. Se identifico la necesidad de estandarizacion de la atencion mediante instrumentos y protocolos y la tecnica de verificacion de la presion arterial, identificacion y tratamiento precoces de la crisis hipertensiva mediante protocolos institucionales y revision de casos y procesos laborales. CONCLUSION: Mujeres con preeclampsia e/o eclampsia demandan cuidados de enfermeria especificos, los que deben pautarse en protocolos de cuidados basados en evidencias cientificas.

Association between hypertensive disorders and postpartum hemorrhage

OBJECTIVEnTo investigate the association between hypertensive disorders and postpartum hemorrhage (PPH), by measuring the hemoglobin (Hb) and hematocrits (Ht) levels among women attending a university hospital in the Sao Paulo countryside.nnnMETHODnEpidemiological, cross-sectional study, conducted with 100 primiparous, in the period between August and December 2012. Hemoglobin and hematocrit dosages were tested upon admission of the mother and 48 hours after delivery. Values ≥ 10% drop in the hematocrit numbers when compared to those shown in admission, were considered as HPP. HPP was considered the dependent variable and the independent variables were socioeconomic, pathological, prenatal care, admission, delivery and assistance. Univariate and bivariate statistics were used, with 5% significance level.nnnRESULTSnThe hypertensive disorders were the most commonly occurring disorders; there was the presence of positive correlation between the fall in Ht and Hb levels and there was no association found between hypertensive disorders and HPP.nnnCONCLUSIONSnPrimiparous not suffering from hypertensive disorders were more likely to present PPH.

Asociación entre las síndromes hipertensivas y hemorragia posparto

OBJECTIVEnTo investigate the association between hypertensive disorders and postpartum hemorrhage (PPH), by measuring the hemoglobin (Hb) and hematocrits (Ht) levels among women attending a university hospital in the Sao Paulo countryside.nnnMETHODnEpidemiological, cross-sectional study, conducted with 100 primiparous, in the period between August and December 2012. Hemoglobin and hematocrit dosages were tested upon admission of the mother and 48 hours after delivery. Values ≥ 10% drop in the hematocrit numbers when compared to those shown in admission, were considered as HPP. HPP was considered the dependent variable and the independent variables were socioeconomic, pathological, prenatal care, admission, delivery and assistance. Univariate and bivariate statistics were used, with 5% significance level.nnnRESULTSnThe hypertensive disorders were the most commonly occurring disorders; there was the presence of positive correlation between the fall in Ht and Hb levels and there was no association found between hypertensive disorders and HPP.nnnCONCLUSIONSnPrimiparous not suffering from hypertensive disorders were more likely to present PPH.

Associação entre síndromes hipertensivas e hemorragia pós-parto

OBJECTIVEnTo investigate the association between hypertensive disorders and postpartum hemorrhage (PPH), by measuring the hemoglobin (Hb) and hematocrits (Ht) levels among women attending a university hospital in the Sao Paulo countryside.nnnMETHODnEpidemiological, cross-sectional study, conducted with 100 primiparous, in the period between August and December 2012. Hemoglobin and hematocrit dosages were tested upon admission of the mother and 48 hours after delivery. Values ≥ 10% drop in the hematocrit numbers when compared to those shown in admission, were considered as HPP. HPP was considered the dependent variable and the independent variables were socioeconomic, pathological, prenatal care, admission, delivery and assistance. Univariate and bivariate statistics were used, with 5% significance level.nnnRESULTSnThe hypertensive disorders were the most commonly occurring disorders; there was the presence of positive correlation between the fall in Ht and Hb levels and there was no association found between hypertensive disorders and HPP.nnnCONCLUSIONSnPrimiparous not suffering from hypertensive disorders were more likely to present PPH.

Calidad de vida en el trabajo: el discurso de los profesionales en Estrategia Salud de la Familia

Objective: To understand the meanings that health professionals of the Family Health Strategy attribute to quality of life in the workplace. Method: This is a qualitative, descriptive study with a qualitative-quantitative approach, performed with 123 health professionals. Data were collected between July and September 2014 and subsequently exposed to descriptive analysis and the Collective Subject Discourse (CSD) analysis method, with the aid of the QualiQuantsoft® software. Results: The meanings given to quality of life in the workplace include both subjective aspects and those associated with work conditions and interpersonal relationships. Issues related to work conditions were the most relevant, totaling 121 key expressions, followed by interpersonal relationships in the workplace with 72 expressions. Conclusions: Professionals provide subjective meanings and objectives to the quality of life in the workplace, apart from recognizing the interference that this has on user health care.Objetivos: Comprender los significados que los profesionales de la Estrategia Salud de la Familia (ESF) atribuyen a la calidad de vida en el trabajo. Metodo: Investigacion cualitativa, descriptiva, con abordaje cualicantitativa, realizada en Unidades de ESF, con 123 profesionales de salud. Los datos fueron colectados entre Julio y Septiembre de 2014. El material resultante fue expuesto al metodo de Analisis del Discurso del Sujeto Colectivo, con auxilio del software QualiQuantsoft®. Resultados: Los significados conferidos a la calidad de vida en el trabajo emergen desde los aspectos subjetivos, como en quesitos de las condiciones laborales y relaciones interpersonales. Con 121 expresiones-clave, las cuestiones referentes a condiciones de trabajo fueron las mas expresivas, seguida por las relaciones interpersonales, con 72 expresiones-clave. Conclusion: Los profesionales confieren significados subjetivos y objetivos a la calidad de vida en el trabajo, ademas de reconocieren la interferencia del tema en la mejora de la asistencia al usuario.

Quality of life at work: speech of professionals of the Family Health Strategy

Objective: To understand the meanings that health professionals of the Family Health Strategy attribute to quality of life in the workplace. Method: This is a qualitative, descriptive study with a qualitative-quantitative approach, performed with 123 health professionals. Data were collected between July and September 2014 and subsequently exposed to descriptive analysis and the Collective Subject Discourse (CSD) analysis method, with the aid of the QualiQuantsoft® software. Results: The meanings given to quality of life in the workplace include both subjective aspects and those associated with work conditions and interpersonal relationships. Issues related to work conditions were the most relevant, totaling 121 key expressions, followed by interpersonal relationships in the workplace with 72 expressions. Conclusions: Professionals provide subjective meanings and objectives to the quality of life in the workplace, apart from recognizing the interference that this has on user health care.Objetivos: Comprender los significados que los profesionales de la Estrategia Salud de la Familia (ESF) atribuyen a la calidad de vida en el trabajo. Metodo: Investigacion cualitativa, descriptiva, con abordaje cualicantitativa, realizada en Unidades de ESF, con 123 profesionales de salud. Los datos fueron colectados entre Julio y Septiembre de 2014. El material resultante fue expuesto al metodo de Analisis del Discurso del Sujeto Colectivo, con auxilio del software QualiQuantsoft®. Resultados: Los significados conferidos a la calidad de vida en el trabajo emergen desde los aspectos subjetivos, como en quesitos de las condiciones laborales y relaciones interpersonales. Con 121 expresiones-clave, las cuestiones referentes a condiciones de trabajo fueron las mas expresivas, seguida por las relaciones interpersonales, con 72 expresiones-clave. Conclusion: Los profesionales confieren significados subjetivos y objetivos a la calidad de vida en el trabajo, ademas de reconocieren la interferencia del tema en la mejora de la asistencia al usuario.