Maria Filomena Ceolim

Sleep quality of women with gynecological and breast cancer.

A qualidade de sono referida pelo proprio individuo e reconhecida atualmente como um indicador de saude e de qualidade de vida. Este estudo exploratorio e descritivo teve por objetivo descrever a qualidade habitual do sono de mulheres com câncer ginecologico e mamario e compara-la a qualidade do sono das mesmas na hospitalizacao. Participaram 25 mulheres hospitalizadas para tratamento clinico do câncer que responderam ao Indice de Qualidade de Sono de Pittsburgh (PSQI) ate 72 horas apos a admissao e quando prevista a alta hospitalar. Verificou-se que 52% das mulheres apresentavam ma qualidade de sono habitual e que, na hospitalizacao, esse percentual elevou-se para 80%. Como causas mais frequentes de perturbacao do sono na hospitalizacao destacaram-se: necessidade de usar o banheiro; despertar precoce; cuidados prestados pela equipe de enfermagem. Os resultados apontam para a necessidade de cuidados oncologicos que englobem a qualidade de sono destes pacientes, sobretudo na hospitalizacao.Actualmente, la calidad de sueno referida por el propio individuo es reconocida como un indicador desalud y calidad de vida. Esto estudio exploratorio y descriptivo describe la calidad habitual del sueno demujeres con cancer ginecologico y mamario y la confronta con la hospitalizacion. Se desarrollo con 25 mujereshospitalizadas para tratamiento clinico del cancer ginecologico. Se colectaron informaciones mediante el PittsburghSleep Quality Index (PSQI) y se verifico que el 52% de los sujetos poseia mala calidad del sueno habitualmente,mientras el 80% hubiera mala calidad en la hospitalizacion. Las origenes de las perturbaciones del suenonocturno apuntadas mas frecuentemente fueron: usar el bano, despertarse temprano y ser cuidado por lasenfermeras durante la noche. Los resultados muestran la necesidad de que el planeamiento de cuidados deenfermeria para mujeres con cancer ginecologo incluya la evaluacion de la calidad del sueno de las pacientes,inclusive en la hospitalizacion.DESCRIPTORES: sueno; neoplasmas; enfermeria; hospitalizacionSubjective sleep quality has been recognized as a valuable indicator of health and quality of life. This exploratory and descriptive study aimed at describing habitual sleep quality of women suffering from gynecological and breast cancer and comparing habitual versus sleep quality during hospitalization. Twenty-five women admitted in hospital for clinical treatment of cancer completed the Pittsburgh Sleep Quality Index (PSQI) within 72 hours after admission and again just before discharge. Fifty-two percent of subjects reported habitual bad sleep quality, and this proportion increased to 80% of subjects during hospital stay. Subjects indicated the following most frequent causes of night sleep disturbance: need to go to the toilet, waking up early and receiving nursing care during the night. Results point to the importance of including careful assessment of sleep quality and environment in nursing care planning for oncology patients, mainly during hospitalization.

Orientações para idosas que cuidam de idosos no domicílio

Trata-se de um relato de experiencia de um programa de orientacao para idosas cuidadoras de idosos no domicilio, realizado pelo Grupo de Atencao a Saude do Idoso (GRASI), do Hospital de Clinicas da Universidade Estadual de Campinas. Esse programa foi elaborado e desenvolvido para atender uma solicitacao de idosas cuidadoras, e participantes do GRASI. Ao final das atividades, as participantes relataram que o programa possibilitou o melhor enfrentamento das dificuldades, a compreensao das distintas alteracoes presentes na velhice, e o desenvolvimento de procedimentos que facilitam a relacao com o idoso no dia-a-dia.(AU)This is a report of experience about the development of a program designed especially for the orientation of elderly people who care for elderly relatives at home. It was carried out by the coordinators of the Group of Attention for Elderly Peoples Health (GRASI), of the Campinas State Universitys Clinics Hospital. This program was developed based on the needs reported by elderly caregivers who take part in the activities of the GRASI. The participants reported that the program made coping with the difficulties related to caregiving better; that there had been an improvement in the understanding of the changes brought by the aging process; and that it made possible the development of procedures that make easier the daily relationship with the elderly that is being cared for.

Sleep problems and social support: Frailty in a Brazilian Elderly Multicenter Study

Esta pesquisa teve como objetivo identificar relacoes entre qualidade do suporte social percebido, problemas de sono e habito de cochilar, em idosos da comunidade. Trata-se de recorte do estudo Fragilidade em Idosos Brasileiros (Fibra), projeto multicentrico, desenvolvido em 17 cidades brasileiras. Participaram 498 idosos, capazes de responder as entrevistas, sem deficit cognitivo ou funcional grave. Adotou-se, para coleta de dados: questionario sociodemografico, escala de percepcao da qualidade do suporte social, questoes sobre problemas de sono (perfil de saude de Nottingham); questoes sobre habito de cochilar (Minnesota Leisure Activity Questionnaire). Utilizou-se estatistica descritiva e teste de Mann-Whitney para tratamento dos dados. Idosos que referiram problemas de sono em geral, demorar para adormecer e dormir mal a noite apresentaram escores inferiores aos dos idosos que negavam esses problemas, na escala de percepcao de qualidade de suporte social. Estrategias para melhoria da qualidade de suporte social poderiam contribuir para minimizar problemas de sono.

Qualidade do sono em pacientes idosos com patologias vasculares periféricas

Peripheral vascular diseases (PVD) are prevalent among the elderly, and, due to their chronic character, result in poor quality of life and poor sleep quality. This study aimed at evaluating sleep quality of elderly people diagnosed with PVD who undergo clinical ambulatory treatment in a university hospital in Campinas, in the State of Sao Paulo. Subjects (n=50, aged 74 8 years old) answered the Pittsburgh Sleep Quality Index (PSQI) and provided basic demographic data and PVD history (35 subjects had arterial blockage in lower limbs). Results showed that 34 subjects presented bad sleep quality; sleep length was 5.8 ( 2.3) hours, and, according to 23 subjects, night sleep was frequently disturbed by pain (thrice a week or more). Eighteen subjects took analgesics; four took sleep medicines. Findings may have important implications for nurses working with PVD patients, stressing the need to take into account consequences of PVD on sleep disturbances when planning their interventions.Peripheral vascular diseases (PVD) are prevalent among the elderly, and, due to their chronic character, result in poor quality of life and poor sleep quality. This study aimed at evaluating sleep quality of elderly people diagnosed with PVD who undergo clinical ambulatory treatment in a university hospital in Campinas, in the State of São Paulo. Subjects (n=50, aged 74 +/- 8 years old) answered the Pittsburgh Sleep Quality Index (PSQI) and provided basic demographic data and PVD history (35 subjects had arterial blockage in lower limbs). Results showed that 34 subjects presented bad sleep quality; sleep length was 5.8 (+/- 2.3) hours, and, according to 23 subjects, night sleep was frequently disturbed by pain (thrice a week or more). Eighteen subjects took analgesics; four took sleep medicines. Findings may have important implications for nurses working with PVD patients, stressing the need to take into account consequences of PVD on sleep disturbances when planning their interventions.

O perfil da mulher portadora de HIV/AIDS e sua adesão à terapêutica antirretroviral

The objectives of this study were to characterize the sociodemographic and clinical profiles, health behaviors, beliefs and attitudes towards the disease and treatment of women with HIV/AIDS, outpatients of a university hospital located in the interior of São Paulo state, and to identify the factors that affect their adherence to antiretroviral therapy. The participants were 60 female outpatients of the referred service. The data were collected through semi-structured interviews. The womens mean age was 39.8 (standard deviation of 9.1) years; most of the women had a low education level, lived in deprived socioeconomic conditions, and were in a stable relationship. The most frequent form of infection was through a heterosexual relationship; 55% of the women had abandoned treatment, and their main reasons were the imposed therapeutic schemes, the side effects of antiretroviral drugs, coping with the disease, and the perspective of imminent death; 35% did not meet the adherence criteria, considered as taking 95% of the prescribed antiretroviral therapy.The objectives of this study were to characterize the sociodemographic and clinical profiles, health behaviors, beliefs and attitudes towards the disease and treatment of women with HIV/AIDS, outpatients of a university hospital located in the interior of Sao Paulo state, and to identify the factors that affect their adherence to antiretroviral therapy. The participants were 60 female outpatients of the referred service. The data were collected through semi-structured interviews. The womens mean age was 39.8 (standard deviation of 9.1) years; most of the women had a low education level, lived in deprived socioeconomic conditions, and were in a stable relationship. The most frequent form of infection was through a heterosexual relationship; 55% of the women had abandoned treatment, and their main reasons were the imposed therapeutic schemes, the side effects of antiretroviral drugs, coping with the disease, and the perspective of imminent death; 35% did not meet the adherence criteria, considered as taking 95% of the prescribed antiretroviral therapy.

A enfermagem nos cuidados paliativos à criança e adolescente com câncer: revisão integrativa da literatura

Pediatric palliative care is a challenge for nursing because it requires emotional balance and knowledge about its specific features. This study is an integrative literature review that aims to identify nursing actions in palliative care for children and adolescents with cancer, considering peculiarities of the disease and dying process. The review was performed by searching for articles indexed in Biblioteca Virtual da Adolescência (Adolec), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) and PubMed databases from January 2004 till May 2009. From 29 references found, six met inclusion criteria. Results show teamwork, home care, pain management, dialogue, family support and particularities of childhood cancer fundamental tools for nursing in palliative care. The complexity of care in this situation requires solidarity, compassion, support and relieving suffering.El cuidado paliativo pediatrico es un desafio para la enfermeria, ya que requiere equilibrio emocional y conocimiento de las caracteristicas de este cuidado. Este estudio consiste en una revision integrativa de la literatura con objetivo de identificar las acciones de enfermeria en los cuidados paliativos para ninos y adolescentes con cancer, considerando las particularidades de la enfermedad y el proceso de muerte. Estudio realizado por la busqueda de articulos indexados en las bases de datos Biblioteca Virtual da Adolescencia (Adolec), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Literatura Latino-Americana e do Caribe em Ciencias da Saude (LILACS) y PubMed de Enero de 2004 a Mayo de 2009. Encontradas 29 referencias, seis cumplian los criterios de inclusion. Los resultados apuntan hacia el trabajo en equipo, cuidado domiciliar, manejo del dolor, dialogo, apoyo familiar y particularidades del cancer infantil fundamentales para la enfermeria en la asistencia paliativa. La complejidad de ese cuidado requiere solidaridad, compasion, apoyo y alivio del sufrimiento.

Padrões de sono de estudantes ingressantes na Graduação em Enfermagem

This exploratory and descriptive study aimed at describing sleep patterns of first-year university students at the beginning of their course. The study was conducted at Campinas State University, Brazil. Data were collected in two points of time using Pittsburgh Sleep Quality Index. Results showed that students report sleep of better quality and increased length during vacations, when they kept sleep habits in conformity to chronotype. After classes started a greater number of subjects reported poor sleep quality and daytime lack of enthusiasm. Those changes could be due to the submission of subjects to schedules imposed by the university or to the irregularity of sleep habits assumed. Possible relationship between those sleep-changes and academic performance stresses the importance of ongoing studies on this issue.This exploratory and descriptive study aimed at describing sleep patterns of first-year university students at the beginning of their course. The study was conducted at Campinas State University, Brazil. Data were collected in two points of time using Pittsburgh Sleep Quality Index. Results showed that students report sleep of better quality and increased length during vacations, when they kept sleep habits in conformity to chronotype. After classes started a greater number of subjects reported poor sleep quality and daytime lack of enthusiasm. Those changes could be due to the submission of subjects to schedules imposed by the university or to the irregularity of sleep habits assumed. Possible relationship between those sleep changes and academic performance stresses the importance of ongoing studies on this issue.

Implantação do Grupo de Atenção à Saúde do Idoso (GRASI) no Hospital de Clínicas da Universidade Estadual de Campinas (SP): relato de experiência

This study aims at reporting the experience of establishing the Group for Elderly Care (GRASI) in an outpatient clinic at a General University Hospital (Hospital de Clinicas - Universidade Estadual de Campinas), with the goal of elaborating and developing an educative program to elderly and their families. The program approached topics requested by the clients, such as increased risk for falls, changes in memory, sleep and vision, as well as issues considered important by the researchers, such as self-care, emotional aspects, senescence and senility. The experience was evaluated as a significant contribution to elderly daily life as well as a good opportunity for acquiring new knowledge and new friendships.This study aims at reporting the experience of establishing the Group for Elderly Care (GRASI) in an outpatient clinic at a General University Hospital (Hospital de Clínicas--Universidade Estadual de Campinas), with the goal of elaborating and developing an educative program to elderly and their families. The program approached topics requested by the clients, such as increased risk for falls, changes in memory, sleep and vision, as well as issues considered important by the researchers, such as self-care, emotional aspects, senescence and senility. The experience was evaluated as a significant contribution to elderly daily life as well as a good opportunity for acquiring new knowledge and new friendships.

Iatrogenias de enfermagem em pacientes idosos hospitalizados

The purpose of this cross-sectional quantitative study was to identify iatrogenic nursing events involving elderly patients hospitalized in two nursing wards of a university hospital (Campinas, Sao Paulo, Brazil). Data was collected among 100 patient records (50 men, 50 women) using an instrument created by the authors. Data analysis was performed using descriptive statistics in addition to Mann-Whitney and Kruskal-Wallis tests. Results were significant at p<0.05. Iatrogenic events in the 26 files included: loss of intravenous site (14), pressure ulcers (8) and falls (2), among others. Reports were not detailed and failed to indicate interventions to prevent new occurrences. The findings suggest the importance of creating ways to encourage nursing professionals to accurately report iatrogenic events, as well as creating wards specifically for the elderly population.The purpose of this cross-sectional quantitative study was to identify iatrogenic nursing events involving elderly patients hospitalized in two nursing wards of a university hospital (Campinas, São Paulo, Brazil). Data was collected among 100 patient records (50 men, 50 women) using an instrument created by the authors. Data analysis was performed using descriptive statistics in addition to Mann-Whitney and Kruskal-Wallis tests. Results were significant at p < 0.05. Latrogenic events in the 26 files included: loss of intravenous site (14), pressure ulcers (8) and falls (2), among others. Reports were not detailed and failed to indicate interventions to prevent new occurrences. The findings suggest the importance of creating ways to encourage nursing professionals to accurately report iatrogenic events, as well as creating wards specifically for the elderly population.

Problemas de sono e suporte social: estudo multicêntrico Fragilidade em Idosos Brasileiros

Esta pesquisa teve como objetivo identificar relacoes entre qualidade do suporte social percebido, problemas de sono e habito de cochilar, em idosos da comunidade. Trata-se de recorte do estudo Fragilidade em Idosos Brasileiros (Fibra), projeto multicentrico, desenvolvido em 17 cidades brasileiras. Participaram 498 idosos, capazes de responder as entrevistas, sem deficit cognitivo ou funcional grave. Adotou-se, para coleta de dados: questionario sociodemografico, escala de percepcao da qualidade do suporte social, questoes sobre problemas de sono (perfil de saude de Nottingham); questoes sobre habito de cochilar (Minnesota Leisure Activity Questionnaire). Utilizou-se estatistica descritiva e teste de Mann-Whitney para tratamento dos dados. Idosos que referiram problemas de sono em geral, demorar para adormecer e dormir mal a noite apresentaram escores inferiores aos dos idosos que negavam esses problemas, na escala de percepcao de qualidade de suporte social. Estrategias para melhoria da qualidade de suporte social poderiam contribuir para minimizar problemas de sono.