Rhayssa de Oliveira e Araújo

[Harnessing of corneas captured and processed for transplantation in an ocular tissue bank of North-eastern Brazil].

The aim of this study was to describe the harnessing of corneas captured and processed for transplantation in an ocular tissue bank in north-eastern Brazil.This was a transverse and retrospective study, with a sample group of 612 individuals whose corneas were do- nated and captured between January/2007 and July/2012. This study was approved by the Research Ethics Committee under number 007.0.294.000-10, and research was based on an instrument consisting of social, demographic and clinical data of the donors. Of the 1209 corneas captured, 868 were used and 341 were discarded. Of the 612 donors, the corneas of 597 (97.5%) were captured from both eyes, being that 423 (70.9%) of these corneas were used. Further studies are required on the reasons for discarding corneas and clarifications as to the conduct of professionals when processing corneas, considering the increase in the quantity of donors and the elevated number of discarded ocular tissue.

Health-related quality of life in patients with venous leg ulcer treated in primary care in Brazil and Portugal

Background Venous ulcers constitute an important public health problem as they can cause disability with consequences for multiple dimensions of quality of life. Objective To describe the quality of life in patients with venous leg ulcer treated in primary care in two cities from Brazil and Portugal. Methods This was a cross-sectional comparative study with a non-probabilistic sample of 171 patients with venous leg ulcers who were treated in primary care in two cities from Brazil and Portugal, namely, Natal and Évora. A form covering sociodemographic and health data and the Medical Outcomes Study 36-Item Short-Form Health Survey were used, and descriptive and inferential analyses were performed. Results Significant differences in age and income were observed between the two samples. Patients with venous leg ulcer from Brazil had lower income and were younger than those from Portugal. Quality of life scores were significantly higher in Portugal for the physical aspects, pain, and social functioning, among domains, and for the physical health dimension and total score of QOL. Conclusion The quality of life was better in Portugal than in Brazil and the differences between the countries need further investigation.

Self-efficacy, self-esteem and adherence to treatment in people with venous ulcer in primary health care

To analyze the correlation between self-efficacy, self-esteem and adherence to treatment with the Charing Cross Venous Ulcer Questionnaire in people with Venous Ulcer in Primary Health Care. This is a cross-sectional, descriptive and quantitative study, carried out between February and September 2014 at the Primary Health Care of the city of Natal, Rio Grande do Norte, Brazil, with 101 people with VU. A structured form of sociodemographic, health and care characterization; Charing Cross Venous Ulcer Questionnaire; Self-efficacy Scale for Chronic Pain; Multidimensional Therapeutic Adherence Scale; Rosenberg Self-Esteem Scale were used to collect data. The data were tabulated in Microsoft Excel and exported to the Statistical Package for Social Sciences 20.0, in which descriptive and inferential analyses were performed. There were weak to moderate correlations, mostly positive, with significance only between the “emotional state” of Quality of Life and the “Healthy lifestyle” of adherence to treatment. About the correlations of the Charing Cross Venous Ulcer Questionnaire domains with the domains of self-efficacy, self-esteem, there were negative correlations between weak and moderate and significant. Self-efficacy, self-esteem and adherence to treatment showed a correlation with Quality of Life. There is a need to address them in the health evaluation of the person with VU, seeking to impact on a better quality of life.

Validação clínica de protocolo para úlceras venosas na alta complexidade.

Objetivo: Realizar a validacao clinica de um protocolo assistencial para pessoas com ulceras venosas em servicos de saude de alta complexidade. Metodo: Estudo metodologico, quantitativo, que incluiu quatro enfermeiros especialistas, que avaliaram 32 pacientes com ulceras venosas, no Hospital Universitario Onofre Lopes, em Natal/Rio Grande do Norte. A coleta de dados foi realizada entre julho e dezembro/ 2013 e a analise ocorreu por meio do teste Kappa (K), considerando K ≥ 0,61. Resultados: Os itens com Kappa insatisfatorios foram excluidos, e os especialistas sugeriram modificacoes nas categorias: anamnese; exames; verificacao da dor e pulsos; tratamento cirurgico da doenca venosa cronica; prevencao de recidiva; referencia e contrarreferencia. Conclusoes: O protocolo foi validado no contexto clinico, e sua composicao, apos os ajustes, foi de 15 categorias e 76 itens. A validacao otimizou o instrumento quanto a aplicabilidade e a pertinencia. Palavras-chave: Ulcera varicosa. Atencao terciaria a saude. Protocolos clinicos. Estudos de validacao.Objective To perform clinical validation of a clinical protocol for treatment of individuals with venous ulcers in highly complex health services. Method Methodological quantitative study conducted by four specialist nurses who evaluated 32 patients with venous ulcers, at the Onofre Lopes University Hospital, in Natal/Rio Grande do Norte. Data was collected between July and December/2013 and analysis was carried out using Kappa test (K), considering K ≥ 0.61. Results Items with unsatisfactory Kappa coefficients were excluded and the experts suggested changes in the categories anamnesis; examinations; verification of pain and pulse signs; surgical treatment of chronic venous disease; prevention of recurrence; reference and counter-reference. Conclusions The protocol was validated in the clinical setting and, after adjustments, it contained 15 categories and 76 items. Validation optimized the instrument regarding applicability and relevance.

Aspects Related to Venous Ulcer Healing and its Influence on Quality of Life

Nowadays, the varicose ulcers (VUs) are one of the most worrying leg ulcers and are an important global health problem, with high costs related to the treatment and its complications. Moreover, the quality of life (QOL) of the patient could be affected by pain, sleep disorders, functional impairment, depression, and isolation. The VU patient care is complex, and it is necessary to know the aspects that contribute to the healing process for developing effective strategies. The members of the multidisciplinary health team should identify sociodemographic, clinical, and care aspects that interfere in tissue repair and therefore impacting the QOL. Self-efficacy, adherence to treatment, and self-esteem are other important aspects also related to healing and QOL, with implications for health care and the multidisciplinary team. To sum up, the use of multidisciplinary protocols allows the systematization of care for people with VUs in order to standardize therapeutic interventions with the aim to decrease the healing process time and, as a consequence, to improve the QOL.

Qualidade da assistência no Centro de Atenção Psicossocial: perspectiva de familiares

1Universidade do Estado do Rio Grande do Norte, Caicó/RN, Brasil. 2Universidade Federal do Rio Grande do Norte, Natal/RN, Brasil. RESUMO| Introdução: A avaliação dos serviços de saúde mental e a busca por bons indicadores de qualidade na assistência podem auxiliar na elaboração de estratégias efetivas de desenvolvimento e fortalecimento da Reforma Psiquiátrica. A preocupação com a prática avaliativa da qualidade de programas ou serviços de saúde tem crescido nos últimos anos. Objetivo: Avaliar a assistência em saúde mental prestada pelo Centro de Atenção Psicossocial III do município de Caicó -RN a partir de relatos de familiares. Métodos: Estudo avaliativo e descritivo, com abordagem quantitativa, desenvolvido com 23 familiares de usuários do serviço, entre dezembro de 2011 e março de 2012, por meio de entrevista estruturada. Resultados: A maioria dos familiares avaliou como bons a assistência (74,0%), o tratamento ofertado (69,6%) e a estrutura física (69,6%). Houve avaliação positiva também em relação à assistência para compreensão do transtorno mental e diminuição das crises (74,0%), reinserção social (56,5%) e autonomia dos usuários (52,2%). A maioria considerou suficientes a quantidade de profissionais técnicos (91,3%) e a qualificação destes para o trabalho desempenhado (82,6%). Conclusão: Apesar das limitações do instrumento de pesquisa para avaliar o fenômeno “assistência em saúde”, defende-se que os achados trazem à tona importantes considerações sobre a oferta e a qualidade do tratamento prestado. Esta pesquisa serve, portanto, para promover reflexão a respeito da gestão municipal, dos profissionais, dos usuários e dos familiares destes.

Proposta de protocolo para assistência as pessoas com úlceras venosas

Doi: 10.5902/2179769211076 Aim: to create a protocol to assist people with venous ulcers (VU) treated at referral hospital of Rio Grande do Norte/RN, Brazil. Method: descriptive and quantitative study at the University Hospital Onofre Lopes. The sample of 39 professionals, the hospital and other institutions of state and Jequie/Bahia. These professionals were judges who selected the guidelines proposed in the literature on VU protocols. After approval by the Research Ethics Committee (Opinion n.o081/07), guidelines were proposals for judges, accepting Kappa(K)≥ 0.81. Results: the proposal contains 11 items: patient/lesion assessment, registry/documentation, care of the wound/skin perilesional, indication of coverage, use of antibiotics and pain treatment, surgical/drug treatment, improvement of venous return/prevention recurrence, patients forwarding, job training and reference/counter-referral. Conclusion: the protocol subsidizes improvements in care for persons with VU, as it guides the multidisciplinary practice.

Perfil de potenciais doadores segundo a efetividade da doação

Doi: 10.5902/2179769210998 RESUMO: Objetivo: descrever o perfil dos potenciais doadores de orgaos e tecidos para transplantes segundo a efetividade da doacao. Metodo: estudo transversal e quantitativo, realizado em seis hospitais de Natal/RN, entre agosto de 2010 e fevereiro de 2011, com 65 potenciais doadores. Resultados: entre os potenciais doadores, verificou-se predominância de nao doadores (72,3%), sexo masculino (50,8%), faixa etaria ate 45 anos (53,8%), ensino fundamental (60,0%), raca parda (61,5%), solteiros/viuvos/divorciados (56,9%), com profissao (86,2%), renda familiar de ate tres salarios minimos (81,5%) e residente na regiao metropolitana (52,3%). Internaram-se em hospitais publicos (86,2%), na unidade de terapia intensiva (64,6%), diagnostico de acidente vascular encefalico (50,8%) e com hipertensao arterial sistemica (36,9%). A maioria dos familiares desconhecia o seu desejo quanto a doacao (83,1%). Conclusao: o conhecimento desse perfil garantira maior envolvimento entre os profissionais e familiares com reflexos na qualidade dos cuidados e no numero de doacoes

Aprovechamiento de las córneas capturada y procesada para trasplante en un banco de tejidos oculares del Noreste

The aim of this study was to describe the harnessing of corneas captured and processed for transplantation in an ocular tissue bank in north-eastern Brazil.This was a transverse and retrospective study, with a sample group of 612 individuals whose corneas were do- nated and captured between January/2007 and July/2012. This study was approved by the Research Ethics Committee under number 007.0.294.000-10, and research was based on an instrument consisting of social, demographic and clinical data of the donors. Of the 1209 corneas captured, 868 were used and 341 were discarded. Of the 612 donors, the corneas of 597 (97.5%) were captured from both eyes, being that 423 (70.9%) of these corneas were used. Further studies are required on the reasons for discarding corneas and clarifications as to the conduct of professionals when processing corneas, considering the increase in the quantity of donors and the elevated number of discarded ocular tissue.

Aproveitamento das córneas captadas e processadas para transplante em um banco de tecidos oculares do Nordeste

The aim of this study was to describe the harnessing of corneas captured and processed for transplantation in an ocular tissue bank in north-eastern Brazil.This was a transverse and retrospective study, with a sample group of 612 individuals whose corneas were do- nated and captured between January/2007 and July/2012. This study was approved by the Research Ethics Committee under number 007.0.294.000-10, and research was based on an instrument consisting of social, demographic and clinical data of the donors. Of the 1209 corneas captured, 868 were used and 341 were discarded. Of the 612 donors, the corneas of 597 (97.5%) were captured from both eyes, being that 423 (70.9%) of these corneas were used. Further studies are required on the reasons for discarding corneas and clarifications as to the conduct of professionals when processing corneas, considering the increase in the quantity of donors and the elevated number of discarded ocular tissue.