Satomi Mori

Avaliação do website educacional em Primeiros Socorros

The aim of this study was to evaluate the structure, quality of information and usability of a website on First Aid. The evaluation was performed by information technology (IT) and health care professionals and by students, using specific and validated instruments. The kappa method was used to evaluate the agreement of the answers, and Cronbachs α coefficient was used to assess the reliability of the instrument. There was no agreement (0.047) among the answers obtained from the IT professionals, indicating that the structure of the website must be reviewed. There was also no agreement in the evaluation by the health care professionals (-0.062); however, the overall positive scores suggest that the quality of the information of the website is adequate. The assessment of reliability of the instrument to evaluate the navigability rendered a value of α=0.974. Although improvement of the website structure is recommended, the quality of the information is good, and its use has contributed to the apprenticeship of students.The aim of this study was to evaluate the structure, quality of information and usability of a website on First Aid. The evaluation was performed by information technology (IT) and health care professionals and by students, using specific and validated instruments. The kappa method was used to evaluate the agreement of the answers, and Cronbach’s α coefficient was used to assess the reliability of the instrument. There was no agreement (0.047) among the answers obtained from the IT professionals, indicating that the structure of the website must be reviewed. There was also no agreement in the evaluation by the health care professionals (-0.062); however, the overall positive scores suggest that the quality of the information of the website is adequate. The assessment of reliability of the instrument to evaluate the navigability rendered a value of α=0.974. Although improvement of the website structure is recommended, the quality of the information is good, and its use has contributed to the apprenticeship of students.

Confusion assessment method para analisar delirium em unidade de terapia intensiva: revisão de literatura

Delirium is frequently observed in intensive care unit patients and its occurrence is related to increased morbidity and mortality, length of stay, functional decline and high costs. The Confusion Assessment Method for Intensive Care Unit is a tool that facilitates early identification and occurrence of delirium among intubated patients. Objective: To verify the aspects of delirium studied by means of the Confusion Assessment Method for Intensive Care Unit. A literature review was conducted in the LILACS, MedLine, PubMed and CINAHL databases, from 2001, when the Confusion Assessment Method for Intensive Care Unit was validated, to 2008. Descriptors used for LILACS, MedLine and PubMed were delirium and intensive care unit, while for the CINAHL database, delirium and intensive care were used. From 293 articles, 35 were selected. The aspects analyzed disclosed, different types of delirium in different intensive care units. Variation in sensitivity was of 93% to 100% and variation in specificity, 89% to 100% of the Confusion Assessment Method for Intensive Care Unit, an important tool for detection, characterization and control of delirium and its impact. The aspects of delirium studied by means of the Confusion Assessment Method for Intensive Care Unit were: the performance index, identification, management, cost of treatment, morbidity and mortality due to delirium.

Incidence and factors related to delirium in an intensive care unit

OBJETIVOS Identificar a incidencia de delirium, comparar as caracteristicas demograficas e clinicas dos pacientes com e sem delirium e verificar os fatores relacionados ao delirium em pacientes internados em Unidade de Terapia Intensiva (UTI). METODO Coorte prospectiva, cuja amostra foi constituida de pacientes internados em UTI de um hospital universitario. Variaveis demograficas, clinicas e da avaliacao com o Confusion Assessment Method for Intensive Care Unit para identificacao de delirium foram processadas para analise univariada, e regressao logistica para identificar fatores relacionados a ocorrencia do delirium. RESULTADOS Do total de 149 pacientes da amostra, 69 (46,3%) apresentaram delirium durante a internacao na UTI, observando-se que a media da idade, o indice de gravidade e o tempo de permanencia nas UTI foram estatisticamente maiores. Os fatores relacionados ao delirium foram: idade, midazolam, morfina e propofol. CONCLUSAO Os resultados mostraram elevada incidencia de delirium na UTI e sua ocorrencia associada as idades mais avancadas e o uso de sedativos e analgesicos, ressaltando-se a importância da atuacao do enfermeiro na prevencao e identificacao precoce do quadro nos pacientes com essas caracteristicas.OBJECTIVES To identify the incidence of delirium, compare the demographic and clinical characteristics of patients with and without delirium, and verify factors related to delirium in critical care patients. METHOD Prospective cohort with a sample made up of patients hospitalized in the Intensive Care Unit (ICU) of a university hospital. Demographic, clinical variables and evaluation with the Confusion Assessment Method for Intensive Care Unit to identify delirium were processed to the univariate analysis and logistic regression to identify factors related to the occurrence of delirium. RESULTS Of the total 149 patients in the sample, 69 (46.3%) presented delirium during ICU stay, whose mean age, severity of illness and length of ICU stay were statistically higher. The factors related to delirium were: age, midazolam, morphine and propofol. CONCLUSION Results showed high incidence of ICU delirium associated with older age, use of sedatives and analgesics, emphasizing the need for relevant nursing care to prevent and identify early, patients presenting these characteristics. OBJETIVOS Identificar a incidência de delirium, comparar as características demográficas e clínicas dos pacientes com e sem delirium e verificar os fatores relacionados ao delirium em pacientes internados em Unidade de Terapia Intensiva (UTI). MÉTODO Coorte prospectiva, cuja amostra foi constituída de pacientes internados em UTI de um hospital universitário. Variáveis demográficas, clínicas e da avaliação com o Confusion Assessment Method for Intensive Care Unit para identificação de delirium foram processadas para análise univariada, e regressão logística para identificar fatores relacionados à ocorrência do delirium. RESULTADOS Do total de 149 pacientes da amostra, 69 (46,3%) apresentaram delirium durante a internação na UTI, observando-se que a média da idade, o índice de gravidade e o tempo de permanência nas UTI foram estatisticamente maiores. Os fatores relacionados ao delirium foram: idade, midazolam, morfina e propofol. CONCLUSÃO Os resultados mostraram elevada incidência de delirium na UTI e sua ocorrência associada às idades mais avançadas e o uso de sedativos e analgésicos, ressaltando-se a importância da atuação do enfermeiro na prevenção e identificação precoce do quadro nos pacientes com essas características.

Evaluation of an educational website on First Aid

The aim of this study was to evaluate the structure, quality of information and usability of a website on First Aid. The evaluation was performed by information technology (IT) and health care professionals and by students, using specific and validated instruments. The kappa method was used to evaluate the agreement of the answers, and Cronbachs α coefficient was used to assess the reliability of the instrument. There was no agreement (0.047) among the answers obtained from the IT professionals, indicating that the structure of the website must be reviewed. There was also no agreement in the evaluation by the health care professionals (-0.062); however, the overall positive scores suggest that the quality of the information of the website is adequate. The assessment of reliability of the instrument to evaluate the navigability rendered a value of α=0.974. Although improvement of the website structure is recommended, the quality of the information is good, and its use has contributed to the apprenticeship of students.The aim of this study was to evaluate the structure, quality of information and usability of a website on First Aid. The evaluation was performed by information technology (IT) and health care professionals and by students, using specific and validated instruments. The kappa method was used to evaluate the agreement of the answers, and Cronbach’s α coefficient was used to assess the reliability of the instrument. There was no agreement (0.047) among the answers obtained from the IT professionals, indicating that the structure of the website must be reviewed. There was also no agreement in the evaluation by the health care professionals (-0.062); however, the overall positive scores suggest that the quality of the information of the website is adequate. The assessment of reliability of the instrument to evaluate the navigability rendered a value of α=0.974. Although improvement of the website structure is recommended, the quality of the information is good, and its use has contributed to the apprenticeship of students.

Verificação do volume residual gástrico em unidade de terapia intensiva

This descriptive study aims at verifying whether or not the gastric residual volume (GRV) is assessed prior to the administration of the diet and the procedure performed by the Nursing staff when such a factor occurs. Most Nursing staff members (76.56%) did not verify the GRV before administration of the diet via tube feeding, despite the fact that the majority of them (90.63%) had asserted that they use the procedure. 20,31% stated opening the tube feeding from 100 ml of the GRV, and the majority of them referred to disposing of the aspirated material and 57.78% stated to have administered 100% of the prescribed volume independent of the GRV aspirated by the tube feeding. The study showed the need for supervision and guidance for the nursing staff concerning the care related to administration of the diet via tube feeding. Descriptors: nursing; residual volume; diet; tube Title: Verification of gastric residual volumes by the nursing staff in an intensive care unitThis descriptive study aims at verifying whether or not the gastric residual volume (GRV) is assessed prior to the administration of the diet and the procedure performed by the Nursing staff when such a factor occurs. Most Nursing staff members (76.56%) did not verify the GRV before administration of the diet via tube feeding, despite the fact that the majority of them (90.63%) had asserted that they use the procedure. 20.31% stated opening the tube feeding from 100 ml of the GRV, and the majority of them referred to disposing of the aspirated material and 57.78% stated to have administered 100% of the prescribed volume independent of the GRV aspirated by the tube feeding. The study showed the need for supervision and guidance for the nursing staff concerning the care related to administration of the diet via tube feeding.

Estratégias tecnológicas de ensino associadas ao treinamento em Suporte Básico de Vida

This study aimed to analyze the effectiveness and advantages of the use of technological resources for teaching Basic Life Support (SBV) through a narrative review. We analyzed 29 articles published and indexed in these sources: Medline, PubMed and LILACS that used video, CD-ROM, DVD, websites and computer programs for teaching SBV. It was observed that the use of these resources may favor the acquisition of knowledge at levels similar or superior to methods of traditional teaching. Among the observed advantages cited were the reduction in training costs, ease of access and standardization of information.

Verification of gastric residual volumes by the nursing staff in an intensive care unit

This descriptive study aims at verifying whether or not the gastric residual volume (GRV) is assessed prior to the administration of the diet and the procedure performed by the Nursing staff when such a factor occurs. Most Nursing staff members (76.56%) did not verify the GRV before administration of the diet via tube feeding, despite the fact that the majority of them (90.63%) had asserted that they use the procedure. 20,31% stated opening the tube feeding from 100 ml of the GRV, and the majority of them referred to disposing of the aspirated material and 57.78% stated to have administered 100% of the prescribed volume independent of the GRV aspirated by the tube feeding. The study showed the need for supervision and guidance for the nursing staff concerning the care related to administration of the diet via tube feeding. Descriptors: nursing; residual volume; diet; tube Title: Verification of gastric residual volumes by the nursing staff in an intensive care unitThis descriptive study aims at verifying whether or not the gastric residual volume (GRV) is assessed prior to the administration of the diet and the procedure performed by the Nursing staff when such a factor occurs. Most Nursing staff members (76.56%) did not verify the GRV before administration of the diet via tube feeding, despite the fact that the majority of them (90.63%) had asserted that they use the procedure. 20.31% stated opening the tube feeding from 100 ml of the GRV, and the majority of them referred to disposing of the aspirated material and 57.78% stated to have administered 100% of the prescribed volume independent of the GRV aspirated by the tube feeding. The study showed the need for supervision and guidance for the nursing staff concerning the care related to administration of the diet via tube feeding.

Incidencia y factores relacionados con el delirium en unidad de cuidados intensivos

OBJETIVOS Identificar a incidencia de delirium, comparar as caracteristicas demograficas e clinicas dos pacientes com e sem delirium e verificar os fatores relacionados ao delirium em pacientes internados em Unidade de Terapia Intensiva (UTI). METODO Coorte prospectiva, cuja amostra foi constituida de pacientes internados em UTI de um hospital universitario. Variaveis demograficas, clinicas e da avaliacao com o Confusion Assessment Method for Intensive Care Unit para identificacao de delirium foram processadas para analise univariada, e regressao logistica para identificar fatores relacionados a ocorrencia do delirium. RESULTADOS Do total de 149 pacientes da amostra, 69 (46,3%) apresentaram delirium durante a internacao na UTI, observando-se que a media da idade, o indice de gravidade e o tempo de permanencia nas UTI foram estatisticamente maiores. Os fatores relacionados ao delirium foram: idade, midazolam, morfina e propofol. CONCLUSAO Os resultados mostraram elevada incidencia de delirium na UTI e sua ocorrencia associada as idades mais avancadas e o uso de sedativos e analgesicos, ressaltando-se a importância da atuacao do enfermeiro na prevencao e identificacao precoce do quadro nos pacientes com essas caracteristicas.OBJECTIVES To identify the incidence of delirium, compare the demographic and clinical characteristics of patients with and without delirium, and verify factors related to delirium in critical care patients. METHOD Prospective cohort with a sample made up of patients hospitalized in the Intensive Care Unit (ICU) of a university hospital. Demographic, clinical variables and evaluation with the Confusion Assessment Method for Intensive Care Unit to identify delirium were processed to the univariate analysis and logistic regression to identify factors related to the occurrence of delirium. RESULTS Of the total 149 patients in the sample, 69 (46.3%) presented delirium during ICU stay, whose mean age, severity of illness and length of ICU stay were statistically higher. The factors related to delirium were: age, midazolam, morphine and propofol. CONCLUSION Results showed high incidence of ICU delirium associated with older age, use of sedatives and analgesics, emphasizing the need for relevant nursing care to prevent and identify early, patients presenting these characteristics. OBJETIVOS Identificar a incidência de delirium, comparar as características demográficas e clínicas dos pacientes com e sem delirium e verificar os fatores relacionados ao delirium em pacientes internados em Unidade de Terapia Intensiva (UTI). MÉTODO Coorte prospectiva, cuja amostra foi constituída de pacientes internados em UTI de um hospital universitário. Variáveis demográficas, clínicas e da avaliação com o Confusion Assessment Method for Intensive Care Unit para identificação de delirium foram processadas para análise univariada, e regressão logística para identificar fatores relacionados à ocorrência do delirium. RESULTADOS Do total de 149 pacientes da amostra, 69 (46,3%) apresentaram delirium durante a internação na UTI, observando-se que a média da idade, o índice de gravidade e o tempo de permanência nas UTI foram estatisticamente maiores. Os fatores relacionados ao delirium foram: idade, midazolam, morfina e propofol. CONCLUSÃO Os resultados mostraram elevada incidência de delirium na UTI e sua ocorrência associada às idades mais avançadas e o uso de sedativos e analgésicos, ressaltando-se a importância da atuação do enfermeiro na prevenção e identificação precoce do quadro nos pacientes com essas características.

Incidência e fatores relacionados ao delirium em Unidade de Terapia Intensiva

OBJETIVOS Identificar a incidencia de delirium, comparar as caracteristicas demograficas e clinicas dos pacientes com e sem delirium e verificar os fatores relacionados ao delirium em pacientes internados em Unidade de Terapia Intensiva (UTI). METODO Coorte prospectiva, cuja amostra foi constituida de pacientes internados em UTI de um hospital universitario. Variaveis demograficas, clinicas e da avaliacao com o Confusion Assessment Method for Intensive Care Unit para identificacao de delirium foram processadas para analise univariada, e regressao logistica para identificar fatores relacionados a ocorrencia do delirium. RESULTADOS Do total de 149 pacientes da amostra, 69 (46,3%) apresentaram delirium durante a internacao na UTI, observando-se que a media da idade, o indice de gravidade e o tempo de permanencia nas UTI foram estatisticamente maiores. Os fatores relacionados ao delirium foram: idade, midazolam, morfina e propofol. CONCLUSAO Os resultados mostraram elevada incidencia de delirium na UTI e sua ocorrencia associada as idades mais avancadas e o uso de sedativos e analgesicos, ressaltando-se a importância da atuacao do enfermeiro na prevencao e identificacao precoce do quadro nos pacientes com essas caracteristicas.OBJECTIVES To identify the incidence of delirium, compare the demographic and clinical characteristics of patients with and without delirium, and verify factors related to delirium in critical care patients. METHOD Prospective cohort with a sample made up of patients hospitalized in the Intensive Care Unit (ICU) of a university hospital. Demographic, clinical variables and evaluation with the Confusion Assessment Method for Intensive Care Unit to identify delirium were processed to the univariate analysis and logistic regression to identify factors related to the occurrence of delirium. RESULTS Of the total 149 patients in the sample, 69 (46.3%) presented delirium during ICU stay, whose mean age, severity of illness and length of ICU stay were statistically higher. The factors related to delirium were: age, midazolam, morphine and propofol. CONCLUSION Results showed high incidence of ICU delirium associated with older age, use of sedatives and analgesics, emphasizing the need for relevant nursing care to prevent and identify early, patients presenting these characteristics. OBJETIVOS Identificar a incidência de delirium, comparar as características demográficas e clínicas dos pacientes com e sem delirium e verificar os fatores relacionados ao delirium em pacientes internados em Unidade de Terapia Intensiva (UTI). MÉTODO Coorte prospectiva, cuja amostra foi constituída de pacientes internados em UTI de um hospital universitário. Variáveis demográficas, clínicas e da avaliação com o Confusion Assessment Method for Intensive Care Unit para identificação de delirium foram processadas para análise univariada, e regressão logística para identificar fatores relacionados à ocorrência do delirium. RESULTADOS Do total de 149 pacientes da amostra, 69 (46,3%) apresentaram delirium durante a internação na UTI, observando-se que a média da idade, o índice de gravidade e o tempo de permanência nas UTI foram estatisticamente maiores. Os fatores relacionados ao delirium foram: idade, midazolam, morfina e propofol. CONCLUSÃO Os resultados mostraram elevada incidência de delirium na UTI e sua ocorrência associada às idades mais avançadas e o uso de sedativos e analgésicos, ressaltando-se a importância da atuação do enfermeiro na prevenção e identificação precoce do quadro nos pacientes com essas características.

Valoração e registros sobre higiene oral de pacientes intubados nas unidades de terapia intensiva

The aims of this study were to measure the valuation of oral hygiene of intubated adult patients among nurses, verify if they identify and record nursing diagnoses and prescription concerning to changes in the oral cavity; checking the records and interventions of nursing staff related to oral hygiene. Exploratory study conducted in the Intensive Care Units in a university hospital through questionnaire and analysis of records. The sample consisted of 47 (72.3%) nurses, 65 nurses and 53 medical records analyzed. The results revealed that the average score assigned by nurses according to the valuation of oral hygiene was 83. Most nurses reported that they had assessed the conditions of the oral cavity and prescribed the oral hygiene. Records were not found in the related nursing diagnoses. In 67% of the records evaluated there were annotations on the implementation of the oral hygiene by nursing technicians. The average score appointed by nurses is consistent with the recognition of the importance of procedure, but the records are flawed or nonexistent.