Stephani Amanda Lukasewicz Ferreira

Prevalence of smoking among employees of a university hospital

Este e um estudo transversal, e teve como objetivo identificar a prevalencia do tabagismo em funcionarios de um hospital universitario do Sul do Brasil. A coleta de dados ocorreu no ano 2008, durante exame periodico de saude dos funcionarios, por meio de questionario, de acordo com a condicao tabagica dos mesmos. A amostra ficou constituida por 1.475 sujeitos, desses, 979 (66,4%) eram nao fumantes, 295 (20%) ex-fumantes e 201 (13,6%) fumantes. O predominio de fumantes esta entre funcionarios com menor nivel de instrucao e entre aqueles que exerciam atividades em cargos administrativos. Identificou-se, entre os fumantes, dependencia leve, desejo e grau de motivacao elevados para cessar o tabagismo, sendo o principal motivo a preocupacao com a saude. Assim, considerando-se a motivacao dos funcionarios para parar de fumar, recomenda-se aproveitar esse momento para realizar trabalho de educacao em saude e apoio profissional especifico, para que o processo de cessacao do tabagismo ocorra.This cross-sectional study aimed to identify the prevalence of smoking among employees of a university hospital in Southern Brazil. Data collection happened in 2008, during the periodic health exam, using a questionnaire, according to the smoking status of the employees. The sample consisted of 1,475 subjects, in which 979 (66.4%) were non-smokers, 295 (20%) former smokers and 201 (13.6%) smokers. Smoking was more prevalent among employees with lower education levels and among professionals in administrative positions. Among smokers, low dependence was identified, as well as desire and high degree of motivation to stop smoking, with health concerns as the main reason. Thus, taking into account the motivation of smokers to stop smoking, this is an appropriate time for health education and specific support to employees in the process of smoking cessation.

Nursing diagnoses among kidney transplant recipients: evidence from clinical practice.

Purpose Identify the nursing diagnoses applied to kidney transplant recipients at a Brazilian hospital. Methods Cross-sectional study with a study sample of 165 patients who underwent transplant from January 2007 through January 2009. Conclusions Six nursing diagnoses were most prevalent among kidney transplant recipients in the postoperative period: risk for infection, impaired urinary elimination, ineffective protection, bathing self-care deficit, impaired tissue integrity, and acute pain. Implications for Nursing Practice Provide information on the priority health needs of these patients and reinforced the importance of the proper development of the nursing care plan. Objetivo Identificar os diagnosticos de enfermagem aplicados a receptores de transplante de rim em um hospital brasileiro. Metodos Estudo transversal com uma amostra de 165 pacientes submetidos ao transplante entre janeiro de 2007 e janeiro de 2009. Conclusoes Seis diagnosticos de enfermagem foram mais prevalentes entre os receptores de transplante de rim no periodo pos-operatorio: Risco de infeccao, Eliminacao urinaria prejudicada, Protecao ineficaz, Deficit no auto-cuidado: banho, Integridade tissular prejudicada e Dor aguda. Implicacoes Para a Pratica de Enfermagem Prover informacoes sobre as necessidades prioritarias desses pacientes e reforcar a importância do desenvolvimento adequado de um plano de cuidados de enfermagem.PURPOSE Identify the nursing diagnoses applied to kidney transplant recipients at a Brazilian hospital. METHODS Cross-sectional study with a study sample of 165 patients who underwent transplant from January 2007 through January 2009. CONCLUSIONS Six nursing diagnoses were most prevalent among kidney transplant recipients in the postoperative period: risk for infection, impaired urinary elimination, ineffective protection, bathing self-care deficit, impaired tissue integrity, and acute pain. IMPLICATIONS FOR NURSING PRACTICE Provide information on the priority health needs of these patients and reinforced the importance of the proper development of the nursing care plan.

Tabagismo em uma escola de enfermagem do sul do Brasil

This cross-sectional study aimed at identifying the prevalence of smoking among students, professors, and administrative technical staff in a nursing school in southern Brazil. The data was collected in 2009 through specific questionnaires given to smokers, ex-smokers, and nonsmokers. The sample constituted of 426 subjects, 21 (5%) smokers, 26 (6.1%) ex-smokers and 376 (88.9%) nonsmokers, which represented 77.5% of the studied population. The prevalence of smokers is among the administrative technical staff, 8 (38.1%); of ex-smokers among professors, 9 (34.6%); and nonsmokers among students, 317 (83.6%), with significant statistical difference (p<0,001). The majority of smokers have lower formal educational levels and very low nicotine dependence (0-2 points). The knowledge of the prevalence of smoking in the institution favors intervention that seeks to prevent and cease the practice of smoking tobacco in health and educational environment. dEscriptors: Smoking. Prevalence. Nursing. Nursing students.This cross-sectional study aimed at identifying the prevalence of smoking among students, professors, and administrative technical staff in a nursing school in southern Brazil. The data was collected in 2009 through specific questionnaires given to smokers, ex-smokers, and nonsmokers. The sample constituted of 426 subjects, 21 (5%) smokers, 26 (6.1%) ex-smokers and 376 (88.9%) nonsmokers, which represented 77.5% of the studied population. The prevalence of smokers is among the administrative technical staff, 8 (38.1%); of ex-smokers among professors, 9 (34.6%); and nonsmokers among students, 317 (83.6%), with significant statistical difference (p<0,001). The majority of smokers have lower formal educational levels and very low nicotine dependence (0-2 points). The knowledge of the prevalence of smoking in the institution favors intervention that seeks to prevent and cease the practice of smoking tobacco in health and educational environment. dEscriptors: Smoking. Prevalence. Nursing. Nursing students. tabaqUismo En Una EscUEla dE EnfErmEria al sUr dEl brasil rEsUmEn: Es un estudio transversal con el objetivo de identificar la prevalencia de fumadores entre los profesores, estudiantes y personal administrativo de una escuela de enfermeria en el sur de Brasil. Los datos se recolectaron en 2009, a traves de cuestionarios especificos para los fumadores, ex fumadores y no fumadores y se analizaron mediante paquete estadistico para las Ciencias Sociales. La muestra consistio de 426 sujetos, 21 (5%) fumadores, 26 (6,1%) ex fumadores y 376 (88,9%) no fumadores, lo que representa el 77,5% de la poblacion estudiada. La prevalencia de fumadores se encuentra entre el personal administrativo, 8 (38,1%); de los ex fumadores entre los profesores, 9 (34,6%); y no fumadores entre los estudiantes, 317 (83,6%), diferencia estadisticamente significativa (p <0,001). La mayoria de los fumadores tienen poca educacion y muy baja dependencia a la nicotina (0-2 puntos). El conocimiento de la prevalencia del tabaquismo en la institucion favorece el uso de intervenciones dirigidas a la prevencion y el cese de la practica de fumar en este ambiente de salud y educacion. dEscriptorEs: Tabaquismo. Prevalencia. Enfermeria. Estudiantes de enfermeria.

Complicações durante a internação de receptores de transplante renal

The objective of the study was to identify the complications in patients that have received a renal transplant. A Historical cohort performed in a university hospital from January/2007 through January/2009 with a sample of 179 patients; data collected retrospectively from the medical history of patients and submitted to statistical analyses. Mean age of patients was 43 (SD=13.7) years, 114 (63.7%) men, 95 (65.1%) non smokers and 118(66.93%) received the graft from a deceased donor. The main complications were rejection 68 (32.1%) and infection 62 (29.2%). There was statistical significance between rejection and median days of hospital stay (p < 0.001); days of use of central venous catheter (p = 0.010) and smoking status (p = 0.008); infection and central venous catheter (p = 0.029); median days of hospital stay (p < 0.001) and time of use of urinary catheter (p = 0.009). It was concluded that it is important to reduce the days of hospital stay and permanence of catheters, which may be considered in the planning of nursing care.O objetivo do estudo foi identificar complicacoes ocorridas em pacientes receptores de transplante renal. Coorte historica realizada em hospital universitario entre janeiro de 2007 e janeiro de 2009 com amostra de 179 pacientes; dados coletados retrospectivamente em base de dados e prontuario e, em seguida, analisados estatisticamente. A media de idade dos pacientes foi de 43 (DP=13,7) anos, sendo 114 (63,7%) homens, 95 (65,1%) nao fumantes e 118 (66,3%) receptores de doadores falecidos. As principais complicacoes foram rejeicao 68 (32,1%) e infeccao 62 (29,2%). Houve associacao estatisticamente significativa entre rejeicao e mediana dos dias de internacao (p<0,001); dias de uso de cateter venoso central (p=0,010) e status tabagico (p=0,008); infeccao e cateter venoso central (p=0,029), mediana dos dias de internacao (p<0,001) e tempo de uso de sonda vesical (p=0,009). Concluiu-se ser importante diminuir os dias de internacao e a permanencia de cateteres, o que pode ser levado em consideracao no planejamento do cuidado de enfermagem.

Smoking in a nursing school in southern Brazil

This cross-sectional study aimed at identifying the prevalence of smoking among students, professors, and administrative technical staff in a nursing school in southern Brazil. The data was collected in 2009 through specific questionnaires given to smokers, ex-smokers, and nonsmokers. The sample constituted of 426 subjects, 21 (5%) smokers, 26 (6.1%) ex-smokers and 376 (88.9%) nonsmokers, which represented 77.5% of the studied population. The prevalence of smokers is among the administrative technical staff, 8 (38.1%); of ex-smokers among professors, 9 (34.6%); and nonsmokers among students, 317 (83.6%), with significant statistical difference (p<0,001). The majority of smokers have lower formal educational levels and very low nicotine dependence (0-2 points). The knowledge of the prevalence of smoking in the institution favors intervention that seeks to prevent and cease the practice of smoking tobacco in health and educational environment. dEscriptors: Smoking. Prevalence. Nursing. Nursing students.This cross-sectional study aimed at identifying the prevalence of smoking among students, professors, and administrative technical staff in a nursing school in southern Brazil. The data was collected in 2009 through specific questionnaires given to smokers, ex-smokers, and nonsmokers. The sample constituted of 426 subjects, 21 (5%) smokers, 26 (6.1%) ex-smokers and 376 (88.9%) nonsmokers, which represented 77.5% of the studied population. The prevalence of smokers is among the administrative technical staff, 8 (38.1%); of ex-smokers among professors, 9 (34.6%); and nonsmokers among students, 317 (83.6%), with significant statistical difference (p<0,001). The majority of smokers have lower formal educational levels and very low nicotine dependence (0-2 points). The knowledge of the prevalence of smoking in the institution favors intervention that seeks to prevent and cease the practice of smoking tobacco in health and educational environment. dEscriptors: Smoking. Prevalence. Nursing. Nursing students. tabaqUismo En Una EscUEla dE EnfErmEria al sUr dEl brasil rEsUmEn: Es un estudio transversal con el objetivo de identificar la prevalencia de fumadores entre los profesores, estudiantes y personal administrativo de una escuela de enfermeria en el sur de Brasil. Los datos se recolectaron en 2009, a traves de cuestionarios especificos para los fumadores, ex fumadores y no fumadores y se analizaron mediante paquete estadistico para las Ciencias Sociales. La muestra consistio de 426 sujetos, 21 (5%) fumadores, 26 (6,1%) ex fumadores y 376 (88,9%) no fumadores, lo que representa el 77,5% de la poblacion estudiada. La prevalencia de fumadores se encuentra entre el personal administrativo, 8 (38,1%); de los ex fumadores entre los profesores, 9 (34,6%); y no fumadores entre los estudiantes, 317 (83,6%), diferencia estadisticamente significativa (p <0,001). La mayoria de los fumadores tienen poca educacion y muy baja dependencia a la nicotina (0-2 puntos). El conocimiento de la prevalencia del tabaquismo en la institucion favorece el uso de intervenciones dirigidas a la prevencion y el cese de la practica de fumar en este ambiente de salud y educacion. dEscriptorEs: Tabaquismo. Prevalencia. Enfermeria. Estudiantes de enfermeria.

Prevalência do tabagismo em funcionários de um hospital universitário

Este e um estudo transversal, e teve como objetivo identificar a prevalencia do tabagismo em funcionarios de um hospital universitario do Sul do Brasil. A coleta de dados ocorreu no ano 2008, durante exame periodico de saude dos funcionarios, por meio de questionario, de acordo com a condicao tabagica dos mesmos. A amostra ficou constituida por 1.475 sujeitos, desses, 979 (66,4%) eram nao fumantes, 295 (20%) ex-fumantes e 201 (13,6%) fumantes. O predominio de fumantes esta entre funcionarios com menor nivel de instrucao e entre aqueles que exerciam atividades em cargos administrativos. Identificou-se, entre os fumantes, dependencia leve, desejo e grau de motivacao elevados para cessar o tabagismo, sendo o principal motivo a preocupacao com a saude. Assim, considerando-se a motivacao dos funcionarios para parar de fumar, recomenda-se aproveitar esse momento para realizar trabalho de educacao em saude e apoio profissional especifico, para que o processo de cessacao do tabagismo ocorra.This cross-sectional study aimed to identify the prevalence of smoking among employees of a university hospital in Southern Brazil. Data collection happened in 2008, during the periodic health exam, using a questionnaire, according to the smoking status of the employees. The sample consisted of 1,475 subjects, in which 979 (66.4%) were non-smokers, 295 (20%) former smokers and 201 (13.6%) smokers. Smoking was more prevalent among employees with lower education levels and among professionals in administrative positions. Among smokers, low dependence was identified, as well as desire and high degree of motivation to stop smoking, with health concerns as the main reason. Thus, taking into account the motivation of smokers to stop smoking, this is an appropriate time for health education and specific support to employees in the process of smoking cessation.

Motivos que contribuem para indivíduos de uma escola de nível superior tornarem-se ou não tabagistas

Estudo transversal que objetivou identificar motivos que contribuem para individuos de uma escola de nivel superior tornarem-se ou nao tabagistas. Os dados foram coletados em 2009, em questionarios especificos, analisados estatisticamente. A amostra foi de 426 sujeitos, destes 21 (5%) fumantes, 26 (6,1%) ex-fumantes e 376 (88,9%) naofumantes. A principal motivacao dos fumantes para cessar o tabagismo sao os problemas de saude advindos do cigarro e dentre os fatores que dificultam esse processo esta a dependencia a nicotina. Ex-fumantes dizem que questoes emocionais e o prazer causado pelo cigarro podem faze-los voltar a fumar, e se mantem em abstinencia por estarem determinados a nao querer fumar. Nao-fumantes relatam nao gostarem do cigarro, seu cheiro e fumaca. Os motivos para ser ou nao tabagista podem subsidiar a realizacao de acoes de educacao em saude, com vistas a coibir o inicio e promover a sua cessacao.

Complications during the hospitalization of kidney transplant recipients

The objective of the study was to identify the complications in patients that have received a renal transplant. A Historical cohort performed in a university hospital from January/2007 through January/2009 with a sample of 179 patients; data collected retrospectively from the medical history of patients and submitted to statistical analyses. Mean age of patients was 43 (SD=13.7) years, 114 (63.7%) men, 95 (65.1%) non smokers and 118(66.93%) received the graft from a deceased donor. The main complications were rejection 68 (32.1%) and infection 62 (29.2%). There was statistical significance between rejection and median days of hospital stay (p < 0.001); days of use of central venous catheter (p = 0.010) and smoking status (p = 0.008); infection and central venous catheter (p = 0.029); median days of hospital stay (p < 0.001) and time of use of urinary catheter (p = 0.009). It was concluded that it is important to reduce the days of hospital stay and permanence of catheters, which may be considered in the planning of nursing care.O objetivo do estudo foi identificar complicacoes ocorridas em pacientes receptores de transplante renal. Coorte historica realizada em hospital universitario entre janeiro de 2007 e janeiro de 2009 com amostra de 179 pacientes; dados coletados retrospectivamente em base de dados e prontuario e, em seguida, analisados estatisticamente. A media de idade dos pacientes foi de 43 (DP=13,7) anos, sendo 114 (63,7%) homens, 95 (65,1%) nao fumantes e 118 (66,3%) receptores de doadores falecidos. As principais complicacoes foram rejeicao 68 (32,1%) e infeccao 62 (29,2%). Houve associacao estatisticamente significativa entre rejeicao e mediana dos dias de internacao (p<0,001); dias de uso de cateter venoso central (p=0,010) e status tabagico (p=0,008); infeccao e cateter venoso central (p=0,029), mediana dos dias de internacao (p<0,001) e tempo de uso de sonda vesical (p=0,009). Concluiu-se ser importante diminuir os dias de internacao e a permanencia de cateteres, o que pode ser levado em consideracao no planejamento do cuidado de enfermagem.

Complicaciones durante la hospitalización de receptores de trasplante renal

The objective of the study was to identify the complications in patients that have received a renal transplant. A Historical cohort performed in a university hospital from January/2007 through January/2009 with a sample of 179 patients; data collected retrospectively from the medical history of patients and submitted to statistical analyses. Mean age of patients was 43 (SD=13.7) years, 114 (63.7%) men, 95 (65.1%) non smokers and 118(66.93%) received the graft from a deceased donor. The main complications were rejection 68 (32.1%) and infection 62 (29.2%). There was statistical significance between rejection and median days of hospital stay (p < 0.001); days of use of central venous catheter (p = 0.010) and smoking status (p = 0.008); infection and central venous catheter (p = 0.029); median days of hospital stay (p < 0.001) and time of use of urinary catheter (p = 0.009). It was concluded that it is important to reduce the days of hospital stay and permanence of catheters, which may be considered in the planning of nursing care.O objetivo do estudo foi identificar complicacoes ocorridas em pacientes receptores de transplante renal. Coorte historica realizada em hospital universitario entre janeiro de 2007 e janeiro de 2009 com amostra de 179 pacientes; dados coletados retrospectivamente em base de dados e prontuario e, em seguida, analisados estatisticamente. A media de idade dos pacientes foi de 43 (DP=13,7) anos, sendo 114 (63,7%) homens, 95 (65,1%) nao fumantes e 118 (66,3%) receptores de doadores falecidos. As principais complicacoes foram rejeicao 68 (32,1%) e infeccao 62 (29,2%). Houve associacao estatisticamente significativa entre rejeicao e mediana dos dias de internacao (p<0,001); dias de uso de cateter venoso central (p=0,010) e status tabagico (p=0,008); infeccao e cateter venoso central (p=0,029), mediana dos dias de internacao (p<0,001) e tempo de uso de sonda vesical (p=0,009). Concluiu-se ser importante diminuir os dias de internacao e a permanencia de cateteres, o que pode ser levado em consideracao no planejamento do cuidado de enfermagem.

Tabaquismo en una escuela de enfermería al sur del Brasil

This cross-sectional study aimed at identifying the prevalence of smoking among students, professors, and administrative technical staff in a nursing school in southern Brazil. The data was collected in 2009 through specific questionnaires given to smokers, ex-smokers, and nonsmokers. The sample constituted of 426 subjects, 21 (5%) smokers, 26 (6.1%) ex-smokers and 376 (88.9%) nonsmokers, which represented 77.5% of the studied population. The prevalence of smokers is among the administrative technical staff, 8 (38.1%); of ex-smokers among professors, 9 (34.6%); and nonsmokers among students, 317 (83.6%), with significant statistical difference (p<0,001). The majority of smokers have lower formal educational levels and very low nicotine dependence (0-2 points). The knowledge of the prevalence of smoking in the institution favors intervention that seeks to prevent and cease the practice of smoking tobacco in health and educational environment. dEscriptors: Smoking. Prevalence. Nursing. Nursing students.This cross-sectional study aimed at identifying the prevalence of smoking among students, professors, and administrative technical staff in a nursing school in southern Brazil. The data was collected in 2009 through specific questionnaires given to smokers, ex-smokers, and nonsmokers. The sample constituted of 426 subjects, 21 (5%) smokers, 26 (6.1%) ex-smokers and 376 (88.9%) nonsmokers, which represented 77.5% of the studied population. The prevalence of smokers is among the administrative technical staff, 8 (38.1%); of ex-smokers among professors, 9 (34.6%); and nonsmokers among students, 317 (83.6%), with significant statistical difference (p<0,001). The majority of smokers have lower formal educational levels and very low nicotine dependence (0-2 points). The knowledge of the prevalence of smoking in the institution favors intervention that seeks to prevent and cease the practice of smoking tobacco in health and educational environment. dEscriptors: Smoking. Prevalence. Nursing. Nursing students. tabaqUismo En Una EscUEla dE EnfErmEria al sUr dEl brasil rEsUmEn: Es un estudio transversal con el objetivo de identificar la prevalencia de fumadores entre los profesores, estudiantes y personal administrativo de una escuela de enfermeria en el sur de Brasil. Los datos se recolectaron en 2009, a traves de cuestionarios especificos para los fumadores, ex fumadores y no fumadores y se analizaron mediante paquete estadistico para las Ciencias Sociales. La muestra consistio de 426 sujetos, 21 (5%) fumadores, 26 (6,1%) ex fumadores y 376 (88,9%) no fumadores, lo que representa el 77,5% de la poblacion estudiada. La prevalencia de fumadores se encuentra entre el personal administrativo, 8 (38,1%); de los ex fumadores entre los profesores, 9 (34,6%); y no fumadores entre los estudiantes, 317 (83,6%), diferencia estadisticamente significativa (p <0,001). La mayoria de los fumadores tienen poca educacion y muy baja dependencia a la nicotina (0-2 puntos). El conocimiento de la prevalencia del tabaquismo en la institucion favorece el uso de intervenciones dirigidas a la prevencion y el cese de la practica de fumar en este ambiente de salud y educacion. dEscriptorEs: Tabaquismo. Prevalencia. Enfermeria. Estudiantes de enfermeria.