Tahissa Frota Cavalcante

Análise de indicadores de risco para hipertensão arterial em crianças e adolescentes

The aim of this study was to evaluate the risk indicators for high blood pressure in children and teenagers. A cross-sectional study developed with 342 individuals of 6-18 years of age in a school of Fortaleza city. The most individuals were male (51.5%). The age mean was 11.7 years (+/-3.19). It was frequent the scholars with overweight/obesity (16.8%) and blood pressure above of the 90th percentile (44.7%). Sedentarism, smoking and drinking were present in 51.5%, 38% and 15.5% of the sample. The systolic blood pressure was correlated with the variable age, weight, height, waist and hip circumferences, subscapular skinfold thickness and body mass index. There was correlation of the diastolic blood pressure with age, weight, height, and waist and hip circumferences. It was confirm the influence of risk factors on the blood pressure values of children and teenagers. The systolic blood pressure was especially influenced by anthropometric indicators.The aim of this study was to evaluate the risk indicators for high blood pressure in children and teenagers. A cross-sectional study developed with 342 individuals of 6-18 years of age in a school of Fortaleza city. The most individuals were male (51,5%). The age mean was 11,7 years ( 3,19). It was frequent the scholars with overweight / obesity (16,8%) and blood pressure above of the 90th percentile (44,7%). Sedentarism, smoking and drinking were present in 51,5%, 38% and 15,5% of the sample. The systolic blood pressure was correlated with the variable age, weight, height, waist and hip circumferences, subscapular skin-fold thickness and body mass index. There was correlation of the diastolic blood pressure with age, weight, height, and waist and hip circumferences. It was confirm the influence of risk factors on the blood pressure values of children and teenagers. The systolic blood pressure was especially influenced by anthropometric indicators.

Operational definitions of outcome indicators related to ineffective breathing patterns in children with congenital heart disease

OBJECTIVE The development of operational definitions leads to accurate assessments of health conditions. Many health indicators in the Nursing Outcomes Classification require the development of operational definitions. We sought to determine the validity of operational definitions for indicators of nursing outcomes that assess respiratory status in children with congenital heart disease. PATIENTS AND METHODS Eight trained nurses evaluated 45 children with congenital heart disease who were aged ≤ 1 year and previously diagnosed with ineffective breathing patterns. The statistical analysis included median differences, intraclass correlations, and cluster analyses. RESULTS AND CONCLUSIONS The nonuse of definitions produced inconsistencies in evaluations among evaluators. This inconsistency was not evident in the group using operational definitions. Two indicators were significant in all statistical analyses: asymmetrical chest expansion and percussed sounds.

Clinical validation of the nursing diagnosis Risk for Aspiration among patients who experienced a cerebrovascular accident

OBJETIVO: el estudio tiene como objetivo la validacion clinica del diagnostico de enfermeria riesgo de aspiracion en pacientes con accidente cerebrovascular. METODO: un estudio de cohorte prospectivo desarrollado con 24 pacientes hospitalizados para el tratamiento del ictus agudo. El instrumento utilizado para la recoleccion de datos contiene los factores de riesgo de aspiracion respiratoria, validado en el analisis conceptual y por expertos. RESULTADOS: los factores de riesgo para aspiracion respiratoria mas presentes en los pacientes fueron: disfagia (54,2%) y disminucion de la movilidad fisica (41,7%). La prevalencia del diagnostico de enfermeria riesgo de aspiracion fue del 58,3% y la prevalencia en 48 horas (el tiempo del seguimiento) de la aspiracion respiratoria fue de 37,5%. Los factores de riesgo disfagia y la disminucion de la movilidad fisica se asociaron significativamente con la aspiracion respiratoria. CONCLUSION: los factores de riesgo disminucion de la movilidad fisica y disfagia son buenos predictores para el diagnostico de enfermeria riesgo de aspiracion. Este trabajo permitio contribuir a la mejora de la taxonomia NANDA-I y, por lo tanto, el lenguaje de la sistematizacion de la atencion de enfermeria.OBJECTIVE the studys objective was the clinical validation of the nursing diagnosis Risk for Aspiration among patients who experienced cerebrovascular accidents (CVA). METHOD a prospective cohort study was conducted with 24 patients hospitalized due to a CVA. The instrument used to collect the data addressed the risk factors for respiratory aspiration, validated by concept analysis and by experts. RESULTS the most frequent risk factors for respiratory aspiration were: dysphagia (54.2%) and impaired physical mobility (41.7%). The prevalence of the nursing diagnosis Risk for Aspiration was 58.3% and the prevalence of respiratory aspiration over the span of 48 hours (monitoring period) was 37.5%. Risk factors for dysphagia and impaired physical mobility were significantly associated with respiratory aspiration. CONCLUSION the risk factors dysphagia and impaired physical mobility are good predictors of the nursing diagnosis Risk for Aspiration. This study contributed to improving the NANDA-I Taxonomy and the systematization of the nursing process.

Identificação do risco de quedas em idosos após acidente vascular encefálico

The aim of the study was to identify the occurrence of the nursing diagnosis Risk of falls in elderly who suffered a stroke. Exploratory study realized in rehabilitation units from November 2007 to March 2008 through an interview and physic examine. The Taxonomy II of Nursing American North Diagnosis Association was used for the nursing diagnosis nomination. The population was composed by 73 aged with an average age of 69,5 years, mostly women, beyond low school grade and low financial income. It was found an average of 1,6 stroke episodes in 2,4 years. The diagnosis was present at all participants and the risk factors more identified were: Decreased strength in the lower limbs, Impaired Physical Mobility, Gait Difficult and Balance Impaired. Thus, a continuos and individualized diagnosis evaluation is very important to improve preventive actions to health problems of elderly.

Demographic Factors and Risk Indicators of Stroke: Comparison Between Inhabitants of Fortaleza Municipal District and the National Profile

The aim of this study was to compare the demographic factors and the risk indicators for the occurrence of the stroke in the city of Fortaleza with other cities, based on national studies. A transversal study developed with 180 patients who were diagnosed with stroke in nine different public institutions within the period from October 2007 to April 2008. For data collection, a questionnaire was applied by interviewing the patient and/or their companions. The following tests were used for the comparative analysis of epidemiological data: The Chi-Square Test for the adherence and the T-Test for the mean. The patients with stroke evaluated in Fortaleza were younger and had higher rates of hypertension than in the national profile, however, fewer were smokers or consumers of alcohol. It is necessary to increase knowledge about the health of the Brazilian population by region, since there are specific influential factors in the occurrence of stroke.O objetivo deste estudo foi comparar fatores demograficos e indicadores de risco para o aparecimento de acidente vascular encefalico (AVE), entre o municipio de Fortaleza e outros municipios, com base em estudos nacionais. E um estudo transversal, desenvolvido com 180 pacientes que apresentaram o diagnostico de AVE, no periodo de outubro de 2007 a abril de 2008. Referidos pacientes foram captados em nove instituicoes publicas. Para a coleta de dados, aplicou-se formulario, por meio de entrevista, ao paciente e/ou acompanhante. Para analise comparativa dos dados epidemiologicos, foram utilizados os seguintes testes estatisticos: teste qui-quadrado para aderencia e teste t para media. Os portadores de AVE avaliados em Fortaleza sao mais jovens e apresentaram maiores indices de hipertensao arterial. Em contrapartida, sao menos etilistas e tabagistas. E necessario ampliar o conhecimento sobre a saude da populacao brasileira, estratificada por regioes, ja que existem fatores influenciadores especificos para a ocorrencia do acidente vascular encefalico.

Nursing interventions for stroke patients: an integrative literature review

The objective of this study was to analyze the knowledge on nursing interventions for hospitalized stroke patients. An integrative literature review was performed by accessing five online databases, in September 2009. The descriptors used in the search were nursing care and stoke, in Portuguese, English and Spanish. A total 223 articles were found, and 12 were selected. It was found in the articles that there was a greater number of clinical nursing interventions, followed by educational, managerial and research interventions. Clinical interventions are more related to the biological aspects of patients. As to the educational interventions, the articles point at the fundamental role of nurses, as well as that of relatives and caregivers. The main managerial intervention was the coordination of health care. As for research interventions, only one was identified and described as the development and improvement of health care practice through clinical evidence.The objective of this study was to analyze the knowledge on nursing interventions for hospitalized stroke patients. An integrative literature review was performed by accessing five online databases, in September 2009. The descriptors used in the search were nursing care and stoke, in Portuguese, English and Spanish. A total 223 articles were found, and 12 were selected. It was found in the articles that there was a greater number of clinical nursing interventions, followed by educational, managerial and research interventions. Clinical interventions are more related to the biological aspects of patients. As to the educational interventions, the articles point at the fundamental role of nurses, as well as that of relatives and caregivers. The main managerial intervention was the coordination of health care. As for research interventions, only one was identified and described as the development and improvement of health care practice through clinical evidence.

Fatores demográficos e indicadores de risco de acidente vascular encefálico: comparação entre moradores do município de Fortaleza e o perfil nacional

The aim of this study was to compare the demographic factors and the risk indicators for the occurrence of the stroke in the city of Fortaleza with other cities, based on national studies. A transversal study developed with 180 patients who were diagnosed with stroke in nine different public institutions within the period from October 2007 to April 2008. For data collection, a questionnaire was applied by interviewing the patient and/or their companions. The following tests were used for the comparative analysis of epidemiological data: The Chi-Square Test for the adherence and the T-Test for the mean. The patients with stroke evaluated in Fortaleza were younger and had higher rates of hypertension than in the national profile, however, fewer were smokers or consumers of alcohol. It is necessary to increase knowledge about the health of the Brazilian population by region, since there are specific influential factors in the occurrence of stroke.O objetivo deste estudo foi comparar fatores demograficos e indicadores de risco para o aparecimento de acidente vascular encefalico (AVE), entre o municipio de Fortaleza e outros municipios, com base em estudos nacionais. E um estudo transversal, desenvolvido com 180 pacientes que apresentaram o diagnostico de AVE, no periodo de outubro de 2007 a abril de 2008. Referidos pacientes foram captados em nove instituicoes publicas. Para a coleta de dados, aplicou-se formulario, por meio de entrevista, ao paciente e/ou acompanhante. Para analise comparativa dos dados epidemiologicos, foram utilizados os seguintes testes estatisticos: teste qui-quadrado para aderencia e teste t para media. Os portadores de AVE avaliados em Fortaleza sao mais jovens e apresentaram maiores indices de hipertensao arterial. Em contrapartida, sao menos etilistas e tabagistas. E necessario ampliar o conhecimento sobre a saude da populacao brasileira, estratificada por regioes, ja que existem fatores influenciadores especificos para a ocorrencia do acidente vascular encefalico.

Pressão arterial de crianças e adolescentes de uma escola pública de Fortaleza - Ceará

Objective: To analyze the evolution of systolic blood pressure (SAP), diastolic blood pressure (DAP) and anthropometric measurement values of children and teenagers who presented altered arterial pressure on a first evaluation. Methods: Follow-up study, performed from October / 2004 to December / 2005, at a public school in Fortaleza. One hundred fifty-one subjects between six and seventeen years old were accompanied and evaluated for a period of one year. Results: It was observed that the SAP and DAP of children and teenagers decreased along the evaluations. The variables age, education, weight, height, body mass index, waist perimeter, hip perimeter, arm and subscapular skin fold circumference were correlated positive and significantly with SAP and DAP values. There was a difference in median among the variables: Gender, kinship degree for arterial hypertension, passive smoker with SAP and DAP. Conclusion: It was observed that the SAP and DAP of children and adolescents decreased along the evaluations.

Nursing interventions related to health promotion in hypertensive patients

Objectives: To identify the health promotion compentencies of nursing interventions for patient with hypertension. Methods: The methodology of an integrative literature review was followed, using the eight competencies for the practice of health promotion that were defined at the Galway Consensus Conference. Sixteen articles were analyzed. Results: The domains of competence for health promotion practice that were most evident were: catalyzing change, assessment of needs, and partnerships. Only one article mentioned the use of nursing taxonomies for planning care in patients with hypertension. Conclusion: The results of this study will support nursing competencies for practicing health promotion in patients with hypertension.

Atividade física de escolares: análise segundo o modelo teórico de promoção da saúde de Pender

Estudo com objetivo de descrever habitos de atividade fisica presentes no cotidiano de escolares e analisar a pratica de atividade fisica e seus determinantes, a partir do primeiro componente do modelo teorico de promocao da saude de Pender. Estudo transversal, realizado em 2004 e 2005, com 79 escolares de escola publica de Fortaleza. Coleta de dados em entrevista e exame fisico. Os dados foram analisados com base no modelo teorico citado. A maioria dos escolares tinha pratica ativa de atividades fisicas (60). Os adolescentes, proporcionalmente, foram mais ativos (80,4%). Os sedentarios tiveram prevalencia maior de sobrepeso e obesidade (21,1%). Grande parte dos escolares desenvolvia atividades fisicas ao ar livre, que nao requeriam estrutura fisica e boas condicoes economicas. Os resultados mostraram ser possivel trabalhar a relacao entre o primeiro componente do modelo teorico de promocao da saude de Pender e o cotidiano dos escolares referentes as praticas de atividades fisicas.