Teresa Celia de Mattos Moraes dos Santos

Quality and sleep disturbances of the nursing staff of a therapy unit

Objective: verifying the quality of sleep and sleep disorders from the nursing staff of an Intensive Care Unit. Methodology: a prospective, descriptive study of a quantitative approach, consisting of17 employees of the nursing staff. The instruments for data collection were: the identification document and the Pittsburgh Sleep Quality Index PSQI, after approval of the research project by the Research Ethics Committee, protocol n. 075/11. The results, quantified by the Microsoft Excel 2007 program, were analyzed and presented in tables, based on the literature discussed. Results: overall, 15 (88,24%) of the surveyed professionals obtained higher scores than five, indicating poor sleep quality. Conclusion: it was demonstrated that the sleep quality of nursing professionals who participated in the survey is bad. The workers, because they have irregular hours of sleep, are unable to restore to the next day, and this compromises their performance at work. Descriptors: Sleep; Nursing Staff; Intensive Care Units. RESUMO Objetivo: verificar a qualidade do sono e os distúrbios do sono da equipe de enfermagem de uma Unidade de Terapia Intensiva. Metodologia: estudo prospectivo, descritivo, de abordagem quantitativa, composto por 17 funcionários da equipe de enfermagem. Os instrumentos para a coleta dos dados foram: a ficha de identificação e o Índice de Qualidade do Sono de Pittsburgh – PSQI; após a aprovação do projeto de pesquisa pelo Comitê de Ética em Pesquisa, protocolo no 075/11. Os resultados, quantificados pelo Programa Microsoft Excel 2007, foram analisados e apresentados em tabelas, discutidos com base na literatura. Resultados: de modo geral, 15 (88,24%) dos profissionais pesquisados obtiveram escores maiores que cinco; o que indica qualidade de sono ruim. Conclusão: demonstrou-se que a qualidade do sono dos profissionais de enfermagem que participaram da pesquisa é ruim. Os trabalhadores, por terem horas irregulares de sono, não conseguem se restaurar para o dia seguinte, o que compromete seu desempenho no trabalho. Descritores: Sono; Equipe de Enfermagem; Unidades de Terapia Intensiva. RESUMEN Objetivo: verificar la calidad del sueño y los trastornos del sueño por parte del personal de enfermería de una Unidad de Cuidados Intensivos. Metodología: un estudio prospectivo y descriptivo, con enfoque cuantitativo, compuesto por 17 empleados del equipo de enfermería. Los instrumentos para la recolección de datos fueron el Formulario de Identificación y el Índice de Calidad del Sueño de Pittsburgh PSQI, después de la aprobación del proyecto de investigación por el Comité de Ética de la Investigación, el protocolo no 075/ 11. Resultados: cuantificados por el programa Microsoft Excel 2007, fueron analizados y presentados en tablas, con base en la literatura discutida. Resultados: en total, 15(88,24%) de los profesionales encuestados tenían una puntuación más alta de cinco; lo que indica una mala calidad del sueño. Conclusión: se demostró que la calidad del sueño de los profesionales de enfermería que participaron en la investigación es mala. Los trabajadores, por tener horas irregulares de sueño, no se pueden restaurar al día siguiente, lo que perjudica su rendimiento en el trabajo. Descriptores: Sueño; Personal de Enfermería; Unidades de Cuidados Intensivos. Nurse. Master at the Department of Nursing, University of Taubaté/UNITAU. Doctorate Student of Nursing, University of CampinasUNICAMP. Campinas (SP), Brazil. Email: teresacelia@terra.com.br; Nurse. Master at the Department of Nursing, University of Taubaté/ UNITAU. Taubaté (SP), Brazil. Email: anadinda2002@yahoo.com.br; Nurse. Regional Hospital of Vale do Paraíba Administration São Camilo Taubaté (SP). Taubaté (SP), Brazil. Email: marcelofeitosa.santos@gmail.com; Nursing Student at the Department of Nursing of the University of Taubaté/UNITAU. Taubaté (SP), Brazil. Email: giceli@ig.com.br; Nursing Student at the Department of Nursing of the University of Taubaté/UNITAU. Taubaté (SP), Brazil. Email: lidia_lili13@hotmail.com; Professor, Department of Nursing, Faculty of Medical Sciences, State University of Campinas/UNICAMP. Campinas (SP), Brazil. Email: marfi@fcm.unicamp.br ORIGINAL ARTICLE Santos TCMM dos, De Faria AL, Feitosa MS et al. Quality and sleep disturbances of the nursing... English/Portuguese J Nurs UFPE on line., Recife, 8(5):1110-6, May., 2014 1111 ISSN: 1981-8963 DOI: 10.5205/reuol.5863-50531-1-ED.0805201402 Sleep is an essential part of life, is a period of physical restoration that protects the living being from the natural wear of the activities he plays when he is awake. There are two fundamental patterns of sleep that alternate with each other: the sleep of the rapid eye movement (REM) and the sleep of non-rapid eye movement (NREM). 2,4-5 On a normal night sleep, REM sleep alternates with NREM sleep about every 90 minutes on average, and lasts five to 30 minutes. When the person who works at night tries to sleep during the day, changing of the internal structure of sleep occurs. In the first half of the night sleep is deeper; there is a predominance of NREM stage. In the second state, REM sleep, sleep activated alternatively called paradoxical or desynchronized, brain waves are low amplitude and variable frequency similar to those of the waking state and a threshold for awakening higher than in slow-wave sleep. The light changes the phase of the circadian clock by a cascade of events within the Suprachiasmatic Cell Nucleus (SCN) and includes activation of gene Mouse period1 (mPer1). The information clarity/darkness is transmitted via the retino-hypothalamic tract, the retina (the only receiver of information) to the SCN and from this nucleus to the pineal gland which regulates secretion of melatonin has an effect of synchronization of circadian marker. Being strongly suppressed in the presence of light, increases up to a certain plateau during sleep and decreases again with Wake. In Brazil, the relationship between work and worker health form a mosaic, for coexisting multiple work situations characterized by different stages of technological development, organization, management , relationships and ways of working , which is reflected on the live contract, sick and workers die. Thus, job satisfaction comes from the complex and dynamic interaction of general living conditions , labor relations , labor process and control that workers have over their conditions of life and work. Work schedules in hospital and homecare are usually organized in continuous fixed or rotating shifts of eight or 12 hours duration. Currently, the most widely adopted in Brazil for the nursing staff is the 12-hour shift working day (day or night), followed by 36 hours off. Thus, the number of consecutive work shifts, duration, flexibility system, start and end of shifts can lead many professionals to present these changes in the pattern of habitual sleep on physiological and cognitive functions, which are expressed in a rhythmic manner. Therefore, the great challenge of the night worker is undoubtedly, adjust your lifestyle to biological principles and social coexistence, because discouragement associated with fatigue causes disappears interest in social life and leisure. In the last decades, the economic and social transformations resulting from globalization have significantly altered the relationship between man and his work. One aim, increasingly, associated with a large low cost of production in order to obtain highly competitive products productivity. In this scenario, there is an increase of rhythms and workloads at the expense of worker satisfaction in performing tasks, which may influence the quality of life and interfere with the health/disease process. Thus, from these considerations, it was decided to conduct a study on the sleep quality of the nursing team that acts in a adult Intensive Care Unit (ICU). ● Checking the quality of sleep and sleep disorders from the nursing staff of an Intensive Care Unit. This is a prospective, descriptive study with a quantitative approach. The population consisted of 17 (100%) employees of the nursing team, consisting of nurses, technicians and nursing assistants who work day and night shift ICU of a hospital in the Paraíba valley. The study included subjects who agreed to participate in the study and signed a consent form prepared in accordance with Resolution 196/96 and 251/97 of the National Health Council, which regulates research protocols involving human beings. Thus, they were excluded from the study subjects who refused to participate in the study, those who were on sick leave or on holiday, the period of data collection, and those who did not return the questionnaires within the deadline set by the researchers. The data were collected during June and July 2011. The research project was submitted to the Research Ethics Committee of the University of Taubate under CEP/UNITAU n. 075/11 number, and the responsible institution signed Authorization Term Facility. The instruments used for data collection were: identification form and Questionnaire Pittsburgh Sleep Quality Index PSQI. METHODOLOGY OBJECTIVE INTRODUCTION Santos TCMM dos, De Faria AL, Feitosa MS et al. Quality and sleep disturbances of the nursing... English/Portuguese J Nurs UFPE on line., Recife, 8(5):1110-6, May., 2014 1112 ISSN: 1981-8963 DOI: 10.5205/reuol.5863-50531-1-ED.0805201402 The identification sheet was used to characterize the socio-demographic data of nurses. Prepared by own researchers for this study, the form includes questions related to identification and workplace of nurses. The Pittsburgh Sleep Quality Index (PSQI) was used to measure the quality of sleep. The questionnaire was adapted and validated. The scale ranges from zero to 21. Scores greater than five imply poor sleep quality.The questions are related to sleep habits only during the previous month. The results, quantified by the Microsoft Excel 2007 program, were analyzed and pres

Qualidade do sono e cronotipo de estudantes de enfermagem

Objective To verify the quality of sleep, chronotype, and health characteristics associated with the sleep quality of students. Methods Descriptive, observational, and cross-sectional study with 204 undergraduate nursing students (age group 18-29 years, 91.6% female). A questionnaire was used for sociodemographic and health characterization. The Pittsburgh Sleep Quality Index Questionnaire and the Morningness-Eveningness Questionnaire were applied to verify the sleep quality and identify the chronotype, respectively. The association between health variables and sleep quality was analyzed. Results The majority of students was identified with preference for the indifferent chronotype (56.37%) and poor sleep quality (84.31%). There was an association between being a student and working, with symptoms of poor digestion, headache, daytime sleepiness and insomnia. Conclusion Nursing students have poor sleep quality and preference for the indifferent chronotype. Those who accumulate the study/work functions, present more symptoms of poor digestion, headache, daytime sleepiness and insomnia.

Hiatal hernia: social, pathological and surgical profile patients who underwent surgery

ABSTRACT Objective : to identify the social, pathological and surgical profile of the patients who underwent surgery for a hiatal hernia (HH) at a hospital in Taubate-SP city. Method : this is a retrospective, documentary, and descriptive research, from quantitative approach, carried out from 2002 to 2009. The collection began after approval by the Ethics Committee of the University of Taubate-SP, protocol number 024/2010. Results : the dominant age group was 40-59 years in 63 (65,63%), and the mean age was 50.19 years, females prevailed in 54 (56,25%); caucasian, in 81 (84,38%); housewives prevailed in 29 (30,21%); HH sliding appeared in 47 (48,95%) patients, pain was the most common symptom in 71 (21,45%), upper gastrointestinal endoscopy (EDA) was performed in 86 (61,43%), the most frequent surgeries in 87 (90.63%) were hiatoplastia and fundoplication, general anesthesia was predominant in 92 (95.83%), hospitalization time, three days in 38 (39,58%). Conclusion : we concluded that the profile of patients with HH is predominantly mature adult women up to 59 years old, white, with sliding Hiatal hernia, and surgery, and fundoplication hiatoplastia with hospital stay of three days. Descriptors : nursing ; surgery ; diagnostics. RESUMO Objetivo : identificar o perfil social, patologico e cirurgico dos pacientes que se submeteram a cirurgia de hernia de hiato (HH) em um hospital da cidade de Taubate-SP. Metodo : pesquisa retrospectiva, documental e descritiva, com abordagem quantitativa, realizada de 2002 a 2009. A coleta teve inicio apos aprovacao do Comite de Etica da Universidade de Taubate-SP, protocolo no 024/2010. Resultados : a faixa etaria dominante foi de 40-59 anos, em 63 (65,63%), e a media de idade, foi de 50,19 anos; o genero feminino prevaleceu em 54 (56,25%); etnia branca, em 81 (84,38%); ocupacao do lar prevaleceu em 29 (30,21%); a HH por deslizamento apareceu em 47 (48,95%) dos pacientes; dor foi o sintoma mais comum, em 71 (21,45%); a endoscopia digestiva alta (EDA) foi realizada em 86 (61,43%); as cirurgias de maior ocorrencia, em 87 (90,63%), foram hiatoplastia e fundoplicatura; anestesia predominante foi a geral, em 92 (95,83%); tempo de internacao, tres dias, em 38 (39,58%). Conclusao : conclui-se que o perfil dos pacientes com HH predominante e o de mulheres adultas maduras com ate 59 anos de idade, brancas, com hernia hiatal por deslizamento, e as cirurgias, hiatoplastia e fundoplicatura, com periodo de internacao de tres dias. Descritores : e nfermagem; cirurgia ; diagnostico . RESUMEN Objetivo : identificar el perfil social, patologico y cirurgico de los pacientes que se submeteron a la cirurgia de hernia de hiato (HH) en un hospital de la ciudad de Taubate-SP. Metodo : investigacion retrospectiva, documental y descritiva, con abordaje cuantitativo, realizada de 2002 a 2009. La cocecha tuvo inicio despues de la aprovacion del Comite de Etica de la Universidad de Taubate-SP, protocolo no 024/2010. Resultados : la edad dominante fue de 40-59 anos, en 63 (65,63%), y la media de edad, fue de 50,19 anos; el genero femenino prevalecio en 54 (56,25%); etnia blanca, en 81 (84,38%); ocupacion del lar prevalecio en 29 (30,21%); la HH por deslizamiento aparecio en 47 (48,95%) de los pacientes; dolor fue el sintoma mas comun, en 71 (21,45%); la endoscopia digestiva alta (EDA) fue realizada en 86 (61,43%); las cirurgias de mayor ocurrencia, en 87 (90,63%), fueron hiatoplastia y fundoplicatura; anestesia predominante fue la geral, en 92 (95,83%); tiempo de internacion, tres dias, en 38 (39,58%). Conclusion : se concluye que el perfil de los pacientes con HH predominante el el de mujeres adultas maduras con hasta 59 anos de edad, blancas, con hernia hiatal por deslizamiento, y las cirurgias, hiatoplastia y fundoplicatura, con periodo de internacion de tres dias. Descritores : enfermeria; cirugia; diagnostico.

Content field of the nursing staff of an emergency call on cardiac arrest

ABSTRACT Objective : identifying the content domain of the nursing staff that works in an Emergency Room on the compliance with cardiopulmonary arrest and CPR . Method : prospective , descriptive quantitative approach , carried out with 40 professionals from the nursing staff of a private hospital Emergency Room in Vale do Paraiba Paulista. The collection was achieved by applying the questionnaire with closed questions, being composed of two parts: identifying the research population and questionnaire based on literature. Data were tabulated and submitted to descriptive statistics . The study was approved by the Ethics Committee in Research of the University of Taubate (CEP No. 104/10 ). Results : about the adopted procedures , in a cardiac arrest , 17 ( 42.50%) responded Basic Life Support, and about Recognition, 35 ( 87.50%) responded to check the level of consciousness , breathing and pulse. In reference to the signs and symptoms that precede a cardiac arrest , 21 (52.5% ) were unable to identify the classic signs and symptoms of a cardiac arrest. Conclusion : the nursing staff needs theoretical and practical training , neither to harm the victim and nor decrease the quality and efficiency of care . Descriptors : cardiac arrest ; emergency nursing ; patient care ; cardiopulmonary resuscitation , hospitalization. RESUMO Objetivo : identificar o conteudo de dominio da equipe de enfermagem que atua em um Pronto-socorro sobre o atendimento a Parada Cardiorespiratoria e Ressuscitacao Cardiopulmonar. Metodo : pesquisa prospectiva e descritiva de abordagem quantitativa, realizada com 40 profissionais da equipe de enfermagem de uma Unidade de Pronto-socorro de um hospital privado da regiao do vale do Paraiba paulista. A coleta foi realizada mediante aplicacao do questionario com questoes fechadas, sendo composto por duas partes: identificacao da populacao pesquisada e questionario elaborado com base na literatura. Os dados foram tabulados e submetidos a estatistica descritiva. A pesquisa foi aprovada pelo Comite de Etica em pesquisa da Universidade de Taubate (CEP no 104/10). Resultados : sobre qual atendimento adotar, em uma parada cardiorrespiratoria, 17 (42,50%) responderam Suporte Basico de Vida e, quanto ao reconhecimento, 35 (87,50%) responderam verificar nivel de consciencia, respiracao e pulso. Em referencia aos sinais e sintomas que precedem uma parada cardiorrespiratoria, 21 (52,5%) nao souberam identificar os sinais e sintomas classicos de uma parada cardiorrespiratoria. Conclusao : a equipe de enfermagem precisa de capacitacao teorica e pratica, para nao prejudicar a vitima e nem diminuir a qualidade e eficiencia da assistencia prestada. Descritores : parada cardiorrespiratoria; enfermagem em emergencia; assistencia ao paciente; ressuscitacao cardiopulmonar; intra-hospitalar. RESUMEN Objetivo : identificar el contenido de dominio del equipo de enfermeria que atua en un Pronto-atendimiento sobre el atendimiento a la Parada Cardiorespiratoria y Resuscitacion Cardiopulmonar. Metodo : investigacion prospectiva y descriptiva de abordaje cuantitativo, realizado con 40 profesionales del equipo de enfermeria de una Unidad de Pronto-atendimiento de un hospital privado de la region del vale del Paraiba paulista. La cosecha de los datos fue realizada mediante aplicacion de cuestionario con cuestiones cerradas, siendo compuesto por dos partes: identificacion de la poblacao investigada y cuestionario elaborado con base en la literatura. Los dados fueron tabulados y sometidos a la estadistica descriptiva. La investigacion fue aprobada por el Comite de Etica en pesquisa de la Universidad de Taubate (CEP no 104/10). Resultados : sobre cual atendimiento adoptar, en una parada cardiorrespiratoria, 17 (42,50%) respondieron Soporte Basico de Vida y, cuanto al reconocimiento, 35 (87,50%) respondieron verificar nivel de conciencia, respiracion t pulso. En referencia a senales y sintomas que preceden una parada cardiorrespiratoria, 21 (52,5%) nao supieron identificar las senales y sintomas clasicos de una parada cardiorrespiratoria. Conclusion : el equipo de enfermeria precisa de capacitacion teorica y practica, para no perjudicar la vitima ni disminuir la calidad de eficacia de la asistencia prestada. Descriptores : parada cardiorrespiratoria; enfermeria en emergencia; asistencia al paciente; resuscitacion cardiopulmonar; intra-hospitalar.

Nursing notes of an unit of a hospitalization

ABSTRACT Objective : To identify mistakes in the nursing notes made by the nursing staff . Method : descriptive, documentary, investigative and quantitative , carried out in an inpatient unit of a hospital in the Vale do Paraiba Paulista, in 109 records , a total of 436 nursing records , in the day and night shifts, in a period of thirty days. A form was used to collect data after approval of the research project by the Research Ethics Committee at the University of Taubate , under No 031/09 . The data were quantified by the program Microsoft Excel 2003 , analyzed, presented in tables and then discussed based on the researched literature. Results : notes held by the nursing staff showed satisfactory completion , except for those items, which were absent: nursing prescription , in 39.91 % of the notes , checking the prescription of nursing, 92.66 % and, evolution of nursing in 65.14 %. Conclusion : it was conclude that the selected theme is incorporated into orientation programs and training of nursing staff , as well as encouraging new research related to nursing notes to consequently improve the SAE in order to value the work process. Descriptores: nursing records , standards for nursing notes , nursing staff . RESUMO Objetivo : identificar os erros de anotacoes de enfermagem cometidos pela equipe de enfermagem. Metodo : pesquisa d escritiva, documental, investigatoria e q uantitativa, realizada em uma unidade de internacao de um hospital do Vale do Paraiba Paulista, em 109 prontuarios, totalizando 436 registros de enfermagem, dos plantoes diurnos e noturnos, em um periodo de trinta dias. Foi utilizado um formulario para a c oleta de dados apos aprovacao do projeto de pesquisa pelo Comite de Etica em Pesquisa da Universidade de Taubate, sob o n o 031 /09. Os dados foram quantificados pelo Programa Microsoft Excel 2003, analisados, apresentados em forma de tabelas e, posteriormente, foram discutidos com base na literatura pesquisada. Resultados : as anotacoes realizadas pela equipe de enfermagem apresentaram preenchimento satisfatorio, exceto estes itens, que foram ausentes: prescricao de enfermagem, em 39,91% das anotacoes; checagem da prescricao de enfermagem, em 92,66%; e, evolucao de enfermagem, em 65,14%. Conclusao : conclui-se que a tematica abordada seja incorporada nos programas de orientacao e treinamento da equipe de enfermagem, bem como o incentivo a novas pesquisas referentes as anotacoes de enfermagem para consequentemente aprimorar a SAE, visando a valorizacao do processo de trabalho. Descritores : registros de enfermagem; normas para anotacoes de enfermagem; equipe de enfermagem. RESUMEN Objetivo : identificar los errores de apuntes de enfermeria cometidos por el equipo de enfermeria. Metodo : investigacion d escriptivo, documental, investigativo y c uantitativo, realizado en una unidad de internacion de un hospital del Vale del Paraiba Paulista, en 109 prontuarios, totalizando 436 registros de enfermeria, dos plantones diurnos y noturnos, en un periodo de treinta dias. Fue utilizado un formulario para la recogida de datos tras aprobacion del proyecto de investigacion por el Comite de Etica en Pesquisa de la Universidad de Taubate, bajo el n o 031 /09. Los datos fueron cuantificados por el Programa Microsoft Excel 2003, analisados, presentados en forma de tablas y, posteriormente, fueron discutidos con base em la literatura investigada. Resultados : los apuntes realizados por el equipo de enfermeria presentaron rellenamiento satisfatorio, exceto estos topicos, que fueron ausentes: prescricion de enfermeria, en 39,91% de los apuntes; verificacion de la prescricion de enfermeria, en 92,66%; y, evolucion de enfermeria, en 65,14%. Conclusion : se concluye que la tematica abordada sea incorporada en los programas de orientacion y entrenamiento del equipo de enfermeria, bien como el incentivo a nuevas investigaciones referentes a los apuntes de enfermeria para consecuentemente aprimorar la SAE, visando a la valorizacion del proceso de trabajo. Descriptores : registros de enfermeria; normas para apuntes de enfermeria; equipo de enfermeria.

Varicose vein: social and pathological profile of patients undergoing surgery

ABSTRACT Objective : t o identify the social and pathological profile of patients with venous insufficiency in lower limbs who underwent varicose vein surgery in a hospital in Taubate-SP. Method : this retrospective, quantitative, approved by the Ethics in Research of the University of Taubate, Taubate-SP, protocol number 25/2009. We evaluated medical records of 94 patients with severe and underwent surgery in the period 2006 to 2008. Results : the most affected age – 30 to 39 years in 29 (30.85%), female sex prevailed in 85 (90.43%), Caucasian ethnicity, in 78 (82.98%), the occupation of home in 27 (28.72%). Nonsmokers, 73 (77.66%), women who had children were predominant in 59 (69.41%) cases of varicose veins in the family appeared in 38 (40.42%), pain, the most common symptom in 47 (50%); exeresis, the most frequent surgery in 48 (51.06%), the predominant anesthesia, spinal anesthesia in 92 (97.87%), the time of hospitalization, 2 days in 52 (55, 32%). Conclusion : there was a predominance of females, aged 30-39 years, Caucasian, occupying a housewife, and two pregnancies prevailing symptom was pain. Women of childbearing age are most affected, as result of pregnancies, othostatic and vascular pathological history. Descriptors : nursing, surgery, classification, etiology, pathology. RESUMO Objetivo : identificar o perfil social e patologico dos pacientes com insuficiencia venosa em membros inferiores que foram submetidos a cirurgia de varizes em um hospital de Taubate-SP. Metodo : pesquisa retrospectiva, quantitativa, a provada pelo Comite de Etica em Pesquisa da Universidade de Taubate , Taubate-SP, numero de protocolo 25 /2009 . Foram avaliados 94 prontuarios de pacientes com insuficiencia e submetidos a cirurgia, no periodo de 2006 a 2008. Resultados : a idade mais acometida — 30 a 39 anos, em 29 (30,85%); o genero feminino prevaleceu em 85 (90,43%); a etnia branca, em 78 (82,98%); a ocupacao do lar, em 27 (28,72%). Pacientes nao tabagistas, 73 (77,66%); mulheres que tiveram filhos predominaram em 59 (69,41%); casos de varizes na familia apareceram em 38 (40,42%); dor, o sintoma mais comum, em 47 (50%); exerese, a cirurgia de maior ocorrencia, em 48 (51,06%); a anestesia predominante, raquianestesia, em 92 (97,87%); o tempo de internacao, 2 dias, em 52 (55,32%). Conclusao : houve predominio do genero feminino, faixa etaria de 30 a 39 anos de idade, etnia branca, ocupacao “do lar”, duas gestacoes e o sintoma que prevaleceu foi a dor. As mulheres em idade fertil sao as mais comprometidas, em decorrencia das gestacoes, ortostatismo e antecedentes patologicos vasculares. Descritores : enfermagem ; cirurgia; classificacao; etiologia; patologia. RESUMEN Objetivo : identificar el perfil social y patologico de los pacientes con insuficiencia venosa en miembros inferiores que fueron sujetados a cirurgia de varices en un hospital en Taubate-SP . Metodo : la investigacion retrospectiva, cuantitativa, aprobados por el Comite de Etica de la Universidad Taubate, Taubate-SP , numero de protocolo 25/2009. Se evaluaron 94 prontuarios de pacientes con insuficiencia y sometidos a una cirurgia, en el periodo de 2006 a 2008. Resultados : la edad mas acometida — 30 a 39 anos, en 29 (30,85%); el genero femenino prevalecio en 85 (90,43%); la etnia blanca, en 78 (82,98%); la ocupacion del lar, en 27 (28,72%). Pacientes no tabagistas, 73 (77,66%); mujeres que tuvieron hijos predominaron en 59 (69,41%); casos de varices en la familia aparecieron en 38 (40,42%); dolor, el sintoma mas comun, en 47 (50%); exerese, la cirurgia de mas gran ocurrencia, en 48 (51,06%); la anestesia predominante, raquianestesia, en 92 (97,87%); el tiempo de internacion, 2 dias, en 52 (55,32%). Conclusion : era predominantemente mujeres, con edades entre 30-39 anos de edad, etnia blanca, la ocupacion, las amas de casa, dos embarazos y el sintoma predominante fue el dolor. Las mujeres en edad fertil fueron las mas comprometidas con el aparecimiento de las varices, en decorrencia de las gestaciones, ortostatismo, historias familiares y antecedentes patologicos vasculares. Descriptores : enfermeria; cirurgia; clasificacion, etiologia, la patologia.

Cobertura vacinal dos idosos de um grupo de convivência da Universidade de Taubaté, São Paulo, Brasil

Objetivo : identificar a cobertura vacinal dos idosos que frequentaram um grupo de convivencia, na Cidade de Taubate-SP. Metodos : pesquisa exploratoria, descritiva e quantitativa. A populacao de estudo incluiu todos os idosos que frequentavam um grupo de convivencia de um programa de extensao da Universidade de Taubate-SP e que foram vacinados contra a gripe. Os dados foram coletados nos meses de junho e julho de 2007, por meio de um formulario. Os resultados foram analisados e discutidos de acordo com a literatura. Resultados : os idosos, em sua maioria, sao do sexo feminino, casados e com idade entre 70 e 79 anos; a maioria ja havia sido vacinada por quatro ou cinco anos sem interrupcao, sem apresentar sintomas da gripe apos receber a dose da vacina. A vacina foi citada como meio de prevencao da gripe. Conclusao : a vacina e um meio eficaz para prevenir a gripe na populacao idosa. Vale salientar que e importante o papel dos profissionais envolvidos com esse grupo de convivencia na conscientizacao para a prevencao da gripe. Descritores : imunologia; transmissao; complicacoes.

Estresse ocupacional da equipe de enfermagem do centro cirúrgico

Objetivo : analisar o nivel de estresse ocupacional da equipe de enfermagem do Centro Cirurgico. Metodos : p esquisa do tipo exploratoria e descritiva. A amostra pesquisada foi composta por 23 trabalhadores de um hospital geral do vale do Paraiba paulista. Os dados foram coletados por meio de formularios e tratados por meio de analise quantitativa. O programa usado foi o Microsoft Office Excel 2003. Resultados : o sexo predominante foi o feminino (86,96%); a faixa etaria mais acometida foi entre 26 e 35 anos (69,57%); o grau de escolaridade predominante foi o de Ensino Medio completo (65,22%); dos entrevistados, 86,96% trabalham no turno diurno. Em relacao ao estresse, estao em risco: quanto aos requisitos de trabalho, 52,17%; quanto a autoridade decisoria, 60,87%; em relacao as condicoes de emprego, 82,61%; quanto a discriminacao de tarefas, 17,39%; quanto ao apoio da chefia, somente 13,04%. Conclusao : As condicoes de emprego e a autoridade decisoria predominaram em relacao ao risco de estresse, o que permite sugerir melhoria no ambiente de trabalho, promovendo-se, assim, a qualidade de vida. Descritores : estresse; estresse ocupacional; enfermagem; centro cirurgico.

Organizational culture of health institutions from Vale do Paraíba Paulista

Objective: to identify the organizational culture of 26 health institutions of Vale do Paraíba, in São Paulo State. Method: this is about an exploratory and descriptive study whose sample was composed by 239 nurses of private and public institutions. The data were collected through a Questionnaire for Sample Identification and for Organizational Culture evaluation. Data were analyzed with the statistics program Excel and software Minitab V 15. Results: the female sex was predominant (90,79%); the ages were among 20 and 29 years old (42,68%); and 44,77% of the people were married. It was noticed that 67,36% of nurses worked at day shift. In order of classification, these were the kinds of culture founded: Rational, Grouping, Hierarchical and Innovative. Conclusion: results enable to evaluate the work conditions, to identify problems and to suggest programs leading to health and life quality promotion in the work environment. Descriptors: organizational culture; health; nursing.