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Estima : Brazilian Journal of Enterestomal Therapy
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  This is an Open Access Journal Open Access journal
ISSN (Online) 2595-7007
Published by Associação Brasileira de Estomaterapia Homepage  [1 journal]
  • INCONTINENCE-ASSOCIATED DERMATITIS: PREVALENCE AND ASSOCIATED FACTORS IN
           INTENSIVE CARE UNIT

    • Authors: Beatriz Wiltenburg Domingues, Taís Milena Pantaleão de Souza , Laís Del Moro Cespedes Wojastyk, Vera Lucia Conceição de Gouveia Santos, Paula Cristina Nogueira
      Abstract: Objective: To analyze the point prevalence of incontinence-associated dermatitis (IAD) and associated factors in adult patients admitted to Intensive Care Units (ICUs). Method: A cross-sectional, observational, retrospective study carried out with 105 patients in the ICU of three university hospitals located in the state of São Paulo. The demographic and clinical variables and IAD come from the database of the research project “Prevalence of pressure injuries in the Intensive Care Unit,” composed of information from medical records and physical examination. Data were analyzed using descriptive and inferential statistics. The study was approved by the Research Ethics Committee of the proposing institution. Results: Of the 105 patients, 58 (55.24%) were male, with a mean age of 55.76 years (SD = 16.39), 105 (91.3%) had a urinary catheter and 89.4% wore diapers. Ten patients had IAD, with a point prevalence of 9.52%. The factor associated with IAD was admission due to trauma (p = 0.02). Conclusion: Studies on IAD are essential for quality, well-structured and grounded nursing care, especially in the care of critically ill patients.
      PubDate: 2022-11-21
      Issue No: Vol. 20 (2022)
       
  • POST-PROSTATECTOMY INCONTINENCE AND NURSING CARE: AN INTEGRATIVE REVIEW

    • Authors: Vanessa Bezerra Eufrasio, Erica Joana Vieira Pita, Isabel Monique Leite Romualdo, Izadora Gonçalves Ribeiro Amorim, Luis Fernando Reis Macedo, Sueni Ferreira Batista de Assis
      Abstract: Objective: To identify nursing actions corresponding to assistance in post-prostatectomy urinary incontinence (PPUI). Method: This is an integrative review conducted in PubMed Central, ScienceDirect, Scopus and Web of Science, using the English terms “post-prostatectomy incontinence” and “nursing care,” combined with the Boolean operator AND. Articles published as full text or articles in press, within the open access system, without distinction of languages or year of publication, were included. Results: The initial search found 477 papers, but only six met the eligibility criteria. The five types of nursing actions identified were pelvic floor muscle training; urine stream interruption test with Unit Under Test timer; psychological nursing intervention program;telephone nursing support;and continuous post-prostatectomy nursing care, together with the previous interventions. Most studies showed good methodological quality and low risk of bias. Conclusion: The present review allowed the identification of different types of management of PPUI by nursing, even considering that the scenario of studies on the area is still scarce. It is expected that this review may be useful for the development of quality nursing care protocols for PPUI.
      PubDate: 2022-11-21
      Issue No: Vol. 20 (2022)
       
  • ANALYSIS OF NUTRITIONAL STATUS AND RISK FACTORS IN PEDIATRIC PATIENTS WITH
           INTESTINAL OSTOMY

    • Authors: Marcella Leona Pinheiro Madariaga, Adriana Haack, Lívia Gurgel Diniz Beckmann, Aline Melo Nascimento Horino
      Abstract: Objective: To evaluate the nutritional status, food consumption and nutritional, clinical, and social risk factors of pediatric ostomy patients treated as outpatients at a public hospital in Brasília, DF, Brazil. Method: This is a cross-sectional, quantitative, and analytical study performed with ostomized children, of both sexes, under 10 years old. A diagnosis of nutritional status was performed using various nutritional assessment instruments, and food consumption was evaluated. Results: A total of 24 children was attended with a mean age of 10.29 months. The most common ostomy was colostomy (54%), and the most frequent reason for making a stoma was anorectal anomaly. High frequencies of nutritional deficits were found. The association between nutritional status and the reason for making the stoma was statistically significant (p = 0.036). Conclusion: The underlying cause for making the stoma can lead to impaired nutritional status. High frequencies of nutritional deficits were found, since part of the children were below the thinness line. Most patients use specialized infant formula. It was possible to observe a high consumption of ultra-processed foods in children who have already started eating solids.
      PubDate: 2022-10-31
      Issue No: Vol. 20 (2022)
       
  • ANALYSIS OF PATIENT’S SATISFACTION WITH CLEAN INTERMITTENT URETHRAL
           CATHETERIZATION

    • Authors: Eliana de Fatima Martins Greghi, Gisele Regina Azevedo, Cibele Isaac Saad Rodrigues
      Abstract: Objectives: To compare and evaluate the aspects of the use of two bladder catheters for the person undergoing treatment with post-void residual, in clean intermittent bladder catheterization (CIL). Method: Quantitative, observational, and descriptive analysis developed in a reference outpatient clinic, for 48 municipalities, from September to November 2020. Fifty patients with post-void residual, who underwent CVIL, took part in the study. Their average age was 44,8 years old, and 72% of them were male. Two lubricated catheters were compared, from different technologies, both with attached bags, for seven days, six catheterizations a day, using a validated instrument of perception of customer satisfaction. Data were analyzed by the software Statistical Package for the Social Sciences (SPSS) Statistics 23.0, and for the comparison of the two catheters it was used the Wilcoxon’s non-parametric test. Results: The polyvinyl chloride (PVC) catheter pre-lubricated with glycerol reached greaterparticipant satisfaction in the evaluated attributes (90 versus 86%) in relation to the hydrophilic polyurethane (PVP) pre-lubricated catheter, although there was no statistical significance on the partial or total scores of the instrument used. Conclusion: The study allowed the comparison of two catheters, and the evaluation of the general score for both was positive. Some negative evaluation for certain attributes is possible to be improved. This kind of study is able to discriminate the catheters, and it can be reproduced.
      PubDate: 2022-09-30
      Issue No: Vol. 20 (2022)
       
  • CONSTRUCTION AND VALIDATION OF A BROCHURE ON DIABETIC FOOT CARE

    • Authors: Thalia Alves Chagas Menezes, Tifanny Horta Castro, Letícia Ellen Vieira Rocha, Kauane Matias Leite, Débora Lira Correia, Karine Rocha da Silva Abreu, Mayara Lorenço Vilar, Mariana Cavalcante Martins, Eveline Pinheiro Beserra, Viviane Mamede Vasconcelos Cavalcante, Manuela de Mendonça Figueirêdo Coelho
      Abstract: Objectives: To develop and validate a folder on diabetic foot prevention aimed at patients and their families. Method: Methodological study carried out in two stages. The first one was bibliographic review for the construction of the folder through the search of articles and manuals on the diagnosis, problems faced, self-care, prevention and the main interventions of the diabetic foot in the database at the National Library of Medicine. The second stage was related to the validation process, with the participation of 23 stomatherapist nurses. The content validity index (CVI) was used to assess the validity of the folder and Kappa as an indicator of agreement. Results: The technology’s global CVI in the first evaluation showed an overall CVI = 0.91, and an overall Kappa index = 0.81. After reformulating the material based on the judges’ suggestions, a second validation cycle indicated CVI = 0.99 and Kappa CVI = 0.98. Conclusion: The proposed technology was considered validated by specialists in terms of objectives, content, relevance, figures, writing style and content, presenting high scores in the CVI and Kappa index, suggesting that the material can be used to work on the prevention of diabetic foot with the patients and their families.
      PubDate: 2022-09-30
      Issue No: Vol. 20 (2022)
       
  • LARVOTHERAPY IN THE TREATMENT OF DIFFICULT-TO-HEAL LESIONS: INTEGRATIVE
           REVIEW

    • Authors: Luane de Freitas Souza Lucio Ferreira , Rafaela Muniz Pinto de Figueiredo, Larissa da Silva Oliveira , Raphael Pessoa Custodio Vieira, Evelin Peixoto Braga Vieira Leal, Joana Dias Pereira, Alcione Matos de Abreu , Raquel de Almeida Ramos Figueiredo
      Abstract: Objective: To analyze the evidence available in the literature about the use of larvotherapy in the treatment of difficult-to-heal wounds. Method: This is an integrative review, having as a guiding question: what evidence is available in the literature about the use of larvotherapy in the treatment of wounds that are difficult to heal' The inclusion criteria were: original articles, literature review and experience reports, from 2016 to 2021, available online in full, in Portuguese, English and Spanish and that answered the research question. Exclusion criteria were: duplicate articles, letters to the editor, dissertations, theses, monographies and research with animals. Searches took place at Virtual Health Library and United Station National Library of Medicine between August and September 2021. Results: Ten articles were selected. The main advantages were: selective debridement, bactericidal or bacteriostatic action, and promotion of granulation tissue and healing factors. The main disadvantages were: pain, discomfort, prejudice, and weaknesses with the larval production market. Conclusion: The advantages found outweigh the disadvantages evidenced. Therefore, larvotherapy is favorable to treat wounds that are difficult to heal.
      PubDate: 2022-09-30
      Issue No: Vol. 20 (2022)
       
  • IMPLEMENTED TECHNOLOGIES FOR PRESSURE INJURY PREVENTION IN THE HOSPITAL
           CONTEXT: INTEGRATIVE REVIEW

    • Authors: Emily Batista Araújo., Sandra Marina Gonçalves Bezerra, Jéssica da Silva Machado , Indyara Maria Barros Silva, Luís Felipe Oliveira Ferreira, Jefferson Abraão Caetano Lira, Rosane Silva Santana
      Abstract: The present study aimed to analyze in the literature the technologies implemented to prevent pressure injuries in the context of hospital care. This is an integrative literature review carried out from October to December 2021, in the databases: Virtual Health Library; MEDLINE via PubMed; Scopus; Web of Science; Embase and Cochrane Library, and 192 articles were included and 179 excluded. The final sample consisted of 13 articles, that met the eligibility criteria and answered the objective and research question. The main technologies used were air mattresses, permanent education mediated by e-learning, a computer system that facilitates the identification of risk factors, a light signal system for activating the team, a computer system for monitoring tissue pressure, a software for implementing computerized guidelines, an informative catalog, clinical guidelines, and a virtual learning environment. These technologies have shown positive results, however, as identified in the analysis, most studies deal with descriptive research designs with low inference power, which opens space for experimental research to prove the real benefits of technologies more accurately for pressure injury prevention.
      PubDate: 2022-09-30
      Issue No: Vol. 20 (2022)
       
  • EDUCATIONAL INTERVENTION ON INCONTINENCE-ASSOCIATED DERMATITIS: TEACHING
           STRATEGY ON INSTAGRAM

    • Authors: Jaqueline Aparecida dos Santos Sokem, Adriano Menis Ferreira, Fabiana Perez Rodrigues Bergamaschi, Manuela de Mendonça Figueirêdo Coelho, Caroline Neris Ferreira Sarat, Edilma Batista Rodrigues Ribeiro, Caroline Cordeiro Souto, Liliane Moretti Carneiro, Marcelo Alessandro Rigotti
      Abstract: Objectives: To describe and evaluate, in a formative way, an educational intervention carried out through social media on incontinence-associated dermatitis with nursing professionals from a public hospital. Method: Educational intervention study with a qualitative approach conducted in a virtual way through the social media Instagram as a platform for the dissemination of course content on the subject. Data collection was carried out with 30 nursing professionals from the medical clinic and adult intensive care unit of a public teaching hospital in the state of Mato Grosso do Sul, Brazil, between February and March 2022. Data were collected during the course and analysed through content analysis and according to Ausubel’s meaningful learning theoretical framework perspective. Results: From the analysis of the participants’ comments, four thematic categories emerged: anchoring; subordinated meaningful learning; discovery learning; and evaluation of the teaching- learning process. Conclusion: Through the results found, it was identified that the educational intervention conducted was successful in terms of sharing evidence on the subject to the participants. It was found that the Instagram can be adopted as a tool to carry out educational actions, including in a hospital environment.
      PubDate: 2022-09-20
      Issue No: Vol. 20 (2022)
       
  • SELF-ASSESSMENT OF PRIMARY CARE NURSES ABOUT CARE FOR PEOPLE WITH VENOUS
           ULCERS: A CROSS-CUTTING STUDY

    • Authors: Amanda Ferreira de Almeida Colombi, Eline Lima Borges, Fabiana Gonring Xavier, Maria Edla de Oliveria Bringuente, Thiago Nascimento do Prado
      Abstract: Objective: To identify the self-knowledge of primary care nurses about care for people with venous ulcers. Method: This is a cross-sectional study with 40 nurses working in health units. Two data collection instruments were used: characterization, developed by the author, and self-assessment on venous ulcers. Results: All questions of the self-assessment instrument reached medians classified as little level of knowledge, except questions related to the application of elastic compression therapy, with the median = 3 (moderate), and the evaluation of lower limbs to investigate arterial involvement, with 3.50, between little and moderate. The item cleaning the lesion stood out, which obtained median = 4 (little) and the highest average found in the responses, 4.03 (little). Conclusion:The nurse’s self-assessment reached moderate and low scores of clinical practice in terms of knowing (theoretical knowledge) and doing (practical knowledge) in the care of people with venous ulcers. Venous ulcer is a complex wound and requires knowledge from nurses about the pathophysiology and appropriate treatment, interfering with the improvement of the person’s quality of life. It is believed that this study can encourage the reflection of this professional and education actions in the services.
      PubDate: 2022-09-08
      Issue No: Vol. 20 (2022)
       
  • SCAPE ROOM AS A SENSITIZATION AND EDUCATION STRATEGY ABOUT PRESSURE INJURY
           PREVENTION

    • Authors: Aline Oliveira Ramalho, Julia Drummond de Camargo, Eliane Mazócoli, Claudia Matias Rentes Barbosa, Nilda Rosa Oliveira Prado, Alessandra Marin
      Abstract: Objective: To report the experience of using the escape room as an educational and awareness strategy for the prevention of pressure injuries in the hospital context. Methods: This is an experience report about an activity developed in November 2021, with professionals from the multidisciplinary team of a large philanthropic hospital located in the metropolitan region of São Paulo (SP), Brazil. Results: The game was played as an educational strategy associated with other initiatives on the issue, during the annual pressure injury prevention campaign. Eighty-two professionals participated in the activity, including nurses, nursing technicians, nutritionists, and physiotherapists. A total of 57 participants (69.5%) managed to unravel the proposed puzzles and leave the escape room in the proposed time. The reaction evaluation showed a high level of satisfaction with the activity, in addition to numerous compliments on the chosen methodology, as well as the creativity in which the topic was approached and developed. Conclusion: The use of a methodology based on the interaction of the participants, such as escape rooms, associated with other educational activities seems to be interesting to promote learning and awareness about pressure injury prevention.
      PubDate: 2022-07-30
      Issue No: Vol. 20 (2022)
       
  • NEUROGENIC DYSFUNCTION OF THE LOWER URINARY TRACT: CONSTRUCTION AND
           VALIDATION OF AN INSTRUMENT FOR NURSING CONSULTATION

    • Authors: Luzia Gonçalves Pontes, Livia Fajin de Mello, Fernanda Henriques da Silva, Alessandra Sant'Anna Nunes, Carla Tatiana Garcia Barreto Ferrão, Ellen Marcia Peres
      Abstract: Objective: To construct and validate the content of a data collection instrument for the nursing consultation of people with neurogenic lower urinary tract dysfunction in outpatient follow-up. Methods: This is a
      methodological study composed of two stages: elaboration of the instrument and content validation. Through the search for scientific evidence found in the literature, an instrument for admission consultation wasdeveloped. The content was validated in August 2021 by experts through independent reviews. Results: After the evaluation performed, some modifications were necessary for better adaptation and final presentation of the instrument developed. In the content analysis, 62 items with mean content validity reason below 0.78 were identified, which were excluded from the instrument. The final instrument had 160 items organized into three parts. Conclusion: The instrument represents a guide for the nursing consultation and for futureinvestigations, contributing to the improvement of the quality of care, through the systematization of care and a comprehensive approach to care for this clientele.
      PubDate: 2022-07-25
      Issue No: Vol. 20 (2022)
       
  • SEXUALITY OF MEN EXPERIENCING INTESTINAL OSTOMIES: STORIES ABOUT FEELINGS
           AND MEANINGS

    • Authors: Isabella Félix Meira Araújo, Anderson Reis de Sousa, Evanilda Souza de Santana Carvalho, Álvaro Pereira
      Abstract: Objective: To apprehend the feelings and meanings about the sexuality of adult men with intestinal ostomies. Method: Thirty adult men with stomas participated of a qualitative, historical-analytical and comprehensive exploratory study. Data were obtained from interviews, followed by analysis anchored in thematic oral history, and data interpretation based on Ágnes Heller’s theory of feelings. Results: It has been shown that adult men with intestinal ostomies experience multiple feelings related to their sexuality, including impulsive, emotional, affective, and orienting feelings. Conclusion: The relevance of specialized and multidisciplinary care is highlighted to better meet the demands of sexual health, which is intertwined with psychic-social health, of men with stomas.
      PubDate: 2022-07-25
      Issue No: Vol. 20 (2022)
       
  • COMPARATIVE STUDY BETWEEN BLADDER DIARY AND URODYNAMIC STUDY TO IDENTIFY
           LOWER URINARY TRACT SYMPTOMS

    • Authors: Gisela Maria Assis, Morgana Borba Salvador, Marcia Olandoski
      Abstract: Objective: To identify the similarity of lower urinary tract symptoms presented in the urodynamic study compared to the urinary diary. Method: This is a comparative study carried out in an urodynamics clinic in southern Santa Catarina, Brazil, with 44 patients who underwent the examination. Data collection was carried out by applying a questionnaire and a 72-hour bladder diary and comparing it with the findings of the urodynamic study using the SPSS for Windows and Stata/SE v.14.1 programs. Results: The bladder diary showed high specificity, sensitivity, and accuracy for identifying detrusor hyperactivity and stress urinary incontinence. There was no difference for bladder capacity (p* 0.198). It pointed to bladder sensitivity with a volume smaller than that presented by the urodynamic study (p*<0.001). It was able to identify lower urinary tract symptoms that were not present in the urodynamic study. Conclusion: The bladder diary was effective for identifying lower urinary tract symptoms and can be used to define first-line treatment with a broader range of population diagnosis, shorter time between complaints and treatment, cost reduction for the system, and less discomfort for the patient.
      PubDate: 2022-07-15
      Issue No: Vol. 20 (2022)
       
  • FOOD CONSUMPTION OF MACRONUTRIENTS AND NUTRITIONAL STATUS OF PEOPLE WITH
           OSTOMY

    • Authors: Suzany Trindade Queiroz, Vanessa Vieira Lourenço Costa, Regina Ribeiro Cunha, Marilia de Souza Araujo, Alyne França da Silva, Kellyne Santana Barros, Liliane de Nazaré Melo Dias, Jéssica Thuanny Teixeira Barreto, Máyra Patrícia do Carmo Amaral
      Abstract: Objective: To evaluate the food intake of macronutrients and nutritional status of people with ostomy in the Amazonian context. Method: Quantitative cross-sectional study carried out in the specialized reference unit for people with ostomy, in the period from January to March 2020. The sample consisted of 77 people with ostomies, aged 21 to 88 years old, of both genders. We used sociodemographic information, clinical and behavioral aspects, anthropometric measurements and 24-hour recall. Statistical analysis was performed using BioEstat 5.0 and EpiInfo 3.5.1 software. Results: Most were male, aged between 35 and 50 years old. The most frequent types of ostomy were: colostomy (69%) and ileostomy (21%), with a temporary nature (43%), with neoplastic etiology in both sexes (60%). As for the nutritional status, most presented eutrophy according to the body mass index, but waist circumference showed increased metabolic risk in females, and the triceps skinfold thickness indicated excess adiposity in males (<0.0001). Regarding food consumption, there was inadequacy of energy and macronutrients. Conclusion: Eating habits in the Amazonian context may be related to inadequate food consumption and changes in nutritional status.
      PubDate: 2022-07-15
      Issue No: Vol. 20 (2022)
       
  • USE OF THE HUMAN PLACENTA IN THE HEALING OF FOOT ULCERS IN PEOPLE WITH
           DIABETES: INTEGRATIVE REVIEW

    • Authors: Francisca Sousa Lima, Maria Girlane Sousa Albuquerque Brandão, Dara Cesario Oliveira, Aline de Oliveira Ramalho, Anne Fayma Lopes Chaves, Thiago Moura de Araújo, Vivian Saraiva Veras
      Abstract: Objective: To identify in the literature the contributions of the use of the human placenta in the healing of foot ulcers in people with diabetes. Method: An integrative review study carried out by searching articles in
      Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Scientific Electronic Library Online (SciELO), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Library, National Library
      of Medicine (PubMed), Web of Science and Scopus, using the search strategies: Placenta AND “Diabetic foot” and Placenta AND “Diabetic Foot”. Results: The initial search resulted in 148 articles. After applying the inclusion and exclusion criteria, a final sample of 12 articles was obtained. It was observed that the placenta has the potential to promote the improvement of granulation tissue and peripheral circulation, greater epithelialization, and reduction in the wound area, with the majority use of cryopreserved placental and amniotic membrane allograft. Conclusion: The human placenta is a nutrient-rich biological material that has the potential to contribute to the tissue repair of foot ulcers in people with diabetes in a shorter period of time.
      PubDate: 2022-07-15
      Issue No: Vol. 20 (2022)
       
  • ANALYSIS OF THE BUDGETARY IMPACT OF PRESSURE INJURY PREVENTION IN
           BEDRIDDEN ELDERLY

    • Authors: Dayane Ferreira de Castro, Roberto Carlos Lyra da Silva, Alessandra Santos Portela , Kenia Oliveira Barbosa da Hora, Monique de Sousa Furtado, Sarah Lopes Silva Sodré, Glycia de Almeida Nogueira, Thyago Bernardo da Conceição, Bruna Dutra da Costa, Graziele Feliciano Cristino, Fábio Gonçalves Ferreira, Alcione Matos de Abreu
      Abstract: Objective: To analyze the budgetary impact and the increase in costs of the incorporation of special surfaces for pressure management to prevent pressure injuries in bedridden elderly patients. Method: Budget impact analysis, following the recommendations of the budget impact analysis methodological guideline. Two possible scenarios were out lined. In the first (alternative) scenario, the elderly receives a prevention strategy that includes the use of a viscoelastic mattress as a pressure distribution surface and a change in position with a minimum interval of 2 hours. In the second scenario (reference), the elderly receives a prevention strategy that only includes a change in position with a minimum interval of 2 hours. All costs were estimated using the macro costing technique. Results: The results of the analysis of the budget impact speak in disfavor, therefore, contrary to the eventual incorporation of the viscoelastic mattress as a complementary strategy to the systematic change of decubitus, of at least every 2 hours as a measure to prevent pressure injuries. Conclusion: The use of high technologies will not always be the differential for the best clinical outcome of the patient and it can result in more cost to the system.
      PubDate: 2022-06-30
      Issue No: Vol. 20 (2022)
       
  • PODCASTING FOR EDUCATION IN ENTEROSTOMAL THERAPY DURING THE COVID-19
           PANDEMIC

    • Authors: Sabrina de Oliveira Carvalho, Gabriela Alves de Araújo da Silva, Mayara Callado Silva Moura, Bruna Karoline Ivo Santos, Alynne Maria de Brito Medeiros, Greice Miranda Duarte, Cláudia Daniella Avelino Vasconcelos, Grazielle Roberta Freitas da Silva
      Abstract: Objective: To describe the experience of nursing academics on the use of podcast for education in enterostomal therapy during the pandemic of COVID-19. Method: Experience report on health education activity held between June and October 2021, which describes the creation of a podcast channel and disclosure of contents in stomatherapy. Results: Sixteen episodes approached the three stomatherapy study areas, one containing the introduction, eight on wounds, four on ostomies and three on incontinences. Conclusion: Through the use of the podcast to disseminate contents in stomach therapy, the practicality and cost-benefit of technology to implement distance health education were observed.
      PubDate: 2022-06-23
      Issue No: Vol. 20 (2022)
       
  • CLINICAL AND EPIDEMIOLOGICAL PROFILE OF PATIENTS SUBMITTED TO LOWER LIMB
           AMPUTATION

    • Authors: Alessandra dos Santos de Araújo Rodrigues, Andréa Pereira da Silva, Adelzira Rodrigues Cardoso, Augusto Cezar Antunes de Araujo Filho, Kamilla Rocha Arrais, Juan Victor da Silva, Maiara Soares Gomes da Silva, Rosilane de Lima Brito Magalhães
      Abstract: Objective: To characterize the clinical and epidemiological profile of patients undergoing lower limb amputation in a public hospital in southern Piauí state, Brazil. Method: Retrospective and descriptive study, with document analysis and quantitative approach. Data collection took place in July and August 2021, using an instrument developed by the researchers. Data were processed using the statistical software Statistical Package for Social Sciences, version 20.0. Results: The sample consisted of 70 patients with a mean age of 65.59 years, most of them male (61.4%), brown (88.6%), married (48.3%), retired (42.9%), coming from other cities of Piauí (87.1%). Most patients (47.1%) had a comorbidity at the time of amputation, with diabetes mellitus (34.3%) being the most prevalent, followed by systemic arterial hypertension (12.9%). Diabetes was the main cause of amputation (48.6%), being the transfemoral level (42.9%) the most affected. All procedures were performed on an emergency basis, and most hospitalizations (94.3%) progressed to discharge. Conclusion: The findings of this study reveal that people with diabetes, males, and the elderly were the individuals who most underwent amputation, with the transfemoral level being the most performed.
      PubDate: 2022-06-04
      Issue No: Vol. 20 (2022)
       
  • VALIDATION WITH SPECIALISTS OF AN INSTRUMENT TO CLASSIFY THE COMPLEXITY OF
           ACUTE AND CHRONIC WOUNDS

    • Authors: Tatyelle Bezerra Carvalho, Luis Rafael Leite Sampaio, Felipe Paulino da Silva, Ana Caroliny Oliveira da Silva, Vinícius Alves de Alencar Oliveira, Tays Pires Dantas, Fernanda Maria Silva, Woneska Rodrigues Pinheiro
      Abstract: Objective: To validate the construction of a scale to classify the degree of complexity of acute and chronic wounds. Methodology: Methodological study developed in: situational diagnosis of the literature in search of instruments that classify injuries due to pregnancy signs, bibliographic research, construction of the scale and content validation of the scale with twelve judges. The Microsoft Power Point 2013 program was used to construct the technology, the snowball technique with 12 judges with expertise in the thematic area of acute and chronic injuries for validation. Results: The concordance rate among judges was considered to be greater than 0.80, for validation, the scale presented a global content validity index (CVI) of 0.99, presenting a great index in isolation, becoming validated. Conclusion: The scale was validated in objective, structure, presentation and relevance, which makes it possible to be an instrument that will contribute to the public and private system.
      PubDate: 2022-06-01
      Issue No: Vol. 20 (2022)
       
  • SOFTWARE DEVELOPMENT OF THE PRESSURE ULCER SCALE FOR HEALING (PUSH): AN
           INNOVATION STUDY

    • Authors: Maria Elisiane Esmeraldo Feitosa, Luis Rafael Leite Sampaio, Joseph Dimas De Oliveira, Yterfania Soares Feitosa
      Abstract: Objective: To develop a software for pressure injury assessment and monitoring using the pressure ulcer scale for healing (PUSH). Method: This is a methodological research of technological innovation and software development. An application was developed to monitor pressure injuries using the PUSH created by National Pressure Ulcer Advisory Panel, and it went through the content validation process. Result: This study resulted in the first stage of an integrative review, in which nine articles were identified between the years 2012 and 2018. In the second stage, the process of building the application took place. It has 16 screens, among them PUSH scale, monitoring through graphics, and anamnesis. In the third stage, the content validation process was carried out, and it was obtained an overall content validity index of 0.95, an acceptable value to validate an instrument. Conclusion: It was observed that the software is applicable and serves as support to the clinical practice of the nursing professional.
      PubDate: 2022-06-01
      Issue No: Vol. 20 (2022)
       
  • LIVING WITH VITILIGO: IMPACT OF THE DISEASE ON THE INDIVIDUALS’
           QUALITY OF LIFE

    • Authors: Elaine Aparecida Domingues, Fernanda de Sousa Silva, Uiara Aline de Oliveira Kaizer, João Paulo Soares Fonseca, Ranile Santos Silva, Alessandra Mara Oliveira Dzivielevski
      Abstract: Introduction: Vitiligo is a disease characterized by asymptomatic hypochromic and/or achromic macules, localized or generalized in the integumentary system. The visible depigmentation in the skin of the individual and usually exposed in daily life changes the body image, impacting their quality of life. Objective: To evaluate the quality of life of people living with vitiligo. Method: This is a cross-sectional study carried out with 86 individuals with vitiligo. For data collection, the Vitiligo-Specific Quality-of-Life Instrument questionnaire was used for quality of life. Results: Adult women (81.4%) (mean age 39 years old) with vitiligo had a medium impact on quality of life, and the factors that interfered with quality of life are related to intensified skin care, progression, and appearance of the disease. Conclusion: The vitiligo pathology interfered in the quality of life of adults. The factors that impacted quality of life were intensified skin care in leisure activities, the progression of the disease and the appearance of hypochromic spots.
      PubDate: 2022-06-01
      Issue No: Vol. 20 (2022)
       
  • ASSESSMENT OF PROFILE AND QUALITY OF LIFE OF ELDERLY PEOPLE WITH
           ELIMINATION OSTOMIES

    • Authors: Juliano Teixeira Moraes, Mariella Oliveira Rodrigues, Carolina Fernandes Santos, Ana Anacleto Gonçalves
      Abstract: Objective: The aim of this study was to assess the epidemiological profile and quality of life of elderly people with elimination ostomy in a health region in Minas Gerais. Methods: This is a cross-sectional study carried out in a public health care service. To describe the profile, all medical records of elderly people with ostomy were evaluated. Then, quality of life was assessed using the City of Hope-Quality of Life-Ostomy Questionnaire. Results: There was a mostly female population (55.2%) with a mean age of 67 years (± 8.8). In 64%, the ostomies were definitive, with colorectal cancer being the main diagnosis (71%) and in 41.4% they were partially dependent on self-care. Regarding the assessment of quality of life, the domains of spiritual, physical and social well-being had better assessment indicators (8.1; 8.1; and 8.2 respectively). It was evident that the type of ostomy and the length of stay are negatively associated with the quality of life of people with ostomies. Conclusion: The quality of life of elderly people with an elimination ostomy was well evaluated, especially in the domains of physical, social and spiritual well-being.
      PubDate: 2022-05-23
      Issue No: Vol. 20 (2022)
       
  • CONSTRUCTION AND VALIDITY OF THE ADAPTATION LEVEL SCALE OF THE PERSON WITH
           OSTOMY

    • Authors: Lays Pinheiro de Medeiros, Suênia Silva de Mesquita Xavier, Luana Souza Freitas, Isabelle Pereira da Silva, Lorena Brito do O, Silvia Kalyma Paiva Lucena, Renan Alves Silva, Isabelle Katherinne Fernandes Costa
      Abstract: Objective: To construct and validate the content of the scale for verifying the level of adaptation of the person with ostomy. Method: Methodological study involving two stages: construction based on two integrative literature reviews and qualitative study with people with stomas; and content validity with judges of the following criteria: behavioral, objectivity, relevance, clarity, simplicity, variety in relation to language; carrying out the pilot test with the target group; lexical and grammatical correction and resubmission to the content validity index. Results: in the first stage, thirteen items received suggestions for improvement, three items were unified by similarity and one was excluded. After the adjustments, a consensus was reached among the judges regarding the representativeness of the items and permanence in the modes based on the evaluated criteria. The target population judged the items as easy to understand, followed by grammatical and lexical correction. Conclusion: The scale presented evidence of content validity demonstrating consensus between the judges and the population.
      PubDate: 2022-05-02
      Issue No: Vol. 20 (2022)
       
  • SOCIODEMOGRAPHIC AND CLINICAL CHARACTERIZATION OF CHILDREN WITH STOMA: AN
           EPIDEMIOLOGICAL STUDY

    • Authors: Priscilla Vogado Correia, Manuela Costa Melo, Ana Lúcia da Silva, Ivone Kamada
      Abstract: Objective: To characterize the epidemiological clinical profile of children with ostomies treated in the outpatient clinic of a reference public teaching hospital for children in Brazil. Method: Descriptive, documentary, retrospective and quantitative study, carried out by extracting sociodemographic and clinical data from electronic medical records of children with ostomies, monitored from 2014 to 2018. The data underwent descriptive statistics, and in the analysis, the data were organized in a spreadsheet in Microsoft Excel version 2010, distributed in three tables, their values represented in absolute and relative frequency. Results: Of the 85 children with ostomy, there was a predominance of males, aged between 1 and 4 years. Anorectal anomaly was considered the main diagnosis. There was a high number of colostomies made. Contact dermatitis was the most frequent peristomal complication. There were difficulties in the routine of families attending the outpatient clinic, and the mother as the main caregiver. Conclusion: The study found relevant aspects related to care planning based on the demand of each child and health education for the prevention of complications, essential actions in the provision of safe and quality nursing care, as well as favoring the operationalization of public policies related to the health of children with ostomies.
      PubDate: 2022-05-02
      Issue No: Vol. 20 (2022)
       
  • CARE OF FAMILY MEMBERS OF PEOPLE WITH MALIGNANT NEOPLASTIC WOUNDS AT HOME

    • Authors: Taiane Rocha Lima, Marcia Sandra Fernandes dos Santos Lima, Evanilda Souza de Santana Carvalho, Rayssa Fagundes Batista Paranhos, Isabelle Félix Meira Araújo, Anderson Reis de Souza
      Abstract: Objectives: To understand how caregivers of people with malignant neoplastic wounds perform care at home. Method: A qualitative study that involved seven relatives of people with malignant wounds undergoing treatment in a high complexity oncology unit. The data were produced through semistructured interviews and submitted to thematic content analysis, proposed by Bardin. Results: Seven family-caregivers, all female, young people who left work to dedicate themselves to the sick person were interviewed. Three categories emerged after content analysis: family members seek guidance to care for patients with malignant neoplastic wounds at home; they adopt strategies in wound care; and report the need for support from health professionals and institutions, because they face difficulties in care, especially in primary care units. Conclusion: Family members of people with malignant neoplastic wounds face difficulties, mainly due to the scarcity of technical knowledge and lack of support from health institutions and from professionals.
      PubDate: 2022-04-20
      Issue No: Vol. 20 (2022)
       
  • PLATELET-RICH PLASMA IN VENOUS ULCER HEALING: CASE REPORT

    • Authors: Daniela Reis Moreno, Elaine Aparecida Domingues, Cláudio Avelar Vallim, Ranile Santos Silva, João Paulo Soares Fonseca, Thuanny Brito Noguchi
      Abstract: Objective: To evaluate the evolution of tissue repair in venous ulcers treated with platelet-rich plasma. Methods: This is a case report with the application of platelet-rich plasma for the treatment of venous ulcers in a specialized clinic in a city in the south of Minas Gerais. At each session, 20 mL of blood was collected and distributed into four tubes with sodium citrate. The blood was centrifuged to extract platelet-rich plasma. Plasma was applied to the wound after cleaning with distilled water and polyhexamethylene biguanide solution. Subsequently, the lesion was covered with gauze impregnated with petrolatum and sterile gauze as a secondary coverage, associated with elastic compression therapy. Results: Prior to therapy, the ulcer had an area of 1.18 cm2. After five weeks of treatment with platelet-rich plasma, complete healing has occurred. Conclusion: Tissue repair occurred after five weeks of treatment without any complications.
      PubDate: 2022-04-19
      Issue No: Vol. 20 (2022)
       
  • HISTORICAL CONTEXT OF ENTEROSTOMAL THERAPY IN PORTUGAL

    • Authors: Isabel Maria Ribeiro Morais Araujos dos Santos, Cláudia Rocha Silva
      PubDate: 2022-04-04
      Issue No: Vol. 20 (2022)
       
  • URINARY INCONTINENCE IN YOUNG AND NULLIPAROUS WOMEN: ASSOCIATED FACTORS
           AND PREVALENCE

    • Authors: Erica Elice Lessa Ferreira, Jabiael Carneiro da Silva Filho, Marília Perrelli Valença, Isabel Cristina Ramos Vieira Santos
      Abstract: Objective: To verify the prevalence and risk factors associated with urinary incontinence in nulliparous young women. Methods: Integrative literature review, performed by searching the following databases: Medical Literature Analysis and Retrieval System Online (MEDLINE), Latin American and Caribbean Literature in Health Sciences (LILACS), Spanish Bibliographic Index in Health Sciences (IBECS) and in the Nursing Database (BDENF), from March to June 2021, using the descriptors: “urinary incontinence”, “prevalence”, “women”, “students” and “young adult” combined with the Boolean operator “AND”. Results: The initial search resulted in 234 articles and, after applying the eligibility criteria, a final sample of 5 articles was obtained. After the analyses, a prevalence of urinary incontinence in young nulliparous women of 48% was evidenced. Risk factors were: high-impact physical activity, duration of physical activity, concomitant bowel and urinary symptoms. Conclusion: It was observed that the occurrence of urinary incontinence in nulliparous young women is a common condition. The associated risk factors demonstrate the need for health guidance to these women to avoid the chronification of the disease.
      PubDate: 2022-03-28
      Issue No: Vol. 20 (2022)
       
  • ADHESION OF ASSISTANCE PROTOCOL ON NASOENTERAL CATHETER FIXATION

    • Authors: Aline Coutinho Sento Sé, Raquel Costa e Silva de Oliveira, Gesiane dos Santos Trivino, Ivanete de Souza Lobato, Flavia de Melo Medeiros, Raquel Calado da Silva Gonçalves, Luana Cardoso Pestana, Eduardo Ferreira Gonçalves, Teresa Tonini, Nébia Maria Almeida de Figueiredo
      Abstract: Objective: To verify the adherence of the nursing team to a care protocol for the fixation of a nasoenteral catheter, after a health education action. Methods: Quantitative, cross-sectional, field, observational and descriptive study in a hospital in the city of Rio de Janeiro. It consisted of two stages: health education action on a nasoenteral catheter fixation protocol and data collection after health education action, in the form of non-participant observation, using an instrument containing information regarding the presence of fixation, type of fixation, record of the date of the procedure and conditions of fixation of the nasoenteral catheter. Results: Health education actions encompassed the participation of 133 nursing professionals. Of the 123 patients observed, 100% had fixation, the most prevalent being nasal fixation (60.16%/n = 74). In 68.29% (n = 84) there was no date record, 95.93 (n=118) and 87.80% (n = 108) had good cleaning and adherence conditions, respectively. Conclusion: A satisfactory result was not achieved regarding adherence to the type of fixation and registration of the date of the procedure. Despite the unsatisfactory adherence, there was a high positive correlation between the professionals’ adherence to the education actions and the correctness ratio of the type of fixation.
      PubDate: 2022-03-23
      Issue No: Vol. 20 (2022)
       
  • MEDICAL DEVICE-RELATED PRESSURE INJURY: FREQUENCY AND ASSOCIATED FACTORS

    • Authors: Euni de Oliveira Cavalcante, Ivone Kamada
      Abstract: Objective: to analyze the occurrence of pressure injuries related to medical devices in patients admitted to an intensive care unit. Method: quantitative, observational, descriptive, prospective cohort study, carried out with 171 patients, from May 15 to August 31, 2018 in the intensive care units of a public hospital in the Federal District. Results: the main risk factors were the presence of pressure injuries at admission, with a significant association for the formation of pressure injuries related to medical devices (p=0.002), and patients who progressed to death, with an association for the formation of pressure injuries related to medical devices (p=0.012); medical device-related pressure injury incidence rate of 40.35%. Conclusion: the use of medical devices has grown, as well as the appropriation of these technologies in the critical care environment. The multidisciplinary team should be aware of the formation of pressure injuries related to medical devices that can affect hospitalized patients.
      PubDate: 2022-03-16
      Issue No: Vol. 20 (2022)
       
  • TOPICAL USE OF GREEN PROPOLIS FOR WOUND HEALING: A SYSTEMATIC REVIEW OF
           THE LITERATURE

    • Authors: Talita Faraj Faria, Roberta Faraj Faria, Ivone Kamada, Lívia Cristina Lira de Sá Barreto
      Abstract: Objective: To systematically identify the effectiveness of the topical use of green propolis in the healing process of surgical wounds. Methods: Systematic review of the literature that considered the publications available in the databases: National Library of Medicine(PubMed/MEDLINE), LatinAmerican and Caribbean Health Sciences Literature (LILACS), The Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Web of Science. The risk of bias of the studies was analyzed using the Systematic Review Centre for Laboratory animal Experimentation (SYRCLE) tool. Results: The four studies analyzed used green propolis for the healing of surgically made lesions. All the selected studies were of experimental methodology, performed with animals. Two studies (50%) used the ethanolic extract of green propolis (at concentrations of 2.4% and 20%) and the other two studies (50%) used the hydroalcoholic extract of green propolis at 5.0%. Conclusion: The results showed that the topical use of formulated products based on green propolis promoted the healing of skin lesions, since it favored angiogenesis, the proliferation of fibroblasts and, consequently, the synthesis and deposition of collagen, as well as showed antimicrobial activity and showed.
      PubDate: 2022-03-10
      Issue No: Vol. 20 (2022)
       
  • IMPLEMENTATION OF A SERVICE FOR PEOPLE WITH PELVIC FLOOR DISORDERS

    • Authors: Luis Rafael Leite Sampaio, Francisca Clarisse de Sousa, Tays Pires Dantas, Natannael da Silva Pereira, Lucas Cosmo de Meneses, Luana de Souza Alves, José Lucas de Souza, Cicera Clareliz Gomes Alves, Gislaine da Silva Rocha, Sara Teixeira Braga, Francisco Vinícius Tomé, Francisco Pereira Alves, Rhuana Alves Moreira
      Abstract: Objective: the objective was to describe the technical operational procedures and clinical data related to the implementation of a health care program for people with pelvic floor disorders in a public secondary care service. Method: this is an experience report, based on experiences related to academic and professional assistance in the implementation of a service aimed at pelvic floor disorders in the Cariri region of Ceará, carried out from May to July 2021. Results: for the implementation of the service, the following strategies were adopted: tracking the health care network for people with pelvic floor disorders; organizational structuring of the service; capturing people with pelvic dysfunctions; start of care; and therapeutic follow-up. Conclusion: in view of the above, it is evident that the health care program for people with pelvic floor disorders could be implemented satisfactorily, considering the infrastructure, the significant amount of care provided and the therapeutic follow-up achieved. Thus, with this report, it is expected to contribute to the development of new outpatient services aimed at this area of work of the stomatherapist nurse and the multidisciplinary team.
      PubDate: 2022-02-22
      Issue No: Vol. 20 (2022)
       
 
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