International Archives of Medicine (E-Journal)
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Clinical Epidemiological Profile of Children with Acute Respiratory Insuficiency in a Pediatric Intensive Care Unit
Get PDFObjective: to know the epidemiological clinical profile of children admitted for acute respiratory failure (ARF) in the Pediatric Intensive Care Unit (ICU) of the Teresina Emergency Hospital (TEH), from 2010 to 2015.
Method: a quantitative approach, with a sample of 451 medical records obtained in the electronic system of hospitalization of the patients who were admitted to the Pediatric ICU of the Hospital. After approval by the Ethics Committee of Estácio Ceut Faculty, the study was started.
Results: Of the 721 hospitalizations due to ARF in children, 451 (62.6%) required clinical interventions in the ICU. Of these, 59.4% were male, in the age range of one to six years (61.9%), with a diagnosis in the ICD 10 by J96.0. In 99.7% of the cases, hospitalized for a period of more than ten days (72.4%), originating in the interior of Piauí (63.4%), whose discharge occurred by administrative closure (75.6%), followed by deaths, which were 19,3%.
Conclusion: Acute Respiratory Insufficiency is a serious problem of global, national and local public health, because it is a morbidity that requires advanced technology for health treatment, with relative mortality. It is reasonable for therapeutic measures to prevent respiratory diseases to be systematically stimulated and implemented by health services to prevent them.
KEYWORDS: Infant Mortality; Respiratory Insufficiency; Epidemiology
Sociodemographic profile and quality of life of active older adults belonging to a physical exercise program and sedentary elderly, linked to a basic health unit
Get PDFObjective: To identify the sociodemographic profile and to compare the quality of life of elderly people who practice physical exercises in a group with sedentary elderly.
Methods: This is a cross-sectional study with a quantitative approach, composed of two groups: Group I consisted of 50 elderly people practicing physical exercise in a group; and Group II composed of 50 sedentary elderlies. Data were collected through two questionnaires; one questionnaire focused on the sociodemographic data survey and the SF-36 quality of life questionnaire. The data were analyzed by the BioEstat 5.0 program using the Z-Test.
Results: Group I had better scores in the domains, limitations due to physical aspects and general health, in the other domains, group II had better scores. Factor that can be attributed to the modality of the physical exercise performed by group I that was in the group I and by the form of the allocation of the sample.
Conclusion: The women were mostly in group I, and both groups were comprised of seniors over 61 years old, widowers and retirees. Statistically, only the general state of health showed a significant difference between the two groups
Nursing Care with the Skin of Hospitalized Newborns: Integrative Review
Get PDFThe objective was to analyze the scientific collection on nursing care with the skin of hospitalized newborns. In order to reach the objective, an integrative review was conducted. The search for primary studies was performed in the databases LILACS, MEDLINE, BDENF and PUBMED. The included studies (n=10) were grouped into thematic categories: risk factors for skin lesions in hospitalized newborns and their consequences; and nursing care to promote the integrity of the skin of hospitalized newborns. The main care identified were lubrication with emollient agents, use of hydrocolloids and transparent film, changes in decubitus, hygiene techniques, phototherapy and invasive procedures. The results of the review offer guidance for the conduction of researches that investigate interventions that are more effective in the prevention and treatment of skin injuries and their consequences.
Key words: Nursing Care, Newborn, Skin
Care Management In The Family Health Support Core: Technologies Operated In The Professional Dimension
Get PDFIntroduction: The Centre for Health Support Family - NASF has a innovative character with potential to concretize change in the organization of services and in care practices, supporting and expanding the solvability of the actions of the teams of the Family Health Strategy - FHS. To this end, it must operationalize technologies, arrangements and care management devices.
Objective: To describe the care management technologies, particularly in the professional dimension, operated by the teams of the Support Centre for Family Health, in its dialogue with the Health Strategy.
Methods: case study with a qualitative approach, with the 12 professionals from a NASF team of Maracanaú, Ceará, Brazil. Focal group was performed. The empirical material was analysed based on the content analysis.
Results: there is evidence of a proposal for production of integral care based on the use of technologies as host, bond, autonomy and accountability. The user approach is based on the principles of the extended clinic. However, there are difficulties related to the regulation of access, the construction of bonds, the construction of therapeutic projects and intersectional articulation.
Final thoughts: it appears necessary to overcome the challenges, strengthen mechanisms for coordination and for negotiation of labour, as well as rethinking the NASF linking logic to a seemingly high number of FHS teams complicates the organization of work processes, building of agendas, weakens the bonds with the users and even the solvency
Nursing Care For Patients Experiencing Clinical Complications During Haemodialysis
Get PDFIntroduction: Patients with chronic renal disease treated by haemodialysis experience various changes in their daily lives, which they and their families need to adapt to and cope with.
Objective: To analyse the nursing care of patients with chronic renal failure on haemodialysis who experience clinical complications.
Method: A descriptive, exploratory study was conducted, using a quantitative approach. Data collection was performed using a sample of 73 patients at the Hemodialysis Center located at city of Patos-PB. The sample comprised 73 patients.
Results: 27 (37.0%) were female, aged between 20 and 88 years old. It was found that employees are 49.3% of respondents, in consonance to farmers with 31.5%. The most common complications were weakness (76.7%), headache (46.6%), cramp (43.8%) and pain (32.9%).
Conclusion: The trusting relationship between professionals and patients is paramount, because helps to improve adherence to treatment and, consequently, the reduction of complications; furthermore, educational and preventive actions are facilitated
Frailty Assessment and its Association with Sociodemographic and Health Characteristics in Community Elderly
Get PDFBackground: Frailty assessment in the elderly and its relationship to sociodemographic and health characteristics.
Method: Quantitative study, descriptive and cross-sectional study, conducted between April to July 2014, at two Family Health Units in Natal, Rio Grande do Norte. The sample consisted of 203 elderly. The data collection procedure occurred through a structured interview, which used two instruments.
Results: The average age of the participants was 68.59 years; among them, 83 (40.89%) did not show weakness, 45 (22.17%) were apparently vulnerable and 75 (36.94%) were frail. The weakness associated with low education, widowhood, heart disease, diabetes mellitus, osteoporosis, respiratory disease, urinary tract infection, depression, six classes of drugs (antidiabetic, antidepressant, anxiolytic, and antacid against osteoporosis) and fall episode.
Conclusions: We conclude that assessment of frailty is important to detect the risk and/or embrittlement process already installed in the elderly
Practical education in family planning: integrative review
Get PDFObjectives: To identify educational practices in family planning, facilitating factors, difficulties and resulting impacts.
Method: This is an integrative literature review, using the three descriptors: "family planning", "health education" and "contraception"; In the databases of the Scientific Electronic Library Online (SciELO), Latin American and Caribbean Literature in Health Sciences (LILACS) and Nursing Database (BDENF), were searched in January and February 2016.
Results: Regarding the accomplishment of educational practices, most of the studies pointed out its accomplishment. The difficulties and facilitators aspects were related to the management of the health service, professional competence and users. Guarantee of family rights and autonomy were the impacts pointed out.
Conclusion: The study showed that educational practices in family planning are tools to be encouraged as a guarantee and respect for sexual and reproductive rights.
Descriptors: family planning; education in health; contraception.
 
Catheter Related Blood Stream Infections In Patients Of The Intensive Care Unit
Get PDFObjective: To identify the prevalence of bloodstream infection associated with the Catheter related Blood stream infections in patients of the Intensive Care Unit, and the characteristics of its use and handling. Methods: Descriptive and transversal study with a sample of 88 participants. Data were collected through the observational method and the records in the medical records. The absolute and relative frequencies were used for data analysis. Results: 73.86% of the patients had central venous access in the subclavian vein, 100% used double lumen Catheter related Blood stream infections, 0.5% chlorhexidine solution for skin antisepsis, dressing coverage is performed mostly with Sterile gauze and tape, with a daily exchange. The rate of infection related to the use of the Catheter related Blood stream infections was (6.81%). The most infused pharmacological drugs were antimicrobials (69.32%). Conclusion: The study showed that care with central venous accesses is performed according to recommendations for prevention of bloodstream infection related to the use of these devices. The infection rate is close to the standards found in the literature.
Key words: Central Venous Catheterization. Hospital Infection. Intensive care unit. Risk factors. Catheter-Related Infection..
 
Nursing Professionals And Occupational Accidents
Get PDFThe current study has the objective to identify main work accidents that occurs with nursing workers. This is an integrative literature review that enabled to include scientific articles indexed in the databases of Virtual Library in Health (BVS). Searches were made from october to november 2016, using the descriptors: “work accidents”, “nursing professionals”, separated between themselves by the boolean operator AND.
The following criteria were adopted: fully available articles, in portuguese language, published in the last five years. Articles that presented some duplicity and didn’t meet the proposed study objectives were excluded.
After searches, ten scientific productions about the subject were selected. Results indicate the occurrence of accidents between nursing professionals and the main factors were related with sharp object handling, non-utilization of IPEs, excessive workload and needle resurfacing.
It is concluded that strategies are required to minimize these occurrences, as the adoption of standard precautionary measures, the adequacy of staff numbers and better work conditions to this professional category. Besides that, the need of new researches about this subject are emphasized
Municipal Management, Infrastructure And Perception Of Users: A Description Of National Program For Improving Access And Quality Of Primary Care In The Brazilian Semiarid
Get PDFIntroduction: The Ministry of Health with the aim of improving the service provided by the Unified Health System has been creating work tools to identify which points need to receive more attention to be optimized.
Objective: Description of the role of municipal management, infrastructure assessment and perception of users of primary care.
Method: Cross-sectional and descriptive study, conducted with Basic Units of Piauí municipality in 2015. The data were represented by tables.
Results: 90% of the units reported receiving support for the planning and organization of the work process. Only 14, 81% of the units have equipment and supplies for proper operation. Users recommend the service in 92,62% of the cases.
Conclusion: despite the precarious structure of the basic units of the county, the population still recognizes them as the best care