[Show abstract][Hide abstract] ABSTRACT: El estudio pretende evaluar el cumplimiento de las prácticas para la prevención y control de la infección del torrente sanguíneo, relacionadas con el catéter venoso central a través de indicadores clínicos. Este es un estudio observacional, con un enfoque cuantitativo. La serie fue basada en las evaluaciones realizadas por 2064 observación directa y registro en registros médicos, utilizando el manual de evaluación de la calidad de las prácticas de control de infecciones hospital. Los resultados mostraron que el indicador en el insertar registro y tiempo de catéter mostró el mayor índice de cumplimiento global (62,5%). El indicador relacionado con la higiene de las manos demostró ya índice general cumplimiento nulo. Hay que elaborar estrategias para garantizar el cumplimiento de las prácticas de control de la infección y prevención de la circulación sanguínea central venosa relacionada con el catéter, así como instituir las evaluaciones periódicas de las condiciones de trabajo, a fin de elevar las tasas de cumplimiento.
[Show abstract][Hide abstract] ABSTRACT: Aim: To assess the socio-demographic and behavioral risk factors for postpartum women in terms of breastfeeding self-efficacy. Method: This is a cross-sectional study, conducted with 322 women interned in joint accommodation, using the Breastfeeding Self-efficacy Scale (BSES-SF). The internal consistency was evaluated by Cronbach's alpha (0.89) and the association of self-efficacy with other variables was performed using the chi-square test. Logistic regression was entered by means of the model of the variables with p < 0.20. Results: There was a statistically significant association between self-efficacy and the number of people living on the family income (p=0.014), people who do not use drugs (p=0.003), who have two or more children (p=0.009), breastfeeding (p=0.018) breastfeeding exclusively for five to six months (p=0.002) and who have had positive experiences (p < 0.001). Conclusion: professionals should consider self-efficacy in their professional context, as it establishes interactions with the characteristics of mothers, significantly influencing breastfeeding.
Preview · Article · Oct 2015 · Online Brazilian Journal of Nursing
[Show abstract][Hide abstract] ABSTRACT: Objectives: the aim was to translate and culturally adapt the Adherence Determinants Questionnaire scale for the Portuguese language in the Brazilian context, and to check its reliability and validity to analyze the elements of the adherence of patients to the clinical treatment for breast and cervical cancer. Method: this was a methodological study, carried out in two oncology reference centers. The sample consisted of 198 participants, with 152 being treated for breast cancer and 46 being treated for cervical cancer. The content validation was performed by a committee of experts. The construct validation was demonstrated through factor analysis and the reliability was analyzed using Cronbach’s alpha. Results: the committee of experts made the necessary adjustments so that the scale was adapted to the Brazilian context. The factor analysis suggested a reduction from seven to five factors and the maintenance of 38 items similar to those of the original scale. The reliability, investigated through Cronbach’s alpha, was .829, showing high internal consistency. Conclusion: it was concluded that the Brazilian version of the Adherence Determinants Questionnaire scale is a valid and reliable instrument that is able to measure the elements of adherence to the treatment for breast and cervical cancer.
[Show abstract][Hide abstract] ABSTRACT: Objective: to build, validate and assess an educational intervention using the flip chart titled “I Can Breastfeed My Child.” Method: an experimental study using a pretest, intervention and posttest, as well as a control group. A total of 201 women, who had been hospitalized immediately, for at least 6 hours, postpartum. The mothers were allocated to the intervention (100 women) or control groups (101 women) according to the length of their hospital stay. The effectiveness of the flip chart was assessed by applying the Breastfeeding Self-Efficacy Scale - Short-Form at admission, discharge and by telephone in the second month postpartum. The intervention and control groups were similar in their socio-demographic, obstetric and gynecological variables. Results: the intervention was beneficial because mothers in the intervention group had higher self-efficacy scores, more mothers continued breastfeeding and mothers had a longer duration of exclusive breastfeeding, both at the time of hospital discharge and at the second month postpartum, with statistically significant associations. Conclusions: this experimental study assessed the educational strategy mediated via the flip chart titled “I Can Breastfeed My Child” as being effective both in increasing self-efficacy and increasing the duration of breastfeeding.
[Show abstract][Hide abstract] ABSTRACT: Introduction: The postpartum period can have a significant physical, emotional, and social impact on the quality of a woman’s life. Most postpartum research has focused on physical complications and only a few studies have specifically investigated quality of life. The purpose of this study was to explore predictors affecting the quality of life of postpartum Brazilian mothers. Study Design and Methods: A cross-sectional Quality of Life survey was performed in 210 Brazilian mothers during the early postpartum period. Data were collected using an interview technique and two instruments: 1) a maternal questionnaire and the 2) Maternal Postpartum Quality of Life tool/Brazilian version. The association between maternal characteristics and quality of life in the post-partum period was investigated with bivariate and multivariable analyses. Results: Mothers who had the best Quality of Life were white, registered students, 30 - 40 years of age, who were married or living with a partner, and without physical complaints; in addition, they had at least an 8th grade education, more than 4 children, and had attended more than 8 prenatal visits with a nurse. The stepwise model indicated that white race (p < 0.05) and married or living with a partner (p < 0.05) were the best predictors of Quality of Life in postpartum women. Conclusions and Clinical Implications: Marital status and race conditions may predict quality of life in postpartum Brazilian mothers. In addition, improved knowledge concerning the postpartum, maternal experience may help develop health interventions to enhance the quality of life of this population.
[Show abstract][Hide abstract] ABSTRACT: This study aims at verifying the learning of adolescent students about the disabled person using educational technology in the board game mode and using a semi-experimental non-randomized study of pre and post with unintentional probability sample. Validated and standardized instruments were used. Data were processed by SPSS 20.0 and organized in tables. For comparison of proportions, the McNemar test was used. Females predominated (56%), aged between 13 and 14 years old (63.3%) from private schools (58.7%). It was evidenced a significance for learning about visual and hearing impairment on issues of low complexity (p < 0.0001), visual impairment in the issue of medium complexity (p < 0.0001) and hearing loss in high complexity (p < 0.0001). It should be practiced using the board game to school awareness about the theme, because it provides reflection on the theme, contributes to learning and encourages inclusion.
Full-text · Article · Mar 2015 · Open Journal of Nursing
[Show abstract][Hide abstract] ABSTRACT: OBJECTIVE To validate assistive technology for visually impaired women to learn how to use the female condom. METHOD a methodological development study conducted on a web page, with data collection between May and October 2012. Participants were 14 judges; seven judges in sexual and reproductive health (1st stage) and seven in special education (2nd stage). RESULTS All items have reached the adopted parameter of 70% agreement. In Stage 1 new materials were added to represent the cervix, and instructions that must be heard twice were included in the 2nd stage. CONCLUSION The technology has been validated and is appropriate for its objectives, structure / presentation and relevance. It is an innovative, low cost and valid instrument for promoting health and one which may help women with visual disabilities to use the female condom.
Full-text · Article · Feb 2015 · Revista da Escola de Enfermagem da U S P
[Show abstract][Hide abstract] ABSTRACT: Objective: To analyze nonverbal communication between nurses and blind persons during nursing consultations. Methods: Quasi-experimental, quantitative study. The participants were 15 nurses in the experimental group and 15 in the control group and 30 blind persons. The experimental group received training on Proxemics Theory and the Model of Non-Verbal Communication Nurse-Blind. Nursing visits were videotaped and analyzed by three experts. The data were processed in SPSS and analyzed by chi-square (X2) and maximum likelihood. Results: Trained nurses established effective communication in nursing consultations for the blind. An association was found between the categories Distance, Posture and Axis (p=0.0001); Iconic and regulatory (p=0.0001) gestures, but not for illustrating gestures (p=0.191). Concerning facial behavior, eye opening, gaze direction and volume of the voice (p=0.0001), the experimental group had the best result. Conclusions: The Model of Non-Verbal Communication Nurse-Blind is effective in nursing consultations for blind patients.
[Show abstract][Hide abstract] ABSTRACT: Aim: To compare the knowledge and behavior of adolescents with risk factors associated with type 2 diabetes mellitus after the implementation of two educational strategies. Method: Comparative and intervention study with the participation of 60 students from two public schools divided into two groups: GA (n = 30) and GB (n = 30). GA received individual educational intervention, while GB had group educational intervention. We used questionnaires to assess the level of knowledge prior to intervention, in the day after it, and 60 days after the interventions, when we also assessed the intention of changing habits. Results: There was a statistically significant increase in the level of knowledge as a result of both interventions. By comparing GA and GB after the interventions, we observed that the intention to change habits were similar in both groups. Conclusion: Both educational interventions were effective in raising knowledge and can be used in schools for the prevention of T2DM in at-risk adolescents.
Preview · Article · Jan 2015 · Online Brazilian Journal of Nursing
[Show abstract][Hide abstract] ABSTRACT: Aim: To determine the links between socio-demographic data of mothers living in at-risk micro areas and their self-efficacy in preventing childhood diarrhea. Methods: This is a longitudinal study conducted in Fortaleza, with 90 mothers of children under five years of age. Data collection was performed through the use of the Maternal Self-efficacy Scale for Childhood Diarrhea Prevention (EADPI) and by telephone. Data were analyzed by chi-square tests and likelihood ratio. Results: Statistical significance in self-efficacy levels was found within the following variables: aged between 15 and 29 (ρ <0.001); married (p=0.035); consensual union (ρ=0.039); single (p=0.033); more than five years of schooling (ρ<0.001); per capita income lower than R$169.50 (ρ<0.001); per capita income more than R$169.50 (ρ<0.001); housewife (ρ<0.001); other occupations (ρ<0.001); and number of children (ρ<0.001). Conclusion: When nurses use the EAPDI they can monitor mothers' self-efficacy and use these results in conjunction with the socio-economic conditions of mothers that influence the occurrence of diarrhea in order to intervene with educational activities.
Preview · Article · Jan 2015 · Online Brazilian Journal of Nursing