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OBJECTIVE: To explore the influence of mindfulness-based stress reduction (MBSR) training on the negative emotions and social functioning of patients with laryngeal cancer post-operation. METHODS: Sixty-five patients with laryngeal cancer admitted to our hospital from January 2017 to December 2019 were selected and divided into an observation group of 33 cases and a control group of 32 cases according to the patient's wishes. The control group received routine intervention, while the observation group received mindfulness decompression training in addition to the control group. Both groups were evaluated after 8 weeks of intervention. The research tools included the self-rating anxiety scale (SAS), self-rating depression scale (SDS), Pittsburgh Sleep Quality Index (PSQI), Social Disability Screening Schedule (SDSS), Social Support Rating Scale (SSRS), and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (QLQ-C30), all of the scores of them were used to verify the foregoing scale. The effects of MBSR were evaluated by the differences between the post- and pre-intervention scores in each scale. T-test was used for mean comparison and Pearson test was used for rate comparison χ2 inspection. LITERATURE REVIEW: Patients will have negative emotions during the surgical treatment of laryngeal malignancies (Literature 1), which will affect their mental health (literature 2, 3, 4, 5, 6, 7). Mindfulness decompression training (literature 10, 11) can reduce the depression and anxiety of patients with malignant tumors (literature 14, 15). According to the inclusion criteria and exclusion criteria (literature 16 and 17), two groups of patients were selected in this study, and the scores were obtained using research tools including SAS (literature 19), SDS (literature 20), PSQI (literature 21), SDSS (literature 22) and QLQ-C30 (literature 24 and 25). The effect of MBSR was evaluated by the difference before and after the intervention scores in each scale. RESULTS: After the intervention, the scores of the SAS and SDS in the two groups were lower than before (P < 0.05), the PSQI score of the two groups was lower than before (P < 0.05), the SDSS score of the two groups was lower than before (P < 0.05), and the scores of the QLQ-C30 in the two groups were higher than before intervention (P < 0.05). CONCLUSION: Mindfulness-based stress reduction training can reduce the negative emotions of patients with laryngeal cancer and improve their quality of sleep, social functioning, and quality of life. It is worthy of clinical application.

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BACKGROUND: Nursing interventions aimed at family caregivers of palliative cancer patients require not only an objective evaluation, but also subjective consideration of their contributions, and a qualitative evaluation that provides an in-depth understanding of these interventions. AIMS: This study aimed to explore the perceptions that family caregivers of palliative cancer patients had of the nursing intervention, PalliActive Caregivers, in reducing the uncertainty associated with illness and improving the caregiver's quality of life. METHODS: A qualitative approach with content analysis was used. Telephone interviews were conducted with 23 caregivers who participated in the intervention. FINDINGS: Five themes emerged from the content analysis: consolidating physical care, adopting a positive attitude, strengthening the support available to the caregiver, strengthening spirituality and strengthening relationships. CONCLUSION: The themes showed a positive impact of the intervention on aspects such as the caregiver's ability to cope, spirituality and social support of caregivers. The results also indicated the possibility of conducting this type of study to identify other assessment variables for future interventions.

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Resumo Objetivo Avaliar os efeitos da intervenção terapêutica de enfermagem baseada no modelo de trajetória da doença crônica na ansiedade e na qualidade de vida de pacientes com doença cardíaca coronária (DCC). Métodos Um total de 118 pacientes com DCC admitidos entre fevereiro de 2019 e fevereiro de 2021 foram distribuídos aleatoriamente em grupos controle e observação (n = 59). O grupo controle recebeu intervenção de enfermagem de rotina, enquanto o grupo observação recebeu intervenção com base no modelo de trajetória da doença crônica. Os sintomas clínicos, a escala de autoavaliação de ansiedade (SAS), a qualidade de vida (QV) e as pontuações de autoeficácia foram comparados. As taxas de incidência de complicações foram comparadas. A análise de regressão linear multivariada foi realizada para o efeito mediador da autoeficácia na relação entre ansiedade e QV. Um modelo de equação estrutural foi construído e validado. Resultados Após a intervenção, os sintomas clínicos e a pontuação da SAS diminuíram significativamente em ambos os grupos, especialmente no grupo observação (P<0,05). As pontuações de QV e autoeficácia aumentaram significativamente em ambos os grupos, particularmente no grupo de observação (P<0,05). A pontuação de autoeficácia correlacionou-se negativamente com a pontuação SAS e positivamente com a pontuação QV. Houve correlação negativa entre a pontuação SAS e a pontuação QV (P<0,05). O modelo de autoeficácia, ansiedade e QV apresentou boa adequação, e o efeito mediador da autoeficácia na relação entre ansiedade e QV foi de 0,896. A taxa de incidência de complicações foi significativamente menor no grupo observação do que no grupo controle (P <0,05). Conclusão A intervenção de enfermagem baseada no modelo de trajetória da doença crônica alivia significativamente a ansiedade, melhora a QV e aumenta a pontuação de autoeficácia de pacientes com DCC. A autoeficácia é um mediador da relação entre ansiedade e QV.

Resumen Objetivo Evaluar los efectos de la intervención terapéutica de enfermería con base en el modelo de trayectoria de la enfermedad crónica en la ansiedad y en la calidad de vida de pacientes con enfermedad arterial coronaria (EAC). Métodos Un total de 118 pacientes con EAC admitidos entre febrero de 2019 y febrero de 2021 fueron distribuidos aleatoriamente en grupos control y observación (n = 59). El grupo control recibió intervención de enfermería de rutina, mientras el grupo observación recibió intervención con base en el modelo de trayectoria de la enfermedad crónica. Se compararon los síntomas clínicos, la escala de autoevaluación de ansiedad (EAA), la calidad de vida (CV) y el puntaje de autoeficacia. Se compararon las tasas de incidencia de complicaciones. El análisis de regresión lineal multivariado se realizó para el efecto mediador de la autoeficacia en la relación entre ansiedad y CV. Se elaboró y validó un modelo de ecuación estructural. Resultados Después de la intervención, los síntomas clínicos y el puntuaje de la EAA disminuyeron de forma considerable en ambos grupos, especialmente en el grupo observación (P<0,05). Los puntajes de CV y de autoeficacia aumentaron considerablemente en ambos grupos, particularmente en el grupo de observación (P<0,05). El puntaje de autoeficacia se correlacionó negativamente con el puntaje EAA y positivamente con el puntaje CV. Hubo una correlación negativa entre el puntaje EAA y el puntaje CV (P<0,05). El modelo de autoeficacia, ansiedad y CV presentó una buena adecuación y el efecto mediador de la autoeficacia en la relación entre ansiedad y CV fue de 0,896. La tasa de incidencia de complicaciones fue considerablemente inferior en el grupo observación que en el grupo control (P <0,05). Conclusión La intervención de enfermería con base en el modelo de trayectoria de la enfermedad crónica alivia de forma considerable la ansiedad, mejora la CV y aumenta el puntaje de autoeficacia de pacientes con EAC. La autoeficacia es un mediador de la relación entre ansiedad y CV.

Abstract Objective We aimed to assess the effects of nursing intervention therapy based on chronic disease trajectory model on anxiety and quality of life (QOL) of patients with coronary heart disease (CHD). Methods A total of 118 CHD patients admitted from February 2019 to February 2021 were randomly assigned into control and observation groups (n=59). Control group was given routine nursing intervention, while observation group was given intervention based on chronic disease trajectory model. Clinical symptom, self-rating anxiety scale (SAS), QOL and self-efficacy scores were compared. Incidence rates of complications were compared. Multivariate linear regression analysis was performed for the mediating effect of self-efficacy on relationship between anxiety and QOL. A structural equation model was constructed and verified. Results After intervention, clinical symptom and SAS scores significantly declined in both groups, especially in observation group (P<0.05). QOL and self-efficacy scores rose significantly in both groups, particularly in observation group (P<0.05). Self-efficacy score was negatively correlated with SAS score and positively correlated with QOL score, and there was a negative correlation between SAS score and QOL score (P<0.05). The model of self-efficacy, anxiety and QOL had good fitness, and the mediating effect of self-efficacy on relationship between anxiety and QOL was 0.896. The incidence rate of complications was significantly lower in observation group than in control group (P<0.05). Conclusion Nursing intervention based on chronic disease trajectory model significantly relieves the anxiety, improves QOL, and increases the self-efficacy score of CHD patients. Self-efficacy is a mediator for the relationship between anxiety and QOL.

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Diabetic foot affects nearly 6% of people living with Type 2 diabetes (T2D). It is also the most common complication of T2D and is associated with infection, ulceration. eHealth facilitation of Non-communicable diseases management has the potential to increase self-care and engage patients. The aim of this study is to develop an eHealth intervention to prevent diabetic foot.

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OBJECTIVE: To evaluate the effectiveness of the nursing intervention Fall Prevention in reducing falls in older adults with arterial hypertension. METHODS: Pilot clinical trial, with 118 participants with arterial hypertension from a city in the Northeast of Brazil. Participants were allocated by simple randomization into two groups: intervention (n = 58) and control (n = 60). The intervention was carried out at the participants' homes and consisted of guidelines for modifying environmental and behavioral risk factors for falls. A protocol with nursing activities associated with the Fall Prevention intervention proposed in the Nursing Interventions Classification (NIC) taxonomy was used. The outcome was the self-reported occurrence of falls. RESULTS: There was a significant difference between the groups in the frequency of self-reported falls (p=0.38) with fewer falls occurring in the intervention group. Sixteen participants fell, of which 5.1% attributed the fall to difficulty walking, 6.8% fell in the living room, 3.4% had a sprain, and 6.8% reported to be afraid to fall again. CONCLUSION: The nursing intervention Fall Prevention was effective in reducing the occurrence of falls in older adults with arterial hypertension. These findings contribute to the advancement of clinical protocols for the prevention of falls in older adults, as the educational intervention investigated is applicable to different sociodemographic and cultural scenarios.

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Objetivo: Evaluar el efecto de la intervención educativa de enfermería "Durmiendo Seguro" comparada con la intervención informativa habitual sobre la Práctica de Sueño Seguro como estrategia para favorecer la seguridad del lactante menor, en un grupo de madres que asisten a una institución de salud de Barranquilla. Materiales y Métodos: Estudio cuasi experimental,prest- post test con grupo de comparación realizado con un grupo de 120 madres. La intervención Durmiendo Seguro, administrada al grupo experimental incluyó sesiones educativas, seguimiento telefónico y visita domiciliaria. Para la recolección de la información se utilizaron 3 formatos construidos ad hoc para la investigación con base en las recomendaciones de la Academia Americana de Pediatría y el Assessment of Safe Sleep Validation of the Parent Newborn Sleep. Se realizó análisis descriptivo y comparativo de los aspectos sociodemográficos y de las variables de conocimiento y adherencia a las prácticas de sueño seguro. Resultado: A través de la prueba de Kruskal Wallis se exploraron las diferencias en la distribución estadística del puntaje global entre momentos de medición. La distribución estadística de los puntajes en la medición inicial fue idéntica en ambos grupos (valor p = 0.069). Se observó que en el seguimiento telefónico y en la visita domiciliaria, la distribución del puntaje global presentaba diferencias estadísticamente significativas entre los grupos (valor p ≤ 0.000) Conclusiones: En el grupo experimental que recibió la intervención "Durmiendo Seguro", se observó un aumento significativo en el conocimiento y la adherencia a las recomendaciones con relación a la práctica de sueño seguro con relación al grupo de comparación. (AU)

Objective: Evaluate the effect of the nursing educational intervention "Safe Sleeping" compared to the usual informative intervention on Safe Sleep Practice as a strategy to promote the safety of the young infant, in a group of mothers who attend a health institution of Barranquilla. Materials and Methods: Quasi-experimental study, post-test with comparison group carried out with a group of 120 mothers. The Safe Sleeping intervention, administered to the experimental group, included educational sessions, telephone follow-up, and home visits. For the collection of the information, 3 adhoc constructed formats were used for the research based on the recommendations of the American Academy of Pediatrics and the Assessment of Safe Sleep Validation of the Parent Newborn Sleep. Descriptive and comparative analysis of sociodemographic aspects and variables of knowledge and adherence to safe sleep practices were performed. Result: The Kruskal Wallis test explored the differences in the statistical distribution of the global score between measurement moments. The statistical distribution of the scores in the initial measurement was identical in both groups (p-value = 0.069). It was observed that in the telephone follow-up and in the home visit, the distribution of the global score presented statistically significant differences between the groups (p value ≤ 0.000) Conclusions: In the experimental group that received the "Safe Sleeping" intervention, a significant increase in knowledge and adherence to the recommendations regarding safe sleep practice was observed in relation to the comparison group. (AU)

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AIMS AND OBJECTIVES: To compare the efficacy of Chinese and French ear acupuncture in people with chronic back pain. BACKGROUND: Chronic back pain is a common public health problem worldwide. An intervention for this condition is ear acupuncture. Several approaches are used for ear acupuncture, particularly the Chinese and French guidelines. METHODS: An open, randomised and controlled clinical trial, followed the recommendations of the CONSORT Checklist. One hundred and eleven people were selected and randomised into three groups: Chinese ear acupuncture, French ear acupuncture and Control. Evaluations were performed before the first intervention session (initial), 1 week after the fifth session (final) and after a fifteen-day follow-up period (follow-up), using the Brief Pain Inventory, Rolland Morris Disability Questionnaire, and a thermal imaging camera. For data analysis, the Generalized Estimating Equation Model was applied, with significance level set at 5%. RESULTS: Pain severity was significantly decreased by Chinese ear acupuncture throughout intervention period. Both types of ear acupuncture affected pain interference with daily activities. However, in the comparison between initial and final evaluations, only Chinese ear acupuncture produced statistically significant results. A reduction in physical disability was observed in both ear acupuncture-treated groups during the intervention period and, although Chinese ear acupuncture failed to induce significant changes in tissular temperature at individual time points, a significant increase in cutaneous temperature was detected after the follow-up period in the dorsal region of individuals treated with Chinese ear acupuncture. Importantly, at this time point, the mean difference between Chinese and French ear acupuncture revealed a more benefic effect of Chinese procedure on this parameter. CONCLUSIONS: The individualised treatment based on the Chinese precepts showed, in an overall evaluation, better results for management of chronic back pain in the present study. RELEVANCE TO CLINICAL PRACTICE: Ear acupuncture can be implemented in the nurse's clinical practice to assist the treatment of people with chronic back pain.

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AIMS AND OBJECTIVES: To assess the intensity and frequency of pain, use of analgesic drugs, and the incidence of paraesthesia, urinary retention and vascular complications upon decreasing affected limb immobilisation from 4-2 hrs after sheath removal in patients submitted to transfemoral percutaneous coronary intervention (PCI). BACKGROUND: After sheath removal from the femoral artery following urgent or emergency PCI, patients are maintained with limb immobilisation for a mean period of 4 hr. DESIGN: Randomised clinical trial (RCT) based on the CONSORT guidelines. METHOD: Randomised clinical trial was performed in patients with Acute Coronary Syndrome submitted to transfemoral PCI. The intervention group was submitted to a supine position with the head of the bed elevated (30-degree angle) with affected limb immobilisation for 2 hr after sheath removal and the control group for 4 hrs. The outcomes were pain complaints, need for analgesic drugs, incidence of paraesthesia, urinary retention and vascular complications. The outcomes were assessed immediately, 6, 12 and 24 hr after release from limb immobilisation before the patients were released from bed rest. RESULTS: A total of 150 patients (75 in each group) participated in the study. No significant differences in outcomes were observed between the groups, except in relation to the haematoma formation that was higher in the intervention group. CONCLUSION: A reduced length of limb immobilisation after sheath removal following PCI does not change the frequency and intensity of pain, need of analgesic drugs, urinary retention and paraesthesia. The incidence of haematoma was higher in the intervention group, without significant clinical manifestations. RELEVANCE TO CLINICAL PRACTICE: The results of this study can be considered for patients submitted to elective, urgent or emergency PCI, who have a lower risk of complications, thereby allowing for decreased periods of limb immobilisation.

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Introducción:La hemodiálisis es el método más común para tratar la insuficiencia renal avanzada y permanente. La afectación está determinada por los cambios asociados a la enfermedad, pero se ve influida por múltiples factores, entre los que destaca la respuesta emocional, por su evidencia e implicación en el estilo de vida, las relaciones personales y el afrontamiento.Objetivo:Elaborar una estrategia de intervención de Enfermería para el mejoramiento del estado emocional de los pacientes sometidos a hemodiálisis.Métodos:Se realizó un estudio descriptivo, explicativo, en un universo de 60 pacientes atendidos en el servicio de Hemodiálisis del Hospital General Ambato, las técnicas empleadas para la recolección de los datos fueron la encuestas y análisis documental siendo procesados en el programa SPSS.Resultados:Predominóen la investigación que el 66.7% no recibe información por parte del personal de enfermería sobre el proceso que está atravesando. También el 86.7% determinaron que la actuación de la familia en todos los procesos crónicos del paciente es fundamental, ya que éste presenta cambios, convirtiéndose así en un eje para la adaptación de su proceso y tratamiento. Se propusieron acciones estratégicas a cumplir por el personal de enfermería.Conclusiones:Los resultados de la investigación demostraron que las acciones del personal de enfermería fueron un factor determinante en el estado emocional del paciente hemodializado, de igual manera las relaciones familiares y de pareja. Se elaboró una estrategia de intervención de enfermería para mejorar el estado emocional de los pacientes hemodializados en el Hospital General Ambato

Introduction:Hemodialysis is the most common method to treat advanced and permanent renal failure. Affectation is determined by the changes associated with the disease, but it is influenced by multiple factors, among which the emotional response stands out, due to its evidence and involvement in lifestyle, personal relationships and coping.Objective:To develop a nursing intervention strategy to improve the emotional state of patients undergoing hemodialysis. Methods:A descriptive, explanatory study was carried out in a universe of 60 patients treated in the Hemodialysis service of the Ambato General Hospital. The techniques used to collect the data were the surveys and documentary analysis being processed in the SPSS program.Results:I predominate in the research that 66.7% does not receive information from the nursing staff about the process that is going on. Also, 86.7% determined that the action of the family in all the chronic processes of the patient is fundamental, since it presents changes, thus becoming an axis for the adaptation of its process and treatment. Strategic actions were proposed to be fulfilled by the nursing staff.Conclusions:The results of the investigation showed that the actions of the nursing staff were a determining factor in the emotional state of the hemodialysis patient, as well as the family and couple relationships. A nursing intervention strategy was developed to improve the emotional state of hemodialysis patients in the Ambato General HospitaL

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The school nurse plays a vital role in providing care and meeting the health needs of students in the school setting. Students attend school with chronic conditions and complex medical problems such as quadriplegia, cerebral palsy, spina bifida, and muscular dystrophy. It is the responsibility of the school nurse to provide appropriate assessment, early intervention, and care for children in the school environment. The purpose of this article is to review and discuss the knowledge and skills the school nurse needs to care for students with central venous lines, gastrostomy tubes, altered urinary elimination, and tracheostomies.

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Objetivo avaliar a eficácia de uma intervenção de enfermagem estruturada com base num programa psicoeducativo de gestão do estresse sobre estressores primários (sobrecarga), recursos (coping) e resultados (bem-estar emocional) do cuidador, e avaliação realizada pelos cuidadores e pelos enfermeiros sobre a ajuda da intervenção e sobre o material de apoio ao programa. Método estudo piloto com 13 cuidadores de idosos em Portugal durante 5 semanas. Realizaram-se entrevistas para avaliar a intervenção e o material de apoio. Resultados depois da intervenção, houve melhoria no coping, no bem-estar e na sobrecarga com diferença estatisticamente significativa na sobrecarga; dificuldades com a implementação da intervenção e uso do material de apoio. Conclusão os cuidadores familiares revelaram que a intervenção ajudou-os na aprendizagem de novas estratégias de coping. Por parte dos enfermeiros, a intervenção ajudou-os a conhecer as dificuldades do cuidador, facilitando a abordagem holística do cuidado centrado no cuidador e no idoso.

Objetivo evaluar la eficacia de una intervención de enfermería estructurada con base en un programa psicoeducativo de gestión del estrés sobre estresores primarios (sobrecarga), recursos (coping) y resultados (bienestar emocional) del cuidador, y evaluación realizada por cuidadores y enfermeros sobre la ayuda de la intervención y el material de apoyo al programa. Método estudio piloto con 13 cuidadores de ancianos en Portugal, durante cinco semanas. Se realizaron entrevistas para evaluar intervención y material de apoyo. Resultados después de la intervención, hubo mejora en el coping, bienestar y sobrecarga, con diferencia estadísticamente significativa en la sobrecarga; dificultades con la implementación de la intervención y uso del material de apoyo. Conclusión los cuidadores familiares revelaron que la intervención ayudó en el aprendizaje de nuevas estrategias de coping. Para los enfermeros, ayudó a conocer las dificultades del cuidador, facilitando el abordaje holístico de la atención centrada en el cuidador y anciano.

Objective assess the effectiveness of a structured nursing intervention for caregivers based on a psychoeducational stress management program in relation to primary stressors (overload), resources (coping) and results (emotional well-being), as well as an assessment by caregivers and care recipients as to the helpfulness of the intervention and the program's support material. Method a pilot study was conducted with 13 caregivers of older adults in Portugal during five weeks. Interviews were conducted to assess the intervention and support material. Results after the intervention, there was an improvement in coping, well-being and overload, with a statistically significant difference in overload; difficulties implementing the intervention and using the support material. Conclusion the family caregivers stated that the intervention helped them learn new coping strategies. On the part of the nurses, the intervention helped them understand the difficulties faced by caregivers, facilitating a holistic care approach based on the caregiver and elderly person.

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OBJECTIVE: To verify the correspondence between the priority nursing care for stroke patients treated with thrombolytic therapy and the Nursing Interventions Classification (NIC). METHODS: A cross-mapping study with a semi-structured interview was conducted with 11 expert nurses who described priority nursing care in clinical practice, and mapped it to the NIC. RESULTS: Eleven nursing care priorities cited by the nurses were mapped to eight NICs, including Thrombolytic Therapy Management (4270). CONCLUSIONS: There was correspondence between all priority nursing care interventions for stroke patients treated with thrombolytic therapy and the NIC. IMPLICATIONS FOR NURSING PRACTICE: The nursing care cited by the nurses was corroborated by the NIC, providing evidence for the clinical practice. OBJETIVO: Verificar a correspondência entre os cuidados de enfermagem prioritários a pacientes com acidente vascular encefálico tratados com terapia trombolítica e a Classificação das Intervenções de Enfermagem (NIC). MÉTODOS: Estudo de mapeamento cruzado com uma entrevista semi-estruturada aplicada a 11 enfermeiros especialistas que descreveram os cuidados de enfermagem prioritários na prática clínica, e mapeados para a NIC. RESULTADOS: Onze cuidados de enfermagem prioritários foram citados pelos enfermeiros e mapeados em oito intervenções de enfermagem NIC, incluindo a Thrombolytic Therapy Management (4270). CONCLUSÕES: Houve correspondência entre todos os cuidados de enfermagem prioritários para pacientes com acidente vascular encefálico tratados com a terapia trombolítica e as intervençães de enfermagem NIC. IMPLICAÇÕES PARA A PRÁTICA DE ENFERMAGEM: Os cuidados de enfermagem citados pelos enfermeiros foram corroborados pela NIC, produzindo evidências para a prática clínica.

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Esta investigación busca caracterizar las intervenciones de los profesionales de enfermería ante el dolor físico vivenciado por pacientes de la Unidad de Cuidado Intensivo Adulto del Hospital San Ignacio, de la ciudad de Bogotá. Estudio de enfoque cuantitativo, con diseño descriptivo e interpretativo, empleando como técnica la recolección de información a través de una lista de chequeo, que aborda tres momentos del manejo del dolor: valoración, intervención y evaluación, sustentada en los supuestos teóricos de la Teoría de Rango Medio Síntomas Desagradables. Se ejecutaron 148 listas de chequeo, de las cuales 97 fueron las que cumplieron los criterios para el análisis de cada ítem, evidenciándose la importancia de caracterizar las intervenciones del profesional de enfermería como un proceso necesario y pertinente para proporcionar una estancia de calidad al paciente, puesto que el dolor genera múltiples alteraciones en el paciente que requiere una valoración, intervención y evaluación integral, dentro de un contexto individualizado, personalizado y humanizado.

This research seeks to characterize the activities of nurses to the physical pain experienced by patients in the Adult Intensive Care Unit of the San Ignacio Hospital in Bogota. Quantitative approach study with descriptive and interpretative design, using the technique of gathering information through a checklist that addresses three moments of pain management: assessment, intervention and evaluation, based on the theoretical assumptions of the theory Midrange disagreeable symptoms. 148 checklists were implemented, of which 97 were those who met the criteria for the analysis of each item, showing the importance of characterizing the interventions of the nurse as a necessary and relevant process to provide quality patient stay, Since pain generates multiple alterations in the patient requiring an assessment, comprehensive assessment and intervention within an individualized, personalized and humanized context.

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PURPOSE: The purpose of this case study is to demonstrate how nurses who work with Haitian children and families can use NANDA-I (diagnosis), the Nursing Outcomes Classification, and the Nursing Interventions Classification to assist a 10-year-old child with symptoms of vaginitis. DATA SOURCES: The case study derives from the author's experience and literature sources. DATA SYNTHESIS: This case study demonstrates a nurse's clinical decision making while providing care to a 10-year-old girl with symptoms of vaginitis. CONCLUSIONS: Increased knowledge and awareness about appropriate health behaviors can increase patients' power and enable them to freely act and adopt health behaviors to improve health outcomes. IMPLICATIONS FOR NURSING: Placing patients at the center of the nursing process and partnering with patients to plan and develop interventions enable them to take actions and improve health outcomes.

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Mediante un estudio cuasiexperimental se buscó determinar si la entrevista motivacionalcomo intervención de enfermería es efectiva para promover el autocuidado enlos pacientes con insuficiencia cardiaca de un hospital de cuarto nivel de Bogotá entreenero y mayo del 2012. Con una muestra de 21 pacientes a quienes se les realizarondos mediciones del autocuidado, una basal y otra posterior a la implementación dela entrevista motivacional y el seguimiento telefónico (realizado 15 días después de laprimera medición), se determinó si existió o no mejoría, utilizando como instrumento laEscala Europea de Autocuidado (EEA), la cual considera tres categorías: cumplimientodel régimen terapéutico, capacidad de adaptación a la enfermedad y búsqueda deayuda ante la exacerbación de los síntomas. Al emplear la prueba no paramétrica delsigno que está centrada en la mediana, se obtuvo una probabilidad de 0,0207 (menorque 0,05), por lo que se infiere que la entrevista motivacional como intervención de enfermeríaes efectiva. De acuerdo con los tres parámetros de la EEA, se evidenció un aumentoglobal en el autocuidado, de medio a alto. La entrevista motivacional logró quelos participantes del estudio realizaran actividades que favorecieran el autocuidado, loque permitió que ellos mismos reconocieran qué era benéfico para su salud o qué no.Palabras clave: efectividad, entrevista motivacional, intervención de enfermería, autocuidado,insuficiencia cardiaca...

By way of a quasi-experimental study it was attempted to determine whether motivationalinterviews as a nursing intervention were effective in promoting self-careamongst patients with heart failure in a fourth-level hospital in Bogotá, betweenJanuary and May 2012. Two self-care assessments, a base one and a later one afterthe implementation of motivational interviews and telephone monitoring (15 days afterthe first assessment) were carried out among a sample of 21 patients. The degree ofimprovement was then calculated according to the European Heart Failure Self-CareBehaviour Scale (EHFScBS), which considers three categories: compliance with thetherapeutic regimen, capability of adaptation to the disease and looking for help whensymptoms aggravate. Applying the non-parametrical signed-rank test, which is centredin the median, we obtained a probability of 0.0207 (less than 0.05), and it is thus to beinferred that the motivational interview as a nursing intervention is effective. Accordingto the EHFScBS’ three parameters, a general increase in self-care was observed, frommedium to high. Motivational interviews brought the participants to implement activitiesthat favour self-care, which allowed them to determine by themselves what was orwas not beneficial to their health...

Mediante estudo quasi-experimental procurou-se determinar se a entrevista motivacionalcomo intervenção de enfermagem é efetiva para promover o auto-cuidado empacientes com insuficiência cardíaca de um hospital de nível quarto em Bogotá entrejaneiro e maio do ano 2012. Com uma amostra de 21 pacientes a quem se realizou duasmedições do auto-cuidado, uma basal e outra posterior à implementação da entrevistamotivacional e o seguimento telefônico (realizado 15 dias após a primeira medição),determinou-se se existiu ou não melhoramento, utilizando como instrumento a EscadaEuropeia de Auto-cuidado (EEA), a qual considera três categorias: cumprimentodo regime terapêutico, capacidade de adaptação à doença e procura de ajuda ante aexacerbação dos sintomas. Ao empregar a proba não paramétrica do signo que estácentrada na mediana, obteve-se uma probabilidade de 0,0207 (menor que 0,05), peloque se infere que a entrevista motivacional como intervenção de enfermagem é efetiva.De acordo com os três parâmetros da EEA, evidenciou-se um aumento global no autocuidado,de meio para alto. A entrevista motivacional conseguiu que os participantes doestudo realizassem atividades que favorecessem o autocuidado, o que permitiu que elespróprios reconhecessem o que era benéfico para a sua saúde e o que não...

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La neumonía asociada a ventilación mecánica (NAVM) es una de las infecciones intrahospitarlarias de mayor prevalencia en las unidades de cuidado intensivo, lo que a su vez contribuye a un aumento en las tasas de morbimortalidad, estancia hospitalaria y, por consiguiente, incremento en los costos hospitalarios. Por ser una proceso patológico que se desarrolla intrahospitalariamente y constituye una entidad prevenible, el profesional de enfermería desempeña un papel protagónico en liderar y desarrollar intervenciones de cuidado oporunas que prevengan la aparición de NAVM y la trasmisión cruzada a optimizar el uso de los dispositivos invasivos. Con lo anterior, en este artículo se revisa el contexto epidemiológico de la NAVM y las diferentes intervenciones de cuidado (farmacológicas y formativas) realizadas o lideradas por el profesional de enfermería...

Ventilator-associated pneumonia (VAP) is one of the most prevalent hospital-acquired infections in intensive care units, which in turn contributes to increases in morbidity and mortality rates, hospital stay and, therefore, hospital costs. Given that VAP is a pathological process that develops in the hospital and it is considered a preventableentity, the Nurse Practitioner plays a key role in leading and developing appropriate care interventions to prevent its occurrence and cross-trans mission, and to optimize the use of invasive devices. In the light of the above, this article reviews the epidemiological context of VAP and the different care interventions (pharmacological and formative) conducted or led by the nursing personnel…

A pneumonía associada á ventilacáo mecánica (PAVM) é urna das infeccóes intra-hospitalares de maior prevaléncia ñas unidades de cuidado intensivo, o que por sua vez contribuí a um aumento ñas taxas de morbi-mortalidade, internacáo hospitalar e, por conseguinte, aumento nos custos hospitalares. Por ser um processo patológico que se desenvolve intra hospitalarmente e constitui-se urna entidade evitável, o profissional de enfermagem desempenha um papel central em liderar e desenvolver intervencóes de cuidado oportunas que previnam a aparicáo da PAVM e a transmissáo cruzada e a otimizar o uso dos dispositivos invasivos. Com o anterior, neste artigo se revisa o contexto epidemiológico da PAVM e as diferentes intervencóes de cuidado (farmacológicas e formativas) realizadas ou lideradas pelo profissional de enfermagem…

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Introducción: El cuidado familiar de personas con enfermedad crónica ha emergido durante los últimos años como un importante problema social, generando cambios en las familias, donde se destaca la figura del cuidador principal quien es la persona familiar o cercana que se ocupa de brindar de forma prioritaria apoyo tanto físico como emocional a otro de manera permanente y comprometida el cual se convierte en un enfermo secundario ya que se ve expuesto a una elevada carga física y psíquica. Objetivo: determinar la eficacia de la intervención de enfermería apoyo al cuidador principal en cuidadores de enfermos crónicos con diagnóstico de enfermería cansancio del rol del cuidador. Métodos: Se realizó un ensayo clínico controlado, aleatorio, doblemente enmascarado. La población objeto fueron cuidadores principales de personas con enfermedades crónicas que recibieron atención en el Hospital Universitario de Santander; el tamaño de la muestra fue de 30 personas, los cuales fueron asignados aleatoriamente por bloques, y de los cuales 10 cuidadores fueron para el grupo intervenido y 20 para el grupo no intervenido, el análisis de datos se realizó por medio del análisis de covarianza y el número necesario para tratar. Resultados: se encontró un efecto de 0.5, estadísticamente significativo, en la etiqueta de resultado bienestar del cuidador al comparar el grupo control con el grupo intervenido y a favor de este último. Conclusiones: la intervención de enfermería realizada es eficaz para el diagnóstico de enfermería cansancio del rol del cuidador y tienen un importante impacto, demostrando que se obtienen resultados positivos cuando se aplican en un solo individuo(AU)

Introduction: The family care of persons presenting with a chronic disease appeared over past years as an important social problem leading to changes in families, where the role of the main carers is notable who is a family member or a relative offering in a priority way a permanent and involved a physical or emotional support to another person who became a secondary patient since is exposed to a high physical and psychic burden. Objective: To determine the effectiveness of nursing intervention related to the support to the main patient's carers wearing of its role. Methods: A double-blind, randomized, controlled and clinical trial of persons presenting with chronic diseases treated and cared in the University Hospital of Santander, Spain; sample included 30 persons who were random allocated to by blocks where 10 carers were in the intervention group and 20 for the non-intervention group; data analysis was made by covariance method and the number necessary to be treated. Results: There was an statistically significant effect of 0,5 in the result of carer wellbeing label comparing the control group with the intervention group one favoring this latter. Conclusions: The disease intervention carried out is effective for nursing diagnosis related to the role of a tired carer with an important impact, demonstrating that it is possible to achieve positive results when it is applied in an only subject(AU)

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As alterações próprias do avançar dos anos sobre o organismo humano,ou seja, as modificações fisiológicas são diversas e atingemvários órgãos e funções. Este estudo teve como objetivo identificardiagnósticos e intervenções de enfermagem, relacionados com asalterações de pele do idoso próprias do processo de envelhecimento.Utilizou-se o método da Revisão Integrativa (RI). A buscade artigos científicos foi realizada nas bases de dados CINAHL, LILACS,MEDLINE e SCIELO a partir dos descritores (Decs) diagnósticosde enfermagem, idoso e pele. Selecionaram-se 16 artigos, nosquais foram identificados 22 diagnósticos de enfermagem, 36 intervençõese 15 alterações da pele relacionadas ao envelhecimentocutâneo. Os diagnósticos prevalentes nos achados da RI foram:mobilidade física prejudicada (62,50%); integridade tissular prejudicada(50%); nutrição desequilibrada: menos do que as necessidadescorporais (43,75%) e risco de infecção (43,75%). Foramidentificadas intervenções de enfermagem como: promover/estimulara mobilização (37,5%); inspecionar a pele (31,25%) e observarsinais de infecção (25%). As alterações de pele prevalentes identificadasforam: pele rompida (50%), diminuição da perfusão tissularperiférica (25%) e pele ressecada (37,50%). A formulação de diagnósticosde enfermagem, seguida pela proposição de intervençõesrelacio nadas com alterações cutâneas foi verificada em 50% dosartigos selecionados. Nos demais artigos (50%), não se observoua determinação desses passos do processo de enfermagem. Osresultados da RI permitiram considerar que as alterações fisiológicasda pele do idoso devem ser observadas na formulação de diagnósticose intervenções de enfermagem e que o processo de enfermagemdeve ser utilizado como ferramenta na avaliação de saúde doidoso, pois possibilita o adequado planejamento do cuidado.

Alterations pertaining to the aging process of the human organism,that is, physiological changes, are diverse and act upon several organsand functions. This paper aims to identify nursing diagnosesand interventions related to the elderly skin pertaining to the agingprocess. We used the Integrated Revision (RI) method. The researchto find relevant scientific papers was made in the CINAH, LILACS,MEDLINE and SCIELO databases, using the descriptors (Decs) nursingdiagnoses, elder and skin. We selected 16 papers, in which 22nursing diagnoses, 36 interventions and 15 skin alterations relatedto cutaneous aging were identified. Prevalent diagnoses in the researchedpapers were: impaired physical mobility (62.5%); impairedtissue integrity (50%); imbalanced nutrition: less than body requirements(43.75%) and risk of infection (43.75%). Nursing interventionswere identified, such as: promoting/stimulating mobility (37.5%); inspectingthe skin (31.25%) and observing for signs of infection (25%).Prevailing skin alterations identified were: broken skin (50%), decreasein peripheral tissue infusion (25%) and dry skin (37.5%). Formulationof nursing diagnoses, followed by the proposal of interventionsrelated to skin changes were found in 50% of the selected papers. Inthe others (50%), we did not find these steps of the nursing process.The results of the RI allowed us to consider that physiological alterationsof the elder’s skin must be taken into account when makingnursing diagnoses and interventions and that the nursing processmust be used as a tool when evaluating the elder’s health, as longas it makes possible the adequate planning of care.

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As alterações próprias do avançar dos anos sobre o organismo humano,ou seja, as modificações fisiológicas são diversas e atingemvários órgãos e funções. Este estudo teve como objetivo identificardiagnósticos e intervenções de enfermagem, relacionados com asalterações de pele do idoso próprias do processo de envelhecimento.Utilizou-se o método da Revisão Integrativa (RI). A buscade artigos científicos foi realizada nas bases de dados CINAHL, LILACS,MEDLINE e SCIELO a partir dos descritores (Decs) diagnósticosde enfermagem, idoso e pele. Selecionaram-se 16 artigos, nosquais foram identificados 22 diagnósticos de enfermagem, 36 intervençõese 15 alterações da pele relacionadas ao envelhecimentocutâneo. Os diagnósticos prevalentes nos achados da RI foram:mobilidade física prejudicada (62,50%); integridade tissular prejudicada(50%); nutrição desequilibrada: menos do que as necessidadescorporais (43,75%) e risco de infecção (43,75%). Foramidentificadas intervenções de enfermagem como: promover/estimulara mobilização (37,5%); inspecionar a pele (31,25%) e observarsinais de infecção (25%). As alterações de pele prevalentes identificadasforam: pele rompida (50%), diminuição da perfusão tissularperiférica (25%) e pele ressecada (37,50%). A formulação de diagnósticosde enfermagem, seguida pela proposição de intervençõesrelacio nadas com alterações cutâneas foi verificada em 50% dosartigos selecionados. Nos demais artigos (50%), não se observoua determinação desses passos do processo de enfermagem. Osresultados da RI permitiram considerar que as alterações fisiológicasda pele do idoso devem ser observadas na formulação de diagnósticose intervenções de enfermagem e que o processo de enfermagemdeve ser utilizado como ferramenta na avaliação de saúde doidoso, pois possibilita o adequado planejamento do cuidado.(AU)

Alterations pertaining to the aging process of the human organism,that is, physiological changes, are diverse and act upon several organsand functions. This paper aims to identify nursing diagnosesand interventions related to the elderly skin pertaining to the agingprocess. We used the Integrated Revision (RI) method. The researchto find relevant scientific papers was made in the CINAH, LILACS,MEDLINE and SCIELO databases, using the descriptors (Decs) nursingdiagnoses, elder and skin. We selected 16 papers, in which 22nursing diagnoses, 36 interventions and 15 skin alterations relatedto cutaneous aging were identified. Prevalent diagnoses in the researchedpapers were: impaired physical mobility (62.5%); impairedtissue integrity (50%); imbalanced nutrition: less than body requirements(43.75%) and risk of infection (43.75%). Nursing interventionswere identified, such as: promoting/stimulating mobility (37.5%); inspectingthe skin (31.25%) and observing for signs of infection (25%).Prevailing skin alterations identified were: broken skin (50%), decreasein peripheral tissue infusion (25%) and dry skin (37.5%). Formulationof nursing diagnoses, followed by the proposal of interventionsrelated to skin changes were found in 50% of the selected papers. Inthe others (50%), we did not find these steps of the nursing process.The results of the RI allowed us to consider that physiological alterationsof the elder’s skin must be taken into account when makingnursing diagnoses and interventions and that the nursing processmust be used as a tool when evaluating the elder’s health, as longas it makes possible the adequate planning of care.(AU)

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Introducción: El embarazo y el parto son etapas en la vida de las mujeres que dejan una huella sin precedentes, cuya experiencia tiene que ver con el impacto de diversas situaciones que giran en torno a ello. La enfermera desarrolla actividades en torno a este acontecimiento, las cuáles deben de enfocarse holísticamente para proporcionar un cuidado de calidad. Objetivo: Conocer la percepción de las mujeres en trabajo a través de su propio discurso sobre las intervenciones de enfermería que se realizan durante esta etapa. Metodología: Estudio cualitativo en el marco de la fenomenología interpretativa. Obteniendo los datos con la observación y una entrevista semi-estructurada con 3 mujeres. Teniendo como instrumento una guía de preguntas tema. Hallazgos y Discusión: Se encontraron las categorías de: Violencia, abandono, falta de información, falta de competencia relacional, objetivación del cuerpo, atención de rutina y percepción de las intervenciones. Esto apoya lo investigado por Armellini y Luz (2003) que realizaron un estudio en Brasil, también fue encontrado en el estudio realizado por Tumblin A, P Simkin en su investigación cuantitativa "Las percepciones de las mujeres embarazadas sobre el papel de la enfermera durante el trabajo de parto y el parto" para conocer las expectativas y percepciones de mujeres acerca de la atención hospitalaria durante el parto. Conclusión: Las mujeres comentaron haberse sentido como animales, abandonadas, violentadas tanto físicas como verbalmente etc., y que ni siquiera fueron merecedoras de la más mínima información acerca de su trabajo de parto. Introducción: El embarazo y el parto son etapas en la vida de las mujeres que dejan una huella sin precedentes, cuya experiencia tiene que ver con el impacto de diversas situaciones que giran en torno a ello. La enfermera desarrolla actividades en torno a este acontecimiento, las cuáles deben de enfocarse holísticamente para proporcionar un cuidado de calidad. Objetivo: Conocer la percepción de las mujeres en trabajo a través de su propio discurso sobre las intervenciones de enfermería que se realizan durante esta etapa. Metodología: Estudio cualitativo en el marco de la fenomenología interpretativa. Obteniendo los datos con la observación y una entrevista semi-estructurada con 3 mujeres. Teniendo como instrumento una guía de preguntas tema. Hallazgos y Discusión: Se encontraron las categorías de: Violencia, abandono, falta de información, falta de competencia relacional, objetivación del cuerpo, atención de rutina y percepción de las intervenciones. Esto apoya lo investigado por Armellini y Luz (2003) que realizaron un estudio en Brasil, también fue encontrado en el estudio realizado por Tumblin A, P Simkin en su investigación cuantitativa "Las percepciones de las mujeres embarazadas sobre el papel de la enfermera durante el trabajo de parto y el parto" para conocer las expectativas y percepciones de mujeres acerca de la atención hospitalaria durante el parto. Conclusión: Las mujeres comentaron haberse sentido como animales, abandonadas, violentadas tanto físicas como verbalmente etc., y que ni siquiera fueron merecedoras de la más mínima información acerca de su trabajo de parto.

Introduction: Pregnancy and childbirth are stages in the lives of women who leave an unprecedented footprint, whose experience has to do with the impact of various situations that revolve around it. The nurse develops activities around this event, which must be approached holistically to provide quality care. Objective: To know the perception of women in work through their own discourse on nursing interventions that are carried out during this stage. Methodology: Qualitative study within the framework of interpretive phenomenology. Obtaining data with observation and a semi-structured interview with 3 women. Having as a tool a guide of questions subject. Findings and Discussion: The following categories were found: Violence, abandonment, lack of information, lack of relational competence, objectification of the body, routine attention and perception of the interventions. This supports what was researched by Armellini and Luz (2003) who conducted a study in Brazil, was also found in the study conducted by Tumblin A, P Simkin in his quantitative research "Perceptions of pregnant women about the role of the nurse during the labor and delivery "to know the expectations and perceptions of women about hospital care during childbirth. Conclusion: The women commented having felt like animals, abandoned, violated both physically and verbally, etc., and that they were not even worthy of the slightest information about their labor. Introduction: Pregnancy and childbirth are stages in the lives of women who leave an unprecedented footprint, whose experience has to do with the impact of various situations that revolve around it. The nurse develops activities around this event, which must be approached holistically to provide quality care. Objective: To know the perception of women in work through their own discourse on nursing interventions that are carried out during this stage. Methodology: Qualitative study within the framework of interpretive phenomenology. Obtaining data with observation and a semi-structured interview with 3 women. Having as a tool a guide of questions subject. Findings and Discussion: The following categories were found: Violence, abandonment, lack of information, lack of relational competence, objectification of the body, routine attention and perception of the interventions. This supports what was researched by Armellini and Luz (2003) who conducted a study in Brazil, was also found in the study conducted by Tumblin A, P Simkin in his quantitative research "Perceptions of pregnant women about the role of the nurse during the labor and delivery "to know the expectations and perceptions of women about hospital care during childbirth. Conclusion: The women commented having felt like animals, abandoned, violated both physically and verbally, etc., and that they were not even worthy of the slightest information about their labor.

Introdução: A gravidez eo parto são etapas na vida de mulheres que deixam uma marca sem precedentes, cuja experiência tem a ver com o impacto de várias situações que giram em torno dele. O enfermeiro desenvolve atividades em torno deste evento, que deve ser abordado de forma holística para oferecer um atendimento de qualidade. Objetivo: Conhecer a percepção das mulheres no trabalho por meio de seus próprios discursos sobre as intervenções de enfermagem que são realizadas durante essa etapa. Metodologia: Estudo qualitativo no âmbito da fenomenologia interpretativa. Obtenção de dados com observação e entrevista semiestruturada com 3 mulheres. Tendo como ferramenta um guia de questões sujeito. Constatações e Discussão: violência, negligência, falta de informação, falta de competência relacional, objetificação do corpo, cuidados de rotina e percepção de intervenções: as categorias foram encontrados. Isso apóia a investigação por Armellini e Light (2003) que realizou um estudo no Brasil, também foi encontrado no estudo de Tumblin A, P Simkin em sua pesquisa quantitativa "Percepções de mulheres grávidas sobre o papel do enfermeiro durante o trabalho de parto e parto "para conhecer as expectativas e percepções das mulheres sobre o atendimento hospitalar durante o parto. Conclusão: As mulheres se sentiram como animais comentou, abandonado, você abusado verbalmente fisicamente e etc., e não foram sequer digno da menor informação sobre o seu trabalho. Introdução: A gravidez eo parto são etapas na vida de mulheres que deixam uma marca sem precedentes, cuja experiência tem a ver com o impacto de várias situações que giram em torno dele. O enfermeiro desenvolve atividades em torno deste evento, que deve ser abordado de forma holística para oferecer um atendimento de qualidade. Objetivo: Conhecer a percepção das mulheres no trabalho por meio de seus próprios discursos sobre as intervenções de enfermagem que são realizadas durante essa etapa. Metodologia: Estudo qualitativo no âmbito da fenomenologia interpretativa. Obtenção de dados com observação e entrevista semiestruturada com 3 mulheres. Tendo como ferramenta um guia de questões sujeito. Constatações e Discussão: violência, negligência, falta de informação, falta de competência relacional, objetificação do corpo, cuidados de rotina e percepção de intervenções: as categorias foram encontrados. Isso apóia a investigação por Armellini e Light (2003) que realizou um estudo no Brasil, também foi encontrado no estudo de Tumblin A, P Simkin em sua pesquisa quantitativa "Percepções de mulheres grávidas sobre o papel do enfermeiro durante o trabalho de parto e parto "para conhecer as expectativas e percepções das mulheres sobre o atendimento hospitalar durante o parto. Conclusão: As mulheres se sentiram como animais comentou, abandonado, você abusado verbalmente fisicamente e etc., e não foram sequer digno da menor informação sobre o seu trabalho.

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