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A ozonioterapia engloba o emprego do gás no setor saúde, advindo de suas características analgésicas, imunomoduladoras, antimicrobianas e imunoestimulantes, o que possibilita que ele atue no enfrentamento de inúmeras patologias. O uso do ozônio tem ocorrido nas áreas de Medicina e de Odontologia, advindo do fato de que esse gás é empregado sob concentrações baixas, o que caracteriza esse tipo de terapia como sendo um recurso seguro, que deve proceder por intermédio da aplicação efetuada por um profissional de saúde apto e capacitado para tal. O objetivo do presente artigo foi evidenciar como a ozonioterapia pode ser aplicada em âmbito odontológico. Em Odontologia, pode-se efetuar terapia com esse gás nas áreas de Periodontia, Dentística, Cirurgia e Endodontia. Sua aplicabilidade odontológica advém de suas propriedades antimicrobianas, curativas e imunometabólicas. A ozonioterapia corretamente aplicada e selecionada para uso odontológico pode possibilitar condições de obter-se um melhor desfecho no tratamento preconizado aos pacientes.
Ozone therapy encompasses the use of gas in the health sector, arising from its analgesic, immunomodulatory, antimicrobial and immunostimulant characteristics, which allows it to act in the fight against numerous pathologies. The use of ozone has occurred in the areas of Medicine and Dentistry, arising from the fact that this gas is used at low concentrations, which characterizes this type of therapy as a safe resource, which must proceed through the application carried out by a qualified and qualified health professional. The objective of this article was to show how ozone therapy can be applied in the dental field. In Dentistry, therapy with this gas can be carried out in the areas of Periodontics, Dentistry, Surgery and Endodontics. Its dental applicability comes from its antimicrobial, curative and immunometabolic properties. Ozone therapy correctly applied and selected for dental use can enable conditions to obtain a better outcome in the treatment recommended for patients.
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Terapias Complementares , Assistência Odontológica , Odontologia , OzonioterapiaRESUMO
Objective: To evaluate the effect of laser auriculotherapy on health-related quality of life, cancer-related fatigue, and anxiety in women with advanced breast cancer undergoing palliative chemotherapy. Method: A randomized, parallel, single-blind, single-center clinical trial was conducted in a Brazilian oncology referral hospital. A total of 123 women were randomly divided into groups: 41 in the experimental group (10 weekly laser auriculotherapy sessions), 40 in the sham group (10 weekly sham sessions), and 42 in the control group. Outcomes were assessed at baseline, 5th week, and 11th week, using the Quality of Life Questionnaire Core-30, Functional Assessment of Cancer Therapy: Fatigue and State-Trait Anxiety Inventory. Statistical analyses included Kruskal-Wallis, Mann-Whitney, and Friedman tests. Results: The experimental group exhibited the highest mean overall quality of life, with a significant increase (p < 0.000001) between the second and third evaluations and a significant improvement in fatigue between the second and third evaluations (p = 0.00001). Conversely, women in the sham and control groups experienced a decline and worsening in both their quality of life and fatigue. Women in all three groups showed reduction an anxiety. Changes in anxiety in these women were not statistically significant. Conclusions: reduction improvement in health-related quality of life and a reduction in cancer-related fatigue in the experimental group. These results show a positive effect of auriculotherapy on cancer-related fatigue, demonstrating potential for application in clinical practice in women with advanced breast cancer and in palliative chemotherapy. Brazilian Registry of Clinical Trials: RBR-6hxffx4.
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Mind-body interventions have been explored to enhance the psychological well-being of dementia caregivers; however, the specific effects of yoga practice remain underexamined. Objective: The aim of this study was to investigate the benefits of yoga on quality of life (QoL), life satisfaction, psychological well-being, attention, self-compassion, perceived stress, anxiety, depression, and caregiver burden for dementia caregivers. Methods: A comprehensive search was conducted on September 11, 2024, in databases including SciELO, PubMed, BVSalud, Web of Science, Embase, and PsycINFO, focusing on the effects of yoga for informal dementia caregivers compared to passive or active control groups through randomized and non-randomized trials. An initial review reduced 284 to 180 unique records; 172 studies were excluded, leaving 8 that met the inclusion criteria. Two authors independently selected and extracted data using a data extraction sheet based on the Cochrane Consumers and Communication Review Group. The Cochrane Risk of Bias tools (ROB2 and ROBINS-I) were employed to evaluate bias risk. Results: The review included three randomized and five non-randomized studies with a total of 161 participants, predominantly female (wives and daughters), with ages ranging from 39 to 76 years. Four studies utilized hatha yoga, while four employed non-traditional yoga. Significant improvements were observed in QoL, depression, stress, anxiety, and self-compassion, but not in caregiver burden. Furthermore, positive effects were more pronounced in face-to-face or online interventions than in recorded videos. On average, studies exhibited a moderate risk of bias. Conclusion: Yoga practice can serve as an effective intervention for enhancing the psychological aspects of dementia caregivers.
Intervenções mente-corpo têm sido amplamente investigadas para melhorar aspectos psicológicos dos cuidadores de pessoas com demência. No entanto, a prática de yoga carece de análise aprofundada. Objetivo: Investigar os benefícios da yoga na qualidade de vida (QV), satisfação com a vida, bem-estar psicológico, atenção, autocompaixão, estresse percebido, ansiedade, depressão e sobrecarga do cuidador. Métodos: Foi realizada uma pesquisa em bancos de dados como SciELO, PubMed, Bvsalud, Web of Science, Embase e PsycINFO, focando no efeito da yoga para cuidadores informais de demência em comparação a grupos passivos ou ativos, através de estudos randomizados e não randomizados. A última busca foi rodada dia 11/09/2024. A revisão inicial reduziu 284 registros para 180, 172 foram excluídos, restando 8 que atenderam aos critérios de inclusão. Dois autores, independentemente, selecionaram e extraíram dados dos estudos incluídos usando uma planilha baseada no Cochrane Consumers and Communication Review Group. O risco de viés foi avaliado com as ferramentas Cochrane Risk of Bias (ROB2 e ROBINS-I). Resultados: Foram incluídos três estudos randomizados e cinco não randomizados, com 161 participantes, cuja idade média variou de 39 a 76 anos, a maioria do sexo feminino (esposas e filhas). Quatro estudos utilizaram hatha yoga e quatro, yoga não tradicional. Resultados significativos foram observados em QV, depressão, estresse, ansiedade e autocompaixão, mas não na sobrecarga do cuidador. Intervenções presenciais ou online mostraram resultados mais expressivos que vídeos gravados. O risco de viés foi moderado. Conclusão: A prática de yoga pode ser uma intervenção eficaz para melhorar aspectos psicológicos dos cuidadores.
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Introdução: No Brasil, as Práticas Integrativas e Complementares em Saúde (PICS) são abordagens terapêuticas que são oferecidas de forma integrada com a medicina convencional pelo Sistema Único de Saúde (SUS). Objetivo: Identificar o conhecimento, a percepção e o interesse de diferentes profissionais da Estratégia Saúde da Família (ESF) pelas PICS. Métodos: Estudo transversal observacional quantitativo realizado no período de julho a outubro de 2022. Foram avaliados 310 profissionais médicos, enfermeiros e dentistas de 53 unidades da ESF. Os participantes responderam a um questionário autoaplicável, semiestruturado, contendo sete questões relacionadas com o perfil da amostra (sexo, idade, estado civil, formação, tempo de formado, pós-graduação e tempo de serviço público); quatro relativas ao conhecimento (sobre PICS no curso de graduação, capacitação e/ou especialização, sobre Acupuntura, Homeopatia, Medicina Antroposófica e sobre a Política Nacional de Práticas Integrativas e Complementares PNPIC); seis questões sobre a percepção geral (eficiência das PICS, inclusão nos cursos de saúde, oferta nos diferentes níveis de atenção no SUS e no local de trabalho atual, inclusão das PICS no SUS e contribuição na vida profissional); e duas acerca do interesse pelo tema (interesse da comunidade e interesse dos profissionais em ter mais informações). Foram realizadas análises descritivas dos dados no programa R Core Team (2022). O teste χ2 e o teste Exato de Fisher foram utilizados para analisar as associações com a formação dos profissionais. Resultados: Do total da amostra, 79,4% era do sexo feminino, com idade média de 40,6 anos, e 54,2% era casada; 43,2% era enfermeira, 29,7% médica e 27,1% cirurgião-dentista; 72,6% tinha pós-graduação. A maioria (66,5%) não conhecia a PNPIC; considerou que as PICS são eficientes (81,6%), concorda com a inclusão das PICS no SUS (94,2%) e gostaria de obter mais conhecimento (91,3%). Não houve associação significante entre as respostas dos profissionais sobre as PICS e a formação do profissional (p>0,05). Conclusões: A formação acadêmica dos profissionais não influenciou o conhecimento e o interesse pelas PICS. Os profissionais reconhecem a eficácia dessas práticas, acreditam que devem ser ofertadas no SUS e demonstram interesse em aumentar seu conhecimento. A Acupuntura foi a prática mais conhecida, mas é pouco aplicada na Atenção Primária à Saúde (APS).
Introduction: In Brazil, Integrative and Complementary Practices Health (PICS) are therapeutic approaches offered in conjunction with conventional medicine through the Unified Health System (SUS). Objective: To identify the knowledge, perception, and interest of different professionals in the Family Heath Strategy regarding PICS. Methods: This quantitative observational cross-sectional study was conducted from July to October 2022. A total of 310 medical doctors, nurses and dentists from 53 Family Health Strategy units were evaluated. Participants answered a self-administered, semi-structured questionnaire containing seven questions related to the sample profile (sex, age, marital status, training, time since graduation, postgraduate education, public service time); four questions related to knowledge (about PICS in the undergraduate course, training and/or specialization, Acupuncture, Homeopathy, Anthroposophical Medicine, and the National Policy for Integrative and Complementary Practices (PNPIC)); six questions on general perception (PICS effectiveness, inclusion in health courses, availability at different levels of care in SUS and current workplace, inclusion of PICS in SUS and contribution to professional life) and two questions about interest in the topic (community interest and professional interest in obtaining more information). Descriptive data analyzed were performed using the R Core Team software (2022). The chi-square and Fisher's exact tests were used to analyze associations with professionals' education. Results: Of the sample, 79.4% were female, with mean age of 40.6 years, and 54.2% were married; 43.2% were nurses, 29.7% were medical doctors, and 27.1% were dentists; and 72.6% had postgraduate education. The majority (66.5%) were not familiar with the PNPIC; 1.6% considered PICS to be effective, 92.4% agreed with the inclusion of PICS in SUS, and 91.3% expressed a desire to obtain further knowledge in this field. There was no significant association between professionals' responses about PICS and professional training (p>0.05). Conclusions: Academic training did not influence professionals' knowledge and interest in PICS. Professionals recognize the efficacy of these practices, believe they should be offered in SUS, and demonstrate interest in increasing their knowledge. Acupuncture is a well-known practice, although it is seldom applied in primary health care.
Introducción: En Brasil, las Prácticas Integrativas y Complementarias en Salud (PICS) son enfoques terapéuticos ofrecidos junto con la medicina convencional a través del Sistema Único de Salud (SUS). Objetivo: Identificar el conocimiento, la percepción y el interés de diferentes profesionales de la Estrategia Salud de la Familia hacia las PICS. Métodos: Estudio observacional transversal cuantitativo realizado de julio a octubre de 2022. Se evaluaron 310 médicos, enfermeros y dentistas de 53 unidades de la Estrategia Salud de la Familia. Los participantes completaron un cuestionario autoaplicable, semiestructurado, que contenía siete preguntas relacionadas con el perfil de la muestra (sexo, edad, estado civil, formación, tiempo desde la graduación, estudios de posgrado, tiempo de servicio público); cuatro preguntas relacionadas con el conocimiento (sobre PICS en el curso de pregrado, capacitación y/o especialización, Acupuntura, Homeopatía, Medicina Antroposófica y la Política Nacional de Prácticas Integrativas y Complementarias (PNPIC)); seis preguntas sobre la percepción general (eficiencia de las PICS, inclusión en los cursos de salud, oferta en los diferentes niveles de atención en el SUS y en el lugar de trabajo actual, inclusión de las PICS en el SUS y contribución a la vida profesional); y dos preguntas sobre el interés en el tema (interés de la comunidad e interés de los profesionales en obtener más información). Se realizaron análisis descriptivos de los datos en el programa R Core Team (2022). Se utilizaron pruebas de Chi-cuadrado y exacta de Fisher para analizar las asociaciones con la formación de los profesionales. Resultados: El 79,4% de la muestra era de sexo femenino, con una edad media de 40,6 años y el 54,2% estaban casados; el 43,2% eran enfermeros, el 29,7% médicos y el 27,1% dentistas; el 72,6% tenía estudios de posgrado. La mayoría (66,5%) no conocía la PNPIC; el 81,6% consideraba que las PICS son eficientes, el 94,2% estaba de acuerdo con la inclusión de las PICS en el SUS y el 91,3% expresó el deseo de adquirir más conocimientos. No hubo asociación significativa entre las respuestas de los profesionales sobre las PICS y su formación (p>0,05). Conclusiones: La formación académica no influyó en el conocimiento y el interés de los profesionales por las PICS. Los profesionales reconocen la eficacia de estas prácticas, creen que deberían ofrecerse en el SUS y demuestran interés en aumentar su conocimiento. La acupuntura fue la práctica más conocida, pero se aplica poco en la Atención Primaria de Salud (APS).
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Objective: To synthesize the knowledge published in the literature on the use of Integrative and Complementary Health Practices in Adult Intensive Care Units. Design: An integrative literature review based on Ganong's theoretical-methodological framework. Setting: Data collection was carried out in January 2023 using the descriptors Intensive Care Units and Complementary Therapies, crossed using the Boolean operator "AND". Twenty-five studies were selected and uploaded to Endnote Web. QDA Miner Lite software was used to assist in the analysis of the results. Main outcome measures: The inclusion criteria were: complete original articles, available online and detailing Integrative and Complementary Health Practices applied in the setting of Adult Intensive Care Units. Excluded works included: publications in conference and event annals; literature review articles; editorials; and study protocols. Results: The studies date back to 1994, mostly constituted by quantitative clinical trials. Music therapy was prevalent, presented fewer difficulties in application and greater acceptance by participants. The combination of complementary practices also proved to be effective. Conclusions: There is a growing interest in the application of Integrative and Complementary Health Practices (ICHPs) in the Intensive Care Unit (ICU) setting. However, more research is needed to understand the impact of each practice. Moreover, nursing is essential for the effective implementation of ICHPs.
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The therapeutic potential of medical cannabis has garnered significant attention in recent years, prompting an urgent need for a comprehensive understanding of its effectiveness across various health outcomes. This article presents an Evidence Map that systematically summarizes clinical evidence on the use of medical cannabis, including the health conditions it addresses, the interventions employed, and the resulting clinical outcomes. The objective is to map the effectiveness of medical cannabis in relation to a wide range of health outcomes. The systematic review process involved two independent, blinded literature researchers who screened the search output using Rayyan software. For studies deemed relevant, full texts were obtained to clarify inclusion or exclusion criteria, and any disagreements were resolved through group discussion. Out of 1,840 initial references, 279 potential studies were selected and read in full, resulting in the inclusion of 194 studies in this evidence map. The results highlight the use of various cannabis formulations, including those based on isolated cannabidiol (CBD). Seventy-one distinct health outcomes were identified in the systematic reviews, with the most reported outcomes being related to various types of pain and patient safety. Other frequently studied outcomes included appetite regulation, chemotherapy-induced nausea and vomiting, and muscle spasticity. Notably, 278 out of 489 descriptions of treatment effects for these health outcomes reported either "Positive" or "Potentially Positive" effects. When considering only high-quality systematic reviews, as evaluated by the AMSTAR 2 tool, 42 out of 67 descriptions of treatment effects for up to 20 health outcomes were classified as "Positive" or "Potentially Positive." These outcomes included pain, insomnia, seizures, anxiety, muscle spasticity, multiple sclerosis, urinary incontinence, anorexia, and patient safety. This evidence map provides a comprehensive overview of the current clinical evidence on medical cannabis, highlighting its potential therapeutic benefits across a range of health conditions and emphasizing the need for further high-quality research.
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In the current health context, there is a widespread increase in chronic non-communicable diseases that predominantly affect the cardiovascular system. Recent epidemiological data in Brazil indicate a rise in these diseases, which can result in severe harm to patients, including death. This study aims to present a study protocol to evaluate the effect of music in reducing anxiety and stress in patients undergoing coronary angioplasty. A randomized, controlled, double-blind clinical trial will be conducted with 52 patients undergoing coronary angioplasty. The patients will be randomly assigned to one of two groups: a Control Group or an Experimental Group, to assess the effect of music on anxiety and stress. Two key points will be considered to evaluate the intervention's impact: data on patients' anxiety and stress, collected through structured forms, will be gathered both before and after the intervention, along with an assessment of vital signs. The primary expected outcome is a reduction in anxiety and stress, while the secondary expected outcome is stability in vital signs.
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PURPOSE: Previous studies that evaluated the influence of melatonin supplementation on cancer-related fatigue (CRF) revealed inconsistent results. The present meta-analysis was performed to systematically evaluate the influence of melatonin on the severity of fatigue in patients with cancer. METHODS: Relevant randomized controlled trials (RCTs) were acquired by conducting a comprehensive search in the PubMed, Embase, and Cochrane Library databases. Only RCTs published as full-length English-language articles were included. A random-effects model was utilized to combine the findings by incorporating its potential influence. RESULTS: Nine RCTs were included for the meta-analysis. Compared to the placebo, melatonin supplementation improved the symptoms of fatigue of these patients (standardized mean difference [SMD]: -0.23, 95% confidence interval [CI]: -0.44 to -0.01, p = 0.04, I2 = 53%). The univariate analysis suggested that the treatment duration was significantly correlated with the improvement of melatonin supplementation on CRF (coefficient = -0.0063, p = 0.02), which largely explains the source of heterogeneity (adjusted R2 = 83.7%). The subgroup analysis revealed significantly improved fatigue in studies with treatment durations of ≥13 weeks, but not in studies with treatment durations of <13 weeks (SMD: -0.38 vs. 0.06, p for subgroup difference = 0.02). The further subgroup analysis suggested that the results were not significantly influenced by the type of cancer, status (advanced cancer or overall cancer), sample size, treatment (active anticancer treatment or palliative care only), dose of melatonin, or scale for evaluating fatigue symptoms. CONCLUSIONS: Melatonin supplementation may relieve CRF, especially for intervention durations of ≥13 weeks.
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RESUMO O objetivo do estudo foi descrever a oferta, o trabalho e a educação permanente em torno das Práticas Integrativas e Complementares (PIC), na perspectiva dos profissionais de saúde. Trata-se de estudo transversal, com análise dos módulos I e II do 3º Ciclo do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica. Identificaram-se o perfil dos 186 profissionais, dados sobre PIC, processo de trabalho e educação permanente. Desses, 88,7% ofertavam alguma prática, sendo os enfermeiros os que mais ofereciam (96,2%). A auriculoterapia (83,3%), o uso de plantas medicinais e fitoterápicos (77,9%) e a terapia comunitária (48,9%) foram as práticas mais ofertadas. 86,5% dos entrevistados relataram receber apoio gerencial, no entanto, observou-se escassez de insumos. 82,2% dos entrevistados participaram de momentos de educação permanente relacionados às práticas ofertados pela gestão municipal (93%), na própria unidade de saúde (90,8%). Observou-se que há um processo de educação permanente, no entanto, o principal entrave à consolidação desse modelo de cuidado na Atenção Primária à Saúde está relacionado à disponibilização de insumos. Dessa forma, necessita-se de incentivos para melhoria do processo de trabalho em saúde com vistas à ampliação e à qualificação da oferta das diferentes PIC.
ABSTRACT The study aimed to describe the provision, work and continuing education of Integrative and Complementary Practices (ICP) as perceived by healthcare professionals. This is a cross-sectional study, analyzing modules I and II of the 3rd Cycle within the Brazilian National Program for Improving Primary Care Access and Quality. The investigation included profiling 186 participating professionals, gathering data on ICP, work processes and continuing education. Of these, 88.7% offered some kind ofpractice, with nurses offering the most (96.2%). Auriculotherapy (83.3%), the use of medicinal plants and herbal medicines (77.9%) and community therapy (48.9%) were the most commonly offered practices. While 86.5% of respondents reported receiving managerial support, a shortage of essential resources was observed. 82.2% of respondents participated in continuing education activities related to practices facilitated by municipal management (93%) and conducted within the health unit itself (90.8%). The findings underscore the existence of an ongoing education process, yet the primary barrier to consolidating this care model in Primary Healthcare is linked to the insufficient availability of resources. Consequently, there is a pressing need for incentives to enhance the health work process, fostering the expansion and enhancement of diverse ICP offerings.
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Objective: Based on a review of the literature, to create a map of the available evidence on the treatment methods for chikungunya. Method: In May 2022, a literature search on chikungunya was conducted using the PubMed and Virtual Health Library platforms. To create the evidence map, studies that mentioned chikungunya fever were selected and characterized based on the type of intervention, outcome, and direction of the effect (positive, negative, potentially positive or potentially negative, inconclusive, or no effect), following the methodology recommended by the Latin American and Caribbean Center on Health Sciences Information (BIREME). Results: Fifteen studies (systematic reviews, controlled clinical trials, and narrative reviews) with both pharmacological and non-pharmacological interventions were included. All interventions focused on symptom mitigation; no study specifically investigated ways to combat the virus itself. Only one study on pharmacological interventions reported a positive effect, involving monotherapy with hydroxychloroquine and combined therapy with methotrexate plus sulfasalazine and hydroxychloroquine for reducing and relieving pain caused by post-chikungunya arthritis. The only study to report a negative effect described the use of chloroquine for post-chikungunya arthralgia. Among non-pharmacological interventions, positive effects were noted for transcranial direct current stimulation, elastic band exercises, and the Pilates method, particularly for pain relief and improvement of joint function. Conclusion: Although the review did not identify any treatments that act directly on the virus after the onset of the disease, the evidence map suggests that it is possible to treat the symptoms and sequelae of chikungunya with both pharmacological and non-pharmacological therapies.
Objetivo: A partir de una revisión bibliográfica, elaborar un mapa de la evidencia existente sobre las formas de tratar el chikunguña. Métodos: En mayo del 2022, se realizó una búsqueda bibliográfica sobre el chikunguña en las bases de datos PubMed y Biblioteca Virtual en Salud. Para elaborar el mapa de la evidencia, se seleccionaron los estudios en los que se mencionaba el chikunguña y se caracterizaron por lo que respecta al tipo de intervención, el resultado y la clasificación del efecto (positivo, negativo, posiblemente positivo o posiblemente negativo, no concluyente, ausencia de efecto), según la metodología recomendada por el Centro Latinoamericano y del Caribe de Información en Ciencias de la Salud (BIREME). Resultados: Se incluyeron 15 estudios (revisiones sistemáticas, ensayos clínicos comparativos y revisiones narrativas) con intervenciones farmacológicas y no farmacológicas. Todas las intervenciones se centraron en la mitigación de los síntomas. En ningún estudio se ha investigado específicamente la lucha contra el virus. Solo en un estudio de intervenciones farmacológicas se observó un efecto positivo, con la hidroxicloroquina en monoterapia y con el tratamiento combinado de metotrexato más sulfasalazina e hidroxicloroquina, para reducir y aliviar el dolor causado por la artritis tras el chikunguña. En el único estudio en el que se informó de un efecto negativo se describió el uso de cloroquina para la artralgia tras el chikunguña. En lo que respecta a las intervenciones no farmacológicas, se registraron efectos positivos con la estimulación transcraneal por corriente continua, los ejercicios con bandas elásticas y el método Pilates, principalmente para el alivio del dolor y la mejora de la función articular. Conclusión: Aunque en la revisión no se señaló ningún tratamiento que permita combatir el virus directamente tras la aparición de la enfermedad, el mapa de la evidencia sugiere que es posible tratar los síntomas y las secuelas del chikunguña con intervenciones farmacológicas y no farmacológicas.
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Interprofessional education (IPE) is a teaching method that improves collaboration and communication across health professions. There are consistent reports of poor interprofessional collaboration and communication between conventional health professionals and traditional and complementary medicine (TCM) professions. The application of IPE within courses that provide training in TCM requires close examination. This research aimed to identify the state of the art in IPE in TCM teaching. A scoping review was conducted. Thirteen databases were searched to identify citations up to March 2021. Thirty articles were selected after filtering for relevance against the inclusion criteria. The included articles were categorized into four a priori categories: Knowledge and Attitudes of students and professionals about TCM and IPE; Competencies of IPE in TCM; Teaching about TCM using IPE and Challenges and Opportunities for IPE in TCM. Nineteen of the included articles reported empirical research and primarily presented the evaluation of IPE activities within TCM courses or workshops; six studies consisted of texts with propositions and theoretical analyses; and five were case/experiential reports of IPE and TCM interventions, with or without evaluation of results. The studies report all health science students (undergraduate and graduate) exposed to IPE demonstrate a decrease in prejudice and an increase in knowledge about TCM. A sense of partnership developed through the collaborative competencies common to IPE and TCM and integrated care of patients. IPE in the context of TCM has been used for fostering integrative health care through the collaborative work of professional teams. Implementing IPE in TCM teaching requires inclusion in the curriculum, primarily undergraduate and research training.
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Terapias Complementares , Comportamento Cooperativo , Educação Interprofissional , Relações Interprofissionais , Humanos , Terapias Complementares/educação , Educação Interprofissional/organização & administração , Medicina Tradicional , Conhecimentos, Atitudes e Prática em Saúde , Atitude do Pessoal de Saúde , Pessoal de Saúde/educaçãoRESUMO
Introduction: Different non-pharmacological interventions have been studied to manage symptoms derived from chemotherapy, but their effectiveness is unknown. Objective: To describe non-pharmacological interventions for managing symptoms secondary to antineoplastic chemotherapy in adults. Materials and Methods: Systematic review of analytical experimental and observational studies (2021 to 2023). The studies were selected, and data was extracted in parallel. Discrepancies were resolved with a third reviewer. The risk of bias was assessed using the Risk of Bias (RoB) tool and The Newcastle-Ottawa Scale (NOS). The literature was synthesized descriptively based on prioritized outcomes. Results: The prioritized outcomes were neutropenia, pain, neuropathy, nausea, vomiting, alopecia, anorexia, and sleep disorders. Out of 7520 references found, 62 were included for analysis. Acupressure showed a possible effect in controlling symptoms such as nausea and vomiting. The intervention with cold on the scalp showed differences in the stages of alopecia severity. Other interventions showed heterogeneity. Discussion: Non-pharmacological interventions have been widely described in observational and experimental studies in the control of side effects of chemotherapy; however, there is homogeneity and a high risk of bias. Conclusion: Acupressure, muscle massage, music therapy, foot baths, and other interventions have been studied for nausea, vomiting, sleep disorders, neutropenia, alopecia, anorexia, pain, and neuropathy as secondary symptoms prioritized by patients. It is necessary to standardize both the interventions and how measure the outcomes.
Introducción: Diferentes intervenciones no farmacológicas se han estudiado para manejar los síntomas derivados de la quimioterapia, pero se desconoce su efectividad. Objetivo: Describir las intervenciones no farmacológicas para el manejo de síntomas secundarios a la quimioterapia antineoplásica en adultos. Materiales y Métodos: Revisión sistemática de estudios experimentales y observacionales analíticos (2021 a 2023). La selección de estudios y extracción de datos se realizó de forma paralela. Las discrepancias se resolvieron con un tercer revisor. Se evaluó el riesgo de sesgo con las herramientas Risk Of Bias (RoB) y The Newcastle-Ottawa Scale (NOS). La síntesis de la literatura se realizó de forma descriptiva por desenlace priorizado. Resultados: Los desenlaces priorizados fueron neutropenia, dolor, neuropatía, náuseas, vomito, alopecia, anorexia y desordenes del sueño. Se encontraron 7520 referencias, 62 incluidas para el análisis. La acupresión mostró un posible efecto en el control de síntomas como las náuseas y vomito. La intervención con frio en el cuero cabelludo mostro diferencias en los estadios de la severidad de alopecia. Las otras intervenciones mostraron heterogeneidad. Discusión: Las intervenciones no farmacológicas han sido ampliamente descritas en estudios observaciones y experimentales en el control de efecto secundarios a la quimioterapia, sin embargo, existe homogeneidad, y alto riesgo de sesgo. Conclusión: Acupresión, masaje muscular, musicoterapia, baño de pies entre otros son las intervenciones que se han estudiado para náuseas, vomito, desordenes del sueño, neutropenia, alopecia, anorexia, dolor y neuropatía como síntomas secundarios priorizados por pacientes. Se requiere estandarizar tanto las intervenciones como la forma de medición de los desenlaces.
Introdução: Diferentes intervenções não farmacológicas têm sido estudadas para o manejo dos sintomas decorrentes da quimioterapia, mas sua eficácia é desconhecida. Objetivo: Descrever intervenções não farmacológicas para o manejo dos sintomas secundários à quimioterapia antineoplásica em adultos. Materiais e Métodos: Revisão sistemática de estudos analíticos experimentais e observacionais (2021 a 2023). A seleção dos estudos e a extração dos dados foram realizadas paralelamente. As discrepâncias foram resolvidas com um terceiro revisor. O risco de viés foi avaliado por meio das ferramentas Risk Of Bias (RoB) e Newcastle-Ottawa Scale (NOS). A síntese da literatura foi realizada de forma descritiva por desfecho priorizado. Resultados: Os desfechos priorizados foram neutropenia, dor, neuropatia, náuseas, vômitos, alopecia, anorexia e distúrbios do sono. Foram encontradas 7.520 referências, 62 incluídas para análise. A acupressão mostrou possível efeito no controle de sintomas como náuseas e vômitos. A intervenção fria no couro cabeludo mostrou diferenças nos estágios de gravidade da alopecia. As demais intervenções apresentaram heterogeneidade. Discussão: Intervenções não farmacológicas têm sido amplamente descritas em estudos observacionais e experimentais no controle dos efeitos colaterais da quimioterapia, porém há homogeneidade e alto risco de viés. Conclusão: Acupressão, massagem muscular, musicoterapia, escalda-pés, entre outras, são as intervenções que têm sido estudadas para náuseas, vômitos, distúrbios do sono, neutropenia, alopecia, anorexia, dor e neuropatia como sintomas secundários priorizados pelos pacientes. É necessário padronizar tanto as intervenções quanto a forma de medir os resultados.
Assuntos
Sinais e Sintomas , Terapias Complementares , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos , Oncologia IntegrativaRESUMO
Resumo Este estudo analisa as histórias de vida de oito jovens vivendo com HIV por transmissão vertical, visando compreender suas percepções marcadas pelo segredo e silêncio sobre suas vivências com o vírus. Realizado em ambulatório especializado no Rio de Janeiro, o estudo adotou como ferramenta de cuidado a dança circular, considerada uma Prática Integrativa e Complementar em Saúde. Utilizando abordagem qualitativa e a História de Vida como método de coleta, o foco foi compreender as experiências dos jovens, não apenas relacionadas à doença, mas também a aspectos cruciais de suas vidas. Participaram do estudo três meninas e cinco meninos, todos cientes de seu diagnóstico. Os principais temas emergentes incluíram dinâmica familiar, conexão com o ambiente escolar, desafios na adesão ao tratamento, idade no momento da revelação do diagnóstico e tempo decorrido desde então. A análise das narrativas desses jovens, permitiu explorar aspectos individuais e sociais da experiência, revelando similaridades e diferenças entre eles. As oficinas de dança circular ofereceram um espaço lúdico para a expressão de emoções e sentimentos por meio dos movimentos corporais, ampliando as perspectivas dos jovens em relação ao futuro.
Abstract This study analyzes the life stories of eight young people living with vertically transmitted HIV in order to understand their perceptions marked by secrecy and silence regarding their experiences with the virus. Conducted at a specialized outpatient clinic in Rio de Janeiro, the study adopted circle dance, a Complementary and Integrative Health Practice, as a care tool. Using a qualitative approach and Life History as a data collection method, the focus was to understand the youth's experiences related to the disease and the crucial aspects of their lives. Three girls and five boys participated in the study, all aware of their diagnosis. The principal emerging themes included family dynamics, school environment connection, challenges in treatment adherence, age at the time of diagnosis disclosure, and time elapsed since then. Analyzing these young people's narratives allowed us to explore individual and social aspects of their experiences, revealing their similarities and differences. The circle dance workshops provided a playful space for expressing emotions and feelings through body movements, expanding young people's perspectives on the future.
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Resumo A invisibilidade é uma questão que necessita de maior atenção entre os profissionais de saúde, pois algumas atividades na Atenção Primária passam despercebidas. Um exemplo é a oferta de terapias complementares, cuja implementação tem sido frágil e, consequentemente, pode ser invisibilizada no Sistema Único de Saúde. Este estudo visa compreender os fatores que contribuem para a invisibilidade pública das Práticas Integrativas e Complementares na Atenção Primária. Trata-se de uma pesquisa descritiva, exploratória e qualitativa, envolvendo entrevistas semiestruturadas com 20 profissionais na Região Metropolitana de Goiânia. A análise de conteúdo temática foi aplicada às entrevistas, revelando elementos que indicam a invisibilidade pública dessas práticas, como a falta de discussão nas reuniões de equipe, a desuniformidade no registro nos prontuários dos usuários e a baixa priorização na implementação. Nas entrevistas, a humilhação social, produto da invisibilidade pública, também pode ser percebida devido à sobrecarga, constrangimentos e falta de espaço físico para a oferta das práticas aos usuários. Conclui-se que as Práticas Integrativas e Complementares são frequentemente invisibilizadas na Atenção Primária.
Abstract Invisibility is an issue that requires more attention among healthcare professionals, as some activities in Primary Care go unnoticed. One example is the offer of complementary therapies, whose implementation has been frail and, consequently, can be overlooked in the Unified Health System. This study aims to understand the factors contributing to the public invisibility of Integrative and Complementary Practices in Primary Care. It is a descriptive, exploratory, and qualitative research involving semi-structured interviews with 20 professionals in the Metropolitan Region of Goiânia. Thematic content analysis was applied to the interviews, revealing elements indicating the public invisibility of these practices, such as insufficient discussion in team meetings, inconsistency in the recording in user files, and low prioritization in implementation. In the interviews, social humiliation, a product of public invisibility, can also be perceived due to overload, embarrassments, and lack of physical space for the provision of practices to the users. It is concluded that Integrative and Complementary Practices are often overlooked in Primary Care.
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Abstract Introduction: The fast pace of changes in contemporary life increases the need to adapt, which leads to depressive pathologies due to psychological suffering. Yoga has therefore emerged as a complementary approach to the treatment of depression. Objective: To analyze the efficacy of yoga in reducing depressive symptoms. Materials and methods: This is a systematic literature review, which followed the Joanna Briggs Institute methodology for systematic reviews of efficacy, with the review protocol registered on Prospero under the code CRD42023448158. To devise the research question, the Pico strategy was adopted, in which "P" stands for people with depression, "I" for yoga; "C" for people who have not been submitted to yoga, and "O" for improvement/reduction of depressive symptoms. The requirements of the Prisma flowchart were followed and the search was conducted in the Medline/ PubMed, Web of Science, Lilacs, BDEnf, Ibecs, PsycINFO, and Cinahl databases. The Jadad scale was used to assess methodological quality and the Cochrane Risk of Bias2 to assess the risk of bias. Results: A total of 1138 studies were found, of which 10 were selected for data extraction, detailed reading, and qualitative synthesis. Yoga, especially mindfulness yoga, has been shown to be an effective intervention for various conditions, including depression. Its benefits include significant improvements in depression severity, health-related quality of life, motor dysfunction, mobility, spiritual well-being, and parasympathetic nervous system activity. Conclusion: The studies highlight the efficacy of yoga in reducing depressive symptoms in various populations and contexts, highlighting its effectiveness as a complementary therapeutic approach in the management of depression.
Resumen Introducción: El ritmo acelerado de los cambios en la vida contemporánea aumenta la demanda de adaptación, lo que conduce a patologías depresivas debidas al malestar psicológico. Por ello, el yoga ha surgido como un enfoque complementario para el tratamiento de la depresión. Objetivo: Analizar la eficacia del yoga en la reducción de los síntomas depresivos. Materiales y método: Revisión sistemática de la literatura, que siguió la metodología del Joanna Briggs Institute para revisiones sistemáticas de efectividad, y el protocolo de revisión se registró en Prospero con el código CRD42023448158. Para formular la pregunta de investigación, se adoptó la estrategia Pico, en la que "P" son personas con depresión; "I", Yoga; "C", personas que no han realizado Yoga; "O", mejora/reducción de los síntomas depresivos. Se siguieron los requisitos del diagrama de flujo de Prisma y la búsqueda se realizó en las bases de datos Medline/ PubMed, Web of Science, Lilacs, BDEnf, Ibecs, PsycINFO y Cinahl. Se utilizó la escala Jadad para evaluar la calidad metodológica y la Cochrane Risk of Bias 2 para evaluar el riesgo de sesgo. Resultados: Se identificaron 1138 estudios, de los cuales se seleccionaron 10 para la extracción de datos, la lectura detallada y la síntesis cualitativa. El yoga, especialmente el mindfulness yoga, ha demostrado ser una intervención eficaz para diversas condiciones, incluida la depresión. Los beneficios incluyen mejoras significativas en la gravedad de la depresión, la calidad de vida relacionada con la salud, la disfunción motora, la movilidad, el bienestar espiritual y la actividad del sistema nervioso parasimpático. Conclusión: Los estudios destacan la eficacia del yoga en la reducción de los síntomas depresivos en diferentes poblaciones y contextos, reforzando su eficacia como enfoque terapéutico complementario en el tratamiento de la depresión.
Resumo Introdução: O ritmo acelerado das mudanças na vida contemporânea aumenta a demanda por adaptação, o que leva a patologias depressivas devido ao sofrimento psíquico. Portanto, o yoga emerge como abordagem complementar ao tratamento da depressão. Objetivo: Analisar a eficácia do yoga na redução dos sintomas depressivos. Materiais e método: Revisão sistemática da literatura, a qual seguiu a metodologia do Joanna Briggs Institute para revisões sistemáticas de eficácia, e o protocolo da revisão foi registrado na Prospero com o código CRD42023448158. Para formular a questão de pesquisa, adotou-se a estratégia Pico, no em que "P" são pessoas com depressão; "I", yoga; "C", pessoas que não foram submetidas a yoga; "O", melhora/redução dos sintomas depressivos. Foram seguidos os requisitos do fluxograma Prisma e a busca foi realizada nas bases de dados Medline/PubMed, Web of Science, Lilacs, BDEnf, Ibecs, PsycINFO e Cinahl. Aplicou-se a escala de Jadad para a avaliação da qualidade metodológica e a Cochrane Risk of Bias 2 para a avaliação do risco de viés. Resultados: Foram identificados 1138 estudos, dos quais 10 foram selecionados para a extração de dados, para a leitura detalhada e para a síntese qualitativa. O yoga, especialmente o mindfulness yoga, demonstrou ser intervenção eficaz para várias condições, incluindo a depressão. Os benefícios incluem melhorias significativas na gravidade da depressão, na qualidade de vida relacionada à saúde, na disfunção motora, na mobilidade, no bem-estar espiritual e na atividade do sistema nervoso parassimpático. Conclusão: Os estudos destacam a eficácia do yoga na redução dos sintomas depressivos em diferentes populações e contextos, reforçando sua eficácia como abordagem terapêutica complementar na gestão da depressão.
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Chronic diseases such as type 2 diabetes mellitus (T2DM), arterial hypertension (HTN), and obesity are significant global health challenges, contributing to millions of premature deaths. In Mexico, these pose major challenges due to limited access to healthcare and inadequate primary care quality. Complementary medicine presents itself as an adjuvant in this context, offering minimally invasive techniques to enhance physical, mental, and spiritual well-being. However, effective treatment adherence is crucial for positive outcomes, influenced by self-efficacy, resulting in persistently low adherence rates-a pressing public health concern. This observational study aimed to explore how perceptions of complementary medicine and treatment adherence predict self-efficacy among individuals with chronic diseases in Mexico. Data were collected from 113 participants with chronic conditions, including T2DM, HTN, and obesity. Participants completed surveys assessing perception of complementary medicine, treatment adherence, and self-efficacy. Statistical analyses, including correlations and regression, were conducted to examine the relationships between variables. The study revealed significant correlations between the perception of complementary medicine, treatment adherence, and self-efficacy. Treatment adherence was positively associated with self-efficacy, while perception of holistic medicine was negatively correlated with self-efficacy. Perception of complementary medicine and adherence to treatment were found to predict 41.9% (p = 0.001) self-efficacy. These findings underscore the potential of complementary therapies in enhancing self-efficacy levels, and highlight the importance of holistic healthcare approaches in managing chronic conditions. Further research is needed to better understand these relationships and their implications for healthcare outcomes in Mexico and beyond.
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The objective of this study is to identify the main motivations and expectations for seeking spiritual treatment (ST) in spiritist centers. This is a qualitative study developed at two spiritist centers in the state of Mato Grosso, Brazil. ST was considered as the set of activities that use magnetic current as the main treatment method. We observed that most of the participants first sought treatments from health professionals and that, after insufficient results, they went in search of ST. Their treatments take place simultaneously and, for the participants, they complement each other. The motivations that led the participants to ST ranged from physical reasons to mental health complaints and even family conflicts. One possibility for investing in this type of treatment is due to the participants' desire for a more comprehensive approach, and not as a mere solution to the problem that directly afflicts them.
Assuntos
Pesquisa Qualitativa , Humanos , Brasil , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Motivação , Espiritualidade , Terapias Espirituais/métodos , Adulto JovemRESUMO
BACKGROUND: Yoga practice can increase blood flow in the genital area, increase muscular strength, and improve body perception, which is related to sexual function. This study aimed to summarize the available evidence about the effects of yoga on sexual function in adults. METHODS: Systematic searches of five databases were conducted from inception to April 28, with the last update on September 28, 2023. Randomized clinical trials (RCTs) that compared yoga with nonintervention control groups on sexual function in adults. Risk of bias and certainty of evidence were assessed by the Cochrane risk of bias tool 2, and the GRADE approach, respectively. Summary effect size measures were calculated using a random-effects model estimation and are reported as standardized mean differences and 95% confidence intervals. Reporting followed the PRISMA guidelines. RESULTS: Ten RCTs that comprised 730 adults (range mean age, 26.64-68.2 years; 680 [93.2 %] women) were included. For the primary outcome, yoga intervention was associated with a significant small improvement in sexual function (-0.31; -0.47 to -0.15, p = 0.0002), with some concerns about risk of bias in nine RCTs (90%) and low-certainty evidence. Subgroup analyses revealed that yoga interventions performed by women (-0.36; -0.52 to -0.21, p < 0.00001), healthy individuals (-0.38; -0.59 to -0.16, p = 0.0006), or middle-aged individuals (-0.44; -0.63 to -0.25, p < 00001) significantly improved sexual function compared with control groups. CONCLUSION: Yoga was associated with a small improvement in sexual function compared with nonintervention control groups in adults. However, high-quality, larger RCTs are required to draw more definitive conclusions.
Assuntos
Ensaios Clínicos Controlados Aleatórios como Assunto , Yoga , Humanos , Feminino , Adulto , Masculino , Disfunções Sexuais Fisiológicas/terapia , Pessoa de Meia-Idade , Comportamento Sexual , IdosoRESUMO
Resumen Introducción: El estado epiléptico refractario (EER) constituye una emergencia médica grave, donde la crisis no cede a pesar del tratamiento farmacológico convencional. Se describe como estado epiléptico superrefractario (EESR) la continua presencia de episodios con una duración de 24 horas o más. Este reporte de caso detalla la complejidad en el manejo y explora un enfoque multidisciplinario. Presentación del caso: Paciente masculino de 32 años con antecedente de epilepsia focal secundaria a traumatismo craneoencefálico en la niñez, quien ingresó en contexto de EESR, el cual recibió coma barbitúrico, plasmaféresis y dieta cetogénica. En los exámenes, la resonancia magnética reveló una lesión en la región frontotemporal insular derecha; en la tomografía por emisión de positrones se observaron zonas de hipermetabolismo y en el videoelectroencefalograma una continua actividad epileptiforme. Se optó por la cirugía paliativa, logrando la resolución exitosa del EESR y una clasificación Engels IA a los 14 meses. Discusión: El EESR es un evento neurológico crítico con pronóstico reservado y opciones terapéuticas desafiantes. Se describen opciones terapéuticas desde anticonvulsivantes, inmunoterapia y cirugía, donde el abordaje quirúrgico emerge como una opción eficaz, especialmente en casos con lesiones estructurales. La identificación temprana y la terapia adecuada son vitales para prevenir complicaciones. Conclusiones: El EESR representa un desafío crítico con alta carga de morbimortalidad, sin embargo, la cirugía de epilepsia muestra promisorios resultados en el contexto de causa cerebral estructural, responsable de la actividad epileptiforme. Se destaca la importancia de la identificación temprana y el manejo quirúrgico paliativo como opción viable, mejorando la calidad de vida de los pacientes.
Abstract Introduction: Refractory Status Epilepticus (RSE) is a serious medical emergency where the seizure does not subside despite conventional pharmacological treatment. The continuous presence of episodes lasting 24 hours or more is described as super-refractory status epilepticus (SRSE). This case report details the complex in teraphy management and explores a multidisciplinary approach. Case presentation: A 32-year-old male with a history of focal epilepsy secondary to head trauma in childhood. Enters emergency with a RSE episode. Barbiturate coma, plasmapheresis and ketogenic diet were administered. The Magnetic Resonance Imaging revealed a lesion in the right fronto-temporo-insular cortex, areas of hypermetabolism on Positron Emission Tomography and continuous epileptiform activity on video-electroencephalogram. Palliative surgery was chosen, achieving successful resolution of the SRSE and Engel Scale IA classification at 14 months of follow up. Discussion: The SRSE is a critical neurological event with a guarded prognosis and complex therapeutic options. Therapeutic options are described from anticonvulsants, immunotherapy and surgery. The surgical approach emerges as an effective option, especially in cases with structural injuries. Early identification and appropriate therapy are vital to prevent complications. Conclusions: SRSE represents a critical challenge with a high burden of morbidity and mortality. However, epilepsy surgery shows promising results in the context of the structural brain cause responsible for epileptiform activity. The importance of early identification and palliative surgical management as a viable option is highlighted, improving the quality of life of patients.
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Objetivo: Evidenciar o conhecimento científico sobre as Práticas Integrativas e Complementares na Atenção Primária à Saúde, destacando suas contribuições para o cuidado em enfermagem. Métodos: Trata-se de uma revisão integrativa com buscas nas bases de dados: Literatura Latino-americana em Ciências da Saúde, Cumulative Index to Nursingand Allied, Medical Literature Analysisand Retrieval System Online, Web of Science, bibliotecas Cochrane e Scientific Electronic Library Online e Embase. Fizeram parte da busca, artigos originais, publicados no período de 2015 a 2020, nos idiomas português ou inglês. Foram identificadas 891 publicações, após aplicação dos critérios resultaram 14 artigos. Os artigos selecionados foram analisados e categorizados através da Análise Temática de Minayo. Resultados: Resultaram quatro categorias: Plano de cuidados de enfermeiros abrangendo as práticas integrativas e complementares; Potencialidades para a implementação das práticas integrativas e complementares por enfermeiros na atenção primária à saúde; Práticas integrativas e complementares na formação e qualificação da enfermagem; Desafios para a implementação das práticas integrativas e complementares por enfermeiros na atenção primária à saúde. Conclusão: As práticas integrativas e complementares e suas estratégias propiciam potencial transformador aos indivíduos. Ao exercer tais práticas a Enfermagem enquanto categoria também contribui com o fortalecimento do Sistema Único de Saúde e seus princípios. (AU)
Objective: To highlight scientific knowledge on Integrative and Complementary Practices in Primary Health Care, highlighting their contributions to nursing care. Methods: This is an integrative review with searches in the following databases: Latin American Literature on Health Sciences, Cumulative Index to Nursing and Allied, Medical Literature Analysis and Retrieval System Online, Web of Science, the Cochrane Library and Scientific Electronic Library Online and Embase. The search included original articles published in the last five years (2015-2020), in Portuguese or English. A total of 891 publications were identified, and after applying the criteria, 14 articles resulted. The selected articles were analyzed and categorized using Minayo's Thematic Analysis. Results: Four categories resulted: Nurses' care plans covering integrative and complementary practices; Potentialities for the implementation of integrative and complementary practices by nurses in primary health care; Integrative and complementary practices in nursing training and qualification; Challenges for the implementation of integrative and complementary practices by nurses in primary health care. Conclusion: Integrative and complementary practices and their strategies provide transformative potential to individuals. By exercising such practices, nursing as a category also contributes to the strengthening of the Unified Health System and its principles. (AU)
Objetivo: Evidenciar el conocimiento científico sobre las Prácticas Integrativas y Complementarias en la Atención Primaria a la Salud, destacando sus contribuciones para el cuidado en la enfermería. Métodos: Se trata de una revisión integrativa con búsquedas en las bases de datos: Literatura Latinoamericana en Ciencias de la Salud, Cumulative Index to Nursingand Allied, Medical Literature Analysis and Retrieval System Online, Web of Science, las bibliotecas Cochrane y Scientific Electronic Library Online y Embase. La búsqueda incluyó artículos originales publicados en los últimos cinco años (2015-2020), en portugués o inglés. Se identificaron 891 publicaciones y, tras aplicar los criterios, se obtuvieron 14 artículos. Los artículos seleccionados fueron analizados y categorizados mediante el Análisis Temático de Minayo. Resultados: Se han establecido cuatro categorías: Plan de cuidados de los enfermeros con las prácticas integradas y complementarias; Potencialidades para la implementación de las prácticas integradas y complementarias de los enfermeros en la atención primaria de la salud; Prácticas integradas y complementarias en la formación y cualificación de los enfermeros; Desafíos para la implementación de las prácticas integradas y complementarias de los enfermeros en la atención primaria de la salud. Conclusión: Las prácticas integradoras y complementarias y sus estrategias proporcionan un potencial transformador a las personas. Al ejercer dichas prácticas, la enfermería como categoría también contribuye al fortalecimiento del Sistema Único de Salud y sus principios. (AU)