Search

Objetivo: construir e validar de uma tecnologia diferenciada para fixação de tubo orotraqual em pacientes críticos. Metodologia: trata-se de um estudo de desenvolvimento metodológico, para construção e validação de um protótipo para fixação segura denominado “autofix”. Participaram da pesquisa 15 juízes especialistas profissionais da saúde, equipe multiprofissional, médicos intensivistas, enfermeiros especialistas e fisioterapeutas intensivistas. A validação de conteúdo evidenciou todos os itens como excelentes IVC (≥ 0,78), teve excelente IVC global de 0,97, evidenciando que o instrumento poderá favorecer o paciente e equipe para uma assistência humanizada e qualificada. A tecnologia construída e validada foi desenvolvida para atuar como estratégia de segurança e humanização do paciente crítico em uso da ventilação mecânica.

A gravidez e o puerperio sao influenciados por multiplos fatores, desde os de natureza biologica ate as caracteristicas emocionais, sociais e economicas da populacao, alem do acesso e da qualidade tecnica dos servicos de saude disponiveis a populacao. A gravidez e um fenomeno fisiologico, natural e dinâmico que, na maioria das vezes, ocorre sem complicacoes. Portanto, a atencao a saude da mulher, no ciclo gravidico-puerperal, constitui desafio para autoridades em saude de todo mundo, no que diz respeito a qualidade da assistencia prestada e aos marcos conceituais, o acompanhamento especifico da gravidez garante a qualidade da assistencia ao pre-natal, parto e puerperio, diminuindo a mortalidade do binomio mae e filho. O livro reune experiencias notaveis na atencao a saude materna e infantil, no cenario brasileiro. Teve como premissa as acoes dirigidas ao cuidado individual e coletivo, disparando reflexoes para o trabalho em saude no Brasil.

Mammary health is issue faced by public health nurses and the science follows new ways into this thematic area of learning course wares. The purpose of this study was to construct and to validate a distance course for mammary health promotion for nurses. Methodological proposal has been composed of five stages: 1) analysis and planning, 2) modeling, 3) implementation, 4) evaluation and maintenance and 5) distribution. A total of nine experts as research population were consulted who were expert judges of nursing, pedagogy and web designer, three of each specific area, which were included in the study. The variables that had concordance index of 50% were: graphic designer pages favors learning, the user has easy navigation, the learning of the student experience, the environment provides interdisciplinary, content is built on process rather than there is a unique sequence, allows access to the available environment and holds a discussion on the subject. The distance learning course is intended to broaden and to enrich the living spaces and construct their own knowledge, favors interactivity, communication, autonomy and cooperation between the participants and provides access to educational technologies.

Objective: to evaluate the effects of an educational technology application on the early detection of breast cancer. Methods: a quasi-experimental study of the Knowledge, Attitude and Practice survey type. The sample consisted of 294 women in two groups: Experimental Group and Control Group. Results: 9.5% of the participants of the experimental group before the educational intervention presented adequate knowledge and after the application of the technology there was an increase of 89.2%. Regarding the attitude, the experimental group in the early detection of breast cancer before the intervention had 69.9% and after the application was 89.2%. Only 61.2% of the participants presented adequate practice and, after applying the technology, this number rose to 93.7%. Conclusion: the knowledge, attitude, and practice of early breast cancer screening of women who participated in the applicability of the educational manual were different from those of women who did not participate. Objetivo: avaliar os efeitos da aplicação de uma tecnologia educativa acerca da detecção precoce do câncer de mama. Métodos: estudo quase-experimental do tipo inquérito Conhecimento, Atitude e Prática. A amostra foi composta de 294 mulheres distribuídas em dois grupos: Grupo Experimental e Grupo Controle. Resultados: 9,5% das participantes do grupo experimental antes da intervenção educativa apresentaram conhecimento adequado e após a aplicação da tecnologia houve um aumento para 89,2%. Em relação à atitude, na detecção precoce do câncer de mama o grupo experimental antes da intervenção apresentava 69,9% e após a aplicação passou para 89,2%. Apenas 61,2% das participantes apresentaram prática adequada e após a aplicação da tecnologia este número passou para 93,7%. Conclusão: O conhecimento, a atitude e a prática sobre os exames de detecção precoce do câncer de mama das mulheres que participaram da aplicabilidade do manual educativo mostraram-se diferentes daqueles das mulheres que não participaram.

OBJETIVO: Analisar o conceito de risco em pesquisas sobre câncer de mama na área da Enfermagem. MÉTODOS: O estudo seguiu a metodologia de análise conceitual proposta por Walker e Avant. e foi desenvolvido por meio de consulta às bases de dados SCOPUS e CINAHL. A seleção foi realizada pelos critérios de inclusão e exclusão, constituindo uma amostra de 12 artigos. RESULTADOS: Foram identificados os principais usos do conceito de risco, atributos definidores, antecedentes e consequentes do conceito. CONCLUSÃO: A avaliação do conceito de risco para câncer de mama possibilitou uma compreensão mais ampla do fenômeno, com destaque para a detecção precoce da doença e a vulnerabilidade de pacientes com risco de desenvolver a neoplasia.OBJETIVO: Analizar el concepto de riesgo en investigaciones sobre cáncer de mama en el área de la Enfermería. MÉTODOS: El estudio siguió la metodología de análisis conceptual propuesta por Walker y Avant, desarrollado por medio de consulta a las bases de datos SCOPUS y CINAHL. La selección fue realizada por los criterios de inclusión y exclusión, constituindo una muestra de 12 artículos. RESULTADOS: Fueron identificados los principales usos del concepto de riesgo, atributos definidores, antecedentes y consecuentes del concepto. CONCLUSIÓN: La evaluación del concepto de riesgo para cáncer de mama posibilitó una comprensión más amplia del fenómeno, especialmente para la detección precoz de la enfermedad y la vulnerabilidad de pacientes con riesgo de desarrollar la neoplasia.OBJECTIVE: To analyze the concept of risk for breast cancer in research in the nursing discipline. METHODS: The study followed the methodology of conceptual analysis proposed by Walker and Avant, and was conducted using the databases SCOPUS and CINAHL. The selection was made using exclusionary and inclusionary criteria, resulting in a sample of 12 articles. RESULTS: We identified the principle uses of the concept of risk, defining attributes, antecedents and consequences of the concept. CONCLUSION: The evaluation of the concept of risk for breast cancer has enabled a broader understanding of the phenomenon, especially for the early detection of disease and the vulnerability of patients at risk of developing neoplasia.

Com o objetivo de compreender o conhecimento, as preocupações e as expectativas de pacientes portadoras de câncer de mama em relação à mastectomia, entrevistou-se 11 mulheres internadas no pré-operatório da cirurgia, no Hospital das Clínicas de Fortaleza (CE), em dezembro de 2008. O método hermenêutico-dialético foi utilizado na análise dos discursos, sendo definidas três categorias temáticas: Conhecimento acerca da cirurgia, Sentimentos e expectativas em torno da mastectomia e a Retirada da mama. Constatou-se que a mulher passa por um pré-operatório estressante, com desconhecimento acerca da cirurgia, sente ansiedade e medo pelo que está por vir, além de sentimentos de pânico e choque diante da retirada da mama. Ressalta-se, portanto, a importância do papel educativo e do apoio emocional direcionados por toda a equipe que presta assistência a essas pacientes, de maneira a minimizar o drama que vivenciam. The objective of this study was to understand the knowledge, concerns and expectations of patients suffering from breast cancer in relation to mastectomy. Interviews were performed with 11 women before their being submitted to surgery at the Hospital das Clínicas in Fortaleza (Ceará state) on December 2008. The hermeneutic-dialectical method was used for discourse analysis, and three theme categories were defined: Knowledge about the surgery, Feelings and expectations surrounding mastectomy, and Removing the breast. It was found that women go through a stressful preoperative period, lack knowledge about the surgery, experience anxiety and fear of what they should expect, as well as feelings of panic and shock before their breast is removed. It is, therefore, observed that the health team caring for those patients has an important role in education and in providing emotional support so as to minimize the tragedy those women are experiencing. Con el objetivo de entender el conocimiento, las preocupaciones y expectativas de pacientes portadoras de cáncer de mama en relación a la mastectomía, fueron entrevistadas en el preoperatorio de la cirugía 11 mujeres internadas en el Hospital de Clínicas de Fortaleza-Ceará-Brasil, en el mes de diciembre de 2008. El método hermenéutico-dialéctico fue utilizado en el análisis de los discursos, definiéndose tres categorías temáticas: Conocimiento acerca de la cirugía, Sentimientos y expectativas en torno a la mastectomía y Extirpación mamaria. Se constató que la mujer pasa por un preoperatorio estresante, con desconocimiento al respecto de la cirugía, ansiedad y miedo de lo que está por venir, además de sentimientos de pánico y shock ante la extirpación de la mama. Se resalta, por lo tanto, la importancia del papel educativo y el apoyo emocional brindados por todo el equipo que atiende a tales pacientes, de manera tal de minimizar el drama que experimentan.

This study aimed to evaluate the evidence available in the literature about the perioperative care provided to women submitted to mastectomy. An integrative review of scientific literature conducted in MEDLINE, CINAHL, LILACS, and SciELO databases, published from 2000 to 2011, using the controlled descriptors: preoperative care; preoperative period; intraoperative care; intraoperative period; postoperative care; postoperative period; perioperative care; perioperative period; and mastectomy. The sample of this review consisted of seven articles. The evidence pointed as perioperative care of mastectomy the pharmacological management of pain in different surgical periods. Despite the difficulty in presenting a consensus of evidence for perioperative care of mastectomy, there was concern on the part of professionals to minimize/prevent pre-, intra- and post-operative pain. Nursing should be aware, both of the update of pharmacological treatments in pain management and the development of future research related to nursing care in the perioperative period of mastectomy.

This is a descriptive research which aims to analyze knowledge produced on communication in the nursing area from 1996 to 2006, in the Latin-American and Caribbean Literature in Health Sciences (LILACS) database. Among the 98 works collected it was verified that 1997 had the largest publication on the subject, with 16 studies. The source that provided more results was the Latin American Journal with 27 works, followed by dissertations, with 17 works. Regarding the topic of study, it was verified 31 works with “nurse-patient communication” and 16 works with “communication in nursing in the classroom”. We thus concluded that a bigger production of knowledge on communication can effectively contribute to the nursing actions.

This article is a reflection on the insertion of breast health in the context of health policies in Brazil. The objective was to conduct a descriptive reflexive study about public policies and the health promotion in breast cancer, investigating the current trends in the literature on the existence of policies on health promotion targeted to breast cancer. The discussion is presented on two topics: public policies involving breast cancer and advances in health promotion in breast cancer in Brazil. There is an urgent need to recast public policies that allow full attention to women’s health, that focus and preserve the their autonomy and dignity and that effectively provide favorable conditions for health promotion. With that, promote breast health means act in the protection to certain environmental factors and daily lifestyles, which could contribute to reduce the incidence of such illness.

OBJETIVO: Analisar o conceito de risco em pesquisas sobre câncer de mama na área da Enfermagem. MÉTODOS: O estudo seguiu a metodologia de análise conceitual proposta por Walker e Avant. e foi desenvolvido por meio de consulta às bases de dados SCOPUS e CINAHL. A seleção foi realizada pelos critérios de inclusão e exclusão, constituindo uma amostra de 12 artigos. RESULTADOS: Foram identificados os principais usos do conceito de risco, atributos definidores, antecedentes e consequentes do conceito. CONCLUSÃO: A avaliação do conceito de risco para câncer de mama possibilitou uma compreensão mais ampla do fenômeno, com destaque para a detecção precoce da doença e a vulnerabilidade de pacientes com risco de desenvolver a neoplasia.

The aim of this study was to understand the feelings of the oncology nurses about breast cancer. It was a qualitative research through which eight (8) nurses were interviewed during the months of November and December 2006. The interview was of the semi-structured kind, with the following guiding questions: How do you feel about the possibility of having breast cancer? A comprehensive analysis of the interviews revealed some categories: including feelings about breast cancer, the stigma of the disease and mutilation, disease and treatment, the femininity and sexuality as well as acceptance of the disease. It was concluded that the fact of being a health professional, specifically in oncology, does not mean that the individual demonstrates a better way of facing the supposed disease, since it is evidenced the presence of the stigma in the consolidated lines of the participants. O estudo objetiva compreender os sentimentos de enfermeiras de oncologia acerca do câncer de mama. Pesquisa qualitativa onde foram entrevistadas oito enfermeiras nos meses de novembro e dezembro de 2006, mediante entrevista semi-estruturada com a seguinte questão norteadora: Como é para você a possibilidade de vir a ter câncer de mama? A análise compreensiva das entrevistas revelou as seguintes categorias: compreendendo sentimentos acerca do câncer de mama, o estigma da doença e mutilação, a doença e tratamento, refletindo a feminilidade e sexualidade, aceitação da doença. Conclui-se que o fato de ser profissional da saúde, especificamente da oncologia, não significa que a enfermeira demonstraria melhor enfrentamento da doença, uma vez que é constatada a presença do estigma consolidado nas falas das participantes. El estudio pretende apreciar los sentimientos de enfermeras de oncología acerca del cáncer de mama. Investigación cualitativa, en la cual se entrevistó a ocho (8) enfermeras, en los meses de noviembre y diciembre de 2006, a través de una entrevista estructurada en parte, con la siguiente pregunta orientadora: ¿Qué piensa usted sobre la posibilidad de llegar a tener cáncer de mama? Un análisis exhaustivo de las entrevistas reveló las siguientes categorías: apreciando sentimientos sobre el cáncer de mama, el estigma de la enfermedad y la mutilación, la enfermedad y el tratamiento, reflejando la feminidad y sexualidad, la aceptación de la enfermedad. De ello se deduce que ser un profesional de la salud, específicamente en oncología, no significa que la persona demostraría mejor forma de encarar la enfermedad, ya que se constata la presencia del estigma consolidado en las declaraciones de las participantes.

The content of the national scientific publications was analyzed quantitatively in the period 2000 to 2007, in databases BIREME, BDENF, LILACS has handled the consultation in oncology nursing review by the method of integration. Among the studies, 6 (85.7%) focused action of nursing care (education and health) and 1 (14.2%) focused in prevention of cancer. Among the types of cancer, the breast cancer is more focused in these studies (71.4%). Based on the results, 100.0% of authors make recommendations for change in clinical practice, 57.1% recommend the implementation of actions directed to the range of needs of patients and 42.8% recommend the deployment of nursing process in oncology nursing consultation. Thus, it appears that there is a need for more research in this area and great care in preparing the scientific method in order to provide quality scientific evidence with which to be implemented in our reality.

The breast cancer, in Brazil, has been constituted as a serious public health problem, not only by the crescent number of cases diagnosed each year, but also by the financial investment that is necessary to solve the issues of diagnosis and treatment. In front of the reality in our city, characterized by a crescent number of appearance of new cases of breast cancer in very advanced stages, it is necessary to realized a search that promotion the female population, basic knowledge related to the actions of precocious detection and risk factors for breast cancer. Aimed to evaluate actions for precocious detection and risk factors for breast cancer in women’s attended at a Basic Health Unit, Fortaleza, Ceara. It’s a quantitative study, transversal with a descriptive and analytical approach. The research will be developed in a Basic Health Unit in the Family, the Executive Regional Secretary III of the city of Fortaleza-Ce. The population of this study was based on the amount of attendance realized by nurses to women seeking gynecological consultations at UBS. The search will be realized after the marking of consultations, which has an mean number of 40 gynecological attendances per week, totaling 1920 women per year.After the statistical calculations its found the size of the sample, as such, women = 320. For data collection will be realized a semi-structured interviews with women who is in the waiting room, for gynecological attendance, as the day set for the realization of the collection. The treatment of the quantitative dates will be realized through the programs: Excel, Word and SPSS (Statistical Package for the Social Sciences) for Windows, version 16.0, which will be built the database, for analysis of the results.