Navegando por Palavras-chave "cuidados de enfermagem"
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- ItemAcesso aberto (Open Access)Atuação da enfermeira na cordotomia cervical percutânea para controle da dor oncológica(Associação Brasileira de Enfermagem, 2003-04-01) Iksilara, Maria Cecília [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Oncological pain is usually progressive and enabling. One third of the patients under treatment and two thirds of the patients with advanced cancer refer to pain. Generally treatment starts with non-opioids analgesic medicines and other drugs, passing to opioids with a progressive increase of the doses and neurosurgical procedures when recommended. Percutaneous cervical cordotomy is a neurosurgery procedure to treat unilateral cancerpain, especially in extremities, which gives immediate relief and low morbidity. The nursing professional plays an indispensable role in the effectiveness of this treatment. For this reason the author decide to report on this experience.
- ItemAcesso aberto (Open Access)Avaliação das medidas de pressão arterial na unidade de pronto atendimento e triagem do Hospital São Paulo comparadas ao Padrão-ouro(Universidade Federal de São Paulo (UNIFESP), 2015-09-30) Elias e Silva, Luciano [UNIFESP]; Prado, Gilmar Fernandes do [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: Evaluating arterial pressure measurements comparing the traditional and the gold standard methods in an emergency public service and risk classification. METHODS: Cross sectional study, in which arterial systolic, diastolic, mean and pulse pressure measurements obtained by nursing professionals by means of the traditional method were compared whit those obtained using the gold standard technique. RESULTS: Study participants were 229 patients, 69% were women and the mean age was 50 years. The comparison between the two methods showed that the mean value of the arterial systolic, diastolic, mean and pulse pressures was higher using the gold standard technique. CONCLUSION: Divergences were found between the measurements obtained using the recommended technique and the risk classification and the measurement results of this underestimated those obtained using the gold standard technique.
- ItemAcesso aberto (Open Access)Controlar líquidos: uma intervenção de enfermagem para o paciente com excesso de volume de líquidos(Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo, 2003-12-01) Guimarães, Heloísa Cristina Quatrini Carvalho Passos; Barros, Alba Lucia Bottura Leite de [UNIFESP]; Instituto Lauro de Souza Lima; Universidade Federal de São Paulo (UNIFESP)The objective of this research is to identify which nursing activities contained in the fluid management intervention proposed by the Nursing Intervention Classification (NIC) are realized and considered important by nurses, to attend patients who received fluid volume excess as a nursing diagnosis, as proposed by the North American Nursing Diagnoses Association (NANDA). Data were collected in three hospitals. The sample included 77 nurses, who chose the best alternative on a Likert scale, to indicate the realization of which of those actives they considered important and which activities are realized in their daily care practice. It was concluded that most of the nursing activities were always considered important and were always performed by the nurses. These activities were classified as independent and dependent.
- ItemSomente MetadadadosEfeito do uso de protetores auriculares no sono de recém-nascidos prematuros na unidade neonatal: estudo clínico, randômico, controlado e cruzado(Universidade Federal de São Paulo (UNIFESP), 2015-11-26) Sato, Monica Hiromi [UNIFESP]; Pinheiro, Eliana Moreira Pinheiro [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Objective: To compare the effect of using earmuffs on the sleep of preterm newborns during ?quiet time? in two neonatal intermediate care units. Method: This is a randomized controlled crossover clinical study conducted at two neonatal intermediate care units from different hospitals in São Paulo - SP. Sample comprised 24 clinically stable preterm newborns, whose weight ranged from 1,200 g to 2,000g, who were in an incubator and met the inclusion and exclusion criteria established for the study. We used a Polysomnography Alice 5 (Respironics®) and unstructured observation for data collection. The intervention consisted in the use of earmuffs during Quiet time, with a total of 96 periods analyzed: 48 in the experimental group, and the remainder 48 in the control group. Results: Of the total sample, half were male. The average gestational, corrected and chronological ages were 33.2 weeks, 34.9 weeks and 11 days, respectively. Current average weight of preterm newborns was 1,747g. There was no significant difference in total sleep time between the experimental and control groups, and their averages were 83.7 minutes and 87.1 minutes, respectively (p = 0.540). Comparisons of quiet and indeterminate sleep time showed a marginally significant difference between the two groups (p = 0.071). Younger preterm newborns and with lower weights had significantly reduced total sleep time and quiet sleep with the use of earmuffs (p <0.05). The increase of one week in gestational age resulted in a 3% increase in preterm newborn's total sleep time when variables such as ambient light, handling the newborn and current weight were controlled. Quiet sleep was the predominant sleep stage in most analyses. Ambient light and handling the preterm newborn did not influence total sleep time in both groups. Conclusion: We concluded that there was no significant difference in total sleep time of preterm newborns between the experimental and control groups during naptime in the units studied. Significant reductions in total sleep time of smaller preterm newborns in relation to the average gestational and corrected ages and current weight may be related to a possible discomfort they experience due to the use of earmuffs.
- ItemAcesso aberto (Open Access)Métodos de avaliação de resultados da assistência de enfermagem(Associação Brasileira de Enfermagem, 2003-02-01) Adami, Nilce Piva [UNIFESP]; Yoshitome, Aparecida Yoshie [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)This review study aimed at the theoretical and methodological assessment of nursing care outcome. The study focused on the element outcome as a means to assess the nursing care service quality as well as on the nursing care classification and on the main methods and strategies used for assessing the outcome of nursing care, provided by health services.