CONSTRUCTION OF QUALITY ASSESSMENT INDICATOR SYSTEM FOR RESPIRATORY REHABILITATION NURSING
Objective: In order to provide an effective method for the comprehensive and scientific evaluation of respiratory rehabilitation nursing, a nursing quality evaluation index system for respiratory rehabilitation was constructed. Methods: Based on the theory of structure-process-outcome three-dimensional quality model, indexes and weights of respiratory rehabilitation nursing quality evaluation at all levels were determined by using literature review, semi-structured interviews, Delphi method, and Analytic Hierarchy Process. Results: The response rates of the two rounds consultation were 100% and 93% respectively, and the authority coefficients of experts are 0.872 and 0.922. The coordination coefficients of expert opinions were 0.583, 0.498, 0.407 for the first, second and third-level respectively. The significance test value P was less than 0.01. The final indicator system is constructed with 3 first-level indicators, 9 second-level indicators, and 46 third-level indicators. Conclusion: The constructed respiratory rehabilitation nursing quality evaluation index system is not only reliable, scientific, comprehensive, and but also with outstanding specialty characteristics. It provides an effective strategy to improve respiratory rehabilitation nursing quality.
SUPPORT NETWORK FOR FAMILIES WITH MENTAL DISORDERS IN PRIMARY HEALTH CARE: AN INTEGRATIVE LITERATURE REVIEW
Introduction: With the Psychiatric Reform and the closure of some psychiatric hospitals, many patients who had been living in an asylum regime for a long time return to family life. The family then assumes a peculiar role in the monitoring and social reintegration of the mentally ill outside the hospital units. For this, it is necessary that health services in primary care are trained to provide adequate support to these families. Objective: to verify the support practices developed by primary health care focused on the family of the person with mental disorders. Methods: Integrative literature review of the last 10 years (2008-2018) using the database of the Virtual Health Library (VHL). Results: The study sample was composed of 11 articles. In the analyzed articles, it was identified that families still face difficulties in dealing with the person with mental disorders, requiring the support of the replacement network services in this process. Conclusion: It is necessary to invest more in these replacement services and better prepare their professionals so that they know how to deal with the family of the mental health patient.
NURSE’S PERSPECTIVE ON THE RECEPTION AND COPING WITH MENTAL DISORDERS: AN INTEGRATIVE LITERATURE REVIEW
INTRODUCTION: The inclusion of Mental Health in primary care refers to actions in the Family Health Program (PSF), currently called Family Health Strategy (FHS), which has been consolidated as a strategy for reorganizing the health care system in Brazil. Its work is based on promotion, prevention and health education, working in a multidisciplinary and integrated approach to the community (2). OBJECTIVE: To identify what is the perspective that nurses have on welcoming and coping with mental disorders according to the literature. METHODOLOGY: This is a study that uses the integrative literature review as its method, which aims to contribute to the knowledge of Nursing in the area of Mental Health. RESULTS: A total of 7 articles were found, 3 of which were listed to compose this study. LILACS and BDENF were used as the basis for this study, as they were more feasible, as well as Brazilian technical-scientific references in nursing that include renowned journals in the health area. CONCLUSION: However, it can be identified that the nurse has a very important role in the care of these people with mental disorders who are treated in Primary Health Care. He also highlighted that there are still many professionals in their practices, which are based on welcoming, humanizing and dispensing medication. In addition, it is necessary for nurses to work together with the other professionals in order to exchange information in order to improve the patient.
Assessment and Prediction of the Demand for Long-term Care for the Ederly in China
Objective: To explore the demand of long-term care in China. Methods: First, based on the data collected from multiple channels, the number of disabled elderly in China and the long-term care demand were predicted by the macro simulation demand model and markovdo state transition model. The second is to compare and analyze the implementation plan of the long-term care insurance system in China’s pilot areas, discuss the existing problems, and put forward Suggestions. Results: From 2020 to 2050, the number of disabled elders in China will rise from 33813 700 to 60 535 700, and the total long-term care costs will rise from 6.73 billion yuan to 29.12 billion yuan. Conclusion: In the future, China should build a multi-level long-term care guarantee system, actively explore the long-term care insurance system, and improve the long-term care service supply system.
NURSING ASSISTANT IN THE MANAGEMENT OF ORAL MUCOSITIS IN ONCOLOGY PATIENTS
Oral mucositis is a sequel of cytoreductive treatment induced by radiotherapy and / or chemotherapy, with signs and symptoms ranging from pain, swelling and burning sensation, to ulcerations in the oral mucosa. The nursing staff should be able to offer therapies that give the patient better quality of life, once because the professionals develops closer contact with the patient and family. To analyze the scientific evidences about nursing assistant in the management of oral mucositis in oncology patients. Integrative Review in databases LILACS, Scopus, SciELO, LILACS and BDENF with complete articles published in the last 10 years, in Portuguese, English and Spanish. It was demonstrated that nurses can provide treatments such as oral hygiene, administration of analgesics, cryotherapy, treatment of xerostomia, chlorhexidine rinses, sodium bicarbonate and other substances that promotes pain control in patients with consequent increase of quality of life. The impact of nurses’ actions in improving the patient, control of oral mucositis, as well as studies that generate strong evidence for the development and / or enhancement of new nursing care are aspects to consider this issue.
Oncology Care Project with Inter and Multiprofessional Approach: Actions to Minimize Collateral Effects and Suffering, Caused By the Treatment of Chemotherapy
Objective: To report multi and interprofessional experience during extension actions aimed at minimizing the side effects and suffering caused by the treat-ment of chemotherapy. Methods: This is a descriptive study of the type of expe-rience report of the university extension project that focuses on the use of light technologies to cope with routine situations of care practice in an oncology sec-tor. Results: The side effects caused by antineoplastic drugs are part of the day-to-day treatment of cancer patients. Some side effects were listed with patients, such as dry mouth, diarrhea, nausea and vomiting, alopecia, constipation and mouth with metallic or bitter taste from the antineoplastic. Through ingestion of healthy foods like fruits, vegetables, greens and cereals properly listed these unwanted effects can be minimized. Other actions such as music therapy help to alleviate suffering because it causes happiness and satisfaction. Conclu-sion: Health education is an important strategy to share knowledge, especially in the area of relieving suffering through complementary guidelines and thera-pies. Music is a therapeutic and playful instrument and influences the emotions and well-being of individuals. In addition, the actions of the Oncology Care pro-ject strengthen us as a human being and professional in formation.
Nursing to the patient with chronic obstructive pulmonary disease
Introduction: Chronic Obstructive Pulmonary Disease (COPD) is a chronic and progressive disease. Objectives: To verify the nursing behavior in patients with COPD in the literature Methodology: Integrative review of the literature in the Latin American Literature in Health Sciences (LILACS), Medical Literature Analysis and Retrieval System Online (MEDLINE) and Scientific Electronic Library Online (SCIELO). We included studies referring to the conduct of nursing to the patient with chronic obstructive pulmonary disease, published in national and international journals. Results and Discussion: After crossing the descriptors, 392 articles were identified in the different databases, of which 12 were repeated, 262 were rejected by the title, due to the fact that they were not performed in a hospital environment or because they were related to other disciplines. Of the remaining articles, 68 articles were rejected by reading the abstract and 44 articles were rejected by the full reading. These articles were rejected because they were not: randomized clinical trials, quasi-experimental studies, systematic reviews of the literature or meta-analysis study. In summary, 6 articles were included in the final analysis of the sample. Conclusion: It is verified that for the control of the disease it is essential to develop the patient’s capacity for self-care.
Feelings Faced By Caregivers Of Children With Cancer Of A University Hospital
Introduction: Cancer is a disease where cell proliferation occurs abnormally, ignoring signs of growth regulation. The child with cancer needs the help of the caregiver, their greatest support. Objective: to unveil the feelings faced by caregivers of children with cancer at a University Hospital. Methodology: descriptive, exploratory, qualitative study, carried out at the Pediatric Oncology Center of the Oswaldo Cruz University Hospital in Recife / PE. The population was constituted by the main caregivers of hospitalized children with cancer. Survey conducted in June 2017, through an interview, with a population of 10 caregivers. The data were submitted to Bardin content analysis. Results and Discussion: as results, four thematic categories emerged: Caregiver perception about Cancer; Family relations in the context of the disease; Changes faced after the discovery of the diagnosis; Feelings in the context of the disease. The caregiver’s understanding and understanding of the illness allows him to optimize his suffering and encourages him to face the obstacles encountered during treatment. Conclusion: caregivers experience a long process of diagnosis at the end of treatment. They present feelings that blend between guilt, fear, sadness, exhaustion, hope, faith and tranquility.
Health Education on Breast Cancer, Its Manifestations, Prevention and Treatment for Sex Workers
Introduction: Breast cancer is a malignant neoplasm due to the disordered proliferation of abnormal cells caused by environmental, physiological or exposure factors; this pathology is more frequent in women and, according to the National Cancer Institute, in 2013, 14,206 women were death due to this neoplasm. It is revealed before this index the importance of the dissemination about the preventive methods related to this disease. Objectives: To promote health education on breast cancer, its manifestations, prevention and treatment for sex workers. Methodology: Experience report on the experience lived as a student of the nursing course in a health education project in the prevention of breast cancer. A conversation wheel with illustrative poster and tactile activity of identification of breast alterations with balloons simulating the breasts was performed in a cabaret located in the city of Maceió – Alagoas on October 18, 2017, from 2:00 p.m. to 4:00 p.m., for an audience of 15 women. Results and Discussion: At the outset there was a perceived fear on the part of sex workers to participate in the conversation for fear of being judged or even exposed. In the course of the action they were approaching, sharing their experiences on the subject exposed, participating in the activities carried out. The topic of prevention, treatment and risk factors for the development of breast cancer was addressed. Conclusion: Breast cancer is a pathology that has led many women to death due to lack of knowledge and practice of prevention methods. The few women who knew about self-examination did not practice it because they did not know how serious breast cancer can be for their lives and the work they do. The only one that had previously aroused interest in preventive care was sensitized from a surgical procedure performed.
Health Education on Hepatites HIV AIDS for Sex Workers
Introduction:The epidemic among young people, according to UNAIDS, the risks of HIV among adolescents and young people are greater when the age transition occurs in challenging environments, with insufficient access to food, education and housing and with high rates of violence. Perceptions of low infection risk, poor condom use and low rates of HIV testing persist among young people. UNAIDS epidemiological data from 25 countries shows that the total number of people aged 15-19 years living with HIV in these countries increased from approximately 800,000 in 2005 to 940,000 in 2015.1 Objectives: To promote health education on breast cancer, its manifestations, prevention and treatment for sex workers. Methodology: This is a participatory research, carried out by academics and professors of the Nursing undergraduate course of Uninassau and UFAL, in March 2017, at Quilombo Muquem in Joaquim Gomes, Alagoas, Nursing course, with the presence of 19 adolescents being 12 male and 7 female, between the ages of 12 and 17. Conclusion: After correlating each principle of the mandala to HEPATITES, HIV / AIDS, and showing the forms of transmission through the mandala of knowledge, there was a restlessness present in each adolescent, each wanted to expose some situation in relation to something similar to the ones hepatitis, HIV / AIDS, all knew, had a friend, relative who has or had some pathology cited. It was verified, in this experiment, the knowledge deficit of the group of quilombolas adolescents in relation to HIV AIDS Hepatitis. Many of them expressed concern about a quilombola teenager presenting some symptoms, according to them, spoke of the importance of how to correctly use the condom, wash hands and food well. We ended our health education by distributing condoms, explanatory leaflets on hepatitis, HIV AIDS.