scholarly journals Nursing team knowledge on care for patients with fungating wounds

2020 ◽  
Vol 73 (1) ◽  
Author(s):  
Fernanda Mateus Queiroz Schmidt ◽  
Flávia Firmino ◽  
Nariman de Felício Bortucan Lenza ◽  
Vera Lúcia Conceição de Gouveia Santos

ABSTRACT Objective: to evaluate the nursing team knowledge of a cancer hospital on care for patients with Malignant Fungating Wounds (MFW) and to analyze associated sociodemographic and educational factors. Method: an observational and cross-sectional study, conducted between September and October 2015, after approval by the Research Ethics Committee. A questionnaire was applied containing sociodemographic, educational and related components to the accomplishment of dressings, dressings choice and orientation. Data were analyzed by using Chi-square, Fisher’s exact test, Student’s t-Test and Pearson’s correlation. Results: 37 professionals participated in the study, most of whom were technicians (56.8%), women (91.9%) and with a mean age of 32 years. The professionals presented 56.5% of correct answers. There were no statistically significant associations between sociodemographic/educational variables and number of correct answers. Conclusion: there was a lack of important knowledge about care for patients with MFW, which should guide strategies for the oncology staff training.


2011 ◽  
Vol 26 (5) ◽  
pp. 185-190 ◽  
Author(s):  
C E Q Belczak ◽  
J M P de Godoy ◽  
A F Cruz ◽  
A L Tyszca ◽  
H J G Neto ◽  
...  

Objective The aim of this study was to identify lymphoscintigraphic changes associated with lower-extremity oedema after the harvesting of the saphenous vein using a series of short Q2 incisions for coronary bypass. Method Forty-four patients (32 males and 12 females) with a mean age of 62.7 ± 7.8 (47–75 years old) were evaluated in a retrospective, quantitative, cross-sectional study from June 2007 to January 2008, three to 188 months (mean: 46 months) after the surgical procedure. Assessment was by water displacement volumetry and lymphoscintigraphy of the lower limbs. Results expressed as means with standard deviations were compared employing the Student's t-test and the chi-square or Fisher's exact tests were used to compare data expressed as frequencies. An alpha error of 5% was considered acceptable ( P ≤ 0.05). Results The presence of dermal backflow, as identified by lymphoscintigraphy with an accumulation of radiotracer in the thoracic duct and popliteal lymph nodes was significantly greater on the operated side. Conclusion There was a significant association between dermal backflow and delayed oedema.



2018 ◽  
Vol 12 (10) ◽  
pp. 2675
Author(s):  
Thelma Helena Anghinoni ◽  
Ligia Marcia Contrin ◽  
Isabela Shumaher Frutuoso ◽  
Alexandre Lins Werneck ◽  
Ana Maria Rodrigues Da Silveira ◽  
...  

RESUMOObjetivo: identificar a adesão ao protocolo de prevenção de infecção do trato urinário de acordo com as condições de higiene, identificação, fixação e localização da sonda vesical de demora. Método: trata-se de estudo quantitativo, de campo, analítico, explicativo e transversal, com dados coletados por meio de checklist à beira do leito em seis UTIs. Analisaram-se os resultados pelo Teste Estatístico de Regressão Linear Múltipla e teste t de Student, apresentados em tabelas. Resultados: identificaram-se que das 945 checagens, 403 homens e 346 mulheres necessitaram de SVD. Encontraram-se resultados estatisticamente significantes ao cruzar SVD fixada com tempo de internação e com o sexo; SVD/sujidade com o tempo de internação e com o sexo; SVD identificada com tempo de internação. Consideram-se o principal motivo da infecção o uso de SVD e o microrganismo mais prevalente, a Escherichia Coli. Conclusão: verificou-se alta adesão da equipe de enfermagem ao protocolo de prevenção de infecção do trato urinário, com baixo índice de infecção e alto nível de conformidades em relação à higiene, identificação, fixação e localização da SVD. Descritores: Equipe de Enfermagem; Infecção; Trato Urinário; Protocolos; Segurança Do Paciente; Unidades de Terapia Intensiva.ABSTRACT Objective: to identify the adherence to the protocol of prevention of infection of the urinary tract according to the conditions of hygiene, identification, fixation and location of the bladder catheter of delay. Method: this is a quantitative, field-based, analytical, and cross-sectional study with data collected through the bedside checklist at six ICUs. The results were analyzed by the Multiple Linear Regression Statistical Test and Student's t test, presented in tables. Results: it was identified that of the 945 checks, 403 men and 346 women required SVD. Statistically significant results were found when crossing SVD fixed with hospitalization time and with sex; SVD / soil with time of hospitalization and with sex; SVD identified with length of hospital stay. The main reason for the infection is the use of SVD and the most prevalent microorganism, Escherichia coli. Conclusion: there was a high adherence of the nursing team to the protocol for the prevention of urinary tract infection, with a low infection rate and a high level of compliance regarding hygiene, identification, fixation and location of SVD. Descriptors: Nursing Team; Infection; Urinary Tract; Protocols; Patient Safety; Intensive Care Units.RESUMEN Objetivo: identificar la adhesión al protocolo de prevención de infección del tracto urinario de acuerdo con las condiciones de higiene, identificación, fijación y localización de la sonda vesical de demora. Método: se trata de estudio cuantitativo, de campo, analítico, -explicativo y transversal, con datos recogidos por medio de checklist al borde del lecho en seis UTIs. Se analizaron los resultados por el Test Estadístico de Regresión Lineal Múltiple y test t de Student, presentados en tablas. Resultados:  se identificaron que de las 945 chequeos, 403 hombres y 346 mujeres necesitaron SVD. Se encontraron resultados estadísticamente significantes al cruzar SVD fijada con tiempo de internación y con el sexo; SVD / suciedad con el tiempo de internación y con el sexo; SVD identificada con tiempo de internación. Se considera el principal motivo de la infección el uso de SVD y el microorganismo más prevalente, la Escherichia Coli. Conclusión: se verificó alta adhesión del equipo de enfermería al protocolo de prevención de infección del tracto urinario, con bajo índice de infección y alto nivel de conformidades en relación a la higiene, identificación, fijación y localización de la SVD. Descriptores: Grupo de Enfermería; Infección; Sistema Urinario; Protocolos; Seguridad del Paciente; Unidades de Cuidados Intensivos.



2021 ◽  
Vol 30 ◽  
Author(s):  
Fernanda Maria Vieira Pereira-Ávila ◽  
Simon Ching Lam ◽  
Maithê de Carvalho e Lemos Goulart ◽  
Fernanda Garcia Bezerra Góes ◽  
Natália Maria Vieira Pereira-Caldeira ◽  
...  

ABSTRACT Objective: to identify factors associated with depressive symptoms among older adults during the COVID-19 pandemic. Method: a cross-sectional study developed in all regions of Brazil, using an electronic form among older adults aged 60 or over. Data were collected from April 17 to May 15, 2020. Measures of central tendency and dispersion were used. For comparison of means, Student’s t-test and analysis of variance were applied, considering p≤0.05. For association of factors, chi-square was adopted with bivariate analyzes and logistic regression. Results: nine hundred (100.0%) older adults participated in the study. The general score for symptoms of depression was 3.8 (SD=4.4), 818 (91.9%) had no or mild depressive symptoms. Women (p <0.01) have more symptoms than men. The income variable is a predictor of depressive symptoms (OR=0.56; CI: 0.34-0.91; p=0.020). Conclusion: the main factors associated with symptoms of depression were sex, income, education and occupations that expose them to COVID-19 had the highest depression scores.



2020 ◽  
Author(s):  
Puteri Sofia Nadira Megat Kamaruddin ◽  
Azmawati Mohammed Nawi

Abstract Background Smartphone ubiquitous has become profound especially during 2019 Coronavirus Disease (COVID-19) lockdown period. It is worth considering the influence on users’ health symptoms, which extend beyond the realm of communication. Prior research suggests smartphone’s usage and pattern correlated with self-reported symptoms from different countries. Hence, this research aimed to evaluate the smartphone usage and pattern, also its association on self-reported symptoms among medical students in Malaysia, which occurred during COVID-19 lockdown implementation. Methods A cross-sectional study was conducted, with 252 medical students enrolled in the study at Universiti Kebangsaan Malaysia (UKM) using proportionate stratified random sampling. Sociodemographic, socioeconomic characteristics, smartphone usage and pattern also self-reported symptoms were derived from the self-administered questionnaire. Student’s t-test, Pearson’s Chi Square and Pearson’s correlation were used to determine the association of factors (sociodemographic, socioeconomic status and academic performance) on smartphone usage and pattern. Simple and Multiple Linear Regression (MLR) were performed to seek the main factor contributing to the association of smartphone usage and pattern on self-reported symptoms. Results Smartphone usage SAS-M score was 101.43 (25.15). Smartphone pattern revealed an average of 7 years owning a smartphone, make or receive calls about 32 minutes per day and spend around 4 hours per day other than calls, and the participants equally use their smartphone for entertainment (50%) and non-entertainment (50%) purposes. They have about one extra device besides their smartphone and usually would first use their smartphone within 15 minutes after wake-up in the morning. Employed father status (Adj. ß = 7.431, 95% CI: 3.069, 11.793) and entertainment (Adj. ß = 4.211, 95% CI: 0.460, 7.962) as most personally relevant smartphone function are the significant main predictors for self-reported symptoms after controlling other factors. Conclusions These results suggest that father’s occupation and entertainment function of smartphone pattern affect self-reported symptoms among medical students in the setting of ongoing COVID-19 pandemic. Parents’ active participation is crucial from early childhood education on proper ways to utilise smartphones, also having support system on seeking various ways of entertainment. Public campaigns promoting awareness on proper way of utilising smartphone to avoid the tendency of smartphone addiction are essential.



Author(s):  
Laima Alam

Objectives:Relation of demographics of hepatocellular-carcinoma with the aetiology.Tumour characteristics in relation to anti-viral therapy and presence of viral-DNA/RNATreatment modalities offeredMethods: This cross-sectional study enrolled all the patients aged 18-70 years with diagnosed hepatocellular carcinoma either through Triphasic Contrast-Enhanced-CT scan and/or Magnetic Resonance Imaging or biopsy presenting to the Outpatient-Department or multi-disciplinary-team meetings for the year 2019. Demographic variables, biochemical analysis including liver profile and stage of cirrhosis, viral-status, tumour staging and the treatment modalities offered were all noted. ANOVA (normal) and Kruskal-Wallis (non-normal) tests were used to compare quantitative data whereas chi-square-test and fisher-exact-test were used to compare qualitative-data.Results: Out of 195 patients with hepatocellular carcinoma, 76% were males in their fifth to sixth decades of life, 96% had cirrhosis, 94% corresponded to viral hepatocellular-carcinoma (82% Hepatitis-C-Virus, 9% Hepatitis-B-Virus and 3% coinfection), 60% of the cirrhotics landed in Child-Pugh A category with tumour staging BCLC-B being the predominant one (43.6%) and single and multiple bilateral nodules were the commonest lesions encountered. Platelets and Alanine-Transaminase had a significant relation across aetiological groups. Lymph-nodes were the most common extra-hepatic organs for metastasis and the presence of viral PCR had a significant impact on the tumour aggressiveness. Thirty-two percent of the patients were amenable to curative treatment.Conclusion: Viral infection is the main cause of rising prevalence of this tumour in Pakistan. Treatment modalities are expensive and expertise are lacking. A nationwide cancer registry is required for the exact disease burden and tumour behaviour for our population. Continuous....



2021 ◽  
Vol 15 (1) ◽  
pp. 305-312
Author(s):  
Erivelton Sousa Lima ◽  
Amanda de Castro Amorim Serpa Brandão ◽  
Antonio Luiz Gomes Junior ◽  
Luana kelle Batista Moura ◽  
Gerardo Vasconcelos Mesquita ◽  
...  

Background: The child feed in the first two years of life is of fundamental importance for a healthy growth and development. Aims: To verify the association between food consumption indicators and overweight in children under the age of two, followed up by primary care health professionals. Methods: A cross-sectional study was conducted on 232 children assisted by primary care. A structured questionnaire was used with questions on sociodemographic data of mothers or guardians and food intake and anthropometric data of children. The analysis of the association between excess weight and food intake indicators was performed using the Pearson’s chi-square test (χ2) and Fisher’s exact test (f ˂ 5). Results: Regarding food intake in children under 6 months of age, 35.1% of the children were exclusively breastfed. Among children at the age of 6 to 23 months: 66.3% were on continued breastfeeding; 16.7% consumed adequate foods at the age of 6 to 8 months; 90.4% consumed foods that belonged to the six food groups; 76.3% consumed food at the minimum frequency and with adequate consistency; 88.9% consumed iron-rich and vitamin A-rich foods, and 59.3% consumed ultra-processed foods. Regarding nutritional status, 24.5% of the children were overweight. Conclusion: There was no statistically significant association between overweight and food consumption indicators among the surveyed children. However, exclusive breastfeeding was below the recommended level, a low percentage of the introduction of complementary foods at the appropriate age and high consumption of ultra-processed foods reveal the need to improve the assistance provided by primary care to this group.



2019 ◽  
Vol 46 (2) ◽  
pp. 137-142
Author(s):  
Elis Janaina Lira dos Santos ◽  
Alana Moura Xavier Dantas ◽  
Raíssa Marçal Vilela ◽  
Karina Jerônimo Rodrigues Santiago de Lima ◽  
Rejane Targino Soares Beltrão

Objective: To evaluate patient perception of the smile focused on analysis of the upper incisors. Design: Cross-sectional study. Setting: Department of Clinical and Social Dentistry at Federal University of Paraíba, João Pessoa, Brazil. Participants: The sample consisted of 135 individuals (73 women and 62 men). Methods: Images with different characteristics associated with the incisal edges were shown at random and analysed using a Likert scale. Data were analysed using the Chi-square test or Fisher’s exact test with a statistically significant difference ( P < 0.05). Results: Smile I (difference of 1.5 mm in relation to the central incisor and lateral) was considered the most aesthetic, while Smile III (no difference in height between the central and lateral incisors) was the least aesthetic. A significant difference was found between perception of smile II (difference of 1 mm in relation to the central incisor and lateral) and age groups ( P < 0.005), with 31% (n = 13) of individuals aged 45–64 years considering smile II as not pleasant, 4.4% (n = 2) aged 15–24 years and 8.3% (n=4) aged 25–44 years and 4.4% (n = 2) aged 15–24 years considering the same. A significant difference was also found in relation to educational background of the assessor and smile perception, with smile III ( P = 0.0441) and smile IV ( P = 0.0053) considered the most aesthetic ( P = 0.0116). Conclusion: The smile considered most attractive among the sample was that with 1.5 mm steepness between the central and lateral incisors, while a flat smile arc was considered least attractive.



2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Olaolu T. Olufemi ◽  
Danjuma B. Dantala ◽  
Paul A. Shinggu ◽  
Umesi A. Dike ◽  
Gbeminiyi R. Otolorin ◽  
...  

A cross-sectional study was conducted in Wukari, Taraba state, Nigeria, to determine the prevalence of Brucella antibodies and the risk factors associated with brucellosis in indigenous breeds of goats. A total of 386 goats were sampled from three political wards: Puje, Avyi, and Hospital: harvested sera samples were subjected to Rose Bengal Plate Test (RBPT). GraphPad Prism version 7.03 for Windows (GraphPad Software, La Jolla California, USA) was used to analyse the association between seroprevalence of brucellosis and age, sex, breed, location, and management system by using Chi square and Fisher’s exact test as appropriate. Brucellosis was detected in all three wards: Puje; 15%, Avyi; 6.6%, and Hospital; 7.6%. A prevalence rate of 2.8%, 8%, 18.7%, and 1% was recorded for <20-month, 22-35-month, 36-45-month, and ≥46-55-month age categories, respectively (P < 0.05). Only 9.5% was observed for male animals while 9.8% was observed for female animals with no statistical difference between the males and females. Breed-specific seroprevalence yielded 7.4%, 5.4% 12%, 12.8%, and 11.6%, for Cross, West Africa Dwarf, Red Sokoto, Kano Brown, and Sahel breeds of goat, respectively. There is an evidence of brucellosis (9.6%) in Wukari L.G.A, Taraba State, and age is a risk factor for the disease in the study area. There is a need to enlighten the public on the zoonotic potentials and economic impacts of brucellosis.



2019 ◽  
Author(s):  
Mohammed Bukari ◽  
Muzamil Mohammed Abubakari ◽  
Mohammed Majeed ◽  
Abdul-Razak Abizari ◽  
Anthony Wemakor ◽  
...  

Abstract This study sought to assess maternal growth monitoring knowledge and its effect on stunting, wasting and underweight among children 0-18 months in the Tamale Metropolis. An analytical cross-sectional study design, involving 340 mother-child pairs randomly selected from 4 health facilities in the Tamale Metropolis, was used. A structured questionnaire was used to collect information on socio-demographic characteristics and maternal growth monitoring knowledge. Weight and length of children were taken to assess nutritional status (stunting, underweight and wasting). Chi-square/Fisher’s exact test was used to determine the association between maternal growth monitoring knowledge level and child nutritional status.This study sought to assess maternal growth monitoring knowledge and its effect on stunting, wasting and underweight among children 0-18 months in the Tamale Metropolis. An analytical cross-sectional study design, involving 340 mother-child pairs randomly selected from 4 health facilities in the Tamale Metropolis, was used. A structured questionnaire was used to collect information on socio-demographic characteristics and maternal growth monitoring knowledge. Weight and length of children were taken to assess nutritional status (stunting, underweight and wasting). Chi-square/Fisher’s exact test was used to determine the association between maternal growth monitoring knowledge level and child nutritional status.



2018 ◽  
Vol 17 ◽  
pp. e18337 ◽  
Author(s):  
Larissa Chaves Cardoso Fernandes ◽  
Marcus Vitor Diniz de Carvalho ◽  
Eduardo Daruge Júnior ◽  
Luiz Francesquini Júnior ◽  
Patrícia Moreira Rabello ◽  
...  

Aim: To investigate the percentage of correctness (PC) of the Nasal Index (NI) in human skeletons for determination of sex, ancestry and estimation of age in the Brazilian population. Methods: This was a cross-sectional study of 173 human skulls belonging to the Piracicaba Dental School. 93 skeletons were males and 80 females; 34 were aged up to 39 years, 56 between 40 and 59 years, and 83 60 years or older; 96 were from white individuals, 49 were from mixed-race and 28 from black individuals. High-precision digital caliper was used to measure nasal height (NH=ANS-nasion) and the maximum nasal width (NW) values, which were applied into the formula NI=NW/NHx100. The data were submitted to discriminant analysis and Student’s t test with equal variances, Mann-Whitney, F (ANOVA), Tukey and Kruskal Wallis, 5% significance level. Results: Dominant nasal type in the Brazilian population was the mesorine. Males showed nasal height and width values greater than those of females, with statistically significant differences in all measurements (p≤0.021) and PC of 76.6%. Similar nasal measurements were found regardless of age (p>0.05), with PC of 41.7%. Ancestral analysis revealed that black individuals have greater nasal width (26.35) and nasal index (53.67) than white ones (24.60 and 49.25), while mixed-race individuals showed intermediate values (25.36 and 52.13) (p<0.05). Nevertheless, these measurements presented an estimated PC of 54.3%. Conclusion: The Nasal Index can be better used for sex determination than for estimation of age and ancestry in the Brazilian population, as the latter showed intermediate and low percentage of correctness, respectively.



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