scholarly journals Psychological aspects of patients with intestinal stoma: integrative review

Author(s):  
Natália Michelato Silva ◽  
Manoel Antônio dos Santos ◽  
Sara Rodrigues Rosado ◽  
Cristina Maria Galvão ◽  
Helena Megumi Sonobe

ABSTRACT Objective: to analyze evidences of psychological aspects of patients with intestinal stoma. Method: integrative review with search of primary studies in the PsycINFO, PubMed, CINAHL and WOS databases and in the SciELO periodicals portal. Inclusion criteria were: primary studies published in a ten-year period, in Portuguese, Spanish or English, available in full length and addressing the theme of the review. Results: after analytical reading, 27 primary studies were selected and results pointed out the need to approach patients before surgery to prevent the complications, anxieties and fears generated by the stoma. The national and international scientific production on the experience of stomized patients in the perioperative moments is scarce. Conclusion: it is recomendable that health professionals invest in research on interventions aimed at the main psychological demands of stomized patients in the perioperative period, respecting their autonomy on the decisions to be made regarding their health/illness state and treatments.

2022 ◽  
Vol 75 (suppl 1) ◽  
Author(s):  
Camila Oliveira Valente ◽  
Fernanda Rios da Silva ◽  
Fernanda Carneiro Mussi ◽  
Maria Ribeiro Lacerda ◽  
Kátia Santana Freitas ◽  
...  

ABSTRACT Objective: To analyze the scientific production on the decision making of health workers during the COVID-19 pandemic. Methods: Integrative review in the databases CINAHL, MEDLINE, Scopus, ScienceDirect, WoS, and BVS. Inclusion criteria: original articles available in full, in any language, related to the object investigated. Results: During this pandemic, health workers have been making decisions based on ethical/bioethical principles (utility, beneficence, non-maleficence, autonomy, justice, proportionality, flexibility, clinical prognosis, duration of the need, and fair health attention), values (solidarity, equality, equity, utilitarianism, relational autonomy, reliability, reciprocity, maximization of the benefits and resources, and prioritization of those in worse conditions), beliefs and personal motivation, protocols, directives, tools, algorithms, recommendations, and criteria. Final considerations: Decision making has never been so necessary as in this pandemic. This article is not a recipe for the professionals, since decision making is based on numerous factors. However, it provides them with a foundation that can be helpful in this difficult process.


MUSAS ◽  
2020 ◽  
Vol 5 (1) ◽  
Author(s):  
María del Carmen Martín-Bellido ◽  
Juan Diego González-Sanz

Introduction The concept of female empowerment is often used in nursing by midwifes, since it has become a key topic and discussion for said profession. Accordingly, it is used in perinatal health hand in hand with ideas such as humanized childbirth and the prevention of violence. Objectives The aim of this study is to analyze the scientific production on female empowerment and perinatal health. Methodology A bibliometric study of the scientific production published in the journals Birth, Women and Birth and Midwifery was carried out. The analysis was realized through the classification and categorization of the data. Moreover, the categories were specified, encoded and conceptually defined. Results and Discussion 341 articles were identified, and 44 were selected because of their relevance. However, only 13 matched the inclusion criteria. Given that selected articles have different aims and analyze the notion of empowerment differently, it was only possible to discuss the topic through their classification and categorization. Accordingly, the most relevant aspects concerning the sense of female empowerment arising out of the interaction between patients and midwifes are: feeling that health professionals listen to what you have to say; accepting pain; the physical and psychological support of close people or professionals; personalized care; health professionals’ empathy and closeness; privacy; and the role communication as key element for empowerment. Conclusions Female empowerment in the perinatal period is an understudied discussed topic in the journals analyzed in this article. That is the reason why there is not a univocal definition of the term. It could be argued that female empowerment is much dependent on aspects such as confidence between patients and midwife, the feeling of being listened by health professionals; the acceptance of pain; the physical and psychological support of close people or professionals; personalized care; health professionals’ empathy and closeness; privacy; and a fluid communication.


2020 ◽  
Vol 10 (7) ◽  
Author(s):  
Fabiana Resplande de Paula Da Costa ◽  
Maria Liz Cunha De Oliveira

Objetivo: Conhecer e analisar a produção científica sobre diagnósticos de enfermagem em lesão por pressão e seus estágios. Método: Revisão integrativa realizada entre julho de 2018 a junho de 2019. A questão norteadora foi “quais os diagnósticos de enfermagem dados à lesão por pressão e seus vários estágios?”. Os critérios de inclusão foram artigos publicados entre 2011 e 2019, nas bases de dados SCIELO, BVS, LILACS e PUBMED, CAPES, MEDLINE e GOOGLE ACADÊMICO em língua portuguesa, disponíveis na íntegra. Os critérios de exclusão foram estudos duplicados e que não atendessem à questão do estudo. Resultados: A busca resultou em 460 artigos e com a aplicação dos critérios de inclusão e exclusão foram selecionados 9 estudos. Os diagnósticos encontrados referem-se apenas ao risco de lesão ainda no NANDA 2015/2017. Conclusão: Não foi observado um diagnóstico de enfermagem específico para os estágios da lesão por pressão.Descritores: Lesão por pressão, Diagnóstico de enfermagem, Terminologia internacional NANDA. EnfermagemNURSING DIAGNOSES RELATED TO PRESSURE INJURYObjective: To know and analyze the scientific production on nursing diagnoses in pressure lesions and their stages. Method: Integrative review performed between July 2017 and July 2019. The guiding question was “which nursing diagnoses given to pressure injury and its various stages?”. The inclusion criteria were articles published between 2011 and 2019, in the databases SCIELO, VHL, LILACS and PUBMED, CAPES, MEDLINE, in Portuguese language, available in full. Exclusion criteria were duplicate studies that did not address the study question. Results: The search resulted in 460 articles and with the application of the inclusion and exclusion criteria, nine studies were selected. The diagnoses found refer only to the risk of injury still in the NANDA 2015/2017. Conclusion: A specific nursing diagnosis was not observed for the stages of the pressure lesion.Descriptors: Pressure injury, Nursing diagnosis, NANDA international terminology.DIAGNÓSTICOS DE ENFERMERÍA RELACIONADOS CON LA LESIÓN POR PRESIÓNObjetivo: Conocer y analizar la producción científica sobre diagnósticos de enfermería en lesión por presión y sus etapas. Método: Revisión integrativa realizada entre julio de 2017 a julio de 2019. La cuestión orientadora fue “cuáles los diagnósticos de enfermería dados a la lesión por presión y sus varias etapas?”. Los criterios de inclusión fueron publicados entre 2011 y 2019 en las bases de datos SciELO, BVS y PUBMED, capas, MEDLINE, en portugués, disponibles en su totalidad. Los criterios de exclusión fueron estudios duplicados y que no respondían a la cuestión del estudio. Resultados: La búsqueda resultó en 460 artículos y con la aplicación de los criterios de inclusión y exclusión se seleccionaron siete estudios. Los diagnósticos encontrados sólo se refieren al riesgo de lesión en el NANDA 2015/2017. Conclusión: No se observó un diagnóstico de enfermería específico para las etapas de la lesión por presión.Descriptores: Lesión por presión, Diagnóstico de enfermería, Terminología internacional NANDA


2016 ◽  
Vol 50 (2) ◽  
pp. 317-323 ◽  
Author(s):  
Maria Amélia Leite Ferreira ◽  
Alexandra Manuela Nogueira de Andrade Pereira ◽  
José Carlos Amado Martins ◽  
Maria do Céu Barbieri-Figueiredo

Abstract Objective To identify the academic scientific production on palliative care in master dissertations and PhD theses carried out by nurses in Portugal. Method A descriptive retrospective study of bibliometric type with search for the abstracts available in repositories of higher education institutions in the period 2000-2014. Results Of the 1814 papers identified, 249 met the inclusion criteria (ten doctoral theses and 239 master dissertations). The most representative methodological approach was quantitative (31.35%) and the most studied area was family/informal caregiver (20.69%). The most studied target population were the students/health professionals (38.51%). Conclusion The academic scientific production in this area has been growing in spite of the need for continued investment in order to fill the identified gaps.


10.3823/2324 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Fernando Henrique De Sousa ◽  
Vitor Engrácia Valenti ◽  
Mariana P. Hamaji ◽  
Carla Ap. P. De Sousa ◽  
David Matthew Garner ◽  
...  

This is an integrative review which aimed to evaluate the use of the SPIKES protocol in Oncology. We selected articles published in Medline and CINAHL databases between 2005-2015, in English, with the descriptors defined by the Medical Subject Headings (MeSH):cancer, neoplasms, plus the uncontrolled descriptor: protocol spikes.  Six articles met the inclusion criteria and were analyzed in full, three thematic categories were established: aspects inherent to the health care professional; Aspects related to the patient and aspects related to the protocol. The main effects of the steps of SPIKES protocol can provide the strengthening of ties between health professionals and patients, and ensure the maintenance and quality of this relationship.  The results indicate an important limiting factor for effective doctor-patient relationship, the little training provided to medical professionals communication of bad news, verified by the difficulty reported in this moment through interviews in the analyzed studies.


2020 ◽  
Author(s):  
Krishna Krishna Prasad Pathak

BACKGROUND Health professionals (HPs) play a key role in dementia management and detection. However, there is a gap in the literature as to what represents best practice with regard to educating HPs to improve their dementia detection practices and management. OBJECTIVE The objective of this scoping review is to synthesize the aggregated studies aimed at improving health care knowledge, detection practices and management of dementia among HPs. METHODS We searched electronically published relevant articles with inclusion criteria; (1) intervention studies aimed at improving HPs practices concerning dementia care and (2) educational interventions focused on nurses and doctors’ knowledge, detection practice and management of dementia. Twenty-five articles fit the inclusion criteria. RESULTS Collaborative programs of practice based workshops, interactive learning activities with community and multi-faced educational program were the most effective. CONCLUSIONS HPs should be supported to improve their knowledge, tackle behavioural problems associated with dementia, be made aware of services and be enabled to engage in more early diagnosis. CLINICALTRIAL no applicable


2020 ◽  
Vol 11 (2.ESP) ◽  
Author(s):  
Maria Soraya Pereira Franco Adriano ◽  
Betânia Maria Pereira Santos ◽  
Carmem Gabriela Gomes de Figueiredo Figueiredo ◽  
Ana Carolina Bernardes Dulgheroff ◽  
Ronaldo Rodrigues Sarmento ◽  
...  

Objetivo: Analisar a produção científica acerca da atual pandemia do novo coronavírus, destacando aspectos referentes às características do vírus, bem como a epidemiologia, o diagnóstico e tratamento da COVID-19 no intuito de fornecer informações aos profissionais de saúde e à comunidade científica. Método: Revisão narrativa, com busca nas bases de dados Scielo, Medline, Lilacs e Pubmed, referente ao período de fevereiro a maio de 2020, utilizando os descritores: “infecções por coronavírus” or “coronavirus infections”, “COVID-19”, “betacoronavirus”, “Síndrome Respiratória Aguda Grave”, “SARS-Cov-2”, “diagnóstico”, “diagnosis”. Resultados: Foram evidenciadas três categorias temáticas: aspectos referentes ao vírus; a epidemiologia e a clínica da doença; e aspectos do diagnóstico e tratamento. Conclusão: O Coronavírus sofreu mutações desde o início da pandemia, mas não se sabe se estas mutações afetaram seu poder de infecciosidade. Em diferentes partes do mundo a epidemiologia da COVID-19 foi diferente. Com relação ao tratamento, a droga que tem se mostrado mais promissora até o momento é o remdesivir. Sem uma vacina eficaz, a maior arma que dispomos é o isolamento social.Descritores: Infecções por Coronavírus; COVID-19; Síndrome Respiratória Aguda Grave. SEVERE ACUTE RESPIRATORY SYNDROME AND COVID-19 (SARS-COV-2): A NARRATIVE REVIEWObjective: To analyze a scientific production on the current pandemic of new coronaviruses, highlighting aspects related to virus resources, as well as the epidemiology, diagnosis and treatment of COVID-19 in order to provide information to health professionals and the scientific community. Method: Narrative review, searching the Scielo, Medline, Lilacs and Pubmed databases, for the period from February to May 2020, using the keywords: "coronavirus infections" or "coronavirus infections", "COVID-19", "Betacoronavirus", "Severe Acute Respiratory Syndrome", "SARS-Cov-2", "diagnosis", "diagnosis". Results: Three thematic categories were highlighted: aspects related to the virus; an epidemiology and disease clinic; and aspects of diagnosis and treatment. Conclusion: The Coronavirus has mutated since the beginning of the pandemic, but it is not known whether these mutations have affected its infectiousness. In different parts of the world the epidemiology of COVID-19 was different. Regarding treatment, a drug that has been shown to be more promising until recovery is needed. Without an effective vaccine, the biggest weapon that affects social isolation.Descriptors: Coronavirus Infections; COVID-19; Severe Acute Respiratory Syndrome. SÍNDROME RESPIRATORIO AGUDO GRAVE Y COVID-19 (SARS-COV-2): UNA REVISIÓN NARRATIVAObjetivo: analizar una producción científica sobre la pandemia actual de nuevos coronavirus, destacando aspectos relacionados con los recursos del virus, así como la epidemiología, diagnóstico y tratamiento de COVID-19 para proporcionar información a los profesionales de la salud y la comunidad científica. Método: Revisión narrativa, buscando en las bases de datos Scielo, Medline, Lilacs y Pubmed, para el período de febrero a mayo de 2020, utilizando los descriptores: "infecciones por coronavirus" o "infecciones por coronavirus", "COVID-19", "Betacoronavirus", "Síndrome respiratorio agudo severo", "SARS-Cov-2", "diagnóstico", "diagnóstico". Resultados: se destacaron tres categorías temáticas: aspectos relacionados con el virus; una clínica de epidemiología y enfermedad; y aspectos de diagnóstico y tratamiento. Conclusión: el coronavirus ha mutado desde el comienzo de la pandemia, pero no se sabe si estas mutaciones han afectado su infecciosidad. En diferentes partes del mundo, la epidemiología de COVID-19 fue diferente. Con respecto al tratamiento, un medicamento que ha demostrado ser más prometedor hasta que se necesita recuperación. Sin una vacuna efectiva, el arma más grande que afecta el aislamiento social.Descriptores: Infecciones por Coronavirus; COVID-19; Síndrome Respiratorio Agudo Severo.


2017 ◽  
Vol 70 (4) ◽  
pp. 875-884 ◽  
Author(s):  
Renata Evangelista Tavares ◽  
Maria Cristina Pinto de Jesus ◽  
Samara Macedo Cordeiro ◽  
Daniel Rodrigues Machado ◽  
Vanessa Augusta Braga ◽  
...  

ABSTRACT Objective: to identify the knowledge produced on the health of low-income older women. Method: an integrative review was conducted in February 2016 on the SCOPUS, CINAHL, MEDLINE, LILACS, EMBASE, WEB OF SCIENCE databases, and in the SciELO journals directory. After the application of inclusion and exclusion criteria, 24 articles were selected. Results: the knowledge produced comprises two main themes: "health in face of economic adversities" and "reciprocity in social support between low-income older women and their social network". Final considerations: health professionals, especially nurses, should be attentive to aspects related to social determinants and the health of low-income older women, highlighting the fact that they are not always the recipients of care.


2017 ◽  
Vol 4 (3) ◽  
pp. 1 ◽  
Author(s):  
Agnes Fonseca Ribeiro Filardi ◽  
VÂnia Eloisa De AraÚjo ◽  
Yone De Almeida Nascimento ◽  
Djenane Ramalho De Oliveira

The use of psychotropic drugs to treat problems of everyday life is a growing phenomenon in many countries. A systematic review was conducted as a method of synthesis of results of the qualitative primary studies developed to explore the perspective of health professionals and patients regarding the use of psychotropic drugs to overcome personal problems. This systematic review was conducted in the databases Medline (PubMed), Central (Cochrane), Psycoinfo and Lilacs, including gray literature and manual search (june/2015). We identified 581 publications that were evaluated in stages and 26 met the inclusion criteria with a total of 876 participants including health professionals and patients. The doctors showed empathy by prescribing. The health professionals-prescribers and non-prescribers-were concerned about the dependence of patients on the psychotropic and the pressure to prescribe. Patients felt unable to solve their problems and seek medications as a solution. The psychotropics were considered a useful resource to overcome the social problems, existing denial of its side effects as well as the lack of openness and access to other support mechanisms.


Author(s):  
Nayana Santos Arêa Soares ◽  
Márcia Astrês Fernandes ◽  
Hellany Karolliny Pinho Ribeiro ◽  
Daniel de Macêdo Rocha ◽  
Ítalo Arão Pereira Ribeiro

Abstract Objective: To analyze the evidence available in the literature on harm reduction actions developed by primary healthcare. Method: Integrative literature review carried out in the databases MEDLINE, CINAHL, SCOPUS, Web of ScienceTM and LILACS. Results: Seventeen (17) primary studies published from 2008 to 2017 were included in this review. Care strategies for harm reduction included maintenance treatment with methadone, therapy with opioid agonists, needle and syringe distribution programs and the creation of rooms for supervised drug consumption. Health professionals were essential for consolidating inclusion strategies, possessing skills to listen without judgment and prejudice. Conclusion: Harm reduction care strategies have been disseminated in different countries and healthcare levels, aiming toward safe practice and quality, effective and risk-free care actions.


Sign in / Sign up

Export Citation Format

Share Document