scholarly journals Predictors of depressive symptoms among nurses of intensive care unit

2017 ◽  
Vol 21 (3) ◽  
Author(s):  
Eduardo Motta de Vasconcelos ◽  
Milva Maria Figueiredo De Martino
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Depressive Symptomatology ◽  
Cross Sectional Study ◽  
Categorical Variables ◽  
P Value ◽  
Cross Sectional ◽  
Exact Test ◽  
Intensive Care Nurses ◽  
Quantitative Descriptive

Abstract Objectives: To identify the prevalence and analyze the existence of predictive factors of depressive symptomatology among nurses from intensive care unit. Methods: A quantitative, descriptive, cross-sectional study was performed with 91 intensive care nurses. Two instruments were used for data collection performed in July 2014: a sociodemographic questionnaire and the Beck Depression Inventory (version I). Fisher's exact test was used to analyze the existence of associations between depressive symptomatology and categorical variables. Results: Eleven percent of the sample presented with depressive symptomatology. Of the variables studied, none was significantly associated with depressive symptomatology (p-value ≥ 0.05). Conclusion: The prevalence of depressive symptomatology corresponded to 11%. None of the variables showed a significant association with depressive symptomatology.

scholarly journals Burnout and depressive symptoms in intensive care nurses: relationship analysis

2018 ◽  
Vol 71 (1) ◽  
pp. 135-141 ◽  
Author(s):  
Eduardo Motta de Vasconcelos ◽  
Milva Maria Figueiredo De Martino ◽  
Salomão Patrício de Souza França
Keyword(s):  
Intensive Care ◽  
Depressive Symptoms ◽  
Beck Depression Inventory ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Exact Test ◽  
Intensive Care Nurses ◽  
Relationship Analysis ◽  
Quantitative Descriptive

ABSTRACT Objective: To analyze the existence of a relationship between burnout and depressive symptoms among intensive care unit nursing staff. Method: A quantitative, descriptive, cross-sectional study with 91 intensive care nurses. Data collection used a sociodemographic questionnaire, the Maslach Burnout Inventory - Human Services Survey, and the Beck Depression Inventory - I. The Pearson test verified the correlation between the burnout dimension score and the total score from the Beck Depression Inventory. Fisher's exact test was used to analyze whether there is an association between the diseases. Results: Burnout was presented by 14.29% of the nurses and 10.98% had symptoms of depression. The higher the level of emotional exhaustion and depersonalization, and the lower professional accomplishment, the greater the depressive symptoms. The association was significant between burnout and depressive symptoms. Conclusion: Nurses with burnout have a greater possibility of triggering depressive symptoms.

Relationship between Stress Perceived and Gastrointestinal Symptoms in Intensive Care Nurses During COVID-19 Pandemic: A Cross-Sectional Study

2022 ◽  
Vol 8 (4) ◽  
pp. 217-230
Author(s):  
Tuğba Menekli ◽  
Runida Doğan ◽  
Erman Yıldız
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Perceived Stress ◽  
Stress Level ◽  
Gastrointestinal Symptoms ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Intensive Care Nurses ◽  
Gi Symptoms

The purpose of this study is to determine the relationship between perceived stress and gastrointestinal (GI) symptoms during the COVID-19 outbreak in the intensive care unit (ICU) nurses. This cross-sectional study was conducted with 170 nurses working in the ICUs of a hospital in eastern Turkey. Descriptive, chi-square and multiple linear regression analyses were used to analyze data. In the last three months, 48.2% of the nurses had complaints such as heartburn, 44.1% abdominal distension, 41.7% diarrhea/ constipation. The mean perceived stress level experienced by the nurses was found to be 29.30±5.73. Results from regression analysis included perceived stress score, gender, perceived health status, diet, having been infected with COVID-19 before and risk degree of the ICU in question in terms of COVID-19 revealed a statistically significant associated with scores obtained from GI symptoms. Perceived stress level, health perception status, having been infected with COVID-19 before and the high-risk status of the intensive care unit in question for COVID-19 were predictive factors for the occurrence of gastrointestinal symptoms. These findings may provide a basis for creating a healthy work environment where factors contributing to work-related stress are reduced and coping strategies are developed. Keywords: gastrointestinal symptoms, intensive care, nurses, stress

scholarly journals Nível de conforto na dimensão segurança de familiares de pacientes internados em unidade de terapia intensiva

2020 ◽  
Vol 11 (3) ◽  
Author(s):  
Edineia Miranda Machado ◽  
Tatiana Brusamarello
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Family Members ◽  
Cross Sectional Study ◽  
Comfort Level ◽  
University Hospital ◽  
Cross Sectional ◽  
Terapia Intensiva ◽  
Quantitative Descriptive ◽  
Safety Dimension

Objetivo: Verificar o nível de conforto na dimensão segurança de familiares de pacientes internados em leitos de Unidade de Terapia Intensiva. Método: Estudo quantitativo, descritivo, transversal, realizado no período de junho a setembro de 2019, com 40 familiares de pacientes internados em leitos de Unidade de Terapia Intensiva de um hospital universitário do sul do Brasil. Os dados foram coletados por meio da Escala de Conforto para Familiares de Pessoas em Estado Crítico de Saúde e analisados por estatística descritiva simples. Resultados: Dos familiares entrevistados a maioria era do sexo feminino, com faixa etária de 40 a 59 anos, parentes de primeiro grau, com ensino médio completo. A média geral do nível de conforto em relação a dimensão segurança foi de 4,36 para Unidade de Terapia Intensiva I e 4,31 para a Unidade de Terapia Intensiva II, resultando em médio conforto. Conclusão: O nível de conforto na dimensão segurança mostrou-se médio, evidenciando reflexos positivos da inclusão familiar no contexto hospitalar relacionado ao acolhimento, interação com a equipe de saúde e confiabilidade no cuidado prestado.Descritores: Cuidados de Enfermagem; Família; Cuidados Críticos.COMFORT LEVEL IN THE SAFETY DIMENSION OF FAMILY MEMBERS OF PATIENTS HOSPITALIZED IN INTENSIVE CARE UNIT  Objective: To verify the level of comfort in the safety dimension of family members of patients admitted to beds in the Intensive Care Unit. Method: Quantitative, descriptive, cross-sectional study, carried out from June to September 2019, with 40 family members of patients admitted to beds in the Intensive Care Unit of a university hospital in southern Brazil. The data were collected using the Comfort Scale for Family Members of People in Critical Health and analyzed using simple descriptive statistics. Results: Of the interviewed family members, most were female, aged 40 to 59 years old, first-degree relatives, with high school education. The general average of the comfort level in relation to the safety dimension was 4.36 for the Intensive Care Unit I and 4.31 for the Intensive Care Unit II, resulting in medium comfort. Conclusion: The level of comfort in the safety dimension was shown to be medium, showing positive reflexes of family inclusion in the hospital context related to welcoming, interaction with the health team and reliability in the care provided.Descriptors: Nursing Care; Family; Critical Care. NIVEL DE CONFORT EN LA DIMENSIÓN DE SEGURIDAD DE LOS FAMILIARES MIEMBROS DE PACIENTES HOSPITALIZADOS EN LA UNIDAD DE ATENCIÓN INTENSIVAObjetivo: Verificar el nivel de confort en la dimensión de seguridad de los familiares de pacientes hospitalizados en camas de la Unidad de Cuidados Intensivos. Método: Estudio cuantitativo, descriptivo, transversal, realizado de junio a septiembre de 2019, con 40 familiares de pacientes ingresados en camas en la Unidad de Cuidados Intensivos de un hospital universitario en el sur de Brasil. Los datos fueron recolectados usando la Escala de Confort para los miembros de la familia de personas en estado crítico de salud y analizados usando estadísticas descriptivas simples. Resultados: De los familiares entrevistados, la mayoría eran mujeres, de 40 a 59 años, familiares de primer grado, con educación secundaria. El promedio general del nivel de comodidad en relación con la dimensión de seguridad fue 4.36 para la Unidad de Cuidados Intensivos I y 4.31 para la Unidad de Cuidados Intensivos II, lo que resultó en un confort medio. Conclusión: Se demostró que el nivel de comodidad en la dimensión de seguridad era medio, mostrando reflejos positivos de inclusión familiar en el contexto hospitalario relacionados con la acogida, la interacción con el equipo de salud y la confiabilidad en la atención brindada. Descriptores: Atención de Enfermería; Familia; Cuidados Críticos

scholarly journals Fatores relacionados ao óbito em pacientes com traumatismo cranioencefálico

2019 ◽  
Vol 13 (1) ◽  
pp. 9
Author(s):  
Jakeline De Lima Israel ◽  
Francisco José Oliveira De Queiroz ◽  
Thatiana Lameira Maciel Amaral ◽  
Kelly Regina Pires da Silva Caciano ◽  
Patricia Rezende Do Prado
Keyword(s):  
Craniocerebral Trauma ◽  
Cross Sectional Study ◽  
Motor Deficit ◽  
P Value ◽  
Cross Sectional ◽  
Exact Test ◽  
Circulatory Insufficiency ◽  
Critical Patients ◽  
Quantitative Descriptive ◽  
Epidemiological Profile

ABSTRACT Objective: to identify the epidemiological profile and the factors related to death in critical patients who suffered traumatic brain injury. Method: this is a quantitative, descriptive and cross-sectional study, whose data collection was performed, and the information analyzed in the medical records. Descriptive statistics and Fisher's exact test were used with p-value <0.05 as significant. The results are presented in the table. Results: it was revealed that of the 61 patients, 80.3% were male; 72.1% were <40 years of age; in 72.5% the trauma occurred due to a motorcycle accident; 91.8% were considered serious; 65.5%, circulatory insufficiency; 48.1% had sequelae on discharge due to neurological deficit and 32.7% due to motor deficit and 16.4% died. It was added that males (p-value = 0.02) and circulatory insufficiency (p-value = 0.05) had a correlation with death. Conclusion: it was identified that most of the patients were young men, with motorcycle trauma, they presented severe, with sequels and the death was related to the male sex and the circulatory insufficiency. It is believed that the percentage of deaths was not high, but morbidity was high. Descriptors: Intensive Care Units; Craniocerebral Trauma; Morbidity; Epidemiology; Mortalitty; Patient Care.RESUMOObjetivo: identificar o perfil epidemiológico e os fatores relacionados ao óbito em pacientes críticos que sofreram traumatismo cranioencefálico. Método: trata-se de um estudo quantitativo, descritivo e transversal, com coleta de dados em prontuários. Realizaram-se estatísticas descritivas e o teste exato de Fisher adotando-se p-valor <0,05 como significativo. Apresentam-se os resultados em tabela. Resultados: revelam-se que, dos 61 pacientes, 80,3% eram do sexo masculino; 72,1% tinham <40 anos de idade; em 72,5% o traumatismo ocorreu por acidente motociclístico; 91,8% foram considerados graves; 65,5%, insuficiência circulatória; 48,1% apresentaram sequelas na alta por deficit neurológico e 32,7% por deficit motor e 16,4% foram a óbito. Acrescenta-se que o sexo masculino (p-valor = 0,02) e a insuficiência circulatória (p-valor = 0,05) apresentaram correlação com o óbito. Conclusão: identificou-se que a maioria dos pacientes era homens jovens, com trauma por motocicletas, apresentaram-se graves, com sequelas e o óbito relacionou-se com o sexo masculino e a insuficiência circulatória. Acredita-se que o percentual de óbitos não foi alto, porém, a morbidade foi elevada. Descritores: Unidades de Terapia Intensiva; Traumatismos Craniocerebrais; Morbidade; Epidemiologia; Mortalidade; Assistência ao Paciente.RESUMENObjetivo: identificar el perfil epidemiológico y los factores relacionados al óbito en pacientes críticos que sufrieron traumatismo craneoencefálico. Método: se trata de un estudio cuantitativo, descriptivo y transversal, cuya recolección de datos fue realizada y analizadas las informaciones en prontuarios. Se realizaron estadísticas descriptivas y la prueba exacta de Fisher adoptando p-valor <0,05 como significativo. Se presentan los resultados en tabla. Resultados: se revelan que, de los 61 pacientes, el 80,3% eran del sexo masculino; 72,1% tenían <40 años de edad; en el 72,5% el traumatismo ocurrió por accidente motociclístico; el 91,8% se consideró grave; 65,5%, insuficiencia circulatoria; 48,1% presentaron secuelas en la alta por déficit neurológico y 32,7% por déficit motor y el 16,4% fueron a muerte. Se añade que el sexo masculino (p-valor = 0,02) y la insuficiencia circulatoria (p-valor = 0,05) presentaron correlación con el óbito. Conclusión: se identificó que la mayoría de los pacientes eran hombres jóvenes, con trauma por motocicletas, se presentaron graves, con secuelas y el óbito se relacionó con el sexo masculino y la insuficiencia circulatoria. Se cree que el porcentaje de muertes no fue alto, pero la morbilidad fue elevada. Descriptores: Unidades de Cuidados Intensivos; Traumatismos Craneocerebrales; Morbilidad; Epidemiología; Mortalidad; Atención al Paciente.

scholarly journals Perfil epidemiológico dos pacientes com sepse de foco abdominal

2019 ◽  
Vol 13 ◽  
Author(s):  
Natasha Varjão Volpáti ◽  
Patricia Rezende Do Prado ◽  
Luís Eduardo Maggi
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Septic Shock ◽  
Intensive Care ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Factors Associated ◽  
Factores De Riesgo ◽  
Terapia Intensiva

Objetivo: identificar o perfil epidemiológico, os fatores associados ao óbito e nortear as intervenções de enfermagem frente aos pacientes com sepse de foco abdominal. Método: trata-se de um estudo quantitativo, descritivo, transversal, realizado com 40 pacientes internados em uma em uma Unidade de Terapia Intensiva. Realizou-se a associação com o óbito por meio dos testes de qui-quadrado de Pearson e exato de Fisher. Apresentaram-se os resultados em forma de tabelas. Resultados: registra-se que, dos 40 (100%) pacientes, 57,5% eram do sexo masculino, 67,5% tinham um diagnóstico inicial pertencente ao sistema gastrointestinal. Elencam-se as variáveis que apresentaram a associação com o óbito nesta UTI: idade maior a 60 anos, que, embora representasse apenas 22,5% da amostra, respondeu por, aproximadamente, 90% das mortes (p-valor 0,005) e pacientes que foram classificados com choque séptico, já que 56,7% dos 75% foram a óbito (p-valor 0,04). Conclusão: entende-se que os fatores de risco associados ao óbito nos pacientes com sepse de foco abdominal na UTI estão relacionados com idade maior a 60 anos e com choque séptico. Descritores: Sepse; Fatores de Risco; Mortalidade; Unidade de Terapia Intensiva; Enfermagem; Perfil Epidemiológico.Abstract Objective: to identify the epidemiological profile, the factors associated with death, and to guide nursing interventions in patients with sepsis of abdominal focus. Method: this is a quantitative, descriptive, cross-sectional study of 40 patients hospitalized in one in an Intensive Care Unit. The association with death was performed using Pearson's chi-square test and Fisher's exact test. Results were presented in the form of tables. Results: it was recorded that of the 40 (100%) patients, 57.5% were male, 67.5% had an initial diagnosis belonging to the gastrointestinal system. The variables that showed association with death in this ICU were: age greater than 60 years, which, although representing only 22.5% of the sample, accounted for approximately 90% of the deaths (p-value 0.005) and patients which were classified as septic shock, since 56.7% of the 75% died (p-value 0.04). Conclusion: it is understood that the risk factors associated with death in patients with sepsis of abdominal focus in the ICU are related to age greater than 60 years and with septic shock. Descriptors: Sepsis; Risk Factors; Mortality; Intensive Care Unit; Nursing; Profile Epidemiological.Resumen Objetivo: identificar el perfil epidemiológico, los factores asociados al óbito y orientar las intervenciones de enfermería frente a los pacientes con sepsis de foco abdominal. Método: se trata de un estudio cuantitativo, descriptivo, transversal, realizado con 40 pacientes internados en una Unidad de Terapia Intensiva. Se realizó la asociación con el óbito por medio de las pruebas de chi-cuadrado de Pearson y exacto de Fisher. Se presentaron los resultados en forma de tablas. Resultados: se registra que, de los 40 (100%) pacientes, el 57,5% eran del sexo masculino, el 67,5% tenían un diagnóstico inicial perteneciente al sistema gastrointestinal. Se identifican las variables que presentaron la asociación con el óbito en esta UTI: edad mayor a 60 años, que, aunque representaba apenas el 22,5% de la muestra, respondió por aproximadamente el 90% de las muertes (p-valor 0,005) y pacientes que fueron clasificados con shock séptico, ya que el 56,7% del 75% fue la muerte (p-valor 0,04). Conclusión: se entiende que los factores de riesgo asociados al óbito en los pacientes con sepsis de foco abdominal en la UTI están relacionados con edad mayor a 60 años y con shock séptico. Descriptors: Sepsis; Factores de riesgo; Mortalidad; Intensive Care Unit; Enfermería; Perfil Epidemiológico.

scholarly journals Infectious Disease Consultation Is Associated with Decreased Mortality with Enterococcal Bloodstream Infections

2017 ◽  
Vol 4 (suppl_1) ◽  
pp. S31-S31
Author(s):  
Rachael A Lee ◽  
Daniel Vo ◽  
Joanna Zurko ◽  
Russell Griffin ◽  
J Martin Rodriguez ◽  
...  
Keyword(s):  
Hospital Mortality ◽  
Bloodstream Infections ◽  
Cross Sectional Study ◽  
Case Definition ◽  
Source Control ◽  
Categorical Variables ◽  
P Value ◽  
Continuous Variables ◽  
Cross Sectional ◽  
Exact Test

Abstract Background Enterococcal bloodstream infections (EBSI) have been attributed with significant morbidity and mortality. The objective of this study was to determine whether IDC is associated with improved mortality in patients hospitalized with EBSI. Methods This is a cross-sectional study of patients admitted to the University of Alabama Health System between January 1, 2015 and June 30, 2016 who had EBSI. Patients who died within 2 days of hospitalization were excluded. Categorical variables were analyzed with chi-square or Fisher’s exact test and continuous variables were analyzed with a t-test or Wilcoxon rank-sums test when appropriate. A P-value &lt; 0.05 was considered significant. Logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CI) for factors associated with 30-day in-hospital mortality. Results A total of 213 patients met the case definition. One hundred and thirty-four (63%) received IDC. Baseline patient demographics and comorbidities were similar in both groups. Patients with IDC were more likely to have repeated blood cultures (99% vs. 72%, P &lt; 0.001), echocardiogram performed (77% vs. 46%, P &lt; 0.001), and interventions for source control (19% vs 6%, P = 0.01). Patients without IDC were more likely to have inappropriate antibiotic treatment or no antibiotics (20% vs. 0%, P &lt; 0.001) as well as inappropriate duration of therapy (54% vs. 10%, P &lt; 0.001). There were no differences in the rates of recurrent bacteremia or readmission within 60 days. Patients who did not receive IDC had higher 30-day in-hospital mortality (27% vs. 13%, P = 0.02). Having an echocardiogram (OR 2.75, 95% CI 1.36–5.55), surgical intervention (OR 3.11, 95% CI 1.07–9.05) and an IV catheter (OR 3.90, 95% CI 1.39–10.88) were associated with increased likelihood of IDC while inappropriate duration of antibiotics was associated with an 87% decreased likelihood of IDC (OR 0.13, 95% CI 0.06–0.29). The strongest association observed with 30-day mortality was inappropriate duration of antibiotics (OR 4.93, 95% CI 1.93–12.61). Conclusion IDC was associated with reduced 30-day in-hospital mortality in patients with EBSI. Although further investigation is warranted, the results of this study suggest that early involvement of ID specialists in EBSI may lead to better outcomes. Disclosures All authors: No reported disclosures.

scholarly journals Sindrom Premenstruasi terhadap Kinerja Perawat Intensive Care Unit di Rumah Sakit Kota Makassar

2020 ◽  
Vol 11 (1) ◽  
pp. 116-121
Author(s):  
Ekayanti Hafidah Ahmad
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Premenstrual Syndrome ◽  
Quantitative Research ◽  
Cross Sectional Study ◽  
P Value ◽  
City Hospital ◽  
Cross Sectional ◽  
Relationship Of ◽  
Intensive Care Unit Nurses

Aim: This study aims to determine the relationship of the premenstrual syndrome to the performance ICU (intensive care unit) nurses in Makassar hospitals. Methods: This is quantitative research with the observational method using a cross-sectional study, samples were taken as many as 36 people as respondents conducted by using proportionate random sampling. Data collected through observation, interview and documentation by using questionnaire SPAF questionnaire (The short Premenstrual Assessment Form) and menstrual diary Result: Female result in the intensive care unit who premenstrual syndrome have less performance the correlation value of 0,522, significant with p-value 0,001 Conclusion: This study showed that there is a relationship between premenstrual syndrome to the performance ICU (intensive care unit) nurses in Makassar city hospital

scholarly journals Análise dos aprazamentos de fármacos analgésicos em terapia intensiva

2019 ◽  
Vol 13 (2) ◽  
pp. 385
Author(s):  
Kirley Kethellen Batista Mesquita ◽  
Patrícia Giselle Freitas Marques ◽  
Cybilla Rodrigues Sousa Santos ◽  
Francisco Mayron Morais Soares ◽  
Maria Lurdemiler Sabóia Mota ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Professional Practice ◽  
Cross Sectional Study ◽  
World Health ◽  
Cross Sectional ◽  
Inflammatory Drugs ◽  
Terapia Intensiva ◽  
Quantitative Descriptive ◽  
Health Organization

RESUMO Objetivo: analisar o aprazamento dos fármacos analgésicos realizados por enfermeiros em um centro de terapia intensiva. Método: trata-se de um estudo quantitativo, descritivo, transversal, utilizando prontuários de pacientes críticos em uma unidade de terapia intensiva. Compôs-se a amostra por 404 prescrições médicas. Coletaram-se os dados por meio de um roteiro semiestruturado. Analisaram-se os aprazamentos de Enfermagem de acordo com a escada analgésica da Organização Mundial da Saúde, e os resultados apresentam-se em tabelas. Resultados: verifica-se que os anti-inflamatórios não esteroidais e os opioides ocuparam mais de metade das prescrições médicas, representando 78%. Observa-se que o analgésico aprazado que mais se repetiu foi o tramadol associado à dipirona, com 35%. Ressalta-se que apenas 0,7% das prescrições apresentaram características potencialmente interativas, sendo elas: tramadol e fluconazol e tramadol e prometazina. Conclusão: apresentou-se, no estudo, a importância do aprazamento na Enfermagem, associado ao domínio da Farmacologia, para uma boa prática profissional. Aponta-se que, apesar dos pacientes serem polimedicados, os profissionais buscam não administrar os analgésicos junto a outros fármacos, evitando possíveis interações. Descritores: Analgésicos; Unidades de Terapia Intensiva; Manejo da Dor; Enfermagem; Incompatibilidade de Medicamentos; Cuidados de Enfermagem.ABSTRACTObjective: to analyze the availability of analgesic drugs performed by nurses in an intensive care unit. Method: this is a quantitative, descriptive, cross-sectional study using critical patient records in an intensive care unit. The sample was composed of 404 medical prescriptions. The data were collected by means of a semi-structured script. The Nursing appointments were analyzed according to the analgesic ladder of the World Health Organization, and the results are presented in the form of tables. Results: nonsteroidal anti-inflammatory drugs and opioids were found to occupy more than half of the medical prescriptions, accounting for 78%. It is observed that the most frequently repeated analgesic was tramadol associated with dipyrone, with 35%. It is noteworthy that only 0.7% of the prescriptions presented potentially interactive characteristics, being: tramadol and fluconazole and tramadol and prometazine. Conclusion: the study presented the importance of nursing care, associated to the field of Pharmacology, for good professional practice. It is pointed out that, despite the patients being polymedicated, the professionals seek not to administer analgesics along with other drugs, avoiding possible interactions. Descriptors: Analgesics; Intensive Care Units; Pain Management; Nursing; Incompatibility of Medications; Nursing Care.RESUMENObjetivo: analizar los plazos establecidos de los fármacos analgésicos realizados por enfermeros en un centro de terapia intensiva. Método: se trata de un estudio cuantitativo, descriptivo, transversal, utilizando prontuarios de pacientes críticos en una unidad de terapia intensiva. Se compuso la muestra por 404 prescripciones médicas. Se recogieron los datos por medio de un itinerario semiestructurado. Se analizaron los plazos establecidos de enfermería de acuerdo con la escalera analgésica de la Organización Mundial de la Salud, y los resultados se presentan en forma de tablas. Resultados: se verifica que los antiinflamatorios no esteroideos y los opioides ocuparon más de la mitad de las prescripciones médicas, representando el 78%. Se observa que el analgésico complacido que más se repitió fue el tramadol asociado a la dipirona, con el 35%. Se resalta que sólo el 0,7% de las prescripciones presentaron características potencialmente interactivas, siendo ellas: tramadol y fluconazol y tramadol y prometazina. Conclusión: se presentó, en el estudio, la importancia de los plazos establecidos en la Enfermería, asociado al dominio de la Farmacología, para una buena práctica profesional. Se apunta que, a pesar de que los pacientes son polimedicados, los profesionales buscan no administrar los analgésicos junto a otros fármacos, evitando posibles interacciones. Descritores: Analgésicos. Unidades de Cuidados Intensivos. Manejo del Dolor. Enfermería; Incompatibilidad de Medicamentos; Atención de Enfermería.

Role of Sildenafil in the Treatment of Persistent Pulmonary Hypertension of Newborn (PPHN) - Should it Be Withdrawn from Market of Bangladesh due to Threat of being Misuses

2020 ◽  
Vol 35 (2) ◽  
pp. 100-104
Author(s):  
Maksudur Rahman ◽  
Mohammad Abdullah Al Mamun ◽  
MAK Azad Chowdhury ◽  
Abu Sayeed Munsi
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cardiac Intensive Care Unit ◽  
Cross Sectional ◽  
Cardiac Intensive Care ◽  
Hospital Protocol

Background: Recently it has been apprehended that sildenafil, a drug which has been successfully using in the treatment of PPHN and erectile dysfunction in adult, is going to be withdrawn from the market of Bangladesh due to threat of its misuses. Objective: The aim of this study was to see the extent of uses of sildenafil in the treatment of PPHN and importance of availability of this drugs in the market inspite of its probable misuses. Methods: This cross sectional study was conducted in neonatal intensive care unit (NICU), special baby care unit (SCABU) and cardiac intensive care unit (CICU) of Dhaka Shishu (Children) Hospital from June, 2017 to May 2018. Neonates with PPHN were enrolled in the study. All cases were treated with oral sildenefil for PPHN along with others management according to hospital protocol. Data along with other parameters were collected and analyzed. Results: Total 320 patients with suspected PPHN were admitted during the study period. Among them 92 (29%) cases had PPHN. Male were 49(53 %) cases and female were 43(47%) cases. Mean age at hospital admission was 29.7±13.4 hours. Based on echocardiography,13(14%) cases had mild, 38 (41%) cases moderate and 41(45%) cases severe PPHN. Mean duration of sildenafil therapy was 11.9±7.1 days. Improved from PPHN were 83 (90%) cases. Mortality was 10% (9). Conclusion: In this study it was found that the incidence of PPHN is 29% among the suspected newborns. Sildenafil is successfull in improving the oxygenation of PPHN and to decrease the mortality of neonates. DS (Child) H J 2019; 35(2) : 100-104

scholarly journals HEALTH LITERACY OF INDIVIDUALS UNDERGOING DIALYSIS THERAPY

2019 ◽  
Vol 28 ◽  
Author(s):  
Jéssica Naylla de Melo Bezerra ◽  
Sara Rebeca de Oliveira Lessa ◽  
Marcelo Francisco do Ó ◽  
Givaneide Oliveira de Andrade Luz ◽  
Anna Karla de Oliveira Tito Borba
Keyword(s):  
Health Literacy ◽  
Univariate Analysis ◽  
Cross Sectional Study ◽  
Functional Health ◽  
P Value ◽  
Functional Health Literacy ◽  
Cross Sectional ◽  
Exact Test ◽  
Independent Variables ◽  
Adequate Health Literacy

ABSTRACT Objective: to assess the functional levels of health literacy in individuals undergoing dialysis. Method: a cross-sectional study with 42 patients of the Nephrology Unit of a public hospital in Recife, Brazil, from May to August 2016. Data were collected through scripted interviews and chart analysis. Functional health literacy was measured using the Brazilian version of the Short-Test of Functional Health Literacy in Adults questionnaire. Data analysis was performed using the Statistical Package for Social Sciences (SPSS®) software, version 18.0, with a univariate analysis to verify the association between independent variables and functional health literacy levels using Fisher's exact test. Results: 80.9% of the patients presented inadequate health literacy and 19.1% presented adequate health literacy. The number of correct answers remained between 0-18 in the reading comprehension and in the scheduling appointment card. Among the independent variables, only marital status (p-value=0.018) and personal income (p-value=0.009) were factors associated with the worst scores in the test, indicating that these variables influence the increase in inadequate literacy. Conclusion: the prevalence of inadequate functional literacy was high, reflecting difficulties in understanding and processing health information, which may interfere with therapeutic management and self-care.

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