scholarly journals Autocuidado do paciente renal com a fístula arteriovenosa

2021 ◽  
Vol 11 (4) ◽  
Author(s):  
Ana Elza Oliveira de Mendonça ◽  
Marina Martins Teixeira ◽  
Isabel Pires Barra ◽  
Jéssica Mayara de Medeiros Tavares ◽  
Natália Ramos Costa Pessoa ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Self Care ◽  
Renal Dialysis ◽  
Medication Administration ◽  
Cross Sectional Study ◽  
Blood Collection ◽  
Research Committee ◽  
Cross Sectional ◽  
Dialysis Unit ◽  
Renal Patient

Objetivo: Avaliar atividades de autocuidado com a fístula arteriovenosa em renais crônicos. Metodologia: Estudo descritivo, transversal, com abordagem quantitativa, realizado com 60 pacientes em unidade de diálise no Nordeste Brasileiro, de setembro a outubro de 2018. Os dados foram coletados por meio de entrevistas e analisados através de estatística descritiva. O estudo foi aprovado pelo Comitê de Ética e Pesquisa (Parecer nº 233.953/13). Resultados: Os cuidados realizados frequentemente foram: não permitir a verificação da pressão arterial (71,7%), administração de medicamentos e a coleta de sangue no membro da fístula (71,6%), realizar higiene do membro da fistula (68,4%) e evitar carregar peso (68,3%). Os cuidados menos referidos foram: colocar compressa morna no dia anterior à hemodiálise (30,0%) e fazer exercícios de preensão com bola de borracha (15%). Conclusão: O conhecimento dos pacientes quanto às atividades de autocuidado com a fístula arteriovenosa foi considerado insuficiente, ao evidenciar maior preocupação ante a possibilidade de procedimentos clínicos realizados no braço da fístula, seguidos da higiene e sobrecarga no membro. Estes dados reforçam a importância do planejamento das atividades educativas de forma criativa e permanente pelos profissionais de saúde direcionadas para este público e que poderão auxiliar o enfermeiro na priorização das ações.Descritores: Autocuidado; Diálise Renal; Educação em Saúde; Cuidados de Enfermagem.AUTOCUIDADO DEL PACIENTE RENAL CON LA FÍSTULA DE ARTERIOVENOSAObjetivo: Evaluar actividades de autocuidado con fístula arteriovenosa en renales crónicos. Metodología: Un estudio descriptivo, transversal con un enfoque cuantitativo, realizado con 60 pacientes en una unidad de diálisis en el noreste de Brasil, de septiembre a octubre de 2018. Los datos fueron recolectados por médio de entrevistas y analizados mediante estadística descriptiva. El estudio fue aprobado por el Comité de Ética e Investigación (Opinión nº 233.953/13). Resultados: Los cuidados más frecuentes fueron: no permitir la verificación de la presión arterial (71,7%), la administración de medicamentos y la recolección de sangre en la extremidad de la fístula (71,6%), realizar la higiene de la extremidad de la fístula (68.4%) y evitar cargar peso (68.3%). Los cuidados menos informadas fueron: poner una compresa tibia el día anterior a la hemodiálisis (30.0%) y hacer ejercicios de agarre con pelota de goma (15%). Conclusión: El conocimiento de los pacientes renales crónicos con respecto a las actividades de auto cuidado con fístula arteriovenosa fue insuficiente, y se identificó la actividades más y menos conocida entre los pacientes. Estos datos refuerzan la importancia de las actividades educativas planificadas por profesionales de la salud dirigidas a este público y pueden ayudar a las enfermeras a planificar estas acciones.Descriptores: Autocuidado; Diálisis Renal; Educación en Salud; Atención de Enfermería.SELF CARE OF THE RENAL PATIENT WITH THE ARTERIOVENOSA FISTULAObjective: To evaluate self care activities with arteriovenous fistula in chronic renal patients. Methodology: A descriptive, cross-sectional study with a quantitative approach, conducted with 60 patients in a dialysis unit in Northeast Brazil, from September to October 2018. Data were collected through interviews and analyzed using descriptive statistics. The study was approved by the Ethics and Research Committee (Opinion nº 233.953/13). Results:  The most frequent cares were: not allowing blood pressure verification (71.7%) and medication administration and blood collection in the fistula limb (71.6%), perform fistula limb hygiene with water and antiseptic soap (68.4%) and avoid carrying weight (68.3%). The least reported cares were: putting warm compress on the day before hemodialysis (30.0%) and do pressure exercise with rubber ball (15%). Conclusion: The knowledge of chronic renal patients regarding self care activities with arteriovenous fistula was insufficient, and the most and least known care among patients was identified. These data reinforce the importance of educational activities planned by health professionals aimed at this audience and can assist nurses in planning these actions.Descriptors: Self Care; Renal Dialysis; Health Education; Nursing Care.

Self‐Care Behavior of Hemodialysis Patients With Arteriovenous Fistula in China: A Multicenter, Cross‐Sectional Study

2018 ◽  
Vol 23 (2) ◽  
pp. 167-172 ◽  
Author(s):  
Miao‐miao Yang ◽  
Hui‐hua Zhao ◽  
Xiao‐qiang Ding ◽  
Guo‐hong Zhu ◽  
Zhen‐hua Yang ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Self Care ◽  
Cross Sectional Study ◽  
Hemodialysis Patients ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Behavior

scholarly journals Pacientes em hemodiálise: importância do autocuidado com a fístula arteriovenosa

2018 ◽  
Vol 12 (7) ◽  
pp. 1841 ◽  
Author(s):  
Daniella Caldas Clementino ◽  
Agnella Mayanna de Queiroz Souza ◽  
Débora Do Carmo da Costa Barros ◽  
Denise Maria Albuquerque Carvalho ◽  
Carlos Renato dos Santos ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Elementary Education ◽  
Arteriovenous Fistula ◽  
Chronic Renal Disease ◽  
Self Care ◽  
Renal Dialysis ◽  
Cross Sectional ◽  
Calidad De Vida ◽  
Educación Primaria

RESUMOObjetivo: averiguar o conhecimento dos pacientes com doença renal crônica acerca do autocuidado com a fístula arteriovenosa (FAV). Método: estudo quantitativo, transversal, descritivo-exploratório, que envolveu 32 pacientes. Coletaram-se os dados mediante a realização de uma entrevista, utilizando-se um roteiro semiestruturado. Analisaram-se os dados segundo o programa SPSS versão 22.0 e R3.33. Resultados: 59,4% sexo masculino; 13 (40,6%) com idade entre 41-60 anos; 46,9% casados; 46,9% ensino fundamental incompleto; 46,9% com renda de até um salário mínimo; 30 (93,8%) desempregado; etiologia da DRC: hipertensão e diabetes mellitus; 17 (53,1%) submeteram-se à realização de duas ou mais FAV; 16 (50%) FAV confeccionada em região radiocefálica. O score de acertos das questões relacionadas ao autocuidado variou de 15 (62,5 %) a 24 (100%). Conclusão: os pacientes mostraram-se conhecedores das ações necessárias para a realização do autocuidado, apesar de haver lacunas do conhecimento acerca destes. Diante disso, é importante a equipe de enfermagem estimular a prática do autocuidado para garantir maior durabilidade da FAV e, consequentemente, melhorar a qualidade de vida dos pacientes. Descritores: Diálise Renal; Insuficiência Renal Crônica; Enfermagem; Autocuidado; Fístula Arteriovenosa; Unidades Hospitalares de Hemodiálise.ABSTRACT Objective: to investigate the knowledge of patients with chronic renal disease on self-care with the arteriovenous fistula (AVF). Method: a quantitative, cross-sectional, descriptive-exploratory study, which involved 32 patients. The data were collected through the understanding of an interview, using a semi-structured questionnaire. The data were analyzed using the SPSS version 22.0 and R3.33. Results: 59.4% males; 13 (40.6%) aged between 41-60; 46.9% married; 46.9% incomplete elementary education; 46.9% with income of up to one minimum wage; 30 (93.8%) unemployed; etiology of CKD: hypertension and diabetes mellitus; 17 (53.1%) were submitted to two or more AVF; 16 (50%) AVF made in the radiocephalic region. The score of correct answers related to self-care ranged from 15 (62.5%) to 24 (100%). Conclusion: the patients showed knowledge of the actions necessary for performing self-care, although there are gaps in knowledge about these. In addition, it is important that the nursing team encourage the practice of self-care to ensure greater durability of the AVF and, consequently, improve the quality of life of patients. Descriptors: Renal Dialysis; Chronic Renal Insufficiency; Nursing; Self-Care; Arteriovenous Fistula; Hemodialysis Hospital Units.RESUMENObjetivo: investigar el conocimiento de los pacientes con enfermedad renal crónica acerca del auto-cuidado con la fístula arteriovenosa (FAV). Método: estudio cuantitativo, de corte transversal, descriptivo-exploratorio, en el que participaron 32 pacientes. Los datos fueron recolectados a través de la realización de una entrevista, utilizando un cuestionario semi-estructurado. Los datos fueron analizados mediante el programa SPSS versión 22.0 y R3.33. Resultados: el 59,4% hombres; 13 (40.6%) con edades entre 41-60 años; 46,9% casado; 46,9% de educación primaria incompleta; el 46.9% con ingresos de hasta un salario mínimo; 30 (93,8%) personas desempleadas; etiología de la IRC: hipertensión arterial y diabetes mellitus; 17 (53,1%) fueron sometidos a dos o más FAV; 16 (50%) con FAV en la región radiocefálica. La puntuación de respuestas correctas relacionadas con el autocuidado variaron de 15 (62,5%) a 24 (100%). Conclusión: los pacientes se mostraron conscientes de las acciones necesarias para el logro de autocuidado, aunque hay lagunas en el conocimiento acerca de estos. Además, es importante que el equipo de enfermería fomentar la práctica de autocuidado para garantizar la durabilidad de la FAV y, consecuentemente, mejorar la calidad de vida de los pacientes. Descriptores: Diálisis Renal; Insuficiencia Renal Crónica; Enfermería; Autocuidado; Fístula Arteriovenosa; Unidades de Hemodiálisis en Hospital.

scholarly journals Prevalence of disabilities and non-communicable diseases in an elderly population in the Telangana state, India: a population-based cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e041755
Author(s):  
Srinivas Marmamula ◽  
Satya Brahmanandam Modepalli ◽  
Thirupathi Reddy Kumbham ◽  
Rajesh Challa ◽  
Jill E Keeffe
Keyword(s):  
Elderly Population ◽  
Self Care ◽  
The Elderly ◽  
Population Based ◽  
Cross Sectional Study ◽  
Communicable Diseases ◽  
Self Report ◽  
Sectional Study ◽  
Cross Sectional ◽  
Non Communicable Diseases

ObjectivesTo assess the prevalence of disabilities (vision, hearing, mobility, cognitive, self-care and communication) and non-communicable diseases (NCDs) among the elderly population in two districts in Telangana, India.DesignPopulation-based cross-sectional study using a cluster random sampling method to select the study clusters.SettingElderly population in Khammam and Warangal districts were recruited. Detailed interviews were conducted by trained community health workers. Personal and demographic information such as age, gender, level of education and a self-report of NCDs was collected. The Washington Disability Questionnaire was administered to assess the presence of disabilities.Participants1821 participants aged ≥60 years, 54.5% were women, and 73.3% had no education.Primary outcome measurePrevalence of disabilities and NCDs.ResultsOverall, the prevalence of at least disability was 20.3% (95% CI 16.3 to 24.9). The prevalence of self- reported disabilities were: seeing (5.9%; 95% CI 4.4 to 7.8), mobility (12.8%; 95% CI 9.7 to 16.8), hearing (3.6%; 95% CI 2.7 to 4.8), cognition (4.8%; 95% CI 3.5 to 6.7), self-care (3.3%; 95% CI 2.3 to 4.7) and communication (1.8%; 95% CI 1.2 to 2.6). Overall, the prevalence of at least one NCD was 34.2% (95% CI 30.9 to 37.7). Hypertension was the most common systemic condition (25.4%; 95% CI 22.4 to 28.7), followed by diabetes (9.0%; 95% CI 7.3 to 11.0), and body pains (muscle-skeletal) (9.9%; 95% CI 8.1 to 12.2).ConclusionEvery fifth elderly person in the districts of Khammam and Warangal in Telangana had at least one self-reported disability. Besides, a third of the elderly had at least one NCD. There is a definite need to develop comprehensive public health strategies to address disabilities and NCDs in Telangana.

scholarly journals The effect of clamped and unclamped umbilical cord samples on blood gas analysis

2021 ◽  
Author(s):  
Elisabetta Colciago ◽  
Simona Fumagalli ◽  
Elena Ciarmoli ◽  
Laura Antolini ◽  
Antonella Nespoli ◽  
...  
Keyword(s):  
Blood Gas Analysis ◽  
Cross Sectional Study ◽  
Gas Analysis ◽  
Blood Collection ◽  
Large Sample Size ◽  
Blood Gas ◽  
Delayed Cord Clamping ◽  
Cross Sectional ◽  
High Risk Women ◽  
Significant Difference

Abstract Purpose Delayed cord clamping for at least 60 s is recommended to improve neonatal outcomes. The aim of this study is to evaluate whether there are differences in cord BGA between samples collected after double clamping the cord or without clamping the cord, when blood collection occurs within 60 s from birth in both groups. Methods A cross-sectional study was carried out, collecting data from 6884 high-risk women who were divided into two groups based on the method of cord sampling (clamped vs unclamped). Results There were significant decrease in pH and BE values into unclamped group compared with the clamped group. This difference remained significant when considering pathological blood gas analysis parameters, with a higher percentage of pathological pH or BE values in the unclamped group. Conclusion Samples from the unclamped cord alter the acid–base parameters compared to collection from the clamped cord; however, this difference does not appear to be of clinical relevance. Findings could be due to the large sample size, which allowed to achieve a high power and to investigate very small numerical changes between groups, leading to a statistically significant difference in pH and BE between samples even when we could not appreciate any clinical relevant difference of pH or BE between groups. When blood gas analysis is indicated, the priority should be given to the timing of blood collection to allow reliable results, to assess newborns status at birth and intervene when needed.

Cross-sectional study of self-care safety skills in 677 patients on biodrugs for inflammatory joint disease

2014 ◽  
Vol 81 (6) ◽  
pp. 502-507 ◽  
Author(s):  
Dominique Orefice ◽  
Catherine Beauvais ◽  
Laure Gossec ◽  
Elisabeth Flipon ◽  
Bruno Fautrel ◽  
...  
Keyword(s):  
Self Care ◽  
Cross Sectional Study ◽  
Joint Disease ◽  
Safety Skills ◽  
Sectional Study ◽  
Inflammatory Joint Disease ◽  
Cross Sectional

Self-Care Practices Among Adult Type 2 Diabetes Patients With and Without Peripheral Neuropathy: A Cross-Sectional Study at Tertiary Healthcare Settings in Ethiopia

2021 ◽  
pp. 084456212110206
Author(s):  
Mezgebu Gode ◽  
Fekadu Aga ◽  
Aklil Hailu
Keyword(s):  
Social Support ◽  
Peripheral Neuropathy ◽  
Self Care ◽  
Cross Sectional Study ◽  
Care Practice ◽  
Cross Sectional ◽  
Glucose Testing ◽  
Blood Glucose Testing ◽  
Care Practices

Background Type 2 diabetes mellitus (T2D) has become a global health challenge. Diabetic peripheral neuropathy (DPN) is one of the common comorbidities of T2D that may affect the ability to perform diabetes self-care. Purpose To compare self-care practices between adult T2D patients with and without comorbid DPN and identify factors predicting self-care practices. Methods In this cross-sectional study, conducted at tertiary hospitals in Ethiopia, a total of 216 (108 with DNP and 108 without DNP) participants completed an interviewer-administered questionnaire including measures of diabetes self-care practices, self-evaluated peripheral neuropathy, self-efficacy, diabetes knowledge, and social support. Results Adult T2D patients with comorbid DPN had lower dietary (P< 0.001), exercise (P< 0.001), blood glucose testing (P = 0.001), and foot (P = 0.007) self-care practice than those without DPN. Social support is a significant predictor of dietary self-care in both groups while predicting foot self-care and blood glucose testing in those with comorbid DPN. Moreover, occupation, education, and having a glucometer are significant predictors of diabetes self-care practice in both groups. Conclusion This study found that adult T2D patients with comorbid DPN have poorer diabetes self-care practice than those without comorbid DPN. Interventions should focus on addressing social support and access to a glucometer in order to improve diabetes self-care practices in adult T2D patients with comorbid DPN.

scholarly journals Educational programmes for frail older people, their families, carers and healthcare professionals

2021 ◽  
Author(s):  
Rachel J. Viggars ◽  
Andrew Finney ◽  
Barnabas Panayiotou
Keyword(s):  
Health Promotion ◽  
Older People ◽  
Health Professionals ◽  
Data Extraction ◽  
Self Care ◽  
Cross Sectional Study ◽  
Older Individuals ◽  
Cross Sectional ◽  
Educational Programmes ◽  
Quasi Experimental

Summary Background More people are living with frailty and requiring additional health and support services. To improve their management, the “Frailty: Core Capability Framework” in the United Kingdom recommends frailty education for older individuals, their families, carers and health professionals. We performed a systematic review of specific educational programmes for these groups. Methods Electronic databases were searched using dedicated search terms and inclusion criteria. To improve accuracy, two reviewers carried out the screening and selection of research papers. Information from included studies was collected using a tailored data extraction template, and quality appraisal tools were used to assess the rigour of the studies. The findings were analysed to identify key themes. Results A total of 11 studies met the criteria and were included in the review. The study populations ranged from 12 to 603 and the research designs were heterogeneous (6 qualitative; 2 randomised controlled trials; 1 quasi-experimental; 1 mixed methods; 1 cross-sectional study). Whilst some methodological shortcomings were identified, all studies contributed valuable information. The results underwent narrative synthesis, which elucidated four thematic domains: (1) accessibility of educational programmes, (2) empowerment, (3) self-care, and (4) health promotion (especially exercise and nutrition). Conclusion Educational programmes for older people, their carers and health professionals are important for effective frailty prevention and management. To be maximally beneficial, they should be easily accessible to all target populations and include empowerment, self-care and health promotion. Further research should explore the formulation of widely applicable, user-friendly programmes and delivery formats that can be tailored to different client groups.

scholarly journals Knowledge about self-care and associated factors among heart-failure patients in Ayder Referral Hospital, Ethiopia, 2018: A cross-sectional study

2020 ◽  
pp. 201010582096214
Author(s):  
Tsegu Hailu Gebru ◽  
Haftea Hagos Mekonen ◽  
Kbrom Gemechu Kiros
Keyword(s):  
Heart Failure ◽  
New York ◽  
Logistic Regression ◽  
Self Care ◽  
Heart Association ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Knowledge Age

Background: Good knowledge of self-care related to heart failure (HF) is key to improve patient outcomes. However, information regarding how much patients know about self-care is lacking in developing countries, particularly in the study setting. Objective: The objectives of this study were to assess HF patients’ knowledge about self-care and to explore predictors among HF patients in Ayder comprehensive specialised referral hospital, Tigray, Ethiopia. Methods: This hospital-based cross-sectional study design was undertaken in Ayder comprehensive specialised referral hospital, Tigray, Ethiopia. A total of 408 HF patients participated, and the study was done between February and April 2018. An interviewer-assisted structured questionnaire was used to collect data. Bivariate logistic regression and multivariable logistic regression were conducted to identify the predictors associated with knowledge about self-care. Results: The mean age of the participants was 45.4 years (standard deviation=19 years). Around 255 (62.5%) of the participants had poor self-care knowledge. Age, New York Heart Association classes, duration of the disease and previous hospitalisation were the factors associated with knowledge about self-care. Conclusion: More than half of all participants had poor knowledge about self-care. Improving existing prevention strategies and strengthening patients’ knowledge are recommended to address this knowledge deficit.

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