scholarly journals Principais tipos de violências obstétricas sofridas pelas parturientes

Author(s):  
Vanilde Pereira Nery ◽  
Glaucia Pereira de Lucena

O estudo do tema violência obstétrica é relevante para a saúde da parturiente. Sendo assim, esse estudo objetivou averiguar, por meio de revisão integrativa, quais os principais tipos de violências obstétricas sofridas pelas parturientes e apresentar as principais evidências atualizadas encontradas nos artigos selecionados. Os 20 artigos selecionados, foram expostos em forma de quadro para uma melhor visualização. A discussão dos resultados foi organizada em quatro subtemas: conhecimento sobre a violência obstétrica, tipos de violências obstétricas, sentimentos expressos frente à violência obstétrica e assistência adequada à parturiente. Concluiu-se, que são muitos os tipos de violências obstétricas e que são praticados com frequência nos serviços de atenção ao parto. Dentre as violências mais encontradas estão a prática rotineira de episiotomia, o uso indiscriminado de ocitocina, a manobra de Kristeller e o parto cesárea sem uma indicação respaldada pela ciência.Descritores: Violência, Humanização da Assistência, Parturientes. Main Types of Obstetric Violence Suffered by the ParturientsAbstract: The study aimed to identify and analyze research related to the theme caregivers of patients with heart failure (HF). This is an integrative review in which the articles were available in CINAHL databases and Medline and LILACS via portal Virtual Health Library (VHL) published between 2010 and 2015 with the descriptors heart failure and Caregiver among others. Nine studies were analyzed. The methodology of the selected studies, 7 were descriptive research of qualitative approach, a methodological research and a qualitative case study. Changes in routines caregivers due care to the patient, suffering from a lack of social support from family and health professionals regarding care were prevalent issues addressed in the articles. It is recommended to provide patient caregivers with IC a support network; and studies that assess the quality of life of these individuals.Descriptors: Violence; Humanized Assistance; Parturients. Principales tipos de violencias obstétricas sofridas por las parturientesResumen: El estudiodel tema violencia obstétrica es relevante para lasalud de laparturienta. Siendoasí, eseestudioobjetivó averiguar, por medio de revisión integrativa, cuálessonlosprincipales tipos de violencias obstétricas sufridas por lasparturientas y presentar lasprincipales evidencias actualizadas encontradas enlos artículos seleccionados. Los 20 artículos seleccionados, fueronexpuestosen forma de marco para una mejorvisualización. Ladiscusión de los resultados fue organizada encuatro subtemas: conocimiento sobre laviolencia obstétrica, tipos de violencias obstétricas, sentimientosexpresados frente a laviolencia obstétrica y asistenciaadecuada a laparturienta. Se concluyó, después de lalectura de los artículos que sonmuchoslos tipos de violencias obstétricas y que se practicancon   frecuenciaenlosservicios de atención al parto. Entre lasviolencias más encontradas estánlaprácticarutinaria de episiotomía, el uso indiscriminado de ocitocina, lamaniobra de Kristeller y el parto cesáreo sin una indicación respaldada por laciencia.Descriptores: Violencia, Asistencia Humanizada, Parturientes.

Author(s):  
Liliane Gomes de Oliveira ◽  
Thais De Assis Souto ◽  
Aline Mirema Ferreira Vitorio

O estudo objetivou identificar e analisar as pesquisas relacionadas à temática cuidadores de pacientes com Insuficiência Cardíaca (IC). Trata-se de revisão integrativa no qual os artigos estavam disponíveis nas bases de dados CINAHL e Medline e LILACS via portal Biblioteca Virtual de Saúde (BVS) publicados entre 2010 e 2015 com os descritores Insuficiência Cardíaca e Cuidador dentre outros. Nove estudos foram analisados. Quanto a metodologia dos estudos selecionados, 7 foram pesquisas descritivas de abordagem qualitativa, uma pesquisa metodológica e um estudo de caso qualitativo. Mudanças nas rotinas dos cuidadores em função do cuidado ao paciente, o sofrimento com a falta de suporte social dos familiares e dos profissionais de saúde em relação ao cuidado foram assuntos prevalentes abordados nos artigos. Recomenda-se oferecer aos cuidadores de paciente com IC uma rede de suporte; e a realização de estudos que avaliem a qualidade de vida destes indivíduos.Descritores: Cuidadores, Insuficiência Cardíaca, Prática Clínica Baseada em Evidências.AbstractThe caregiver of a patient with heart failure: challenges in caringThe study aimed to identify and analyze research related to the theme caregivers of patients with heart failure (HF). This is an integrative review in which the articles were available in CINAHL databases and Medline and LILACS via portal Virtual Health Library (VHL) published between 2010 and 2015 with the descriptors heart failure and Caregiver among others. Nine studies were analyzed. The methodology of the selected studies, 7 were descriptive research of qualitative approach, a methodological research and a qualitative case study. Changes in routines caregivers due care to the patient, suffering from a lack of social support from family and health professionals regarding care were prevalent issues addressed in the articles. It is recommended to provide patient caregivers with IC a support network; and studies that assess the quality of life of these individuals.Descriptors: Caregivers, Heart Failure, Evidence-Based Practice.ResumenEl cuidador de paciente con insuficiencia cardíaca: desafíos en el cuidadoEl estudio tuvo como objetivo identificar y analizar las investigaciones relacionadas con los cuidadores de pacientes con Insuficiencia Cardiaca (IC). Tratase de una revisión integradora en el cual los artículos estaban disponibles en las bases de datos CINAHL y MEDLINE y LILACS a través del portal de la Biblioteca Virtual en Salud (BVS) publicados entre 2010 y 2015 con los descriptores Insuficiencia Cardíaca y Cuidador entre otros. Fueron analizados nueve estudios. Cuanto la metodología de los estudios seleccionados, 7 eran de investigación descriptiva con un abordaje cualitativo, una investigación metodológica y un estudio cualitativo de casos. Los cambios en las rutinas de los cuidadores en función del cuidado al paciente, el sufrimiento sumado a la falta de soporte social de los familiares y de los profesionales de la salud respecto a la atención, fueron los temas prevalentes abordados en los artículos. Se recomienda ofrecer a los cuidadores de pacientes con IC una red de soporte; la realización de estudios que evalúan la calidad de vida de estos individuos.Descriptores: Cuidadores, Insuficiência Cardíaca, Práctica Clínica Basada en Evidencias.


2001 ◽  
Vol 21 (2) ◽  
pp. 36-38 ◽  
Author(s):  
M MacKlin

Heart failure is a common reason for admission to the hospital and to critical care units. The care of patients with heart failure is changing almost daily as new research and therapies become available. Nurses caring for these patients must use available information and assessment findings to discern which type of heart failure exists in each patient. In this way, the care provided can be enhanced, and outcomes can be optimized. Critically thinking nurses can positively influence patients' quality of life and potentially reduce the devastating morbidity and mortality associated with heart failure.


2011 ◽  
Vol 7 (1) ◽  
pp. 66 ◽  
Author(s):  
Ewa Piotrowicz ◽  
Ryszard Piotrowicz ◽  
◽  

Exercise training (ET) is now recommended as an important component of a comprehensive approach to patients with heart failure (HF). Despite the existence of proven benefits of ET, many HF patients remain physically inactive. Introducing telerehabilitation (TR) may eliminate most of the factors that result in the currently low number of patients undergoing outpatient-based rehabilitation programmes and thus increase the percentage of those who will undergo cardiac rehabilitation. Despite the fact that TR is highly applicable and effective, there are few papers dedicated to the study of TR in HF patients. Until recently, only a couple of home rehabilitation-monitoring models have been presented, from the simplest, i.e. heart rate monitoring and transtelephonic electrocardiographic monitoring, through to the more advanced tele-electocardiogram (tele-ECG) monitoring (via a remote device) and realtime electrocardiographic and voice transtelephonic monitoring. It seems the last two are the most useful and reliable. Based on published studies, TR in HF patients could be equally effective as and provide similar improvements in health-related quality of life to standard outpatient cardiac rehabilitation. In addition, adherence to cardiac rehabilitation seems to be better during TR. Due to disease-related limitations, TR seems to be a viable alternative for comprehensive cardiac rehabilitation in HF patients. Further studies are needed to confirm the utility of this type of rehabilitation in routine clinical practice, including its cost-effectiveness. Because of the diversity of technological systems, it is necessary to create a platform to ensure compatibility between the devices used in telemedicine.


2016 ◽  
Vol 9 (4) ◽  
pp. 878-883 ◽  
Author(s):  
Mahshid Borumandpour Gholamabbas Valizadeh ◽  
Alizallah Dehghan ◽  
Alireza Poumarjani ◽  
Maryam Ahmadifar

2021 ◽  
Vol 11 (2) ◽  
pp. 418-429
Author(s):  
Joana Pereira Sousa ◽  
Hugo Neves ◽  
Miguel Pais-Vieira

Patients with heart failure have difficulty in self-care management, as daily monitoring and recognition of symptoms do not readily trigger an action to avoid hospital admissions. The purpose of this study was to understand the impact of a nurse-led complex intervention on symptom recognition and fluid restriction. A latent growth model was designed to estimate the longitudinal effect of a nursing-led complex intervention on self-care management and quality-of-life changes in patients with heart failure and assessed by a pilot study performed on sixty-three patients (33 control, 30 intervention). Patients in the control group had a higher risk of hospitalisation (IRR 11.36; p < 0.001) and emergency admission (IRR 4.24; p < 0.001) at three-months follow-up. Analysis of the time scores demonstrated that the intervention group had a clear improvement in self-care behaviours (βSlope. Assignment_group = −0.881; p < 0.001) and in the quality of life (βSlope. Assignment_group = 1.739; p < 0.001). This study supports that a nurse-led programme on symptom recognition and fluid restriction can positively impact self-care behaviours and quality of life in patients with heart failure. This randomised controlled trial was retrospectively registered (NCT04892004).


2011 ◽  
Vol 17 (9) ◽  
pp. 755-763 ◽  
Author(s):  
Rebecca L. Dekker ◽  
Terry A. Lennie ◽  
Nancy M. Albert ◽  
Mary K. Rayens ◽  
Misook L. Chung ◽  
...  

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