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Search Results: 1 - 10 of 6492 matches for " Eneida Rejane;Moraes "
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Delay factors on the administration of thrombolytic therapy in patients diagnosed with acute myocardial infarction in a general hospital
Muller, Luis Ant?nio;Rabelo, Eneida Rejane;Moraes, Maria Antonieta;Azzolin, Karina;
Revista Latino-Americana de Enfermagem , 2008, DOI: 10.1590/S0104-11692008000100009
Abstract: objective: to identify factors that delay the onset of thrombolysis in patients with acute myocardial infarction (ami). methods: a cohort study was carried out with 146 patients, each diagnosed with ami and subjected to thrombolytic therapy. the data was extracted from medical records between january 2002 and december 2004. results: the average age of the studied population was 57.5 ± 9 years, 64.4% were male. the average time between the onset of pain and arrival at the hospital was 254.7 ± 126.6 minutes, 28.1% used an ambulance for the trip to the hospital, the door-to-electrocardiogram time averaged 19.4 ± 7.3 minutes and the door-to-needle time was 51.1 ± 14.9 minutes. there was no significant difference between the time of arrival to the hospital and the method of transportation used (p= 0.81), and those seen by cardiologists and during the nightshift had a reduction in the door-to-needle time, respectively (p=0.014) and (p=0.034). conclusions: study results show that the delay in the search for medical service, and the long time taken from door-to-electrocardiogram and to reach the ami diagnosis were the factors involved in the delay of thrombolytic treatment.
Repouso de três horas n?o aumenta complica??es após cateterismo cardíaco diagnóstico com introdutor arterial 6 F: ensaio clínico randomizado
Rocha, Vanety Silva;Aliti, Graziella;Moraes, Maria Antonieta;Rabelo, Eneida Rejane;
Revista Brasileira de Cardiologia Invasiva , 2009, DOI: 10.1590/S2179-83972009000400015
Abstract: background: currently, bed rest time after diagnostic cardiac catheterization does not follow a consensus. reducing it, within safety thresholds, would optimize the use of the existing resources in face of the increasing demand of these exams and would also improve patient comfort. the objective of this study was to evaluate the safety of reducing bed rest time from six to three hours after diagnostic cardiac catheterization with a 6 f arterial sheath. method: randomized clinical trial carried out at an interventional cardiology laboratory in santa maria, rio grande do sul, brazil, from august 2007 to november 2008. male and female patients undergoing diagnostic catheterization aged > 18 years were included and patients on oral anticoagulants, with morbid obesity, history of bleeding, aortic diseases or non-controlled severe hypertension were excluded. patients were divided into an intervention group (ig), with ambulation three hours after sheath removal, and a control group (cg), with ambulation after six hours of bed rest. they were all monitored hourly by the nursing team and 24, 48 and 72 hours after discharge by telephone contact. results: overall, 406 patients were included (200 in the ig and 206 in the cg), mean age was 64 ± 9.4 years, 47.3% were women and 17% were diabetic. there was 1 case of bleeding (0.5%) in the ig and 4 (1.9%) in the cg; there were 3 (1.5%) cases of hematoma in the ig and 4 (1.9%) in the cg; 4 (2%) patients presented a vasovagal reaction in the ig and 7 (3.4%) in the cg. there were no statistical differences between the two groups for any of the comparisons. conclusions: the reduction of bed rest to three hours did not increase complications in patients undergoing diagnostic cardiac catheterization with a 6 f arterial sheath, and proved to be safe when compared to the six-hour rest period.
Atividade sexual pós-infarto do miocárdio: tabu ou desinforma??o?
Lunelli, Rosana Pinheiro;Rabello, Eneida Rejane;Stein, Ricardo;Goldmeier, Sílvia;Moraes, Maria Antonieta;
Arquivos Brasileiros de Cardiologia , 2008, DOI: 10.1590/S0066-782X2008000300003
Abstract: background: despite its clinical and social relevance, resumption of sexual activity after an acute coronary syndrome (acs) is a subject that is poorly addressed by healthcare providers and one that is given scant emphasis during hospitalization. erectile dysfunction is a common complaint among cardiac patients, and these patients are in doubt regarding the safety of resuming sexual activity after a cardiovascular event. objective: to describe how well informed patients are in regard to acute an myocardial infarction (ami) and what sort of guidance they receive regarding resumption of sexual activity. methods: a cross-sectional study was performed from june to july 2005 with patients on the sixth day of ami. a questionnaire was applied to assess not only patients' knowledge of ami, but also their expectations regarding their resumption of sexual activity - and frequency of same - following hospital discharge. results: ninety-six patients were included in the study (mean age 59 ± 12); 70% of them were male and 80% had experienced their first ami. of these, 96% lacked any knowledge of ami clinical manifestations and possible limitations, 63% reported an active sex life before the event, 60% were in doubt regarding their sex life following hospital discharge, and only 4% received sexual guidance from healthcare providers during their hospital stay. conclusion: according to our findings, the recommendations patients receive during hospitalization are suboptimal in regard to both ami and resumption of sexual activity. the updating of healthcare providers may change this situation. this is especially true for the nursing staff, since they spend more time with patients.
Severity of postoperative cardiac surgery patients: na evolution analysis according to TISS-28
Guimar?es, Rita de Cássia Mello;Rabelo, Eneida Rejane;Moraes, Maria Antonieta;Azzolin, Karina;
Revista Latino-Americana de Enfermagem , 2010, DOI: 10.1590/S0104-11692010000100010
Abstract: this study verified the daily tiss-28 score in the postoperative period of cardiac surgery at a cardiology intensive care unit. this cohort study included 55 postoperative cardiac surgery patients, who were sent to the intensive care unit to recover. data were collected from patients’ records with daily application of the tiss-28. the obtained data revealed that the average age of the population was 61.47 years ± 12.12 years, 78.2% were male, 51.43% underwent valve repair surgery and 48.57% myocardial revascularization surgery. the severity index in the immediate postoperative period was 41.33 ± 5.01. the follow-up of patients using the tiss-28 evidenced a significant decrease in the index values up to the patients’ discharge, averaging at 13.19 ± 2.59. the results indicate that immediate postoperative cardiac surgery patients are in severe conditions, hemodynamically unstable and classified in class iii according to the tiss-28, though scores gradually decrease over time.
Nursing process: from literature to practice. What are we actually doing?
Pokorski, Simoni;Moraes, Maria Antonieta;Chiarelli, Régis;Costanzi, Angelita Paganin;Rabelo, Eneida Rejane;
Revista Latino-Americana de Enfermagem , 2009, DOI: 10.1590/S0104-11692009000300004
Abstract: objectives: to describe the steps of the nursing process as prescribed in the literature and to investigate the process as actually applied in the daily routine of a general hospital. methods: cross-sectional retrospective study (may/june 2005), performed in a hospital in porto alegre, rs. medical records of adult patients admitted to a surgical, clinical or intensive care unit were reviewed to identify the nursing process steps accomplished during the first 48h after admission. the form for data collection was structured according to other reports. results: 302 medical records were evaluated. nursing records and physical examination were included in over 90% of them. nursing diagnosis was not found in any of the records. among the steps performed, prescription was the least frequent. evolution of the case was described in over 95% of the records. conclusions: all nursing steps recommended in the literature, except for diagnosis, are performed in the research institution.
Avalia??o das propriedades físicas e funcionais dos dispositivos de insufla??o de cateteres de angioplastia submetidos a processo para reutiliza??o
Casco, Márcia Flores de;Moraes, Maria Antonieta;Souza, Emiliane Nogueira de;Raudales, José Casco;Rabelo, Eneida Rejane;
Revista Brasileira de Cardiologia Invasiva , 2009, DOI: 10.1590/S2179-83972009000200016
Abstract: background: reuse of dental and medical devices is a worldwide common practice, and our country is not an exception; its aim is to reduce procedural costs. ptca insufflation devices (or manometers) are frequently re-sterilized for clinical reuse purposes. evaluations of their physical and mechanical properties are not described in current literature. objective: determine if the physical and functional characteristics of insufflation devices are maintained after reuse processing, as well as establish their life span. methods: this was a prospective longitudinal study, carried out at university hospital in porto alegre, rs, brazil. from november 2007 to march 2008, all new insufflation devices were included and separated in two different groups: group a devices were evaluated immediately after their first use and group b devices were evaluated after subsequent uses. results: of the 36 devices, 11 (30.6%) were discarded after the first use due to severe mechanical or functional problems. of the remaining devices, only 8 (32%) in group a and 6 (24%) in group b kept totally preserved functionality. these devices presented significant changes, even though they were mild, in measurements after 12 atm. mean reuse rate was 1.7 ± 1.2 times. conclusions: results showed that about 30% of ptca insufflation devices were not in working conditions after the first use. only a quarter of the remaining devices maintained intact functional characteristics to the end of their life span.
Por que fa o e n o publico? Parte 2 Por qué lo hago y no lo público? Parte 2 Why do I do it and not publish it? Part 2
Eneida Rejane Rabelo
Revista Gaúcha de Enfermagem , 2011, DOI: 10.1590/s1983-14472011000100001
Por que fa o e n o publico? Parte 1 Por qué lo hago y no lo publico? Parte 1 Why do I produce and do not publish? Part I
Eneida Rejane Rabelo
Revista Gaúcha de Enfermagem , 2010, DOI: 10.1590/s1983-14472010000200001
Prevalent nursing diagnoses and interventions in the hospitalized elder care
Almeida, Miriam de Abreu;Aliti, Graziella Badin;Franzen, Elenara;Thomé, Elisabeth Gomes da Rocha;Unicovsky, Margarita Rubin;Rabelo, Eneida Rejane;Ludwig, Maria Luiza Machado;Moraes, Maria Antonieta;
Revista Latino-Americana de Enfermagem , 2008, DOI: 10.1590/S0104-11692008000400009
Abstract: objectives: to identify the prevalent nursing diagnoses (nd) in the hospitalized elder care; to compare the prevalent nd with the duration of hospital stay and with the prescribed cares for their respective diagnoses. method: transversal historical study carried through in porto alegre, rs, by analyzing patient records age e?60 years old, interned in clinical unities of a university hospital. results: 1665 records were analyzed; the four prevalent nanda nursing diagnoses - within 62 identified ones - were: self-care deficit - bathing/hygiene, imbalanced nutrition - less than body requirements, risk for infection and ineffective breathing patterns, varying from 14 to 17 days of hospital stay. the main cares were: aiding bed bath, communicating diet acceptance, implementing routines of care in venous puncture and checking respiratory pattern. conclusion: four prevalent nd were identified with the appropriate prescribed care. however, other care could have been established as a priority.
Carga de trabalho de enfermagem em unidade de recupera o pós-anestésica Nursing workload in the post-anesthesia care unit
Luciana Bjorklund de Lima,Eneida Rejane Rabelo
Acta Paulista de Enfermagem , 2013,
Abstract: OBJETIVOS: Avaliar a carga de trabalho de enfermagem em unidade de recupera o pós-anestésica e relacionar com o índice de gravidade cirúrgico, tempo de permanência, porte cirúrgico e idade. MéTODOS: Estudo transversal conduzido em hospital universitário. A carga de trabalho foi avaliada pelo Nursing Activities Score e o índice de gravidade pelo Simplified Acute Physiology Score II aplicados na alta da unidade de recupera o. RESULTADOS: Foram incluídos 160 pacientes, idade média 57±15 anos. A carga de trabalho para 50% dos pacientes foi de 45,6 minutos a cada hora de permanência na unidade. N o houve rela o entre carga de trabalho e índice de gravidade. Contudo, houve correla es positivas entre carga de trabalho, tempo de permanência e porte cirúrgico. O índice de gravidade apresentou correla o com a idade. CONCLUS O: A carga de trabalho de enfermagem em unidade de recupera o pós-anestésica sofre influência do tempo de permanência e do porte cirúrgico. OBJECTIVES: To assess nursing workload in the post-anesthesia care unit and its potential correlations with a surgical severity index, length of stay, magnitude of surgery, and patient age. METHODS: Cross-sectional study conducted at a university hospital. Workload was assessed by the Nursing Activities Score, and severity of illness, by the Simplified Acute Physiology Score II. Both were assessed at the time of discharge from the unit. RESULTS: The study sample comprised 160 patients (mean age, 57 ± 15 years). The median nursing workload was 45.6 minutes per hour, i.e. 50% of patients required 45.6 minutes of nursing care per hour spent in the post-anesthesia care unit. There was no association between workload and severity index. However, there were positive correlations among workload, length of stay, and magnitude of surgery. The severity of illness was correlated with age. CONCLUSION: Nursing workload in the post-anesthesia care unit is influenced by length of stay and magnitude of surgery.
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