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Search Results: 1 - 10 of 551872 matches for " Regina Márcia Cardoso de; "
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Fatores de risco para dependência após trauma cranio-encefálico
Sousa, Regina Márcia Cardoso de;
Acta Paulista de Enfermagem , 2005, DOI: 10.1590/S0103-21002005000400003
Abstract: objective: to predict which characteristics of traumatic brain injury patients (age, sex, education, patient history, days of hospitalization, post-traumatic complications and indicators of the severity of trauma and cranial lesion) were risk factors for unfavorable prognosis. methods: data were collected from 63 blunt trauma patients, aged 12 to 65 years old who were six months to three years post-trauma, and were receiving follow-up treatment at a trauma center. multiple logistic regression was used to analyze the data and develop a model for functional status. results: individuals who had a maximum score, five points on the abbreviated injury scale (ais) for head trauma, were 4.89 times more likely to be dependent than those who had lower scores. trauma victims who remained hospitalized for 12 days or more were 5.76 times more likely to become dependent than those who had a shorter length of hospitalization. conclusion: highest score on the ais, and longer length of hospitalization were the major risk factors for dependency.
Compara??o entre instrumentos de mensura??o das consequências do trauma cranio-encefálico
Sousa, Regina Márcia Cardoso de;
Revista da Escola de Enfermagem da USP , 2006, DOI: 10.1590/S0080-62342006000200008
Abstract: traumatic brain injury (tbi) is considered the most important cause of disability among young people and the most common neurological cause of morbidity. consequently, there is increasing interest in scales to monitor recovery in tbi. among these scales, two have been widely adopted: the glasgow outcome scale (gos) and the disability rating scale (drs). the purpose of this paper is to compare the results found in drs and in the original and extended gos. sixty-three closed-head injury victims, aged between 12 and 65, on an outpatient follow-up program at a trauma center in the city of s?o paulo, with 6 months to 3 years post-tbi, had their characteristics and outcomes assessed. when comparing the results obtained by the scales, it was concluded that although the three of them were strongly correlated, extended gos showed to be more sensitive in detecting changes in victims with better post-traumatic conditions.
Estudo preliminar das rela??es entre dura??o da parada cardiorrespiratória e suas consequências nas vítimas de trauma
Bertelli, Andréia;Bueno, Márcia Regina;Sousa, Regina Márcia Cardoso de;
Revista da Escola de Enfermagem da USP , 1999, DOI: 10.1590/S0080-62341999000200004
Abstract: the proposal of this research was to obtain parameters to start or maintain cardiopulmonary resuscitation (cpr) in victims of trauma. the duration of the cardiac arrest and the cpr of the survivors was described, as well as the cerebral performance and the mortality of these victims 24, 48 and 72 hours after these events had happened. with the results of this caracterization the relation between duration of cardiac arrest time, cpr and mortality were described. data for this report were coleted in hospital das clínicas da faculdade de medicina da universidade de s?o paulo emergency departament. a big amount of the victims (93, 4%) presents severe trauma and main cause of death was brain injury. survival at 72 hours after cpr was 10%. the assessment, during the 72 hour period, of the survivors from cardiac arrest of traumatic cause has shown bad cerebral performance of those victims in that period of time. the survivor after the first episod of cpr was strongly related to cardiac arrest time when compared with cpr time. the time of cardiac arrest ?ü 4 minuts and cpr ?ü 20 minuts was related to survival more than 72 hours.
Os efeitos das altera??es comportamentais das vítimas de trauma cranio-encefálico para o cuidador familiar
Hora, Edilene Curvelo;Sousa, Regina Márcia Cardoso de;
Revista Latino-Americana de Enfermagem , 2005, DOI: 10.1590/S0104-11692005000100015
Abstract: this study aimed to identify alterations in the intensity at which the negative behaviors of the victims of traumatic brain injury (tbi) affect the main family caregiver comparing the periods before and after the trauma and to verify the relation between the intensity of these alterations and time passed after the traumatic event. participants were 50 caregivers of victims with different levels of dependence after tbi. the effect of the victim’s behaviors on the caregiver was measured by means of a likert scale, in view of eleven negative behaviors cited in literature. according to the caregiver, the victim was more aggressive, anxious, dependent, depressed, irritated, and forgetful after the trauma, with a more explosive temperament, more self-centered, impulsive, with greater social inadequacy and mood oscillation. the first six cited behaviors were the ones that affected the caregiver more negatively. no relation was found between the passed time and the effect of the behavioral alterations
Depress?o: uma possível consequência adversa do trauma cranio-encefálico para o cuidador familiar
Serna, Edilene Curvelo Hora;Sousa, Regina Márcia Cardoso de;
Acta Paulista de Enfermagem , 2005, DOI: 10.1590/S0103-21002005000200003
Abstract: descriptive study, with quantitative approach, developed in the clinic of the cranium trauma with 50 caregivers and 50 victims of traumatic brain injury, with the objective to verify the presence of depressive symptoms and its association with the passed time of the traumatic event and the condition of the victim six months or more time after the trauma. the inventory of depression by beck was applied to the caregivers and glasgow results scale in the evaluation of the condition of the victims, applied the test homogeneity qui-square and the coefficient of correlation by pearson. of the appraised caregivers 34% presented suggestive results of depression, there was not association among the categorization for the inventory of beck and the classification in the glasgow results scale and time of the trauma, in other words, the presence of depressive symptoms in the caregiver does not seem to be related with the condition of the victim and the passed time after the traumatic event.
Suporte avan?ado à vida: atendimento a vítimas de acidentes de transito
Malvestio,Marisa Aparecida Amaro; Sousa,Regina Márcia Cardoso de;
Revista de Saúde Pública , 2002, DOI: 10.1590/S0034-89102002000600007
Abstract: objective: to analyze the performance of advanced life support care mode (als) applied to car crash victims using indicators by means of the revised trauma score (rts) in prehospital phase. methods: it were analyzed 643 reports of car crash victims cared by public als services that occurred in highways of the city of s?o paulo, from april 1999 to april 2000. time intervals assessed were: response time, on-scene time, transport time, and total time. correct screening decision analysis considered rts£11 for tertiary hospitals. changes in rts and its parameters were observed using the following equation: rtsfinal ? rtsinitial. results and conclusions: of 643 victims, 90.8% were rts=12 and 5.2% were rts£10. the response time ranged from 8 to 9 minutes, while on-scene and transport time were higher in rts£10 cases. of rts£10 victims, 45.5% were correctly transported to tertiary hospitals. screening decision misjudgments were identified. maintenance or improvement of rts values occurred in 98.8% of the cases. respiratory rate was the parameter that showed better improvement followed by systolic blood pressure.
Acidentes de transito: caracteriza??o das vitimas segundo o "Revised Trauma Score" medido no período pré-hospitalar
Malvestio, Marisa Amaro;Sousa, Regina Márcia Cardoso de;
Revista da Escola de Enfermagem da USP , 2002, DOI: 10.1590/S0080-62342002000400014
Abstract: this report describes age, gender, trauma mechanics aspects and procedures from 643 motor vehicle crashes, mvc, victims in tietê and pinheiros expressways, by considering the prehospital revised trauma score (rts). the rts=12 victims' were 90,8%, with rts=11 added 4,0% and in group with rts<10, 5,2%. among the rts<10 victims, the pedestrians stand out (36,4%), the frontal impacts (24,2%) and the projected (36,4%) or trapped victims (15,1%), and those that received advanced life support procedures.the motorcyclists and the male victims with 21 with 30 years of age were predominant. this study is expected to contribute to a better assistance to mvc victims.
Adapta??o de instrumento para dimensionar horas diárias de assistência de enfermagem residencial
Dal Ben, Luiza Watanabe;Sousa, Regina Márcia Cardoso de;
Revista da Escola de Enfermagem da USP , 2004, DOI: 10.1590/S0080-62342004000100010
Abstract: the therapeutic intervention scoring system intermediate: tiss-intermediate, was translated into portuguese and adapted to establish the number of hours daily of home care. the adaptation process of the instrument, developed with the delphi technique, used 16 nurses, who work in home care service providers and helped in calculating the number of nursing care hours for patients at their home after a period of hospitalization. at the end of the study, a 104 item-instrument was obtained for future clinical validation. this instrument will help nurses to extend nursing care to patients in their homes after they are discharged from hospitals, especially in regard to their decision-making concerning patient assessment.
Cross-cultural adaptation of the instrument "Family Needs Questionnaire"
Hora, Edilene Curvelo;Sousa, Regina Márcia Cardoso de;
Revista Latino-Americana de Enfermagem , 2009, DOI: 10.1590/S0104-11692009000400017
Abstract: this is a quantitative methodological development study on the cross-cultural adaptation of the "family needs questionnaire" (fnq), which is a structured instrument developed in the united states to measure the perceived needs of family members after the traumatic brain injury (tbi) of a relative. this instrument aims to identify important needs presented by family members, whether met or not. the fnq translation and adaptation followed a particular method, which permitted to achieve semantic, idiomatic, cultural and conceptual equivalence of the instrument version labeled in portuguese as "questionário de necessidades da família". the results of the questionnaire application to 161 family members showed that the instrument content is valid to measure the needs of families of patients with tbi in the brazilian context.
Mudan?as nos papéis sociais: uma conseqüência do trauma cranio-encefálico para o cuidador familiar
Serna, Edilene Curvelo Hora;Sousa, Regina Márcia Cardoso de;
Revista Latino-Americana de Enfermagem , 2006, DOI: 10.1590/S0104-11692006000200006
Abstract: the purpose was to study changes in the caregiver's social roles after traumatic brain injury (tbi), relating them with the degree of importance of these roles and with the condition of the victim six months or more after the tbi. the research was developed at the brain trauma clinic of the university of s?o paulo hospital das clínicas with 50 caregivers and 50 victims of tbi, by means of interviews and patient file analysis. a checklist was used for the interview with the caregiver, in order to identify the changes and importance of their social roles. the roles that had suffered most interruption due to the trauma were: friend, amateur/entertainment, family member and worker. the role of being a caregiver was the one that presented more modification. no association was found between change of role and the variables: condition of victim after tbi and importance of the social roles for the caregiver.
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