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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 Parte 1 Why do I produce and do not publish?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
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.
Cardiovascular Risk Factors and Evidence-Based Health Education  [PDF]
Marco Aurélio Lumertz Saffi, Simoni Chiarelli da Silva Pokorski, Eneida Rejane Rabelo-Silva
Health (Health) , 2014, DOI: 10.4236/health.2014.67081
Abstract: The number of deaths associated with cardiovascular events remains constant in many countries due to new therapeutic approaches for prevention and treatment of atherosclerosis. This condition is widely attributable to unhealthy outcomes in its association with risk factors such as smoking and sedentary behavior. Risk factors play a significant role in the progression of coronary artery disease. We conducted a review of the literature with the purpose of identifying primary risk factors for coronary disease, lifestyle change interventions, and expectations for a reduction in cardiovascular events on the basis of evidence-based health education strategies. In addition, we sought to contextualize this review so that nurses are trained to use these findings in their practice at different levels of care.
Chronic Pain and Pharmacotherapy in Chronic Renal Patients on Hemodialysis  [PDF]
Olvani Martins da Silva, Bruna Bautitz, Fanierli Benedeti, Ligyani Pauly, Eneida Rejane Rabelo-Silva
Open Journal of Nursing (OJN) , 2016, DOI: 10.4236/ojn.2016.69075
Abstract: Objective: To analyze the intensity of chronic pain and pharmacotherapy in chronic renal patients on hemodialysis. Method: This is a cross-sectional, prospective study conducted in a Service of Substitute Renal Therapy in the South region of Brazil. Seventy adult patients with chronic renal disease, who were undergoing hemodialysis treatment in the first half of 2015, participated in the study. We used the Graduated Scale for Chronic Pain. The data were analyzed with the Statistical Package for Social Sciences software version 18.0. The study was approved under N°. CAAE: 20138913.4.0000.0118. Results: Fifty-one (72%) patients reported some forms of pain in the last six months, 17 (24%) reported severely limiting pain, high interference and persistence. Painkillers were most widely used therapy for pain management, in 19 patients (27%). Conclusion: Chronic pain was reported in different degrees of intensity, with severely limiting character, high interference, and persistence. Painkillers were the most widely used pharmacological class to control it.
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.
Classification of patients seen at a hemodynamics unit according to the degree of dependence on nursing care
Hammermüller, Aline;Rabelo, Eneida Rejane;Goldmeier, Sílvia;Azzolin, Karina de Oliveira;
Acta Paulista de Enfermagem , 2008, DOI: 10.1590/S0103-21002008000100011
Abstract: objective: to classify patients in a hemodynamics healthcare unit, according to the degree of dependence on nursing care. methods: cross-sectional study performed in june/2005 at the hemodynamics unit of a university hospital. data were collected during the first hour post-procedure, using perroca's instrument of patient classification. results: among 164 patients, 52% were female, aged 60 ± 14.8 years. the average score of classification was 31.9 ± 4.8, rated as intermediate. as for instrument indicators, patients submitted to gastroenterological procedures presented a significant difference regarding their level of consciousness (p<0.0001); as for motility, patients submitted to cardiologic procedures presented higher dependence scores (p<0.0001); there were no differences for locomotion between the different specialties. conclusion: the dependence profile of patients seen in the hemodynamics unit was considered intermediate. further studies may add more information when planning the size of hemodynamics units.
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.
Adapta??o transcultural para o Brasil do Dietary Sodium Restriction Questionnaire (Questionário Restritivo da Dieta de Sódio) (DSRQ)
d'Almeida, Karina Sanches Machado;Souza, Gabriela Correa;Rabelo, Eneida Rejane;
Arquivos Brasileiros de Cardiologia , 2012, DOI: 10.1590/S0066-782X2011005000122
Abstract: background: sodium restriction is a non-pharmacological measure often recommended to patients with heart failure (hf). however, adherence is low, being among the most common causes of hf decompensation. the dietary sodium restriction questionnaire (dsrq) aims at identifying factors that affect adherence to dietary sodium restriction by patients with hf. in brazil, there are no instruments to assess these factors. objective: perform the transcultural adaptation of dsrq. methods: methodological study that involved the following steps: translation, synthesis, back-translation, review by an expert committee, pretest of the final version and analysis of interobserver agreement. in the pretest, items and their understanding were evaluated, as well as internal consistency by cronbach's alpha. the instrument was simultaneously and independently administered by two researchers and the kappa test was used for agreement analysis. results: only one question underwent major semantic and/or cultural alteration. at the pretest, cronbach's alpha for the total obtained was 0.77; for the attitude, subjective norm and behavioral control scales were obtained, respectively: 0.66, 0.50 and 0.85. at the agreement step, the kappa was calculated for 12 of the 16 questions, with values ranging from 0.62 to 1.00. in items for which the calculation was not possible, the incidence of equal responses ranged from 95% to 97.5%. conclusion: based on the transcultural adaptation of dsrq, it was possible to propose a version of the questionnaire for further evaluation of psychometric properties.
What to teach to patients with heart failure and why: the role of nurses in heart failure clinics
Rabelo, Eneida Rejane;Aliti, Graziella Badin;Domingues, Fernanda Bandeira;Ruschel, Karen Brasil;Brun, Anelise de Oliveira;
Revista Latino-Americana de Enfermagem , 2007, DOI: 10.1590/S0104-11692007000100024
Abstract: the most important objective of heart failure (hf) treatment is to reach and preserve patients' clinical stability. several studies have shown that programs aimed at systematic education, developed by multidisciplinary teams, are positive strategies to work with these patients. nurses active in hf clinics play a fundamental role in the educational process and continuity of patient care. the objectives of these processes are to teach, reinforce, improve and constantly evaluate patients' self-care abilities, which include weight monitoring, sodium and fluid restrictions, physical activities, regular medication use, monitoring signs and symptoms of disease worsening and early search for medical care. therefore, education to understand hf and the development of self-care abilities are considered key points to improve adherence, avoid decompensation crises and, consequently, to maintain patients clinically stable. this article presents a careful review of the aspects involved in the patient education process by nurses in the context of hf clinics.
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