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1.
Rev. eletrônica enferm ; 24: 1-8, 18 jan. 2022.
Article in English, Portuguese | LILACS, BDENF | ID: biblio-1353280

ABSTRACT

Objetivo: identificar e analisar a presença dos fatores terapêuticos nos atendimentos em sala de espera em um Centro de Atenção Psicossocial Álcool e Drogas, na perspectiva dos coordenadores e membros do grupo. Método: pesquisa de abordagem qualitativa do tipo convergente assistencial realizada com 14 pessoas. A coleta de dados ocorreu por meio de entrevistas individuais, instrumento tipo check-list com base no Q-sort de fatores terapêuticos de Yalom e observação participante. Os dados foram submetidos à análise temática e organizados com o software ATLAS.ti. Resultados: no decorrer dos encontros, tanto na perspectiva das coordenadoras e dos integrantes do grupo, foram identificados os mesmos fatores terapêuticos: instilação de esperança, universalidade, compartilhamento de informações, aprendizagem interpessoal, coesão grupal, fatores existenciais, altruísmo, desenvolvimento de técnicas de socialização e comportamento imitativo. Conclusão: reconhece-se o valor dos atendimentos em sala de espera, contribuindo significativamente no trajeto terapêutico de seus participantes.


Objective: to identify and analyze the presence of therapeutic factors in care in the waiting room at a Psychosocial Care Center for Alcohol and Drugs, from the perspective of coordinators and group members. Method: a qualitative approach research of the convergent care type carried out with 14 people. Data collection took place through individual interviews, a checklist-type instrument based on Yalom's Q-sort of therapeutic factors and participant observation. Data were subjected to thematic analysis and organized with the ATLAS.ti software. Results: During the meetings, both from the perspective of the coordinators and the group members, the same therapeutic factors were identified: instillation of hope, universality, information sharing, interpersonal learning, group cohesion, existential factors, altruism, development of socialization techniques and imitative behavior. Conclusion: the value of care in the waiting room is recognized, significantly contributing to the therapeutic path of its participants.


Subject(s)
Community Mental Health Services , Evaluation of the Efficacy-Effectiveness of Interventions , Substance-Related Disorders/rehabilitation
2.
Psicol. reflex. crit ; 35: 1, 2022. tab
Article in English | LILACS-Express | LILACS, INDEXPSI | ID: biblio-1360650

ABSTRACT

Abstract Teacher education programs should have as one of their purposes the promotion of self-regulatory skills for learning among students who aspire to be teachers so that they can take a leading role in their learning and foster these skills in their future students. Considering the importance of knowing what students in teacher education programs do to study and learn, as well as how efficacious they feel to deal with academic demands, this study is part of a larger research and aims to investigate the learning and study strategies and self-efficacy for learning beliefs of 220 students enrolled in teacher education programs in Biological Sciences, Chemistry, Physics and Mathematics of a Higher Education Institution in the state of Piauí, and examine them in relation to age, gender, licentiate area, and course semester. Brazilian translations of the Learning and Study Strategies Inventory (LASSI — Third Edition) and the Self-efficacy for Learning Form were used for data collection. Scales were administered in the classrooms both through online platforms and in paper and pencil. Nonparametric inferential statistical approaches were used to test hypotheses regarding group differences. Statistically significant differences were found in LASSI in relation to gender, licentiate area, and course semester. Overall, students in Physics dealt better with anxiety; in Mathematics showed more favorable attitudes towards learning; in Chemistry reported managing their time better; in Biological Science showed significantly lower scores on many scales than did other students. Findings from this study could help inform curricular design decisions regarding teacher education programs and inform the design of interventions to strengthen the learning and study strategies and the self-efficacy for learning beliefs of future teachers.

3.
Esc. Anna Nery Rev. Enferm ; 26: e20210239, 2022. tab, graf
Article in Portuguese | LILACS, BDENF | ID: biblio-1346039

ABSTRACT

Resumo Objetivo avaliar a autoeficácia de puérperas, ao longo do período puerperal, quanto ao potencial em amamentar. Método estudo longitudinal, do tipo painel, realizado de maio a dezembro de 2015, em Alojamento Conjunto de maternidade de referência de Fortaleza, Ceará, Brasil, delimitado em quatro momentos. O primeiro ocorreu por contato presencial na maternidade e os três contatos subsequentes foram realizados por meio telefônico aos dois, quatro e seis meses pós-parto. A amostra foi de 66 puérperas. Resultados observou-se aumento da mediana dos escores da escala de autoeficácia em amamentar ao longo dos meses. A maioria das puérperas apresentou nível elevado de autoeficácia, entretanto, a prática do aleitamento materno exclusivo apresentou declínio progressivo, chegando a 17,9% aos seis meses. Conclusão e implicações para a prática as puérperas participantes apresentaram aumento progressivo dos escores da escala de autoeficácia ao longo do tempo, mantendo níveis de elevada e média autoeficácia em amamentar. Logo, este estudo pode direcionar novas pesquisas de intervenção, bem como subsidiar a prática holística dos profissionais que apoiam a amamentação.


Resumen Objetivo evaluar la autoeficacia de puérperas a lo largo del puerperio en cuanto a su potencialidad para amamantar. Método estudio longitudinal del tipo panel, realizado de mayo a diciembre de 2015, en el Alojamiento Conjunto de una maternidad de referencia en Fortaleza, Ceará, delimitado en cuatro momentos. El primero ocurrió por contacto presencial en la maternidad y los tres contactos posteriores se realizaron telefónicamente a los dos, cuatro y seis meses posparto. La muestra fue de 66 puérperas. Resultados hubo un aumento en la mediana de puntuaciones de la escala de autoeficacia para lactancia materna a lo largo de los meses. La mayoría de las puérperas mostró un alto nivel de autoeficacia, sin embargo, la práctica de lactancia materna exclusiva mostró un declive progresivo llegando al 17,9% a los seis meses. Conclusión e implicaciones para la práctica Las puérperas mostraron un aumento progresivo en los puntajes de la escala de autoeficacia a lo largo del tiempo, manteniendo niveles de autoeficacia alta y media en la lactancia materna. Por lo tanto, este estudio puede orientar nuevas investigaciones de intervención, así como subsidiar la práctica holística de los profesionales que apoyan la lactancia materna.


Abstract Objective to evaluate the self-efficacy of puerperal women throughout the puerperal period regarding their potential to breastfeed. Method longitudinal panel study was performed from May to December 2015 in postpartum rooms of a reference maternity hospital in Fortaleza (Ceará State, Brazil). The study was separated into four moments: the first occurred through a face-to-face meeting at the maternity hospital, and the three subsequent encounters were made by telephone two, four, and six months postpartum. The sample was composed of 66 puerperal women. Results there was an increase in the mean scores of the self-efficacy scale for breastfeeding throughout the months, and most puerperal women showed a high self-efficacy level, although the practice of exclusive breastfeeding showed a progressive decline and reached 17.9% at six months. Conclusions and implications for practice The puerperal women showed progressively higher self-efficacy scores over time, maintaining high and medium self-efficacy levels in breastfeeding. Therefore, this study can direct new intervention research and subsidize the holistic practice of professionals who support breastfeeding.


Subject(s)
Humans , Female , Adult , Young Adult , Breast Feeding/statistics & numerical data , Self Efficacy , Postpartum Period , Health Promotion , Socioeconomic Factors , Longitudinal Studies
4.
Rev. bras. enferm ; 75(4): e20210522, 2022. tab, graf
Article in English | LILACS-Express | LILACS, BDENF | ID: biblio-1365628

ABSTRACT

ABSTRACT Objectives: to demonstrate the effectiveness of educational interventions in knowledge, attitude and practice for preventing respiratory infections in adults and older adults. Methods: this is a systematic review carried out in 11 databases. Primary studies, without language and time restrictions, of the randomized, non-randomized and before-and-after clinical trial type, were selected. The risk of bias was assessed by two independent researchers, and the methodological quality was generated by the Grading of Recommendations, Assessment, Development and Evaluation. Results: the intervention effectiveness was evidenced in seven studies. The results of the random effects meta-analysis show that there is a statistically significant difference between knowledge about preventing respiratory diseases, with an OR of 2.82 (95%CI 1.70 to 4.69) for the occurrence of events represented by improved knowledge. Conclusions: most studies show the effectiveness of educational interventions, which was determined through the Knowledge, Attitude and Practice survey.


RESUMEN Objetivos: demostrar la efectividad de las intervenciones educativas en conocimiento, actitud y práctica para la prevención de infecciones respiratorias en adultos y ancianos. Métodos: revisión sistemática realizada en 11 bases de datos. Se seleccionaron los estudios primarios, sin restricciones de idioma y marco de tiempo, del tipo de ensayo clínico aleatorizado, no aleatorizado y de tipo antes y después. El riesgo de sesgo fue evaluado por dos investigadores independientes y la calidad metodológica fue generada por el Grading of Recommendations, Assessment, Development and Evaluation. Resultados: la efectividad de la intervención se evidenció en siete estudios. Los resultados del metanálisis de efectos aleatorios muestran que existe una diferencia estadísticamente significativa entre el conocimiento sobre la prevención de enfermedades respiratorias, con un OR de 2,82 (IC del 95%: 1,70 a 4,69) para la aparición de eventos representados por un conocimiento mejorado. Conclusiones: la mayoría de los estudios muestran la efectividad de las intervenciones educativas, la cual se determinó a través de la encuesta Conocimiento, Actitud y Práctica.


RESUMO Objetivos: evidenciar a efetividade das intervenções educacionais no conhecimento, atitude e prática para a prevenção de infecções respiratórias em adultos e idosos. Métodos: revisão sistemática, realizada em 11 bases de dados. Selecionaram-se estudos primários, sem restrição de idiomas e de recorte temporal, do tipo ensaio clínico randomizado, não randomizado e antes e depois. O risco de viés foi avaliado por dois pesquisadores independentes, e a qualidade metodológica foi gerada pelo Grading of Recommendations, Assessment, Development and Evaluation. Resultados: a efetividade da intervenção foi evidenciada em sete estudos. Os resultados da metanálise de efeitos aleatórios mostram que existe diferença estatisticamente significativa entre o conhecimento sobre prevenção de doenças respiratórias, com OR de 2,82 (IC95% 1,70 a 4,69) para a ocorrência de eventos representados por melhora de conhecimento. Conclusões: a maioria dos estudos evidencia a efetividade das intervenções educacionais, a qual foi determinada por meio do inquérito Conhecimento, Atitude e Prática.

5.
Rev. latinoam. enferm. (Online) ; 30: e3513, 2022. tab, graf
Article in Portuguese | LILACS, BDENF | ID: biblio-1365883

ABSTRACT

Resumo Objetivo Avaliar a efetividade da versão traduzida para português europeu do mobile health game Fume (No Fume), no que diz respeito à literacia em saúde de adolescentes em contexto escolar sobre as questões relacionadas com o tabaco. Método Estudo quantitativo, quase-experimental, com avaliação pré-teste e pós-teste, com uma amostra por conveniência de 144 adolescentes, dividida por um grupo experimental e um grupo de controle, realizado em duas escolas públicas do 2º e 3º ciclo do ensino básico de uma cidade do distrito de Coimbra, região centro de Portugal. Resultados Verificou-se, nos adolescentes que utilizaram o No Fume (grupo experimental), uma evolução favorável, estatisticamente significativa, nas expetativas negativas sobre fumar (p = 0,033). Conclusão O No Fume revelou um efeito positivo nas expetativas negativas sobre fumar dos adolescentes. Deve investir-se no desenvolvimento do No Fume para maximizar o seu potencial de utilização pois, enquanto tecnologia educativa baseada na gamificação, poderá contribuir para o alargamento e disseminação de intervenções inovadoras promotoras da saúde mental dos adolescentes


Abstract Objective To evaluate the effectiveness of the version translated into European Portuguese of the Fume mobile health game (No Fume), with regard to the health literacy of adolescents in the school context on tobacco-related issues. Method A quantitative and quasi-experimental study, with pre-test and post-test evaluation, conducted with a convenience sample of 144 adolescents, divided into an experimental group and a control group, carried out in two public schools serving the 2nd and 3rd cycles of elementary education from a city in the district of Coimbra, central region of Portugal. Results Among the adolescents who used No Fume (experimental group), a statistically significant and favorable evolution was verified in the negative expectations about smoking (p = 0.033). Conclusion No Fume revealed a positive effect on the negative expectations about smoking among the adolescents. Investments should be made in developing No Fume in order to maximize its potential for use since, as an educational technology based on gamification, it may come to contribute to the expansion and dissemination of innovative interventions that promote adolescents' mental health.


Resumen Objectivo Evaluar la efectividad de la versión traducida al portugués europeo del mobile health game Fume (No Fume) en la alfabetización en salud de los adolescentes en un contexto escolar sobre temas relacionados con el tabaco. Método Estudio cuantitativo, cuasiexperimental, con evaluación pretest y postest, con una muestra por conveniencia de 144 adolescentes dividida en un grupo experimental y un grupo de control, realizado en dos escuelas públicas del segundo y tercer ciclo de educación básica de una ciudad en el distrito de Coímbra, región central de Portugal. Resultados Los adolescentes que utilizaron No Fume (grupo experimental), tuvieron una evolución favorable estadísticamente significativa en las expectativas negativas sobre fumar (p = 0,033). Conclusión No Fume reveló un efecto positivo sobre las expectativas negativas sobre fumar en los adolescentes. Se debe invertir en el desarrollo de No Fume para maximizar su potencial de uso porque, como tecnología educativa basada en la gamificación, puede contribuir a la expansión y difusión de intervenciones innovadoras que promuevan la salud mental de los adolescentes.


Subject(s)
Humans , Adolescent , Tobacco , Nursing , Self Efficacy , Health Literacy , Mobile Applications
6.
Cad. Saúde Pública (Online) ; 38(3): e00115021, 2022. tab, graf
Article in Portuguese | LILACS | ID: biblio-1364628

ABSTRACT

A estratégia de Planificação da Atenção à Saúde configura-se como um potente dispositivo de reorganização dos processos de trabalho nas redes de atenção à saúde e vem sendo implementada pelo conselho nacional de secretários de saúde desde 2013, em 25 regiões de saúde de 11 estados brasileiros, ofertando um conjunto de ações educacionais aos profissionais do sistema único de saúde. Este estudo objetiva descrever o processo de construção participativa e consenso da modelização das ações educacionais, para subsidiar a avaliação da efetividade da estratégia. A construção da modelização foi realizada por meio da consulta a 18 informantes-chave, selecionados intencionalmente pela sua proximidade com o planejamento e a execução das ações educacionais. Os informantes analisaram individualmente a modelização inicialmente proposta, declarando seu grau de concordância acerca do conteúdo e fornecendo sugestões e comentários, os quais foram analisados pelos pesquisadores. O percentual mínimo de concordância total previamente estabelecido de 75% foi obtido ao final de três rodadas de consulta. Importantes sugestões foram realizadas ao longo das rodadas, evidenciando os elementos prioritários para subsidiar a avaliação da efetividade da estratégia. Os percentuais finais de concordância total da modelização variaram entre 76,5% e 100%, de acordo com o componente, demonstrando que a modelização construída participativamente pode ser considerada satisfatória. Essa construção pode estimular pesquisas a respeito de estratégias que busquem qualificar a resposta do sistema de saúde, por meio do desenvolvimento de competências, habilidades e atitudes de seus profissionais.


The Healthcare Planning strategy is a powerful device for reorganization of work processes in healthcare networks and has been implemented by the Brazilian National Council of State Health Secretaries since 2013 in 25 health regions in 11 states, offering a set of educational activities for healthcare workers in the Brazilian Unified National Health System. This study aims to describe the process of participatory and consensual modeling of educational activities to back the assessment of the strategy's effectiveness. Development of the modeling used consultation with 18 key informants, selected intentionally according to their proximity to the educational activities' planning and execution. The key informants analyzed the initially proposed modeling, stating their degree of agreement with the content and providing suggestions and commentary, analyzed by the researchers. Minimum total agreement, predetermined at 75%, was obtained after three rounds of consultation. Important suggestions were provided throughout the rounds, evidencing priority elements for backing assessment of the strategy's effectiveness. Final total agreement in the modeling varied from 76.5% to 100%, according to the component, demonstrating that participatorily modeling can be considered satisfactory. This construction can encourage studies on strategies that seek to improve the health system's effectiveness through development of health workers' competencies, skills, and attitudes.


La estrategia de Planificación de la Atención en Salud constituye un potente dispositivo de reorganización de los procesos de trabajo en las redes de atención en salud y viene siendo implementada por el Consejo Nacional de Secretarías de Salud desde 2013, en 25 regiones de salud, de 11 estados brasileños, ofertando un conjunto de acciones educacionales a los profesionales del Sistema Único de Salud. Este estudio tiene como objetivo describir el proceso de construcción participativa y consenso en la modelización de las acciones educacionales, para apoyar la evaluación de la efectividad de la estrategia. La construcción de la modelización se realizó mediante la consulta a 18 informantes-claves, seleccionados intencionalmente por su proximidad con la planificación y ejecución de las acciones educacionales. Los informantes analizaron individualmente la modelización inicialmente propuesta, declarando su grado de concordancia acerca del contenido, proporcionando sugerencias y comentarios, que fueron analizados por los investigadores. El porcentaje mínimo de concordancia total previamente establecido de 75% se obtuvo tras el final de tres ruedas de consulta. Se realizaron importantes sugerencias a lo largo de las ruedas, evidenciando los elementos prioritarios para apoyar la evaluación de la efectividad de la estrategia. Los porcentajes finales de concordancia total de la modelización variaron entre 76,5% y 100%, de acuerdo con el componente, demostrando que la modelización construida participativamente puede ser considerada satisfactoria. Esa construcción puede estimular investigaciones, respecto a las estrategias que busquen cualificar la respuesta del sistema de salud, mediante el desarrollo de competencias, habilidades y actitudes de sus profesionales.


Subject(s)
Humans , Delivery of Health Care , Referral and Consultation , Brazil , Health Personnel
7.
Braz. J. Pharm. Sci. (Online) ; 58: e18637, 2022. tab, graf
Article in English | LILACS | ID: biblio-1364416

ABSTRACT

Abstract The therapeutic drugs to treat Herpes simplex virus (HSV) infections have toxic side effects and there has been an emergence of drug-resistant strains. Therefore, the search for new treatments for HSV infections is mounting. In the present study, semi-solid formulations containing a crude hydroethanolic extract (CHE) from Schinus terebinthifolia were developed. Skin irritation, cutaneous permeation, and in vivo therapeutic efficacy of the formulations were investigated. Treatment with the ointment formulations did not result in any signs of skin irritation while the emulsions increased the thickness of the epidermis in Swiss mice. The cutaneous permeation test indicated that the CHE incorporated in the formulations permeated through the skin layers and was present in the epidermis and dermis even 3 h after topical application. In vivo antiviral activity in BALB/c mice treated with the CHE ointments was better than those treated with the CHE emulsions and did not significantly differ from an acyclovir-treated group. Taken together, this suggests that the incorporation of CHE in the ointment may be a potential candidate for the alternative topical treatment of herpetic lesions.


Subject(s)
Pharmaceutical Preparations/analysis , Simplexvirus/classification , Herpesvirus 1, Human/classification , Anacardiaceae/adverse effects , Antiviral Agents/adverse effects , Acyclovir/antagonists & inhibitors , Efficacy , Emulsions/adverse effects
8.
Texto & contexto enferm ; 31: e20200555, 2022. tab, graf
Article in English | LILACS, BDENF | ID: biblio-1361174

ABSTRACT

ABSTRACT Objective: to test the psychometric validity of an instrument to assess family effectiveness strategies and its reliability for use with Brazilian families. Method: this is a methodological study, content validation, construct, criterion, which used exploratory and Confirmatory Factor Analysis and reliability. The sample consisted of 100 families. Data were collected from October 2017 to March 2018. Results: the percentage of agreement among family health experts was 100%, with a perfect Content Validity Index and reliability (1.00). For the target audience (pre-test), 89.3% of agreement and Content Validity Index of 0.89 were obtained. Construct validity had a total explained variance of 73.8%. The concurrent criterion validity presented a correlation coefficient (ρ) of 0.75 (p = 0.004). Reliability had a Cronbach's α coefficient of 0.82 for the full scale and a range of 0.62 to 0.82 in the instrument's goals. Conclusion: the instrument proved to be valid and reliable to assess the effectiveness of the functioning of Brazilian families.


RESUMEN Objetivo: probar la validez psicométrica del instrumento para evaluar las estrategias de efectividad familiar y su confiabilidad para su uso con familias brasileñas. Método: estudio metodológico, validación de contenido, constructo, criterio, mediante análisis factorial exploratorio y confirmatorio y confiabilidad. La muestra estuvo formada por 100 familias. Los datos se recopilaron desde octubre de 2017 hasta marzo de 2018. Resultados: el porcentaje de concordancia entre los especialistas en Salud de la Familia fue del 100%, con un perfecto Índice de Validez de Contenido y confiabilidad (1,00). Para la población objetivo (pre-test), se obtuvo 89,3% de acuerdo y un Índice de Validez de Contenido de 0,89. La validez de constructo tuvo una varianza explicada total del 73,8%. La validez del criterio concurrente presentó un coeficiente de correlación (ρ) de 0,75 (p = 0,004). La confiabilidad tuvo un coeficiente α de Cronbach de 0.82 para la escala completa y un rango de 0.62 a 0.82 en las metas del instrumento. Conclusión: el instrumento demostró ser válido y confiable para evaluar la efectividad del funcionamiento de las familias brasileñas.


RESUMO Objetivo: testar a validade psicométrica do instrumento de avaliação das estratégias de efetividade familiar e a confiabilidade para uso com famílias brasileiras. Método: estudo metodológico, de validação de conteúdo, construto, critério, pela Análise Fatorial Exploratória e confirmatória e confiabilidade. A amostra foi composta por 100 famílias. Os dados foram coletados no período de outubro de 2017 a março de 2018. Resultados: o percentual de concordância entre os especialistas em Saúde da Família foi de 100%, com Índice de Validade de Conteúdo e confiabilidade perfeitos (1,00). Para a população-alvo (pré-teste), obtiveram-se 89,3% de concordância e Índice de Validade de Conteúdo de 0,89. A validade de construto apresentou variância total explicada de 73,8%. A validade do critério concorrente apresentou coeficiente de correlação (ρ) de 0,75 (p=0,004). A confiabilidade apresentou coeficiente α de Cronbach de 0,82 para a escala total e variação de 0,62 a 0,82 nas metas do instrumento. Conclusão: o instrumento mostrou-se válido e confiável para avaliar a efetividade do funcionamento das famílias brasileiras.


Subject(s)
Humans , Psychometrics , Family , Reproducibility of Results , Transcultural Nursing , Self Efficacy , Family Nursing
9.
China Pharmacy ; (12): 230-235, 2022.
Article in Chinese | WPRIM | ID: wpr-913116

ABSTRACT

OBJECTIVE To compare the anticoagulant effectiveness and safety of new oral anticoagulants (NOACs)and warfarin after heart valve replacement ,and to provide evidence-based reference for clinical drug use. METHODS Retrieved from PubMed,Cochrane Library ,Embase,Web of Science ,CNKI,Wanfang database and VIP ,clinical studies about the use of NOACs versus warfarin after heart valve replacement were collected during the inception to July 2021. After literature screening and data extrac tion,the quality of included randomized controlled trials (RCTs)were evaluat ed by bias risk assessment tool recommended by Cochrane system evaluator manual 5.2.0. After the quality of the included cohort studies was evaluated by Newcastle-Ottawa scale (NOS),RevMan 5.3 software was used for meta-analysis and sensitivity analysis. RESULTS A E-mail:carolmeng_0813@163.com total of 9 studies involving 4 962 patients were included ,of which 7 were RCTs and 2 were cohort studie s. Results of meta-analysis showed that after biological valve replacement/repair ,the incidence of stroke and systemic embolism (SSE)[OR=0.71,95%CI(0.52,0.97),P=0.03],major bleeding [OR =0.40,95%CI (0.30,0.54),P<0.000 01] and intracranial hemorrhage [OR =0.20,95%CI(0.04,0.95),P=0.04] in trial group were significantly lower than warfarin group ;there was no significant difference in all-cause mortality between 2 groups [OR =1.25,95%CI(0.88, 1.79),P=0.22]. After mechanical valve replacement/repair ,there were no significant difference in the incidence of SSE [OR =1.52, 95%CI(0.04,60.29),P=0.82] or all-cause mortality [OR =0.26,95%CI(0.04,1.84),P=0.18] between 2 groups. The results of subgroup analysis according to the follow-up time showed that after biological valve replacement/repair ,the incidence of SSE in trial group was significantly lower than that in control group when the follow-up time was ≤3 months [OR =0.20,95%CI(0.06, 0.74),P=0.03];but there was no significant difference in the incidence of major bleeding between 2 groups [OR =0.67,95%CI (0.19,2.38),P=0.53];when the follow-up time was longer than 3 months,there was no statistical significance in the incidence of SSE between 2 groups [OR =0.74,95%CI(0.54,1.02),P=0.07],while the incidence of major bleeding in trial group was significantly lower than control group [OR =0.39,95%CI(0.29,0.52),P<0.001]. Subgroup analysis by study type showed that after biological valve replacement/repair ,the incidence of SSE in the RCT in trial group was significantly lower than that in control group [OR =0.51,95%CI(0.29,0.92),P=0.03],but there was no significant difference in the incidence of major bleeding between 2 groups[OR=0.58,95%CI(0.33,1.03),P=0.06]. In cohort study ,there was no significant difference in the incidence of SSE between 2 groups [OR =1.03,95%CI(0.40,2.66),P=0.95],while the incidence of major bleeding in trial group was significantly lower than control group [OR =0.20,95%CI(0.06,0.74),P<0.001]. Sensitivity analysis results showed that the results of the above-mentioned meta-analysis were relatively robust. CONCLUSIONS For the patients underwent biological valve replacement/repair,the effectiveness and safety of NOACs are better than or similar to those of warfarin ;for the patients underwent mechanical valve replacement/repair ,there is no significant difference in the effectiveness and safety between NOACs and warfarin.

10.
China Pharmacy ; (12): 209-216, 2022.
Article in Chinese | WPRIM | ID: wpr-913113

ABSTRACT

OBJECT IVE To evaluate the efficacy ,safety and cost-effectiveness of Qili qiangxin capsule in the treatment of chronic heart failure ,and provide reference for drug selection and evaluation in relevant institutions. METHODS Meta-analysis was performed to investigate clinical efficacy and safety of Qili qiangxin capsule combined with routine treatment (combined treatment group)versus routine treatment (routine treatment group )in the treatment of chronic heart failure. From the perspective of Chinese health care system ,a decision tree model was constructed. The time horizon of the model was 1 year. The effective rate obtained by meta-analysis was taken as the effect parameter ,and the total cost was calculated by drug cost and hospitalization cost ,to evaluate the cost-effectiveness of combined treatment versus routine treatment in the treatment of chronic heart failure. Subgroup analysis was carried out according to the course of treatment and literature quality ,and one-way sensitivity analysis and probability sensitivity analysis were adopted to check the robustness of basic analysis results. RESULTS Total of 72 literatures involving 9 575 patients were included in meta-analysis. Results of meta-analysis showed that effective rate ,left ventricular ejection fraction , N-terminal fragment of the prohomone brain-type natriuretic peptide and 6 minute walking distance in combined treatment group were all better than those of routine treatment group , while its safety was similar to routine therapy. The results of cost-effectiveness analysis showed that the cost of combined therapy was 1 867 yuan higher than that of routine therapy ,patients could get 0.016 QALYs more ,and the incremental cost-effectiveness ratio (ICER)was 117 861 yuan/QALY. If only high-quality literature were included for meta-analysis and the effectiveness parameters were obtained ,the ICERs of the combined therapy versus routine therapy were 102 162 yuan/QALY(based on all high-quality literature )and 72 354 yuan/QALY(based on high-quality literature with treatment course of 24 weeks). The results of the probability sensitivity analysis showed that taking twice China ’s per capita gross domestic product in 2020 as the willingness to pay threshold ,the probability of cost-effectiveness for Qili qiangxin capsule combined with routine therapy was 67.1% . CONCLUSIONS Compared with routine therapy ,Qili qiangxin capsule combined with routine therapy has better clinical efficacy ,equivalent safety and cost-effective.

11.
Article in Chamorro | WPRIM | ID: wpr-904812

ABSTRACT

Objective@#To investigate the clinical efficacy of Nd: YAG laser combined with 3% acyclovir cream in the treatment of herpes labialis. @* Methods @# A total of 72 patients with herpes labialis were enrolled. According to the random number table method, the patients were divided into an observation group and a control group with 36 patients in the observation group and 36 patients in the control group. The Nd: YAG laser combined with 3% acyclovir cream was administered to the observation group, while 3% acyclovir cream was administered to the control group. The total effective rate, scab, scab removal, analgesic time, and quality of life were compared between the two groups.@*Results@# 7 days after treatment, the total effective rate of clinical treatment in the control group was 27 patients (75%), and that in the observation group was 34 patients (94.4%); the contrast difference was statistically significant (P < 0.05). Compared with those in the control group, the crusting, prolapse and analgesic time of the observation group were shorter, and the differences were statistically significant (P < 0.05). Compared with the control group, the observation group had higher quality of life scores, and there was a statistical significance (P < 0.05). @*Conclusion @#For patients with herpes labialis, using Nd: YAG laser combined with 3% acyclovir cream treatment can significantly improve the quality of life of patients and accelerate the speed of patient rehabilitation.

12.
China Pharmacy ; (12): 745-757, 2022.
Article in Chinese | WPRIM | ID: wpr-923013

ABSTRACT

OBJECTIVE To sy stematically evaluate the relations hip between immune-related adverse events (irAEs) and efficacy of immune checkpoint inhibitors (ICIs) in the treatment of non-small cell lung cancer (NSCLC),and to provide evidence-based reference for clinical application of ICIs and safety evaluation. METHODS PubMed,Embase,Cochrane Library , Web of Science ,CNKI,Wanfang database ,VIP and CBM were searched to collect prospective or retrospective cohort studies on the correlation between irAEs and efficacy of ICIs in the treatment of NSCLC. The retrieval time was from the inception to June 30th,2021. After literature screening and data extraction ,Newcastle-Ottawa scale was used to evaluate the quality of included literatures. Meta-analysis and publication bias analysis were performed by using RevMan 5.3 software;Stata 15.0 software was used for sensitivity analysis. RESULTS A total of 7 957 patients were included in 31 studies. Meta-analysis showed that the objective response rate (ORR)[RR=2.34,95%CI(1.98,2.76),P<0.000 01],progression-free survival (PFS)[HR=0.49,95%CI (0.44,0.55),P<0.000 01] and overall survival (OS)[HR=0.45,95%CI(0.39,0.53),P<0.000 01] of irAEs group as well as ORR[RR=1.88,95%CI(1.57,2.25),P<0.000 01],PFS [HR =0.59,95%CI(0.50,0.69),P<0.000 01] and OS [HR =0.58,95%CI (0.48,0.70),P<0.000 01] of this group at 6th week were all significantly higher or longer than non irAEs group. According to organ specificity ,severity and quantity of irAEs,subgroup analysis showed that skin ,gastrointestinal and endocrine system ,mild irAEs(grade 1-2)and one or more than 2 kinds of irAEs were significantly correlated with the improvement of PFS and OS (P< 0.05),while liver and lung ,severe irAEs(≥ grade 3)were not significantly correlated with the improvement of PFS and com OS (P>0.05). Sensitivity analysis results showed that the results of the above-mentione d meta-analysis were relatively robust. The results of publication bias showed that there was may be some possibility of publication bias in this study. CONCLUSIONS For NSCLC patients treated with ICIS ,the occurrence of irAEs may be related to their good prognosis. The irAEs may be a predictor of the efficacy of ICIs.

13.
International Eye Science ; (12): 685-689, 2022.
Article in Chinese | WPRIM | ID: wpr-922992

ABSTRACT

@#AIM:To analyze the efficacy and safety of pterygium resection respectively combined with Ologen collagen matrix implantation and autologous conjunctival flap transplantation.METHODS:A total of 80 patients(87 eyes)with pterygium admitted to the hospital between January 2017 and January 2020 were selected, and randomly divided into observation group(40 patients, 44 eyes)treated with pterygium resection combined with Ologen collagen matrix implantation and control group(40 patients, 43 eyes)treated with pterygium resection combined with autologous conjunctival flap transplantation. The patients were followed up till 12mo after operation. The best corrected visual acuity, corneal astigmatism, surface asymmetry index(SAI), surface regularity index(SRI), corneal epithelial healing, pterygium recurrence and the incidence of complications were compared between the two groups. RESULTS:Visual changes of the two groups were similar at 6 and 12mo after operation(<i>P</i>>0.05). Corneal astigmatism, SAI and SRI were reduced in the two groups at 1 and 3mo after operation. The corneal astigmatismat 3mo after operation and SAI, SRI at 1 and 3mo after operation were significantly lower in the observation group than in the control group(all <i>P</i><0.05). The corneal epithelial healing rate in observation group at 1wk after operation was significantly higher than that in the control group(73% <i>vs</i> 46%, <i>P</i><0.05), and corneal epithelium of the two groups healed at 2wk after operation. No pterygium recurrence was observed in the two groups within 12mo after operation. The situation of pterygium recurrence was similar in the two groups at 6 and 12mo after operation(<i>P</i>>0.05). There was no significant difference in the incidence of complications between the two groups(7% <i>vs </i>14%, <i>P</i>>0.05).CONCLUSION:Both pterygium resection combined with Ologen collagen matrix implantation and pterygium resection combined with autologous conjunctival flap transplantation are effective in the treatment of pterygium, with equivalent safety. However, the former has more advantages in improving corneal astigmatism and regular shape of corneal wound.

14.
International Eye Science ; (12): 680-684, 2022.
Article in Chinese | WPRIM | ID: wpr-922991

ABSTRACT

@#AIM: To observe the efficacy of pterygium excision combined with autologous limbal epithelial bulbar conjunctival transplantation in the treatment of patients with pterygium. METHODS:Prospective controlled study. A total of 102 patients(102 eyes)with pterygium treated in the hospital between October 2015 and October 2019 were selected as study subjects, and they were divided into observation group and control group according to the random number table method, with 51 cases in each group. The control group was treated with pterygium excision combined with amniotic membrane transplantation, and the observation group was given pterygium excision combined with autologous limbal epithelial bulbar conjunctival transplantation. The perioperative indicators(intraoperative blood loss, surgical time, corneal epithelial repair time)and clinical efficacy at 3mo after surgery were compared between the two groups, and the disease recovery-related indicators \〖tear film break-up time(BUT), uncorrected visual acuity(UCVA), Schirmer Ⅰ test(SⅠt), corneal astigmatism degree(CAD)\〗 before and 3mo after surgery, postoperative aesthetic degree and recurrence during follow-up were recorded.RESULTS:The corneal epithelial repair time in observation group was shorter than that in control group(4.14±1.35 <i>vs</i> 4.72±1.37d,<i>P</i><0.05), while the surgical time was longer than that in control group(32.24±6.69 <i>vs</i> 29.67±5.21min,<i>P</i><0.05), and there was no statistical significance in the intraoperative blood loss between the two groups(<i>P</i>>0.05). At 3mo after surgery, there was no statistical difference in the effective rate of treatment between the two groups(86.3% <i>vs</i> 78.4%, <i>P</i>>0.05). At 3mo after surgery, the BUT, UCVA and SⅠt in the two groups were significantly enhanced compared with those before surgery(all <i>P</i><0.05), and the UCVA and SⅠt in observation group were higher than those in control group(all <i>P</i><0.05), but there was no statistical difference in the BUT between the two groups(<i>P</i>>0.05). The CAD in the two groups was significantly lower than that before surgery(<i>P</i><0.05), but the difference was not significant between the groups(<i>P</i>>0.05). At 3mo after surgery, the scores of dimensions of aesthetic scale for pterygium treatment(ocular recovery, subjective symptoms)were significantly higher in observation group than those in control group(all <i>P</i><0.05), but there were no statistical differences in the scores of cleanliness of surgical area and congestion between the two groups(all <i>P</i>>0.05). There was no statistically significant difference in recurrence rate between the two groups during follow-up(<i>P</i>>0.05).CONCLUSION: Pterygium excision combined with autologous limbal epithelial bulbar conjunctival transplantation can effectively treat pterygium and prevent recurrence, and it has faster postoperative recovery and better aesthetic degree compared to pterygium excision combined with amniotic membrane transplantation.

15.
Article in Chinese | WPRIM | ID: wpr-920819

ABSTRACT

@#Objective    To assess the efficacy of lymphadenectomy in different regions for esophageal squamous cell carcinomas located differently according to the lymph node grouping by Chinese expert consensus. Methods    The medical records of 1 061 patients (886 males and 175 females with a median age of 60 (54, 65) years with esophageal cancer from March 2011 to December 2017 in our hospital were retrospectively analyzed. According to the pathological report, the lymph nodes were regrouped according to the Chinese lymph nodes grouping standard of esophageal cancer. The metastasis rate of each group of lymph nodes, the 5-year survival rate of metastatic patients and efficacy index (EI) were calculated. Results    The upper thoracic esophageal cancer mainly metastasized to the lymph nodes of C201-203 groups. The middle and lower thoracic tumors mainly metastasized to the lymph nodes of C205-207 groups. The lower thoracic tumor had a higher rate of metastasis to the abdominal lymph nodes. According to the metastasis rate, the mediastinal lymph nodes were divided into three regions: an upper mediastinum (C201-204), a middle mediastinum (C205-206), and a lower mediastinum (C207-209). The EIs of lymph nodes of C201-203 and C205-207 groups were higher. For patients with C201-207 groups metastasis, the 5-year survival rates ranged from 13.39% to 21.60%. For patients with positive lymph nodes in each region, tumors at different primary locations had no statistical difference in long-term survival (P>0.05). Patients with lymph nodes of C205 group in the upper thoracic tumors had lower EI and those in the middle and lower thoracic tumors had higher EIs. Conclusion    The effect of lymph node dissection in each area varies with the location of the tumor. No matter where the tumor is, it is necessary to dissect the upper mediastinal lymph nodes, especially the lymph nodes adjacent to the left and right recurrent laryngeal nerves. Group C205 should be classified into the lower mediastinal lymph nodes.

16.
Article in Chinese | WPRIM | ID: wpr-920816

ABSTRACT

@#Objective    To compare the short- and long-term efficacy of surgery and endoscopy in the treatment of early esophageal cancer by a systematic review and meta-analysis. Methods    We extracted data independently from The Cochrane Library, PubMed, EMbase, Web of Science for studies comparing surgery with endoscopy from 2010 to 2020. The primary outcomes including R0 resection rate, long-term overall survival (OS), disease-specific survival (DSS), major complications, recurrence, hospital stay and cost. Meta-analysis was performed using RevMan 5.3 and Engauge Digitizer was used to extract survival curves from relevant literature, and relevant data were calculated based on statistical methods. Results    A total of 17 studies involving 3 705 patients were included. It was found that patients in the surgery group had a higher R0 resection rate compared with the endoscopic group (OR=0.13, 95%CI 0.07 to 0.27, P<0.001, I2=6%). The total complications rate of resection of esophageal cancer was higher than that of the endoscopic group (OR=0.28, 95%CI 0.16 to 0.50, P<0.001, I2=68%). The length of hospitalization in the endoscopic group was obviously shorter than that in the surgery group (MD=–8.28, 95%CI –12.44 to –4.13, P<0.001, I2=96%). The distant recurrence rate (OR=0.58, 95%CI 0.24 to 1.41, P=0.230, I2=0%) and the local recurrence rate after resection (OR=1.74, 95%CI 0.66 to 4.59, P=0.260, I2=40%) in the endoscopic group was similar to those of the surgery group. There was no significant difference in 5 year-OS rate between the two groups (HR=0.86, 95%CI 0.67 to 1.11, P=0.25, I2=0%), which was subdivided into two groups: adenocarcinoma (HR=0.55, 95%CI 0.15 to 2.05, P=0.37, I2=0%) and squamous cell carcinoma (HR=0.68, 95%CI 0.46 to 1.01, P=0.06, I2=0%), showing that there was no difference between the two subgroups. There was no significant difference in the DSS rate (HR=0.72, 95%CI 0.49 to 1.05, P=0.090, I2=0%) between the two groups. The cost of the surgery group was significantly higher than that of the endoscopic group (MD=–12.97, 95%CI –18.02 to –7.92, P<0.001, I2=93%). Conclusion    The evidence shows that endotherapy may be an effective treatment for early esophageal neoplasm when considering the long-term outcomes whether it is squamous or adenocarcinoma, even though it is not as effective as surgery in the short-term efficacy.

17.
Article in Chinese | WPRIM | ID: wpr-920572

ABSTRACT

Objective@#To determine the clinical problems and outcome indicators that need to be included in the expert consensus of 5-aminolevulinic acid (ALA) photodynamic therapy in the treatment of oral potential malignant diseases. @*Methods@# Based on the relevant literature, the clinical problems and outcome indicators were drafted during the meeting. The Delphi method was used for expert consultation and expert opinion collection. The average and standard deviation of the voting results were calculated to determine the importance of the indicators, and the positive coefficient, variation coefficient and coordination coefficient were calculated for quality control. @* Results@#In the first round of the Delphi method, 12 outcome indicators (the main reference elements include photon integral flux, power density, illumination time, and spot diameter were identified; the specific parameters are photon integral flux of 100 J/cm2 and power density of 100-600 mW/cm2. A diode laser of (630 ± 5) nm wavelength should be chosen. The analgesic regimen is local anesthesia supplemented by hypothermia and intermittent laser irradiation before treatment. Lesions with hyperkeratotic require pretreatment. The concentration of ALA administered was set at 20%. Eight clinical problems (main reference elements of photodynamic irradiation dose, specific parameters, choice of light source, evaluation criteria of efficacy, prevention of adverse effects, dosing concentration, whether oral potentially malignant diseases with hyperkeratosis should be pretreated, administration of photosensitizers) were included according to the literature and expert discussion. In the second round, 89 experts completed the questionnaire and gave very important evaluations of 9 outcome indicators (the main reference elements included photon integral flux, power density and illumination time; the specific parameters were a photon integral flux of 100 J/cm 2 and a power density of 100-600 mW/cm2). A diode laser of (630 ± 5)nm wavelength should be chosen. The concentration of ALA administered was set at 20%. Six clinical problems (main reference elements of photodynamic irradiation dose, specific parameters, choice of light source, evaluation criteria of efficacy, dosing concentration, administration of photosensitizers), and the remaining 3 were given important evaluations, with good consistency.@*Conclusion@# In this study, the irradiation dose, mode of administration and concentration, evaluation criteria of efficacy, prevention of adverse effects and pretreatment regimen of ALA photodynamic therapy for oral potentially malignant diseases determined by the Delphi method had good agreement among experts.

18.
International Eye Science ; (12): 462-466, 2022.
Article in Chinese | WPRIM | ID: wpr-920430

ABSTRACT

@#AIM:To investigate the efficacy and safety of pars plana vitrectomy(PPV)combined with inverted internal limiting membrane(ILM)flap and PPV combined with ILM tamping in the treatment of large basal diameter idiopathic macular hole(IMH), and to analyze the correlation between postoperative visual acuity and preoperative parameters. <p>METHODS:This study is a retrospective clinical study. Totally 56 patients(57 eyes)with macular hole bottom diameter greater than 1 000μm, who treated in Joint Shantou International Eye Center from January 2018 to December 2020, were enrolled in this study. Thirty eyes were involved in PPV combined with inverted ILM flap(Group 1)and 27 eyes were involved in PPV combined with ILM tamping(Group 2). The best corrected visual acuity(BCVA), the closure of the macular hole, thickness of foveal neurosensory layer and complications were compared between the two groups at 1wk and 1mo after the surgery. Person correlation analysis was used to explore the correlation between preoperative parameters and BCVA at 1mo after operation.<p>RESULTS: There was no significant difference in gender, age, eye type, course of disease, preoperative BCVA, postoperative macular hole healing classification, preoperative hole bottom diameter and eye axis between the two groups(P>0.05). The closure rate of macular hole in Group 1 was 97%, of which type 1 closure was 80%. The closure rate of macular hole in Group 2 was 100%, of which type 1 closure was 78%, and there was no significant difference in the closure rate(P=0.99). The postoperative follow-up BCVA of patients in both groups was better than that before operation(all P<0.01). The BCVA of Group 1 was better than Group 2 at 1mo after operation, and the difference was statistically significant(t= -2.20, P=0.03). There was no significant difference in the thickness of foveal neurosensory layer between two groups at 1mo after operation(t=0.407, P=0.69). The BCVA at 1mo after operation was positively correlated with the hole diameter and preoperative BCVA(r=0.435, P=0.004; r=0.440, P=0.001). There was no complication in both groups during and after operation. <p>CONCLUSION:PPV combined with inverted ILM flap and PPV combined with ILM tamping can improve the closure rate of the hole. The long-term visual acuity of PPV combined with inverted ILM flap is better than that of PPV combined with ILM tamping. There is a significant positive correlation between postoperative BCVA and the bottom diameter of the hole and preoperative BCVA. Preoperative bottom diameter can be used as one of the basis for clinical prognosis.

19.
Entramado ; 17(2): 90-108, jul.-dic. 2021. tab
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1360416

ABSTRACT

RESUMEN La investigación presentada en este artículo tiene como objetivo evaluar el desempeño financiero del sector elaboración de productos lácteos en Colombia en el período 2014-2019, aplicando como metodología el análisis estático y de tendencias de indicadores contables y de gestión de valor que miden su crecimiento, eficiencia, eficacia, efectividad, valor económico agregado (EVA) y valor de mercado agregado (VMA). Se encuentra que este sector crece en ventas, activos y utilidad neta; y logra rendimientos fluctuantes sobre su patrimonio, siguiendo el comportamiento de la eficacia en el control de erogaciones, aumentada por el uso de un apalancamiento financiero positivo. No obstante, este sector destruye EVA en tres años, con una pérdida residual importante en el 2015, que hace que su VMA resulte negativo. El EVA sigue la dirección del rendimiento después de impuestos del activo neto operacional, que en promedio es inferior al costo de capital. Estos hallazgos pueden complementarse con estudios semejantes para grupos homogéneos en edad, tamaño, organización jurídica y zona geográfica. CLASIFICACIÓN JEL G10, M40, L66


ABSTRACT The objective of the research presented in this article is to evaluate the financial performance of the dairy production sector in Colombia in the 2014-2019 period, applying as a methodology the static and trend analysis of accounting and value management indicators that measure its growth, efficiency, efficacy effectiveness, economic value added (EVA) and market value added (MVA). It is found that this sector grows in sales, assets and net income; and achieves fluctuating returns on its equity, following the behavior of efficiency in the control of expenditures, increased by the use of positive financial leverage. However, this sector destroys EVA in three years, with a significant residual loss in 2015, which makes its MVA negative. The EVA follows the direction of the after-tax return on operating net assets, which on average is less than the cost of capital. These findings can be complemented with similar studies for homogeneous groups in age, size, legal organization and geographical area. JEL CLASSIFICATION GI0, M40, L66


RESUMO A pesquisa apresentada neste artigo visa avaliar o desempenho financeiro do setor de processamento de laticínios na Colômbia no período 2014-2019, aplicando como metodologia a análise estática e de tendências dos indicadores contábeis e de gestão de valor que medem seu crescimento, eficiência, eficácia, efetividade, valor agregado econômico (EVA) e valor agregado de mercado (MVA). Verifica-se que este setor cresce em vendas, ativos e lucro líquido; e atinge retornos flutuantes sobre o patrimônio líquido, seguindo o comportamento de eficiência no controle de despesas, ampliado pelo uso de alavancagem financeira positiva. Entretanto, este setor destrói o EVA em três anos, com uma perda residual significativa em 2015, o que torna seu AMV negativo. O EVA segue a direção do retorno após impostos sobre o ativo operacional líquido, que em média é inferior ao custo de capital.BEstas descobertas podem ser complementadas por estudos semelhantes para grupos homogêneos em idade, tamanho, organização legal e área geográfica. CLASSIFICAÇÃO JEL GI0, M40, L66

20.
Rev. enferm. UERJ ; 29: e61374, jan.-dez. 2021.
Article in English, Portuguese | LILACS-Express | LILACS | ID: biblio-1354112

ABSTRACT

Objetivo: analisar evidências científicas sobre entrevista motivacional e sua influência no autogerenciamento do cuidado do adolescente com diabetes mellitus tipo 1. Método: revisão integrativa cuja busca aconteceu em junho de 2020 nas bases de dados LILACS, PubMed, CINAHL, Scopus e Web of Science para atender a pergunta: Quais evidências científicas sobre entrevista motivacional e sua influência no autogerenciamento do cuidado ao adolescente com diabetes mellitus tipo 1? Todos os artigos identificados estavam no idioma inglês e publicados entre 2003 e 2020. Resultados: entre os dez estudos incluídos, nove foram realizados nos Estados Unidos e um no Reino Unido. As pesquisas tiveram métodos diversificados na aplicação da entrevista motivacional em circunstâncias diferentes e os resultados mostraram impactos positivos no autogerenciamento dos cuidados de adolescentes com DM1, principalmente em relação ao controle glicêmico e/ou nos níveis de hemoglobina glicada. Conclusão: a entrevista motivacional favorece o autogerenciamento do cuidado e autonomia do adolescente com diabetes.


Objective: this study examined scientific evidence on motivational interviewing and its influence on self-management among adolescents with type-1 diabetes mellitus (DM1). Methods: the survey for this integrative review took place in June 2020 in the LILACS, PubMed, CINAHL, Scopus, and Web of Science databases to answer the question: What scientific evidence is available on motivational interviewing and its influence on self-management among adolescents with DM1? All the articles found were in English and published between 2003 and 2020. Results: of the ten studies included, nine were conducted in the United States and one in the United Kingdom. The studies used different methods for applying motivational interviewing in differing circumstances, and their findings revealed positive impacts on self-management among adolescents with type-1 diabetes, especially on blood glucose monitoring and/or on glycated hemoglobin levels. Conclusion: motivational interviewing is an intervention that favors self-management and autonomy among adolescents with diabetes.


Objetivo: analizar evidencias científicas sobre entrevista motivacional y su influencia en la autogestión del cuidado de adolescentes con diabetes mellitus tipo 1 (DM1). Métodos: revisión integradora llevada a cabo en junio de 2020 en las bases de datos LILACS, PubMed, CINAHL, Scopus y WoS para responder a la pregunta: ¿Cuáles son las evidencias científicas sobre entrevista motivacional y su influencia en la autogestión del cuidado de adolescentes con diabetes mellitus tipo 1? Los artículos encontrados estaban en inglés y fueron publicados entre 2003 y 2020. Resultados: de los diez estudios incluidos, nueve se realizaron en Estados Unidos y uno en Reino Unido. Las investigaciones utilizaron diferentes métodos de aplicación de la entrevista motivacional en diferentes circunstancias y los resultados señalaron impactos positivos en la autogestión de los cuidados de adolescentes con DM1, especialmente cuanto al control glucémico y/o niveles de hemoglobina glucosilada. Conclusión: la entrevista motivacional favorece la autogestión del cuidado y la autonomía de adolescentes con diabetes.

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