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1.
Enferm. foco (Brasília) ; 11(2): 127-132, jul. 2020. tab
Article in Portuguese | LILACS (Americas), BDENF | ID: biblio-1104392

ABSTRACT

Objetivo: identificar os critérios clínicos e insumos utilizados para a administração do primeiro banho em recém-nascido prematuro de muito baixo peso internado em unidades de terapia intensiva neonatal.Métodos: estudo descritivo, com abordagem quantitativa. Com base no Método Canguru/Ministério da saúde, realizado em cinco unidades de terapia intensiva neonatal; população composta por 82 profissionais da equipe de enfermagem. Resultados: os critérios clínicos não apontados na avaliação foram 19,5% para a saturação de oxigênio, 23,2% frequência cardíaca e 29,3% frequência respiratória. Os insumos utilizados na realização do primeiro banho: água de torneira aquecida 56,1%, com controle bacteriológico 52,4%, sabão líquido 89,0%, com pH neutro em 76,8%. Conclusão: a não observância dos sinais clínicos e os insumos inadequados para a realização do banho do recém-nascido prematuro de muito baixo peso pode colocar em risco a segurança do paciente; emergindo adequações para fortalecimento da prática clínica da enfermagem. (AU)


Objective: To identify the clinical criteria and inputs used for the administration of the first bath in a very low birth weight premature newborns in neonatal intensive care units. Methods: descriptive study, with a quantitative approach based on the Kangaroo/Ministry of Health Method, carried out in five neonatal intensive care units; population composed of 82 professionals from the nursing team. Results: The clinical criteria not mentioned in the evaluation were 19.5% for oxygen saturation, 23.2% heart rate and 29.3% respiratory rate. The inputs used in the first bath: heated tap water (56.1%), with bacteriological control (52.4%), liquid soap (89.0%), with neutral pH (76.8%). Conclusion: Failure to observe clinical signs and inadequate supplies for bathing the very low birth weight premature newborn can put patient safety at risk; emerging adaptations to strengthen clinical nursing practice. (AU)


Objetivo: Identificar los criterios clínicos y los insumos utilizados para la administración del primer baño en recién nacidos prematuros de muy bajo peso al nacer en unidades de cuidados intensivos neonatales. Métodos: Estudio descriptivo, con enfoque cuantitativo, basado en el Método Canguro/Ministerio de Salud, realizado en cinco unidades de cuidados intensivos neonatales; población compuesta por 82 profesionales del equipo de enfermería. Resultados: Los criterios clínicos no mencionados en la evaluación fueron 19.5% para la saturación de oxígeno, 23.2% de frecuencia cardíaca y 29.3% de frecuencia respiratoria. Los insumos utilizados en el primer baño: agua caliente del grifo (56.1%), con control bacteriológico (52.4%), jabón líquido (89.0%), con pH neutro (76.8%). Conclusión: El incumplimiento de los signos clínicos y los suministros inadecuados para bañar al recién nacido prematuro de muy bajo peso pueden poner en riesgo la seguridad del paciente; adaptaciones emergentes para fortalecer la práctica clínica de enfermería. (AU)


Subject(s)
Infant, Very Low Birth Weight , Baths , Intensive Care Units, Neonatal , Neonatal Nursing
2.
Arch. argent. pediatr ; 118(2): e183-e187, abr. 2020. ilus
Article in Spanish | LILACS (Americas), BINACIS | ID: biblio-1100433

ABSTRACT

La epilepsia refleja por agua caliente es un tipo de convulsión poco frecuente cuya fisiopatología se desconoce. Estas crisis reflejas suelen iniciarse pocos segundos tras el contacto con el agua y, comúnmente, a temperaturas de 37-48 ºC. Los automatismos y las crisis parciales complejas, con o sin generalización secundaria, son el modo de manifestación principal.La exploración neurológica y el electroencefalograma intercrítico no suelen presentar alteraciones, lo que puede condicionar un retraso en el diagnóstico, por lo que es fundamental la sospecha clínica.El tratamiento antiepiléptico se inicia cuando se asocia a otro tipo de epilepsia o cuando ciertas medidas sencillas, como el descenso de la temperatura del agua en el baño, no controlan las crisis. Es posible la desaparición espontánea. Cuando es necesaria la terapéutica farmacológica, existe, normalmente, buena respuesta.Se presenta el caso de un lactante con diagnóstico de epilepsia refleja por agua caliente.


Hot-water epilepsy is a rare type of seizure whose pathophysiology is unknown. These reflex seizures usually begin a few seconds after contact with water, commonly at temperatures between 37-48 ºC. Automations and complex partial crises, with or without secondary generalization, are the main manifestation mode of this type of reflex epilepsies.Neurological examination and intercritical electroencephalography are usually normal, which may condition a delay in diagnosis, and the clinical suspicion is fundamental.Antiepileptic treatment is initiated when associated with another type of epilepsy or when certain simple measures, such as lowering the water temperature in the bath, do not control crises. Spontaneous disappearance is possible; when pharmacological therapy is necessary, there is usually a good response.We present the case of an infant diagnosed with hot-water epilepsy.


Subject(s)
Humans , Male , Infant , Epilepsy, Reflex/diagnosis , Seizures , Baths , Epilepsy, Reflex/drug therapy , Hot Temperature
3.
Rev. latinoam. enferm. (Online) ; 28: e3264, 2020. tab, graf
Article in English | LILACS (Americas), BDENF | ID: biblio-1101735

ABSTRACT

Objective: to compare the time for performance of dry and traditional bed bathing and its effects on transcutaneous arterial oxygen saturation and respiratory rates in critical adult patients. Method: pilot study of a randomized, open, crossover clinical trial, performed with 15 adult critically ill patients. Each patient received a dry and a traditional bed bath. Analysis of variance with repeated measures was used, adopting p-value ≤ 0.05. Results: most patients were male (73.3%), white (66.7%), with a mean age of 69.7 years. The dry bath was faster (20.0 minutes) than the traditional bath (30.0 minutes) (p<0.001). There was no significant difference between the patients' saturation means between baths (p=0.381), with 94.7% for the dry bath and 95.2% for the traditional bath. During the traditional bath, the patients' respiratory rate mean was higher (24.2 incursions per minute) and statistically different (p<0.001) from the value obtained for the dry bath (20.5 incursions per minute). Conclusion: the dry bath had a shorter duration than did the traditional bath, resulting in less patient exposure. The traditional bed bath had a negative effect on patients' respiratory rate, increasing it. Brazilian Registry of Clinical Trials (ReBEC): RBR-5qwkqd


Objetivo: comparar o tempo de execução do banho no leito a seco e do tradicional, e os seus efeitos sobre a saturação transcutânea de oxigênio arterial e a frequência respiratória em pacientes críticos adultos. Método: estudo piloto de um ensaio clínico randomizado crossover, aberto, realizado com 15 pacientes críticos adultos. Cada paciente recebeu o banho no leito a seco e o tradicional. Utilizou-se a análise de variância com medidas repetidas, adotando-se o valor p≤0,05. Resultados: a maioria dos pacientes era do sexo masculino (73,3%), brancos (66,7%), com média de idade de 69,7 anos. O banho a seco foi mais rápido (20,0 minutos) que o tradicional (30,0 minutos) (p<0,001). Não houve diferença significativa entre as médias de saturação dos pacientes entre os banhos (p=0,381), sendo 94,7% no banho a seco e 95,2% no tradicional. Durante o banho tradicional, a média da frequência respiratória dos pacientes foi maior (24,2 incursões por minuto) e estatisticamente diferente (p<0,001) do valor obtido no banho a seco (20,5 incursões por minuto). Conclusão: o banho a seco teve uma duração menor que o tradicional, resultando em uma menor exposição dos pacientes. O tradicional banho no leito gerou efeito negativo sobre a frequência respiratória dos pacientes, elevando-a. Registro Brasileiro de Ensaios Clínicos (ReBEC): RBR-5qwkqd


Objetivo: comparar el tiempo de ejecución del baño en la cama a seco y con el tradicional, y observar los efectos sobre la saturación del oxígeno transcutáneo arterial y la frecuencia respiratoria, en pacientes críticos adultos. Método: estudio piloto de un ensayo clínico aleatorizado crossover, abierto, realizado con 15 pacientes críticos adultos. Cada paciente recibió el baño en la cama, a seco y de forma tradicional. Se utilizó el análisis de variancia con medidas repetidas adoptando el valor p≤0,05. Resultados: la mayoría de los pacientes era del sexo masculino (73,3%), blancos (66,7%), con media de edad de 69,7 años. El baño a seco fue más rápido (20,0 minutos) que el tradicional (30,0 minutos) (p<0,001). No hubo diferencia significativa entre los promedios de saturación de los pacientes entre los baños (p=0,381), siendo 94,7% en el baño a seco y 95,2% en el tradicional. Durante el baño tradicional la media, de la frecuencia respiratoria, de los pacientes fue mayor (24,2 incursiones por minuto) y estadísticamente diferente (p<0,001) del valor obtenido en el baño a seco (20,5 incursiones por minuto). Conclusión: El baño a seco tuvo una duración menor que el tradicional, resultando en una menor exposición de los pacientes. El tradicional baño en la cama generó efecto negativo sobre la frecuencia respiratoria de los pacientes, elevándola. Registro Brasileño de Ensayos Clínicos (ReBEC): RBR-5qwkqd


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Aged, 80 and over , Baths/nursing , Baths/methods , Pilot Projects , Critical Illness/nursing , Cross-Over Studies , Respiratory Rate/physiology
4.
Article in Portuguese | LILACS (Americas) | ID: biblio-1088513

ABSTRACT

Resumo Objetivo Avaliar os efeitos da intervenção Enfermagem-primeiro banho sobre o choro e o sono do recém-nascido. Métodos Ensaio clínico randomizado controlado realizado no alojamento conjunto do Hospital Universitário do Espírito Santo (Brasil). A amostra constituiu-se de 33 neonatos a termo. O grupo experimental composto por 18 recém-nascidos recebeu a técnica intervenção de enfermagem-primeiro banho. As variáveis dependentes foram a presença de choro e o tempo de sono após o banho do RN a Intervenção-Primeiro Banho foi definida como variável independente. As variáveis de controle relacionadas ao recém-nascido foram: idade gestacional; peso ao nascimento; peso antes do banho; perda ponderal; dor neonatal; saturação; sinais vitais; temperatura do ambiente; temperatura da água; tempo do banho; e tempo do cuidado corporal por formulário específico após 24 horas de nascimento. Utilizou-se a Escala de Avaliação do Estado de Sono e Vigília, adaptada de Brazelton, a escala de NIPS para avaliação da dor neonatal. Resultados Os recém-nascidos do grupo intervenção do estudo dormiram cerca de 180 minutos, não apresentaram choro durante o experimento, e a avaliação da escala de dor neonatal foi menor. Conclusão A intervenção de enfermagem-primeiro banho pode apresentar melhora no estado comportamental dos recém-nascidos.


Resumen Objetivo Evaluar los efectos de la intervención enfermería-primer baño sobre el llanto y el sueño del recién nacido. Métodos Ensayo clínico aleatorizado controlado, realizado en la internación conjunta del Hospital Universitario de Espírito Santo (Brasil). La muestra consistió en 33 neonatos a término. El grupo experimental compuesto por 18 recién nacidos recibió la técnica intervención de enfermería-primer baño. Las variables dependientes fueron la presencia de llanto y tiempo de sueño después del baño del RN, la intervención-primer baño fue definida como variable independiente. Las variables de control relacionadas con el recién nacido fueron: edad gestacional, peso al nacer, peso antes del baño, pérdida ponderal, dolor neonatal, saturación, signos vitales, temperatura del ambiente, temperatura del agua, tiempo del baño y tiempo del cuidado corporal por formulario específico luego de 24 horas del nacimiento. Se utilizó la Escala de evaluación del estado del sueño y vigilia, adaptada de Brazelton, la escala de NIPS para evaluar el dolor neonatal. Resultados Los recién nacidos del grupo experimental del estudio durmieron cerca de 180 minutos, no presentaron llanto durante el experimento y la evaluación de la escala de dolor neonatal fue menor. Conclusión La intervención de enfermería-primer baño puede presentar mejoras en el estado de comportamiento de los recién nacidos. Número REBEC: U1111-1239-4388


Abstract Objective To assess the effects of nursing intervention-first bath on NB crying and sleep. Methods Randomized controlled clinical trial conducted at the joint accommodation of the University Hospital of the state of Espírito Santo (Brazil). Sample consisted of 33 full-term infants. The experimental group of 18 NBs received the nursing intervention-first bath technique. The dependent variables were the presence of crying and sleep time after the NB's bath. First bath intervention was defined as an independent variable. The control variables related to the NB were: gestational age; birth weight; weight before bath; weight loss; neonatal pain; saturation; vital signs; room temperature; water temperature; bath time; and time of body care by form after 24 hours of birth. We used the Brazelton Sleep and Wake Status Assessment Scale, the NIPS scale for assessing neonatal pain. Results The NBs in the study intervention group slept for about 180 minutes, did not cry during the experiment, and the neonatal pain scale assessment was lower. Conclusion Nursing intervention-first bath may improve NBs' behavioral state. REBEC number: U1111-1239-4388


Subject(s)
Humans , Infant, Newborn , Pain , Sleep , Baths , Crying , Infant Care , Nursing Care , Randomized Controlled Trial
5.
Rev Rene (Online) ; 21: 42454, 2020.
Article in Portuguese | LILACS (Americas), BDENF | ID: biblio-1053528

ABSTRACT

Objetivo: compreender a prática do banho enrolado em bebês prematuros, em unidade neonatal, na perspectiva de enfermeiros. Métodos: pesquisa qualitativa, realizada por meio de entrevista semiestruturada, com 13 enfermeiros atuantes em unidades neonatais, captados através da técnica de amostragem bola de neve. Dados submetidos à análise temático-categorial. Resultados: os enfermeiros consideraram benefícios relacionados ao conforto e à estimulação no banho enrolado, entretanto, citaram desafios para a prática, relacionados ao desconhecimento, à baixa adesão e sobrecarga de trabalho da equipe de enfermagem, ausência de rotinas e protocolos institucionais, além da escassez ou mesmo inadequação dos recursos materiais disponíveis nas instituições. Conclusão: a prática do banho enrolado, na perspectiva de enfermeiros, tem efeitos positivos para o desenvolvimento de bebês prematuros, porém existem desafios gerenciais que precisam ser superados para efetiva implementação.(AU)


Subject(s)
Humans , Female , Infant, Newborn , Adult , Middle Aged , Baths/methods , Infant, Premature , Intensive Care Units, Neonatal , Health Knowledge, Attitudes, Practice , Nurses, Pediatric , Immersion , Humanization of Assistance
6.
Enferm. foco (Brasília) ; 10(7): 109-114, dez. 2019.
Article in Portuguese | LILACS (Americas), BDENF | ID: biblio-1051455

ABSTRACT

Objetivo: implementar e validar um protocolo de banho em pacientes internados em uma Unidade de Terapia Intensiva Adulta. Metodologia: pesquisa de implementação, realizada em 2018, utilizando a ferramenta do PDSA (Planejar, Fazer - Do, Estudar - Study e Agir - Act), possibilitando que o processo fosse reavaliado em cada etapa. Validação pelo AGREE II por domínios. A adaptação do protocolo seguiu o instrumento ADAPTE. Resultados: Planejamento: visita técnica ao local; composição do grupo de trabalho (enfermeiros, médico, fisioterapeuta e técnicos de enfermagem). Fazer: análise e avaliação do protocolo (AGREE II). Estudar: Inconformidades entre o protocolo e a realidade local reavaliadas e corrigidas, baseadas na melhor evidência cientifica. Agir: teste piloto; após adaptação, implantado no turno da manhã. Considerações Finais: Apesar do benefício da implementação do protocolo de banho, o mesmo deve ser objeto frequente de discussão, pois compreende parte central do cuidado de enfermagem, devendo ser praticado de forma segura, buscando-se minimizar riscos para pacientes. (AU)


Objective: To implement and validate a bath protocol in patients admitted to an Adult Intensive Care Unit. Methodology: Implementation research, conducted in 2018, using the PDSA tool (Plan,Do, Study and Act ), enabling the process to be re - evaluated at each stage. Validation by AGREE II by domains. The protocol adaptation followed the ADAPTE instrument. Results: Planning: technical visit to the site; composition of the working group (nurses, physician, physiotherapist and nursing technicians). Do: protocol analysis and evaluation (AGREE II). Study: Nonconformities between protocol and local reality reevaluated and corrected, based on the best scientific evidence. Act: pilot test; after adaptation, implanted in the morning shift. Final Considerations: Despite the benefit of the implementation of the bath protocol, it should be a frequent subject of discussion, as it comprises a central part of nursing care and should be practiced safely, seeking to minimize risks to patients. (AU)


Objetivo: Implementar y validar un protocolo de baño en pacientes ingresados en una Unidad de Cuidados Intensivos para Adultos. Metodología: Investigación de implementación, realizada en 2018, utilizando la herramienta PDSA (Plan, Do, Study and Act ), permitiendo que el proceso sea reevaluado en cada etapa. Validación por AGREE II por dominios. La adaptación del protocolo siguió el instrumento ADAPTE. Resultados: Planificación: visita técnica al sitio; composición del grupo de trabajo (enfermeras, médico, fisioterapeuta y técnicos de enfermería). Hacer: análisis y evaluación de protocolos (ACUERDO II). Estudio: Las no conformidades entre el protocolo y la realidad local reevaluados y corregidos, con base en la mejor evidencia científica. Acto: prueba piloto; después de la adaptación, implantado en el turno de la mañana. Consideraciones finales: a pesar del beneficio de la implementación del protocolo de baño, debe ser un tema de discusión frecuente, ya que comprende una parte central de la atención de enfermería y debe practicarse de manera segura, buscando minimizar los riesgos para los pacientes. (AU)


Subject(s)
Baths , Hygiene , Nursing , Protocols , Intensive Care Units
7.
Rev. pesqui. cuid. fundam. (Online) ; 11(3): 627-633, abr.-maio 2019. tab
Article in English, Portuguese | LILACS (Americas), BDENF | ID: biblio-994777

ABSTRACT

Objective: The study's goal has been to assess the completion of the bed-bath procedure and the main care provided by the nursing team before, during and after it. Methods: It is a cross-sectional and observational study that was carried out in the Intensive Critical Unit of a teaching hospital with the participation of eight nurse technicians. Data collection was performed through an instrument structured type checklists over 30 times of observation from 1,080 actions. Results: There were observed 10 care before and 28 during and after bed-bath procedures. The bath was carried out technically without prior notice, without considering the individuality and privacy of patients, especially those undergoing mechanical ventilation. There was no participation of nurses and most of the actions taken by the nursing staff did not meet the literature recommendations. Conclusions: There is need to improving the quality of bed-bath procedures performed by the nursing team and adoption of evidence-based practices in the care process


Objetivo: Avaliar o processo de realização do banho no leito e os cuidados realizados pela equipe de enfermagem antes, durante e após o banho no leito. Métodos: estudo transversal e observacional, realizado na Unidade de Terapia Intensiva de um Hospital/Escola, com oito técnicos de enfermagem. Para a coleta de dados foi utilizado instrumento estruturado tipo checklists em 30 momentos de observação de 1080 ações. Resultados: foram observados 10 cuidados antes e 28 durante e após o banho no leito. O banho foi realizado de forma automática sem comunicação prévia, sem considerar a individualidade e privacidade do paciente, principalmente naqueles submetidos a ventilação mecânica. Não houve participação do enfermeiro e a maioria das ações realizadas pela equipe de enfermagem não atendeu às recomendações da literatura. Conclusões: há necessidade de melhoria da qualidade do banho no leito realizado pela enfermagem e adoção de práticas baseadas em evidências no processo de cuidar


Objetivo: Evaluar el proceso de finalización del baño de la cama y los principales cuidados que proporciona el personal de enfermería antes, durante y después del baño en la cama. Métodos: Transversal, observacional realizado en la UCI de un hospital / escuela con ocho técnicos de enfermería. Para la recolección de datos se utilizó instrumento de tipo estructurado listas de control 30 veces observación de 1080 la acción. Resultados: en el 10 y 28 de atención médica antes durante y después del baño en la cama. El baño se llevó a cabo técnicamente sin previo aviso, sin tener en cuenta la individualidad y la privacidad de los pacientes, especialmente aquellos sometidos a ventilación mecánica. No hubo participación de las enfermeras y la mayoría de las acciones llevadas a cabo por el personal de enfermería no cumplía con las recomendaciones de la literatura. Conclusiones: Existe la necesidad de mejorar la calidad de baño de la cama llevada a cabo por la enfermería y la adopción de prácticas basadas en la evidencia en el proceso de atención


Subject(s)
Humans , Male , Female , Baths/nursing , Baths/standards , Licensed Practical Nurses/education , Intensive Care Units , Hygiene/standards , Critical Care Nursing , Nursing Care
8.
Rio de Janeiro; s.n; 20190000. 72 p. ilus, tab.
Thesis in Portuguese | LILACS (Americas), BDENF | ID: biblio-1026652

ABSTRACT

Introdução: As doenças cardiovasculares são uma das principais causas de mortalidade no mundo. A forma aguda desta situação é denominada Síndrome Coronariana Aguda (SCA) que pode ser classificada como: angina instável e infarto agudo do miocárdio. Após o diagnóstico médico definido como SCA, o paciente necessita de internação em uma Unidade Coronariana. Neste ambiente é oferecida uma assistência guiada por protocolos clínicos e diretrizes de forma a contribuir na sua recuperação, minimizar o risco de complicações e prevenir os danos. Entre os protocolos que envolvem esse cuidado destaca-se o banho, que pode ser classificado como no leito ou de aspersão. Para a tomada de decisão do do enfermeiro quanto a indicação ao banho do paciente coronariopata são necessárias informações clinicas, e da hemodinâmica atual do paciente. Pontua-se como problema "A ausência de sistematização para tomada de decisão quanto a escolha banho do paciente coronariopata em uma Unidade Coronariana". Objetivo: Elaborar um algoritmo no formato de aplicativo móvel para auxiliar a tomada de decisão do enfermeiro quanto ao banho do paciente coronariopata em uma Unidade Coronariana. Método: Trata-se de estudo exploratório, metodológico e abordagem quantitativa para a elaboração de um algoritmo no formato de aplicativo móvel. O estudo foi realizado em duas etapas: 1ªetapa: elaborou-se um intrumento a partir de uma revisão de literatura abordando as temáticas reabilitação cardíaca e banho. Este instrumento foi submetido a validação de seus critérios por enfermeiros. A abordagem dos dados, foi realizada por estatística descritriva como cálculo do Coeficiente de Alfa de Cronbach. 2ªetapa: Elaboração do algoritmo baseado nos achados do instrumento aplicado, em formato de aplicativo móvel para auxiliar na tomada de decisão quanto ao banho do paciente coronariopata na UTI. Resultados: Avaliaram o instrumento um total de 29 enfermeiros, em um período de 03 meses. Dentre estes 26 (89%) eram do sexo feminino, com idade na faixa de 23 à 58 anos e todos os enfermeiros possuíam algum tipo de pós-graduação em seu currículo. Foram 22 critérios submetidos à validação por 29 especialistas, totalizando 638 avaliações. Dentre estes, 63% (401) foi classificada como Concordância. O valor encontrado para o coeficiente α foi de aproximadamente 0,9536. Foram 19 itens validados, através do coeficiente α, e 19 itens sugeridos e utilizados pelos especialistas. Após categorização, foram selecionados 19 itens, organizados em formato de algoritmo, com respostas dicotômicas (sim ou não) o que sugere a cada final de fluxo o tipo do banho (não banho, banho no leito ou banho de aspersão) indicado ao paciente, devido suas condições clínicas. Conclusão: O aplicativo móvel, produto desta pesquisa, foi elaborado por um colaborador que o utilizou a interface de desenvolvimento Android Studio® com a linguagem Java® a partir do algoritmo estruturado baseado nos achados do julgamento prévio dos especialistas para auxiliar na tomada de decisão quanto ao banho do paciente em uma Unidade Coronariana, para sua disponibilização para download, sugere-se a validação através de um estudo piloto, para garantir a segurança ao paciente


Introduction: Cardiovascular diseases are one of the leading causes of mortality in the world. The acute form of this condition is called Acute Coronary Syndrome (ACS), which can be classified as unstable angina and acute myocardial infarction. After the medical diagnosis defined as SCA, the patient needs hospitalization in a Coronary Unit. In this environment, it is offered assistance guided by clinical protocols and guidelines in order to contribute to its recovery, to minimize the risk of complications and to prevent damages. Among the protocols that involve this care is the bath, which can be classified as bedding or spraying. The clinician's clinical information and the patient's current hemodynamics are necessary for the decision-making of the nurse regarding the indication to the coronary patient's bath. The problem "The absence of systematization for decision making regarding the choice of bath of the coronariopata patient in a Coronary Unit" is a problem. Objective: To elaborate an algorithm in the format of a mobile application to aid the decision making of the nurse regarding the bath of the coronariopata patient in a Coronary Unit. Method: This is an exploratory, methodological and quantitative approach to the elaboration of an algorithm in the mobile application format. The study was carried out in two stages: 1st stage: an instrument was elaborated from a literature review addressing the themes of cardiac and bath rehabilitation. This instrument was submitted to validation of its criteria by nurses. The data approach was carried out by a statistic described as the calculation of Cronbach's Alpha Coefficient. 2nd stage: Elaboration of the algorithm based on the findings of the applied instrument, in a mobile application format to aid in decision making regarding the coronary patient's ICU bath. Results: A total of 29 nurses were evaluated in a period of 03 months. Of these, 26 (89%) were female, ranging in age from 23 to 58 years old and all nurses had some type of postgraduate degree in their curriculum. There were 22 criteria submitted to validation by 29 specialists, totaling 638 evaluations. Of these, 63% (401) was classified as Concordance. The value found for the coefficient α was approximately 0.9536. There were 19 items validated through the α coefficient and 19 items suggested and used by the specialists. After categorization, we selected 19 items, organized in an algorithm format, with dichotomic responses (yes or no), which suggests to each end of the flow the type of bath (not bath, bath in the bed or bath of sprinkling) due to its clinical conditions. Conclusion: The mobile application, the product of this research, was developed by a developer who used the Android Studio® development interface with the Java® language from a structured algorithm based on the findings of the expert's prior judgment to assist in decision making to the patient's bath in a Coronary Unit, for its availability for download, validation is suggested through a pilot study, to guarantee patient safety


Subject(s)
Humans , Baths/methods , Coronary Disease/nursing , Critical Care Nursing , Mobile Applications
9.
Asian Nursing Research ; : 107-114, 2019.
Article in English | WPRIM (Western Pacific) | ID: wprim-762888

ABSTRACT

PURPOSE: The purpose of this study is to investigate the impact of transitional care by a nurse-led multidisciplinary team (MDT) on clinical outcomes and quality of life of patients with ankylosing spondylitis. METHODS: A randomized control study design was used. Subjects were allocated randomly to an experimental group and a control group. The experimental group received intensive transitional care by a nurse-led MDT, whereas the control group received routine nursing care. Disease activity, spinal mobility, comprehensive function, health service utilization, and quality of life were assessed at the baseline and at six months with the Bath Ankylosing Spondylitis Metrology Index, the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), the Bath Ankylosing Spondylitis Functional Index (BASFI), a health service utilization questionnaire and version 2 of the Short Form-36 health survey. RESULTS: Compared with the baseline, the BASDAI, BASFI, emergency visits, hospitalizations, hospitalization days, and bodily pain, vitality, mental health, total score, and average score of version 2 of the Short Form-36 health survey were improved in the experimental group (p < .05), whereas only bodily pain, vitality, and role-emotional were improved in the control group p < .05). At six months, the experimental group exhibited significantly more improvement on the BASDAI, BASFI, hospitalizations, all domains except Role-physical as well as total score and average score p < .05) compared with the control group. CONCLUSION: A MDT-based nurse-led transitional care improves clinical outcomes and quality of life of patients with ankylosing spondylitis. Future research should be carried out on modes of follow-up and family support.


Subject(s)
Baths , Emergencies , Follow-Up Studies , Health Services , Health Surveys , Hospitalization , Humans , Mental Health , Nursing Care , Patient Care Team , Quality of Life , Spondylitis, Ankylosing , Transitional Care
10.
Article in English | WPRIM (Western Pacific) | ID: wprim-762161

ABSTRACT

Staphylococcus aureus commonly colonizes the skin of atopic dermatitis (AD) patients and contributes to the development and exacerbation of AD. Multiple factors are associated with colonization of AD skin by S. aureus, including the strength of S. aureus-corneocyte adhesion, deficiency of antimicrobial peptides, decreased levels of filaggrin and filaggrin degradation products, overexpressed Th2/Th17 cytokines, microbial dysbiosis and altered lipid profiles. S. aureus colonization on AD skin causes skin barrier dysfunction through virulence factors such as superantigens (toxins), enzymes and other proteins. Furthermore, colonization of AD skin by S. aureus exacerbates AD and may contribute to microbial dysbiosis, allergen sensitization, Th2/Th17 polarization, development of atopic march and food allergy in AD patients. Skin colonization of S. aureus, particularly methicillin-resistant S. aureus (MRSA), is one of the major challenges commonly encountered in the management of AD. Bleach bath, and topical or systemic antibiotics could be used to control S. aureus infection on AD skin. However, careful use of antibiotics is required to control the occurence of MRSA. Recently, various strategies, including microbiome transplant, monoclonal antibodies against virulent toxins, vaccines and recombinant phage endolysin, have been studied to control S. aureus infection on AD skin. Further advances in our understanding of S. aureus could provide us with ways to manage S. aureus colonization more effectively in AD patients.


Subject(s)
Anti-Bacterial Agents , Antibodies, Monoclonal , Bacteriophages , Baths , Colon , Cytokines , Dermatitis, Atopic , Dysbiosis , Food Hypersensitivity , Humans , Methicillin Resistance , Methicillin-Resistant Staphylococcus aureus , Microbiota , Peptides , Skin , Staphylococcus aureus , Staphylococcus , Superantigens , Vaccines , Virulence Factors
11.
Article in English | WPRIM (Western Pacific) | ID: wprim-760191

ABSTRACT

Newborn infants, including premature infants, are high-risk patients susceptible to various microorganisms. Catheter-related bloodstream infections are the most common type of nosocomial infections in this population. Regular education and training of medical staffs are most important as a preventive strategy for central line-associated bloodstream infections (CLABSIs). Bundle approaches and the use of checklists during the insertion and maintenance of central catheters are effective measures to reduce the incidence of CLABSIs. Chlorhexidine, commonly used as a skin disinfectant before catheter insertion and dressing replacement, is not approved for infants <2 months of age, but is usually used in many neonatal intensive care units due to the lack of alternatives. Chlorhexidine-impregnated dressing and bathing, recommended for adults, cannot be applied to newborns. Appropriate replacement intervals for dressing and administration sets are similar to those recommended for adults. Umbilical catheters should not be used longer than 5 days for the umbilical arterial catheter and 14 days for the umbilical venous catheter. It is most important to regularly educate, train and give feedback to the medical staffs about the various preventive measures required at each stage from before insertion to removal of the catheter. Continuous efforts are needed to develop effective and safe infection control strategies for neonates and young infants.


Subject(s)
Adult , Bacteremia , Bandages , Baths , Catheters , Central Venous Catheters , Checklist , Chlorhexidine , Cross Infection , Education , Humans , Incidence , Infant , Infant, Newborn , Infant, Premature , Infection Control , Intensive Care Units , Intensive Care Units, Neonatal , Medical Staff , Skin
12.
Article in English | WPRIM (Western Pacific) | ID: wprim-764234

ABSTRACT

Legionella species are abundant in the built environment and are increasingly recognized as a cause of Legionnaires' disease (LD). As the number of cases of Legionnaires' disease acquired by local communities in the Seoul metropolitan area in Korea has been increased, there was concern that changes in environmental factors could affect disease outbreaks. We described the association between climatic variables and occurrence of legionellosis in Korea and Legionella detection rate in Seoul area. A total of 418 cases of legionellosis were reported between 2014 and 2017. There was a seasonal peak in summer. LD continuously occurred from early spring to winter every year and rapidly increased in summer. In the regression analysis, the primary variables of interest- PM2.5 (µg/m³), NO₂ (ppb), and a number of the date of issue O₃ warning were not significant except for average temperature (R²=0.8075). The Legionella detection rate in Seoul, Korea showed a trend similar to precipitation (P=0.708, ANOVA). A relatively high proportion of Legionella detection rate was shown, especially cooling tower (17.7%) and public bath (19.3%). This finding is in line with current understanding of the ecological profile of this pathogen and supports the assertion that legionellosis occurs through contamination of water sources.


Subject(s)
Baths , Disease Outbreaks , Epidemiology , Korea , Legionella , Legionellosis , Legionnaires' Disease , Regression Analysis , Seasons , Seoul , Water
13.
Article in English | WPRIM (Western Pacific) | ID: wprim-785854

ABSTRACT

PURPOSE: Alpha-1-adrenoceptor blockers (e.g., naftopidil) are prescribed for the treatment of male lower urinary tract symptoms. Although the mechanism of action of naftopidil has been studied in various organs, that in the urinary bladder remains unknown. To clarify the direct effects of naftopidil on this organ, activities were assessed in the isolated rat whole urinary bladder.METHODS: A total of 30 female rats were used. In Experiment 1, bladder activity was measured during a cumulative administration of 2.5–75μM naftopidil (n=7). In Experiment 2, rats were divided into 2 groups: control (n=10) and naftopidil (5 mg/animal/day, oral gavage, once-daily for 2 weeks) (n=13). After the treatment period, plasma was obtained from each rat. The urinary bladders were harvested from the control rats. Isovolumetric rhythmic bladder contractions were induced at above the threshold volume, and intravesical pressure was recorded. Control plasma was added to the organ bath; after subsequent wash-out, plasma collected from rats administered naftopidil was added. In Experiment 3, the plasma levels of monoamines and amino acids were quantified using the individual plasma prepared in the Experiment 2.RESULTS: Cumulative dosing with naftopidil did not change the interval between spontaneous contractions compared to the interval at baseline. After adding control plasma, the interval was shortened compared to the baseline (P=0.008). The plasma collected from rats administered naftopidil suppressed the shortening of the interval compared to the control plasma (P=0.041). Naftopidil resulted in a decrease in the level of noradrenaline (P=0.009) and an increase in that of glycine (P=0.014).CONCLUSIONS: Although naftopidil did not directly act on the interval between spontaneous contractions of the urinary bladder, the plasma collected from rats administered naftopidil, with changing levels of monoamines and amino acids, may suppressed shortening the interval.


Subject(s)
Amino Acids , Animals , Baths , Capillary Permeability , Female , Glycine , Humans , In Vitro Techniques , Lower Urinary Tract Symptoms , Male , Norepinephrine , Plasma , Rats , Urinary Bladder
14.
Article in Korean | WPRIM (Western Pacific) | ID: wprim-750283

ABSTRACT

The purpose of this study was to evaluate the color stability of light cured composite resins according to the resin matrices. Three kinds of resin matrices such as Bis-GMA (Venus® Diamond; VD), Silorane (FiltekTM P90; P90), and Ormocer (Admira; Ad) were selected. Each of them were used to prepare 30 specimens. The initial CIE L*a*b* values were measured by means of a Spectrophotometer (NF999, Nippon Denshoku, Japan). For accelerated aging process, the specimens were immersed in a circulating water bath with distilled water at 60℃. Spectrophotometric analyses were made after immersion of 8, 16, 24, 41 days and the color difference (ΔE*) was calculated. The L* value increased compared with initial L* value. VD had the greatest L* value change and Ad had the smallest L* value change (p<0.05). Ad had the greatest a* value change and VD had the smallest a* value change (p<0.05). The b* value of P90 increased steadily in positive value (+)(p<0.05). ΔE* of Ad had the smallest value and that of P90 had the greatest change with time. According to this study, the value of light cured composite resins was increased with water sorption and color of those changed into greenish and yellowish. And according to the evaluation of color stability, Ad with Ormocer as resin matrices had the best color stability with time in oral environment and P90 with Silorane as resin matrices had the lowest color stability with time. And VD had the greatest initial ΔE*.


Subject(s)
Aging , Baths , Bisphenol A-Glycidyl Methacrylate , Composite Resins , Diamond , Immersion , Organically Modified Ceramics , Silorane Resins , Water
15.
Article in English | WPRIM (Western Pacific) | ID: wprim-760354

ABSTRACT

We investigated whether β-carotene (β-CA) or ellagic acid (EA), originating from various fruits and vegetables, has a preventive effect against male infertility induced by exogenous scrotal hyperthermia. ICR adult mice were intraperitoneally treated with 10 mg/kg of β-CA or EA daily for 13 days consecutively. During this time, mice were subjected to transient scrotal heat stress in a water bath at 43℃ for 20 min on day 7, and their testes and blood were obtained on day 14 for histopathologic and biochemical analyses. Heat stress induced significant testicular weight reduction, germ cell loss and degeneration, as well as abnormal localization of phospholipid hydroperoxide glutathione peroxidase (PHGPx) and manganese superoxide dismutase (MnSOD) in spermatogenic and Leydig cells. Heat stress also altered the levels of oxidative stress (lipid peroxidation, SOD activity, and PHGPx, MnSOD, and HIF-1α mRNAs), apoptosis (Bax, Bcl-xL, caspase 3, NF-κB, and TGF-β1 mRNAs), and androgen biosynthesis (serological testosterone concentration and 3β-hydroxysteroid dehydrogenase mRNA) in testes. These changes were all improved significantly by β-CA treatment, but only slightly improved by EA treatment. These findings indicate that β-CA, through modulations of oxidative stress, apoptosis, and androgen biosynthesis, is a potent preventive agent against testicular injuries induced by scrotal hyperthermia.


Subject(s)
Adult , Animals , Apoptosis , Baths , beta Carotene , Caspase 3 , Ellagic Acid , Fever , Fruit , Germ Cells , Glutathione Peroxidase , Hot Temperature , Humans , Hydrogen Peroxide , Infertility, Male , Leydig Cells , Male , Mice , Oxidative Stress , Oxidoreductases , Superoxide Dismutase , Testis , Testosterone , Vegetables , Water , Weight Loss
16.
Rev. gaúch. enferm ; 40: e20190026, 2019. tab, graf
Article in Portuguese | LILACS (Americas) | ID: biblio-1043025

ABSTRACT

Resumo OBJETIVO: Avaliar o efeito do banho quente de chuveiro e exercício perineal com bola suíça isolados e de forma combinada, sobre a percepção da dor, ansiedade e progressão do trabalho de parto. MÉTODO: Ensaio clínico randomizado e controlado com 128 parturientes alocadas em três grupos de terapias, banho, bola, isolados e combinados. A percepção da dor e ansiedade foi avaliada antes e trinta minutos após a intervenção terapêutica por meio de escala visual analógica (EVA). RESULTADOS: Houve aumento no escore de dor e redução da ansiedade em todos os grupos, sobretudo quando utilizaram banho de chuveiro. A dilatação cervical, aumentou em todos os grupos de intervenção (p<,001) bem como o número de contrações uterinas, principalmente quem utilizou banho e bola associados como também mostrou menor duração do tempo de trabalho de parto. CONCLUSÃO: As terapias estudadas contribuem para adaptação e bem-estar materno e favorecem a evolução do trabalho de parto.


Resumen OBJETIVO: Evaluar el efecto de la ducha caliente y del ejercicio perineal con pelota suiza, separadamente y de forma combinada, sobre la percepción del dolor, la ansiedad y la progresión del trabajo de parto. MÉTODO: Ensayo clínico aleatorizado y controlado junto a 128 parturientes asignadas en tres grupos de terapias, ducha caliente, pelota suiza separadamente y de forma combinada. La percepción de dolor y de ansiedad se evaluó antes y treinta minutos después de la intervención terapéutica por medio de escala visual analógica. RESULTADOS: Hubo un incremento en la puntuación de dolor y una reducción de la ansiedad en todos los grupos, sobre todo cuando se utilizó la ducha. La dilatación cervical aumentó en todos los grupos de intervención (p<,001) así como el número de contracciones uterinas, principalmente en el grupo que utilizó las dos terapias combinadas, ducha caliente con pelota suiza. Asimismo se constató menor duración del tiempo de trabajo de parto. CONCLUSIÓN: Las terapias estudiadas contribuyen a la adaptación y el bienestar materno y favorecen la evolución del trabajo de parto.


Abstract OBJECTIVE: To evaluate the effect of isolated and combined warm shower bath and perineal exercise with Swiss ball, on perception of pain, anxiety and labor progression. METHOD: Randomized, controlled clinical trial with 128 patients allocated into three groups of therapies: isolated and combined bath and ball. Pain and anxiety perception was evaluated before and thirty minutes after therapeutic intervention through visual analogic scales (VAS). RESULTS: Pain perception score increased, and anxiety decreased in all groups, mainly when using a shower bath. The cervical dilation increased in all groups (p<.001), as well as the number of uterine contractions increased, mainly in the group that used combined bath and ball and also showed shorter labor time. CONCLUSION: The studied therapies contribute to maternal adaptation and well-being and favor labor's evolution.


Subject(s)
Humans , Female , Pregnancy , Adult , Young Adult , Baths , Complementary Therapies/methods , Labor, Obstetric/physiology , Resistance Training/methods , Anxiety/diagnosis , Anxiety/therapy , Perineum , Uterine Contraction/physiology , Labor Stage, First/physiology , Combined Modality Therapy/instrumentation , Combined Modality Therapy/methods , Labor Pain/diagnosis , Labor Pain/therapy , Resistance Training/instrumentation , Hot Temperature
17.
Rev. pesqui. cuid. fundam. (Online) ; 10(4): 1020-1025, out.-dez. 2018. tab, il
Article in English, Portuguese | LILACS (Americas), BDENF | ID: biblio-916071

ABSTRACT

Objetivo: Mensurar a variação do duplo-produto nos pacientes com infarto agudo do miocárdio submetidos ao banho de aspersão. Métodos: Pesquisa observacional realizada na Unidade Coronariana de um hospital de referência em cardiologia localizado na cidade do Rio de Janeiro. A amostragem deu-se por conveniência e teve como amostra os banhos de aspersão de pacientes adultos, ambos os sexos, com diagnóstico médico de infarto agudo do miocárdio com supradesnível ou sem supradesnível de segmento ST, e que tivessem indicação de banho de aspersão, fornecida pelo médico e enfermeiro responsáveis. Resultados: Houve aumento do valor médio do duplo-produto em todos os pacientes acompanhados, porém sem significância estatística. Conclusão: A indicação do banho de aspersão nesta amostra foi segura


Objective: To measure the variation of the double product in patients with acute myocardial infarction submitted to spray bath. Methods: Observational study, conducted in the Coronary Care Unit of a referral hospital in cardiology located in the city of Rio de Janeiro. Sampling was given for convenience and was to sample the spray baths adult patients, both sexes, with a diagnosis of AMI with elevation or non-ST segment elevation, and they had spray bath indication provided by the doctor and nurse responsible. Results: There was increase in the average value of the double product in all patients followed, but without statistical significance. Conclusion: The indication of the spray bath in this sample was safe


Objetivo: Medir la variación del doble producto en pacientes con infarto agudo de miocardio sometido a baño de aerosol. Métodos: Estudio observacional, realizado en la Unidad Coronaria de un hospital de referencia en cardiología ubicada en la ciudad de Río de Janeiro. El muestreo se da por conveniencia y era para probar los baños de aspersión pacientes adultos, de ambos sexos, con diagnóstico de IAM con elevación o sin elevación del segmento ST, y que había indicación de baño de aerosol proporcionada por el médico y la enfermera responsable. Resultados: No hubo aumento en el valor medio de la doble producto en todos los pacientes siguió, pero sin significación estadística. Conclusión: La indicación del baño de pulverización en esta muestra era seguro


Subject(s)
Humans , Male , Female , Adult , Baths/nursing , Myocardial Infarction/nursing , Nursing Care , Baths/instrumentation , Baths/statistics & numerical data , Brazil , Cardiovascular Nursing
18.
Online braz. j. nurs. (Online) ; 17(3)sept. 2018. ilus
Article in English, Spanish, Portuguese | LILACS (Americas), BDENF | ID: biblio-1118533

ABSTRACT

OBJETIVO: construir um algoritmo para sistematização das etapas do banho no leito tradicional no paciente adulto internado com síndrome coronariana aguda. MÉTODO: estudo de desenho descritivo elaborado em consonância com o Projeto integrado "Consumo de oxigênio pelo miocárdio e aspectos hemodinâmicos durante o banho no leito de pacientes com infarto agudo do miocárdio". A construção do algoritmo se deu pelo Bizagi Modeler versão 3.0. RESULTADOS: o algoritmo fragmentou-se em duas partes: avaliação e tomada de decisão sobre a temperatura da água a ser empregada no banho e a execução do banho. Esta última foi dividida em três subpartes: higienização dorsal, lateral e finalização, com tempos de execução específicos CONCLUSÃO: o algoritmo foi um projeto inovador, podendo ser utilizado tanto na prática assistencial quanto como ferramenta educacional. A etapa subsequente será a validação por experts.


AIM: to build an algorithm for systematization of traditional bed bath steps in an adult patient with acute coronary syndrome. METHOD: this is a descriptive study designed in line with the integrated project "Myocardial oxygen uptake and hemodynamic aspects during bed bath in patients with acute myocardial infarction". The algorithm was built by Bizagi Modeler version 3.0. RESULTS: The algorithm was broken into two parts: evaluation and decision making about the temperature of the water to be used in the bath and the execution of the bath. The latter was divided into three subparts: dorsal, lateral and finishing hygiene, with specific execution times. CONCLUSION: the algorithm was an innovative project and can be used both in care practice and as an educational tool. The next step will be validation by experts.


OBJETIVO: construir um algoritmo para sistematización de las etapas del baño en la cama tradicional del paciente adulto ingresado con síndrome coronario agudo. MÉTODO: estudio de diseño descriptivo elaborado en consonancia con el Proyecto integrado "Consumo de oxígeno por el miocardio y aspectos hemodinámicos durante el baño en la cama de pacientes con infarto agudo del miocardio". La construcción del algoritmo se realizó por el Bizagi Modeler versión 3.0. RESULTADOS: el algoritmo se fragmentó en dos partes: evaluación y toma de decisión sobre la temperatura del agua que se utilizaría en el baño y la ejecución del baño. Esta última fue dividida en tres subpartes: higienización dorsal, lateral y finalización, con tiempos de ejecución específicos CONCLUSIÓN: el algoritmo fue un proyecto innovador, que se puede utilizar tanto en la práctica asistencial y como herramienta educativa. La etapa subsecuente será la validación por expertos.


Subject(s)
Humans , Baths , Algorithms , Acute Coronary Syndrome , Oxygen Consumption , Hemodynamic Monitoring , Intensive Care Units , Nursing Care
19.
Online braz. j. nurs. (Online) ; 17(1): 119-126, mar. 2018. ilus, tab, graf
Article in English, Spanish, Portuguese | LILACS (Americas), BDENF | ID: biblio-1117354

ABSTRACT

INTRODUÇÃO: a higienização corporal do recém-nascido pré-termo, embora seja uma prática recomendada e rotineira, requer cautela e segurança por provocar desorganização no sistema autonômico e desequilíbrio da homeostase. OBJETIVO: avaliar a variação da frequência cardíaca, saturação de oxigênio e níveis de cortisol salivar de recém-nascidos pré-termos submetidos aos banhos de imersão convencional e envolto em lençol. MÉTODO: ensaio clínico randomizado, cruzado, piloto, com 15 recém-nascidos pré-termos, clinicamente estáveis. RESULTADOS: as médias de frequência cardíaca e saturação de oxigênio pós-banho de imersão convencional e envolto em lençol não apresentaram diferenças clínicas e estatísticas significantes. Verificou-se aumento da concentração de cortisol salivar ao comparar os valores pré e pós-banho nas duas técnicas de banho. CONCLUSÃO: não houve diferenças significativas nos biomarcadores de estresse na comparação das duas técnicas de banho.


INTRODUCTION: the corporal hygiene of the preterm newborn, although it is a recommended and routine practice, requires caution and safety for provoking disorganization in the autonomic system and homeostasis imbalance. AIM: to evaluate the variation of heart rate, oxygen saturation and salivary cortisol levels of preterm newborns submitted to conventional immersion baths and swaddled in sheets. METHOD: this is a randomized, pilot, cross-over clinical trial with 15 clinically stable preterm newborns. RESULTS: the mean heart rate and oxygen saturation after the conventional immersion bath and swaddled in sheet did not present significant clinical and statistical differences. There was an increase in the salivary cortisol concentration when comparing the pre and post-bath values in the two bath techniques. CONCLUSION: there were no significant differences in stress biomarkers when comparing the two bathing techniques.


INTRODUCCIÓN: la higienización corporal del recién nacido pretérmino, a pesar de ser una práctica recomendada y habitual, requiere cautela y seguridad porque causa desorganización en el sistema autónomo y desequilibrio de homeostasis. OBJETIVO: evaluar la variación de la frecuencia cardíaca, saturación de oxígeno y los niveles de cortisol salivar, de los recién nacidos pretérminos sometidos al baño de inmersión convencional y envuelto en una sábana. MÉTODO: ensayo clínico aleatorizado, cruzado, piloto, con 15 recién nacidos pretérminos, clínicamente estables. RESULTADOS: las medias de frecuencia cardíaca y la saturación de oxigeno después del baño de inmersión convencional y envuelto en una sábana no presentaron diferencias clínicas y estadísticas significantes. Se verificó el aumento de la concentración de cortisol salivar al compararse los valores antes y después del baño en dos técnicas de baño. CONCLUSIÓN: no hubo diferencias significativas en los biomarcadores de estrés al compararse las dos técnicas de baño.


Subject(s)
Humans , Infant, Newborn , Stress, Physiological , Baths , Infant, Premature , Hydrocortisone , Oxygenation , Heart Rate , Intensive Care Units, Neonatal , Neonatal Nursing , Skin Care
20.
Article in English | WPRIM (Western Pacific) | ID: wprim-715333

ABSTRACT

PURPOSE: The urinary bladder (UB) is innervated by both sensory and autonomic nerves. Recent studies have shown that sensory neuropeptides induced contractions in the detrusor muscle. Therefore, in a mouse model, we investigated the presence of interactions between the submucosal sensory nerves and the autonomic nerves that regulate the motor function of the detrusor muscle. METHODS: UB samples from male C57BL/6 mice were isolated, cut into strips, and mounted in an organ bath. Dose-response curves to norepinephrine and phenylephrine were studied in UB strips with and without mucosa, and the effects of preincubation with a receptor antagonist and various drugs on relaxation were also studied using tissue bath myography. RESULTS: Phenylephrine-induced relaxation of the UB strips showed concentration-related effects. This relaxation appeared in both mucosa-intact and mucosa-denuded UB strips, and was significantly inhibited by lidocaine, silodosin, and guanethidine (an adrenergic neuronal blocker). Meanwhile, phenylephrine-induced relaxation was inhibited by pretreatment with propranolol and calcitonin gene-related peptide (CGRP)–depletory capsaicin in UB strips with and without mucosa. CONCLUSIONS: The present study suggests that phenylephrine activates the α-1A adrenergic receptor (AR) of the sensory nerve, and then activates capsaicin-sensitive sensory nerves to release an unknown substance that facilitates the release of norepinephrine from adrenergic nerves. Subsequently, norepinephrine stimulates β-ARs in the detrusor muscle in mice, leading to neurogenic relaxation of the UB. Further animal and human studies are required to prove this concept and to validate its clinical usefulness.


Subject(s)
Adrenergic Neurons , Animals , Autonomic Pathways , Baths , Calcitonin Gene-Related Peptide , Capsaicin , Guanethidine , Humans , Lidocaine , Male , Mice , Mucous Membrane , Myography , Neuropeptides , Norepinephrine , Phenylephrine , Propranolol , Receptors, Adrenergic , Receptors, Adrenergic, alpha-1 , Relaxation , Urinary Bladder
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