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1.
Invest. educ. enferm ; 38(2): [e10], junio 30 2020.
Article in English | LILACS (Americas), BDENF, COLNAL | ID: biblio-1103582

ABSTRACT

Objective. To analyze the report of the experience of the person with high blood pressure, in light of the theory proposed by Kristen Swanson, Methods. This was a qualitative research with autobiographical-type narrative design. To collect and analyze the information, the work used open in-depth interview with 12 individuals, participant observation, and field notes. Results. The study recognized the beliefs, customs, and cultural practices of the person living with high blood pressure and identified the care needs. The participants shared their feelings, finding that each confronts this disease differently and learns to care for themselves in particular manner. Conclusion. In the analysis of the narratives of the experience of people with high blood pressure, five care processes by Swanson were recognized: maintaining the beliefs, knowing, being with, doing for, and permitting.


Objetivo. Analizar el relato de la experiencia de la persona con hipertensión arterial, a la luz de la teoría propuesta por Kristen Swanson, Métodos. Se trata de una investigación cualitativa con diseño narrativo tipo autobiográfico. Para la recolección y análisis de la información, se utilizó la entrevista abierta a profundidad, a doce personas, la observación participante y las notas de campo. Resultados. Se reconocieron las creencias, costumbres y prácticas culturales de la persona que vive con hipertensión arterial y se identificaron las necesidades de cuidado. Los participantes compartieron sus sentimientos, encontrando que cada uno afronta esta enfermedad de manera diferente y aprende a cuidarse de forma particular. Conclusión. En el análisis de las narrativas de la experiencia de las personas con hipertensión arterial se reconocieron los cinco procesos de cuidado de Swanson: mantener las creencias, conocer, estar con, hacer por y permitir.


Objetivo. Analisar o relato da experiência da pessoa com hipertensão arterial, à luz da teoria proposta por Kristen Swanson, Métodos. Se trata de uma investigação qualitativa com desenho narrativo tipo autobiográfico. Para a coleta e análise da informação, se utilizou a entrevista aberta a profundidade, a doze pessoas, a observação participante e as notas de campo. Resultados. Se reconheceram as crenças, costumes e práticas culturais da pessoa que vive com hipertensão arterial e se identificaram as necessidades de cuidado. Os participantes compartiram seus sentimentos, encontrando que cada pessoa afronta esta doença de maneira diferente e aprende a cuidar-se de forma particular. Conclusão. Na análise das narrativas da experiência das pessoas com hipertensão arterial se reconheceram os cinco processos de cuidado de Swanson: manter as crenças, conhecer, estar com fazer por e permitir.


Subject(s)
Humans , Self Care , Nursing Theory , Qualitative Research , Hypertension
2.
RECIIS (Online) ; 14(2): 386-400, abr.-jun. 2020. ilus, graf
Article in Portuguese | LILACS (Americas) | ID: biblio-1102631

ABSTRACT

Dentre as doenças crônicas não transmissíveis, a hipertensão arterial sistêmica (HAS) e o diabetes mellitus (DM) são as mais frequentes e constituem um problema de saúde mundial. Diante da necessidade de implantação de programas de autocuidado voltados para essas doenças, o trabalho tem como objetivo validar um programa de autocuidado para pacientes diabéticos e hipertensos. Trata-se de um estudo de coorte prospectivo de uma população de 100 indivíduos que estavam em sala de espera. A coleta dos dados foi realizada por meio de questionários sobre diferentes temas, aplicados nos encontros, para avaliar o conhecimento dos pacientes no pré e no pós-teste. Somente algumas questões específicas de cada tema não apresentaram diferença significativa entre o pré e o pós-teste. No entanto, todos os temas abordados apresentaram incremento de conhecimento no pós-teste. Sendo assim, pode-se validar este programa de cuidado para pacientes diabéticos e hipertensos, pois promove incremento de conhecimento para os pacientes.


Among chronic non-transmissible diseases, systemic arterial hypertension (SAH) and diabetes mellitus (DM) are the most frequent and constitute a global health problem. In view of the need to implement self-care programs about these diseases, the objective of this study is to validate a self-care program for diabetic and hypertensive patients. It is a prospective cohort study of a population of 100 individuals who were in the waiting room. The data collection was done through questionnaires about different topics, that were applied in the meetings, to evaluate the knowledge of patients in the pretest and posttest. Only a few specific questions of each theme did not present a significant difference between the pretest and posttest. However, all the themes addressed presented posttest knowledge increment. Therefore, this self-care program can be validated for diabetic and hypertensive patients, because it promotes an increase of knowledge for these patients.


Entre las enfermedades crónicas no transmisibles, hipertensión arterial sistémica (HAS) y la diabetes mellitus (DM) son las más frecuentes y constituyen un problema de salud mundial. Ante la necesidad de implantación de programas de autocuidado orientados a estas enfermedades, el trabajo tiene como objetivo validar un programa de autocuidado para pacientes diabéticos e hipertensos. Se trata de un estudio de cohorte prospectiva de una población de 100 individuos que estaban en la sala de espera. La recolección de los datos se realizó a través de cuestionarios sobre diferentes temas, aplicados en los encuentros, para evaluar el conocimiento de los pacientes en el pre-teste y en el post-test. Sólo algunas cuestiones específicas de cada tema no presentaron diferencia significativa entre el pre-test y el post-test. Sin embargo, todos los temas abordados presentaron incremento de conocimiento en el post-test. Por lo tanto, se puede validar este programa de autocuidado para pacientes diabéticos e hipertensos, pues promueve incremento de conocimiento para los pacientes.


Subject(s)
Child , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Primary Health Care , Self Care , Health Education , Chronic Disease , Health Promotion , Data Collection , Cohort Studies , Diabetes Mellitus , Hypertension
3.
Biosci. j. (Online) ; 36(1): 295-303, jan./feb. 2020. ilus, tab
Article in English | LILACS (Americas) | ID: biblio-1049251

ABSTRACT

This study aimed to develop a guideline concerning the care directed toward an individual with an intestinal and/or urinary ostomy attending the Assistance Service for Ostomized Patients implemented at the Clinical Hospital of Uberlândia UFU, in order that such individuals be provided the means of self-care and thus improve their life quality. A bibliographical survey was performed on the theme, which focused on Guidelines Based on Evidence. The development of these guidelines was based on a bibliographical survey and took as its foundation the principles of Orem's self-care theory and the educational practices applied to pedagogy in health according to Paulo Freire's philosophy concerning liberating education, qualification and dialogue between the subject and the professional, which grants the possibility of aiding the family and patient to modify their lifestyles and be the agents of transformation, thus favoring the development of their autonomy. The printed educational material brings new information and knowledge to the ostomized patient.


Trata-se da elaboração de um guia de orientação sobre os cuidados com a pessoa com estoma intestinal e/ou urinária acolhida em um Serviço de Atenção à Pessoa Estomizada, para instrumentalizá-la para o autocuidado e favorecer melhorias em sua qualidade de vida. Realizado por meio de levantamento bibliográfico sobre a temática com foco nas Diretrizes Baseadas em Evidências. A elaboração ocorreu por meio da associação do levantamento bibliográfico e teve por base referencial os princípios da teoria de Orem sobre o autocuidado e das práticas educativas aplicadas à pedagogia da saúde com base nos ensinamentos freirianos sobre a educação libertadora, a qualificação e o diálogo entre o sujeito e o profissional, como subsídio à possibilidade de auxiliar família e paciente a modificarem seu estilo de vida e serem agentes de transformação, privilegiando o desenvolvimento da sua autonomia. O material educativo impresso possibilita novos conhecimentos e informações aos pacientes estomizados.


Subject(s)
Humans , Self Care , Practice Guidelines as Topic , Surgical Stomas , Nursing Care , Urinary Tract/surgery , Intestines/surgery
4.
Article in Korean | WPRIM (Western Pacific) | ID: wprim-811451

ABSTRACT

PURPOSE: This study aimed to investigate the effect of hospital-based intensive rehabilitation program after ankle ligament operation.METHODS: A total of 35 patients were included in this randomized controlled trial. Fifty-minute sessions of hospital-based rehabilitation were performed three times weekly for 12 weeks in the intervention group. Home-based exercise was conducted in the control group. Outcomes were evaluated at baseline, 12 weeks, and 16 weeks. The primary outcome was measured using the Foot and Ankle Outcome Score (FAOS). Secondary outcomes included the American Orthopedic Foot and Ankle Society (AOFAS) score, ankle strength measured using an isokinetic device, fall index measured using a Tetrax posturography device, and the Berg Balance Scale.RESULTS: Significant improvements in FAOS, AOFAS, ankle strength, and fall index were found in the intervention group after performing the hospital-based rehabilitation (all p<0.05) and these improvements were sustained at T2 (all p<0.05). Between-group comparisons demonstrated significantly greater improvements in FAOS, AOFAS, ankle strength, and fall index in the intervention group than those in the control group at both T1 (all p<0.05), and T2 (all p<0.05).CONCLUSION: The rehabilitation program in this study improved postoperative pain, sports function, quality of life, and strength and balance of the ankle significantly better than home-based self-care. Therefore, we recommend hospital-based systematic rehabilitation programs after surgical treatment for chronic ankle instability.


Subject(s)
Ankle , Foot , Humans , Ligaments , Orthopedics , Pain, Postoperative , Quality of Life , Recovery of Function , Rehabilitation , Self Care , Sports
5.
Article in English | WPRIM (Western Pacific) | ID: wprim-811064

ABSTRACT

PURPOSE: Details of patients hospitalized for asthma exacerbation in mainland China are lacking. To improve disease control and reduce economic burden, a large sample survey among this patient population is indispensable. This study aimed to investigate the clinical characteristics and outcomes of such patients.METHODS: A retrospective study was conducted on patients hospitalized for asthma exacerbation in 29 hospitals of 29 regions in mainland China during the period 2013 to 2014. Demographic features, pre-admission conditions, exacerbation details, and outcomes were summarized. Risk factors for exacerbation severity were analyzed.RESULTS: There were 3,240 asthmatic patients included in this study (57.7% females, 42.3% males). Only 28.0% used daily controller medications; 1,287 (39.7%) patients were not currently on inhaled corticosteroids. Acute upper airway infection was the most common trigger of exacerbation (42.3%). Patients with severe to life-threatening exacerbation tended to have a longer disease course, a smoking history, and had comorbidities such as hypertension, chronic obstructive pulmonary disease (COPD), and food allergy. The multivariate analysis showed that smoking history, comorbidities of hypertension, COPD, and food allergy were independent risk factors for more severe exacerbation. The number of patients hospitalized for asthma exacerbation varied with seasons, peaking in March and September. Eight patients died during the study period (mortality 0.25%).CONCLUSIONS: Despite enhanced education on asthma self-management in China during recent years, few patients were using daily controller medications before the onset of their exacerbation, indicating that more educational efforts and considerations are needed. The findings of this study may improve our understanding of hospital admission for asthma exacerbation in mainland China and provide evidence for decision-making.


Subject(s)
Adrenal Cortex Hormones , Asthma , China , Comorbidity , Disease Progression , Education , Female , Food Hypersensitivity , Hospitalization , Humans , Hypertension , Inpatients , Medication Adherence , Mortality , Multivariate Analysis , Pulmonary Disease, Chronic Obstructive , Retrospective Studies , Risk Factors , Seasons , Self Care , Smoke , Smoking
6.
Korean Circulation Journal ; : 432-440, 2020.
Article in English | WPRIM (Western Pacific) | ID: wprim-816673

ABSTRACT

BACKGROUND AND OBJECTIVES: Although dietary management is strongly recommended in patients with hypertension, little is known about how many manage their diet and follow the guidelines for hypertension. We investigated the prevalence of dietary management among adults with known hypertension and evaluated their compliance to the dietary guidelines.METHODS: Data from the Korea National Health and Nutrition Examination Survey 2013–2016 were used. Among 15,870 adults aged 30–79 years, 4,162 reported a physician-diagnosed hypertension. Diet management behavior was defined by self-report response. Actual dietary intake was assessed by a 24-hour dietary recall. Dietary quality was evaluated using the Korean Healthy Eating Index (KHEI).RESULTS: Among adults with hypertension, 28.0% reported that they were managing their diet. Those with hypertension consumed significantly less dietary sodium (p value<0.01), but also less potassium (p value<0.01), resulting in no difference of sodium-to-potassium ratio compared to those without hypertension (p value=0.66). Among those with hypertension, diet-managing adults had better KHEI score (66.9, p value<0.01) and consumed less sodium (3,354.3 mg, p value<0.01) than not-managing adults (63.6 score and 3,554.5 mg, respectively). However, total KHEI score was rather lower in those with hypertension (p value<0.01) than those without hypertension and their sodium intake was still over the recommended amount.CONCLUSIONS: More than two-thirds of Korean adults with hypertension did not manage their diet in daily life. More effective strategies are needed to increase the level of compliance with dietary recommendations for people with high blood pressure.


Subject(s)
Adult , Compliance , Diet Therapy , Diet , Eating , Humans , Hypertension , Korea , Nutrition Policy , Nutrition Surveys , Potassium , Prevalence , Self Care , Sodium , Sodium, Dietary
7.
Article in English | WPRIM (Western Pacific) | ID: wprim-816619

ABSTRACT

BACKGROUND: This study was conducted to compare glycaemic control with insulin detemir administered according to two titration algorithms (3-0-3 and 2-4-6-8) after 20 weeks of treatment in subjects with type 2 diabetes mellitus inadequately controlled on metformin.METHODS: This was a 20-week, randomised, multicentre, open-labelled, treat-to-target trial. Forty-six patients were randomised in a 1:1 manner to either the 3-0-3 (G3, n=23) or 2-4-6-8 (G2, n=23) algorithm. The primary endpoint was change of haemoglobin A1c (HbA1c), and the secondary safety endpoint included hypoglycaemic events.RESULTS: After 20 weeks, HbA1c decreased similarly in the G3 and G2 groups, with a mean change of −0.9% from baseline. The mean change in fasting plasma glucose was numerically similar in both groups. The hypoglycaemia event rate per 100-patient-years of exposure (r) in the G2 group (r=1,427) was higher than that in the G3 group (r=807).CONCLUSION: Both treatment groups had numerically similar HbA1c reductions. A trend towards fewer hypoglycaemia episodes after dose stabilisation was seen with the simpler G3. Clinically, this may be an important observation, as a simpler titration algorithm may support self-management and maintenance of insulin therapy.


Subject(s)
Blood Glucose , Diabetes Mellitus, Type 2 , Fasting , Humans , Hyperglycemia , Insulin Detemir , Insulin , Metformin , Self Care
8.
Article in English | WPRIM (Western Pacific) | ID: wprim-782267

ABSTRACT

OBJECTIVES: This study evaluated the immediate effects and acceptability of a smartphone application named NeckProtector to promote neck pain self-management through stretching incorporating deep slow breathing, among smartphone users with neck pain.METHODS: One-hundred participants were recruited in the study. Participants were divided into two groups by block randomized allocation. The researchers gave the NeckProtector application to all participants for acceptability testing by navigation of the application for 20–30 minutes. Next, the treatment group (n = 50) conducted the exercise program via smartphone application for 15–20 minutes, while the control group (n = 50) rested for 20 minutes. Evaluations were performed at baseline and after intervention for pain intensity, muscle tension, pressure pain threshold (PPT), and cervical range of motion (CROM). Quantitative and qualitative feedback was then obtained by an acceptability survey and open-ended questionnaires.RESULTS: The immediate effects showed statistically significant improvements in pain intensity, muscle tension, PPT, and CROM in the treatment group in comparison to the control group. Participants reported a high level of acceptability through ratings on a Likert scale. The qualitative questionnaires received positive responses that the application was easy to use and the exercise program was useful to cope with neck pain.CONCLUSIONS: NeckProtector can be an alternative treatment for neck pain self-management via smartphone application among smartphone users with neck pain. Further studies should examine the long-term effectiveness (Clinical trials registry: TCTR20160523001).


Subject(s)
Breathing Exercises , Mobile Applications , Muscle Stretching Exercises , Muscle Tonus , Neck Pain , Neck , Pain Threshold , Range of Motion, Articular , Respiration , Self Care , Smartphone
9.
Yonsei Medical Journal ; : 169-178, 2020.
Article in English | WPRIM (Western Pacific) | ID: wprim-782194

ABSTRACT

PURPOSE: This study investigated the sociodemographic factors associated with participation in diabetes self-management education (DSME) among community-dwelling adults with diabetes.MATERIALS AND METHODS: Data from 23400 people aged ≥30 years who were diagnosed with diabetes from the nationwide 2016 Korea Community Health Survey were analyzed. The relationship between sociodemographic factors and participation in DSME was examined by logistic regression analysis. The study sample was classified according to the type of institution providing DSME: hospitals/medical clinics (HMCs) and/or public health institutions (PHIs).RESULTS: Of the total sample population with diabetes, 27.2% had attended DSME programs, including 21.9% at HMCs, 4.0% at PHIs, and 1.3% at both types of institutions. As age increased and educational level and monthly household income decreased, the odds ratios (ORs) of participation in DSME decreased in a fully adjusted model. Respondents living in rural areas had lower ORs for attending DSME compared to those living in urban areas [OR, 0.85; 95% confidence interval (CI), 0.80–0.91]. Service/sales workers and mechanical/manual workers had lower ORs for attending DSME (OR, 0.84; 95% CI, 0.71–0.99; and OR, 0.81; 95% CI, 0.69–0.94, respectively) compared to professional/managerial workers. However, in the subgroup of participants receiving education at PHIs, the likelihood of participation in DSME increased as age increased, and respondents living in rural areas had higher ORs compared to those living in urban areas (OR, 1.73; 95% CI, 1.51–1.98).CONCLUSION: Customized DSME programs targeting socioeconomically vulnerable groups, including residential region and reimbursement of DSME by public insurance, are needed to resolve the inequalities in participation in DSME.


Subject(s)
Adult , Diabetes Mellitus , Education , Family Characteristics , Health Surveys , Humans , Insurance , Korea , Logistic Models , Odds Ratio , Public Health , Self Care , Social Class , Socioeconomic Factors , Surveys and Questionnaires
10.
Article in English, Portuguese | LILACS (Americas), BDENF, HANSEN | ID: biblio-1051323

ABSTRACT

Objetivo: Analisar a percepção de pacientes com hanseníase sobre suas Necessidades Humanas Básicas alteradas. Método: Pesquisa qualitativa e descritiva, realizada com dez pacientes inscritos no Programa Nacional de Controle da Hanseníase em uma Unidade Básica de Saúde em Belém-PA. Dados coletados de agosto a setembro de 2017, por meio de entrevista semiestruturadas e prontuários dos participantes. Os dados foram organizados e analisados na perspectiva da análise de conteúdo. A pesquisa foi aprovada, sob o nº 2.148.415/23.06.2017, pelo Comitê de Ética da Escola de Enfermagem Magalhães Barata. Resultados: foram detectadas cinco necessidades alteradas: necessidades fisiológicas, de segurança, de amor e/ou sociais, de estima e de autorrealização. Evidenciou-se que a percepção das necessidades alteradas estimula ações de autocuidado, com vistas a sua satisfação. Conclusão: O enfermeiro deve prestar cuidados humanizados ao paciente com hanseníase, motivando-os para a autonomia e para o autocuidado, contribuindo para a melhoria da qualidade de vida


Objective: To analyze Hansen's disease patients' perception on their altered fundamental human needs. Method: Qualitative descriptive research, conducted with ten patients who were registered in the National Hansen's Disease Control Program at a Health Unit, in Belém-PA. The data was collected from August to September, 2017, through semi structured interviews and patients' medical reports. The data was organized and analyzed from the perspective of content analysis. The research was approved under the nº 2.148.415/23.06.2017 through the zip code of the Magalhães Barata Nursing School. Results: Five altered needs were identified: physiological, security, of love and/or social, esteem and self-actualizing needs. It was noticeable that the perception of the altered stimulates self-care actions, aiming its satisfaction. Conclusion: The nurse should provide humanized care to Hansen's disease patients, motivating them in order to achieve autonomy and self-care, contributing to an improvement in their quality of life


Objetivos: Analizar la percepción de los pacientes con hanseníasis sobre sus necesidades humanas fundamentales cambiadas. Método: Investigación descriptiva cualitativa, realizada con diez pacientes inscritos en el Programa Nacional de Control de la Hanseníasis en una Unidad Básica de Salud en Belém-PA. Los datos fueron recolectados desde agosto hasta septiembre de 2017, por medio de entrevistas semiestructuradas e historial clínico de los participantes. Los datos fueron organizados y analizados en la perspectiva del análisis de contenido. La investigación fue aprobada bajo el número 2.148.415/23.06.2017 a través del código postal de la Escuela de Enfermería Magalhães Barata. Resultados: Fueron detectadas cinco necesidades cambiadas: necesidades fisiológicas, de seguridad, de amor y/o sociales, de estima y de autorrealización. Fue evidenciado que la percepción de las cambiadas estimula acciones de autocuidado con el objetivo de alcanzar su satisfacción. Conclusión: El enfermero debe ofrecer cuidados humanizados a los pacientes con hanseníasis, motivándolos a todos para la autonomía y para el autocuidado, contribuyendo para la mejoría en la cualidad de vida


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Self Care/psychology , Leprosy/prevention & control , Leprosy/therapy , Quality of Life , Health Education , Qualitative Research
11.
Rev. cienc. cuidad ; 17(1): 31-42, 2020.
Article in English | LILACS (Americas), COLNAL | ID: biblio-1051723

ABSTRACT

Objective: Design and validate educational material aimed at adults with heart failure as an intervention of the disease centered on the decision making for the management of the symptoms. Materials and methods: Methodological study made following the Guide for the design, use and evaluation of educational material about health and the instrument of Specific Guidelines for the Evaluation of printed education materials developed by the Pan American Health Organization. For the design a group of 2 adults with heart failure, 2 caregivers, 2 nurses and 1 cardiologist participated. The educational material in its preliminary design was subject of evaluation by experts (n=7= and by adults with heart failure (n=10). Results: The design of educational material (pamphlet) is supported by the Situation-specific Theory of heart failure self-care and its empirical indicator is the scale of Self-care of Heart Failure Index. The experts and adults with heart failure who participated on this study agreed that the pamphlet meets the criteria of potential effectiveness on all the educational material. The scores obtained in the specific guidelines indicated that it should be used as designed and some evaluators indicated that the design should have some changes from the preliminary version. The production of the final version was made considering the observations of the evaluators. Conclusions: The steps for the design and validation of educational material are explained in detail and supported by the nursing theory and is made available to be used in the practice and research.


Objetivo: Diseñar y validar material educativo dirigido a adultos con Falla Cardíaca para una intervención de enfermería centrada en la toma de decisiones para el manejo de los síntomas. Materiales y métodos: Estudio metodológico realizado siguiendo la Guía para el diseño, utilización y evaluación de material educativo en Salud y el instrumento de Pautas Específicas para Evaluación de material educativo impreso, desarrollados por la Organización Panamericana para la Salud. En el diseño participó un grupo conformado por 2 adultos con Falla Cardíaca, 2 cuidadores, 2 enfermeras y un 1 cardiólogo. El material educativo en su diseño preliminar fue sometido a prueba por expertos (n=7) y por adultos con Falla Cardíaca (n=10). Resultados: El diseño del material educativo tipo folleto está sustentado en la Teoría de Situación Especifica Autocuidado en Falla Cardíaca y su indicador empírico es la escala Self-care Heart Failure Índex. Los expertos y los adultos con Falla Cardíaca que participaron en el estudio convinieron en que el folleto cumple con los criterios de efectividad potencial de todo material educativo. Los puntajes obtenidos en las pautas específicas indicaron que se debe usar como está diseñado y algunos evaluadores indicaron algunas reformas a la versión preliminar. La producción de la versión definitiva se realizó atendiendo las observaciones de los evaluadores. Conclusiones: Se detallan los pasos para el diseño y validación de un material educativo sustentado en una teoría de enfermería y se pone a disposición para ser utilizado en la práctica y la investigación.


Objetivo: Desenhar e validar material educativo dirigido a adultos com insuficiência cardíaca para uma intervenção de enfermagem centrada na toma de decisões para o manejo dos sintomas. Materiais e métodos: Estudo metodológico realizado seguindo a Guia para o Desenho, Utilização e avaliação de Material Educativo em Saúde e o instrumento Pautas Específicas para a Avaliação de Material Educativo Impresso, ambos desenvolvidos pela Organização Pan-Americana da Saúde. No desenho participaram um grupo que contava com 2 adultos com insuficiência cardíaca, 2 cuidadores, 2 enfermeiras e 1 cardiologista. O material educativo prelimitar submeteu-se a provas por expertos (n=7) e por adultos com insuficiência cardíaca (n=10). Resultados: O material desenhado fundamentou-se na teoria de situação específica "Autocuidado em Insuficiência Cardíaca" e o seu indicador empírico foi a escala Self-care Heart Failure Index. Os expertos e os adultos com insuficiência cardíaca que participaram no estudo concordaram na determinação que o material educativo cumpre com critérios de efetividade potencial de todo material educativo. As pontuações obtidas nas pautas específicas indicaram que deve empregar-se como foi desenhado e alguns dos avaliadores sugeriram algumas modificações na versão preliminar. A produção da versão definitiva realizou-se atendendo as recomendações dos avaliadores. Conclusão: Foram descritos em detalhe as etapas para o desenho e validação do material educativo sustentado na teoria de enfermagem e se põe a disposição para ser utilizado na prática e em pesquisa.


Subject(s)
Health Education , Self Care , Cardiovascular Diseases , Self-Management
12.
Rev. polis psique ; 10(2): 227-246, 2020. ilus
Article in Portuguese | LILACS (Americas), INDEXPSI | ID: biblio-1103362

ABSTRACT

O Guia de Gestão Autônoma de Medicação (GAM), originalmente canadense e com versão brasileira publicada em 2012, se configura como um dispositivo que visa a contribuir para que sujeitos em tratamento de saúde se responsabilizem pelo seu próprio cuidado singularizado. Este texto narra pesquisa desenvolvida na cidade de Fortaleza (CE) com a GAM. Buscou-se potencializar esse instrumento para ações de saúde, por meio da composição experimental do Guia GAM, nomeado de GAM@. Uma peculiaridade de nossa experimentação é utilizar a GAM no cuidado de pessoas que fazem uso abusivo e/ou compulsivo de substâncias (drogas), em um CAPS-ad. A pesquisa tem quatro etapas e, neste texto, relatamos as duas primeiras: os estudos preliminares e a composição experimental GAM@. Indicamos como o material foi estruturado, quais os pressupostos teóricos orientaram essa produção e seus conteúdos principais.


The Autonomous Medication Management Guide (GAM) originally Canadian and with Brazilian version published in 2012, is configured as a device that aims to contribute to subjects in health treatment to be responsible for their own unique care. This text narrates research developed in the city of Fortaleza (CE) with GAM. We sought to enhance this instrument for health actions through the experimental composition of the GAM Guide, named GAM@. A peculiarity of our experimentation is to use GAM in the care of people who use substance abuse (or drugs) in a CAPS-ad. The research has four stages and in this text we report on the first two: preliminary studies and the experimental composition GAM@. We indicate how the material was structured, which theoretical assumptions guided this production and its main contents.


La Guía de Administración de Medicamentos Autónomos (GAM), originalmente canadiense y con versión brasileña publicada en 2012, está configurada como un dispositivo que tiene como objetivo contribuir a los sujetos en el tratamiento de salud para que sean responsables de su propio cuidado único. Este texto narra la investigación desarrollada en la ciudad de Fortaleza (CE) con GAM. Buscamos potenciar este instrumento para acciones de salud a través de la composición experimental de la Guía GAM, llamada GAM@. Una peculiaridad de nuestra experimentación es usar GAM en el cuidado de personas que usan abuso de sustancias (o drogas) en un anuncio de CAPS. La investigación tiene cuatro etapas y en este texto informamos sobre las dos primeras: estudios preliminares y la composición experimental GAM@. Indicamos cómo se estructuró el material, qué supuestos teóricos guiaron esta producción y sus principales contenidos.


Subject(s)
Humans , Self Care , Substance-Related Disorders/therapy , Personal Autonomy , Qualitative Research , Mental Health Services , Brazil , Mental Disorders/drug therapy
13.
Rev. polis psique ; 10(2): 247-266, 2020.
Article in Spanish | LILACS (Americas), INDEXPSI | ID: biblio-1103367

ABSTRACT

El sufrimiento mental grave está asociado con una dolorosa experiencia de desconexión con el mundo social que acrecienta todavía más la aflicción y la adversidad de las personas afectadas. En un contexto clínico Post-Reforma, marcado por la hegemonía de la respuesta farmacológica, las narrativas de aflicción de los sujetos quedan a menudo invisibilizadas, al mismo tiempo que se fragilizan los posibles espacios de comunicación, de sociabilidad y de construcción colectiva del cuidado. A partir del trabajo de campo desarrollado en el proyecto "La Gestión Colaborativa de la Medicación" en Cataluña (2017-2020), en este artículo se propone el rescate de las narrativas de padecimiento, cuidado y atención con el propósito de habilitar el horizonte de una cultura del cuidado basada en el diálogo.


O sofrimento mental grave está associado a uma dolorosa experiência de desconexão com o mundo social, o que aumenta o sofrimento e as adversidades vividas pelas pessoas afetadas. Num contexto clinico Pós-reforma, marcado pela hegemonia da resposta farmacológica, as narrativas de sofrimento dos sujeitos ficam muitas vezes invisibilizadas, ao mesmo tempo em que são fragilizados os possíveis espaços de comunicação, de sociabilidade e de construção coletiva do cuidado. A partir do trabalho de campo desenvolvido no projeto "A Gestão Colaborativa da Medicação" na Catalunha (2017-2020), neste artigo se propõe o resgate das narrativas de padecimento, cuidado e atenção com o propósito de criar um horizonte de cultura de cuidado baseado no diálogo.


Severe mental distress is associated with a painful experience of disconnection with the social world that further increases affliction and adversity among those affected. In a Post-Reform clinical context, marked by the hegemony of the pharmacological response, the narratives of suffering are often invisible, while the possible spaces of communication, sociability and collective construction are fragile. Based on the fieldwork developed in the project "Collaborative Management of Medication" in Catalonia (2017-2020), this article proposes the rescue of the narratives of suffering, care, and attention to enable the horizon of a dialogic culture of care.


Subject(s)
Humans , Self Care , Health Communication , Mental Disorders/drug therapy , Mental Health Services , Anthropology, Cultural , Patient Participation , Spain , Personal Autonomy
14.
Rev. urug. enferm ; 15(1): 1-14, 2020.
Article in Portuguese | LILACS (Americas), BDENF | ID: biblio-1096150

ABSTRACT

Objetivo: Conocer los estudios realizados sobre cuidado al cuidador profesional de la salud. Método: Revisión integrativa que busco responder a la pregunta "¿Que presentan los estudios realizados sobre cuidado al cuidador profesional de la salud?" Resultados: Fueron seleccionados 13 artículos para análisis temático. Se derivaron tres categorías: Conceptos y prácticas de cuidado a los cuidadores profesionales; Necesidades de cuidado a los cuidadores profesionales; Propuestas para cuidar a los cuidadores profesionales. Consideraciones finales: El cuidador profesional, también necesita cuidados, pues vive situaciones que precisan ser atendidas una vez que, al volverse persistentes a acontecer, pueden provocar sobrecarga, desgaste y estrés que reflejará en la calidad del cuidado desarrollado. Se resalta en la literatura analizada que entre los profesionales que componen el equipo de salud, los enfermeros presentan mayores necesidades de cuidado, lo que invita a ampliar los estudios y así mismo las discusiones en torno a esta problemática.


Objetivo: Conhecer os estudos realizados sobre o cuidado ao cuidador profissional da saúde. Método: Revisão integrativa que buscou responder à questão "O que apresentam os estudos realizados sobre cuidado ao cuidador profissional da saúde?" Resultados: Foram selecionados 13 artigos para análise temática. Derivaram-se três categorias: Conceitos e práticas de cuidado aoscuidadores profissionais; Necessidades de cuidado aos cuidadores profissionais; Propostas para cuidar aos cuidadores profissionais. Considerações finais: O cuidador profi ssional, também necessita de cuidados, pois vivencia situações que precisam ser atendidas uma vez que, ao se tornarem persistentes a acontecer, podem provocar sobrecarga, desgaste e estresse que refl etirá na qualidade do cuidado desenvolvido. Ressalta-se na literatura analisada que dentre os profissionais que compõem a equipe de saúde, os enfermeiros apresentam maiores necessidades de cuidado, o que convida a ampliar os estudos e as discussões entorno desta problemática.


Objective: To know previous researches about caring of healthcare professional. Method: The integrative review was used to answer the question: What do present the researches about caring of healthcare professional? Results: There were found 13 articles to thematic analysis. It was possible to identify three categories: Concepts and caring practices of professional carers. Care needs of professional carers. Proposals to care of professional carers. Concluding remarks: The professional carer also needs care, because of living situations that require attention, if these situations are persistent can create overwork, burnout and stress, conditions that would be reflected in the quality of the care carried out. Among the professionals that compose the healthcare team, the nurses are having greater care needs; this is an invitation to further studies and discussions on this issue.


Subject(s)
Humans , Self Care , Working Conditions , Burnout, Professional , Occupational Health , Caregivers , Nursing Staff
15.
Rev. Esc. Enferm. USP ; 54: e03546, 2020. tab, graf
Article in English | LILACS (Americas), BDENF | ID: biblio-1091959

ABSTRACT

Abstract OBJECTIVE To evaluate an educational program based on the principles of self-management with a conventional educational program through quality of life, anxiety and depression instruments within 12 months of starting cancer treatment. METHOD An experimental, randomized, controlled study conducted with head and neck cancer patients treated at a university hospital in the city of São Paulo, Brazil. Patients were randomly divided into two groups: the control group submitted to the conventional educational plan, and the experimental group submitted to the educational plan for self-management. Descriptive and analytical statistics were used for the analyzes using the t-test, Fischer's exact test and Repeated Measures ANOVA. RESULTS Twenty (20) patients were selected. Most participants were male, in advanced stages of disease and undergoing three therapeutic modalities. The control group showed a gradual decrease in quality of life scores during treatment, while the experimental group progressively increased. The correlation was significant between the presence of anxiety and depression symptoms and poor quality of life. Patients in the control group had a significant worsening in social/family well-being (P = 0.02) and the prevalence of additional head and neck cancer-related additional concerns (P = 0.01), while the experimental group had reduced anxiety symptoms (P = 0.001) and improved emotional well-being (P = 0.01). CONCLUSION The educational intervention based on building self-management skills favored quality of life and reduced anxiety and depression. Brazilian Registry of Clinical Trials (RBR 2q53ct).


Resumen OBJETIVO Evaluar un programa educativo basado en los principios de la autogestión con programa educativo convencional, mediante instrumentos de calidad de vida, ansiedad y depresión en período de 12 meses transcurridos desde el inicio del tratamiento. MÉTODO Estudio experimental, randomizado controlado, llevado a cabo con pacientes con cáncer de cabeza y cuello, tratados en hospital universitario del municipio de São Paulo. Los pacientes fueron divididos aleatoriamente en dos grupos: grupo control, sometido al plan educativo convencional, y grupo experimento, sometido al plan educativo para la autogestión. Para los análisis se empleó estadística descriptiva y analítica, utilizándose la prueba t, la prueba exacta de Fischer y ANOVA de Medidas Repetidas. RESULTADOS Fueron seleccionados 20 pacientes. La mayoría de los participantes fue del sexo masculino, en estadíos avanzados de enfermedad y sometidos a tres modalidades terapéuticas. El grupo control presentó caída gradual de los scores de calidad de vida en el trascurso del tratamiento, mientras que el grupo experimento incrementó progresivamente. La correlación fue significativa entre la presencia de síntomas de ansiedad y depresión y la baja calidad de vida. Pacientes del grupo control presentaron empeoramiento significativo del bienestar social/familiar (P = 0,02) y de la prevalencia de preocupaciones adicionales relacionadas con el cáncer de cabeza y cuello (P = 0,01), mientras que el grupo experimento presentó reducción de los síntomas de ansiedad (P = 0,001) y mejora del bienestar emotivo (P = 0,01). CONCLUSIÓN La intervención educativa basada en la construcción de habilidades para la autogestión favoreció la calidad de vida y redujo la ansiedad y la depresión. Registro Brasileño de Ensayos Clínicos (RBR 2q53ct).


Resumo OBJETIVO Avaliar um programa educativo baseado nos princípios do autogerenciamento com programa educativo convencional, por meio de instrumentos de qualidade de vida, ansiedade e depressão em período de 12 meses transcorridos do início do tratamento. MÉTODO Estudo experimental, randomizado, controlado, realizado com pacientes com câncer de cabeça e pescoço, tratados em hospital universitário do município de São Paulo. Os pacientes foram divididos aleatoriamente em dois grupos: grupo controle, submetido ao plano educativo convencional, e grupo experimento, submetido ao plano educativo para o autogerenciamento. Para as análises empregaram-se estatísticas descritiva e analítica, utilizando-se o teste t, o teste exato de Fischer e ANOVA de Medidas Repetidas. RESULTADOS Foram selecionados 20 pacientes. A maioria dos participantes foi do sexo masculino, em estádios avançados de doença e submetidos a três modalidades terapêuticas. O grupo controle apresentou queda gradual dos escores de qualidade de vida no transcorrer do tratamento, enquanto o grupo experimento aumentou progressivamente. A correlação foi significativa entre a presença de sintomas de ansiedade e depressão e baixa qualidade de vida. Pacientes do grupo controle apresentaram piora significativa do bem-estar social/familiar (P = 0,02) e da prevalência de preocupações adicionais relacionadas ao câncer de cabeça e pescoço (P = 0,01), enquanto o grupo experimento apresentou redução dos sintomas de ansiedade (P = 0,001) e melhora do bem-estar emocional (P = 0,01). CONCLUSÃO A intervenção educativa pautada na construção de habilidades para o autogerenciamento favoreceu a qualidade de vida e reduziu a ansiedade e a depressão. Registro Brasileiro de Ensaios Clínicos (RBR 2q53ct).


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Aged, 80 and over , Quality of Life , Self Care , Health Education , Head and Neck Neoplasms , Oncology Nursing , Anxiety , Inhalation
16.
Braz. dent. sci ; 23(2,supl): 1-8, 2020.
Article in English | LILACS (Americas), BBO | ID: biblio-1100310

ABSTRACT

Background: Temporomandibular disorder (TMD) belongs to a heterogeneous group of musculoskeletal and neuromuscular conditions involving the temporomandibular joint complex, musculature and adjacent components. These conditions can generate signs and symptoms and be influenced by an altered biopsychosocial condition. Objective: This study aims to seek information to assist the patient in the presence of TMD signs and symptoms and Orofacial Pain, associated with the period of social isolation during the COVID-19 pandemic. Material and methods: For the preparation of this manual, a bibliographic search was performed in the databases PubMed, Latin American and Caribbean Health Sciences Literature (LILACS), BBO (BVS), Scopus, Web of Science and The Cochrane Library, using the keywords: orofacial pain, temporomandibular disorders, bruxism, stress, anxiety, biopsychosocial, diagnosis, self-care with important information on how to reduce and control the signs and symptoms of TMD and Orofacial Pain in this moment of pandemic that we are experiencing a social detachment. Results: The results show that the pandemic of COVID-19 and the need for social isolation, generates psychological impact that raises the pattern of anxiety and can directly affect patients with bruxism and TMD. Conclusion: Psychological factors associated with the pandemic can lead to an increased risk of developing, worsening and perpetuating bruxism, especially waking bruxism and TMD, so dentists should be aware of the occurrence of signs and symptoms to manage the multifactorial aspects of this condition. At that time, individual self-management strategies are advised for the patient, which consist of self-massage techniques, body education, exercise practices, sleep hygiene, meditation also the use of mobile apps and online tools that facilitate this activity. (AU)


Introdução: A Desordem Temporomandibular (DTM) pertence a um grupo heterogêneo de condições musculoesqueléticas e neuromusculares envolvendo o complexo articular temporomandibular, a musculatura e os componentes adjacentes. Essas condições podem gerar sinais e sintomas e serem influenciadas por uma condição biopsicossocial alterada. Objetivo: Esse estudo teve como objetivo buscar informações que possam auxiliar ao paciente na presença de sinais e sintomas de DTM e Dor Orofacial associado ao período de isolamento social durante a pandemia do COVID -19. Material e Métodos: Para a elaboração deste manual, foi realizada uma pesquisa bibliográfica nas bases de dados PubMed, Latin American and Caribbean Health Sciences Literature (LILACS), BBO (BVS), Scopus, Web of Science e The Cochrane Library, utilizando as palavras-chaves: dor orofacial, desordem temporomandibular, bruxismo, estresse, ansiedade, biopsicossocial, diagnóstico e autocuidados, com informações importantes sobre como reduzir e controlar os sinais e sintomas de DTM e Dor Orofacial nesse momento de pandemia que estamos vivenciando um distanciamento social. Resultados: Os resultados mostram que a pandemia de COVID-19 e a necessidade de isolamento social, gera impacto psicológico que eleva o padrão de ansiedade e pode afetar diretamente pacientes com bruxismo e DTM. Conclusão: Fatores psicológicos associados à pandemia podem levar a um maior risco de desenvolver, piorar e perpetuar o bruxismo, principalmente bruxismo de vigília e DTM, por isso os cirurgiões-dentistas devem estar atentos a ocorrência de sinais e sintomas para gerenciar os aspectos multifatoriais dessa condição. Aconselha-se, nesse momento, estratégias individualizadas de autogerenciamento para o paciente que consistem em técnicas de automassagem, educação corporal, práticas de exercícios, higiene do sono e meditação. Além do uso de aplicativos digitais e ferramentas online facilitadores dessa atividade (AU)


Subject(s)
Anxiety , Self Care , Facial Pain , Bruxism , Temporomandibular Joint Disorders , Coronavirus Infections , Dental Stress Analysis , Diagnosis
17.
Cogitare enferm ; 25: e66006, 2020. tab
Article in Portuguese | LILACS (Americas), BDENF | ID: biblio-1089625

ABSTRACT

RESUMO Objetivo: avaliar o desempenho de pessoas com Diabetes Mellitus ou familiar responsável no armazenamento, preparo, administração e descarte dos materiais utilizados na insulinoterapia. Método: estudo transversal descritivo, realizado com usuários acompanhados na Atenção Primária de município no Sul do Brasil. Os dados foram coletados entre janeiro e março de 2017, mediante aplicação de instrumento e observação sistematizada do processo de insulinoterapia no domicílio. Resultados: foram avaliados 168 usuários com idade média de 69,9 anos. O número de erros referentes ao processo de aplicação da insulina variou de 3 a 22 de um total de 31 questões. Verificou-se que 96 (56%) participantes faziam o descarte de material em local inadequado e 157 (93,4%) reutilizavam seringas/agulhas. Conclusão: o desempenho de uma parcela importante das pessoas com Diabetes e/ou familiares responsáveis pela insulinoterapia no domicílio é falho em relação ao conhecimento e prática do processo de armazenamento, preparo, administração e descarte de resíduos.


RESUMEN Objetivo: evaluar la actuación de personas con Diabetes Mellitus y/o de familiares a cargo en el almacenamiento, preparación, administración y descarte de los materiales utilizados en la insulinoterapia. Método: estudio transversal descriptivo, realizado con usuarios acompañados en la Atención Primaria municipal en el Sur de Brasil. La recolección de datos se realizó entre enero y marzo de 2017, mediante aplicación de instrumento y observación sistemática del proceso de insulinoterapia en el domicilio. Resultados: se evaluaron 168 usuarios con edad promedio de 69,9 años. El número de errores relativos al proceso de aplicación de la insulina osciló entre 3 y 22 en un cuestionario de 31 puntos. Se verifico que 96 (56%) participantes descartaban el material en lugares inadecuados y 157 (93,4%) reutilizaban jeringas/agujas. Conclusión: la actuación de una importante franja de personas con Diabetes y/o de familiares a cargo de la insulinoterapia en el domicilio es deficitaria en relación al conocimiento y a la realización del proceso de almacenamiento, preparación, administración y descarte de residuos.


ABSTRACT Objective: to evaluate the performance of people with diabetes mellitus or family member responsible for the storage, preparation, administration and disposal of materials used in insulin therapy. Method: Descriptive cross-sectional study conducted with users followed in primary care in a municipality in southern Brazil. Data were collected between January and March 2017, through instrument application and systematic observation of the insulin therapy process at home. Results: 168 users with an average age of 69.9 years old were evaluated. The number of errors regarding the insulin application process ranged from 3 to 22 out of 31 questions. It was found that 96 (56%) participants disposed of material in an inappropriate place and 157 (93.4%) reused syringes/needles. Conclusion: The performance of a significant portion of people with Diabetes and/or family members responsible for insulin therapy at home is flawed regarding the knowledge and practice of waste storage, preparation, administration and disposal.


Subject(s)
Humans , Aged , Health Education , Diabetes Mellitus , Self Care , Nursing , Insulin
18.
Rev Rene (Online) ; 21: 43167, 2020. tab
Article in English, Portuguese | LILACS (Americas), BDENF | ID: biblio-1087328

ABSTRACT

Objetivo: identificar a realização de atividades congruentes com os padrões de qualidade dos cuidados de enfermagem por enfermeiros especialistas em enfermagem médico-cirúrgica, no contexto hospitalar. Métodos: estudo descritivo, concretizado em 36 hospitais, no qual participaram 259 enfermeiros especialistas em enfermagem médico-cirúrgica. Para coleta de dados, usou-se de questionário, posteriormente analisado por meio de estatística descritiva. Resultados: os enfermeiros participantes avaliaram com melhores escores as atividades relativas às dimensões responsabilidade e rigor, satisfação do cliente e prevenção de complicações; e com menores escores, as atividades integradas nas dimensões promoção da saúde, readaptação funcional e bem-estar e autocuidado. Conclusão: embora os achados evidenciem atuação dos enfermeiros especialistas na área de enfermagem médico-cirúrgica que tende a ser coerente com os padrões de qualidade, sinalizaram-se lacunas no exercício profissional e potencialidades que podem subsidiar o processo de qualificação desses profissionais, alertar os gestores e qualificar a assistência de enfermagem. (


Objective: to identify the performance of activities con-gruent with the quality standards of nursing care by expert nurses in medical-surgical nursing, in the hospital context. Methods: a descriptive study, carried out in 36 hospitals, in which 259 nurses specialized in medical-surgical nursing participated. For data collection, a questionnaire was used, later analyzed using descriptive statistics. Results: the par-ticipating nurses evaluated activities related to the dimen-sions of responsibility and rigor, customer satisfaction and prevention of complications with better scores; and with lo-wer scores, activities integrated in the dimensions of health promotion, functional readaptation and well-being and self--care. Conclusion: although the findings show the perfor-mance of expert nurses in the medical-surgical nursing area that tends to be consistent with quality standards, gaps in professional practice and potentialities that can support the qualification process of these professionals were signaled, alert managers and qualify nursing care


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Quality Assurance, Health Care , Medical-Surgical Nursing , Hospitals , Nursing Care , Portugal , Postoperative Complications/prevention & control , Self Care , Patient Satisfaction , Health Promotion , Intraoperative Complications/prevention & control
19.
Edumecentro ; 11(4): 136-151, oct.-dic. 2019.
Article in Spanish | LILACS (Americas) | ID: biblio-1089979

ABSTRACT

RESUMEN Fundamento: las infecciones del sistema genitourinario se han identificado entre las más frecuentes en las consultas de la atención primaria de salud; existe un porciento significativo de estudiantes universitarios que las padecen, lo cual repercute en su calidad de vida. Objetivo: elaborar un sistema de actividades para promover el autocuidado del sistema genitourinario en los estudiantes universitarios. Métodos: se realizó una investigación de desarrollo en 2015, en la Facultad de Tecnología de la Salud. Se utilizaron métodos teóricos: histórico-lógico, analítico-sintético e inductivo-deductivo; del nivel empírico: análisis de documentos, observación, cuestionarios y entrevistas a los jóvenes y profesores, y el criterio de especialistas para valorar la propuesta. Resultados: se constató poca percepción de riesgo de los factores que provocan afectaciones en el sistema genitourinario por los jóvenes estudiantes, no habían concientizado el valor del autocuidado para la preservación de su salud y no lo asumían como influyente en la calidad de vida; omitían la responsabilidad individual en la prevención y control de las causas que ejercen influencias negativas en su organismo, por lo que se elaboró un sistema de actividades que fue valorado por criterios de especialistas. Conclusiones: el sistema elaborado promueve el autocuidado del sistema genitourinario a través de la articulación de actividades curriculares y extracurriculares que fomentan actitudes positivas hacia el cuidado del cuerpo y el mejoramiento de la calidad de vida; fue valorado como pertinente y adecuado a los propósitos para los que fue creado.


ABSTRACT Background: the genitourinary system infections have been identified among the most frequent in primary health care consultations; there is a significant percentage of university students who suffer from them, which affect their quality of life. Objective: to develop a system of activities to promote self-care of the genitourinary system in university students. Methods: a development research was carried out in 2015, at the Faculty of Health Technology. Theoretical methods were used: historical-logical, analytic-synthetic and inductive-deductive; empirical ones: analysis of documents, observation, questionnaires and interviews with young people and teachers, and the criteria of specialists to assess the proposal. Results: there was little risk perception of the factors that cause affectations in the genitourinary system of young students, they had not been aware of the self-care value for the preservation of their health and they did not assume it as influencing in life quality; they omitted the individual responsibility in the prevention and control of the causes that exert negative influences in their organism, so a system of activities was elaborated that was valued by criteria of specialists. Conclusions: the elaborated system promotes the self-care of the genitourinary system through the articulation of curricular and extracurricular activities that promote positive attitudes towards the care of the body and the improvement of quality life; it was assessed as relevant and adequate to the purposes for which it was created.


Subject(s)
Self Care , Health Behavior , Education, Medical , Genitalia , Health Promotion
20.
Rev. salud pública Parag ; 9(2): [P53-P57], Dic 2019.
Article in Spanish | LILACS (Americas), BDNPAR | ID: biblio-1047139

ABSTRACT

Introducción: Para la Teoría de Enfermería del Déficit de Autocuidado (TEDA), el enfermero trabaja con "sistemas de enfermería": parcialmente compensatorio, totalmente compensatorio y sistema de apoyo educativo. Para este último, los materiales informativos (educativos) impresos son importantes. De la legibilidad de ellos depende la eficacia de los programas del Ministerio de Salud Pública y Bienestar Social (MSP y BS) del Paraguay. Sin embargo, esta legibilidad no ha sido estudiada en el país. Objetivo: Analizar la legibilidad lingüística de materiales informativos impresos, divulgados por el MSP y BS, aplicando el Índice de Niebla de Gunning (ING). Materiales y métodos: De los materiales informativos impresos, publicados por el MSP y BS entre 2003 y 2018, se identificó un corpus de 49 materiales. De ellos, por muestreo aleatorio polietápico, fueron seleccionados 250 párrafos. Se calculó el ING de cada uno. La media de ING de dichos párrafos se comparó con un "patrón oro", elaborado para el español paraguayo estándar a partir de una muestra artículos de opinión de periódicos de circulación nacional. Resultados: La media de legibilidad lingüística calculada fue 20,50, valor de un nivel de dificultad "normal" en la escala del patrón oro elaborado con artículos periodísticos de opinión. Conclusión: Los párrafos estudiados, en promedio, tienen niveles de legibilidad comparables con los de artículos de opinión de periódicos de circulación nacional. Dado que la media de años de escolaridad de la población del país (8,4 años) es baja, la eficacia de los materiales informativos impresos, para fines de autocuidado, no está garantizada. Palabras clave: Autocuidado, Sistemas de enfermería, Materiales informativos impresos, Legibilidad lingüística.


Introduction: The Orem's Self-Care Deficit Nursing Theory (SCDNT) states that nurses work with "nursing systems": Partly compensatory, Wholly compensatory and Supportive-educative. For the latter, printed health instructional resources are important. The efficacy of the programs of the Ministry of Public Health and Social Welfare (MPH & SW) of Paraguay depends on the readability of those informational aids. However, there are no studies about the readability of these health educational resources in the country. Objective: To analyze the readability of printed health educational resources published by the MPH & SW, applying the Gunning Fog Index (GFI). Methods: A corpus of 49 health informational resources, published by the MPH & SW between 2003 and 2018, was identified. From these, by random multi-stage sampling, 250 paragraphs were selected. The GFI of each one was calculated. The mean of GFI of these paragraphs was compared with a "gold standard", designed for the Paraguayan Spanish, based on a sample of opinion articles of national newspapers. Results: The mean of GFI calculated was 20.50, which can be read as a "normal" difficulty level on the gold standard scale developed with newspaper opinion articles. Conclusion: The paragraphs studied, on average, have comparable readability levels with opinion articles of national newspapers. Since the schooling year average of the country's population is low (8.4 years), the efficacy of the printed health educational resource for self-care purposes is not guaranteed. Keywords: Self-Care, Nursing Systems, Printed Health Educational Resources, Readability.


Subject(s)
Audiovisual Aids , Self Care , Comprehension , Linguistics , Nursing Care/methods
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