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1.
Rev. bras. ginecol. obstet ; 43(4): 317-322, Apr. 2021. graf
Article in English | LILACS | ID: biblio-1280043

ABSTRACT

Abstract Fetal thyroid complications in pregnancy are uncommon, and are commonly related to the passage of substances through the placenta. The excessive iodine intake during the pregnancy is a well-known mechanism of fetal thyroid enlargement or goiter, and invasive procedures have been proposed for the treatment of fetal thyroid pathologies. In the present report, we demonstrate two cases from different centers of prenatal diagnosis of fetal thyroid enlargement and/or goiter in three fetuses (one pair of twins, wherein both fetuses were affected, and one singleton pregnancy). The anamnesis revealed the ingestion of iodine by the patients, prescribed from inadequate vitamin supplementation. In both cases, the cessation of iodine supplement intake resulted in a marked reduction of the volume of the fetal thyroid glands, demonstrating that conservative treatmentmay be an option in those cases. Also, clinicians must be aware that patients may be exposed to harmful dosages or substances during pregnancy.


Resumo As complicações fetais da tireoide na gravidez são incomuns e são comumente relacionadas à passagem de substâncias pela placenta. A ingestão excessiva de iodo durante a gravidez é um mecanismo bem conhecido de aumento da tireoide ou bócio fetal, e procedimentos invasivos foram propostos para o tratamento de patologias da tireoide fetal. No presente relato de caso, demonstramos dois casos de diferentes centros de diagnóstico pré-natal de aumento da tireoide fetal e/ou bócio em três fetos (um par de gêmeos, em que ambos os fetos foram afetados, e uma gravidez única). A anamnese revelou a ingestão de iodo pelos pacientes prescrita por suplementação inadequada de vitaminas. Nos dois casos, a interrupção da ingestão de suplemento de iodo resultou em uma redução acentuada do volume das glândulas tireoides fetais, demonstrando que o tratamento conservador pode ser uma opção nestes casos. Além disso, os médicos devem estar cientes de que as pacientes podem ser expostas a doses ou substâncias nocivas durante a gravidez.


Subject(s)
Humans , Female , Pregnancy , Adult , Prenatal Care/methods , Dietary Supplements/adverse effects , Goiter/etiology , Iodine/adverse effects , Self Care/adverse effects , Magnetic Resonance Imaging , Ultrasonography, Prenatal , Imaging, Three-Dimensional , Diseases in Twins/etiology , Diseases in Twins/diagnostic imaging , Fetal Diseases/etiology , Fetal Diseases/diagnostic imaging , Goiter/diagnostic imaging , Iodine/administration & dosage
2.
Rev. cuba. enferm ; 34(3): e2428, jul.-set. 2018. tab, graf
Article in Spanish | LILACS, BDENF, CUMED | ID: biblio-1099060

ABSTRACT

RESUMEN Introducción: El autocuidado del paciente diabético se considera un elemento coherente en el tratamiento de la úlcera neuropática. Esta perspectiva ayuda al paciente a tomar conciencia de su propia condición. Objetivo: Diseñar una estrategia de autocuidado en los adultos mayores con úlcera neuropática en la comunidad. Métodos: Estudio de intervención, desarrollo contextualizado en el Policlínico Rudesindo García del Rijo del Municipio de Sancti Spíritus, 2013 a 2017. Variables de estudio, nivel de conocimientos, autocuidado, estado de salud, restablecimiento cutáneo. Se utilizó entrevista estructurada para conocer el nivel de conocimiento y el autocuidado brindado por el personal de Enfermería, para la mejoría del estado de salud, se aplicó la escala de Kaff y Lawton, restablecimiento cutáneo la observación de la cura diaria. Después de aplicada de la estrategia se compararon las proporciones poblacionales mediante Prueba de McNemar. Resultados: El nivel de conocimiento de las enfermeras, al finalizar el programa de capacitación obtuvo 80,49. El 92,71 por ciento del estado de salud de los adultos mayores con úlcera neuropática fue bueno; el restablecimiento cutáneo después de aplicada la estrategia cicatrizó la úlcera neuropática en un período de tiempo más corto, el autocuidado de los adultos mayores se pudo constatar que recibieron un autocuidado aceptable, el 82,29 por ciento, obedeció a cambios de conductas. Conclusiones: Se logró el diseño de la estrategia de autocuidado del adulto mayor con úlcera neuropática en la comunidad, que favorecen la relación adulto mayor con úlcera neuropática, enfermera, familia y comunidad(AU)


ABSTRACT Introduction: Diabetic patient self-care is considered a coherent element for neuropathic ulcer treatment. This perspective helps the patient raise awareness about his/her own condition. Objective: To design a self-care community strategy for aged adults with neuropathic ulcer. Methods: Intervention and development study contextualized in Rudesindo García del Rijo Polyclinic of Sancti Spíritus Municipality, from 2013 to 2017. The study variables were level of knowledge, self-care, health status, skin restoration. The structured interview was used to know the level of knowledge and self-care provided by the nursing staff, para la mejoría del estado de salud, se aplicó la escala de Kaff y Lawton, restablecimiento cutáneo la observación de la cura diaria. After applying the strategy, the population proportions were compared using the McNemar test. Results: The nurses' level of knowledge was 80.49 at the end of the training program. 92.71 percent of the health status of the aged adult with neuropathic ulcer was good. Skin restoration after applying the strategy healed the neuropathic ulcer in a shorter period of time. Regarding the self-care of the aged adults, they were confirmed to have put into practice an acceptable self-care, 82.29 percent of which was due to behavioral changes. Conclusions: The design of the self-care community strategy for the aged adults with neuropathic ulcer was achieved, favoring the relationship between aged adult with neuropathic ulcer and the nurse, the family and the community(AU)


Subject(s)
Humans , Aged , Self Care/adverse effects , Diabetic Foot/diagnosis , Diabetes Mellitus/etiology , Nursing Care/methods
3.
Rev. cuba. enferm ; 33(2): 0-0, jun. 2017. tab
Article in Spanish | LILACS, BDENF | ID: biblio-1093205

ABSTRACT

Introducción: la diabetes mellitus tipo 2 es una de las enfermedades crónicas más frecuentes del ser humano, y se le considera un problema de salud pública por su elevada morbilidad y mortalidad. El presente estudio de caso desarrolló un plan de cuidados de enfermería a una mujer con diagnóstico de diabetes mellitus tipo 2, bajo el enfoque del Sistema de Apoyo Educativo de la Teoría General del Autocuidado de Dorothea Orem. Objetivo: aplicar la Teoría del Autocuidado de Orem a la persona con diabetes mellitus, a través del Proceso de Atención de Enfermería, a fin de promover prácticas de autocuidado en beneficio de la propia salud y bienestar. Métodos: estudio de caso desarrollado mediante el Proceso de Atención de Enfermería utilizando las taxonomías de Diagnósticos de Enfermería de la NANDA, la Clasificación de los Resultados de Enfermería y la Clasificación de las Intervenciones de Enfermería; sustentando en los principios de la teoría de Dorothea Orem. Resultados: el Proceso de Enfermería vinculado con la Teoría de Dorothea Orem permitió mejorar las prácticas de autocuidado y por consiguiente el autocontrol de la enfermedad en la usuaria con Diabetes Mellitus Tipo 2; al incrementar el nivel de conocimiento y el compromiso en relación al manejo de la hiperglucemia, tratamiento farmacológico, régimen dietario y el ejercicio. Conclusión: la Teoría de Orem aporta el sustento teórico al Proceso de Atención de Enfermería como una herramienta garante en el cuidado que articula la solidez teórica y científica y permite lograr un lenguaje estandarizado en el ejercicio de la práctica de enfermería(AU)


Introduction: Type 2 diabetes mellitus is one of the most frequent chronic diseases affecting the human beings, and is considered a public health concern due to its high morbidity and mortality rates. The present case study developed a nursing care plan for a woman diagnosed with type 2 diabetes mellitus, under the approach of the Educational Support System of Dorothea Orem's General Self-Care Theory. Objective: To apply Orem's Self-Care Theory to the person with diabetes mellitus, through the Nursing Care Process, in order to promote self-care practices for the benefit of his/her own health and well-being. Methods: A case study developed through the Nursing Care Process using the NANDA Nursing Diagnostics taxonomies, the Nursing Results Classification, and the Classification of Nursing Interventions, based on the principles of Dorothea Orem's theory. Results: The Nursing Process linked to Dorothea Orem's Theory allowed to improve the self-care practices and, consequently, self-control of the disease in the user with type 2 diabetes mellitus, by increasing the level of knowledge and commitment in relation to the management of hyperglycemia, pharmacological treatment, dietary regimen, and exercise. Conclusion: Orem's Theory provides the theoretical support to the nursing care process as a care guarantor that articulates theoretical and scientific solidity and allows to achieve a standardized language in nursing practice(AU)


Subject(s)
Humans , Self Care/adverse effects , Health Education/methods , Diabetes Mellitus, Type 2/diagnosis , Nursing Care/methods , Nursing Process/trends
4.
J. Public Health Africa (Online) ; 8(2): 149-154, 2017. ilus
Article in English | AIM | ID: biblio-1263261

ABSTRACT

Self-ear cleaning is the insertion of objects into the ear canal to clean it, a widespread practice that has the potential to compromise its integrity as a natural, selfcleansing mechanism, and a risk factor for possible injuries. The practice is common among young adults and highest in university than any other graduates. This study aimed to determine the self-ear cleaning practices and associated risk of injury and related symptoms in undergraduate students at KwaZulu-Natal University. The descriptive survey utilized a self-administered questionnaire. Of the 206 participants that responded, 98% engaged in self-ear cleaning, with 75% indicating that it was beneficial. The commonest method (79.6%) being the use of cotton buds, with an associated injury rate of 2.4%. There was no statistically significant associations between those who used or did not use cotton buds and the symptoms experienced. The complications indicate that self-ear cleaning does pose a risk for injury, necessitating more community information and education


Subject(s)
Ear , Ear, External/injuries , Hygiene , Self Care/adverse effects , Signs and Symptoms , South Africa , Students, Medical
5.
Rev. enferm. neurol ; 11(3): 153-158, sep.- dic. 2012.
Article in Spanish | LILACS, BDENF | ID: biblio-1034710

ABSTRACT

El objetivo de este artículo es dar a conocer un proceso de atención a pacientes con depresión, aplicando el modelo de atención de Dorothea E. Orem, el cual aborda las medidas preventivas más importantes que debe conocer el paciente y la familia, como son: dieta, ejercicio y conocimiento del padecimiento. El proceso se presenta en forma de cuadros para facilitar su manejo y comprensión. Asimismo, pretende dejar la inquietud sobre lo conveniente de emplear modelos de atención de enfermería en problemas de salud que requieren una atención continua por parte del equipo de salud y un conocimiento y compromiso hacia el autocuidado por parte del paciente.


The aim is to provide a process of care for patients with depression using the care model Dorothea E. Orem, this addresses the most important preventive measures that must know the patient and family, such as diet, exercise, knowledge of the condition. The process is presented in tabular form for ease of handling and understanding, is intended to make the concern about how convenient to use models of nursing care in health problems that require ongoing attention by the health team and an understanding and commitment to self-care by the patient.


Subject(s)
Humans , Depression/diagnosis , Depression/physiopathology , Depression/pathology , Depression/psychology , Depression/therapy , Nursing Process/standards , Nursing Process , Self Care/adverse effects , Self Care/psychology , Self Care
6.
Rev. cuba. enferm ; 28(4): 465-473, sep.-dic. 2012.
Article in Portuguese | LILACS, BDENF, CUMED | ID: lil-666701

ABSTRACT

Introdução: o autoexame possibilita a avaliação e detecção precoce de alterações das mamas. No entanto, não substitui o exame físico realizado por profissional de saúde qualificado para essa atividade. A frequência de realização influencia diretamente a acurácia do método e estimula o autocuidado. Objetivo: verificar se acadêmicas de enfermagem realizam o autoexame das mamas. Método: trata-se de um estudo descritivo e exploratório de caráter transversal, realizado em um Curso de Graduação em Enfermagem localizado no município de Montes Claros, Minas Gerais, Brasil. Os sujeitos do estudo foram 202 acadêmicas de uma instituição privada de ensino superior O instrumento de coleta de dados se constituiu de questionário estruturado elaborado pelas próprias pesquisadoras e validado pelo estudo piloto. O projeto foi submetido à apreciação e aprovado pelo Comitê de Ética. Resultados: evidenciou-se que as acadêmicas não realizam o autoexame das mamas. A principal barreira para não realização do exame foi o esquecimento e não saber a técnica correta. Conclusão: recomenda-se repensar as formas de ensinar-aprender a temática nas universidades, na perspectiva da aprendizagem significativa e para que a mulher; futura enfermeira, possa responsabilizar pela sua saúde e compreender o seu papel de cuidadora a partir da prevenção do câncer de mama e assumindo o autocuidado(AU)


Introducción: el auto-examen permite la evaluación y detección temprana de cambios en los senos. Sin embargo, no sustituyen al examen físico realizado por el profesional de salud calificado para esta actividad. La frecuencia de influye directamente en la precisión del método y fomenta el autocuidado. Objetivo: determinar si las estudiantes de enfermería realizan el autoexamen de los senos. Método: se trata de un estudio descriptivo y exploratorio, transversal, que se celebró en una Licenciatura de Enfermería ubicada en Montes Claros, Minas Gerais, Brasil. Los sujetos del estudio fueron 202 estudiantes de una institución privada de educación superior El instrumento de recolección de datos consistió en un cuestionario estructurado, desarrollado por sus propios investigadores y validado por un estudio piloto. El proyecto fue presentado y aprobado por el Comité de Ética. Resultados: se evidenció que las estudiantes no realizan el autoexamen de mamas. La principal barrera para la prueba no fue el olvido y sin saber la técnica correcta. Conclusión: se recomienda a repensar las formas de enseñanza-aprendizaje de la disciplina en las universidades, en búsqueda de un aprendizaje significativo y para las mujeres; futura enfermera puede asumir la responsabilidad de su salud y entender su papel como cuidador de la prevención del cáncer pecho y asumir el cuidado de sí mismo(AU)


Background: the self-examination possibilities evaluation and early detection of alterations breast. Besides, it does not replace physical exam performed by the qualified health professional for this activity. The realization frequency influences directly the accuracy method and stimulates the self-care. Objective: verify if the female nursing undergraduate students performed the breast self-examination. Method: this is a descriptive study with cross-sectional approach, performed in undergraduate degree nursing located in the city of Montes Claros, Minas Gerais, Brazil. The subjects were 202 female nursing undergraduate students from the private institution of higher education. The collect tool was the structured questionnaire elaborated by the own researchers and validated in pilot study. The project was submitted to appreciation and approved by the Research Ethic Committee. Results: it was showed the most of participants said do not perform periodically the breast self-examination. The most information resource was the internet, television and faculty. Among the participants, the most affirmed already have got the information. The main barrier was forgetfulness and do not know the correct technique. Conclusion: it is recommended to rethink ways of teaching-learning the subject in universities, in pursuit of meaningful learning and for women; future nurse may take responsibility for their health and understand their role as a caretaker from the prevention of breast cancer and assuming self-care(AU)


Subject(s)
Humans , Self Care/adverse effects , Students, Nursing , Breast Self-Examination/methods , Epidemiology, Descriptive , Cross-Sectional Studies , Data Collection/methods
7.
Arq. bras. cardiol ; 98(2): 167-174, fev. 2012. ilus, tab
Article in Portuguese | LILACS | ID: lil-614510

ABSTRACT

FUNDAMENTO: A medida da pressão arterial (PA) pelo próprio paciente, sem protocolos rígidos, com treinamento adequado, aparelhos validados e no próprio domicílio, é definida como automedida da pressão arterial (AMPA). OBJETIVO: Avaliar a interferência da AMPA na adesão ao tratamento e no controle pressórico. MÉTODOS: Participaram do estudo 57 pacientes, 38 no grupo de estudo (GE) e 19 no grupo de controle (GC). Esses pacientes foram seguidos por 12 meses e avaliados na randomização (V1), bem como no sexto (V2) e no décimo segundo mês (V3). Comparadas as médias da PA pela medida casual, pela AMPA e pela monitorização ambulatorial da pressão arterial (MAPA), exames laboratoriais e as respostas ao questionário sobre o estilo de vida. Os aparelhos utilizados foram: OMRON HEM 714, para a AMPA; OMRON 705 CP, para a medida casual; e Monitor SPACELABS 9002, para a MAPA. RESULTADOS: A idade média em anos foi de 62,05 ± 10,78 e de 55,42 ± 11,87 no GE e no GC (p = 0,03), respectivamente. Os valores da pressão arterial sistólica (PAS) pela medida casual no GE e no GC foram: 140,01 ± 16,73 mmHg e 141,79 ± 23,21 mmHg em V1 (p = 0,72); 135,49 ± 12,73 mmHg e 145,69 ± 19,31 mmHg em V2 (p = 0,02); 131,64 ± 19,28 mmHg e 134,88 ± 23,21 mmHg em V3 (p = 0,59). Os valores da pressão arterial diastólica (PAD) foram: 84,13 ± 10,71 mmHg e 86,29 ± 10,35 mmHg em V1 (p = 0,47); 81,69 ± 10,88 mmHg e 89,61 ± 11,58 mmHg em V2 (p = 0,02); 80,31 ± 11,83 mmHg e 86 ± 13,38 mmHg em V3 (p = 0,12). CONCLUSÃO: Os pacientes do GE apresentaram adesão ao tratamento não farmacológico semelhante ao GC, mas tiveram maior adesão ao tratamento medicamentoso e utilizaram menor número de drogas anti-hipertensivas. Não houve diferença entre os grupos na comparação do perfil metabólico e da função renal. (Arq Bras Cardiol. 2011; [online].ahead print, PP.0-0).


BACKGROUND: The measurement of blood pressure (BP) by the patient himself without strict protocols, adequate training, and validated equipment at their own household is defined as self measured blood pressure (SMBP). OBJECTIVE: To evaluate the interference of the SMBP in treatment adherence and blood pressure control. METHODS: The study included 57 patients, 38 in the study group (SG) and 19 in the control group (CG). These patients were followed for 12 months and assessed at randomization (V1) as well as in the sixth (V2) and the twelfth month (V3). Compare the mean blood pressure by casual measurement, by SMBP and by ambulatory monitoring of blood pressure (AMBP), laboratory tests and the answers to the questionnaire on lifestyle. The instruments used were: OMRON HEM 714, for SMBP; OMRON 705 CP, for the casual measurement, and Monitor SPACELABS 9002 for the AMBP. RESULTS: The average age was 62.05 ± 10.78 in the SG and 55.42 ± 11.87 in the CG (p = 0.03). The values of systolic blood pressure (SBP) by casual measurement in the SG and CG were: 140.01 ± 16.73 mmHg and 141.79 ± 23.21 mmHg in V1 (p = 0.72), 135.49 ± 12.73 mmHg and 145.69 ± 19.31 mmHg in V2 (p = 0.02), 131.64 ± 19.28 mmHg and 134.88 ± 23.21 mmHg at V3 (p = 0.59). The values of diastolic blood pressure (DBP) were: 84.13 ± 10.71 mmHg and 86.29 ± 10.35 mmHg in V1 (p = 0.47), 81.69 ± 10.88 mmHg and 89.61 V2 ± 11.58 mmHg (p = 0.02), 80.31 ± 11.83 mmHg and 86 ± 13.38 mmHg in V3 (p = 0.12). CONCLUSION: Patients in the SG had adherence to non-pharmacological treatment similar to the CG, but they had greater adherence to drug treatment and used fewer antihypertensive drugs. There was no difference between groups when comparing the metabolic profile and renal function. (Arq Bras Cardiol. 2011; [online].ahead print, PP.0-0).


Subject(s)
Female , Humans , Male , Middle Aged , Blood Pressure Determination/methods , Blood Pressure/physiology , Hypertension/drug therapy , Life Style , Medication Adherence/statistics & numerical data , Self Care/methods , Follow-Up Studies , Hypertension/physiopathology , Hypertension/psychology , Prospective Studies , Self Care/adverse effects , Self Care/instrumentation
8.
Rev. cuba. enferm ; 25(3/4)jul.-dic. 2009. tab
Article in Spanish | LILACS, CUMED | ID: lil-575722

ABSTRACT

El autocuidado es una función humana reguladora que debe aplicar cada individuo de forma deliberada con el objetivo de mantener su vida y su estado de salud. Se realizó un estudio descriptivo transversal con el objetivo de evaluar la gestión del cuidado enfermero en la teoría del déficit de autocuidado de Dorothea Orem, en pacientes ingresados en el Hospital Amalia Simoni de Camagüey, de enero a marzo 2008. El universo y muestra estuvo integrado por 187 pacientes que cumplían los criterios de inclusión. El dato primario fue extraído de las Historias Clínicas y un cuestionario creado por la dirección nacional de enfermería, ambos resultados fueron llevados a un formulario que incluía las variables: Clasificación de las necesidades bàsicas según orden de prioridad; tipos de autocuidado; desglose de acciones de autocuidado de mayor intervención; evaluación de las acciones teniendo en cuenta los sistemas bàsicos de enfermería según esquema de Orem y evaluación del nivel de satisfacción, lo que permitió conocer que existió marcado predominio en las necesidades fisiológicas en el 100 por ciento de los pacientes, el autocuidado terapéutico en 84 (44,91 por ciento), la acción de eliminación en 854 frecuencias, el sistema parcialmente compensador en 1123 frecuencias y el nivel de satisfacción en 180 pacientes (96,25 por ciento). Los datos se procesaron en microcomputadora versión 11,5 para Windows, con una probabilidad del 95 por ciento. Nuestro estudio permitió conocer que tomando en consideración que las reflexiones de Oren valoran el interactuar del paciente y la enfermera(o), aspecto esencial en la función de los profesionales de enfermería, trabajan con el objetivo de satisfacer necesidades(AU)


Self-care is a regulatory human function applied in a deliberate way by each subject to maintain its life and its health status. A cross-sectional and descriptive study was conducted to assess the care management in nursing in self-care deficit of Dorothea Orem's theory applied in patients admitted in Amalia Simón Hospital in Camaguey province from January to March, 2008. Universe and sample included 187 patients fulfilling de inclusion criteria. Primary datum was from medical records and from a questionnaire designed by Nursing National Management; both results were entered in a form including the following variables: breakdown of self-care actions of a major intervention; assessment of those actions taking into account the basic Nursing systems according to a Orem diagram, and assessment of satisfaction level, allowing to know a marked predominance in physiological needs in 100 percent of patients, the therapeutical self-care in 84 patients (44,91 percent), elimination action in 854 frequencies, the partially compensatory system in 1123 frequencies, and the satisfaction level in 180 patients (96,25 percent). Data were processed in a microcomputer 11,5 version for Windows, with a 95 percent of probability. Present study allowed knowing that taking into account that Oren's reflections value the interaction between patient and nurse, an essential feature in nursing professionals function and work to satisfy needs(AU)


Subject(s)
Humans , Self Care/adverse effects , Shared Governance, Nursing/methods , Epidemiology, Descriptive , Cross-Sectional Studies , Data Interpretation, Statistical
9.
Rev. enferm. UERJ ; 17(2): 224-228, abr.-jun. 2009.
Article in Portuguese | LILACS, BDENF | ID: lil-528344

ABSTRACT

Este estudo é parte de uma dissertação de mestrado e objetivou compreender o significado do (des)cuidado de si dos profissionais de enfermagem, a partir da prática da automedicação. Foi utilizado o método exploratório descritivo de abordagem qualitativa. Os participantes são 12 auxiliares e técnicos de enfermagem e enfermeiros atuantes em rede pública e particular de saúde, no interior do Estado do Rio Grande do Sul. Os dados foram coletados, em 2004, por meio de entrevista semiestruturada para a caracterização dos sujeitos e para conhecer os posicionamentos individuais sobre o tema em questão. O registro dos dados foi audiogravado, sendo os mesmos, posteriormente, transcritos, conferidos e submetidos à análise de conteúdo. A automedicação, baseada na formação e prática dos sujeitos, desvela o descuidado de si dos profissionais de enfermagem que buscam minimizar sintomas físicos ou psíquicos sem a recomendação médica adequada. O estudo mostrou que as drogas usualmente consumidas na automedicação são: analgésicos, anti-inflamatórios e psicotrópicos.


This study is part of a master’s thesis which aimed at shedding light on the meaning of self care(less)ness by nursing professionals as far as self-medication is concerned. It used the exploratory descriptive method of qualitative approach. The informants are twelve assistant nurses and nursing technicians acting both in the public and private health network, in the backlands of Rio Grande do Sul state, Brazil. Semi-structured interviews organized data collection in 2004, meant to characterize the subjects and to learn about their stand on the theme in question. Data registration was audio-recorded, transcribed, double-checked, and submitted content analysis. Self-medication, based on the informants’ training and practice, points to self carelessness by nursing professionals, who seek alleviation of physical and psychic symptoms without adequate medical recommendation. The study showed that analgesics, anti-inflammatory drugs, and psychotropic substances are usually consumed in self-medication.


Este estudio es parte de una tesis de maestría que tuvo como objetivo entender el significado del (des)cuidado de si de los profesionales de enfermería, a partir de la práctica de la automedicación. Se utilizó el método exploratorio descriptivo de enfoque cualitativo. Los participantes son auxiliares de enfermería y técnicos de enfermería y enfermeros que trabajan en los sectores público y privado de atención de salud, en el interior del Estado de Rio Grande do Sul-Brasil, totalizando 12 sujetos. Los datos fueron recolectados, en 2004, a través de entrevista semiestructurada para la caracterización de los sujetos y para conocer las posiciones individuales sobre el tema en cuestión. El registro de los datos fue audiogravado, y luego transcritos, conferidos y sometidos al análisis de contenido. La automedicación, basada en la formación y en la práctica, desvela el descuidado de si de los profesionales de enfermería que buscan el alivio de los síntomas físicos o psicológicos sin recomendación médica adecuada. El estudio mostró que las drogas normalmente consumidas en la automedicación son: analgésicos, antiinflamatorios y psicotrópicos.


Subject(s)
Self Care/adverse effects , Self Care/methods , Self Medication/adverse effects , Self Medication/nursing , Self Medication , Occupational Health Nursing , Brazil , Working Conditions , Qualitative Research
10.
Rev. cuba. enferm ; 23(1)ene.-mar. 2007.
Article in Spanish | LILACS, CUMED | ID: lil-498584

ABSTRACT

La relación de ayuda profesional de enfermería está sustentada en el cuidado de la salud, el cual es un proceso interactivo entre una persona que tiene necesidad de ayuda y otra capaz de ofrecérsela. En este interactúan sentimientos, emociones, creencias, valores, conocimientos, experiencias, vivencias de salud anteriores y mecanismos de afrontamiento a situaciones de salud en particular. En el primer trimestre del año 2006 se realizó una revisión bibliográfica que incluyó diversos libros de textos, artículos y se consultaron expertos en esta temática para ampliar los conocimientos relacionados con los factores que afectan el bienestar y la salud laboral de los enfermeros en su relación de ayuda profesional. Se detallaron algunos elementos que influyen negativamente en la salud del personal de enfermería, la vulnerabilidad para el síndrome de burnout y la importancia de su autocuidado, basado en el estudio analítico de la bibliografía consultada. Se reflejaron algunos elementos que influyen negativamente en la salud del personal, como el enfrentarse al dolor, al sufrimiento y la muerte, a los riesgos biológicos, al estrés mantenido por situaciones de urgencias y emergencias, así como función de roles. Estos factores estresantes convierten a los enfermeros en un personal altamente vulnerable a padecer afecciones físicas y psicológicas, como el cansancio profesional o síndrome de burnout . Los profesionales de enfermería, como defensores de la salud de los seres humanos, deben fomentar en su propia persona, un adecuado autocuidado, que fomente el bienestar bio-psico-social, para desarrollar una personalidad terapéutica que trasmita e inspire salud(AU)


The professional nursing assistance relation is sustained on health care, which is an interactive process between a person needing support and another capable of offering it. Feelings, emotions, beliefs, knowledge, personal experiences, past health, and mechanisms to face health situtations, in particular, interact in this process. During the first trimester of 2006, it was made a bibliographic review including textbooks and articles. Experts were asked on this topic to expand the knowledge related to the factors affecting the well-being and occupational health of the sick persons in their relation of professional help. Some elements influencing negatively on the nursing staff's health, the vulnerability to Burnout syndrome, and the significance of self-care were detailed, based on the analytical study of the bibliography consulted. Some other elements exerting a negative influence on the pesonnel's health, such as facing pain, suffering, death, biological risks, and the stress maintained by emergency situations, as well as the role functions, were exposed. These stressing factors turn nurses into a highly vulnerable staff to suffer from physical and psychological affections as professional fatigue or Burnout syndrome. The nursing professionals as defenders of the human being's health should promote in their own person a proper self-care to foster the biopsychosocial well-being to develop a therapeutical personality transmitting and inspiring health(AU)


Subject(s)
Humans , Self Care/adverse effects , Nurse-Patient Relations , Nursing Staff/psychology , Burnout, Professional , Review Literature as Topic , Occupational Health
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