[Problems during the recovery of patients following coronary artery bypass surgery: the follow up by nurses in the first month after hospital discharge]. / Problemas na recuperação de pacientes submetidos à cirurgia de revascularização do miocárdio: o acompanhamento pelo enfermeiro durante o primeiro mês após a alta hospitalar.

Patients may present problems after coronary artery bypass surgery and nurses play an important role in the detection of such problems. With the purpose to determine the problems of 25 patients during the first month after hospital discharge, they were followed up via telephone as well as when they returned to hospital. Content analyses of detailed nurses' recording revealed eight categories of problems. The most frequently related problems were related to the surgical incision site (76%), pharmacological therapy (28%), other pathologies (24%), mood alterations (20%) and sleep pattern disturbances (16%). The strategy chosen showed to be efficient to analyze the recovery of these patients during the first month after hospital discharge.

[Return to occupational and sexual activity after myocardial revascularization surgery]. / Retorno às atividades ocupacionais e sexuais após cirurgia de revascularização do miocárdio.

A prospective and longitudinal design was used to follow up the return to occupational and sexual activity among 17 males after coronary bypass surgery. The subjects' ages ranged from 35 to 73 years. Data collection was performed by using open interviews which were recorded in field notes during hospitalization after heart surgery and during 6 months following hospital discharge. Of the 14 patients who reported work and sexual activity before surgery, 8 were working again (p = 0.016), and 10 had returned to sexual activity (p = 0.0625). There was change in the subjects' attitudes leading to not returning to work and tendency to not resuming sexual activity in this population.

[Profile of women with myocardial infarction according to the health field model]. / Perfil de mulheres com infarto agudo do miocárdio, segundo o modelo de "campo de saúde".

The research aimed at finding out the profile of 49 women with myocardial infarction hospitalized in two hospitals at São Paulo state. The following results were analysed according to the "Health Field Model": a) human biology: 79.6% of them were from 50 to 80 years old; 71.4% hypertension; 57.2% overweight; 42.4% diabetes mellitus; 57.1% had a positive family history of hypertension; b) socioeconomic characterization: 63.2% housewives; 53% married; 55.1% with a salary lower than 3 minimum wages and 51% illiterate; c) life style: 93.8% lived a sedentary life; 79.6% referred to daily stress and 34.7% are smokers; d) attention to health: 53.1% knew about their diagnosis and 48.9% were being treated in primary health services. According to the model there are risk factors to infarction in the four elements.

[The meaning of living with chronic renal failure]. / O significado de conviver com a insuficiência renal crônica.

This study is part integrant of result of my inquietude in relationship to the ill person with renal chronic illness, subject of my dissertation. For that, I used qualitative research phenomenological modality, that allowed me to understand the ill and to answer my interrogation: What is to be a renal chronically ill person? The analysis of descriptions revealed the look of the renal chronically ill in relationship with the disease, treatment and the possibility of cure. However in this study I emphasize the meaning to live with chronic renal failure.

[Teaching at the secondary level and professional practice in the context of Brazilian nursing]. / O ensino médio e o exercício profissional no contexto da enfermagem brasileira.

The formation of nursing professionals has been a concern through nursing history in our country. Within the context of development of nursing history, authors analysed the evolution of the legislation about the formation of nursing professionals at the secondary level as well as the legislation about their practice.

[Life style and risk factors in patients with a first episode of acute myocardial infarct]. / Estilo de vida e fatores de risco de pacientes com primeiro episódio de infarto agudo do miocárdio.

The prevention of acute myocardial infarction (AMI) has been related to the identification and control of risk factors (RF) present in the life style of the individuals. The aim of this study was to know the profile of patients with a first episode of AMI and to identify RF for this disease. Seventy eight in patients from the Coronary Care Unity of a University Hospital were interviewed. The results showed that the life style of the studied group includes habits that collaborate to coronary artery disease maintenance or progress. These results will help to elaborate an educational program aiming to prevent reinfarction and to promote health.

[Organization of bone marrow transplantation and the nurses' performance]. / Contribuição à organização de serviços de transplante de medula óssea e a atuação do enfermeiro.

This is a bibliographic study on bone marrow transplantation emphasizing nurses actions, reviewed from publishings of the last ten years. The organization of informations allowed authors to identify that for performing a transplant it would be necessary to have an adequate infrastructure, specialized human resources and operational resources for the assistance to be feasible. It was determined that nurses actions in this procedure are required in all stages of care, differently in each phase, and preferentially individualized and integral in a maximum ratio of one nurse for two patients.

[Surgical wound infection--a complication of mastectomy]. / Infecção da ferida cirúrgica-uma complicação da mastectomia.

The present study contains a retrospective analysis of thirty medical reports of patients that were submitted to mastectomy at a school hospital, and has the objective of knowing the frequency of surgical injury infection, relating it to predisposed factors to infection. The frequency founded was 40%, a percentage above the level pointed in the literature, suggesting that can be included in it cases of seroma, due the indicators utilized to define infection and the absence of laboratory exams registers in the consulted medical reports.

[Discharge of the surgical patient within the context of the health system]. / A alta do paciente cirúrgico no contexto do sistema de saúde.

Based on the assumption that surgical patients, together with their families, take responsibility for their own care after being discharged from the hospital and that they are not duly prepared for this task, we undertook the present study to investigate the problems of surgical patients related to discharge and to determine the type of care offered to these individuals within the context of the health system. The study included patients submitted to elective, medium surgery at the University Hospital, Faculty of Medicine of Ribeirão Preto, USP, during the first semester of 1989. Fifty patients (42 women and 8 men) of the various surgical specialties were interviewed during home visits. The instrument for data collection consisted of three parts: the first involved social and environmental aspects such as housing, job, family and others, the second involved the relationship of the individual with the health system, his/her perceptions and difficulties, and the third involved the biological aspects related to the surgical process. The data were analyzed in a descriptive manner on the basis of the theoretical referencial of Lalonde, which sees health as the result of a dynamic process of individual integration with the environment.

[An alternative proposal for the scientific productivity of nurse practitioners]. / Proposta alternativa para a produção científica de enfermeiros assistenciais.

We report our experience with University extension courses on research methodology offered to nurse practitioners in order to provide them with some fundaments about the topic. These courses, which were given in 1984, 1986 and 1988 by the Nursing School of Ribeirão Preto-USP, were proposed by the coordinators who felt it is necessary to stimulate the scientific production of nurse practitioners; thus, the basic proposal of the courses was to promote this stimulation, thus, in addition to presenting the content of different research methodologies, the courses discussed nursing research that appeared to be relevant for practice. Some time after the courses were given, the nurses who had taken them were approached in order to obtain information to be used for the elaboration of future courses and to evaluate the contribution made by the initial courses in terms of stimulation of research by nurse practitioners.