ABSTRACT
Objetivo Identificar o conhecimento que os portadores de insuficiência cardíaca (IC) têm sobre sua patologia e o quanto isso interfere em seu tratamento. Métodos Trata-se de uma pesquisa do tipo exploratório-descritivo de natureza quantitativa realizada entre os meses de abril e maio de 2014 no Ambulatório do Instituto do Coração HCFMUSP, entre 50 pacientes portadores de insuficiência cardíaca. Os dados foram obtidos por meio de um questionário semi-estruturado contendo 22 questões fechadas. Resultados Foi observado que 60% (n=30) dos entrevistados sabe o que é IC, porém somente 34% (n=17) sabe o que causou a patologia; 76% (n=38) dos pacientes diz ter conhecimento sobre a patologia, mas apenas 4% (n=2) sabe como minimizar os sintomas da doença; 30% (n=15) do pacientes teve 1 a 2 reinternações em um ano. Conclusão É evidente que o conhecimento dos portadores de IC com relação a sua patologia ainda é extremamente deficiente, o que leva a descompensação da doença e consequentemente reinternações hospitalares, impactando no aumento e custo do tratamento. As intervenções de enfermagem desempenha papel essencial no tratamento não farmacológico da IC. Entretanto, sua efetividade somente será alcançada quando o tratamento foi totalmente compreendido e aceito pelos próprios portadores de IC e seus familiares.
Objective To identify the knowledge that heart failure patients have about their disease and how this interferes with your treatment. Methods It is a survey of exploratory and descriptive quantitative. The survey was conducted between the months of April and May 2014 at the Clinic of the Heart Institute HCFMUSP in 50 patients with heart failure, the data were obtained through a semi-structured questionnaire containing 22 closed questions. Results It was observed that 60% (n=30) of respondents know what IC is, however, 34% (n=17) know what caused the condition; 38 (76%) of patients say they have knowledge about the disease, but only 4% (n=2) know how to minimize the symptoms of the disease; 30% (n=15) required 1-2 readmissions within one year. Conclusion It is evident that knowledge of HF patients regarding their condition is still extremely weak, leading to decompensation of the disease hospitalizations and consequently, increases the impact and cost of treatment nonpharmacological the IC. However, its effectiveness will be achieved only when the treatment was fully understood and accepted by themselves HF patients and their families.
ABSTRACT
Fungal infections due to Candida species represent an important cause of nosocomial bloodstream infections. We report a large pseudo-outbreak of Candida guilliermondii fungemia that occurred in a university hospital in Brazil. C. guilliermondii was identified in 64 (43%) of the 149 blood samples drawn between June 2003 and July 2004. The samples were from patients in different wards of the hospital but concentrated in pediatric units. None of the patients had clinical signs of fungemia, and observational analysis revealed errors in the collection of blood samples. During the investigation of the pseudo-outbreak, C. guilliermondii was isolated from environmental surfaces and from the skin and nails of members of the nursing team. Through a subtyping analysis it was found that some of the nonpatient isolates were highly related to the patient isolates, and all the patient isolates were highly related. This is consistent with the hypothesis that the pseudo-outbreak was from a limited number of common sources. The adoption of intervention measures was effective in resolving the outbreak, supporting the hypothesis that the outbreak was due to poor techniques of drawing blood samples for culture.
