Conceptual and operational definitions of the defining characteristics of the nursing diagnosis Disturbed Sleep Pattern.

OBJECTIVE: to present the knowledge produced about sleep and Acute Coronary Syndrome in order to assist in the elaboration of the operational and conceptual definitions of the defining characteristics of the nursing diagnosis Disturbed Sleep Pattern (00198). METHOD: integrative review in the following databases: COCHRANE; SCOPUS; MEDLINE (Medical Literature Analysis and Retrieval System Online) via Pubmed; LILACS (Latin American and Caribbean Health Science Literature Database); CINAHL (Cumulative Index to Nursing and Allied Health Literature) and EMBASE (The Excerpta Medical Database). At the end of the search, 2827 studies were found, 43 were selected for reading, and 10 were included in the review. The gray literature was also included. RESULTS: important findings related to clinical evidence and contributing factors of sleep were found in the review. However, in order to build definitions of the defining characteristics, it was necessary to use gray literature, such as a Portuguese dictionary and two textbooks about sleep. CONCLUSION: the definitions will help nurses in their practice in the collection of information, in the determination of the nursing diagnosis studied here, and in directing care measures with respect to quantity and quality of sleep of Acute Coronary Syndrome inpatients. They will also assist in the next steps of the validation of this diagnosis to the referred population.

Translational research and symptom management in oncology nursing.

In recent years, translational research (TR) has become a new approach for bridging basic research and clinical practice. This article examines studies in which the authors used TR to learn more about the underlying causes of selected symptoms, and to discuss these results in the context of cancer nursing and symptom management. A literature review was undertaken, plus critical analysis of the authors. TR conducted by cancer nursing scholars has been relatively limited in the past, but is becoming more common as nurses complete additional academic work in the basic sciences and develop research teams with colleagues of those areas of knowledge. The goal in these studies is to show how a set of variables explains differential interventional effects. The availability of TR provides new evidence for the management of symptoms experienced by individuals with cancer, which could lead to improvements in the care of cancer patients across the world.

Riesgo de sufrir somnolencia diurna en personal de enfermería delmunicipio de Pereira / Risk of daytime sleepiness in nurses from the municipality of Pereira

Objetivo: Se estableció el riesgo de sufrir somnolencia diurna, considerada como uno de los trastornos del sueño,algunos factores de riesgo y medidas higiénicas del sueño, en el personal de enfermería de tres institucioneshospitalarias del municipio de Pereira. Metodología: Se aplicó una encuesta a una muestra representativa de lapoblación estudiada y se midió el riesgo de sufrir somnolencia diurna, utilizando la escala de somnolencia deEpworth. Resultados: Se observo un riesgo de sufrir somnolencia diurna del 40,3%, más alto en mujeres (43,8%) queen hombres (21,7%).El 52,0% presentó somnolencia normal, 14,0% somnolencia leve, 30,0% moderada y 4,0% sehallaron con somnolencia grave. El 86,8% de las personas investigadas realizaban turnos nocturnos y por encima del60%, en las tres instituciones investigadas, tenían un tiempo mayor de un año laborando en esta modalidad. No sehallaron diferencias significativas al relacionar el riesgo con la realización de turnos nocturnos. Recomendaciones:Se proponen actividades de promoción y prevención para informar y concientizar sobre este problema al personalde enfermería de las Instituciones hospitalarias, desde una intervención disciplinar como: el autocuidado, lasmedidas higiénicas del sueño y la aplicación de los diagnósticos de enfermería en trastornos del sueño.

Objective: The risk of suffering daytime sleepiness, considered to be a sleep disorder and risk factor in sleep hygiene,has been established in the nursing staff of three hospitals in the municipality of Pereira. Methodology: A survey wastaken in a representative sample of the studied population where the risk of suffering daytime sleepiness wasmeasured using the Epworth Sleepiness Scale. Results: There was a 40.3% risk of suffering daytime sleepiness, higherin women (43.8%) than in men (21.7%). 52,0% presented normal sleepiness, 14,0% mild drowsiness, 30,0% moderateand 4% were found with severe sleepiness. 86.8% of those surveyed worked night shifts and over 60,0% in the threeinstitutions surveyed, had a been working this shift for over one. No significant differences were found when relatingthe risk with working night shifts. Recommendations: Promotion and prevention activities are proposed to informand raise awareness of this problem in the nursing staff of hospitals, from a disciplinary standpoint such as: self-care,sleep hygiene measures and the application of nursing diagnoses in sleeping disorders.

Diagnósticos de enfermagem referentes ao sono e repouso de gestantes / Nursing diagnosis referring to the sleep and rest of pregnant women

Objetivou-se analisar as respostas de gestantes, que compõem a classe sono e repouso do domínio atividade e repouso da taxonomia da North American Nursing Diagnosis Association. Estudo transversal com 66 gestantes, selecionadas por amostragem aleatória simples, foi realizado em unidade básica de Fortaleza, em 2004 e 2005. Os dados foram coletados com formulário contendo características definidoras e fatores relacionados aos diagnósticos de enfermagem para verificação da associação estatística entre essas variáveis. As gestantes apresentaram média de idade de 24,4 anos, 78,8% tinham companheiro e 86,4% renda familiar de 1 a 3 salários mínimos. O diagnóstico padrão do sono perturbado esteve associado a três ou mais despertares durante a noite, enfado e urgência urinária. O diagnóstico privação de sono não apresentou associação estatística com as variáveis estudadas. Concluiu-se que o padrão de sono perturbado foi fortemente determinado pela ocorrência de urgência urinária e tinha como conseqüência o enfado.

[Sleep disturbances: frequent diagnosis in inpatients]. / Alterações do sono: diagnósticos freqüentes em pacientes internados.

Sleep disturbances and deprivation are common stressors in inpatients. Nurses must be able to notice undesirable effects of sleep disturbances on the patient's responses to health problems, and to implement interventions to help them achieve the best possible quality of sleep. This article discusses the relevance of sleep-related nursing diagnoses for inpatients of medical-surgical wards, and presents a synthesis of the tools available in literature to assess sleep.

[Depression among the elderly in a long-term residential institution: proposal for nursing action]. / Depressão em idosos de uma Instituição de Longa Permanência (ILP): proposta de ação de enfermagem.

The objectives of this study were: identifying the presence of depression among elderly dwelling in an Elderly Clinic; proposing a nursing action in order to prevent depression among these elderly guests. Descriptive research carried out at Abrigo Cristo Redentor, in Recife, Pernambuco, Brazil, with a sampling of 41 aged people. Seven out of them presented depression. The main symptoms were: hopelessness; uselessness feeling; insomnia; sadness among others. We concluded by recognizing the difficulties faced by the elderly who need to live in an Elderly Clinic and the importance of the nurse presence to better handle their difficulties.

[Nursing diagnosis for allogeneic bone marrow transplantation patient: case study]. / Diagnósticos de enfermagem de paciente submetido à transplante de medula óssea alogênico: estudo de caso.

This case study aims at presenting the follow-up of a patient who underwent allogeneic bone marrow transplantation and the experience of the nursing team of the Centro de Transplante de Medula Ossea (Bone Marrow Transplantation Center) at the Hospital de Clínicas de Porto Alegre, Brazil, during the development of the systematization of the nurse practice emphasizing the period of elaboration of the nursing diagnosis. Twenty-six diagnosis established in this case are discussed and put together in the format of a table to allow the reader to have a view of their initial and ending periods, during the in-patient treatment time.

Percepción de beneficio de los cuidados de enfermería en personas con problemas del sueño / Perception of nursing care benefits in people with sleeping problems

El presente estudio tiene por objeto conocer la percepción del efecto de los cuidados de Enfermería que recibieron los adultos con problemas del sueño atendidos en el Centro de Estudios Médicos del Sueño (CEMS) entre los años 1999 y 2000. Este es un estudio descriptivo, exploratorio, restrospectivo permitió identificar la opinión subjetiva de las personas con problemas de sueño que recibieron los cuidados de enfermería en técnicas de relajación e imaginería. La población estudiada está compuesta de 25 adultos que decidieron responder a la entrevista en forma voluntaria. Se encontró que alrededor del 70 por ciento son mujeres, el 52 por ciento son personas de edades entre 20 y 39 años, el 78 por ciento del sector oriente de la capital, el 100 por ciento con enseñanza media completa, siendo el insomnio de conciliación el problema se sueño más frecuente. Más el 80 por ciento se encontraba consumiendo medicamentos para dormir: De éstos, el 85,8 por ciento refiere haber disminuido la dosis durante y después de haber aplicado el programa de cuidados de enfermería. El 84 por ciento de los entrevistados mantiene en la actualidad alguna de las técnicas. El 36 por ciento realiza ambas, otro 36 por ciento solo higiene del sueño y un 12 por ciento solo relajación e imaginería. Todos refieren haber estado muy motivados y concentrados por realizar las técnicas, refieren haber mejorado la calidad de dormir y una mejor convivencia. La relajación e imaginería la realizaban recostados en su cama, con la luz apagada y la pieza oscura, con la temperatura de la habitación referidad como agradable. El 80 por ciento percibió beneficios en relajación e imaginería y en higiene de sueño, refiriendo mejorar de dormir y una sensación de mayor serenidad y tranquilidad en su diario vivir