Brazilian Nursing Journal (Revista Brasileira de Enfermagem - REBEn)

557-8

Authors: Ivone Evangelista Cabral, Elizabeth Teixeira

Editorial.

566-70

Authors: Arlene Laurenti Monterrosa Ayala

A retrospective cohort study was carried out aiming to evaluate the survival of 655 women with breast cancer, seen in the Single Health System, Joinville, Santa Catarina, Brazil. For the analysis of survival, the method of Kaplan-Meier and Cox model was applied. The survival according to the staging of women was significantly different in accordance with the results of the test of Log-rank Test. The rate of risk of instantaneous death between the stages I/II, I/III and I/IV was 3.26, 15.40 and 25.51, respectively. These findings are in consonance with literature data, and indicate that the staging is a variable that explains the differences in the survival among women with breast cancer. Key words: Breast Neoplasm; Neoplasm Staging; Survival Analysis.

578-85

Authors: Eliane de Fátima Almeida Lima, Ana Inês Sousa, Rosane Harter Griep, Cândida Caniçali Primo

The objective was to analyze the risk factors associated with neonatal mortality in the city of Serra, ES. We studied nonconcurrent cohort, using the technique of Linkage that relate the 32.275 live births with 273 neonatal deaths occurred in the period from 2001 to 2005, using data from SINASC and SIM. After adjustments in the logistic regression, factors associated with mortality were: uneducated mothers, maternal age <15 years and > 35 years old, born in a public hospital, no prenatal consultation, birth weight. Key words: Neonatal Mortality; Risk Factors; Information Systems.

594-600

Authors: Emiliana Bezerra Gomes, Thereza Maria Magalhães Moreira, Halana Cecília Vieira Pereira, Iara Bezerra Sales, Francisca Elisângela Teixeira Lima, Consuelo Helena Aires de Freitas, Dafne Paiva Rodrigues

This study investigates the cardiovascular risk factors in young adults in the interior of northeastern Brazil. This quantitative study conducted with 351 young adults from school 12 public schools in Juazeiro do Norte, Ceará, at random selected and stratified by school and turn. The results were mostly female, mixed, combining study and work, without a partner and living with their parents. There was physical inactivity (57.3%), obesity/ overweight (19.4%), adding salt to food (54.4%), alcohol intake (76.1%), hypertension (1.1%) with 50 % of non-adherence to treatment, diabetes mellitus (0.6%) and family history of cardiovascular disease (86.3%). To characterize the cardiovascular risk in young adults directs health actions and potential partnerships with schools. Key words: Cardiovascular Diseases; Risk; Young Adult; Students.

607-13

Authors: Rita de Cássia Aquino, Sonia Tucunduva Philippi

This study aims to describe the development and evaluation of nutritional screening tools to identify risk of malnutrition in hospitalized patients. From the identification of predictive variables, the patient should be referred to the multidisciplinary team of nutrition therapy for intervention. Were studied 300 patients from a hospital in Sao Paulo, applied with a nutritional assessment survey of risk variables and conducted a multiple logistic regression for the selection of predictors. The variables associated with malnutrition were: unintentional weight loss, apparent bones, decreased appetite, diarrhea, inadequate energy intake and male sex. A nutritional screening tool was developed and showed good agreement with validated instruments. Key words: Nutritional Assessment; Malnutrition; Patient Care Team.

621-9

Authors: Jussara Simone Lenzi Pupulim, Namie Okino Sawada

This qualitative study aimed to describe the hospitalized patient’s perception on privacy, using the content analysis. Thirty-four patients, who have been at least three days hospitalized, participated in the study. The analysis of the information was based on the theoretical reference framework of privacy, and evidenced three thematic categories: dignity and respect, autonomy, personal and territorial space. The subjects pointed out behavioral factors, which contribute or not for the protection and maintenance of the privacy in the hospital, highlighting respect as the most important aspect, followed by personal control over situations that violate privacy. Patients believe that privacy is linked to dignity and respect, depends on the demarcation of the personal/territorial space and the autonomy’s security; and that these concepts and attitudes are connected and essential to protect privacy in the hospital context. Key words: Patient Care; Hospitalization; Privacy; Personal Autonomy; Personal Space.

637-44

Authors: Sílvia Maria Soares Carvalho Sant’Ana, Maria Márcia Bachion, Queiliene Rosa Santos, Cynthia Assis Barros Nunes, Suelen Gomes Malaquias, Beatriz Guitton Renaud Baptista Oliveira

Venous ulcer represents a challenge for health’s professionals, because it’s a chronic injury, recurrent and with biologic and psychosocial impact. The aim of this study was to characterize the venous ulcers of outpatients attended in curative rooms of the municipal health network and describe the treatment received. This descriptive study, carried out from October 2009 to July 2010 included 58 people. Data were collected using protocol that involved an interview, physical examination, application of scale, photographic record of the lesion and planigraphy. The results showed lesions with poor healing and treatment in violation of the main recommendations of the literature in the area. We conclude that it is necessary to rethink the organization of services to better serve this population. Key words: Varicose Ulcer; Health Profile; Public Health; Nursing Care.

653-9

Authors: Ana Maria Reis, Clara Costa Oliveira

Recognizing the existence of education policies that guide the teaching of Ethics in Nursing, our aim was to know the reality of the initial training of nurses in Portugal. The conceptual framework was accomplished in the consultation and the complete documents’ readings (especially the recommendations of the Portuguese Order of Nurses), crossed with foundational conceptions of Nursing Ethics and Philosophy authors, in particular Watson and Mounier. Some of the conclusions of this study relate to the verification that only five establishments comply with the Order of Nurses recommendations regarding the teaching of Ethics and Deontology. There is also a variability of classifications assigned to subjects/courses and program content/curriculum, embedded in them; there is a large discrepancy in the workload assigned to different curriculum areas. Key words: Nursing; Education; Ethics; Bioethics; Deontology.

667-74

Authors: Thaís Branquinho Oliveira Fragelli, Helena Eri Shimizu

Professional competences are an issue that has been much discussed in several areas including health. The need for new modes of work processes as a result of the change in model of care and epidemiology of diseases has sparked discussion and debate in this area. In this context, the objective of this paper is to present a review of the construct of competence to understand their socio-historical context and their applicability in the context of health. It was presented the main approaches cited in the literature and their diverse backgrounds on the issue. Also it was reported the application of the concept in Public Health with the discussions in literature and the Galway Consensus Conference in 2008. Key words: Professional Practice; Health Manpower; Training.

680-4

Authors: Cláudia Rejane Pinheiro Maciel Vidal, Karla Corrêa Lima Miranda, Patrícia Neyva da Costa Pinheiro, Dafne Paiva Rodrigues

The study aims to discuss the concepts of caring and education and propose a strategy for health education as a possibility for clinical nursing care for women in menopause based on the educational principles of Paulo Freire. Over the years, different paradigms of Health Education are conditioned by different strategies, many of them reductionists, which require questioning and implementation of more integral and participatory actions. From this thought, we seek an opportunity for education that includes the “Other” in their complexity, enabling the women in their climacteric phase can also be assisted in full. In this scenario, we visualize the principles of Paulo Freire as a framework to guide this development; it shows a dialectic education, solidarity, without arrogance, articulating the scientific knowledge and popular knowledge, translating his method in a collective work. Key words: Nursing; Health Education; Climacteric; Women’s Health.

691-5

Authors: José Martins Jatai, Lucilane Maria Sales da Silva

Integrative Community Therapy (ICT) is an instrument of care that allows us to make social networks and prevent mental suffering. This paper aimed to report an experience of implementation of ICT by nurse in the Family Health Strategy, carried out from September 2008 to April 2009, at the Alto Jerusalem community, in Fortaleza, Ceará, Brazil, as part of a training course of Integrative Therapist Community. The report was divided into phases: awareness of managers and health professionals and training strategies of the groups. We conclude that, as an instrument of care, ICT meets the guiding principles of SUS, teaching us to build social support networks, enabling changes and recognizing the competences of each social actor to overcome the difficulties reported. Key words: Therapy; Community; Health Program Strategy; Nursing.