cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.19928323
title: Data collection instrument for hematological diseases in na outpatient setting: a validation study

description: ABSTRACT Objectives: to build and validate a data collection instrument for onco-hematological patients undergoing outpatient chemotherapy. Methods: methodological study that aimed to build a scientifically consistent data collection instrument to evaluate hematological patients. There were five stages: identification of empirical indicators, evaluation of empirical indicators by focus group, construction of the instrument, content validation by judges and clinical validation. Built based on the Theory of Basic Human Needs of Horta, adjusted by Garcias and Cubas. Results: the built instrument contains data on patient identification, perception and expectations related to the disease, assessment of psychobiological, psychosocial and psychospiritual needs. It reached 95% CVI, ensuring the instrument’s content validity and Cronbach’s alpha test with a reliability of 0.93. Conclusions: the instrument is a valid technology to assist nurses in data collection and may serve as a tool for onco-hematological nursing care, teaching and research.
DOI: 10.6084/m9.figshare.19928323.v1
title: Data collection instrument for hematological diseases in na outpatient setting: a validation study

description: ABSTRACT Objectives: to build and validate a data collection instrument for onco-hematological patients undergoing outpatient chemotherapy. Methods: methodological study that aimed to build a scientifically consistent data collection instrument to evaluate hematological patients. There were five stages: identification of empirical indicators, evaluation of empirical indicators by focus group, construction of the instrument, content validation by judges and clinical validation. Built based on the Theory of Basic Human Needs of Horta, adjusted by Garcias and Cubas. Results: the built instrument contains data on patient identification, perception and expectations related to the disease, assessment of psychobiological, psychosocial and psychospiritual needs. It reached 95% CVI, ensuring the instrument’s content validity and Cronbach’s alpha test with a reliability of 0.93. Conclusions: the instrument is a valid technology to assist nurses in data collection and may serve as a tool for onco-hematological nursing care, teaching and research.
DOI: 10.6084/m9.figshare.19928325
title: Association between social network and functional disability in brazilian elderly

description: ABSTRACT Objective: to verify the association between social network and functional disability in elderly Brazilians. Methods: a cross-sectional study with secondary data of 11,177 elderly people, available on Brazilian Institute of Geography and Statistics’ website. Social network components were having trusted friends/relative, living with their spouse, practicing social activity, performing voluntary or paid work. The outcome was functional disability, measured by the difficulty in performing instrumental and basic activities of daily living. Logistic regression models were used. Results: disability prevalence for instrumental activities was 28.0% (95%CI: 26.7-29.4), and for basic activities, 15.5% (95%CI: 14.4-16.6). Not having components social network components was associated with greater chances of functional disability, especially among women. Conclusion: there was an association between not having social network components with functional disability. There are differences in this association according to sex. Strengthening actions that expand social network can reduce the chance of this outcome in elderly people.
DOI: 10.6084/m9.figshare.19928325.v1
title: Association between social network and functional disability in brazilian elderly

description: ABSTRACT Objective: to verify the association between social network and functional disability in elderly Brazilians. Methods: a cross-sectional study with secondary data of 11,177 elderly people, available on Brazilian Institute of Geography and Statistics’ website. Social network components were having trusted friends/relative, living with their spouse, practicing social activity, performing voluntary or paid work. The outcome was functional disability, measured by the difficulty in performing instrumental and basic activities of daily living. Logistic regression models were used. Results: disability prevalence for instrumental activities was 28.0% (95%CI: 26.7-29.4), and for basic activities, 15.5% (95%CI: 14.4-16.6). Not having components social network components was associated with greater chances of functional disability, especially among women. Conclusion: there was an association between not having social network components with functional disability. There are differences in this association according to sex. Strengthening actions that expand social network can reduce the chance of this outcome in elderly people.
DOI: 10.6084/m9.figshare.19928326
title: Standard drug consumption: a study with elderly people in Primary Health Care

description: ABSTRACT Objective: To identify the pattern of medication consumption among the elderly assisted in Primary Health Care. Methods: Descriptive, quantitative, cross-sectional study, with a sample of 315 elderly people, in a city in rural Rio Grande do Norte. Results: The average age was 72.41 years, with an average consumption of 3.15 medications per day, ranging from 1 to 16 medications daily. There was a prevalence of antihypertensives, antidiabetics, hypolipidemic and psychotropic drugs. 238 different drugs were mentioned, 15 of which were “potentially inappropriate drugs” for the elderly. Most of these patients follow treatment according to medical prescription, with low self-medication. Most elderly people buy their drugs, although many are available for free. Conclusion: The most consumed drugs are consistent with the most reported diseases (hypertension and diabetes). The daily use of inappropriate medications for the elderly is worrying, especially psychotropics, given the risks of dependence or health complications of these users.
DOI: 10.6084/m9.figshare.19928326.v1
title: Standard drug consumption: a study with elderly people in Primary Health Care

description: ABSTRACT Objective: To identify the pattern of medication consumption among the elderly assisted in Primary Health Care. Methods: Descriptive, quantitative, cross-sectional study, with a sample of 315 elderly people, in a city in rural Rio Grande do Norte. Results: The average age was 72.41 years, with an average consumption of 3.15 medications per day, ranging from 1 to 16 medications daily. There was a prevalence of antihypertensives, antidiabetics, hypolipidemic and psychotropic drugs. 238 different drugs were mentioned, 15 of which were “potentially inappropriate drugs” for the elderly. Most of these patients follow treatment according to medical prescription, with low self-medication. Most elderly people buy their drugs, although many are available for free. Conclusion: The most consumed drugs are consistent with the most reported diseases (hypertension and diabetes). The daily use of inappropriate medications for the elderly is worrying, especially psychotropics, given the risks of dependence or health complications of these users.
DOI: 10.6084/m9.figshare.19928335.v1
title: Why does your pain never get better? Stigma and coping mechanism in people with sickle cell disease

description: ABSTRACT Objectives: to analyze the characteristics of stigma in the interactions of people with pain and sickle cell disease and the coping strategies adopted. Methods: qualitative study, conducted in Bahia’s reference units between January and July 2018. In-depth interviews were applied to 25 adults, followed by content analysis and interpretation in light of the Sociological Theory of Stigma. Results: four categories emerged from the data: Stigma in interactions with family members; Stigma in interactions with people in the general public; Stigma in interactions with health workers; and Strategies for coping with stigma. Final Considerations: in the participants’ interactions, stigma produced discrediting pain reports, labeling and stereotyping, blaming patients for not improving their health, discrimination, racism, inadequate pain assessment, and delay in care. Coping included silencing, covering up, aggressive behavior, exposure to risk, reading religious texts and praises, and church attendance.
DOI: 10.6084/m9.figshare.19928335
title: Why does your pain never get better? Stigma and coping mechanism in people with sickle cell disease

description: ABSTRACT Objectives: to analyze the characteristics of stigma in the interactions of people with pain and sickle cell disease and the coping strategies adopted. Methods: qualitative study, conducted in Bahia’s reference units between January and July 2018. In-depth interviews were applied to 25 adults, followed by content analysis and interpretation in light of the Sociological Theory of Stigma. Results: four categories emerged from the data: Stigma in interactions with family members; Stigma in interactions with people in the general public; Stigma in interactions with health workers; and Strategies for coping with stigma. Final Considerations: in the participants’ interactions, stigma produced discrediting pain reports, labeling and stereotyping, blaming patients for not improving their health, discrimination, racism, inadequate pain assessment, and delay in care. Coping included silencing, covering up, aggressive behavior, exposure to risk, reading religious texts and praises, and church attendance.
DOI: 10.6084/m9.figshare.19928337.v1
title: Creation and validation of a serial album for the prevention of Pressure Ulcer: a methodological study

description: ABSTRACT Objectives: to create and validate a serial album for Pressure Ulcer prevention in the hospital environment. Methods: a methodological study with the production of the serial album and validation by 22 judges and 22 patients. The content was based on the integrative review and the reports of the World Health Organization. It was considered a Content Validity Index equal to or greater than 80% in the items and the binomial test for the judges’ agreement. Results: the serial album entitled “Pressure Ulcer Prevention in the hospital environment” has 13 pages. In the content and layout validation, all items had an agreement above 80% among the participants. The overall Content Validity Index was 0.99 for the judges and 1.0 for the patients. Conclusions: the constructed and validated material presented itself as an adequate instrument to be used in health education activities.
DOI: 10.6084/m9.figshare.19928337
title: Creation and validation of a serial album for the prevention of Pressure Ulcer: a methodological study

description: ABSTRACT Objectives: to create and validate a serial album for Pressure Ulcer prevention in the hospital environment. Methods: a methodological study with the production of the serial album and validation by 22 judges and 22 patients. The content was based on the integrative review and the reports of the World Health Organization. It was considered a Content Validity Index equal to or greater than 80% in the items and the binomial test for the judges’ agreement. Results: the serial album entitled “Pressure Ulcer Prevention in the hospital environment” has 13 pages. In the content and layout validation, all items had an agreement above 80% among the participants. The overall Content Validity Index was 0.99 for the judges and 1.0 for the patients. Conclusions: the constructed and validated material presented itself as an adequate instrument to be used in health education activities.
DOI: 10.6084/m9.figshare.19928347.v1
title: Spatial-temporal analysis of leprosy in a priority Brazilian northeast municipality for disease control

description: ABSTRACT Objectives: to analyze the spatial-temporal distribution of leprosy in a priority municipality for leprosy control. Methods: ecological study, conducted in a city in the Northeast of Brazil, whose analysis units were census sectors. The study used compulsory notification data for cases registered between 2008 and 2017. TerraView software and the Batch Geocode tool was used for geocoding. The detection of spatial-temporal agglomerations of high relative risks was done by scanning statistics. Results: the spatial-temporal distribution of cases was heterogeneous, creating four agglomerations of high relative risks in the urban area of the municipality between the years 2008 and 2012; and annual prevalence rates classified from high to hyperendemic. Conclusions: areas of higher risk and concentration of the disease in space-time were linked to the characteristics of high population density and social vulnerability of these spaces, raising the prioritization of health professionals’ actions, systems, and services for control, and monitoring the disease.
DOI: 10.6084/m9.figshare.19928347
title: Spatial-temporal analysis of leprosy in a priority Brazilian northeast municipality for disease control

description: ABSTRACT Objectives: to analyze the spatial-temporal distribution of leprosy in a priority municipality for leprosy control. Methods: ecological study, conducted in a city in the Northeast of Brazil, whose analysis units were census sectors. The study used compulsory notification data for cases registered between 2008 and 2017. TerraView software and the Batch Geocode tool was used for geocoding. The detection of spatial-temporal agglomerations of high relative risks was done by scanning statistics. Results: the spatial-temporal distribution of cases was heterogeneous, creating four agglomerations of high relative risks in the urban area of the municipality between the years 2008 and 2012; and annual prevalence rates classified from high to hyperendemic. Conclusions: areas of higher risk and concentration of the disease in space-time were linked to the characteristics of high population density and social vulnerability of these spaces, raising the prioritization of health professionals’ actions, systems, and services for control, and monitoring the disease.
DOI: 10.6084/m9.figshare.19928356
title: Trend and factors associated with Tuberculosis-Diabetes Mellitus comorbidity in a Northeastern Brazilian municipality

description: ABSTRACT Objectives: to identify the trend and factors associated with Tuberculosis-Diabetes Mellitus comorbidity in Imperatriz, Maranhão. Methods: epidemiological temporal-series study, conducted in a Northeastern Brazilian municipality. The population consisted of Tuberculosis cases with Diabetes Mellitus-associated aggravation notified in the Notifiable Diseases Information System (SINAN) between 2009 and 2018. We determined the prevalence and trend of comorbidity using Prais-Winsten regressions and to identify associated factors employed Poisson regression. Results: prevalence ranged from 3.23% in 2014 to 19.51% in 2018, with a mean of 11.5% for the period, showing an increasing trend. Age groups 30 to 59 years and ≥ 60 years, education &lt; 8 years, and clinical form of pulmonary Tuberculosis were risk factors for comorbidity. Conclusions: The increasing trend of comorbidity and its associated factors alert us to the need to improve customer service at all levels of health care.
DOI: 10.6084/m9.figshare.19928356.v1
title: Trend and factors associated with Tuberculosis-Diabetes Mellitus comorbidity in a Northeastern Brazilian municipality

description: ABSTRACT Objectives: to identify the trend and factors associated with Tuberculosis-Diabetes Mellitus comorbidity in Imperatriz, Maranhão. Methods: epidemiological temporal-series study, conducted in a Northeastern Brazilian municipality. The population consisted of Tuberculosis cases with Diabetes Mellitus-associated aggravation notified in the Notifiable Diseases Information System (SINAN) between 2009 and 2018. We determined the prevalence and trend of comorbidity using Prais-Winsten regressions and to identify associated factors employed Poisson regression. Results: prevalence ranged from 3.23% in 2014 to 19.51% in 2018, with a mean of 11.5% for the period, showing an increasing trend. Age groups 30 to 59 years and ≥ 60 years, education &lt; 8 years, and clinical form of pulmonary Tuberculosis were risk factors for comorbidity. Conclusions: The increasing trend of comorbidity and its associated factors alert us to the need to improve customer service at all levels of health care.
DOI: 10.6084/m9.figshare.19928358.v1
title: Sustainability of the Breastfeeding-Friendly Primary Care Initiative: a cross-sectional study

description: ABSTRACT Objectives: to assess the sustainability of the Breastfeeding-Friendly Primary Care Initiative by analyzing compliance with the Ten Steps in accredited units; and association with maternal satisfaction and exclusive breastfeeding. Methods: a cross-sectional study conducted in 2016. An assessment of compliance, conducted by interviews with health professionals, pregnant women, and mothers. An association between compliance and satisfaction, analyzed by Spearman›s correlation test; and association between contextual/individual characteristics and exclusive breastfeeding, by the multilevel Poisson regression. Results: compliance was 5.4-10 points and satisfaction was 36.8%-100%. Prevalence of exclusive breastfeeding was 56.7%. There was a correlation between compliance and satisfaction. Higher education, prenatal orientation, hospital discharge on exclusive breastfeeding, attendance in mixed units, and female gender of the child were associated with higher prevalence of exclusive breastfeeding; on the other hand, increasing age and pacifier use were associated with lower prevalence. Conclusions: the Initiative proved to be sustainable; compliance with the Ten Steps was high and was reflected in maternal satisfaction.
DOI: 10.6084/m9.figshare.19928358
title: Sustainability of the Breastfeeding-Friendly Primary Care Initiative: a cross-sectional study

description: ABSTRACT Objectives: to assess the sustainability of the Breastfeeding-Friendly Primary Care Initiative by analyzing compliance with the Ten Steps in accredited units; and association with maternal satisfaction and exclusive breastfeeding. Methods: a cross-sectional study conducted in 2016. An assessment of compliance, conducted by interviews with health professionals, pregnant women, and mothers. An association between compliance and satisfaction, analyzed by Spearman›s correlation test; and association between contextual/individual characteristics and exclusive breastfeeding, by the multilevel Poisson regression. Results: compliance was 5.4-10 points and satisfaction was 36.8%-100%. Prevalence of exclusive breastfeeding was 56.7%. There was a correlation between compliance and satisfaction. Higher education, prenatal orientation, hospital discharge on exclusive breastfeeding, attendance in mixed units, and female gender of the child were associated with higher prevalence of exclusive breastfeeding; on the other hand, increasing age and pacifier use were associated with lower prevalence. Conclusions: the Initiative proved to be sustainable; compliance with the Ten Steps was high and was reflected in maternal satisfaction.
DOI: 10.6084/m9.figshare.19928359
title: Self-management support of adolescents with type 1 Diabetes Mellitus in the light of healthcare management

description: ABSTRACT Objectives: to analyze the self-management support needs of adolescents with type 1 diabetes mellitus. Methods: this qualitative research was carried out between September and December 2017 with nine adolescents in the pediatric outpatient clinic of a university hospital and in their homes. The material collected through semi-structured interviews was interpreted by thematic inductive analysis in the light of the healthcare management concept. Results: adolescents’ self-management support needs include longitudinal monitoring by health teams; family support in their training; support from the social network; and a careful look by government officials in the construction of guidelines for dispensing the essential inputs for treatment. However, these needs are not always met satisfactorily, resulting in gaps in this support. Final Considerations: these gaps interfere in resolving health demands. Self-care with fragmented support affects the healthcare management dimensions, making it impossible to meet the uniqueness of adolescents in a comprehensive, expanded and ethical way.
DOI: 10.6084/m9.figshare.19928359.v1
title: Self-management support of adolescents with type 1 Diabetes Mellitus in the light of healthcare management

description: ABSTRACT Objectives: to analyze the self-management support needs of adolescents with type 1 diabetes mellitus. Methods: this qualitative research was carried out between September and December 2017 with nine adolescents in the pediatric outpatient clinic of a university hospital and in their homes. The material collected through semi-structured interviews was interpreted by thematic inductive analysis in the light of the healthcare management concept. Results: adolescents’ self-management support needs include longitudinal monitoring by health teams; family support in their training; support from the social network; and a careful look by government officials in the construction of guidelines for dispensing the essential inputs for treatment. However, these needs are not always met satisfactorily, resulting in gaps in this support. Final Considerations: these gaps interfere in resolving health demands. Self-care with fragmented support affects the healthcare management dimensions, making it impossible to meet the uniqueness of adolescents in a comprehensive, expanded and ethical way.
DOI: 10.6084/m9.figshare.19928362
title: Venous ulcer healing treated with conventional therapy and adjuvant laser: is there a difference?

description: ABSTRACT Objectives: to evaluate the effects of venous ulcer healing in patients after six months of conventional treatment and adjuvant low-power laser therapy. Methods: prospective cohort study nested in a randomized clinical trial with 38 patients, allocated into an intervention group (conventional treatment and adjuvant laser therapy) and a control group (conventional treatment). Patients were followed up as outpatients, sociodemographic and clinical variables were collected, and indicators of the outcomes Wound healing: secondary intention (1103) and Tissue integrity: skin and mucous membranes(1101) of the Nursing Outcomes Classification. Generalized estimating equations, Kaplan-Meier tests, and robust Poisson regression were used in the analysis. Results: the clinical indicators Decreased wound size and Scar formation showed a statistically significant difference in the intervention group, higher number of healed wounds, lower rate, longer time to relapse. Conclusions: laser therapy adjuvant to conventional treatment returned better results in healing and lower recurrence rates after six months of intervention.