https://www.revistaestima.com.br/estima/issue/feedEstima – Brazilian Journal of Enterostomal Therapy2023-11-29T07:53:00-03:00Revista Estimarevistaestima@sobest.com.brOpen Journal Systems<p>The Brazilian Journal of Enterostomal Therapy – Revista Estima, is the only specialized journal in Stomatheraphy Nursing in Latin America, classified as Qualis B1 by the <em>Comissão de Aperfeiçoamento de Pessoal do Nível Superior</em> (CAPES), and is indexed in the following databases: BDENF - Base de dados de enfermagem (BVS – Biblioteca Virtual de Saúde), LILACS - Literatura Latino-Americana e do Caribe em Ciências da Saúde, CINAHL - Cumulative Index to Nursing and Allied Health Literature, CUIDEN - Base de Datos Bibliográfica de la Fundación Index, EBSCO publishing, LATINDEX - Sistema regional de información en línea para revistas científicas de América Latina, el Caribe, España y Portugal, SCHOLAR GOOGLE and Sumarios.org.</p> <p>Its scope contemplates the three comprehensive areas of the specialty: ostomies, wounds, and incontinence, as well as articles related to the professional development of the specialist. It is edited and produced by the <em>Associação Brasileira de Estomaterapia: Estomias, Feridas e Incontinências</em> (SOBEST), its first number was published in 2003, with a regular quarterly period until 2017. The content has been published continuously since January 2018.</p>https://www.revistaestima.com.br/estima/article/view/1412CULTURAL ADAPTATION AND CONTENT VALIDITY OF MEDICAL ADHESIVE-RELATED SKIN INJURY FOR PORTUGUESE IN BRAZIL2023-07-20T11:39:39-03:00 Evellyn Lima da Silva OliveiraMagali ThumPollyanna Santos Carneiro da SilvaPaula Cristina Nogueira Vera Lúcia Conceição de Gouveia Santos<p><strong>Objective</strong>: To culturally adapt the Medical Adhesive Related Skin Injury (MARSI) classification instrument to the Brazilian Portuguese and test the content validity of the adapted version. <strong>Method:</strong> Three phases comprised the cultural adaptation: translation, evaluation by a committee of judges composed of ten stomal therapists and back-translation. The project was approved by the Research Ethics Committee of the University of São Paulo. <strong>Results: </strong>A Portuguese version of the instrument was obtained after translation, which was guided by the Likert scale. The controversial and divergent terms were discussed by the committee of judges and their content was validated in a focus group, generating a content validity index of 0.9. The version was back-translated and approved by one of the instrument’s developer, who just suggested an adaptation to the concept of allergic contact dermatitis. <strong>Conclusion:</strong> The translated and culturally adapted version of MARSI classification instrument was obtained and its content validity attested. Tests regarding inter- and intra-observer reliability and concurrent validity are needed.</p>2023-10-25T00:00:00-03:00Copyright (c) 2023 Evellyn Lima da Silva Oliveira, Magali Thum, Pollyanna Santos Carneiro da Silva, Paula Cristina Nogueira , Vera Lúcia Conceição de Gouveia Santoshttps://www.revistaestima.com.br/estima/article/view/1368CLINICAL MANAGEMENT OF URINARY INCONTINENCE IN WOMEN BY FAMILY HEALTH STRATEGY NURSES2023-05-18T13:55:02-03:00Flaviane Ribeiro de SousaHelena Ferraz GomesLívia Fajin de MelloEllen Marcia PeresAreta Peixoto VellasquesBruna Maiara Ferreira Barreto Pires Fernanda Henriques da SilvaMaria Therezinha Nóbrega da SilvaPriscila Cristina da Silva Thiengo de AndradePatrícia Britto Ribeiro de JesusJaneide de Morais Caldas Andrade Vanessa Galdino de Paula Carolina Cabral Pereira da Costa <p><strong>Objective:</strong> To analyze the performance of nurses from the Family Health Strategy (ESF) in the clinical management of urinary incontinence in women in a planning area in the city of Rio de Janeiro (RJ), Brazil.<strong> Method:</strong> Descriptive research, with a quantitative approach, was carried out in seven Basic Health Units, in the city of Rio de Janeiro. The sample consisted of 27 nurses who worked in the ESF. Data analysis was performed using simple descriptive statistics, with a description of relative and absolute frequency. <strong>Results:</strong> Weaknesses were shown in the identification of aspects involving an early approach, risk factors for its development, treatment, and educational activities. <strong>Conclusion:</strong> Despite recognizing that the ESF has the resources for the treatment of uncomplicated urinary incontinence, some actions are not carried out by the nurses, such as involving the team in the care of women with this condition, prescribing exercises to strengthen the pelvic floor and evaluating and carry out non-pharmacologicaltreatment, as well as the investigation of women without complaints of urinary loss. Therefore, the results indicate the urgent need for training of nurses who work in the ESF.</p>2023-08-30T00:00:00-03:00Copyright (c) 2023 Flaviane Ribeiro de Sousa, Helena Ferraz Gomes, Lívia Fajin de Mello, Ellen Marcia Peres, Areta Peixoto Vellasques, Bruna Maiara Ferreira Barreto Pires , Fernanda Henriques da Silva, Maria Therezinha Nóbrega da Silva, Priscila Cristina da Silva Thiengo de Andrade, Patrícia Britto Ribeiro de Jesus, Janeide de Morais Caldas Andrade , Vanessa Galdino de Paula , Carolina Cabral Pereira da Costa https://www.revistaestima.com.br/estima/article/view/1396ENTREPRENEURSHIP IN STOMATHERAPY NURSING: POTENTIAL ASPECTS OF PERFORMANCE IN THE LABOR MARKET2023-04-25T09:13:53-03:00Livia Nunes Rodrigues LemeNorma Valéria Dantas de Oliveira SouzaAnabela de Sousa Salgueiro OliveiraVanessa Cristina MaurícioAdriana Bispo AlvarezCarolina Cabral Pereira da CostaSamira Silva Santos Santos SoaresFarias Chagas<p><strong>Objective:</strong> To analyze the potentiating aspects of entrepreneurial activities described by stomal therapist nurses. <strong>Method:</strong> Qualitative, descriptive-exploratory study, carried out through semi-structured interviews, between January and April 2020, with 26 enterprising stoma therapists, supported by the non-probabilistic technique known as snowball. The collected data were fully transcribed and subsequently treated, applying the thematic content analysis technique. <strong>Results:</strong> Topics that pervaded the perception of entrepreneurship potential in stomatherapy were related, such as market demand and the vast entrepreneurial field of the specialty; clinical experience; the importance of indication by other patients and professionals; the influence of social media and the feeling of satisfaction with the development of the work activity. <strong>Conclusion:</strong> The analysis of the data allowed us to conclude that the cited potentiators may be a reflection of the reduced supply of specialized public services to the population, expanding the search for such specialists in a particular way, both by referring other patients and professionals and by searching through the social media, which expands the fields of action of the stoma therapist and can bring more satisfaction with their work as specialists.</p>2023-05-28T00:00:00-03:00Copyright (c) 2023 Livia Nunes Rodrigues Leme, Norma Valéria Dantas de Oliveira Souza, Anabela de Sousa Salgueiro Oliveira, Vanessa Cristina Maurício, Adriana Bispo Alvarez, Carolina Cabral Pereira da Costa, Samira Silva Santos Santos Soares, Priscilla Farias Chagashttps://www.revistaestima.com.br/estima/article/view/1397KNOWLEDGE AND PRACTICES ABOUT PREVENTION AND TREATMENT OF BURNS IN THE HOME ENVIRONMENT2023-05-30T10:18:55-03:00Isaque Souza da SilveiraLorraine Barbosa PeresNatália Barbato NettoLucas Eduardo Mello BarbozaDéborah Machado dos SantosMaria Luiza de Oliveira TeixeiraGenesis BarbosaRaquel Silva de PaivaAdriana Bispo Alvarez<p><strong>Objectives: </strong>To analyze the knowledge and practices of individuals on the prevention and treatment of burns in the home environment and to describe the educational nursing care in the prevention and treatment of burns in the home environment. <strong>Method: </strong>Convergent Care Research (PCA) carried out virtually, from June to August 2021, with people residing in the city of Macaé/RJ. <strong>Results: </strong>The survey included 16 participants, 81.25% (n=13) female, aged between 19 and 59 years. In the analysis of the interviews, it was possible to identify mistaken knowledge and practices about the prevention and treatment of burns, to be discussed in this study. <strong>Conclusion: </strong>Although there is knowledge about the knowledge and practices on the prevention and treatment of burns in the home environment, there was identification of wrong practices that can harm the correct treatment and prevention of injuries. The findings of this study point to the need to build materials and carry out educational practices with this population to reinforce preventive measures for burns.</p>2023-08-30T00:00:00-03:00Copyright (c) 2023 Isaque Souza da Silveira, Lorraine Barbosa Peres, Natália Barbato Netto, Lucas Eduardo Mello Barboza, Déborah Machado dos Santos, Maria Luiza de Oliveira Teixeira, Genesis Barbosa, Raquel Silva de Paiva, Adriana Bispo Alvarezhttps://www.revistaestima.com.br/estima/article/view/1401EFFECT OF TELENURSING ON THE ADAPTIVE PROCESS OF PEOPLE WITH INTESTINAL STOMA: CLINICAL TRIAL2023-06-28T10:57:30-03:00Luana Souza FreitasIsabelle Pereira da SilvaJulliana Fernandes de SenaLorena Brito do O'Breno Wagner Araújo Cosme da SilvaIraktania Vitorino DinizVera Lúcia Conceição de Gouveia SantosIsabelle Katherinne Fernandes Costa<p><strong>Objective:</strong> To analyze the effect of telenursing on the adaptive process of people with intestinal ostomy. <strong>Method: </strong>Randomized, single-blind clinical trial. The verification scale of the level of adaptation of the person with ostomy was applied, and two groups were formed. The control group received conventional care with professionals from the reference center, and the intervention group received conventional follow-up associated with the complementary intervention via telephone (three phone calls on the 20th, 40th and 60th day after initial contact). At the end of the intervention, the participants were evaluated again through the scale. Recruitment occurred from the first contact and had a sample of 16 participants in the intervention group and 17 in the control group. <strong>Results:</strong> There was a similarity in the levels of adaptation at baseline between the two groups. However, post-intervention data showed a significant difference between the groups during the study and lower values of the means of the control group compared to the measures of the intervention group, demonstrating a higher level of adaptation in the intervention group. <strong>Conclusion:</strong> The study verified the effect of telenursing on the adaptive process of the person with a stoma and suggests benefits in complementary monitoring via telenursing at the level of adaptation of people with a stoma after ≤ 12 months of surgery.</p>2023-09-05T00:00:00-03:00Copyright (c) 2023 Luana Souza Freitas, Isabelle Pereira da Silva, Julliana Fernandes de Sena, Lorena Brito do O', Breno Wagner Araújo Cosme da Silva, Iraktania Vitorino Diniz, Vera Lúcia Conceição de Gouveia Santos, Isabelle Katherinne Fernandes Costahttps://www.revistaestima.com.br/estima/article/view/1402CONTENT VALIDATION AND APPLICABILITY OF A NURSING CARE PROTOCOL FOR BURN VICTIMS2023-06-27T22:50:58-03:00Pamela Cristine Piltz CostaTerezinha de Jesus Lima de BritoLeonel dos Santos SilvaPaulo Ricardo Bittencourt GuimarãesLuciana de Alcantara NogueiraLuciana Puchalski Kalinke<p><strong>Objective:</strong> To build and validate a nursing care protocol to adult patients who suffered burns in a public hospital in the North region of Brazil and evaluate its applicability. <strong>Method:</strong> Methodological study that followed the steps: construction of the instrument; content validation using the Appraisal of Guidelines for Research & Evaluation II (AGREE II) assessment tool; and applicability analysis with a semi-structured questionnaire with the nursing team and by agreement and Kappa test. <strong>Results:</strong> In the situational diagnosis stage, the protocol was elaborated based on the literature review and validated by the specialists through the AGREE II instrument with a general content validity index value of 0.93 and through the analysis of applicability with Kappa test analysis, obtaining a value of 0.81, with almost perfect agreement. <strong>Conclusion:</strong> The protocol was structured with quality to guide the nursing team in assisting burned patients. Therefore, its use is indicated.</p>2023-09-28T00:00:00-03:00Copyright (c) 2023 Pamela Cristine Piltz Costa, Terezinha de Jesus Lima de Brito, Leonel dos Santos Silva, Paulo Ricardo Bittencourt Guimarães, Luciana de Alcantara Nogueira, Luciana Puchalski Kalinkehttps://www.revistaestima.com.br/estima/article/view/1407CONSTRUCTION AND VALIDATION OF AN EDUCATIONAL BOOKLET FOR THE PREVENTION OF FOOT INJURIES IN PEOPLE WITH DIABETES2023-09-01T09:03:16-03:00Beatrys Rosa Medeiros de MenezesLaís dos Santos Rocha SouzaLaís Cristina de Oliveira CaetanoMaria Júlia Pereira de SouzaCaroline Silva CamposKelli Borges dos Santos<p><strong>Objectives:</strong> To construct and validate by agreement an educational booklet on the prevention of foot injuries in people with diabetes mellitus. <strong>Method:</strong> Methodological study was carried out from January 2020 to November 2022 and developed in two phases: construction of the booklet, and validation by agreement of the material by expert judges. A content validity coefficient of at least 0.80 was considered to ensure material validation. <strong>Results:</strong> In the first phase, among the 29 items evaluated in the booklet, two supported less than the determined, and then modifications were made to the material. In the second phase, all items showed agreement greater than 0.80. <strong>Conclusion:</strong> The booklet was validated from the point of view of offering assistance to professionals in the process of health education with patients with diabetes.</p>2024-02-06T00:00:00-03:00Copyright (c) 2023 Beatrys Rosa Medeiros de Menezes, Laís dos Santos Rocha Souza, Laís Cristina de Oliveira Caetano, Maria Júlia Pereira de Souza, Caroline Silva Campos, Kelli Borges dos Santoshttps://www.revistaestima.com.br/estima/article/view/1358KNOWLEDGE OF NURSING STUDENTS ABOUT INTESTINAL ELIMINATION STOMAS2023-04-03T21:14:00-03:00Sandy Soares de SousaAugusto Cezar Antunes de Araujo FilhoAna Karine da Costa MonteiroPriscila de Oliveira Soares RochaYanneck Barbosa SilvaIara Maria Lima da SilvaSandra Marina Gonçalves Bezerra<p><strong>Objective:</strong> To investigate the knowledge of nursing students about intestinal elimination stomas. <strong>Method: </strong>Descriptive, exploratory, analytical study, with a quantitative approach, carried out in a public higher education institution in Piauí, Brazil, with 115 nursing students between the eighth and the tenth period of the course. The data collection was carried out through an online questionnaire composed of two instruments, one about the sociodemographic and school profile of the students, and the other about knowledge on intestinal ostomies or elimination. Data analysis was carried out through descriptive analysis (absolute and relative frequencies, means and standard deviation) and inferential analysis, in order to verify association between variables, with χ2 and Fisher’s exact tests. <strong>Results:</strong> Most nursing students have a deficit regarding aspects related to preoperative and immediate and mediate postoperative care. There was a statistically significant difference in the academic performance index variable, and it was observed that students with academic performance greater than 9 obtained a higher number of correct answers compared to the others. <strong>Conclusion:</strong> There are knowledge gapsamong nursing students, especially in nursing care in preoperative care, and in the immediate and mediate postoperative period, which in turn can compromise the quality of care provided.</p>2023-05-29T00:00:00-03:00Copyright (c) 2023 Sandy Soares de Sousa, Augusto Cezar Antunes de Araujo Filho, Ana Karine da Costa Monteiro, Priscila de Oliveira Soares Rocha, Yanneck Barbosa Silva, Iara Maria Lima da Silva, Sandra Marina Gonçalves Bezerrahttps://www.revistaestima.com.br/estima/article/view/1425CONSTRUCTION OF AN ALGORITHM OF CONDUCT OF SIGNS AND SYMPTOMS IN MALIGNANT NEOPLASTIC WOUNDS IN ADULTS2023-08-29T09:50:41-03:00Arielly Rosa Dantas FurtadoTais dos Passos SagicaMarcos José Risuenho Brito SilvaClarissa Porfírio MendesAlzinei SimorOdenilce Vieira PereiraAdams Brunno SilvaAline Maria Pereira Cruz Ramos<p><strong>Objective:</strong> To build an algorithm of conducts to control signs and symptoms of malignant neoplastic wounds in adults. <strong>Method:</strong> Methodological research, of an exploratory nature, for the construction-production of a clinical algorithm based on the scoping review. <strong>Results:</strong> A total of 107 studies was found in the databases, nine of which were included in this review. Four studies are randomized experimental studies, four are case studies and one is retrospective documentary observational study. Odor was the most addressed sign, followed by exudate, bleeding, infection, moisture-associated dermatitis, and pain. <strong>Conclusion:</strong> Gaps were observed, such as the need for more original and experimental studies, in addition to the lack of a specific descriptor for malignant neoplastic wound. However, it was possible to build an algorithm that offers conducts that are based on the literature for greater theoretical support and nursing safety in relation to cancer patients.</p>2024-02-06T00:00:00-03:00Copyright (c) 2023 Arielly Rosa Dantas Furtado, Tais dos Passos Sagica, Marcos José Risuenho Brito Silva, Clarissa Porfírio Mendes, Alzinei Simor, Odenilce Vieira Pereira, Adams Brunno Silva, Aline Maria Pereira Cruz Ramoshttps://www.revistaestima.com.br/estima/article/view/1432CONSTRUCTION AND VALIDATION OF AN EDUCATIONAL VIDEO FOR NURSES ON THE MANAGEMENT OF NEUROPATHIC ULCER ASSOCIATED WITH LEPROSY2023-07-04T11:55:48-03:00Camilla Borges Lopes SouzaMaria Girlane Sousa Albuquerque BrandãoPolicardo Gonçalves da SilvaAmanda Aparecida BorgesCésar Augusto Sangaletti TerçariolPaula Cristina NogueiraSoraia Assad Nasbine Rabeh<p><strong>Objectives:</strong> To build and validate an educational video for nurses on the management of neuropathic ulcers.<strong> Method:</strong> Methodological study carried out in four stages: script/storyboard production; content and face validation of the script/storyboard with judges in a virtual environment judges in July 2018; video editing; and semantic validation with representatives of the target audience. The video script was validated by nine specialists in the subject and eight technical judges. For semantic validation, a focus group was used with nine nurses, in August 2018, in an outpatient clinic of a higher education institution in Minas Gerais, Brazil. <strong>Results</strong>: The video was entitled “Evaluation for the management of neuropathic ulcer associated with leprosy” and lasted 18 minutes and 32 seconds. For all questions, a content validity index of more than 78% was obtained, in a single round. The suggestions issued by the judges promoted changes in the scenes, with the inclusion of images, photos, and more accessible language. <strong>Conclusion</strong>: The video was considered valid by judges and the target audience and may contribute to nurses’ updating on the subject, with positive effects on care for people with leprosy.</p>2023-10-02T00:00:00-03:00Copyright (c) 2023 Camilla Borges Lopes Souza, Maria Girlane Sousa Albuquerque Brandão, Policardo Gonçalves da Silva, Amanda Aparecida Borges, César Augusto Sangaletti Terçariol, Paula Cristina Nogueira, Soraia Assad Nasbine Rabehhttps://www.revistaestima.com.br/estima/article/view/1433THE BURDEN OF INFORMAL CAREGIVERS OF PEOPLE WITH PRESSURE INJURIES IN-HOME CARE2023-06-19T08:18:48-03:00Anderson de Mello FernandesMaria Girlane Sousa Albuquerque BrandãoMaria Lorena TeodoroPatrícia Carla ViannaMarta Cristiane Alves PereiraPaula Cristina NogueiraSoraia Assad Nasbine Rabeh<p><strong>Objective:</strong> To identify the overload of informal caregivers of people with pressure injuries in home care. <strong>Method: </strong>This is a descriptive and cross-sectional study carried out with 29 patients with pressure injuries and 29 informal caregivers, in March 2019, in the interior of São Paulo state, Brazil. An instrument was used to assess the sociodemographic and clinical profile of patients and caregivers, in addition to the Caregiver Burden Scale. <strong>Results:</strong> People with pressure ulcers were mostly men, elderly and with neurological problems. There was a predominance of female caregivers, with a mean age of 56 years. In the analysis of care overload, the most affected domains were isolation (x = 2.38), followed by general tension (x= 2.31) and disappointment (x = 2.06). The mean total burden was 2.02. As factors contributing to the burden, age, duration of injury, time dedicated to care, degree of kinship between the caregiver and the person with pressure injury and the presence of health problems self-reported by caregivers stood out. <strong>Conclusion:</strong> Informal caregivers of people with pressure injury have subjective impacts measured by the burden scale, mainly in the domains of isolation, general tension and disappointment, as a result of the involvement of a family member. Understanding the overload experience of care overload can contribute to the development of care strategies for family members/informal caregivers, to reduce the risk of exhaustion and illness.</p>2023-10-01T00:00:00-03:00Copyright (c) 2023 Anderson de Mello Fernandes, Maria Girlane Sousa Albuquerque Brandão, Maria Lorena Teodoro, Patrícia Carla Vianna, Marta Cristiane Alves Pereira, Paula Cristina Nogueira, Soraia Assad Nasbine Rabehhttps://www.revistaestima.com.br/estima/article/view/1444SCALE OF INJURIES RISK DUE TO XEROSIS IN HOSPITALIZED ELDERLY PEOPLE: DEVELOPMENT AND EVIDENCE VALIDITY2023-11-22T16:21:36-03:00Ronny Anderson de Oliveira CruzAntônio Carlos NarcisoCarla Braz EvangelistaJacira dos Santos OliveiraMarta Miriam Lopes Costa<p><strong>Objective:</strong> To describe the construction process and validation evidence of the risk assessment scale for the development of lesions associated with cutaneous xerosis in hospitalized elderly people. <strong>Method:</strong> Methodological study based on Pasquali’s psychometric validation through theoretical, empirical, and analytical analysis. Operationalization occurred in three stages: scope review, scale construction, and content validation by expertises. <strong>Results:</strong> The instrument is structured in 14 items, with an overall score ranging between 15 (low risk) and 53 (high risk), and presented a content validity coefficient of 0.926 based on the aspects theoretical relevance, theoretical dimension, clarity of language, and practical relevance. It also presented a general Cronbach’s alpha of 0.815, as well as a McDonald’s omega of 0.942, which reveals excellent internal consistency. <strong>Conclusion:</strong> The instrument showed evidence of validity and could contribute to nurses’ practice when integrating the skin care process for elderly people.</p>2024-02-06T00:00:00-03:00Copyright (c) 2023 Ronny Anderson de Oliveira Cruz, Antônio Carlos Narciso, Carla Braz Evangelista, Jacira dos Santos Oliveira, Marta Miriam Lopes Costahttps://www.revistaestima.com.br/estima/article/view/1446PREVALENCE OF AMPUTATIONS IN DIABETIC INDIVIDUALS TREATED AT A REFERRAL CENTER2023-09-25T08:18:25-03:00João Vitor Pereira dos SantosPaula Victoria Bittencourt AraújoClaudia Silva MarinhoRose Ana Rios DavidRayssa Fagundes Batista Paranhos<p>Diabetes Mellitus (DM) has high rates of morbidity and mortality due to its complications. <strong>Objective:</strong> To analyze the prevalence of amputations in individuals with DM treated at a referral center in Salvador, Bahia. <strong>Method:</strong> Cross-sectional study, with data from 160 medical records adult people with diabetes who suffered or not amputation, attended at the specialized outpatient service. Data analysis was performed using the Statistical Package for the Social Sciences®. The results are presented in absolute and relative frequencies, χ2 test and Fisher’s exact test, when appropriate, considering significance of 5%. <strong>Results:</strong> The prevalence of amputation was 53.75%. It was associated with male gender (p=0;00), time since diagnosis of DM greater than 10 years (p=0.046) and metabolic comorbidities (p=0.047). <strong>Conclusion:</strong> The high rates of amputations in males of productive and working age reveal the need to control DM and its comorbidities, as well as prevention of skin lesions that lead to amputation.</p>2023-11-08T00:00:00-03:00Copyright (c) 2023 João Vitor Pereira dos Santos, Paula Victoria Bittencourt Araújo, Claudia Silva Marinho, Rose Ana Rios David, Rayssa Fagundes Batista Paranhoshttps://www.revistaestima.com.br/estima/article/view/1475NURSING TELECONSULTATION FOR PEOPLE WITH SPINAL CORD INJURY: NURSES’ OPINION ON THE MAIN GUIDELINES2023-11-29T07:53:00-03:00Lisabel TabariIvone KamadaSoraia Assad Nasbine RabehPaula Cristina Nogueira<p class="p1"><strong>Objective:</strong> to identify the opinion of nurses on the main topics to be addressed in the nursing teleconsultation of a telerehabilitation program for spinal cord injuries. <strong>Methods:</strong> descriptive and exploratory study, carried out with experienced nurses in the rehabilitation of people with spinal cord injuries in a network of rehabilitation hospitals. 70 nurses participated in the study. The data were collected through self-administered questionnaires built on the Google Forms® platform and organized in an Excel® spreadsheet. A descriptive statistical analysis of objective responses and a categorical content analysis of discursive responses were performed. <strong>Results</strong>: Nurses considered it important to accompany people with spinal cord injuries in the transition from care to home and to provide guidance through social networks, telephones, and/or applications. It was found that the main topics to be addressed in the nursing teleconsultation in a telerehabilitation service are skin care and bladder and bowel reeducation. <strong>Conclusions</strong>: The nursing teleconsultation allows the exchange of information between the nurse of a specialized rehabilitation service and the person with a spinal cord injury in their home environment, encouraging learning and enabling the person’s co-participation and proactivity in managing their self-care.</p>2024-02-06T00:00:00-03:00Copyright (c) 2023 Lisabel Tabari, Ivone Kamada, Soraia Assad Nasbine Rabeh, Paula Cristina Nogueirahttps://www.revistaestima.com.br/estima/article/view/1352POST-OPERATIVE OF INTESTINAL OSTOMY: DIAGNOSIS AND NURSING INTERVENTIONS IMPLEMENTED IN CLINICAL PRACTICE2023-03-14T09:28:40-03:00Eduardo da Silva GomesAngélica DalmolinBruna Sodré SimonJonatan Machado DruzianEliane Raquel Rieth BenettiFernanda Cristóvão MartinsNara Marilene Oliveira Girardon-Perlini<p><strong>Objective:</strong> To identify nursing diagnoses and interventions implemented in clinical practice for patients in the postoperative period of intestinal ostomy based on the Theory of Basic Human Needs (NHB). <strong>Method: </strong>Quantitative, retrospective, and documentary study developed with 57 medical records of patients in the postoperative period of intestinal ostomy who were admitted to a general surgery unit of a hospital in the south of Brazil. Data were analyzed using descriptive statistics and grouped considering the NHB theory. <strong>Results</strong>: Twenty-five nursing diagnoses and 101 interventions were identified, which were mostly related to psychobiological NHB. The most frequent diagnoses were: Impaired tissue integrity (85.75%), and Risk of infection (26.25%). The nursing interventions checking vital signs (85.75%), and implementing colostomy/ileostomy care (80.5%) were characterized as the most prescribed ones. No diagnoses and interventions related to psychospiritual NHBs were obtained. <strong>Conclusion:</strong> The results revealed that nurses prioritized the psychobiological needs of patients, focusing care on the demands arising from the surgical intervention and its possible complications.</p>2023-05-30T00:00:00-03:00Copyright (c) 2023 Eduardo da Silva Gomes, Angélica Dalmolin, Bruna Sodré Simon, Jonatan Machado Druzian, Eliane Raquel Rieth Benetti, Fernanda Cristóvão Martins, Nara Marilene Oliveira Girardon-Perlinihttps://www.revistaestima.com.br/estima/article/view/1345NURSING DIAGNOSES AND INTERVENTIONS IN PATIENTS WITH CHRONIC WOUND IN PRIMARY AND SECONDARY CARE2023-03-20T20:26:18-03:00Iorrany Sunaly Neves BezerraRafaella Rodrigues Amorim FrotaClaudiomiro da Silva AlonsoEline Lima Borges BorgesTaysa de Fátima Garcia<p><strong>Objective:</strong> To identify nursing diagnoses and interventions related to patients with chronic wound produced by a specific system in primary and secondary care. <strong>Method:</strong> Descriptive study conducted between July and October 2022. We used data from the Systematization of Nursing Care in Wounds–anagerial (SAEFg) system. The study was approved by the Ethics and Research Committee, under Opinion no. 4.329.008/2020. <strong>Results:</strong> There were 314 records of diagnoses and 1,300 of nursing interventions. The main nursing diagnoses were: venous ulcer (17.6%), impaired wound healing and anxiety (7.6%), risk of falling (7.1%), risk of infection (6.7%), and pruritus (6.4%). The interventions were: prescribe/guide leg elevation (9.3%), guide not to scratch or use abrasive products (8.3%), examine skin conditions (7%), and describe/document wound characteristics (5.5%).<strong> Conclusion:</strong> The main nursingdiagnoses and interventions were about tegumentary, emotional and risk aspects such as fall and infection. The highest occurrence of records was in secondary care.</p>2023-05-29T00:00:00-03:00Copyright (c) 2023 Iorrany Sunaly Neves Bezerra, Rafaella Rodrigues Amorim Frota, Claudiomiro da Silva Alonso, Eline Lima Borges Borges, Taysa de Fátima Garciahttps://www.revistaestima.com.br/estima/article/view/1344RISK OF INJURY DEVELOPMENT DUE TO SURGICAL POSITIONING: AN OBSERVATIONAL STUDY2023-03-06T10:52:01-03:00Aline Coutinho Sento SéEduarda Borges dos Santos OliveiraLorena Lourenço Massarra de LimaRaquel Costa e Silva de OliveiraGesiane dos Santos TrivinoIvanete de Souza LobatoFlavia de Melo MedeirosLuana Cardoso PestanaRaquel Calado da Silva GonçalvesEduardo Ferreira GonçalvesVera Lúcia Freitas<p><strong>Objective:</strong> To classify the risk of developing injury due to surgical positioning.<strong> Method:</strong> Observational, longitudinal, prospective study with a quantitative approach carried out in a public hospital, with 135 patients undergoing elective surgery. Instruments containing sociodemographic, clinical, and surgical characteristics and a risk assessment scale for the development of injuries due to surgical positioning were used. Descriptive analysis, Fisher’s exact test or χ2 test and odds ratio association measure were used as appropriate. <strong>Results:</strong> Most participants were male (51.11%), adults (52.59%) and were classified as having a higher risk for developing injuries due to surgical positioning (51.85%). Elderly, hypertension, diabetes mellitus and urological surgeries were statistically significant (p < 0.05) for a higher risk of developing lesions. The incidence of pressure injuries was 0.74%, with observation only in the sacral region. <strong>Conclusion: T</strong>here was a greater risk of developing lesions due to surgical positioning and low incidence of pressure injury. Perioperative nursing should incorporate validated risk measurement tools into care practice for safe, individualized and quality care for surgical patients.</p>2023-06-02T00:00:00-03:00Copyright (c) 2023 Aline Coutinho Sento Sé, Eduarda Borges dos Santos Oliveira, Lorena Lourenço Massarra de Lima, Raquel Costa e Silva de Oliveira, Gesiane dos Santos Trivino, Ivanete de Souza Lobato, Flavia de Melo Medeiros, Luana Cardoso Pestana, Raquel Calado da Silva Gonçalves, Eduardo Ferreira Gonçalves, Vera Lúcia Freitashttps://www.revistaestima.com.br/estima/article/view/1340DIRECT COST OF TECHNOLOGIES FOR MANAGEMENT OF DEFINITIVE COLOSTOMY IN A SPECIALIZED SERVICE2023-03-06T10:48:28-03:00Claudiomiro da Silva AlonsoEline Lima BorgesAndré Monteiro Lima RuasTaysa de Fatima Garcia<p><strong>Objectives:</strong> To identify the direct cost of a specialized service with the use of collection equipment and adjuvants and to compare it with the simulated cost of intestinal self-irrigation in people with permanent colostomy.<strong> Method:</strong> Descriptive-exploratory study conducted through a quantitative approach in the form of multiple-case studies. The convenience sample consisted of 22 participants registered in a specialized service in the north of Minas Gerais, Brazil. Data collection was carried out in medical records from January 2019 to January 2020. <strong>Results:</strong> Among the participants, 59.1% had complications related to the ostomy and peristomal skin. Regarding collector/adjuvant equipment, the cost ranged from R$2,340.00 to R$5,535.00, average cost of R$4,050.01, and sample standard deviation of R$770.31.The average direct cost with colostomy self-irrigation was R$ 3,793.44. <strong>Conclusion:</strong> Theaverage direct cost of collection/adjuvant equipment was higher than that of colostomy self-irrigation, impacted by the presence of complications and the value of the colostomy protector.</p>2023-04-24T00:00:00-03:00Copyright (c) 2023 Claudiomiro da Silva Alonso, Eline Lima Borges, André Monteiro Lima Ruas, Taysa de Fatima Garciahttps://www.revistaestima.com.br/estima/article/view/1324KNOWLEDGE, ATTITUDE, AND PRACTICE OF PREGNANT WOMEN ABOUT URINARY INCONTINENCE: OBSERVATIONAL STUDY2023-02-01T09:05:20-03:00Gabriela Lima RibeiroMariana Luisa Veras FirmianoCamila Teixeira Moreira VasconcelosJosé Ananias Vasconcelos NetoMaria Helena Baena de Moraes LopesAna Kelve de Castro Damasceno<p><strong>Objectives:</strong> To assess the knowledge, attitude and practice (KAP) of pregnant women about urinary incontinence (UI), identify the prevalence of UI, assess its impact on quality of life (QoL) and identify factors associated with inadequate KAP in relation to UI. <strong>Methodology:</strong> Observational study carried out from May to November 2019 in the city of Fortaleza, Ceará, Brazil. Two instruments were used for data collection: one for sociodemographic, obstetric and urinary loss assessment and another for KAP assessment on UI. <strong>Results:</strong> 237 pregnant women participated. The prevalence of UI was 49.3% and a low impact on QoL was observed. Most had knowledge (89.6%) and inadequate practice both to prevent (89.2%) and to treat (78.8%). Low percentages of correct answers were identified related to knowledge about risk factors (46.8%), prevention (43.8%) and treatment of UI (42.8%). Despite this, the attitude was considered adequate for most women (98.5%). Absence of guidance on preparation of the<br />perineum for childbirth during prenatal care (p = 0.019), low education (p < 0.001), milder cases of UI (p = 0.027) and high-risk pregnancy (p = 0.004) were associated with inappropriate practice.<strong> Conclusions:</strong> knowledge about the causes, prevention and treatment of UI is insufficient and interferes with the management of this condition.</p>2023-04-18T00:00:00-03:00Copyright (c) 2023 Gabriela Lima Ribeiro, Mariana Luisa Veras Firmiano, Camila Teixeira Moreira Vasconcelos, José Ananias Vasconcelos Neto, Maria Helena Baena de Moraes Lopes, Ana Kelve de Castro Damascenohttps://www.revistaestima.com.br/estima/article/view/1323KNOWLEDGE OF UNDERGRADUATE NURSING STUDENTS ABOUT GENERAL WOUND CARE: OBSERVATIONAL STUDY2023-02-01T15:21:20-03:00Luis Fernando Reis MacedoJanyelle Tenório RodriguesKenya Waléria de Siqueira Coelho LisboaSarah de Lima PintoErika Galvão de Oliveira Yterfania Soares Feitosa<p><strong>Objective:</strong> To identify nursing students’ knowledge about general wound care. <strong>Methods:</strong> This is an observational-descriptive research conducted with final-year nursing undergraduate students from higher education institutions in the Cariri region, Ceara, Brazil. Data collection was developed through the sampling technique snowball or snowball sampling. The data were tabulated in Microsoft Excel Spreadsheet and later analyzed by simple descriptive statistics. <strong>Results:</strong> The sample included 211 nursing students, from the ninth (123) and tenth (88) semester, from public (50) and private (161) institutions. Among the students, 122 highlighted professors and scientific events as sources of searching for primary information about wounds, and that in their hospital internships they have skin assessment as part of the activities they perform (85.8%). About the knowledge, the data that showed the highest percentage are regarding aspects of wound assessment (98.6%), coverage (96.7%) and biological factors of healing (92.4%). The participants left to be desired in aspects of PU prevention (39.8%) and Braden scale, with 45% of correct answers. <strong>Conclusion:</strong> This study made it possible to identify the general knowledge about wounds of graduating nursing students.</p>2023-05-28T00:00:00-03:00Copyright (c) 2023 Luis Fernando Reis Macedo, Janyelle Tenório Rodrigues, Kenya Waléria de Siqueira Coelho Lisboa, Sarah de Lima Pinto, Erika Galvão de Oliveira , Yterfania Soares Feitosahttps://www.revistaestima.com.br/estima/article/view/1321TELENURSING TO PATIENTS WITH VENOUS ULCERS: GUIDELINES PROVIDED AND OUTCOME OF REMOTE MONITORING2022-12-12T09:40:44-03:00Jakeline Costa dos Santos Carolina Cabral Pereira da CostaSheila Nascimento Pereira de FariasPatrícia Alves dos Santos SilvaPatricia Britto Ribeiro de JesusRenata Nogueira da CostaNorma Valéria Dantas de Oliveira Souza<p><strong>Objectives:</strong> To identify the guidelines provided to patients with venous ulcers submitted to telenursing and describe the outcome that occurred with patients with venous ulcers monitored remotely. <strong>Method:</strong> Cross-sectional and documentary study, carried out with 159 medical records of patients with venous ulcers submitted to telenursing at an enterostomal therapy clinic in Rio de Janeiro, Brazil. The inclusion criteria were patients with a diagnosis of venous ulcer submitted to Telenursing, from April 2018 to February 2020. Data analysis was performed using descriptive statistics (absolute and relative frequency for categorical variables), aided by the application spreadsheet Microsoft Excel.<strong> Results:</strong> A balance was identified between the participants in relation to gender; had a mean age (standard deviation) of 68.07 (5.28); completed elementary school or incomplete high school; retirees or pensioners. It was found that 40.88% of the patients had at least one underlying disease,predominantly systemic arterial hypertension and diabetes mellitus. The most prevalent guidelines were: resting with the lower limbs elevated, using compressive therapy with elastic stockings or elastic bandage, and changing the secondary dressing at home.<strong> Conclusion:</strong> The findings show the need to expand the nursing actions developed at the clinic, seeking to provide comprehensive health to patients.</p>2023-04-16T00:00:00-03:00Copyright (c) 2023 Jakeline Costa dos Santos , Carolina Cabral Pereira da Costa, Sheila Nascimento Pereira de Farias, Patrícia Alves dos Santos Silva, Patricia Britto Ribeiro de Jesus, Renata Nogueira da Costa, Norma Valéria Dantas de Oliveira Souzahttps://www.revistaestima.com.br/estima/article/view/1316BIOSOCIODEMOGRAPHIC AND DIGITAL PROFILE OF PARTICIPANTS IN AN ONLINE EDUCATIONAL INTERVENTION ON COLOSTOMY2023-03-06T10:25:51-03:00Ana Karine da Costa MonteiroAna Karoline da Costa MonteiroRaissa Souza Matias Yarla Brena Araújo de Sousa BrasileiroMárcia Teles de Oliveira GouveiaAugusto Cezar Antunes de Araujo FilhoElaine Maria Leite Rangel Andrade<p><strong>Objective:</strong> To identify the biosociodemographic and digital profile of people with colostomy and caregivers who participated in the online educational intervention on colostomy. <strong>Method:</strong> Cross-sectional study carried out with 20 people with colostomy and 32 caregivers, in the period of September/November 2020, in an integrated health center in Teresina, Piauí, Brazil. Sociodemographic and clinical characterization instruments, computer and internet access, and basic digital proficiency submitted to statistical analysis were used. <strong>Results:</strong> Among people with colostomy and caregivers, 60% were male and 75% female. Temporary colostomy (55%) with bright red color and regular shape (80%) predominated. Most caregivers had a job (46.9%), and 8 hours/week were dedicated to care. The degree of digital proficiency was low (76.9%). <strong>Conclusion</strong>: The identification ofthe biosociodemographic and digital profile of the participants can contribute to the adoption of educational strategies according to digital maturity or the need for support for the use of technologies, to optimize health care and qualify the assistance provided.</p>2023-04-16T00:00:00-03:00Copyright (c) 2023 Ana Karine da Costa Monteiro, Ana Karoline da Costa Monteiro, Raissa Souza Matias , Yarla Brena Araújo de Sousa Brasileiro, Márcia Teles de Oliveira Gouveia , Augusto Cezar Antunes de Araujo Filho, Elaine Maria Leite Rangel Andradehttps://www.revistaestima.com.br/estima/article/view/1313SOCIODEMOGRAPHIC AND CLINICAL PROFILE OF PEOPLE WITH A STOMA DUE TO ONCOLOGICAL CAUSE: OBSERVATIONAL STUDY2022-12-11T11:37:06-03:00Thaís Vaz JorgeAntonio Dean Barbosa MarquesLuana Feitosa MourãoRodrigo Machado PinheiroAurilene Lima da SilvaDenise Gurgel Lima Zaranz Lopes<p><strong>Introduction:</strong> Cancer is caused by abnormal cell mutations. Colon and rectum cancer occupies the second position in the ranking of incidences in Brazil. <strong>Objective:</strong> To describe the sociodemographic and clinical profile of people with an ostomy due to cancer in the state of Ceará. <strong>Method:</strong> Epidemiological, observational, longitudinal study with a retrospective approach, carried out in Ceará, in medical records of patients monitored by the Service of Attention to the Patient with Stoma. <strong>Result:</strong> A total of 655 medical records were analyzed, in which most of the patients were female (53%), elderly (61.41%), retired and pensioner (46.9%), married (42%), with children (67.9%), whose predominant schooling was elementary school (34.2%); 72.8% had no comorbidities, did not use chemotherapy (54.5%), colostomy (64.7%), terminal (65.3%), definitive (46%), in the lower left quadrant (52.5%) , red (64.4%), oval (47.2%), low profile (44.6%) and pasty (33.9%), used a one-piece bag (60.6%), with an average of 10 bags monthly (95%), changing every 3 to 5 days (43.1%), without the need to use adjuvants (71%). <strong>Conclusion:</strong> A profile of patients should be drawn in order to improve assistance and planning of actions for this public.</p>2023-04-01T00:00:00-03:00Copyright (c) 2023 Thaís Vaz Jorge, Antonio Dean Barbosa Marques, Luana Feitosa Mourão, Rodrigo Machado Pinheiro, Aurilene Lima da Silva, Denise Gurgel Lima Zaranz Lopeshttps://www.revistaestima.com.br/estima/article/view/1310VALIDITY AND RELIABILITY OF THE EXPECTED RESULTS OF THE EVALUATION OF CHRONIC WOUND HEALING (RESVECH 2.0)2022-11-07T11:29:22-03:00Fernanda Maria Vieira da CruzElaine Aparecida Rocha DominguesThais Moreira São-JoãoUiara Aline de Oliveira<p><strong>Introduction:</strong> Wounds that are difficult to heal are a health problem due to their high prevalence and multifactorial etiologies. Treatment begins with the prescription of the appropriate therapeutic agent, followed by the use of instruments that allow the professional to document wound assessments. <strong>Objective:</strong> The study aims to evaluate the reliability and validity of the Brazilian version of the RESVECH 2.0 instrument in the context of difficult-to-heal wounds.<strong> Methods:</strong> A methodological study was carried out. Initially, participants were interviewed in order to establish a profile; then evaluations of difficult-to-heal wounds of any etiology (n = 179) were performed with RESVECH 2.0 and Pressure Ulcer Scale for Healing 3.0 (PUSH 3.0) instruments. <strong>Results:</strong> The psychometric properties evaluated were convergent construct validity, interobserver reliability and internal consistency. Internal consistency reliability showed the values of 0.561 and 0.535. Interobserver reliability showed a Kappa value ranging from 0.14 to 0.76 and an intraclass correlation coefficient (ICC) of 0.87. For convergent construct validity, Spearman’s correlation coefficient was applied to RESVECH 2.0 and PUSH 3.0 scores (n = 150); the coefficient obtained was 0.717. <strong>Conclusion:</strong> It is concluded that the instrument showed evidence of reliability and validity.</p>2023-03-01T00:00:00-03:00Copyright (c) 2023 Fernanda Maria Vieira da Cruz, Elaine Aparecida Rocha Domingues, Thais Moreira São-João, Uiara Aline de Oliveirahttps://www.revistaestima.com.br/estima/article/view/1371ENTEROSTOMAL THERAPY IN MEXICO2023-01-20T11:31:56-03:00Guadalupe María Lobo Cordero2023-04-20T00:00:00-03:00Copyright (c) 2023 Guadalupe María Lobo Corderohttps://www.revistaestima.com.br/estima/article/view/1453CHOOSING WISELY IN THE PRACTICE OF STOMATHERAPY2023-07-04T15:16:43-03:00Sônia Regina Pérez Evangelista DantasJuliano Teixeira MoraesGuilherme Brauner Barcellos2023-09-13T00:00:00-03:00Copyright (c) 2023 Sônia Regina Pérez Evangelista Dantas, Juliano Teixeira Moraes, Guilherme Brauner Barcelloshttps://www.revistaestima.com.br/estima/article/view/1403PERCEPTION OF PATIENTS LIVING WITH INTESTINAL STOMAS: REFLECTION IN THE LIGHT OF PHENOMENOLOGY2023-07-11T19:50:56-03:00Rafael Moreira do Nascimento Iasmin Freitas BessaRhayssa de Oliveira e AraujoIsabelle Katherinne Fernandes Costa<p><strong>Objective:</strong><span style="font-weight: 400;"> to present a reflection on the perception of patients living with intestinal stomas in the light of phenomenology, presenting Merleau-Ponty's assumptions as a philosophical basis. </span><strong>Method:</strong><span style="font-weight: 400;"> this is a reflective study based on the philosophical theoretical basis of phenomenology, presenting findings in the literature and the author's view on the topic addressed. </span><strong>Results:</strong><span style="font-weight: 400;"> perception isn't simply the thing visible to the eye, but it has a meaning in relation to the subjective interpretation of the observer, with the body as the center of observation. People with ostomies have an individual perception of the changes that the ostomy can bring to their lives, and in this aspect we can make a connection with Merleau's thoughts, in which the perception of the body and the being it presents itself in a particular way from the perspective of the observer. </span><strong>Conclusion:</strong><span style="font-weight: 400;"> This reflection enabled a better perception of patients living with intestinal ostomies, presenting, for each situation they experience, a positive or negative emotion, as a reflection of the body and mind relationship, enabled the understanding of the vision of people with ostomies before of the lived experiences from the corporal change based on the phenomenology of Merleau-Ponty's thoughts.</span></p>2023-11-25T00:00:00-03:00Copyright (c) 2023 Rafael Moreira do Nascimento , Iasmin Freitas Bessa, Rhayssa de Oliveira e Araujo, Isabelle Katherinne Fernandes Costahttps://www.revistaestima.com.br/estima/article/view/1260COMPUTER SYSTEMS TO AID IN WOUND HEALING: SCOPE REVIEW2022-08-07T23:30:43-03:00Cliciane Furtado Rodrigues Sandra Marina Gonçalves BezerraDario Brito Calçada<p><strong>Objective:</strong> To investigate studies that present computational systems to aid healing and systems which refer to the use of low-level laser.<strong>Method: </strong>Scope review that aimed to answer the question: Which computer systems help in wound healing? A subquestion was: Which of the computer systems refer to the use of low-level laser? <strong>Results: </strong>From the search, applying the eligibility criteria, 49 articles made up the final sample. The systems served multiple purposes in support of wound healing; the majority presented the health professional as a user of the system; medicine was the most mentioned professional area despite nursing being involved in the management of care for people with wounds. Innovation in care using the computer system was frequently reported, demonstrating the importance of this type of tool for clinical practice. There was a high frequency of the mobile platform, showing that this is a current trend. <strong>Conclusion:</strong>Computer systems have been used as tools to support patients and especially professionals in wound healing. Regarding the systems aimed at the low intensity laser, there was a shortage of computer systems for this purpose, with a study.</p>2023-03-01T00:00:00-03:00Copyright (c) 2023 Cliciane Furtado, Sandra Marina Gonçalves Bezerra, Dario Brito Calçadahttps://www.revistaestima.com.br/estima/article/view/1350IMMERSIVE VIRTUAL REALITY IN PAIN RELIEF IN PATIENTS WITH BURNS: SYSTEMATIC REVIEW AND META-ANALYSIS2023-06-18T14:40:45-03:00Vanusa Pereira de Souza RochaCamila Chrispim PercilianoMaria Lucia Barbosa Maia dos SantosAdriana Marques da SilvaAna Cristina dos Santos Monteiro<p><strong>Objective:</strong> Evaluating the use of immersive virtual reality as a non-pharmacological intervention for pain relief and opioid consumption during dressing changes in patients with burn injuries. <strong>Methods:</strong> This review considered study designs, randomized clinical trials, non-randomized controlled trials, without restriction on the year of publication. An extensive search in six electronic databases (PubMed; EMBASE, Web of Science, CINAHL, Cochrane Library, Clinicaltrial.gov) was performed. RevMan version 5 software was used to carry out a meta-analysis. The certainty of the evidence was analyzed using GRADE. <strong>Results:</strong> Included 10 articles, total of 514 patients, aging 5 to 80 years old. In a combined analysis of pain variables, time thinking about pain from eight studies, the result favored the use of immersive virtual reality compared to control, the Standardized Mean Difference (SMD -0.86; 95% CI -1.22 - 0.49 N = 772 I2 = 82%). <strong>Conclusion:</strong> The evidence compiled in this review supports the use of immersive virtual reality to reduce pain.</p>2023-12-07T00:00:00-03:00Copyright (c) 2023 Vanusa Pereira de Souza Rocha, Camila Chrispim Perciliano, Maria Lucia Barbosa Maia dos Santos, Adriana Marques da Silva, Ana Cristina dos Santos Monteirohttps://www.revistaestima.com.br/estima/article/view/1329USE OF PHOTOBIOMODULATION IN THE TREATMENT OF BREAST POSTPARTUM INTERCURRENCY: INTEGRATIVE REVIEW2023-02-01T15:26:49-03:00Anicheriene Gomes de OliveiraCamila Maria Silva Paraizo-HorvathEliana Peres Rocha de Cravalho Leite Patrícia Scotini Freitas Fábio de Souza TerraEliza Maria Rezende Dázio<p><strong>Objective:</strong> To analyze the evidence available in the literature about the use of photobiomodulation in the treatment of breast complications in the postpartum. <strong>Method:</strong> Integrative review of manuscripts in National Library of Medicine National Institutes of Health (PubMed), Web of Science, Latin American and Caribbean Health Sciences Literature (LILACS), Cumulative Index to Nursing and Allied Health Literature (CINAHL), EMBASE, and Scopus databases. Original articles written in Portuguese and English were included, analyzed according to the level of evidence and methodological quality. <strong>Results:</strong> The sample consisted of five articles. Based on the analysis of the results, three thematic categories were created: types of photobiomodulator used in breast complications, effects of photobiomodulators on healing of breast complications, and effects of photobiomodulators on reducing nipple pain. Both light-emitting diode (LED) and laser photobiomodulators were effective in the treatment of nipple trauma, as the application accelerated the healing process. Low-intensity laser therapy was found to be effective intreating nipple injuries in nursing mothers with pain, providing relief and prolonging exclusive breastfeeding. The single application laser protocol was not effective in reducing pain in women with damaged nipples. <strong>Conclusion: </strong>This study is an effort to mitigate existing gaps between nursing assistance and research, as it contributes to care based on evidence-based practice.</p>2023-05-31T00:00:00-03:00Copyright (c) 2023 Anicheriene Gomes de Oliveira, Camila Maria Silva Paraizo-Horvath, Eliana Peres Rocha de Cravalho Leite , Patrícia Scotini Freitas , Fábio de Souza Terra, Eliza Maria Rezende Dáziohttps://www.revistaestima.com.br/estima/article/view/1292CHEMICAL AND PHARMACOLOGICAL PROPERTIES OF THE GENUS COPAIFERA IN THE TREATMENT OF INJURIES/WOUNDS: INTEGRATIVE REVIEW2022-10-31T22:59:04-03:00Maria Neyze Martins FernandesLuis Fernando Reis MacedoVithoria Regia Teixeira RodriguesEmanuel Messias Silva FeitosaMarcolino Ribeiro SilvaRhuana Alves MoreiraLuis Rafael Leite Sampaio<p class="p1"><strong>Objective:</strong> To identify chemical and pharmacological properties of Copaifera in the treatment of injuries and wounds. <strong>Method:</strong> Integrative literature review conducted in the LILACS, MEDLINE, PubMed, Taylor & Francis and Scopus databases in January 2022, using the search strategy: “Chemical Properties” AND “Copaifera” AND “Wounds and Injuries” and “Pharmacology” AND “Copaifera” AND “Wounds and Injuries.” Original articles, full text, identified according to level of evidence, written in Portuguese, English or Spanish, were included.<strong> Results:</strong> In the primary search 261 articles were found. After systematized selection, 12 studies were selected for qualitative analysis. Species of the genus Copaifera have pharmacological properties favorable for wound treatment: control of inflammatory pain, reduction of inflammatory reaction, tissue reepithelialization and repair, angiogenesis, wound retraction and scar remodeling. Among the chemical properties associated with the treatment of injuries, the presence of bioactive compounds stand out: diterpenes, 3-hydroxy-copalic, sesquiterpenes, kolavic-15-methyl ester. Among the tested diterpenes, kaurenoic and copalic acids showed significant hemolytic activities. Only copalic acid and hardwickiic acid inhibited nitric oxide production in lipopolysaccharide-activated macrophages. <strong>Conclusion:</strong> Plants of the genus Copaifera have chemical and pharmacological properties favorable for the treatment of injuries and wounds.</p>2023-03-01T00:00:00-03:00Copyright (c) 2023 Maria Neyze Martins Fernandes, Luis Fernando Reis Macedo, Vithoria Regia Teixeira Rodrigues, Emanuel Messias Silva Feitosa, Marcolino Ribeiro Silva, Rhuana Alves Moreira, Luis Rafael Leite Sampaiohttps://www.revistaestima.com.br/estima/article/view/1311ALGORITHM FOR INDICATION OF COLLECTOR EQUIPMENT FOR STOMAS2022-10-25T22:36:04-03:00Silvia Karina Moreira SeifertFlávia MoraisLuciana Amaral Pereira Eliane Serafim Sponton<p><strong>Objective:</strong> To report the experience of a team of enterostomal therapists in the construction of an algorithm for the indication of collecting equipment for elimination stomas. <strong>Method:</strong> Experience report, from January 2018 to September 2019, on the process of building an algorithm to indicate collecting equipment for elimination stomas. <strong>Results:</strong> Based on certain clinical characteristics (assessment parameters) and the categorization of collecting equipment (solution), an algorithm was developed to indicate collecting equipment for elimination stomas. <strong>Conclusion:</strong> It is expected that this instrument can help nurses in their professional practice regarding the choice of collecting equipment and the construction of clinical protocols.</p>2023-02-09T00:00:00-03:00Copyright (c) 2023 Silvia Karina Moreira Seifert, Flávia Morais, Luciana Amaral Pereira , Eliane Serafim Spontonhttps://www.revistaestima.com.br/estima/article/view/1295PROPOSAL FOR A CLINICAL PROTOCOL FOR THE CONSERVATIVE TREATMENT OF URGE URINARY INCONTINENCE2022-10-06T10:16:29-03:00Gisela Maria AssisManuela de Mendonça Figueirêdo CoelhoTalita dos Santos RosaFranciele de Freitas de OliveiraCamilla Pinheiro Cristaldi da SilvaMaria Luiza Peixoto BritoVinicíus Alves de Alencar OliveiraCícera Clareliz Gomes AlvesAna Alinne Gomes da PenhaSarah Emanuelle Matias PenhaLuiz Rafael Leite Sampaio<p class="p1"><strong>Objective</strong>: To present a proposal for a clinical protocol for the conservative treatment of urge urinary incontinence. <strong>Method:</strong> Experience report based on existing scientific evidence and clinical experience of authors who perform nursing consultations for people with urge urinary incontinence, outlined in accordance with the Brazilian Ministry of Health’s proposal for the elaboration of clinical protocols. <strong>Results:</strong> A clinical protocol was proposed with nursing diagnosis and interventions based on the North American Nursing Diagnosis Association (NANDA) and Nursing Interventions Classifications (NIC), with systematized steps to verify the presence of related factors or conditions associated with the diagnosis, namely: hyperactive pelvic floor, anxiety, constipation, urinary tract infection, low fluid intake, inadequate sanitary behavior, diabetes mellitus, pelvic organ prolapse, high consumption of potential bladder irritants and persistence of symptoms. Soon after, the actions that should be implemented by the nurse were described in detail. <strong>Conclusion:</strong> It is considered that the flow and detailing of the actions presented can be adopted by nurses in order to identify and treat people with urge urinary incontinence, thus minimizing the prevalence of the problem and promoting the quality of life of these people.</p>2023-01-01T00:00:00-03:00Copyright (c) 2023 Gisela Maria Assis, Manuela de Mendonça Figueirêdo Coelho, Talita dos Santos Rosa, Franciele de Freitas de Oliveira, Camilla Pinheiro Cristaldi da Silva, Maria Luiza Peixoto Brito, Vinicíus Alves de Alencar Oliveira, Cícera Clareliz Gomes Alves, Ana Alinne Gomes da Penha, Sarah Emanuelle Matias Penha, Luiz Rafael Leite Sampaio