Estima – Brazilian Journal of Enterostomal Therapy https://www.revistaestima.com.br/estima <p>The Brazilian Journal of Enterostomal Therapy – Revista Estima, is the only specialized journal in Stomatheraphy Nursing in Latin America, classified as Qualis B2 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> SOBEST- Associação Brasileira de Estomaterapia en-US Estima – Brazilian Journal of Enterostomal Therapy 1806-3144 SOFTWARE DEVELOPMENT OF THE PRESSURE ULCER SCALE FOR HEALING (PUSH): AN INNOVATION STUDY https://www.revistaestima.com.br/estima/article/view/1156 <p><strong>Objective:</strong> To develop a software for pressure injury assessment and monitoring using the pressure ulcer scale for healing (PUSH). <strong>Method:</strong> This is a methodological research of technological innovation and software development. An application was developed to monitor pressure injuries using the PUSH created by National Pressure Ulcer Advisory Panel, and it went through the content validation process. <strong>Result:</strong> This study resulted in the first stage of an integrative review, in which nine articles were identified between the years 2012 and 2018. In the second stage, the process of building the application took place. It has 16 screens, among them PUSH scale, monitoring through graphics, and anamnesis. In the third stage, the content validation process was carried out, and it was obtained an overall content validity index of 0.95, an acceptable value to validate an instrument. <strong>Conclusion:</strong> It was observed that the software is applicable and serves as support to the clinical practice of the nursing professional.</p> Maria Elisiane Esmeraldo Feitosa Luis Rafael Leite Sampaio Joseph Dimas De Oliveira Yterfania Soares Feitosa Copyright (c) 2022 Maria Elisiane Esmeraldo Feitosa, Luis Rafael Leite Sampaio, Joseph Dimas De Oliveira, Yterfania Soares Feitosa https://creativecommons.org/licenses/by/4.0 2022-06-01 2022-06-01 20 VALIDATION WITH SPECIALISTS OF AN INSTRUMENT TO CLASSIFY THE COMPLEXITY OF ACUTE AND CHRONIC WOUNDS https://www.revistaestima.com.br/estima/article/view/1161 <p><strong>Objective:</strong> To validate the construction of a scale to classify the degree of complexity of acute and chronic wounds. <strong>Methodology:</strong> Methodological study developed in: situational diagnosis of the literature in search of instruments that classify injuries due to pregnancy signs, bibliographic research, construction of the scale and content validation of the scale with twelve judges. The Microsoft Power Point 2013 program was used to construct the technology, the snowball technique with 12 judges with expertise in the thematic area of acute and chronic injuries for validation. <strong>Results:</strong> The concordance rate among judges was considered to be greater than 0.80, for validation, the scale presented a global content validity index (CVI) of 0.99, presenting a great index in isolation, becoming validated. <strong>Conclusion:</strong> The scale was validated in objective, structure, presentation and relevance, which makes it possible to be an instrument that will contribute to the public and private system.</p> Tatyelle Bezerra Carvalho Luis Rafael Leite Sampaio Felipe Paulino da Silva Ana Caroliny Oliveira da Silva Vinícius Alves de Alencar Oliveira Tays Pires Dantas Fernanda Maria Silva Woneska Rodrigues Pinheiro Copyright (c) 2022 Tatyelle Bezerra Carvalho, Luis Rafael Leite Sampaio, Felipe Paulino da Silva, Ana Caroliny Oliveira da Silva, Vinícius Alves de Alencar Oliveira, Tays Pires Dantas, Fernanda Maria Silva, Woneska Rodrigues Pinheiro https://creativecommons.org/licenses/by/4.0 2022-06-01 2022-06-01 20 CARE OF FAMILY MEMBERS OF PEOPLE WITH MALIGNANT NEOPLASTIC WOUNDS AT HOME https://www.revistaestima.com.br/estima/article/view/1222 <p><strong>Objectives:</strong> To understand how caregivers of people with malignant neoplastic wounds perform care at home.<strong> Method:</strong> A qualitative study that involved seven relatives of people with malignant wounds undergoing treatment in a high complexity oncology unit. The data were produced through semistructured interviews and submitted to thematic content analysis, proposed by Bardin. <strong>Results:</strong> Seven family-caregivers, all female, young people who left work to dedicate themselves to the sick person were interviewed. Three categories emerged after content analysis: family members seek guidance to care for patients with malignant neoplastic wounds at home; they adopt strategies in wound care; and report the need for support from health professionals and institutions, because they face difficulties in care, especially in primary care units. <strong>Conclusion:</strong> Family members of people with malignant neoplastic wounds face difficulties, mainly due to the scarcity of technical knowledge and lack of support from health institutions and from professionals.</p> Taiane Rocha Lima Marcia Sandra Fernandes dos Santos Lima Evanilda Souza de Santana Carvalho Rayssa Fagundes Batista Paranhos Isabelle Félix Meira Araújo Anderson Reis de Souza Copyright (c) 2022 Taiane Rocha Lima, Marcia Sandra Fernandes dos Santos Lima, Evanilda Souza de Santana Carvalho, Rayssa Fagundes Batista Paranhos, isabelle Félix Meira Araújo, Anderson Reis de Souza https://creativecommons.org/licenses/by/4.0 2022-04-20 2022-04-20 20 ANALYSIS OF THE BUDGETARY IMPACT OF PRESSURE INJURY PREVENTION IN BEDRIDDEN ELDERLY https://www.revistaestima.com.br/estima/article/view/1196 <p><strong>Objective:</strong> To analyze the budgetary impact and the increase in costs of the incorporation of special surfaces for pressure management to prevent pressure injuries in bedridden elderly patients. <strong>Method:</strong> Budget impact analysis, following the recommendations of the budget impact analysis methodological guideline. Two possible scenarios were out lined. In the first (alternative) scenario, the elderly receives a prevention strategy that includes the use of a viscoelastic mattress as a pressure distribution surface and a change in position with a minimum interval of 2 hours. In the second scenario (reference), the elderly receives a prevention strategy that only includes a change in position with a minimum interval of 2 hours. All costs were estimated using the macro costing technique. <strong>Results:</strong> The results of the analysis of the budget impact speak in disfavor, therefore, contrary to the eventual incorporation of the viscoelastic mattress as a complementary strategy to the systematic change of decubitus, of at least every 2 hours as a measure to prevent pressure injuries. <strong>Conclusion:</strong> The use of high technologies will not always be the differential for the best clinical outcome of the patient and it can result in more cost to the system.</p> Dayane Ferreira de Castro Roberto Carlos Lyra da Silva Alessandra Santos Portela Kenia Oliveira Barbosa da Hora Monique de Sousa Furtado Sarah Lopes Silva Sodré Glycia de Almeida Nogueira Thyago Bernardo da Conceição Bruna Dutra da Costa Graziele Feliciano Cristino Fábio Gonçalves Ferreira Alcione Matos de Abreu Copyright (c) 2022 Dayane Ferreira de Castro, Roberto Carlos Lyra da Silva, Alessandra Santos Portela , Kenia Oliveira Barbosa da Hora, Monique de Sousa Furtado, Sarah Lopes Silva Sodré, Glycia de Almeida Nogueira, Thyago Bernardo da Conceição, Bruna Dutra da Costa, Graziele Feliciano Cristino, Fábio Gonçalves Ferreira, Alcione Matos de Abreu https://creativecommons.org/licenses/by/4.0 2022-06-30 2022-06-30 20 CLINICAL AND EPIDEMIOLOGICAL PROFILE OF PATIENTS SUBMITTED TO LOWER LIMB AMPUTATION https://www.revistaestima.com.br/estima/article/view/1212 <p><strong>Objective:</strong> To characterize the clinical and epidemiological profile of patients undergoing lower limb amputation in a public hospital in southern Piauí state, Brazil. <strong>Method:</strong> Retrospective and descriptive study, with document analysis and quantitative approach. Data collection took place in July and August 2021, using an instrument developed by the researchers. Data were processed using the statistical software Statistical Package for Social Sciences, version 20.0. <strong>Results</strong>: The sample consisted of 70 patients with a mean age of 65.59 years, most of them male (61.4%), brown (88.6%), married (48.3%), retired (42.9%), coming from other cities of Piauí (87.1%). Most patients (47.1%) had a comorbidity at the time of amputation, with diabetes mellitus (34.3%) being the most prevalent, followed by systemic arterial hypertension (12.9%). Diabetes was the main cause of amputation (48.6%), being the transfemoral level (42.9%) the most affected. All procedures were performed on an emergency basis, and most hospitalizations (94.3%) progressed to discharge. <strong>Conclusion:</strong> The findings of this study reveal that people with diabetes, males, and the elderly were the individuals who most underwent amputation, with the transfemoral level being the most performed.</p> <p> </p> Alessandra dos Santos de Araújo Rodrigues Andréa Pereira da Silva Adelzira Rodrigues Cardoso Augusto Cezar Antunes de Araujo Filho Kamilla Rocha Arrais Juan Victor da Silva Maiara Soares Gomes da Silva Rosilane de Lima Brito Magalhães Copyright (c) 2022 Alessandra dos Santos de Araújo Rodrigues, Andréa Pereira da Silva, Adelzira Rodrigues Cardoso, Augusto Cezar Antunes de Araujo Filho, Kamilla Rocha Arrais, Juan Victor da Silva, Maiara Soares Gomes da Silva, Rosilane de Lima Brito Magalhães https://creativecommons.org/licenses/by/4.0 2022-06-04 2022-06-04 20 LIVING WITH VITILIGO: IMPACT OF THE DISEASE ON THE INDIVIDUALS’ QUALITY OF LIFE https://www.revistaestima.com.br/estima/article/view/1231 <p><strong>Introduction:</strong> Vitiligo is a disease characterized by asymptomatic hypochromic and/or achromic macules, localized or generalized in the integumentary system. The visible depigmentation in the skin of the individual and usually exposed in daily life changes the body image, impacting their quality of life. <strong>Objective:</strong> To evaluate the quality of life of people living with vitiligo.<strong> Method:</strong> This is a cross-sectional study carried out with 86 individuals with vitiligo. For data collection, the Vitiligo-Specific Quality-of-Life Instrument questionnaire was used for quality of life. <strong>Results:</strong> Adult women (81.4%) (mean age 39 years old) with vitiligo had a medium impact on quality of life, and the factors that interfered with quality of life are related to intensified skin care, progression, and appearance of the disease. <strong>Conclusion:</strong> The vitiligo pathology interfered in the quality of life of adults. The factors that impacted quality of life were intensified skin care in leisure activities, the progression of the disease and the appearance of hypochromic spots.</p> Elaine Aparecida Domingues Fernanda de Sousa Silva Uiara Aline de Oliveira Kaizer João Paulo Soares Fonseca Ranile Santos Silva Alessandra Mara Oliveira Dzivielevski Copyright (c) 2022 Elaine Aparecida Domingues, Fernanda de Sousa Silva, Uiara Aline de Oliveira Kaizer, João Paulo Soares Fonseca, Ranile Santos Silva, Alessandra Mara Oliveira Dzivielevski https://creativecommons.org/licenses/by/4.0 2022-06-01 2022-06-01 20 ASSESSMENT OF PROFILE AND QUALITY OF LIFE OF ELDERLY PEOPLE WITH ELIMINATION OSTOMIES https://www.revistaestima.com.br/estima/article/view/1167 <p><strong>Objective:</strong> The aim of this study was to assess the epidemiological profile and quality of life of elderly people with elimination ostomy in a health region in Minas Gerais. <strong>Methods</strong>: This is a cross-sectional study carried out in a public health care service. To describe the profile, all medical records of elderly people with ostomy were evaluated. Then, quality of life was assessed using the City of Hope-Quality of Life-Ostomy Questionnaire. <strong>Results:</strong> There was a mostly female population (55.2%) with a mean age of 67 years (± 8.8). In 64%, the ostomies were definitive, with colorectal cancer being the main diagnosis (71%) and in 41.4% they were partially dependent on self-care. Regarding the assessment of quality of life, the domains of spiritual, physical and social well-being had better assessment indicators (8.1; 8.1; and 8.2 respectively). It was evident that the type of ostomy and the length of stay are negatively associated with the quality of life of people with ostomies. <strong>Conclusion:</strong> The quality of life of elderly people with an elimination ostomy was well evaluated, especially in the domains of physical, social and spiritual well-being.</p> Juliano Teixeira Moraes Mariella Oliveira Rodrigues Carolina Fernandes Santos Ana Anacleto Gonçalves Copyright (c) 2022 Juliano Teixeira Moraes, Mariella Oliveira Rodrigues, Carolina Fernandes Santos, Ana Clara Anacleto Gonçalves https://creativecommons.org/licenses/by/4.0 2022-05-23 2022-05-23 20 SOCIODEMOGRAPHIC AND CLINICAL CHARACTERIZATION OF CHILDREN WITH STOMA: AN EPIDEMIOLOGICAL STUDY https://www.revistaestima.com.br/estima/article/view/1171 <p><strong>Objective:</strong> To characterize the epidemiological clinical profile of children with ostomies treated in the outpatient clinic of a reference public teaching hospital for children in Brazil. <strong>Method:</strong> Descriptive, documentary, retrospective and quantitative study, carried out by extracting sociodemographic and clinical data from electronic medical records of children with ostomies, monitored from 2014 to 2018. The data underwent descriptive statistics, and in the analysis, the data were organized in a spreadsheet in Microsoft Excel version 2010, distributed in three tables, their values represented in absolute and relative frequency. <strong>Results:</strong> Of the 85 children with ostomy, there was a predominance of males, aged between 1 and 4 years. Anorectal anomaly was considered the main diagnosis. There was a high number of colostomies made. Contact dermatitis was the most frequent peristomal complication. There were difficulties in the routine of families attending the outpatient clinic, and the mother as the main caregiver. <strong>Conclusion:</strong> The study found relevant aspects related to care planning based on the demand of each child and health education for the prevention of complications, essential actions in the provision of safe and quality nursing care, as well as favoring the operationalization of public policies related to the health of children with ostomies.</p> Priscilla Vogado Correia Manuela Costa Melo Ana Lúcia da Silva Ivone Kamada Copyright (c) 2022 Priscilla Vogado Correia, Manuela Costa Melo, Ana Lúcia da Silva, Ivone Kamada https://creativecommons.org/licenses/by/4.0 2022-05-02 2022-05-02 20 CONSTRUCTION AND VALIDITY OF THE ADAPTATION LEVEL SCALE OF THE PERSON WITH OSTOMY https://www.revistaestima.com.br/estima/article/view/1191 <p><strong>Objective:</strong> To construct and validate the content of the scale for verifying the level of adaptation of the person with ostomy. <strong>Method:</strong> Methodological study involving two stages: construction based on two integrative literature reviews and qualitative study with people with stomas; and content validity with judges of the following criteria: behavioral, objectivity, relevance, clarity, simplicity, variety in relation to language; carrying out the pilot test with the target group; lexical and grammatical correction and resubmission to the content validity index. <strong>Results:</strong> in the first stage, thirteen items received suggestions for improvement, three items were unified by similarity and one was excluded. After the adjustments, a consensus was reached among the judges regarding the representativeness of the items and permanence in the modes based on the evaluated criteria. The target population judged the items as easy to understand, followed by grammatical and lexical correction. <strong>Conclusion:</strong> The scale presented evidence of content validity demonstrating consensus between the judges and the population.</p> Lays Pinheiro de Medeiros Suênia Silva de Mesquita Xavier Luana Souza Freitas Isabelle Pereira da Silva Lorena Brito do O Silvia Kalyma Paiva Lucena Renan Alves Silva Isabelle Katherinne Fernandes Costa Copyright (c) 2022 Lays Pinheiro de Medeiros, Suênia Silva de Mesquita Xavier, Luana Souza Freitas, Isabelle Pereira da Silva, Lorena Brito do O, Silvia Kalyma Paiva Lucena, Renan Alves Silva, Isabelle Katherinne Fernandes Costa https://creativecommons.org/licenses/by/4.0 2022-05-02 2022-05-02 20 MEDICAL DEVICE-RELATED PRESSURE INJURY: FREQUENCY AND ASSOCIATED FACTORS https://www.revistaestima.com.br/estima/article/view/1146 <p><strong>Objective:</strong> to analyze the occurrence of pressure injuries related to medical devices in patients admitted to an intensive care unit. <strong>Method:</strong> quantitative, observational, descriptive, prospective cohort study, carried out with 171 patients, from May 15 to August 31, 2018 in the intensive care units of a public hospital in the Federal District.<strong> Results:</strong> the main risk factors were the presence of pressure injuries at admission, with a significant association for the formation of pressure injuries related to medical devices (p=0.002), and patients who progressed to death, with an association for the formation of pressure injuries related to medical devices (p=0.012); medical device-related pressure injury incidence rate of 40.35%. <strong>Conclusion:</strong> the use of medical devices has grown, as well as the appropriation of these technologies in the critical care environment. The multidisciplinary team should be aware of the formation of pressure injuries related to medical devices that can affect hospitalized patients.</p> Euni de Oliveira Cavalcanti Ivone Kamada Copyright (c) 2022 Euni de Oliveira Cavalcante, Ivone Kamada https://creativecommons.org/licenses/by/4.0 2022-04-18 2022-04-18 20 ADHESION OF ASSISTANCE PROTOCOL ON NASOENTERAL CATHETER FIXATION https://www.revistaestima.com.br/estima/article/view/1165 <p><strong>Objective:</strong> To verify the adherence of the nursing team to a care protocol for the fixation of a nasoenteral catheter, after a health education action. <strong>Methods:</strong> Quantitative, cross-sectional, field, observational and descriptive study in a hospital in the city of Rio de Janeiro. It consisted of two stages: health education action on a nasoenteral catheter fixation protocol and data collection after health education action, in the form of non-participant observation, using an instrument containing information regarding the presence of fixation, type of fixation, record of the date of the procedure and conditions of fixation of the nasoenteral catheter. <strong>Results</strong>: Health education actions encompassed the participation of 133 nursing professionals. Of the 123 patients observed, 100% had fixation, the most prevalent being nasal fixation (60.16%/n = 74). In 68.29% (n = 84) there was no date record, 95.93 (n=118) and 87.80% (n = 108) had good cleaning and adherence conditions, respectively. <strong>Conclusion</strong>: A satisfactory result was not achieved regarding adherence to the type of fixation and registration of the date of the procedure. Despite the unsatisfactory adherence, there was a high positive correlation between the professionals’ adherence to the education actions and the correctness ratio of the type of fixation.</p> Aline Coutinho Sento Sé Raquel Costa e Silva de Oliveira Gesiane dos Santos Trivino Ivanete de Souza Lobato Flavia de Melo Medeiros Raquel Calado da Silva Gonçalves Luana Cardoso Pestana Eduardo Ferreira Gonçalves Teresa Tonini Nébia Maria Almeida de Figueiredo Copyright (c) 2022 Aline Coutinho Sento Sé, Raquel Costa e Silva de Oliveira, Gesiane dos Santos Trivino, Ivanete de Souza Lobato, Flavia de Melo Medeiros, Raquel Calado da Silva Gonçalves, Luana Cardoso Pestana, Eduardo Ferreira Gonçalves, Teresa Tonini, Nébia Maria Almeida de Figueiredo https://creativecommons.org/licenses/by/4.0 2022-03-23 2022-03-23 20 PODCASTING FOR EDUCATION IN ENTEROSTOMAL THERAPY DURING THE COVID-19 PANDEMIC https://www.revistaestima.com.br/estima/article/view/1207 <p><strong>Objective:</strong> To describe the experience of nursing academics on the use of podcast for education in enterostomal therapy during the pandemic of COVID-19.<strong> Method:</strong> Experience report on health education activity held between June and October 2021, which describes the creation of a podcast channel and disclosure of contents in stomatherapy.<strong> Results:</strong> Sixteen episodes approached the three stomatherapy study areas, one containing the introduction, eight on wounds, four on ostomies and three on incontinences. <strong>Conclusion:</strong> Through the use of the podcast to disseminate contents in stomach therapy, the practicality and cost-benefit of technology to implement distance health education were observed.</p> Sabrina de Oliveira Carvalho Gabriela Alves de Araújo da Silva Mayara Callado Silva Moura Bruna Karoline Ivo Santos Alynne Maria de Brito Medeiros Greice Miranda Duarte Cláudia Daniella Avelino Vasconcelos Grazielle Roberta Freitas da Silva Copyright (c) 2022 Sabrina de Oliveira Carvalho, Gabriela Alves de Araújo da Silva, Mayara Callado Silva Moura, Bruna Karoline Ivo Santos, Alynne Maria de Brito Medeiros, Greice Miranda Duarte, Cláudia Daniella Avelino Vasconcelos, Grazielle Roberta Freitas da Silva https://creativecommons.org/licenses/by/4.0 2022-06-23 2022-06-23 20 PLATELET-RICH PLASMA IN VENOUS ULCER HEALING: CASE REPORT https://www.revistaestima.com.br/estima/article/view/1158 <p><strong>Objective:</strong> To evaluate the evolution of tissue repair in venous ulcers treated with platelet-rich plasma. <strong>Methods: </strong>This is a case report with the application of platelet-rich plasma for the treatment of venous ulcers in a specialized clinic in a city in the south of Minas Gerais. At each session, 20 mL of blood was collected and distributed into four tubes with sodium citrate. The blood was centrifuged to extract platelet-rich plasma. Plasma was applied to the wound after cleaning with distilled water and polyhexamethylene biguanide solution. Subsequently, the lesion was covered with gauze impregnated with petrolatum and sterile gauze as a secondary coverage, associated with elastic compression therapy. <strong>Results:</strong> Prior to therapy, the ulcer had an area of 1.18 cm<sup>2</sup>. After five weeks of treatment with platelet-rich plasma, complete healing has occurred. <strong>Conclusion:</strong> Tissue repair occurred after five weeks of treatment without any complications.</p> Daniela Reis Moreno Elaine Aparecida Domingues Cláudio Avelar Vallim Ranile Santos Silva João Paulo Soares Fonseca Thuanny Brito Noguchi Copyright (c) 2022 Daniela Reis Moreno, Elaine Aparecida Domingues, Cláudio Avelar Vallim, Ranile Santos Silva, João Paulo Soares Fonseca, Thuanny Brito Noguchi https://creativecommons.org/licenses/by/4.0 2022-04-19 2022-04-19 20 IMPLEMENTATION OF A SERVICE FOR PEOPLE WITH PELVIC FLOOR DISORDERS https://www.revistaestima.com.br/estima/article/view/1132 <p><strong>Objective:</strong> the objective was to describe the technical operational procedures and clinical data related to the implementation of a health care program for people with pelvic floor disorders in a public secondary care service. <strong>Method:</strong> this is an experience report, based on experiences related to academic and professional assistance in the implementation of a service aimed at pelvic floor disorders in the Cariri region of Ceará, carried out from May to July 2021. <strong>Results:</strong> for the implementation of the service, the following strategies were adopted: tracking the health care network for people with pelvic floor disorders; organizational structuring of the service; capturing people with pelvic dysfunctions; start of care; and therapeutic follow-up. <strong>Conclusion:</strong> in view of the above, it is evident that the health care program for people with pelvic floor disorders could be implemented satisfactorily, considering the infrastructure, the significant amount of care provided and the therapeutic follow-up achieved. Thus, with this report, it is expected to contribute to the development of new outpatient services aimed at this area of work of the stomatherapist nurse and the multidisciplinary team.</p> Luis Rafael Leite Sampaio Francisca Clarisse de Sousa Tays Pires Dantas Natannael da Silva Pereira Lucas Cosmo de Meneses Luana de Souza Alves José Lucas de Souza Cicera Clareliz Gomes Alves Gislaine da Silva Rocha Sarah Emanuelle Matias Penha Francisco Vinícius Tomé Francisco Pereira Alves Rhuana Alves Moreira Copyright (c) 2022 Luis Rafael Leite Sampaio, Francisca Clarisse de Sousa, Tays Pires Dantas, Natannael da Silva Pereira, Lucas Cosmo de Meneses, Luana de Souza Alves, José Lucas de Souza, Cicera Clareliz Gomes Alves, Gislaine da Silva Rocha, Sara Teixeira Braga, Francisco Vinícius Tomé, Francisco Pereira Alves, Rhuana Alves Moreira https://creativecommons.org/licenses/by/4.0 2022-03-17 2022-03-17 20 HISTORICAL CONTEXT OF ENTEROSTOMAL THERAPY IN PORTUGAL https://www.revistaestima.com.br/estima/article/view/1235 Isabel Maria Ribeiro Morais Araujos dos Santos Cláudia Rocha Silva Copyright (c) 2022 Isabel Maria Ribeiro Morais Araujos dos Santos, Cláudia Rocha Silva https://creativecommons.org/licenses/by/4.0 2022-04-04 2022-04-04 20 URINARY INCONTINENCE IN YOUNG AND NULLIPAROUS WOMEN: ASSOCIATED FACTORS AND PREVALENCE https://www.revistaestima.com.br/estima/article/view/1168 <p><strong>Objective:</strong> To verify the prevalence and risk factors associated with urinary incontinence in nulliparous young women. <strong>Methods:</strong> Integrative literature review, performed by searching the following databases: Medical Literature Analysis and Retrieval System Online (MEDLINE), Latin American and Caribbean Literature in Health Sciences (LILACS), Spanish Bibliographic Index in Health Sciences (IBECS) and in the Nursing Database (BDENF), from March to June 2021, using the descriptors: “urinary incontinence”, “prevalence”, “women”, “students” and “young adult” combined with the Boolean operator “AND”. <strong>Results:</strong> The initial search resulted in 234 articles and, after applying the eligibility criteria, a final sample of 5 articles was obtained. After the analyses, a prevalence of urinary incontinence in young nulliparous women of 48% was evidenced. Risk factors were: high-impact physical activity, duration of physical activity, concomitant bowel and urinary symptoms. <strong>Conclusion:</strong> It was observed that the occurrence of urinary incontinence in nulliparous young women is a common condition. The associated risk factors demonstrate the need for health guidance to these women to avoid the chronification of the disease.</p> Erica Elice Lessa Ferreira Jabiael Carneiro da Silva Filho Marília Perrelli Valença Isabel Cristina Ramos Vieira Santos Copyright (c) 2022 Erica Elice Lessa Ferreira, Jabiael Carneiro da Silva Filho, Marília Perrelli Valença, Isabel Cristina Ramos Vieira Santos https://creativecommons.org/licenses/by/4.0 2022-03-28 2022-03-28 20 TOPICAL USE OF GREEN PROPOLIS FOR WOUND HEALING: A SYSTEMATIC REVIEW OF THE LITERATURE https://www.revistaestima.com.br/estima/article/view/1135 <p><strong>Objective:</strong> To systematically identify the effectiveness of the topical use of green propolis in the healing process of surgical wounds. <strong>Methods:</strong> Systematic review of the literature that considered the publications available in the databases: National Library of Medicine(PubMed/MEDLINE), LatinAmerican and Caribbean Health Sciences Literature (LILACS), The Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Web of Science. The risk of bias of the studies was analyzed using the Systematic Review Centre for Laboratory animal Experimentation (SYRCLE) tool. <strong>Results:</strong> The four studies analyzed used green propolis for the healing of surgically made lesions. All the selected studies were of experimental methodology, performed with animals. Two studies (50%) used the ethanolic extract of green propolis (at concentrations of 2.4% and 20%) and the other two studies (50%) used the hydroalcoholic extract of green propolis at 5.0%. <strong>Conclusion:</strong> The results showed that the topical use of formulated products based on green propolis promoted the healing of skin lesions, since it favored angiogenesis, the proliferation of fibroblasts and, consequently, the synthesis and deposition of collagen, as well as showed antimicrobial activity and showed.</p> Talita Faraj Faria Roberta Faraj Faria Ivone Kamada Lívia Cristina Lira de Sá Barreto Copyright (c) 2022 Talita Faraj Faria, Roberta Faraj Faria, Ivone Kamada, Lívia Cristina Lira de Sá Barreto https://creativecommons.org/licenses/by/4.0 2022-03-10 2022-03-10 20