Estima – Brazilian Journal of Enterostomal Therapy <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</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 QUALITY OF LIFE IN PEOPLE WITH VENOUS ULCERS AND THE CHARACTERISTICS AND SYMPTOMS ASSOCIATED WITH THE WOUND <p class="p1"><strong>Objective:</strong> to evaluate the quality of life of people with venous ulcers and correlate with the clinical characteristics and symptoms associated with the wound. <strong>Method:</strong> quantitative, cross-sectional and analytical study. For analyzes of associations of qualitative variables, the Chi-square and Fisher’s exact tests were applied, and for quantitative variables, Spearman’s correlation coefficient. The Pressure Ulcer Scale for Healing instrument was used to assess the wound and the Freiburg Life Quality Assessment Wound-wk for quality of life analysis. The study included 103 subjects with a wound time of more than six weeks, of venous etiology. <strong>Results:</strong> there was a correlation between the clinical characteristics of the venous ulcer and symptoms associated with quality of life. In the physical symptoms dimensions, people with venous ulcers had a worse score in relation to the pain symptom (p &lt;0.0001). Associated with this, clinical characteristics such as the appearance (p &lt;0.0001) and the area (p = 0.0037) of the wound also showed a correlation. Regarding the wound assessment scale (area, tissue in the wound and exudate), the worst score interfered with physical symptoms. <strong>Conclusion:</strong> the pain, size of the wound and its aspect negatively influences the quality of life of people with venous ulcers.</p> Uiara Aline de Oliveira Kaizer Elaine Aparecida Rocha Domingues Ana Beatriz de Toledo Saib Paganelli Copyright (c) 2021 Uiara Aline de Oliveira Kaizer, Elaine Aparecida Rocha Domingues, Ana Beatriz de Toledo Saib Paganelli 2021-01-19 2021-01-19 19 10.30886/estima.v19.968_PT PROFILE OF WOMEN WITH LEG ULCERS DUE TO SICKLE CELL DISEASE <p class="p1"><strong>Objective:</strong> to characterize the profile of women with leg ulcers resulting from sickle cell disease treated at a public health institution in Brazil. <strong>Method:</strong> historical cohort study conducted in the outpatient sector with a sample of women with sickle cell disease and leg ulcer, followed from 1998 to 2014. The data were extracted from the medical record and included sociodemographic, clinical and ulcer-related variables, and underwent descriptive statistical analysis. <strong>Results:</strong> of the 17 women, 64.7% were cured, 58.8% were aged between 30 and 39 years, 64.7% declared themselves brown, 70.6% were without partners, 41.2% had incomplete elementary education, 52, 9% had an income of 2 to 3 minimum wages, 70.6% were eutrophic and 82.4% used vitamin supplements. Women had a total of 29 ulcers, 52.9% had a single ulcer, 41.4% were located in the malleolar region, 55.17% were between 2 and 36 months, all classified as stage 3. The treatment was with coverings and Unna’s boot. <strong>Conclusion:</strong> the women received care from specialist nurses and most were cured with up to eight months of follow-up, which required a nursing consultation, including clinical evaluation, topical treatment and application of compression therapy.</p> Paula Gabriela Andrade Josimare Aparecida Otoni Spira Eline Lima Borges Maria de Lourdes Gomes Copyright (c) 2021 Paula Gabriela Andrade, Josimare Aparecida Otoni Spira , Eline Lima Borges, Maria de Lourdes Gomes 2021-02-09 2021-02-09 19 HEALING RATE IN DIABETIC FOOT ULCERS TREATED WITH BIOMEMBRANE AND HYDROCOLLOID POWDER: RANDOMIZED CLINICAL TRIAL <p class="p1"><strong>Objective:</strong> to evaluate the rate of healing in diabetic foot ulcers treated with a biomembrane of latex proteins from Calotropis procera (BioMem CpLP) when compared to powdered hydrocolloid. <strong>Method:</strong> randomized controlled clinical trial, registered by the Brazilian Clinical Trial Registry (REBEC), according to protocol RBR-98f3j9, carried out with eight people with diabetic foot, in a diabetic foot clinic, from March to July 2019. In the experimental group (n = 04), biomembrane was applied; in the control group (n = 04), hydrocolloid powder was used. The healing rate was assessed at 30 and 60 days after starting treatment. <strong>Results:</strong> no statistical differences were found between the healing rates of the control group and the experimental group in the temporal analysis of the initial 30 days (p = 0.726) and in the 60 days following the start of treatment (p = 0.562). <strong>Conclusion:</strong> BioMem CpLP presented healing rates similar to the conventional product, being an effective and low cost alternative for the treatment of diabetic feet.</p> Manuela de Mendonça Figueirêdo Coelho Luciana Catunda Gomes de Menezes Shérida Karanini Paz de Oliveira Ana Débora Alcantara Coêlho Bonfim Viviane Mamede Vasconcelos Cavalcante Juliano Teixeira Moraes Riksberg Leite Cabral Copyright (c) 2021 Manuela de Mendonça Figueirêdo Coelho, Luciana Catunda Gomes de Menezes, Shérida Karanini Paz de Oliveira, Ana Débora Alcantara Coêlho Bonfim, Viviane Mamede Vasconcelos Cavalcante, Juliano Teixeira Moraes, Riksberg Leite Cabral 2021-03-17 2021-03-17 19 PROFILE OF PATIENTS WITH URINARY INCONTINENCE IN A UNIVERSITY HOSPITAL OUTPATIENT CLINIC <p class="p1"><strong>Objective:</strong> to know the sociodemographic and clinical profile of people with urinary incontinence in an outpatient clinic of a University Hospital. <strong>Methods:</strong> cross-sectional study, using a semi-structured form with 63 women whowere awaiting care at the gynecology and urology outpatient clinics, between the months of July and August 2019. The data were processed in the software Statistical Package for the Social Sciences – SPSS 20.0. <strong>Results: </strong>interviews were carried out with women aged between 19 and 77 years. Of these, 55.6% maintained an active sex life; 85.7% had pre-existing disease; 69.8% presented urinary loss when coughing, sneezing, smiling, putting on weight and/or making efforts; 12.7% need to urinate as soon as they feel like it; and 17.5% had loss of urine in both situations. About 35% sought consultation due to low bladder and/or loss of urine; 27% had 4 to 5 pregnancies. Among the risk factors associated with urinary incontinence, 28.6% had diabetes mellitus, 61.9% had arterial hypertension, 82.5% used continuous medication, 11.1% was obese, 34.9% reported constipation problems and 74.6% underwent pelvic surgery. <strong>Conclusion:</strong> it was concluded that all women in the study had more than one risk factor for developing urinary incontinence, reinforcing their multifactoriality, as well as the importance of a holistic and multiprofessional treatment.</p> Francisca das Chagas Sheyla Almeida Gomes Braga Claudia Daniella Avelino Vasconcelos Benício Sandra Marina Gonçalves Bezerra Alice da Silva Allyne Quaresma Costa Edvania Soares dos Santos Roxana Mesquita de Oliveira Teixeira Siqueira Copyright (c) 2021 Francisca das Chagas Sheyla Almeida Gomes Braga, Claudia Daniella Avelino Vasconcelos Benício, Sandra Marina Gonçalves Bezerra, Alice da Silva, Allyne Quaresma Costa, Edvania Soares dos Santos, Roxana Mesquita de Oliveira Teixeira Siqueira 2021-03-22 2021-03-22 19 ANALYSIS OF THE DRESSING PRODUCTION RECORDS CARRIED OUT IN BRAZIL, 2017 – 2019 <p class="p1"><strong>Objective:</strong> to analyze the record of dressings in the different Health Information Systems (Sistemas de Informação à Saúde-SIS). <strong>Method:</strong> it is a descriptive study, based on secondary data, in the period between 2017 and 2019. The data were extracted from open access systems and national coverage, among them: 1) Sistema de Gerenciamento da Tabela de Procedimentos, Medicamentos, Órteses, Próteses e Materiais Especiais-SIGTAP (Management System for the Table of Procedures, Drugs, Orthoses, Prostheses and Special Materials); 2) Sistema de Informação da Atenção Básica-SISAB (Primary Care Information System); 3) Sistema de Informação Ambulatorial-SIA/SUS (Ambulatory Information System). <strong>Results:</strong> 74,032,134 simple dressings were registered, of which 46.1% in 2017, 27.1% in 2018 and 26.7% in 2019. Regarding the grade II curative procedure with or without debridement, there were 11,559,664, with a value of approved of R$ 380,142,162.10. Of which 31.6% in 2017, 32.6% in 2018 and 35.8% in 2019. The name of the dressing procedure differs from Primary Care for the other levels of care, although in SISAB the dressings are called simple dressing and special dressing, both are related to the SIGTAP code: 0401010023 - Dressing Grade I. While in SIA/SUS the procedures related to dressing are 0401010023 - Dressing Grade I; and 0401010015 - Grade II dressing, making it difficult to compare procedures. In SIGTAP, the professional stoma nurse is qualified only to register a dressing 0401010023 - Grade I dressing, with or without debridement.<strong> Conclusion:</strong> the study reveals the need for revision of the SIS, due to inconsistencies of information, in addition to the SIS not communicating with each other. Thus, the completeness of the data needs to be considered, otherwise the knowledge generated may not represent reality.</p> Scheila Mai Vânia Celina Dezoti Micheletti Fábio Herrmann Diani de Oliveira Machado Silvana Prazeres Copyright (c) 2021 Scheila Mai, Vânia Celina Dezoti Micheletti, Fábio Herrmann, Diani de Oliveira Machado, Silvana Prazeres 2021-06-16 2021-06-16 19 INCIDENCE AND FACTORS RELATED TO THE APPEARANCE OF PRESSURE INJURIES IN AN INTENSIVE CARE UNIT <p class="p1"><strong>Objectives:</strong> identify the incidence and characterize pressure injuries in an adult intensive care unit regarding the occurrence, locations and risk factors, and verify whether there is an association between these and the appearance of the injuries. <strong>Method:</strong> observational, cohort, prospective study, developed in an intensive care unit of a tertiary hospital, from October to December 2019. The population consists of adults on the first day of admission to the unit, without pressure injury at admission. Participants were monitored during hospitalization, sociodemographic and clinical variables, and risk assessment of developing a pressure injury, skin assessment and Braden scale were collected daily. Pearson’s chi-square tests and student’s t-test were used to assessing the relationship between variables and injuries. For the analyzes, a significance level (α) of 5% was considered. <strong>Results:</strong> 40 participants were included, 20% had pressure injuries with a predominance of stages 1 and 2; the main affected sites were the sacral region followed by the calcaneus. The average hospital stay was 23.38 days for the injured group and 5.77 days for the non-injured group; time showed a significant relationship with the appearance of lesions (p = 0.002). <strong>Conclusion:</strong> it was concluded that the most affected site was the sacral region and grade 1 was the most frequent staging; length of stay was the variable that influenced the appearance of injuries.</p> Jacqueline Marques Rodrigues Kemily Covre Gregório Ursula Marcondes Westin Danielle Garbuio Copyright (c) 2021 Jacqueline Marques Rodrigues, Kemily Covre Gregório, Ursula Marcondes Westin, Danielle Garbuio 2021-05-18 2021-05-18 19 CONTRIBUTIONS OF NURSES IN BASIC RESEARCH: DRESSING FIXATION MODEL FOR EXCISIONAL CUTANEOUS WOUNDS OF MICE <p class="p1"><strong>Objective:</strong> validate method of fixation of dressings on excisional cutaneous wounds of mice. <strong>Method:</strong> preclinical study. Sample made up of animals of the C57BL/6 strain, which had two excision wounds made in the dorsal region. Different methods and products, widely accepted in clinical practice, for fixing dressings in the animal model were evaluated. The evaluated outcomes were the length of stay of the dressing and the occurrence of adverse events. <strong>Results:</strong> crepe bandage, microporous tape and self adhesive bandage had a shorter residence time when compared to polyurethane film. This, in turn, varied the time when comparing different marks (E, F, G and H) and number of turns around the animal’s body. With 1 lap, the time varied from &lt;24 to 36 hours. With 2 laps, the marks E and G remained 48 and 96 hours, respectively, and F and H time &lt;24 hours. G-brand film, cut to size 3 cm x 15 cm, giving the mouse body 2 turns, kept the dressing for 96 hours. The skin remained intact, with no adverse event. <strong>Conclusion:</strong> a dressing fixation model for wounds in mice was created with a product available in Brazil and compatible with the animal’s body structure.</p> Gilmara Lopes Amorim Mariana Raquel Soares Guillen Puebla Cassini Vieira Lucíola da Silva Barcelos Eline Lima Borges Copyright (c) 2021 Gilmara Lopes Amorim, Mariana Raquel Soares Guillen, Puebla Cassini Vieira, Eline Lima Borges 2021-06-09 2021-06-09 19 PERCEPTIONS OF COLOSTOMY PATIENTS ABOUT NURSING CARE IN ONCOLOGY INPATIENT UNITS <p><strong>Objective:</strong> To analyze the perceptions of colorectal cancer patients using colostomy on the nursing care of the oncology inpatient units of a hospital in western Santa Catarina. <strong>Methods:</strong> Descriptive-exploratory study of qualitative approach carried out in the oncology inpatient units of the Hospital Regional do Oeste, in the period from January to August 2020, through a questionnaire containing sociodemographic data and semi-structured interview, applied to 20 patients with colorectal cancer using colostomy. The data were analyzed using Laurence Bardin’s Content Analysis.<strong> Results</strong>: The results indicated a prevalence of colostomy male patients, with a mean age of 60.25 years, married, retired, and with incomplete elementary education. From the qualitative analysis of the interviews emerged the category: patients’ perceptions of nursing care, which was subdivided into: nursing care with the bag and the stoma and nursing care during hospitalization. <strong>Conclusion:</strong> At the end of the survey, it is concluded that the colostomy patients perceive that the nursing staff performs the essential care of the bag and the stoma, including its exchange and hygiene during hospitalization, meeting the patients’ needs. In addition, they provide important guidance on the use of the devices, promoting health education.</p> Claudia Bruna Perin Andréia Machado Cardoso Alessandra Yasmin Hoffmann Vanessa Zancanaro Vanessa Manfrin Copyright (c) 2021 Claudia Bruna Perin, Andréia Machado Cardoso, Alessandra Yasmin Hoffmann, Vanessa Zancanaro, Vanessa Manfrin 2021-07-12 2021-07-12 19 SUBJECTIVITIES AND CHALLENGES OF PEOPLE LIVING WITH AN INTESTINAL OSTOMY <p><strong>Objective:</strong> Identify experiences of the person with intestinal ostomy related to their social life. <strong>Methods:</strong> Descriptive study, qualitative in nature, carried out with ten people with intestinal ostomy. Data collection was performed at the Stomatherapy Service of a teaching hospital in the Federal District, through semi-structured interviews relating to family and social experience before and after the ostomy.<strong> Results:</strong> Six men and four women participated, with a mean age of 49 years, most with a permanent colostomy. From the analysis, two categories emerged: “What is it like to live with an ostomy and its challenges”; and “Strategies developed in the face of changes”. In the first category, the following stand out: self-care, lack of adequate bathroom, work activity, eating habits, disruption of body image and embarrassing situations. In the second category, they seek to support religiosity, maintain positive feelings and preserve emotional balance. <strong>Conclusion:</strong> The ostomy interferes with family and social life. It was evident that the person with ostomy develops strategies to face changes. It is believed that social isolation stems, in part, from the lack of information from society, the lack of quality material that offers comfort and safety, and, finally, the lack of adapted public and private bathrooms.</p> Ana Lúcia da Silva Ana Beatriz Duarte Vieira Ritielly Hevelin Garrido de Moraes Simone Roque Mazoni Ivone Kamada Copyright (c) 2021 Ana Lúcia da Silva, Ana Beatriz Duarte Vieira, Ritielly Hevelin Garrido de Moraes, Simone Roque Mazoni, Ivone Kamada 2021-07-15 2021-07-15 19 SOCIODEMOGRAPHIC AND SANITATION AND HOUSING INDICATORS ON THE QUALITY OF LIFE OF PEOPLE WITH STOMA <p class="p1"><strong>Objectives:</strong> To analyze the relationships between the quality of life (QOL) of people with stoma with sociodemographic, clinical, lifestyle, sanitation, and housing indicators. <strong>Method</strong>: Cross-sectional study with a sample of 106 individuals with stoma interviewed from May to December 2019. A sociodemographic and clinical questionnaire and the City of Hope Quality of Life Ostomy Questionnaire were used. <strong>Results: </strong>Spiritual well-being (7.71 +/-1.09) was the best performing domain. Quality of life did not differ between men and women (p = 0.372), but was associated with education (&lt; 0.001) and family income (p = 0.025), diabetes (p = 0.008) and alcoholism (p = 0.044), drinking water conditions (p &lt; 0.001), garbage disposal (p = 0.021), having electricity (p = 0.034), housing type (p = 0.026), number of rooms (p = 0.023), and housing coverage (p = 0.021). <strong>Conclusion:</strong> worse socioeconomic, sanitation, and housing indicators appear to negatively impact the QOL of people with stomata.</p> Bianca Cristine Soares Ferreira Shirley Santos Martins Tamires Barradas Cavalcante João Ferreira Silva Junior Sueli Coelho da Silva Carneiro Copyright (c) 2021 Bianca Cristine Soares Ferreira, Shirley Santos Martins, Tamires Barradas Cavalcante, João Ferreira Silva Junior, Sueli Coelho da Silva Carneiro 2021-07-23 2021-07-23 19 STRATEGIES FOR THE PREVENTION OF FACIAL PRESSURE INJURIES CAUSED BY THE USE OF THE PRONE POSITION <p class="p1"><strong>Objective: I</strong>dentify the main strategies for preventing facial pressure injuries caused by the use of the prone position.<strong> Methods:</strong> Integrative literature review, carried out during the month of March 2021. Articles were searched in the MEDLINE, LILACS, BDENF and IBECS databases. The selected articles were written in English, Portuguese and Spanish, between 2016 and 2021. Duplicates and those that did not include the topic addressed were excluded. Initially, 29 articles were identified. After applying the inclusion and exclusion criteria, 10 articles resulted for analysis. <strong>Results:</strong> Of the complications related to the use of the prone position, 10 (100%) of the studies address the pressure injury as the main complication of this therapeutic maneuver. As for prevention strategies, the studies analyzed cite the change in position associated with the use of pads and hydrocolloids as the main preventive methods. <strong>Conclusion:</strong> The following strategies to prevent facial pressure injury by using the prone position were identified: change of decubitus at pre-established times; use of devices that provide relief from pressure points, such as pads and hydrocolloids; and the use of low-cost and easily accessible materials, such as adapted surgical sponges, respecting the anatomical structures of each patient.</p> Larissa de Lima Machado Bandeira Sarah Maria Osório de Carvalho Layane Raquel Ribeiro Calaça Geysa Maria dos Santos Rabelo Wesley Caio Ferreira Barbosa Bruno Abílio da Silva Machado Josiane Santos Silva Copyright (c) 2021 Larissa de Lima Machado Bandeira, Sarah Maria Osório de Carvalho, Layane Raquel Ribeiro Calaça, Geysa Maria dos Santos Rabelo, Wesley Caio Ferreira Barbosa, Bruno Abílio da Silva Machado, Josiane Santos Silva 2021-08-18 2021-08-18 19 APPLICATION OF THE DIAPER USE RATING SCALE IN A MEDICAL CLINIC OF A UNIVERSITY HOSPITAL <p><strong>Objetivos:</strong> aplicar a escala de avaliação do uso fraldas e absorventes (AUFA) nos pacientes internados na clínica médica; identificar e analisar os resultados dessa aplicação, o perfil sociodemográfico dos pacientes em vogo bem como repercussões à pele relacionadas ao uso de absorventes e fraldas. <strong>Método:</strong> estudo observacional transversal, descritivo e exploratório, realizado no setor de clínica médica do Hospital Universitário Clementino Fraga Filho (HUCFF/UFRJ), no período de novembro de 2019 a fevereiro de 2020, com amostra por conveniência de 46 pacientes. Ocorreu aplicação de ficha para levantamento de dados gerais e, após, a AUFA, que identificou as seguintes variáveis: condições da pele, envelhecimento da pele, capacidade cognitiva, capacidade motora e incontinências. <strong>Resultados:</strong> todos os 46 pacientes encontravam-se em uso de fralda, sendo metade mulheres e a outra metade homens, em grande maioria composta de idosos e sem diagnóstico de incontinência. Diante da aplicação e análise da AUFA, apenas 18 pacientes (39,14%) tinham indicação para uso de fraldas. Com o uso inadequado da fralda, 27 pacientes apresentaram lesão de pele decorrente de umidade, situação que se justificou pela ausência da observação de cuidados sistematizados para prevenção e tratamento de dermatite associada à incontinência nos pacientes avaliados. <strong>Conclusão</strong>: indica-se o uso da escala AUFA para identificar os pacientes que necessitam usar fralda, delimitando cuidados com seu manejo e prevenindo, assim, complicações e agravamentos da incontinência.</p> Felippe Sales Freitas Araújo Karina Chamma Di Piero Camila Castanho Cardinelli Copyright (c) 2021 Felippe Sales Freitas Araújo, Karina Chamma Di Piero, Camila Castanho Cardinelli 2021-10-26 2021-10-26 19 THE SATISFACTION OF THE PERSON WITH URINARY RETENTION IN THE USE OF DIFFERENT TYPES OF URINARY CATHETERS <p><strong>Objective:</strong> to assess the satisfaction of the person with urinary retention in the face of the use of different types of urinary catheters, as well as to compare and analyze different attributes of these after their use in clean intermittent catheterization (CIC). <strong>Method:</strong> descriptive exploratory cross-sectional study, developed in a reference clinic in the state of São Paulo, from February to March 2020. The sample consisted of 32 adults registered in the service, and who adopted the CIC as a form of bladder emptying . Data collection was performed through individual interviews using a semi-structured questionnaire. Data were analyzed using descriptive, inferential statistics and categorization of responses to open questions. <strong>Results:</strong> of the 32 users, 84% were male, with a mean age of 54.16 years, 81% performed the procedure between 1 and 5 years, with a frequency of 4 to 6 times a day (66%). Most respondents (73%) preferred the hydrophilic-coated polyurethane catheter, converging with the percentage of users satisfied with the same catheter. <strong>Conclusion:</strong> the most satisfying technology is the hydrophiliccoated polyurethane catheter due to several attributes such as lubrication, firmness, packaging, urethral slip, handling, rapid urine clearance and comfort</p> Andreia Bonello Mirelle Cristina Faci Marthyna Pereira de Mello Copyright (c) 2021 Andreia Bonello, Mirelle Cristina Faci, Marthyna Pereira de Mello 2021-10-29 2021-10-29 19 ADDRESSING THEMES RELATED TO STOMATHERAPY IN UNDERGRADUATE NURSING EDUCATION: DOCUMENT ANALYSIS <p><strong>Objective:</strong> discuss the approach of themes related to stomatherapy in Pedagogical Projects (PP) and syllabuses of undergraduate nursing courses from public institutions of higher education (PIHE) in the Brazilian Midwest. <strong>Method:</strong> documentary research, exploratory, with a qualitative approach, developed from March to June 2020. The nursing courses were located through access to the Ministry of Education’s online portal (e-MEC) and the PP and the subject syllabuss were accessed, when available. <strong>Results:</strong> The sample consisted of 17 graduation nursing courses. Themes related to stomatherapy are present in mandatory, elective or extension activities. It was identified a predominance of wound content in mandatory subjects, and the themes ostomy and incontinence are offered mainly in elective subjects or extension activities. <strong>Conclusion:</strong> the research aims to offer the PIHE subsidies for reflection and curriculum evaluation in the dissemination of topics related to stomatherapy in higher education in nursing.</p> Francielle Paula de Freitas Morais Paulo Henrique Fernandes dos Santos Fernanda Letícia Frates Cauduro Copyright (c) 2021 Francielle Paula de Freitas Morais, Paulo Henrique Fernandes dos Santos, Fernanda Letícia Frates Cauduro 2021-11-10 2021-11-10 19 NURSING TEAM KNOWLEDGE ABOUT PRESSURE INJURIES <p class="p1"><strong>Objective:</strong> to assess the level of knowledge of the nursing staff of the medical clinic of a university hospital about pressure injuries. <strong>Method:</strong> descriptive-exploratory study, approved by the Research Ethics Committee. Data were collected through a validated questionnaire. Fifty individuals participated, 35 nursing technicians and 15 nurses. <strong>Results:</strong> nursing technicians had an average of 83.5% and nurses had an average of 89.9%. A regression model was carried out to verify variables that influence the level of knowledge, and it was identified that having more than 5 years in the profession increases 1.61 times the chance that the professional has adequate knowledge. <strong>Conclusion</strong>: a weakness in knowledge about pressure injuries was identified. In view of the costs involved in the treatment and complications arising from these injuries, health institutions must implement educational actions about this condition.</p> Jaqueline Aparecida dos Santos Sokem Elaine Aparecida Mye Takamatu Watanabe Adriano Menis Ferreira Lillian Dias Castilho Siqueira Manuela de Mendonça Figueirêdo Coelho Fabiana Perez Rodrigues Bergamaschi Copyright (c) 2021 Jaqueline Aparecida dos Santos Sokem, Elaine Aparecida Mye Takamatu Watanabe, Adriano Menis Ferreira, Lillian Dias Castilho Siqueira, Manuela de Mendonça Figueirêdo Coelho, Fabiana Perez Rodrigues Bergamaschi 2021-12-06 2021-12-06 19 A BRAZILIAN CONSENSUS FOR THE CARE OF ADULTS WITH ELIMINATION OSTOMIES Maria Ângela Boccara de Paula Juliano Teixeira Moraes Copyright (c) 2021 Maria Ângela Boccara de Paula, Juliano Teixeira Moraes 2021-01-26 2021-01-26 19 FOLLOWING NORMA GILL’S FOOTSTEPS Isabel Cristina Ramos Vieira Santos Maria Angela Boccara de Paula Copyright (c) 2021 Isabel Cristina Ramos Vieira Santos, Maria Angela Boccara de Paula 2021-06-25 2021-06-25 19 THE SCENARIO OF ACADEMIC STOMATHERAPY LEAGUES IN BRAZIL <p>The search for deepening in specific areas has grown substantially in professional training, in order to investigate and share knowledge, together with active participation in practical activities, in order to preserve the inseparability of the teaching-research-extension tripod1 . Through this perception, strategies were adopted that promote immersion and articulation of knowledge between theory and practice, through the creation of Academic Leagues (AL), which consist of organizations characterized by their own statute, exempt from profit, composed of academics and oriented by professionals who are members of certain institutions, in an extracurricular manner.</p> Adriana Bispo Alvarez Cícera Clareliz Gomes Alves Viviane Mamede Vasconcelos Cavalcante Copyright (c) 2021 Adriana Bispo Alvarez, Cícera Clareliz Gomes Alves, Viviane Mamede Vasconcelos Cavalcante 2021-09-16 2021-09-16 19 ACUTE SKIN FAILURE AND PRESSURE INJURY IN THE PATIENT WITH COVID-19 <p class="p1"><strong>Objective:</strong> report the case of a critical patient with COVID-19 and show the main findings related to the injury considered acute skin failure (ASF), as well as perform his differential diagnosis with preventable pressure injury (PI). <strong>Method:</strong> observational, longitudinal, case report type study, developed in a hospital in São Paulo, in the intensive care unit (ICU) exclusively for people diagnosed with COVID-19. Data were collected from a single patient between March and September 2020. <strong>Results:</strong> A patient with complications from COVID-19 developed a skin lesion, initially defined as PI and later reclassified as ASF. The following findings corroborated the diagnosis: prolonged invasive mechanical ventilation, respiratory, renal and cardiac insufficiency and sepsis of respiratory focus. In addition, other aggravating factors, such as the use of vasoactive drugs, hemodynamic instability with intolerance to minimal repositioning, prolonged fasting and disseminated intravascular coagulopathy associated with coronavirus infection. <strong>Conclusion:</strong> the report shows that there are difficulties for the differential diagnosis between ASF and PI in clinical practice. This is a new concept, and it is essential that health professionals recognize the main factors associated with the appearance of ASF, many of which are also related to the development of PI, highlighting the need for individualized analysis of these injuries, and ensuring the implementation of interventions for prevention and treatment.</p> Aline Oliveira Ramalho Talita Santos Rosa Vera Lúcia Conceição de Gouveia Santos Paula Cristina Nogueira Copyright (c) 2021 Aline Oliveira Ramalho, Talita Santos Rosa, Vera Lúcia Conceição de Gouveia Santos, Paula Cristina Nogueira 2021-03-10 2021-03-10 19 CONSTRUCTION OF THE CARE NETWORK FOR SKIN LESIONS <p class="p1"><strong>Objective:</strong> describe the process of implementing the Rede de Atenção à Saúde em Lesões Cutâneas (Health Care Network for Skin Injuries) in the municipality of Divinópolis - MG. <strong>Method:</strong> it is an experience report on the implementation of a Health Care Network for Skin Injuries from the Programa de Educação Pelo Trabalho para Saúde (PET-Saúde/GraduaSUS) (Education Through Work for Health Program), from May 2016 to April 2018. Teachers and students from a public university and professional nurses linked to the Municipal Health Secretariat of the municipality participated in the actions. <strong>Results:</strong> it was possible to implement the Health Care Network for the prevention and treatment of skin lesions in a structured and systematic way. A flow of care, case supervision and clinical follow-up was established through the construction of an assistance protocol. <strong>Conclusion</strong>: the practical skill and scientific knowledge of students and health professionals for the treatment and management of skin lesions were developed, thus strengthening the teaching-service-community triad.</p> Daniel Nogueira Cortez Amanda Gonçalves Ferreira Isabela Rodrigues Ferreira Fernanda Moura Lanza Juliano Teixeira Moraes Copyright (c) 2021 Daniel Nogueira Cortez , Amanda Gonçalves Ferreira, Isabela Rodrigues Ferreira, Fernanda Moura Lanza, Juliano Teixeira Moraes 2021-03-30 2021-03-30 19 SKIN TEARS IN THE ELDERLY <p class="p1"><strong>Objectives</strong>: to identify in the scientific literature the knowledge produced about skin tears injuries in the elderly. <strong>Methods:</strong> it is an integrative literature review (2014-2019), carried out by searching the databases/platforms National Library of Medicine, Biomedical Answers and Biblioteca Virtual em Saúde, with descriptors and the Boolean operators “and” and “or ”. <strong>Results:</strong> from the bibliographic search, selection and analysis, eight articles made up the sample. For skin tears injuries in the elderly, four pillars of care emerged: maintenance of organic and tissue homeostasis with a focus on proper nutrition and hydration; avoid trauma to senile skin, providing a safe environment with suitable devices; and the systematization of health care and education for elderly skin care. <strong>Conclusion:</strong> as prevention mechanisms, primary prevention is achieved through a unique care plan and health education activities, focused on risk factors and vulnerabilities, minimizing damage and complications.</p> <p class="p1"> </p> Mayara Spin Marcelli Cristine Vocci Kyara Marcondes Sardeli Clarita Terra Rodrigues Serafim Bruna Cristina Velozo Regina Célia Popim Meire Cristina Novelli e Castro Copyright (c) 2021 Mayara Spin, Marcelli Cristine Vocci, Kyara Marcondes Sardeli, Clarita Terra Rodrigues Serafim, Bruna Cristina Velozo, Regina Célia Popim, Meire Cristina Novelli e Castro 2021-02-11 2021-02-11 19 RISK FACTORS AND PREVENTIVE INTERVENTIONS FOR PRESSURE INJURIES IN CANCER PATIENTS <p class="p1"><strong>Objective:</strong> identify and describe the risk factors for the development of pressure injuries in adult cancer patients and interdisciplinary preventive interventions. <strong>Method:</strong> integrative literature review. Data collection was carried out between March and April 2019 and December 2020, using the databases: BDENF; PubMed/Medline; Embase; Scopus; Cinahal and Web of Science. <strong>Results:</strong> the sample consisted of 16 articles published from 2008 to 2019. Among the risk factors identified, the following stand out: nutritional status, advanced age, incontinence and immobility; the interdisciplinary preventive interventions identified were: decubitus change, nutritional assessment and monitoring, skin care and use of support surfaces. <strong>Conclusion:</strong> further studies are needed to take a careful and assertive look at cancer patients.</p> Andressa Renata Camila Ribeiro Paula Cristina Nogueira Copyright (c) 2021 Andressa Renata , Camila Ribeiro, Paula Cristina Nogueira 2021-04-20 2021-04-20 19 USE OF ESSENTIAL OILS IN ONYCHOMYCOSIS: AN INTEGRATIVE REVIEW <p class="p1">Objective: identify in the literature how essential oils are used in onychomycosis. <strong>Methods:</strong> integrative review with searches performed in the MEDLINE/PubMed, Web of Science, Cochrane, SCOPUS and BVS databases, with 13 studies analyzed. <strong>Results:</strong> the use of essential oils Melaleuca alternifolia, Lavandula angustifolia, Eucalyptus citriodora and Foeniculum vulgare are effective and bring benefits in the treatment of onychomycosis, as they inhibit the mycelial growth of the nail fungus. Therefore, health professionals involved in the care of people with onychomycosis must keep themselves updated on such treatment alternatives and, consequently, on improving the care provided to these patients. <strong>Conclusion:</strong> the antifungal efficacy of a variety of oils has been proven with different forms of presentation and possible associations. However, the level of evidence presented was low, which justifies the need for more robust studies on the subject.</p> Taynnar Barbosa Ribeiro Jefferson Abraão Caetano Lira; Sandra Marina Gonçalves Bezerra Rosangela Aparecida Oliveira Aparecida Oliveira Raylane da Silva Machado Lídya Tolstenko Nogueira Copyright (c) 2021 Taynnar Barbosa Ribeiro, Jefferson Abraão Caetano Lira;, Sandra Marina Gonçalves Bezerra, Rosangela Aparecida Oliveira Aparecida Oliveira, Raylane da Silva Machado, Lídya Tolstenko Nogueira 2021-06-09 2021-06-09 19 USE OF DIALKYL CARBAMOYL CHLORIDE IN THE PREVENTION AND TREATMENT OF BIOFILM IN WOUNDS <p><strong>Objectives:</strong> The aim was to identify the benefits of using Dialkyl Carbamoyl Chloride for the treatment of biofilms in wounds. <strong>Methods:</strong> This is an integrative literature review that aimed to answer the guiding question: “What are the benefits of using Dialkyl Carbamoyl Chloride in the healing of skin lesions?”. The article selection stages resulted in 13 articles included. <strong>Results:</strong> The selected articles were grouped into two groups, namely: prevention and treatment of infection in wounds and prevention of surgical site infection, with nine productions in the first group and four in the second. Studies have shown that Dialkyl Carbamoyl Chloride attenuates colonization symptoms, such as odor, pain complaints and oozing, in addition to aiding in the prophylactic management of wound biofilm. Evidence indicates that dressings with Dialkyl Carbamoyl Chloride have no adverse effects, making them viable and safe options for chronic, acute and, mainly, infected injuries. <strong>Conclusion:</strong> It was identified that Dialkyl Carbamoyl Chloride was able to promote beneficial actions in the treatment of wounds, especially those of greater complexity. The proper choice of dressings and coverings can contribute to the rational use of existing technologies and antimicrobials, culminating in cost reduction and promotion of quality of life for individuals with chronic wounds.</p> Paula de Souza Silva Freitas Lucas Dalvi Armond Rezende Kelly Eduarda de Jesus Silva Bruno Henrique Fiorin Ramon Araújo dos Santos Aline Oliveira Ramalho Copyright (c) 2021 Paula de Souza Silva Freitas, Lucas Dalvi Armond Rezende, Kelly Eduarda de Jesus Silva, Bruno Henrique Fiorin, Ramon Araújo dos Santos, Aline Oliveira Ramalho 2021-07-16 2021-07-16 19 BENEFITS OF OZONE THERAPY IN THE TREATMENT OF FOOT ULCERS IN PEOPLE WITH DIABETES MELLITUS <p><strong>Objective:</strong> To identify the benefits of ozone therapy in the treatment of foot ulcers in people with diabetes mellitus. <strong>Method:</strong> Literature review carried out in the CINAHL, Cochrane Library, LILACS, PUBMED, SciELO, SCOPUS and Web of Science databases in the period between April and May 2020. In each database, the controlled descriptors were delimited in the Science Descriptors of Health and Medical Subject Headings, keywords defined: Ozone (Ozone), Diabetic Foot (Diabetic foot), with the help of the Boolean operator AND. <strong>Results:</strong> 14 primary studies were selected. Most studies have level II evidence, published in English, in different journals, from different parts of the world. 15 benefits of ozone therapy for the treatment of foot ulcers were identified, with a predominance of increased granulation tissue and intensification in the progress of tissue repair. <strong>Conclusion</strong>: The use of ozone therapy has shown several benefits in the progress in tissue repair of foot ulcers in people with diabetes, increased granulation tissue, promoted antiseptic and bactericidal activities, preventing oxidative stress.</p> Francisco Walyson Batista Thiago Araújo Maria Girlane Sousa Albuquerque Brandão Vanessa Aguiar Ponte Copyright (c) 2021 Francisco Walyson Batista, Thiago Araújo, Maria Girlane Sousa Albuquerque Brandão, Vanessa Aguiar Ponte 2021-07-23 2021-07-23 19 TECHNOLOGIES FOR HEALTH EDUCATION IN THE CARE OF PATIENTS WITH URINARY INCONTINENCE: AN INTEGRATIVE REVIEW <p><strong>Objective:</strong> analyze the technologies available in the literature used for health education in the care of people with urinary incontinence. <strong>Methods:</strong> integrative review, with database searches: Índice Bibliográfico Espanhol de Ciências da Saúde (IBECS), Base de Dados em Enfermagem (BDENF) via Biblioteca Virtual em Saúde (BVS), Medical Literature Analysis and Retrieval System Online via Pubmed (MEDLINE/PubMed) from the National Library of Medicine, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Scopus, Web of Science and Embase. The collection was carried out in February 2021, with the main descriptors: Urinary Incontinence, Educational Technology and Health Education. <strong>Results:</strong> 91 articles were selected, after analyzing the inclusion and exclusion criteria, there were only 5 productions that were selected, presenting as a strategy the technologies: multimedia course, videos, mobile application and book/booklet. The articles were published between 1997 and 2020. The dimensions considered were: development of health technologies for the treatment of urinary incontinence and knowledge, adherence and the effect of using health technologies for the treatment of urinary incontinence. <strong>Conclusion:</strong> the technologies used were diversified, with the adherence and the effect being directly proportional, and it depends on how the individual understands urinary incontinence and the impact it brings on each person’s life.</p> Francisca das Chagas Sheyla Almeida Gomes Braga Andrea Pinto da Costa Nisleide Vanessa Pereira das Neves Grazielle Roberta Freitas da Silva Ana Roberta Vilarouca da Silva Herla Maria Furtado Jorge Copyright (c) 2021 Francisca das Chagas Sheyla Almeida Gomes Braga, Andrea Pinto da Costa, Nisleide Vanessa Pereira das Neves, Grazielle Roberta Freitas da Silva, Ana Roberta Vilarouca da Silva, Herla Maria Furtado Jorge 2021-12-09 2021-12-09 19 DIGITAL HEALTH AND SELF-CARE IN PEOPLE WITH INTESTINAL OSTOMIES: AN INTEGRATIVE REVIEW <p><strong>Objective</strong>: synthesize the scientific production related to digital health in ostomies to promote self-care. <strong>Method:</strong><br />integrative review with research in online databases, seeking to answer the following guiding question: What are the digital approaches used to teach self-care to patients with ostomy identified in the publications? <strong>Results:</strong> six different ways of using digital health to promote self-care in people living with intestinal ostomies were identified. Five were published in the National Library of Medicine (MEDLINE) database and one published in the databases Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) and Base de Dados de Enfermagem da<br />Biblioteca Virtual em Saúde (BDENF),in the period from 2017 to 2020. <strong>Conclusion:</strong> the six approaches studied can be used simultaneously in individuals with ostomies and can be considered complementary, as they act in different aspects of the individual’s routine, with the ultimate goal being to improve the quality of life of the<br />person with an intestinal ostomy.</p> Nildete Vargas Pozebom Karin Viégas Copyright (c) 2021 Nildete Vargas Pozebom, Karin Viégas 2021-12-10 2021-12-10 19