http://repositorio.ufc.br/handle/riufc/210 Mon, 18 May 2026 02:27:23 GMT 2026-05-18T02:27:23Z http://repositorio.ufc.br/handle/riufc/85298 Título: Indicadores diagnósticos de desobstrução ineficaz de vias aéreas em crianças com cardiopatia congênita em pós-operatório de cirurgia cardíaca Autor(es): Azevedo, Kiarelle Lourenço Penaforte de Abstract: This study aims to analyze the defining characteristics and related factors of the nursing diagnosis of Ineffective Airway Clearance in children and adolescents in the postoperative period of cardiac surgery. The study consists of investigating these indicators in 136 children and adolescents in the postoperative period of surgery for congenital heart disease. This is a cross-sectional, analytical, and quantitative study. The study was conducted from November 2020 to April 2022, in a state public hospital, in an intensive care unit responsible for postoperative care in pediatric cardiac repairs. Data collection involved pulmonary physical examination, interviews with caregivers, and access to medical records. The data were compiled in an Excel® spreadsheet (2022). Statistical analysis was performed using IBM® SPSS® version 25.0 for Windows® and R software version 4.2.0. The results are presented in tables. The research was approved by the Research Ethics Committee, in accordance with the recommendations of Resolution 466/2012, and was approved with opinion number 4.234.559. Most of the children and adolescents participating in the study were male (52.9%). Regarding age, those evaluated ranged from five to 7665 days. The majority underwent corrective surgery (64%), corresponding to the first surgical procedure (69.2%), with a prevalence of cardiopulmonary bypass (66.2%) and postoperative echocardiography (94.9%). Among the most prevalent heart conditions in the sample were: Ventricular Septal Defect (29.4%), Atrial Septal Defect (19.1%), Tetralogy of Fallot and Patent Ductus Arteriosus (16.2%). The diagnosis was present in 44.73% of the children and adolescents. Among the most frequent defining characteristics, the following stand out: absence of cough (94.9%), ineffective cough (51.5%), and altered respiratory rate (30.9%). The most prevalent factors related to ineffective airway clearance were: retained secretions (83.8%) and excessive mucus (27.2%). No influence of causal factors on the occurrence of ineffective airway clearance was found based on the generated logistic regression model. This study contributes to the refinement of clinical reasoning by analyzing indicators of ineffective airway clearance in children in the postoperative period of cardiac surgery. Tipo: Tese Thu, 01 Jan 2026 00:00:00 GMT http://repositorio.ufc.br/handle/riufc/85298 2026-01-01T00:00:00Z http://repositorio.ufc.br/handle/riufc/83861 Título: Mulheres e HIV/AIDS [manuscrito]: análise de comportamento preventivo à luz do modelo de crenças em saúde Autor(es): Soares, Maria Júlia Guimarães Oliveira Abstract: The present study had a quantitative approach and its objective was to analyse, in the light of the Health Belief Model, how the beliefs of HIV - infected and non - infected women are expressed in relation to their susceptibility to HIV; to the seriousness of the changes that happened or would happen in their lives in case of being infected; and to benefits perceived by them in adopting preventive behaviour. The study was oriented by the Health Belief Model proposed by Rosenstock, 1966. It was interviewed 140 women, 70 from the HIV - infected group, and 70 from the non - infected group. The research was accomplished in the ambulatory service of the Complex of Contagious Infectious Disease Clementina Fraga in the ambulatory service of the University Hospital Lauro Wanderley, in Paraíba State. The data were quantatively analysed. The results indicated that in the infected group, the perception of the risk to catch HIV is absent, the opposite was verified in the non - infected group, and so there were significative differences between the two studied groups corceming the perception of exposure to HIV in sexual intercourse. For the two women groups there were no significative differences related to the perception of consequences and seriousness of AIDS, and to the benefits of adopting preventive behaviour. The fact of tmsting the sexual partner of having a steady partner emerged as outstanding elements for contamination in the infected group and for vulnerability to HIV contagion in the non-infected group. The identified berriers demonstrate to be responsible for the HIV contamination. The non-infected women are living the risks of catching HIV. The incentives for taking preventive actions were not present in the women's life of both groups. It is considered to be necessary to reevaluate and remake strategies and preventive actions, involving besides the institutions, the women themselves as the subject of the decinding process on preventive means. Tipo: Tese Wed, 01 Jan 2003 00:00:00 GMT http://repositorio.ufc.br/handle/riufc/83861 2003-01-01T00:00:00Z http://repositorio.ufc.br/handle/riufc/83729 Título: Construção e validação do diagnóstico de enfermagem risco de resposta disfuncional do enxerto hepático Autor(es): Cavalcante, Layana de Paula Abstract: This study aimed to construct and clinically validate the nursing diagnosis "Risk of Dysfunctional Graft Response in Liver Transplantation (RDGRLT)" by defining and listing the elements that constitute the risk of dysfunction and/or failure of the transplanted liver graft, according to the standardized language of the Nursing Diagnoses International (NANDA-I). The study was conducted in two stages. The first stage involved a systematic review of purported etiological factors of Dysfunctional Graft Response in Liver Transplantation (DGRLT) reported in adult liver transplant patients and the construction of the concept of RDGRLT. The second stage consisted of the clinical validation of the potential etiological factors identified in the first stage. For the first stage, the review followed the Joanna Briggs Institute (JBI) reviewer's manual, with the research question: What etiological factors are associated with dysfunctional graft response in adult liver transplant patients? Electronic article searches were conducted in the Scopus, Web of Science, PubMed, Cinahl, Lilacs, and Cochrane databases. Initially, the descriptors "primary graft dysfunction" and "liver transplantation" were used with the Boolean operator AND. All analyses were conducted using the R software (R-project.org), and odds ratio estimates and their confidence intervals were calculated for each study included in the risk factor analysis. After this process, factors associated with RDGRLT were identified. The identification of respective risk factors for dysfunctional graft response was carried out through a case-control study characterized as individualized, observational, and retrospective. Data collection was performed through secondary data obtained from the medical records of hospitalized patients in two public hospitals serving as transplant centers in the city of Fortaleza, Brazil. An instrument was used based on the etiological factors identified in the first stage of the study, for which operational definitions were constructed. Additionally, sociodemographic and clinical variables of the donor and five relevant variables of the recipient were included. In conclusion, the results of this research highlighted etiological factors and indicators associated with the Risk of Dysfunctional Graft Response in Liver Transplantation that provide valuable contributions to the practice of nursing diagnosis in this complex clinical context. Validated risk factors, such as recipient age, number of transfusions, body mass index (BMI), and the presence of renal dysfunction, offer a solid foundation for the assessment and monitoring of patients undergoing liver transplantation. Tipo: Tese Sun, 01 Jan 2023 00:00:00 GMT http://repositorio.ufc.br/handle/riufc/83729 2023-01-01T00:00:00Z http://repositorio.ufc.br/handle/riufc/83629 Título: Eficácia de aplicativo móvel para prevenção de quedas por meio da Nursing Outcomes Classification: ensaio clínico randomizado Autor(es): Ximenes, Maria Aline Moreira Abstract: Introduction: Patient falls are high¬impact events in hospital settings, requiring effective prevention strategies. Nursing can incorporate technological resources to enhance care quality, with mobile applications standing out due to their good acceptance and effectiveness in educational actions. The effects of these interventions can be evaluated through the Nursing Outcomes of the Nursing Outcomes Classification (NOC), which provide standardized measures to assess patient responses to preventive actions. Objective: To evaluate the effectiveness of a mobile application in improving patients’ Knowledge: Fall Prevention and Fall Prevention Behavior during hospitalization, using the NOC framework. Methods: A randomized clinical trial was conducted in a Brazilian university hospital between October 2023 and June 2024 with 61 adult patients hospitalized for up to 24 hours and diagnosed with the Nursing Diagnosis “Risk for Falls.” Participants were randomly assigned to either the Control Group (n=30), which received routine care, or the Intervention Group (n=31), which received an educational intervention delivered via mobile application. The NOC outcomes — Knowledge: Fall Prevention, Fall Prevention Behavior, and Safe Health Care Environment — were assessed, along with a fall¬prevention knowledge test, at baseline, 24 hours after the intervention, and on the third and seventh days. Indicator scores were analyzed using a fivepoint Likert scale and mean test scores. The study was approved by the Research Ethics Committee (protocol nº 5.082.265). Results: Participants were predominantly male (55.74%), with a mean age of 41.1 ± 15.5 years. Most self¬identified as White (59.02%), were professionally active (63.93%), married (57.38%), and had 12 years of schooling (36.07%). Analysis of NOC outcomes indicated knowledge levels ranging from limited to moderate (mean = 2.98) and preventive behavior classified as occasionally demonstrated (mean = 3.13). Over the follow¬up period, improvements were observed in five knowledge indicators: appropriate footwear use, correct use of grab bars, understanding of diseases that increase fall risk, blood pressure changes associated with fall risk, and strategies for safe ambulation. Advances were also noted in three behavior indicators: use of bathroom grab bars for hand support, use of appropriate footwear for fall prevention, and proper use of the bed. The Safe Health Care Environment outcome (1934) showed no relevant variations across assessment points, remaining between moderate and fully adequate levels (mean = 4.43). In the knowledge test, the Intervention Group demonstrated a marked increase in mean scores. Conclusions: The results showed that the mobile application was effective in improving NOC outcomes and knowledge test scores among participants in the intervention group compared with the control group. In this context, the Nursing Process emerges as an essential tool for planning, implementing, and evaluating actions aimed at fall prevention, integrating NOC outcomes into clinical practice. Tipo: Tese Wed, 01 Jan 2025 00:00:00 GMT http://repositorio.ufc.br/handle/riufc/83629 2025-01-01T00:00:00Z