Tecnologia para o autocuidado da saúde sexual e reprodutiva de mulheres estomizadas

Development, Validation, and Usability of the Chatbot ESTOMABOT to Promote Self-care of People With Intestinal Ostomy

This study aimed to describe the process of construction, validation, and usability of the chatbot ESTOMABOT to assist in the self-care of patients with intestinal ostomies. Methodological research was conducted in three phases: construction, validation, and usability. The first stage corresponded to the elaboration of a script through a literature review, and the second stage corresponded to face and content validation through a panel of enterostomal therapy nurses. In the third phase, the usability of ESTOMABOT was assessed with the participation of surgical clinic nurses, patients with intestinal elimination ostomies, and information technology professionals, using the System Usability Scale. The ESTOMABOT content reached excellent criteria of adequacy, with percentages of agreement equal to or greater than 90%, which were considered adequate, relevant, and representative. The evaluation of the content validity of the script using the scale content validity index/average proportion method reached a result above 0.90, and the Fleiss κ was excellent ( P < .05). The overall usability score of the chatbot was 81.5, demonstrating excellent usability. The script, developed and incorporated into the ESTOMABOT prototype, achieved satisfactory content validity. The usability of the chatbot was considered to be good, thereby increasing the credibility of the instrument.

Explaining sexual self-care status and its predictor factors in women referring to healthcare centers of Sari, Iran, 2021

INTRODUCTION

With the increase in the prevalence of non-communicable diseases and chronic health problems along with population growth, one of the definitions that is expanding is the ability to adapt and self-manage against diseases and self-care. Although there are several studies to examine self-care in medical conditions, there are not enough concepts and data related to sexual self-care. Therefore, the present study was conducted with the aim of explaining the status of sexual self-care and its predictor factors in women of reproductive age referring to healthcare centers.

MATERIAL AND METHODS

This research was a cross-sectional study that was conducted on 400 women of reproductive age that referring to healthcare centers affiliated to Mazandaran University of Medical Sciences, Sari in 2021. Data were collected using personal-obstetric characteristics and sexual self-care questionnaires in women of reproductive age. Pearson correlation coefficients, independent t-test, one-way analysis of variance and multiple linear regression model were used to analyze the data.

RESULTS

The average total score of sexual self-care in reproductive age women participating in the research was 70.66% ± 12.52%. In addition, the prevention of women's cancers and the prevention of unintended pregnancies obtained the lowest and highest scores, respectively. Factors such as age, education, education related to medical sciences, history of HIV testing, history of HPV vaccination, source of sexual information, method of contraception and infection-related action in a person can affect the level of sexual self-care in women. Based on the final regression model, education related to medical sciences (B = 5.46, P = 0.035), family income (B = 5.58, P = 0.025), prevention method (B = 10.127, P = 0.000) and action related to infection in the person (B = 12.27, P = 0.047) were the final predictors of sexual self-care score in reproductive age women.

CONCLUSION

Based on the findings of the study, development of self-care promotion programs for reproductive aged women are necessary in all areas of reproductive health, with a priority for women's cancer prevention, and focusing on promoting education and related economic assistance. The results of this study can be available to experts and policy makers to design programs to promote sexual self-care in women.

EDUCATIONAL MATERIAL ON INTERMITTENT URETHRAL CATHETERIZATION IN CHILDREN: A SCOPING REVIEW

ABSTRACT Objective to analyze diverse scientific evidence about educational materials related to intermittent urethral catheterization in children. Method a scoping review based on the method proposed by the Joana Briggs Institute and conducted in nine stages from July to December 2021, with the following guiding question: “Which is the available evidence about educational materials on intermittent urethral catheterization in children?”. Articles from the following databases were analyzed: National Library of Medicine, Cumulative Index to Nursing and Allied Health Literature, Scientific Electronic Library Online and SciVerse Scopus. Results six of the 3,323 articles retrieved were kept after applying the eligibility criteria and excluding the duplicates. The publication dates varied from 2009 to 2019; five were published in Brazil and one in the United States. Regarding the design, one was a cross-sectional study and there were two descriptive studies, two methodological studies and one case study. The data were presented considering the following variables: type of material, means of dissemination, target audience, and theoretical framework of the educational materials. Conclusion the studies analyzed in this review presented several educational materials, such as elaboration of educational software, a Telenursing manual, an educational video to guide parents and an online forum. Therefore, these materials are useful as teaching and learning strategies for caregivers of children undergoing intermittent urethral catheterization.

MATERIAIS EDUCATIVOS NO CATETERISMO URETRAL INTERMITENTE EM CRIANÇAS: REVISÃO DE ESCOPO

RESUMO Objetivo Analisar evidências científicas sobre materiais educativos relativos ao cateterismo uretral intermitente em crianças. Metodo Revisão de escopo, baseada no método proposto pelo Joana Briggs Institute, realizada em nove etapas, no período de julho a dezembro de 2021, com a pergunta norteadora: “Quais as evidências disponíveis acerca de materiais educativos sobre cateterismo uretral intermitente em crianças?”. Analisaram-se artigos das bases de dados: National Library of Medicine's,Cumulative Index to Nursing and Allied Health Literature, Scientific Electronic Library Online e SciVerse Scopus. Resultados Dos 3.323 artigos recuperados, foram mantidos seis artigos após aplicação dos critérios de elegibilidade e exclusão dos duplicados. As datas de publicação variaram de 2009 a 2019; cinco foram publicados no Brasil e um nos Estados Unidos. Quanto ao desenho, um era estudo transversal, dois estudos descritivos, dois estudos metodológicos e um estudo de caso. Os dados foram apresentados com base nas variáveis: tipo de material, meio de disponibilização, público-alvo e referencial teórico dos materiais educativos. Conclusão Os estudos analisados nesta revisão apresentaram diversos materiais educativos, como a construção de software educativo, manual de tele-enfermagem, vídeo educativo para orientação de pais e fórum virtual. Estes materiais são, portanto, úteis como estratégias de ensino e aprendizagem para cuidadores de crianças em cateterismo uretral intermitente.

UTILIZAÇÃO DO CLORETO DE DIALQUIL CARBAMOIL NA PREVENÇÃO E TRATAMENTO DE BIOFILME EM FERIDAS

Objetivos:Objetivou-se identificar os benefícios na utilização do Cloreto de Dialquil Carbamoil para tratamento de biofilmes em feridas. Métodos:Trata-se de uma revisão integrativa de literatura que visou responder à questão norteadora: “Quais os benefícios do uso de Cloreto de Dialquil Carbamoil na cicatrização de lesões de pele?”. As etapas de seleção dos artigos resultaram em 13 artigos inclusos. Resultados: Os artigos selecionados foram agrupados em dois grupos, a saber: prevenção e tratamento de infecção em feridas e prevenção de infecção de sítio cirúrgico, sendo nove produções no primeiro grupo e quatro no segundo. Os estudos demonstraram que o Cloreto de Dialquil Carbamoil atenua os sintomas de colonização, como odor, queixas álgicas e exsudação, além disso, auxilia no gerenciamento profilático do biofilme da ferida. As evidências apontam que coberturas com Cloreto de Dialquil Carbamoil não possuem efeitos adversos, tornando-se opções viáveis e seguras para lesões crônicas, agudas e, principalmente, infectadas. Conclusão: Identificou-se que o Cloreto de Dialquil Carbamoil foi capaz de promover ações benéficas ao tratamento de feridas, especialmente as de maior complexidade. A escolha adequada das coberturas e dos curativos pode contribuir com a utilização racional das tecnologias existentes e dos antimicrobianos, culminando em redução de custos e promoção de qualidade de vida aos indivíduos com feridas crônicas.

SUBJECTIVITIES AND CHALLENGES OF PEOPLE LIVING WITH AN INTESTINAL OSTOMY

Objective: Identify experiences of the person with intestinal ostomy related to their social life. Methods: 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. Results: 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. Conclusion: 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.

SUBJETIVIDADES E DESAFIOS DE PESSOAS CONVIVENDO COM ESTOMIA INTESTINAL

Objetivo:Identificar vivências da pessoa com estomia intestinal relacionadas ao seu convívio social. Métodos:Estudo descritivo, de natureza qualitativa, realizado com dez pessoas com estomia intestinal. A coleta de dados foi realizada no Serviço de Estomaterapia de um hospital escola do Distrito Federal, por meio de entrevistas semiestruturadas relativas à vivência familiar e social antes e após a estomia. Resultados: Participaram seis homens e quatro mulheres, com idade média de 49 anos, a maioria com colostomia definitiva. Da análise surgiram duas categorias: “Como é viver com estomia e seus desafios”; e “Estratégias desenvolvidas diante das mudanças”. Na primeira categoria destacam-se: autocuidado, falta de banheiro adequado, atividade laboral, hábitos alimentares, ruptura da imagem corporal e situações constrangedoras. Na segunda categoria buscam: apoiar na religiosidade, manter sentimentos positivos e preservar o equilíbrio emocional. Conclusão: A estomia interfere no convívio familiar e social. Ficou evidente que a pessoa com estomia desenvolve estratégias para enfrentar as mudanças. Acredita-se que o isolamento social decorre, em parte, pela falta de informação junto à sociedade, falta de material de qualidade que ofereça conforto e segurança e, por último, falta de banheiros, públicos e privados, adaptados

Tecnologias desenvolvidas no contexto da saúde da mulher no Brasil: uma revisão integrativa

Introdução: as tecnologias em saúde dizem respeito a tudo o que é utilizado como instrumento para cuidar e educar a outras pessoas. Diante desse conceito, esta revisão tem por objetivo conhecer as publicações científicas acerca do desenvolvimento de tecnologias voltadas para a área de saúde da mulher no Brasil. Materiais e métodos: trata-se de uma revisão integrativa, de natureza descritiva, realizada por meio de consulta as bases de dados Banco de Dados em Enfermagem (BDENF), Latino-Americano e do Caribe de Informação em Ciências da Saúde (LILACS) e Scientific Electronic Library Online (SCIELO), no período de 2009 a 2019. Resultados: os cruzamentos de busca nas bases de dados estabelecidas resultaram na identificação de 46 estudos no banco de dados BDENF, 280 no LILACS e 55 na SciELO, totalizando 381 estudos. A aplicação dos filtros possibilitou refinamento que resultou em seleção final de 23 estudos. Discussão: a análise dos resultados evidenciou que o foco mais referido foi o desenvolvimento de tecnologias leve-duras. Quando analisada a abordagem dessas tecnologias, observou-se que as temáticas mais beneficiadas pelo desenvolvimento das tecnologias em saúde foram a educação em saúde da mulher na gestação e na amamentação. Conclusões: percebe-se, por meio da revisão, que se faz necessário o desenvolvimento, validação e implementação de todas as classes das tecnologias em saúde, pois a qualidade técnica e conceitual passará por análise e testagem dos profissionais que compreendem as factuais necessidades do público foco.

Construction and validation of educational technology to prevent complications in intestinal ostomies / periestomy skin

OBJECTIVE

To build and validate an educational booklet for preventing complications in intestinal ostomy and peristomy skin.

METHODS

Methodological study developed in: 1. Survey of the clinical profile of patients; 2. Integrative review; 3. Construction of technology; 4. Validation of educational material. The Delphi technique was used, with 18 judges with expertise in the field of stomatherapy. For data treatment, the Collective Subject Discourse (CSD), descriptive analysis, Kappa Index (K), binomial test and Content Validity Index (CVI) were used.

RESULTS

The agreement rate between judges was higher than 0.61, for K p> 0.05, a proportion of 80% for the binomial test and 80% for the CVI. . The booklet showed an excellent index for K, binomial test and global content validity, becoming validated.

FINAL CONSIDERATIONS

The booklet was validated in appearance and content, being an instrument that can favor communication between professionals and people with ostomies.

Validation of an educational manual for breast cancer patients undergoing radiotherapy

OBJECTIVE

to validate the content and appearance of an educational manual for breast cancer patients undergoing radiation therapy.

METHOD

methodological research, which had the Theory of Psychometry as a theoretical-methodological reference. The minimum 80% Concordance Index was considered to ensure the adequacy of the material. The sample consisted of 17 experts in the subject area of the educational manual and 12 patients previously submitted to radiotherapy due to the diagnosis of breast cancer.

RESULTS

two items of the expert evaluation tool were found to have a concordance index <80%. The other items were considered adequate and/or totally adequate in the three blocks of analysis proposed for the experts: objectives - 89.07%, structure and presentation - 92.94%, and relevance - 93.13%; and good and/or very good in the five blocks of analysis proposed for the patients: objectives, organization, writing style, appearance, and motivation, all with 100% agreement rate.

CONCLUSION

the educational manual, after having been perfected based on the suggestions of the sample and the scientific literature, was considered valid according to its content and appearance, suggesting its contribution to the clinical practice of nursing and to the understanding of the treatment to which patients with breast cancer are submitted.

Validation of educational material for the care of people with intestinal stoma

Objective:

to validate an educational booklet for people with intestinal stoma as a technological resource in the teaching of self-care.

Method:

a methodological research for the construction and validation of an educational booklet by nine expert judges and 25 people with stomas. The agreement index of at least 80% was considered to guarantee the validation of the material.

Results:

regarding the objectives of the booklet, all the judges evaluated the items as “adequate” or “totally adequate”, with a content validity index of 1.00. Regarding the structure and presentation of the booklet, the total index was 0.84. Regarding relevance, the total was 0.97 and the general index of the educational booklet was 0.89, confirming the validation with the judges. All items of the organization, writing style, appearance and motivation of the material were considered as validated by the target audience, reaching a total agreement index of 0.99.

Conclusion:

in the context of health education, the booklet was considered valid and suitable for the care of people with intestinal stoma, and can be used in teaching, research, extension and care for people with intestinal stoma.