ACTA PAULISTA DE ENFERMAGEM – (ACTA PAUL ENFERM.), ISSN 1982-0194, 是 ESCOLA PAULISTA DE ENFERMAGEM – EPE, UNIVERSIDADE FEDERAL DE SÃO PAULO – UNIFESP. 我们的使命：传播在严谨的研究和伦理方法论中产生的科学知识。我们的目标：发表原创研究成果，以促进临床、外科和管理护理以及教育、研究和信息和通信技术的实践。

ACTA Paulista de Enfermagem (ACTA PAUL ENFERM.) is a journal published by the Escola Paulista de Enfermagem (EPE), Federal University of São Paulo (UNIFESP), ISSN 1982-0194. Our mission is to disseminate scientific knowledge generated through rigorous research and ethical methodologies. Our goal is to publish original research findings to enhance the practice of clinical, surgical, and management nursing, as well as to promote education, research, and information and communication technologies.

《ACTA Paulista de Enfermagem》（ACTA PAUL ENFERM.）是由圣保罗大学护理学院（Escola Paulista de Enfermagem, EPE）出版的期刊，ISSN 1982-0194。我们的使命是传播通过严谨的研究和伦理方法论所产生的科学知识。我们的目标是发表原创研究成果，以促进临床、外科和管理护理的实践，同时推动教育、研究以及信息和通信技术的发展。

ACTA Paulista de Enfermagem

Abstract Objective To compare maternal and neonatal outcomes of women who used and did not use neuraxial analgesia during labor. Methods A cross-sectional, comparative, documentary study, with retrospective data collection, carried out at a tertiary reference maternity hospital in Ceará. Sample size was calculated by the difference between two proportions: vaginal births with and without analgesia, with 130 women for each group, totaling 260 medical records. Data collection took place between July 2019 and February 2020. Student’s t test, Mann-Whitney U test, Pearson’s chi-square test, Fisher’s exact test and the IBM SPSS program were used. Results The group with analgesia had a higher mean number of prenatal consultations (8.24; p&lt;0.001), greater exposure to induction (74; 56.9%; p&lt;0.001), with use of oxytocin (57; 43.8%; p&lt;0.001), longer duration of active labor (mean: 392 min; p&lt;0.001) and expulsive period (mean: 85.3 min; p&lt;0.001), higher frequency of episiotomy (7; 7.9%; p=0.03), by cesarean section (41; 31.5%; p&lt;0.001), and heavier babies were born (mean: 3.28 kg; p=0.007). Conclusion The use of analgesia is associated with a greater frequency of obstetric interventions as well as an increase in the duration of labor. Regarding neonatal outcomes, the group with analgesia gave birth to heavier newborns; Furthermore, no association was observed with the Apgar score, nor referrals to high-risk units.

Marcella Rocha Tavares de Souza

Jessica Lourenço Carneiro

Laryssa Miranda Vidal Cavalcante Farias

Camila Chaves da Costa

Camila Moreira Vasconcelos

Mylena Oliveira Pititinga Lima

Ana Kelve de Castro Damasceno

Acta Paulista de Enfermagem

Neuroaxial analgesia in labor: effects on maternal and neonatal outcomes

产时神经轴麻醉对母婴结局的影响

Abstract Objective To analyze maternal opinions regarding the use of therapeutic baths to relieve pain in children hospitalized for respiratory problems. Methods This is a descriptive, qualitative study, conducted in a secondary teaching hospital, in the city of São Paulo, between July 2022 and July 2023. A total of 16 mothers of children hospitalized for respiratory problems, with acute pain, literate, who followed the intervention - therapeutic bath and one-hour follow-up - participated. The bath consisted of immersion in hot water (between 37-39°C), with 2/3 of the body immersed for at least five minutes. Through convenience sampling, mothers were asked to write their opinion with the guiding phrase “Write your opinion about the use of therapeutic baths to relieve your child’s pain”, with poetic freedom in writing. The data were subjected to thematic content analysis, complemented by lexical analysis, with the IRAMUTEQ® software. National ethical guidelines were respected. Results Mothers believed that therapeutic bathing is an effective and innovative intervention, with mutual benefits for their children and themselves. In children, they reported that bathing provided relief from pain and respiratory symptoms, comfort and numbness. For mothers, it provided satisfaction with care, rest and a feeling of inclusion. Conclusion Mothers believed that therapeutic bathing is an effective and innovative intervention, with mutual benefits for children and themselves, with pain relief and subsequent maternal satisfaction.

Danton Matheus de Souza

Vanessa Dias Fogaça

Joese Aparecida Carvalho

Lisabelle Mariano Rossato

Maternal opinions about bathing for pain relief in hospitalized children

住院儿童疼痛缓解沐浴的产妇意见

Resumo Objetivo Analisar as opiniões maternas frente ao uso do banho terapêutico para alívio da dor em crianças hospitalizadas por agravos respiratórios. Métodos Estudo descritivo, qualitativo, conduzido em um hospital escola, secundário, no município de São Paulo entre julho de 2022 a julho de 2023. Participaram 16 mães de crianças hospitalizadas, por agravos respiratórios, com dor aguda, alfabetizadas, que acompanharam a realização da intervenção - banho terapêutico e o seu seguimento de uma hora. O banho consistiu em uma imersão em água quente (entre 37-39°C), com 2/3 do corpo imerso por, no mínimo, cinco minutos. Por meio de uma amostragem por conveniência, as mães foram solicitadas a redigir sua opinião com a frase norteadora: “Escreva sua opinião sobre o uso do banho terapêutico para alívio da dor do seu filho”, com liberdade poética à escrita. Os dados foram submetidos a análise temática de conteúdo complementada pela análise lexical, com o software IRAMUTEQ®. Respeitou-se as diretrizes éticas nacionais. Resultados As mães opinaram que o banho terapêutico é uma intervenção efetiva e inovadora, com benefícios mútuos, à criança e a si. Na criança, redigiram que o banho proporcionou alívio da dor e de sintomas respiratórios, conforto e adormecimento. Já às mães, proporcionou satisfação com o cuidado, descanso e sensação de inclusão. Conclusão As mães opinaram que o banho terapêutico é uma intervenção efetiva e inovadora, com benefícios mútuos à criança e a si, com alívio da dor e posterior satisfação materna.

Opiniões maternas sobre o banho para alívio da dor em crianças hospitalizadas

住院儿童沐浴缓解疼痛的母性观点

Resumo Objetivo Avaliar a completude dos registros de enfermeiros sobre as orientações dadas a usuários com tuberculose (TB) acompanhados na Atenção Primária à Saúde (APS). Métodos Estudo documental e retrospectivo, cuja população foi constituída por todos prontuários dos casos novos de TB notificados em Unidades de Saúde da Família de um município da Paraíba entre 2015 e 2019. O estudo foi desenvolvido entre julho e setembro de 2020, com uma amostra de 190 prontuários selecionados por amostragem proporcional e probabilística sistemática. Utilizou-se o software R para análise estatística, com nível de significância de 5%, empregando estatística descritiva, Diagrama de Pareto e análise de tendência. Resultados Do total, 60% dos indicadores foram classificados como muito ruins (orientações sobre alimentação, tratamento e consultas) na avaliação da completude do registro sobre as orientações de enfermeiros a respeito das orientações à TB. O Diagrama de Pareto destacou as orientações relacionadas a alimentação e tratamento como os principais problemas no registro, representando mais de 50% da incompletude total. Os modelos de tendência apresentaram evidências estatísticas crescentes para a incompletude do indicador ‘orientações sobre consultas’ (p=0,016) e tendência crescente para os indicadores ‘orientações sobre exames e consultas’. Em contrapartida, as orientações sobre alimentação e exames mostraram tendência decrescente de incompletude. Conclusão Os registros mostraram uma completude inadequada, acompanhada por uma tendência crescente de incompletude no registro de orientações aos usuários com TB na APS. Esse cenário aponta para a urgência de medidas de intervenção na saúde pública, para aprimorar o acompanhamento da TB na APS.

José Nildo de Barros Silva Júnior

Haline Costa dos Santos Guedes

Amanda Haissa Barros Henriques

Dilyane Cabral Januário

Matheus Figueiredo Nogueira

Anne Jaquelyne Roque Barrêto

Registros de enfermeiros sobre orientações aos usuários com tuberculose na Atenção Primária

初级护理中护士对结核病患者指导记录

Abstract Objective To build and validate checklist content for neonatal perioperative nursing care in cardiac surgery. Methods This is methodological research, developed from October 2020 to September 2021, in two sequential stages: checklist item construction based on an integrative literature review and content validity by seven experts in neonatology, selected from a search in resumes. For analysis, the Content Validity Index was used, considering values ≥ 0.8. Results A checklist was created with 57 structured items for pre-, intra- and postoperative interventions in cardiac surgery, with care actions designated according to the legal competence of nursing professional (technician and nurse) categories. In the validity process, 24 items were modified and four were excluded. The minimum level of agreement among experts for the items was 0.86, except for one item (0.75). Conclusion The checklist achieved content validity with a satisfactory standard for use in the perioperative period of cardiac surgery.

Mariele Gobo de Oliveira

Mariana Aparecida de Jesus Castro Santos

Nyara Coelho Carvalho

Ana Lúcia Monaro Barboza

José Fausto de Morais

Silmara Meneguin

Development of a checklist for neonatal perioperative care in cardiac surgery

心脏手术新生儿围手术期护理核查表的制定

Objective: To analyze the concept of “ineffective self-management of lymphedema” in mastectomized women. Methods: This is an analysis of the concept proposed by Walker and Avant, operationalized through an integrative literature review, organized into eight stages, and based on the following guiding questions: What is the definition of ineffective self-management in mastectomized women? What are the antecedents, attributes, and consequences of ineffective self-management in mastectomized women? How has ineffective selfmanagement of lymphedema been defined in the context of women who have undergone mastectomy? The search for articles was carried out in five electronic databases, with no date limit, from July 2022 to February 2023. Results: Antecedents (30) and consequents (19) were identified. Among them, the most frequent were the following, respectively: lack of family and/or social support and decreased quality of life. The most frequently identified defining attributes were the following: edema, swelling in the arm, feeling of heaviness in the limb, pain, numbness, and reduced function of the limb. Model and contrary cases were also designed to help decide on the use of the concept. Conclusion: The concepts resulting from the analysis contribute to clarifying the terms and development of language in nursing, and should be validated by judges and clinical practice for better application in clinical oncology.

Juliana Maria Barbosa Bertho de Oliveira

Ravila Rayssa Tomaz Marques

Janaína Guimarães Valadares

Flaviana Vely Mendonça Vieira

Marcos Venícius de Oliveira Lopes

Agueda Maria Ruiz Zimmer Cavalcante

Ineffective self-management of lymphedema in mastectomized women: concept analysis

乳房切除术后淋巴水肿女性患者自我管理无效：概念分析

Objective: To build and validate an instrument for self-assessment of soft skills in authentic nursing leadership. Methods: This methodological research was developed in three stages: literature review, development of the instrument entitled “LEADERSKILLS”, and validation of the instrument’s content by experts using the Delphi Online Technique. The first stage consisted of two narrative reviews. The second stage included a pilot test for the development of the instrument containing a narrative description of the most relevant soft skills (related to the exercise of authentic leadership by nurses) that were presented by the narrative literature review. The third and final stage included changes to the instrument after considerations made by the experts. Results: In the first round, the panel of experts was composed of 13 participants. Of the 17 multiple-choice questions evaluated in the first round, only two (belonging to the content and language components) did not obtain the Content Validity Index (CVI) ≥0.85. The first question was about the inadequate understanding of what the titles and subtitles of “LEADERSKILLS” were, and the second was about the instrument’s clarity and objectivity. The judges’ main suggestions were concentrated on the content, language, and layout components. The second round consisted of responses from five experts, and reaching a consensus on the questions was possible by obtaining CVI≥0.80. Conclusion: The instrument constructed to develop soft skills in nursing was considered valid in terms of content, layout, language, motivation, and culture, achieving coherent assessment and applicability to the target audience.

Rebeca Iwankiw Lessa Beltran

Karla Crozeta Figueiredo

Aida Maris Peres

Elisabete Maria Garcia Teles Nunes

Self-assessment of soft skills in nursing: construction and content validation of an instrument

护理软技能自我评估：工具的构建与内容验证

Objective To identify the factors that facilitate or hinder the construction of autonomy in adolescence through the experience of young adults with type-1 diabetes and their parents. Methods This was a qualitative, descriptive, and exploratory study. Two focus group interviews were conducted: one with nine young adults who were experts in managing their illness and the other with seven parents. Thematic and categorical content analysis was used for data analysis, with particularities of a focus group interview and the use of the NVIVO 12 software. Results Two major categories and ten subcategories related to factors that facilitated (support systems, knowledge, diet, insulin pump, early responsibility for managing therapy, and characteristics of young people) and hindered (therapeutic regimen, stigma, attitude of health professionals, characteristics of young people, and knowledge) the development of autonomy in disease management emerged. Conclusion Autonomy in the management of diabetes involves several challenges for adolescents, which requires adaptation of attitudes and interventions by professionals. In addition to the traditional management of the health condition, addressing issues related to the socialization of adolescents is essential, looking for innovative strategies that promote coping and quality of life. The results of this study make it possible to reflect on the therapeutic relationship with adolescents, emphasizing the importance of individualizing care and innovative responses to their specific needs.

Maria Isabel Dias da Costa Malheiro

Maria da Graça Vinagre

Sónia Isabel Colaço

Marília Costa Flora

Maria José Góis Paixão

Inês Carnall Figueiredo

Self-management of diabetes in adolescence: experience of Portuguese young adults and their parents

青少年糖尿病的自我管理：葡萄牙年轻成年人与他们父母的经验

Objective To analyze care transition (CT) and its relationship with the clinical characteristics of patients admitted to hospital due to COVID-19. Methods This is a cross-sectional study, carried out in a general hospital, with 165 patients admitted to hospital due to COVID-19 and who were discharged home. Participants were those who had been admitted to hospital for at least 24 hours, over 18 years of age, with telephone access after discharge. Those who were discharged by transfer, who died or those without cognitive conditions were excluded. Data collected between March and July 2021, using a sociodemographic and clinical questionnaire as well as Care Transitions Measure-15. Descriptive and inferential statistical analysis was applied. Results The overall mean of Care Transitions Measure-15 was considered satisfactory (71.8±7.45). The Important preferences factor obtained the highest mean (80.5± 9.84) and the Care Plan factor the lowest (57.5± 11.4). Significant statistical differences were found when the CTM-15 factors were associated with the clinical variables: duration of chronic disease (p&lt;0.03); presence of clinical artifact (p&lt;0.040); use of continuous medication (p&lt;0.029). Readmission had a significant difference in the factors Health management preparation (p&lt;0.045), Important preferences (p&lt;0.027) and Care plan (p&lt;0.032). Conclusion Patients admitted to hospital due to COVID-19 assessed the general CT as satisfactory and the clinical variables, length of chronic illness, clinical artifact, continuous medication and readmission interfered in the CT of these patients.

Vanessa Dalsasso Batista Winter

Larissa Berghetti

Cátia Cristiane Matte Dezordi

Fernanda Dal’Maso Camera

Adriane Cristina Bernat Kolankiewicz

Care transition for patients admitted to hospital due to COVID-19 and its relationship with clinical characteristics

COVID-19住院患者护理过渡及其与临床特征的关系

Objective To assess the effectiveness of a Reiki protocol on anxiety levels in the preoperative period of cardiac surgery. Methods This is a controlled and randomized clinical trial carried out in a university reference hospital in cardiology between June and December 2021. Chunk randomization and allocation by draw with opaque sealed envelopes were carried out in two groups: Control (n=44; not subjected to intervention); and Intervention (n=44; submitted to two Reiki sessions three days before and the day before surgery). The main outcomes (anxiety, well-being and muscle tension) were assessed across sessions using a mixed effects model. To assess the effect size, partial eta squared (η2p) values were calculated. Results Differences in anxiety scores (+2.7 points more than the control), well-being (-0.78) and muscle tension (1.27) were determined, being considered statistically significant (p&lt;0.001). In analyzing the effect size, the experiment better distinguished the variation in the anxiety variable (η2p=0.74) than in the other two variables (η2p=0.14; η2p=0.23). Conclusion The study offers favorable evidence for the effectiveness of Reiki in controlling preoperative anxiety after cardiac surgery. Brazilian Clinical Trials Registry: RBR-2nhgvn6

Eduardo Tavares Gomes

Vilanice Alves de Araújo Püschel

Effectiveness of Reiki therapy for preoperative anxiety in cardiac surgery: a randomized clinical trial

灵气疗法对心脏手术前焦虑的有效性：一项随机临床试验

短名	Acta paul. enferm.
Journal Impact	0.98
国际分区	NURSING(Q3)
期刊索引	SCI Q4中科院 4 区

ISSN	0103-2100, 1982-0194
h-index	28
国内分区	医学(4区)医学护理(4区)

涉及主题	医学心理学哲学艺术人文学科护理部生物
出版信息	出版商: Escola Paulista de Enfermagem, Universidade Federal de Sao Paulo，出版周期: Bimonthly，期刊类型: journal，开源期刊: 否
基本数据	创刊年份: 2006，原创研究文献占比: 88.37%，自引率:9.10%， Gold OA占比: 59.03%
平均审稿周期	网友分享经验：4 Weeks
平均录用比例	网友分享经验：容易

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