Revista Eletrônica Acervo Enfermagem

Difficulties faced by nursing professionals and caregivers in assisting patients with Alzheimer's

2025-02-16T20:07:32+00:00

Objective: Describe the difficulties experienced by nursing professionals and caregivers who are responsible for the care of patients with Alzheimer's Disease. Methods: This is an integrative review of the literature and for its construction a bibliographic survey was carried out in the advanced search of the Virtual Health Library, using the following Health Sciences Descriptors: “Nursing Professionals”, “Alzheimer's Disease” and “Nursing Care”. Results: The research revealed that Alzheimer's disease not only profoundly affects the quality of life of patients, but also imposes an overload on the work of caregivers, who can suffer stress, fatigue and depression. The lack of adequate support and lack of specialized knowledge about Alzheimer's Disease among nursing professionals and caregivers worsen the challenges of routine care. The results highlight the need for better training and support for caregivers and nursing professionals, suggesting that educational interventions and support groups can help improve quality of life and reduce the strain associated with caring for people with Alzheimer's. Conclusion: The lack of adequate support and the lack of knowledge about Alzheimer's Disease significantly aggravate the challenges faced by caregivers.

Factores asociados a la coinfección VIH/ITS en pacientes atendidos en un servicio de enfermedades infecciosas del SUS

2025-02-16T20:06:08+00:00

Objetivo: Investigar la asociación entre factores socioeconómicos y de salud y coinfección por VIH en una ciudad de Minas Gerais, Brasil, 2017 a 2021. Métodos: Estudio retrospectivo conducido con 298 pacientes con resultado de coinfección (sí/no). Las variables de exposición fueron: género, orientación sexual, etnia, edad, escolaridad, ingresos, estado civil, seguro de salud, pareja fija, exposición, serología de la pareja, uso del condón, tratamiento y reacciones adversas. Se utilizó la prueba de chi cuadrado de Pearson (p<0,05) y Odds Ratio (OR) por regresión univariada. Resultados: Los pacientes eran mayoría masculina, morenos, de 21 a 60 años, heterosexuales, solteros, con bajo nivel de estudios e ingresos. Tenían pareja fija y seroconcordante, contagio sexual, poco uso del preservativo, adherencia a los antirretrovirales y pocos eventos adversos. La coinfección por VIH se asoció a sífilis, gonorrea y VPH, con significación para varones (OR 4,6), bisexuales (OR 3,1), homosexuales (OR 2,7) y parejas serodiscordantes (OR 3,2). Conclusión: El estudio identificó un aumento en la prevalencia de la coinfección y enfatiza la importancia de la educación sanitaria para garantizar acciones efectivas de prevención de las coinfecciones, tratamiento y mejora de las condiciones de vida de las personas que viven con VIH/Sida.

Sociodemographic and clinical profile of users treated at a psychosocial care center

2025-02-16T20:03:52+00:00

Objective: To analyze the sociodemographic and clinical variables of users treated at a Psychosocial Care Center. Methods: This is a documentary, descriptive study with a quantitative approach based on the analysis of the multidisciplinary medical records of users treated at a Psychosocial Care Center II, during the years 2022 to 2023. Data were collected using a structured form, with sociodemographic, clinical and care information. Subsequently, the data were subjected to descriptive analysis using absolute and relative frequencies. Results: There was a predominance of female users (54.9%), age range from 41 to 60 years (56.1%), incomplete elementary education (32.9%) and primary diagnostic hypothesis related to mood disorders (43.9%). The main referral location was the hospital (20.7%). An association was observed between female gender and complaints related to mood disorders (p<0.001) and history of suicide attempts (p<0.001). Conclusion: This study made it possible to identify the need to implement proactive strategies in order to individualize mental health care for women.

The application of the checklist for safe surgery and nursing perception

2025-03-19T16:48:17+00:00

Objective: To analyze data from the available scientific literature regarding the application of the safe surgery checklist and the perception of the nursing team. Methods: This is an integrative review with a time frame from 2018 to 2024. The guiding question was: How is the safe surgery checklist applied by the nursing team and what are the perceptions and impacts of this practice on safety of the patient? The bibliographic research was carried out in 2023 and 2024, with searches in databases such as: Latin American and Caribbean Literature in Health Sciences (LILACS), Scientific Electronic Library Online (SCIELO), MEDLINE (PubMed). The study followed the steps adapted from the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Results: 30 articles were identified, of which the analysis carried out on 14 chosen articles made it possible to categorize, according to meaning cores, the themes highlighted in: “fragilities”, “perception of nursing professionals” and “impacts of implementing the checklist in improving patient safety.” Final considerations: The study highlighted the importance of the safe surgery checklist, however it was observed that there are significant weaknesses in its effective application, as well as nursing perception and the possibility of effective improvements.

Epidemiological profile of dengue cases reported in Belém and Ananindeua, Pará, from 2021 to 2024

2025-03-19T16:46:37+00:00

Objective: To analyze the epidemiological profile of dengue cases reported in the cities of Belém and Ananindeua, Pará, from 2021 to 2024. Methods: This is a descriptive epidemiological study with a quantitative approach, with data collection from the Department of Information Technology of the Unified Health System (DATASUS) between 2021 and 2024. Results: During the analyzed period, 5,513 probable cases of dengue were reported. The brown race prevailed in Belém (47.50%) and Ananindeua (68.01%). Regarding sex, females led in Belém (57.9%) and Ananindeua (53.69%). The most recurrent age group was 20 to 59 years old, in the cities of Belém (61%) and Ananindeua (66%). Regarding education, the ign/white criterion prevailed in Belém (44.99%) and Ananindeua (48.9%). In most cases, there was no need for hospitalization in Belém (74.94%) and Ananindeua (18.27%). In the confirmation criterion, the laboratory led, in Belém (58.27%) and Ananindeua (67.47%). The most common serotype in both cities was DENV-1 serotype, Belém (6.97%) and Ananindeua (18.75%). In the final classification, cases reported as classic dengue prevailed, Belém (83.78%) and Ananindeua (89.58%). In terms of evolution, most evolved to cure in Belém (77.41%) and Ananindeua (81.58%). Conclusion: The highest number of cases was observed in 2024, and there is a need for more epidemiological studies in the region, as well as health actions aimed at preventing and controlling dengue fever.

First aid: knowledge of teachers in the Paraíba network

2025-04-29T20:25:03+00:00

Objective: To investigate the knowledge of public school teachers about First Aid for children after traumatic accidents. Methods: Field research with a quantitative approach, carried out in nine state and municipal public schools in a city in the state of Paraíba. A total of 105 teachers participated and an instrument with sociodemographic data and objective questions was applied. Results: There was a predominance of females (65.7%), postgraduate students (51.4%), age group 26 to 40 years (36%), 78% stated that the school was an environment prone to accidents. It was identified that 50.4% of teachers have already witnessed accidents in schools, 31.4% know how to perform First Aid; 66% have no training, which justifies the attitude of inertia revealed by 52.3%. It was found that 87.6% know the number in case of an accident, 95.2% understand vital signs, and 78% know how to check them, 93.3% keep the victim at the scene and wait for the Mobile Emergency Care Service to arrive, as correct, and are interested in first aid. Conclusion: The research contributes and awakens the interest of the scientific community in the area of education and health, making schools a safe environment.

Spirituality, religion, and mental health in nursing professionals: a scientometric analysis

2025-05-09T22:09:11+00:00

Objective: Identify research trends that explore the relationship between religion, spirituality, and the mental health of nursing professionals. Methods: This scientometric study analyzed articles published up to 2023 that examined the influence of religion and spirituality on the mental health of nursing professionals. Data were collected from the Web of Science, Scopus, Scielo, and PubMed databases. Results: Seventy-five articles published between 1995 and 2023, from 61 journals and 314 authors, were included. Scientific production on this topic increased significantly in 2020. Keyword analysis revealed that "anxiety," "COVID-19," "burnout," and "depression" were the most studied subjects within this theme. Final considerations: Despite the surge in scientific production on this topic, largely driven by the COVID-19 pandemic, most studies still focus on populations other than nursing professionals. This highlights a knowledge gap regarding the impact of religion and spirituality on the mental health of nursing professionals.

Impacts on the quality of life of adult patients after hematopoietic stem cell transplantation

2025-05-09T21:55:12+00:00

Objective: To identify, analyze, and describe the impacts on the quality of life of adults after Hematopoietic Stem Cell Transplantation (HSCT). Methods: This is an integrative literature review study. The bibliographic survey was carried out in September 2024, using controlled descriptors and Boolean operators AND and OR to promote the search strategy in the LILACS, SCIELO/BVS, and PubMed databases. A total of 2,693 articles were found and, according to the inclusion criteria, 10 were selected for this study. This study was organized into three categories of well-being: physical, social, and psychological. Results: Physical well-being includes challenges such as cognitive decline and malnutrition after HSCT. In the social aspect, social support before and after transplantation proved to be crucial for quality of life. In psychological terms, factors such as self-efficacy and regret impacted the quality of life of survivors, highlighting the importance of interventions to improve post-transplant outcomes. Conclusion: It is concluded that HSCT affects physical, emotional and social aspects, such as pain, fatigue and isolation. Psychological, social and family support is essential to improve quality of life and facilitate patients' adaptation after treatment.

The importance of nursing care in the reception of adolescents after a suicide attempt

2025-05-09T21:58:15+00:00

Objective: To describe the importance of nursing care in welcoming adolescents, highlighting practices that promote treatment adherence, mental health promotion, and the prevention of new self-harm attempts. Methods: This is an integrative literature review covering the last ten years, conducted in research databases. Results: The analyzed studies indicate that the main factors associated with self-harm attempts in adolescents include violence, family conflicts, social exclusion, and challenges inherent to life cycle transitions. These findings reinforce the importance of nursing professionals in providing support, facilitating treatment adherence, and encouraging the search for specialized care. Final considerations: Self-harm attempts among adolescents represent a significant public health issue, in which nursing care plays a fundamental role. The nurse’s role involves a holistic approach, risk factor identification, mental health assessment, and implementation of therapeutic interventions. Furthermore, individualized care and health education are essential for promoting mental health and preventing suicide. Further studies are needed to improve nursing strategies, considering the psychosocial demands of adolescents undergoing follow-up due to self-harm attempts.

Developmental care for premature newborns provided by nursing professionals in the neonatal ICU

2025-05-09T22:02:53+00:00

Objective: To identify and analyze the developmental care for premature newborns provided by nursing professionals in the Neonatal Intensive Care Unit. Methods: This is an integrative review of the literature, using the following DeCS/MeSH descriptors for the search: Nursing, Premature Newborn and Neonatal Intensive Care Units. The databases used were through the Virtual Health Library (VHL) and the Web of Science portal. 300,112 articles were identified and after the inclusion and exclusion criteria and using the flowchart called Main Items for Reporting Systematic Reviews and Meta-Analyses (PRISMA), 17 articles were listed for the present study. Results: Regarding development-oriented care, pain management was the main topic covered in articles n=9, (52.94%). Furthermore, it was possible to identify the nursing team's practices regarding care for premature newborns. Final considerations: The nursing team demonstrated autonomy and protagonism when it comes to developmental care for premature newborns. Furthermore, it was possible to understand weaknesses in the topic.

Nursing performance in the puerperum of women with postpartum depression

2025-05-09T21:50:42+00:00

Objective: To discuss the importance of nursing consultation in coping with the triggers of postpartum depression. Methods: This is an integrative review study. Searches were conducted in the following databases: MEDLINE, Latin American and Caribbean Literature in Health Sciences (LILACS) and Acervo+ Index Base, and after selection, 14 articles were included to compose the article. Results: Postpartum consultation is an essential intervention to reduce maternal morbidity and mortality, through prevention, early detection and treatment of complications, and provision of counseling on contraception. Final considerations: It is essential to encourage and stimulate the puerperal woman to talk about herself, question what she feels, what her dissatisfactions and insecurities are and, with this, seek to offer support, advice and clarification. It is necessary to identify risk factors in prenatal care to facilitate the diagnosis and early treatment of any emotional disorder that may exist.

Importance of nurses in the prevention of obstetric violence

2025-05-27T12:39:34+00:00

Objective: To analyze the scientific production on obstetric violence, identifying interventions and the role of nurses in preventing this type of violence. Methods: This is an integrative review, carried out in the VHL, in the databases LILACS and BDENF. The following terms were used to survey the studies, according to the Descriptors in Science and Health (DECS): “Obstetric violence” AND “nursing”. Articles from 2018 to 2023 were searched. Results: 11 articles that responded to the guiding question were used. The importance of training and preventive measures for nursing professionals was evidenced by the analysis of the articles. Final considerations: Obstetric violence is characterized by the process of dispossessing the female body and the woman's autonomy, exposing her to dehumanized treatment, unnecessary invasive procedures, excessive use of medication, pathologization of natural processes, and psychological abuse. Nurses play a key role in preventing obstetric violence. He must explain procedures, avoid invasive procedures, listen to the woman, promote the right to have a companion, guarantee access to the bed, guide the woman about her rights, and always keep up to date.

Nursing worker stress in a material and sterilization center: analysis of the Job Stress Scale

2025-05-27T12:41:06+00:00

Objective: To identify stress at work and verify its association with the work aspects of nursing workers at a Material and Sterilization Center (CME). Methods: A quantitative, descriptive and exploratory study was carried out, which took place in the CME of a University Hospital, in Uberlândia (MG), linked to the Brazilian Hospital Services Company (EBSERH). CME workers participated in the study. Two data collection instruments were used, a sociodemographic questionnaire and the Job Stress Scale (JSS). The sample consisted of 20 nursing assistants, 18 nursing technicians and 7 nurses, the majority of whom were women (80%). Results: Using the JSS scale, it can be assessed that the prevalence of occupational stress in the CME was 77.8% and that there is a relevant association between the categories of the demand and social support dimensions, and between the categories of the control dimension and professional category. Conclusion: The study made it possible to verify that all workers who carry out their work activities at the CME are subject to environmental, situational, human or behavioral risks, given the physical and psychological demands related to their activities, and that the effects of occupational stress influence the effectiveness of work and interpersonal relationships, highlighting the need to seek strategies to prevent these problems. The search for better conditions encompasses the entire process, from the selection of new members for this unit.

The importance of nurses in promoting self-care and adaptation of colostomized patients

2025-06-06T16:28:36+00:00

Objective: Analyze the importance of the nurse's role in promoting self-care and the adaptation of colostomized patients, highlighting their role in care, education, and emotional support. Methods: This is an integrative review with a five-year time frame, based on a systematic analysis of research conducted by experts. The PICO strategy was used to guide the selection of studies, considering inclusion and exclusion criteria to ensure methodological standardization of the data. Results: The analysis of the publications reveals a significant number of studies that highlight the importance of nursing care in encouraging self-care among colostomized patients. From this perspective, the nurse stands out as a key agent in health education, both for colostomized individuals and their families. It is noteworthy, however, that such care must be provided in an individualized manner, taking into account each patient’s specific needs. Final Considerations: The study demonstrated the essential role of nurses in the adaptation and rehabilitation of colostomized patients, emphasizing the importance of health education and humanized care. It is recommended to expand training and support groups to improve support and the quality of care.

Main complications in the immediate and late postoperative period of cardiac surgery

2025-06-26T19:58:47+00:00

Objective: To investigate, through the literature, whether complications after cardiac surgeries contribute to a poor prognosis. Methods: This is a literature review, with articles published between 2019 and 2024, in Portuguese, English and Spanish and with full text available. The guiding question was: What are the main postoperative complications of cardiac surgeries that contribute to an unfavorable clinical outcome?. The bibliographic search was carried out between September and October 2024 in the PubMed, SciELO and LILACS databases, using the following Health Sciences Descriptors (DeCS), “Cardiac Surgeries”, “Postoperative Complications" and “Surgical Site Infection", all combined by the Boolean operator “AND”. Results: 12 articles that met the inclusion and exclusion criteria were selected. They demonstrate that mediastinitis has behaved as a potent factor for poor prognosis, corroborating the increase in the death rate after cardiac surgeries. Final considerations: It can be considered that infectious complications in the postoperative period of cardiac surgeries deserve to be highlighted in nursing care, as they contribute to the patient having an unfavorable clinical outcome.

The COVID-19 pandemic and its effects on the daily lives of health professional nowadays

2025-06-26T20:00:37+00:00

Objective: To discuss the impacts of the COVID-19 pandemic on the current daily lives of healthcare professionals. Methods: This was an integrative literature review. The guiding question was: What have been the main effects of the COVID-19 pandemic on the professional and personal lives of healthcare workers, according to recent scientific literature? The search for articles was conducted between February and March 2025 in databases recognized in the health field, including the Virtual Health Library (VHL), Scientific Electronic Library Online (SciELO), PubMed, and Google Scholar. Results: After applying eligibility criteria, 10 scientific articles published between 2022 and 2024 were selected to compose the final sample of this integrative review. These studies were analyzed based on their objectives, methodologies, and main findings, providing a comprehensive understanding of the effects of the COVID-19 pandemic on the daily lives of healthcare professionals. Final considerations: The COVID-19 pandemic brought profound changes to the routines and working conditions of healthcare professionals, revealing pre-existing structural weaknesses and intensifying physical, emotional, and organizational challenges.

Implementation of complementary therapies in the additional treatment of patients with depression

2025-06-26T20:03:15+00:00

Objective: Describe the relevance of implementing complementary therapies as an additional and qualified approach in the treatment of patients with depression. Methods: This is an integrative literature review, developed based on a bibliographic survey conducted in databases such as the Virtual Health Library (BVS), SciELO e LILACS. Results: Several studies demonstrate that homeopathy, the use of medicinal plants and herbal medicines, anthroposophic medicine, traditional Chinese medicine, and integrative community therapy are frequently employed as complementary approaches alongside conventional treatment with antidepressants and psychotherapy. Among the main benefits of these approaches, in some cases, there is the possibility of reducing the dosage or preventing an increase in the prescription of medications. Additionally, some of these practices offer emotional support, providing extra comfort to patients with depression. It is essential to emphasize that these therapies are complementary and do not replace conventional pharmacological treatment. An individualized evaluation of each patient is crucial for the appropriate implementation of these practices. Final considerations: It is essential that the use of complementary therapies as an additional treatment for depression be carefully individualized, respecting the specificities and needs of each patient, always under the guidance of qualified professionals. In this way, complementary therapies can represent a significant advancement in comprehensive mental health care.

Contributions of nursing consultation to the effectiveness of the nursing process in the postoperative period

2025-06-26T19:55:24+00:00

Objective: To evaluate scientific evidence on the impact of preoperative nursing consultation on rehabilitation and postoperative care in order to avoid possible complications. Methods: Integrative literature review of research between 2013 and 2025, with search in scientific databases and exclusion of non-academic sources and articles that are not related to the proposed theme. Results: Nursing consultation significantly identifies several barriers that are essential for performing surgical interventions, reduces risk factors and perioperative complications, such as infections and readmissions. Through the use of personalized and standardized institutional protocols, adherence to postoperative care by the team and the patient improved, as well as the continuous education of the team about the specificity of the service. Final considerations: Preoperative nursing consultation promotes holistic care, reduces complications and offers legal support to the surgical team, being essential for patient safety.

Ergonomic practices and their contribution to reducing depression and anxiety in the workplace

2025-08-04T19:41:37+00:00

Objective: To evaluate the contribution of ergonomic practices to preventing and reducing symptoms of depression and anxiety in the workplace. Methods: This is an integrative review, with searches conducted in SciELO, BVS, PubMed, Google Scholar, and the CAPES Portal between 2014 and 2024. Eight studies linking ergonomic interventions and mental health in the workplace were selected. Results: The most effective interventions were participatory ergonomics, ergonomic furniture adjustments, scheduled breaks during work, acoustic and lighting improvements, and participatory ergonomic training. Participatory ergonomics stood out, with an average 42% reduction in depressive and anxiety symptoms, and was considered the most effective by the studies analyzed. Final considerations: Therefore, ergonomic practices can be considered to have a significant and effective impact not only on preventing work-related mental disorders but also on promoting occupational health more broadly. By fostering healthier, safer, and more productive work environments, these interventions contribute to reducing absences, improving workers' quality of life, and enhancing human capital within organizations.

Acquired Syphilis in Ponta Grossa (PR): epidemiological analysis and vulnerability profile (2010–2024)

2025-08-04T19:43:30+00:00

Objective: To analyze the temporal trend of acquired syphilis incidence in the municipality of Ponta Grossa, Paraná, between 2010 and 2024, considering stratification by sex and age group. Methods: This is a basic, ecological, and longitudinal study with a quantitative-qualitative approach. Secondary data were obtained from the Notifiable Diseases Information System (SINAN), stratified by sex and age group. Results: A marked increase in reported cases was identified starting in 2015, peaking in 2022 (808 cases), followed by a slight decrease in 2023 and a sharp decline in 2024 (partial data). The highest incidence was found among men—especially from 2021 onwards—and in individuals aged 20 to 39 years. Conclusion: The findings highlight the need for intersectoral strategies focused on expanding testing, sexual education, and addressing social vulnerabilities, particularly among adolescents and young adults, to control acquired syphilis in the context of Primary Health Care.

Promotion of autonomy and active ageing: experience with older adults in primary health care

2025-08-06T12:03:09+00:00

Objetivo: Relatar a experiência de ações de promoção em saúde e prevenção de doenças com pessoas idosas usuárias da atenção primária. Relato de experiência: Trata-se de um relato de experiência com abordagem descritiva, desenvolvido a partir das ações extensionistas do Projeto EnvelheSER UFPA, vinculado à Universidade Federal do Pará. Os encontros realizados evidenciaram boa adesão e participação ativa das pessoas idosas, com destaque para as atividades que abordaram prevenção e cuidados com doenças crônicas, os direitos da pessoa idosa, o uso do celular e a alimentação funcional. As atividades realizadas junto às pessoas idosas apontaram a relevância de estratégias educativas, interativas e interdisciplinares na promoção da autonomia, da saúde e da qualidade de vida no processo de envelhecimento ativo. Considerações finais: As ações educativas foram importantes para a sensibilização sobre o envelhecimento ativo, fortalecendo a autonomia da pessoa idosa, a formação dos acadêmicos de enfermagem e a qualificação dos serviços de saúde.

Nursing strategies to promote adherence to syphilis treatment in pregnant women and their partners

2025-08-04T19:47:47+00:00

Objective: To identify nursing strategies that promote adherence to syphilis treatment in pregnant women and their partners within the context of primary health care. Methods: This is an integrative literature review conducted in the MEDLINE (PubMed), Virtual Health Library (BVS), and Capes journal portal databases, covering publications from 2013 to 2025. The review followed a systematic approach for selecting, analyzing, and synthesizing the most relevant studies on the topic. Results: The analysis of the nine selected articles reveals that active case finding of pregnant women and their partners, expanded access to rapid syphilis testing, health education using accessible and culturally sensitive language, and the timely provision of benzathine penicillin are effective nursing strategies. Furthermore, structural and institutional actions, such as updated clinical protocols, effective communication, and the continuous education and training of healthcare professionals, are crucial for ensuring proper and comprehensive treatment. Final considerations: The study highlights the key role of nursing due to its close interaction with users and its ability to coordinate integrated and patient-centered care. Nursing practice is fundamental to the development of a care pathway that enables adequate, humanized, and timely treatment of syphilis in primary care settings.

The nurs and sedoanalgesia in the intensive care unit

2025-08-08T13:01:17+00:00

Objective: To understand the role of nurses in managing sedation in intensive care patients. Methods: This is an integrative literature review, where the selection of productions occurred through the Virtual Health Library (BVS) and Pubmed databases. The descriptors for the search in Pubmed were: Pubmed: "Intensive Care Units", "Hypnotics and Sedatives", "Nurses" by the Boolean connector AND and for the search in the VHL were: "Hypnotics and Sedatives", "Enfermeiros", "Unidades de Terapia Intensiva", interconnected by the Boolean connector AND ". Results: We found 27 articles indexed in the Virtual Health Library (VHL) and 211 in Pubmed. Eight articles were selected to compose the final sample. Conclusion: This study concludes that the role of the nurse in the management of sedation of patients in intensive care is associated with a significant improvement in the quality of care, hemodynamic stability and patient comfort.

Clinical and evolutionary characteristics of kidney transplant recipients in the organizational work context

2025-08-08T13:04:27+00:00

Objective: To evaluate the clinical and evolutionary characteristics of kidney transplant recipients in the organizational context of work. Methods: This is a cross-sectional, descriptive, documentary and retrospective study, with a quantitative approach. Data collection was performed through forms filed in the medical records of the Renal Transplant Center of the General Hospital of Fortaleza. Results: Data were collected from 571 patients, predominantly aged between 40 and 59 years (39%), male (54.6%), married (36.1%), without disabilities (85.5%) and with elementary education (36.4%). Regarding the type of renal replacement therapy, hemodialysis predominated with 70.4% of the cases. Regarding the duration of dialysis, there was a predominance of more than 36 months (39.2%) and only 3.2% transplanted without undergoing dialysis.It was observed that 88.10% of the patients were dialyzed by AVF and 7.4% needed a new transplant. Conclusion: Nursing care for kidney transplant patients is essential for the maintenance and preservation of the graft and the patient's quality of life. This care constitutes the basic structure for the patient in the post-transplant period because knowing, preventing, and identifying complications early is crucial for the success of this treatment.

Epidemiological profile of elderly potential organ donors under brain death protocol

2025-08-21T20:33:18+00:00

Objective: To outline the epidemiological profile of elderly potential organ donors under a brain death protocol. Methods: This is a retrospective, documentary, and descriptive study with a quantitative approach, conducted in a University Hospital in the state of Paraná, Brazil. The study included patients aged ≥ 60 years who had a brain death protocol initiated and were admitted to the Intensive Care Unit between 2015 and 2022. Statistical analysis was descriptive, with absolute and relative frequency distribution. Results: The sample consisted of 71 patients (59.2% female; mean age of 71.2 years). Ischemic Stroke was the most frequent cause of hospitalization (39.4%). Of the total, 85.9% had some comorbidity, predominantly Systemic Arterial Hypertension, followed by Diabetes Mellitus. The average length of hospital stay between the opening and closing of the brain death protocol was 3.1 days, with a survival rate of 56.3%. Among those who survived until the protocol closure, 40% proceeded with organ donation, while 60% did not due to family refusal or recipient incompatibility. Conclusion: There was a predominance of female patients, victims of ischemic stroke, with comorbidities and continuous use of medications.