BackgroundIntestinal ostomies affect physical, emotional, and social dimensions of life, requiring systematic assessment and individualized nursing care. Although the NANDA-I Classification of Nursing Diagnoses (NDs) supports diagnostic reasoning and care planning, systematic evidence on the most frequent NDs in this population remains limited.ObjectiveTo analyze the available evidence on the prevalence of the NANDA-I NDs in individuals with intestinal ostomies.MethodA systematic review with meta-analysis was conducted following the Cochrane guidelines in Web of Science, Scopus, Embase, CINAHL, MEDLINE/PubMed, and the Virtual Health Library, with no language or time restrictions. Quantitative studies reporting the prevalence of NANDA-I NDs were included. The methodological quality was assessed, and prevalence proportions were pooled using the DerSimonian-Laird random-effects model.ResultsSix studies published between 2000 and 2023 were included, five of which met quality criteria for the meta-analysis, totaling 508 participants. The most prevalent NDs were Ineffective sleep pattern (53%; 95% CI 28-77%); Risk for impaired skin integrity (34%; 95% CI 0-90%); Disrupted body image (33%; 95% CI 8-64%); Impaired resilience (31%; 95% CI 23-40%); Situational low self-esteem (27%; 95% CI: 21-34%); Impaired sexual function (23%; 95% CI 16-32%); Impaired physical mobility (23%; 95% CI 11-36%); Acute pain (22%; 95% CI 13-33%); Inadequate nutritional intake (21%; 95% CI: 10-33%).ConclusionThe most prevalent NDs identified reflect common altered human responses in individuals with intestinal ostomies. Identifying these NDs can support diagnostic assessment and care planning targeted at optimizing sleep, protecting skin integrity, promoting satisfactory body image perception, and enhancing emotional adaptation and resilience.
Depressive symptoms in older adults represent a significant concern with major life impact. This uncontrolled pilot study evaluated the safety, feasibility and acceptance of metacognitive training for depression in later life (MCT-Silver) among Portuguese older adults. MCT-Silver is an 8-week psychological group intervention targeting (meta)cognitive beliefs to reduce depressive symptoms. The study also assessed changes in depressive symptoms, metacognitive beliefs, quality of life, ruminative responses, self-esteem, and dysfunctional attitudes. A pilot, uncontrolled, single-group study with twenty-nine participants aged ≥ 60 years without cognitive impairment and beck depression inventory-II (BDI-II) scores ≥ 14 were included. Blinded assessments occurred at baseline and post-intervention using patient health questionnaire-9 (PHQ-9) (depression), metacognitions questionnaire-30 (MCQ-30) (metacognitive beliefs), world health organization quality of life instruments-Bref, item 1 (WHOQOL-Bref) (quality of life), ruminative responses scale (RRS-10) (ruminative responses), Rosenberg self-esteem scale (RSE) (self-esteem), and dysfunctional attitudes scale-18B (DAS-18B) (dysfunctional attitudes). Acceptance was assessed with a 21-item questionnaire. Participants attended an average of 6 sessions (75
Enquadramento: as doenças cardiovasculares causam cerca de 19,8 milhões de óbitos por ano. A intervenção coronária percutânea é o tratamento de eleição para o síndrome coronário agudo e para a doença arterial coronária. Objetivo: mapear os diagnósticos de enfermagem identificados pelos enfermeiros que atuam nos serviços de hemodinâmica no cuidado à pessoa submetida a intervenção coronária percutânea. Metodologia: scoping review segundo as orientações do JBI e do PRISMA-ScR statement. A pesquisa trifásica foi realizada nas bases de dados: Nursing & Allied Health Collection: Comprehensive, CINAHL e MEDLINE, sem restrição temporal. Resultados: foram identificadas três categorias: diagnósticos de enfermagem, modelos teóricos e indicadores em saúde, abrangendo os períodos pré, intra e pós procedimento. Identificaram-se 38 diagnósticos de enfermagem, formulados segundo a North American Nursing Diagnosis Association e a Classificação Internacional para a Prática de Enfermagem. Estes diagnósticos contribuem para indicadores fisiológicos, de funcionalidade e eventos/efeitos adversos. Conclusão: esta scoping review constitiu um contributo para o desenvolvimento do conhecimento dos diagnósticos de enfermagem no contexto da intervenção coronária percutânea. Recomenda-se, a realização de estudos qualitativos, quantitativos correlacionais e experimentais que aprofundem a compreensão, validação e impacto dos diagnósticos de enfermagem neste contexto.
ABSTRACT Background and Aims The COVID‐19 pandemic has significantly impacted global mortality, with marked variations according to demographic and temporal factors. This study aimed to analyze COVID‐19 mortality trends and associated demographic factors in Chapecó, Southern Brazil, between 2020 and 2023. Methods This population‐based retrospective observational study included all confirmed COVID‐19 cases and related deaths recorded from March 2020 to March 2023. Data were obtained from the Municipal Epidemiological Surveillance Service. Demographic variables (age, sex, and year of occurrence) were analyzed. Mortality was evaluated using multivariable logistic regression models, incorporating variables selected based on epidemiological relevance. Odds ratios (ORs) and 95% confidence intervals (CIs) were estimated. Statistical significance was set at α = 0.05. Results A total of 84,814 COVID‐19 cases and 861 deaths were recorded (case fatality rate: 1.02%). Mortality was higher among males (61.1%) and increased significantly with age, with a 10.2% higher odds of death per additional year of age. Compared with 2020, mortality risk was higher in 2021 (OR = 2.07; 95% CI: 1.72–2.50) and significantly lower in 2022 (OR = 0.15; 95% CI: 0.11–0.21). Peaks in case incidence during 2022 were not accompanied by proportional increases in mortality. Conclusion COVID‐19 mortality in Chapecó was strongly associated with age and male sex. The substantial reduction in mortality after 2021 highlights the impact of vaccination and improved public health measures in mitigating pandemic outcomes.
Laser tattoo removal often requires multiple treatment sessions despite advances in picosecond laser technology. Multimodal approaches aimed at improving treatment efficiency are increasingly being explored. This study retrospectively evaluated the clinical outcomes of a vacuum-assisted multimodal picosecond laser tattoo removal protocol. A retrospective observational case series was conducted including 16 tattoos that completed treatment with standardized photographic follow-up. The protocol combined fractional ablative laser pretreatment (1064 nm, 3–5 stacks), followed by two full-beam picosecond 1064 nm passes with application of a vacuum-assisted device between passes. Standardized images were acquired using the Quantificare imaging system. Treatment outcomes were independently evaluated by three blinded experts. Kirby–Desai estimated treatment sessions were additionally calculated as a historical comparative reference. Sixteen tattoos completed treatment and were included in the final analysis. Mean pigment clearance exceeded 90
