Nasal septum injury in preterm infants using nasal prongs

OBJETIVO: evaluar la incidencia y los factores de riesgo asociados a la lesión de tabique nasal en prematuros utilizando prongs nasales reutilizadas y novas. MÉTODO: el estudio fue un cohorte de intervención terapéutica abierta. La muestra incluyó 70 neonatos con edad gestacional inferior a 37 semanas, utilizando prongs nasales internados en la unidad neonatal de un hospital de Recife-PE, Nordeste de Brasil. Los datos fueron recolectados en archivos, mediante la evaluación de la aplicación del dispositivo y del tabique nasal. Fue aplicado análisis de Regresión Logística Multinomial y de Sobrevida. RESULTADOS: la incidencia de lesión nasal fue 62,9%. En el análisis múltiplo, solamente el tiempo de permanencia del neonato en la terapéutica fue factor determinante para la ocurrencia y severidad de las lesiones. CONCLUSIÓN: el tipo de prong nasal no constituye factor de riesgo para la lesión nasal. La alta incidencia de lesión nasal indica la necesidad de adecuación de los cuidados de enfermería, enfatizando la prevención.OBJECTIVE: to assess the incidence and risk factors associated with nasal septum injury in premature infants using reused and new nasal prongs. METHOD: the study was a cohort from an open therapeutic intervention. The sample included 70 infants with a gestational age inferior to 37 weeks, who used nasal prongs and were hospitalized at the neonatal service of a hospital in Recife-PE, in the Northeast of Brazil. The data were collected in patient files through the assessment of the application of the device and of the nasal septum. Multinomial Logistic Regression and Survival analyses were applied. RESULTS: the incidence of nasal injury corresponded to 62.9%. In the multiple analysis, only the length of the infant's treatment was a determinant factor for the occurrence and severity of the injuries. CONCLUSION: the type of nasal prong does not serve as a risk factor for the nasal injury. The high incidence of nasal injury indicates the need to adapt the nursing care with emphasis on prevention.OBJETIVO: avaliar a incidência e os fatores de risco associados à lesão de septo nasal em prematuros utilizando prongas nasais reutilizadas e novas. MÉTODO: o estudo foi de coorte de intervenção terapêutica aberta. A amostra incluiu 70 neonatos com idade gestacional abaixo de 37 semanas, utilizando prongas nasais, internados na unidade neonatal de um hospital do Recife, Pernambuco, Nordeste do Brasil. Os dados foram coletados em prontuários, pela avaliação da aplicação do dispositivo e do septo nasal. Foi realizada análise de Regressão Logística Multinomial e de Sobrevida. RESULTADOS: a incidência de lesão nasal foi de 62,9%. Na análise múltipla, apenas o tempo de permanência do neonato na terapêutica foi fator determinante para a ocorrência e severidade das lesões. CONCLUSÃO: o tipo de pronga nasal não constitui fator de risco para a lesão nasal. A alta incidência de lesão nasal indica a necessidade de adequação dos cuidados de enfermagem enfatizando a prevenção

why should we care about it?

Funding Information: and abroad registered and certified in the National Council for Scientific and Technological Development (CNPq) directory working in this area. According to the catalog of the Brazilian Federal Foundation for Support and Evaluation of Graduate Education (CAPES), nearly 50 theses or dissertations have been produced in this field since 2017. In descending order, the prominent areas include Nursing, Public Health, Pharmacy, Medicine, Biological Sciences, Physical Education, Physiotherapy, Occupational Therapy, Nutrition, Psychology, Administration, Social and Political Sciences, and Education.publishersversionpublishe

Diagnóstico e análise da Síndrome Metabólica em Pacientes com Obesidade Mórbida

Metabolic Syndrome (MetS) is a complex and multifactorial condition associated with an increased risk of cardiovascular diseases and type 2 diabetes. This integrative review aims to analyze diagnostic methodologies and the main factors involved in MetS in patients with morbid obesity. Using the Scientific Electronic Library Online (SCIELO) and Latin American and Caribbean Literature in Health Sciences (LILACS) databases, studies from the last ten years were selected, with descriptors such as “Metabolic Syndrome”, “Morbid Obesity” and “ Diagnosis". The search identified eight relevant studies. The results point to the need for accurate and comprehensive diagnostic methods, considering the multiple components of MS and the complexity of morbid obesity. It is concluded that early diagnosis and multidisciplinary intervention are essential for the effective management of MS in morbidly obese patients.A Síndrome Metabólica (SM) é uma condição complexa e multifatorial associada a um risco aumentado de doenças cardiovasculares e diabetes tipo 2. Esta revisão integrativa tem como objetivo analisar as metodologias de diagnóstico e os principais fatores envolvidos na SM em pacientes com obesidade mórbida. Utilizando as bases de dados Scientific Electronic Library Online (SCIELO) e Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), foram selecionados estudos dos últimos dez anos, com descritores como “Síndrome Metabólica”, “Obesidade Mórbida” e “Diagnóstico”. A pesquisa identificou oito estudos relevantes. Os resultados apontam para a necessidade de métodos de diagnóstico precisos e abrangentes, considerando os múltiplos componentes da SM e a complexidade da obesidade mórbida. Conclui-se que o diagnóstico precoce e a intervenção multidisciplinar são essenciais para a gestão eficaz da SM em pacientes obesos mórbidos

Nasal septum injury in preterm infants using nasal prongs

OBJECTIVE: to assess the incidence and risk factors associated with nasal septum injury in premature infants using reused and new nasal prongs.METHOD: the study was a cohort from an open therapeutic intervention. The sample included 70 infants with a gestational age inferior to 37 weeks, who used nasal prongs and were hospitalized at the neonatal service of a hospital in Recife-PE, in the Northeast of Brazil. The data were collected in patient files through the assessment of the application of the device and of the nasal septum. Multinomial Logistic Regression and Survival analyses were applied.RESULTS: the incidence of nasal injury corresponded to 62.9%. In the multiple analysis, only the length of the infant's treatment was a determinant factor for the occurrence and severity of the injuries.CONCLUSION: the type of nasal prong does not serve as a risk factor for the nasal injury. The high incidence of nasal injury indicates the need to adapt the nursing care with emphasis on prevention