The role of ozone treatment as integrative medicine. An evidence and gap map

IntroductionThe Brazil has one of the largest public health systems in the world and in the 1980's, Traditional, Complementary and Integrative Medicine were introduced. In 2018, the treatment with ozone became a complementary integrative practice showing several benefits. However, its effectiveness needs to be researched. The objective of this evidence gap map is to describe contributions of Integrative Medicines-Ozone treatment in different clinical conditions, to promote evidence-based practice.MethodsWe applied the methodology developed by Latin American and Caribbean Center on Health Sciences Information based on the 3iE evidence gap map. The EMBASE, PubMed and Virtual Health Library databases, using the MeSH and DeCS terms for the treatment with Ozone were used.Results26 systematic reviews were characterized, distributed in a matrix containing 6 interventions (parenteral oxygen/ozone gas mixture; parenteral ozonated water; systemic routes; topical application ozonated water; topical oxygen/ozone gas mixture; and topical ozonated oil) and 55 outcomes (cancer, infection, inflammation, pain, quality of life, wound healing and adverse effects). 334 associations between intervention and outcome were observed, emphasizing the parenteral oxygen/ozone gas mixture intervention (192 associations, 57%).ConclusionsThe evidence gap map presents an overview of contributions of Ozone treatment in controlling pain, infections, inflammation and wound healing, as well as increasing the quality of life, and it is directed to researchers and health professionals specialized in Ozone treatment. No serious adverse effects were related. Therefore, this treatment may be even more widely known as an integrative treatment, considering its low cost, efficiency and safety. Future studies should adopt economic impact assessments and the organization of health services

Renal transplantation: diagnosis and nursing intervention in patients during immediate postoperative period

Objectives: To identify the nursing diagnosis in the immediatepostoperative period of patients undergoing renal transplantation andto register the nursing actions proposed by the Nursing InterventionsClassification, for nursing diagnoses identified in patients undergoingrenal transplantation. Methods: A descriptive study performed byinvestigation of computerized hospital records from patients undergoingrenal transplantation between July and December, 2004, in a largeprivate general hospital in the city of Sao Paulo. Collection of datawas carried out by means of an instrument that contains patientidentification data and a list of defining characteristics and relatedfactors/risk factors of nursing diagnosis, based on the most frequentcomplications reported in the literature, for patients in the immediatepostoperative period of renal transplantation. Results: Incidenceof 100% of the following diagnoses: risk of fluid volume imbalance,risk of falls, risk of infection, risk of aspiration, inefficient protection,impaired bed mobility, impaired skin integrity, self-care deficit forbathing/hygiene. The major nursing interventions for the diagnosesfound were control and monitoring of fluids and electrolytes, preventionof falls, protection against infection, post-anesthesia care, precautionsagainst aspiration, bed rest care, skin supervision, care of lesions, andassistance on self-care and temperature control. Conclusion: Theresults obtained help to systemize nursing assistance aiming to improvecare provided to patients undergoing renal transplantation

Patient care and administrative activities of nurses in clinical/surgical units

ABSTRACT Objectives: To identify the administrative and nursing care activities most performed by nurses in clinical/surgical units and to determine which are most and least pleasant to them. Methods: A descriptive-exploratory field study, with a quantitative approach and with a sample made up of 40 nurses working in clinical/surgical units who answered a three-part questionnaire composed of identification data and characterization of the professional; a list of nursing and administrative activities for the nurse to grade according to the numbers: “0 = I do not perform it”, “1 = I perform it occasionally”, “2 = I perform it often”, “3 = I perform it daily”; two open-ended questions, in which the nurse listed the activities he/she enjoyed the most and the least. Results: The administrative activities most performed by the nurses were: changing work shifts, preparing employee daily task charts and managing tests; the most performed nursing care activities were related to the stages of the Nursing Care Systematization and the interaction with the multi-professional team; the most enjoyable activities were direct patient care, patient evaluation and implementation of the systematization; the least enjoyable activities were administrative and bureaucratic routines, justification of complaints/problem-solving and preparation of employee task charts. Conclusion: Compared to administrative activities, nursing activities were performed most during the daily routine of the nurse, and the most enjoyable activities were those related to patient care, according to the opinions of the professionals