Bordin, Ronaldo

Carvalho, Adriane da Silva

Nugem, Rita de Cássia

Rosa, Roger dos Santos

Silva, Patricia Silva da

BMC Health Services Research

English

Lume 5.8

4. Malta DC, Bernal RI, Nunes ML, Oliveira MM, Iser BM, Andrade SC, et al.Prevalência de fatores de risco e proteção para doenças crônicas nãotransmissíveis em adultos: estudo transversal, Brasil 2012. Epidemiol ServSaúde, Brasília. 2014 Dez;23(4):609-22.5. Instituto Brasileiro de Geografia e Estatística [homepage na internet].Projeção da População do Brasil por sexo e idade: 2000- 2060 [acessoem 10 dez 2017]. Disponível em: https://ww2.ibge.gov.br/home/estatistica/populacao/projecao_da_populacao/2013/default_tab.shtm.KeywordsObesity, Aging, Tendencies, Population projection, Demography.P18Nursing interventions towards the hospitalized elderly patient withdelirium – a systematic review of literatureMarta Bento, Rita MarquesUniversidade Católica Portuguesa, 1649-023 Lisboa, PortugalCorrespondence: Marta Bento (marsofia81@hotmail.com)BMC Health Services Research 2018, 18(Suppl 2):P18BackgroundDelirium is one of the most prevalent neuropsychiatric syndromes inthe hospital setting, preferably in the elderly debilitated patients. It isa cognitive alteration of sudden onset, developing in a matter ofhours or days; which is interspersed with periods of lucidity and alsocharacterized by disturbances in attention, memory and behaviour. Itis also identified by the worsening of the symptoms at night and bychanges in the sleep-wake cycle. The presence of this syndrome,makes impossible a holistic care, upsetting an effectively communica-tion, between patient and nurse or family. It may even be consideredcommon for an elderly, given the age, to appear confused, but itshould not be considered normal, so investing in concrete studies tospecify these mental changes and determinate what interventionsare more appropriate for this vulnerable group, is emergent. It is upto nurses, who are in a privileged position, the early recognition/intervention at this neurological condition. It is assumed as an emer-ging need, to implement non-pharmacological strategies, so that theoccurrence of delirium decreases and thus avoids great suffering.ObjectiveThis study aimed to identify the nursing interventions directed to thehospitalized elderly, for the control and prevention of delirium.MethodsUsing the methodology recommended by the Cochrane Centre, thissystematic review of literature was guided by the following researchquestion: “What is the scientific evidence regarding nursing interven-tions directed to the hospitalized adult/elderly for the control of delir-ium?” Using a PICO framework as reference, a review of articlespublished between 2012 and 2017 was carried out. The research wasconducted at B-ON and EBSCO host - Research Databases.ResultsIn this bibliographic review 5 studies were selected, in common, theypresent tendentially, non-pharmacological strategies adopted bynurses with preventive character towards the predisposing and pre-cipitating factors of delirium. The role of nursing in carrying out pre-ventive actions was important in the maintenance of the sensorialbalance (frequently reorientation, encouraging the use of visual andhearing aids improves patients ‘sensorium), optimizing circadianrhythm (minimizing night procedures, allowing periods of rest),assessing the local environment (limiting background noise andlight) as well as in the mental status, pain, monitoring hydration, nu-trition and stimulation of early mobility.ConclusionsThe implementation of nursing delirium preventive measures truthsensibilized professionals reveals to be effective in reducing the inci-dence of delirium. Research is imperative, to recognize and validatewitch interventions may better control delirium and thus reduce itsconsequences.KeywordsDelirium, Nursing interventions, Hospitalized adult patients, Evidence-based practice.P19Distribution of gama-chamber nuclear equipment is associated tothe distribution of physicians in the state of Rio Grande do Sul,BrazilPatrícia Silva, Roger S Rosa, Rita Nugem, Adriane Carvalho, RonaldoBordinFederal University of Rio Grande do Sul, 90040-060 Porto Alegre, RioGrande do Sul, BrazilCorrespondence: Patrícia Silva (patriciairan@ig.com.br)BMC Health Services Research 2018, 18(Suppl 2):P19BackgroundThe use of effective technologies extends the resolution of health ser-vices. However, over-supply can create incentives for service over-use,which is not without risk to patients. Nuclear medicine equipment hasbeen increasingly used. Knowing the associations with their spatial dis-tribution can contribute to interventions aimed at reducing inequalities.ObjectiveTo dimension the association among mean number of equipment’sof gamma-chamber, population, Gross Domestic Product and num-ber of physicians, by health region of Rio Grande do Sul, state ofsouthern Brazil.MethodsObservational and cross-sectional descriptive study based on publicdata from each one of the 30 health regions for 2013, the most recentyear at the time of the survey (2016-2017). Data was managed in Micro-soft Excel®. Pearson's linear correlation coefficient and multiple linearregression analysis were used with Statistica 12.5® software, at a signifi-cance level of 5%. The variable considered for outcome was monthlymean of gamma camera equipment (GamaC) and the predictor vari-ables (I) population (POP), expressed in number of inhabitants; (II) GrossDomestic Product (GDP), expressed in the national coin (Real); and (III)the number of physicians registered in the CNES - National Register ofHealth Establishments (MED) by health region of the State Health Sec-retariat, in 2013.ResultsThe predictive variables POP, GDP and MED were each one highlycorrelated with GamaC (R = 0.94, 0.92 and 0.98 respectively). Simplelinear regressions with each independent variable were elaborated. Itwas found that POP, PIB and MED significantly affected the GamaCvariable (adjusted R2 of 0.89, 0.84 and 0.96 respectively). In the finalmodel, where variables were standardized and GamaC was consid-ered to be simultaneously dependent on the predictive variablesPOP, GDP and MED, the POP variable lost significance (p > 0.05). Thevariable PIB presented a negative coefficient (-0.54, p < 0.01), whilethe variable MED, a positive (1.27, p < 0.01).ConclusionsHealth regions of the state that had the highest number of physi-cians, had the highest mean number of scintigraphic chambers. Thegrowth in the supply of medical equipment such as nuclear medicineimproves the population's access to services, but the greater supplyin Rio Grande do Sul state was associated more with better devel-oped health regions, when considering the number of medical pro-fessionals available, than the gross domestic product or the numberof residents in the territory.KeywordsNuclear medicine, Supply, Health needs, Demand of health services.P20Family experiences of the internalized person in situation ofcritical illness: integrative revisionRaquel MV Ramos, Ana CR Monteiro, Sílvia P CoelhoInstituto de Ciências da Saúde, Universidade Católica Portuguesa, 4169-005 Porto, PortugalRaquel MV Ramos (raquel_mvr@hotmail.com)BMC Health Services Research 2018, 18(Suppl 2):P20BackgroundThe admission of a patient to a critical health unit is usually trau-matic for the family, having a major impact on their life, which canBMC Health Services Research 2018, 18(Suppl 2):684 Page 100 of 183

Distribution of gama-chamber nuclear equipment is associated to the distribution of physicians in the state of Rio Grande do Sul, Brazil

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Distribution of gama-chamber nuclear equipment is associated to the distribution of physicians in the state of Rio Grande do Sul, Brazil

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