Germano Couto

Fernando Pessoa University

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Isabel Oliveira

Escola Superior de Enfermagem de Coimbra

Carla Sílvia Fernandes

Escola Superior de Enfermagem do Porto

Rute F. Meneses

Fernando Pessoa University

Sílvia Queirós

Hospital de São João

Joana Teixeira

Fernando Pessoa University

Rogério Carvalho

Fernando Pessoa University

Leonor Maria Pacheco Santos

Universidade de Brasília

Pedro Lopes Ferreira

University of Coimbra

Ana Paula Prata

Centre for Health Technology and Services Research

Daniela Fernandes

Fernando Pessoa University

Cooperative Institutions

Fernando Pessoa University

Universidade do Porto

Centre for Health Technology and Services Research

Fundação Oswaldo Cruz

Universidade Federal do Rio de Janeiro

Universidade de São Paulo

Universidade do Estado do Rio de Janeiro

Hospital de São João

Escola Superior de Enfermagem do Porto

University of Minho

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Benefits of exclusive breastfeeding: An integrative review

Nursing Practice Today (2020)

Germano Couto Vanessa Macedo Dias Isabel Oliveira

Background & Aim: The importance of breastfeeding and its exclusivity in the first six months of a child’s life is worldwide recognized. Despite that adherence to exclusive breastfeeding is far from international standards. Therefore, updating evidence on this topic is essential to demonstrate to parents and health professionals the benefits of exclusive breastfeeding, demystifying ideas, and promoting adherence. Methods & Materials: An integrative review was conducted with a search in Medline, SciELO, and CINHAL databases, with the descriptors “breastfeeding", "breast", "feeding", "breastfeeding", "exclusive" and "benefits”, combined with the Boolean operator "AND" and “OR”, for studies published between 2014 and 2019. Of the 221 studies identified, eight were included for review. Results: Short-term and long-term benefits of exclusive breastfeeding for children were identified such as healthier eating habits, reduced length of hospital stay, favorable weight increase, lower body mass index, lower adiposity, lower total cholesterol values, better cognitive and behavioral development, as well as stability of metabolic levels in children with metabolic disorders. Conclusion: There are benefits for exclusive breastfeeding that must be explained to parents. Nurses must incorporate the best available evidence into their practice to enable parents to realize the impact of the choice of exclusive breastfeeding on the child's health, increasing their adherence.

10.18502/npt.v7i4.4034

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Adesão do paciente à terapêutica do glaucoma: uma visão geral portuguesa

Revista de Investigação & Inovação em Saúde (2018)

Maria José Reis Lopes Germano Couto Isabel Oliveira

Enquadramento: o glaucoma é uma das principais causas de cegueira irreversível. O tratamento adequado requer elevados níveis de adesão ao regime terapêutico. A maioria dos doentes com glaucoma não cumpre a terapêutica antiglaucomatosa o que está correlacionado com a progressão da doença. Objetivo: avaliar a adesão da pessoa à terapêutica antiglaucomatosa. Metodologia: foi desenvolvido um estudo observacional, transversal e descritivo. Foram incluídos e selecionados para este estudo doentes com glaucoma em tratamento ambulatório que, antes da consulta médica, foram avaliados durante a aplicação de drogas antiglaucomatosas, utilizando uma grelha de observação. Após o tratamento, foram entrevistados para perceber as suas habilidades e dificuldades na realização do tratamento. Resultados: da amostra obtida de 51 doentes, 39% desconheciam o nome do medicamento utilizado; 59% não realizaram a lavagem das mãos antes do procedimento; 73% inclinou o frasco colocando-o em contato com o olho; 25% não aplicavam a medicação no saco conjuntival; em 63% dos sujeitos verificou-se que utilizaram mais de uma gota; a maioria dos doentes, 57%, não esperou o tempo adequado entre as aplicações quando dois ou mais medicamentos foram prescritos. Conclusão: os resultados sugerem a necessidade de implementar estratégias individuais ou de grupo que possibilitem à pessoa com glaucoma realizar corretamente o tratamento.

10.37914/riis.v1i2.37

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Adaptation and validation of the Barnes-Jewish Hospital-Stroke Dysphagia Screen for the portuguese version

Journal Health NPEPS (2021)

Isabel Oliveira Germano Couto Maria Madalena Varzim Miranda Célia Maria Silva Campos Marta Dourado Barreto

Objective: adapt and validate the Barnes-Jewish Hospital-Stroke Dysphagia Screen (BJH-SDS) instrument to European Portuguese speakers. Method: BJH-SDS underwent a rigorous process of cross-cultural adaptation and was validated with acute stroke patients in five stroke units from February 2018 to April 2019. For data analysis, SPSS 25 was used. Nurses performed the screening on admission, and inter-rater reliability was established. Results of clinical bedside evaluation were compared with those provided by BJH-SDS. Results: cross-cultural adaptation was performed and completed successfully without difficulties. For validation, 226 acute stroke patients were enrolled. The incidence of dysphagia using BJH-SDS was 72.1%, and a highly significant relationship (χ2 = 87.81; p <0.001) was observed compared to clinical bedside evaluation, with an area under the ROC curve of 0,765. Excellent inter-rater reliability (k=0.977) was reached. Conclusion: results suggest that the Portuguese version of the BJH-SDS is a reliable dysphagia screening test. It is straightforward to be administered bedside by nurses with minimal training required. It was also shown to have adequate sensitivity to assist in decision-making to refer stroke patients for a more comprehensive evaluation.

Stroke

Acute stroke

10.30681/252610105656

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[Nurses' conceptualization on childbirth preparation].

Revista Latino-Americana de Enfermagem (2006)

Germano Couto

Descriptive, exploratory and qualitative study, carried out through the Delphi Technique, with a sample of 32 obstetrics specialist nurses working in 3 hospitals and 9 primary health care centers in the district of Oporto, Northern Portugal. The purposes of this work were: 1. to identify a group of nurses' ideas and consensual conceptions about Childbirth Preparation; 2. to know which information sources are consensually more used by nurses; 3. to know how they accept Childbirth Preparation programs as a way for pregnant women to have an active delivery. Results revealed that Childbirth Preparation is, according to the participants, an educational moment toward health, involving technical, educational, relational and informative procedures of great importance to pregnant women and nurses. This involves the period from the start of pregnancy to the puerperium, as a means of changing wrong behaviors with a view to achieving an expected goal of health gains for pregnant women and their family.

Delphi Method

Exploratory research

10.1590/s0104-11692006000200007

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An aging simulation game’s impact on the attitudes of nursing students

Nursing Practice Today (2019)

Carla Sílvia Fernandes Germano Couto Andreia Afonso

Background & Aim: The aging of the population poses new challenges, among others, a greater concern with the teaching of geriatrics and gerontology, especially to future health professionals. The simulation game "Aging Nursing Game" ® was used with the objective of evaluating the impact of an aging simulation game on nursing students' attitudes towards the elderly. Methods & Materials: A pre-test and post-test type quasi-experimental study was performed, without control group. The research was developed between February and July 2018. The subjects of this study were second-year undergraduate nursing students. A game was used as an intervention. To measure the effectiveness of the game, a questionnaire was applied before and after the intervention. The data collection instrument consisted of a questionnaire composed of two parts, the first part for sociodemographic characterization, and another consisting of the Portuguese version of the Kogan Scale (KAOP). Results: The sample consisted of 45 undergraduate nursing students from the 2nd year corresponding to 75% of the population. The attitude towards the elderly person improved significantly before and after the intervention. Of the 34 items on the Kogan Scale (KAOP), 21 improved significantly. Conclusion: The simulation game has proven to be effective in teaching students changing attitudes towards the elderly (p <0.05).

10.18502/npt.v6i3.1257

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Levels of physical activity promotion among nursing students in Portugal

Athena health & research journal. (2024)

Germano Couto João José Soares Faria Maria Manuela Guerra Maria Teresa Moreira José Manuel dos Santos

Introduction: This study examines the relevance of physical activity for health, focusing on nursing students facing challenges associated with a sedentary lifestyle and an academic workload. It delves into the influence of various factors, including age, sex, body mass index, and sedentary behavior. Objectives: This study aims to describe the levels of physical activity and physical literacy of nursing students at a nursing school in Portugal. Methodology: This study forms part of a more extensive multicenter investigation. A non-probabilistic convenience sample of 84 nursing students from an institution in northern Portugal was used. Data were collected via self-report online questionnaires that assessed physical activity, sedentary behavior, body mass index, and physical literacy and measured motivation, confidence, and the relevance of physical activity. The statistical analysis employed descriptive and correlational techniques to investigate potential associations between variables, including sex and school year. Results: Most students were female and in their third year of studies. A considerable proportion of the students were observed to engage in sedentary behavior, with 66.3% exhibited a Body Mass Index within the range typically considered "normal weight" (M = 23.33; SD = 3.28), the majority of students (n = 52; 61.6%) reported engaging in moderate-intensity physical activity weekly (metabolic equivalents between 3 and 6). In contrast, their physical literacy skills were relatively high, with room for comprehension improvement. Conclusion: The results indicate that body mass index and physical literacy are decisive for promoting physical activity among nursing students, and are eminently related to the sex of the students and the curricular year in which they are enrolled. A fact that can be the basis for measures and/or programs to promote physical activity with specific determinants, which can eventually be implemented in very specific situations, given the particularities of each institution.

Promotion (chess)

10.62741/ahrj.v1i2.18

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II Consenso Brasileiro de Tuberculose: Diretrizes Brasileiras para Tuberculose 2004

Jornal Brasileiro de Pneumologia (2004)

Adauto Castelo Filho Afrânio Lineu Kritski Angela Barreto Antônio Carlos Moreira Lemos Antônio Ruffino-Netto

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10.1590/s1806-37132004000700002

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Formação e-learning em competências de comunicação em estudantes de fisioterapia

DOAJ (DOAJ: Directory of Open Access Journals) (2022)

Leonor Almeida Santos Rute F. Meneses Germano Couto Cristina Santos

10.29352/mill0210e.26913

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Treino de Competências de Comunicação para Profissionais de Saúde

Sílvia Queirós Leonor Maria Pacheco Santos Rute F. Meneses Germano Couto

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Emergency department evaluation of orthotopic liver transplant recipients

Critical Care (2000)

Germano Couto Susan Marum João Antônio de Queiroz Oliveira M Rui Silva J P Ribeiro

The awareness of the diagnostic difficulty and the documented high mortality risk of perioperative myocardial infarction (PMI) has led to the wide use of work up to rule out PMI after major noncardiac operations.This has caused stable postoperative patients to be kept in monitored hospital beds for extended periods of time and to be subjected to additional tests.We hypothesized that the mortality of PMI is high and, therefore, the wide use of postoperative work up to identify these patients is justifiable.We performed the following study to prove our hypothesis.All patients in the recovery room after major noncardiac operations who underwent work up to rule out PMI were identified and followed.The PMI work up included care in an electronically monitored unit, physical assessment, continuous ECG monitoring, and three 12lead electrocardiograms and cardiac enzymes obtained at six to eight hour intervals.Data collection included patient demographics; preoperative cardiac risk factors; incidence of intraoperative hypotension, hemorrhage and ECG changes; type of anesthesia and operative procedures and their durations; postoperative ECG and cardiac enzyme results; the incidence of PMI and patient outcome.Two hundred patients were studied; 85 males and 115 females.Their mean age was 62.9 years.Preexisting conditions included hypertension in 162 patients, peripheral arterial disease in 102, diabetes mellitus in 97, angina in 30, previous myocardial infarction in 41, and smoking in 107.Of 200 patients, 164 had an abnormal preoperative ECG.Vascular operations were performed in 104 patients, nonvascular abdominal operations in 48, and other operations in the remaining 48.Intraoperatively, hypotension occurred in 29 patients, blood loss of >500 ml in 25 and ECG changes in 10.There were no deaths.PMI occurred in 5/200 (2.5%) patients.Four had undergone vascular operations and one had had an abdominal operation.The mean age of the patients with PMI was 64.2 years.The duration of operation and blood loss were similar to those of patients without PMI.None of these patients developed cardiac failure or cardiogenic shock and none of them died. Conclusion:The incidence of PMI among patients undergoing noncardiac surgery is low and its mortality is negligible.Physicians should become more selective in the use of monitored beds and in the ordering of a work up to rule out PMI. P2

10.1186/cc862

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