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Sexuality of People with Spinal Cord Injury: Knowledge, Difficulties and Adaptation

Journal of Biomedical Science and Engineering 2014年第6期7卷 380-386页

作者： Simone Beatriz Torriani Flavia Costa Britto Gelson Aguiar da Silva deyse Cardoso de Oliveira zuila maria de figueiredo carvalho Federal University of Border South UFFS Santa Catarina Brazil Federal University of Ceará Fortaleza Ceará Brazil University of Southern Santa Catarina Santa Catarina Brazil University of the West Regional Hospital Santa Catarina Brazil

Expressing sexuality is an important part of life, whether the person has a spinal cord injury (SCI) or not. This study investigated the sexual activity before and after SCI, the difficulties, and adjustments made by these people in relation to their sexuality. This is a qualitative study conducted with 14 people with SCI through semi-structured interviews, which we analyzed in light of pertinent literature and organized into three themes: sexual activity before and after SCI;difficulties in performing sexual activities;and adjustments in sexual activity after SCI. We conclude that, although there may be many difficulties, with the partner’s support they can get sexual satisfaction and adapt to the new reality. Nonetheless, it is necessary and essential that the patient receive guidance about the possible changes and adaptive methods, and nurses can play a critical role in this process.

关键词： Spinal Cord Injuries Sexuality Adaptation

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Experiencing a traumatic spinal cord injury—Analysis on the view of the theory of Watson’s transpersonal caring

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Journal of Biomedical Science and Engineering 2013年第7期6卷 14-20页

作者： zuila maria de figueiredo carvalho Juan Jose Tirado Darder Priscila Alencar Mendes Reis Samira Rocha Magalhaes Samia Jardelle Costa de Freitas Maniva New University of Lisbon LisbonPortugal Federal University of Ceará FortalezaBrazil The National Council for Scientific and Technological development(CNPq) BrasiliaBrazil Nupen/deNF/FFOE/UFC FortalezaBrazil School of Nursing Cardenal Herrera UniversityValenciaSpain Clinical Care Health State University of Ceará FortalezaBrazil

This is an inquiry that seeks to understand the meaning of experiencing a spinal cord injury for hospitalized Brazilian and Portuguese patients. A quailtative study was achieved in two care services to spinal cord injury in Fortaleza-Brazil and Lisboa-Portugal. The subjects were 30 patients with complete spinal cord injury. The findings were obtained through a semi-structured interview, which took place at different times and it was used the following guiding question: What does it mean for you to experience a spinal cord injury? The data were organized by Bardin technique and analysis based on the assumptions of the theory of Jean Watson’s care. The speeches of the patients show a diversity of meanings such as: to lose the freedom of going and coming, sexuality and to become dependent on others. It is concluded that this situation of loss overbalances the person’s existence, which is expressed by feelings of sadness, grief, discontent, isolation, anxiety, crying, pain and emotional suffering. These feelings were expressed by the two groups despite being from different cultures. The research enabled the description of multiple dimensions of the meaning of spinal cord injury. It fills the theoretical gap, not yet sufficiently addressed to the practice of caring people with spinal cord injury.

关键词： Spinal Cord Injury Comprehensive Analysis Jean Watson’s Theory

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Analysis of Risk Factors Sociodemographic for the Functional dependence of Adults with Spinal Cord Injury

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Journal of Biomedical Science and Engineering 2015年第4期8卷 287-294页

作者： Roberta de Araújo e Silva Priscila Alencar Mendes Reis zuila maria de figueiredo carvalho Ana Karina Bezerra Pinheiro Lorena Barbosa Ximenes maria Aparecida Alves de Oliveira Federal University of Ceará FortalezaBrazil Federal University of Maranhao ImperatrizBrazil

Objective: To evaluate the odds ratio of risk factors of sociodemographic and functional capacity of adults with spinal cord injury. Methods: Analytical, cross-sectional, quantitative study accomplished with a group of 47 people with spinal cord injury in hospitals and 27 in the household. The data were collected through a structured instrument composed of independent variables related to epidemiological and clinical data on spinal cord injury and dependent variables corresponding to the scale of the Barthel Index (BI). The data were analysed with the two-tailed chi-square or Fisher’s exact tests using the Statistical Package for the Social Sciences version 20.0 (SPSS Inc., USA). Odds ratio (OR) and 95% confidence intervals (CI) were used as an estimate of the risk. The level of significance was set at a p value ≤0.05. Results: It was found that males (OR = 4.804, p = 0.041), the education less than ten years (OR = 3.000, p = 0.036), the hospital care (OR = 5.250, p = 0.002) and injury time less than six months (OR = 5.250, p = 0.002) are sociodemographic factors that are associated with the functional capacity of individuals with spinal cord injury. Moreover, the total dependence (p dependence (p = 0.019) are associated with quadricplegia. It was found that males (p = 0.041), the education less than ten years (p = 0.036), attention to hospital health (p = 0.002) and minor injury time less than six months (p = 0.002) are sociode-mographic factors associated with functional capacity of subjects. Conclusion: As a result, it was found that knowing the epidemiological and clinical factors of people with spinal cord injury is relevant to plan the nursing care. In other words, knowing the epidemiological and clinical factors of people with spinal cord injury is relevant to achieve the functional independence of these people, and it was demonstrated that the social determinants of health are interrelated and interdependent of chronic health conditions,

关键词： Spinal Cord Injury Health Promotion Social determinants of Health Nursing

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Use of the Tinetti Index to Assess Fall Risk in Patients with Sequelae of Stroke

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Journal of Biomedical Science and Engineering 2014年第14期7卷 1088-1094页

作者： zuila maria de figueiredo carvalho Joyce Miná Albuquerque Coelho Raelly Ramos Campos deyse Cardoso de Oliveira Winner Gomes Machado Samia Jardelle Costa de Freitas Maniva Federal University of Ceará Fortaleza Brazil Fortaleza General Hospital Fortaleza Brazil

Background and Objective: The knowledge about risk of falls in patients with sequelae of stroke by applying a scale constitutes an important factor fort nurses since it allows planning for quality care and consequently improves the quality of life of such patients. The present study aimed to assess the risk of falls of patients with sequelae of stroke using Tinetti Index. Methods: Transversal descriptive study with 61 hospitalized patients. The data were collected through the application of Tinetti Index, the total score of which is 28 points. Results: The index evaluation shows que 47.9% had 19 points under the ideal score, indicating a high risk of falls, 41.7% from 24 to 28, indicating moderate risk and 10.4% from 19 to 23 points, indicating low risk of falls. The final average was (15.23), the median (16.50) and standard deviation (±11.034). Conclusions: There is a high risk of falls in this population, a quantification of impaired balance and gait anticipate the future risk of falls. The use of assessment instruments has important implications for improving the quality of life in patients with symptomatic stroke.

关键词： Tinetti Index Sequelae of Stroke Risk of Falls Nursing

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