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Percorrer por autor "Souza, Lara Helk"

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  • How to choose the appropriate cannulation technique for vascular access in hemodialysis patients
    Publication . Sousa, Clemente Neves; Teles, Paulo; Ribeiro, Olga; Sousa, Rui; Lira, Marta Nunes; Delgado, Elisabete; Oliveira, Debora; Campos, Luís; Fernandes, Filipa; Moura, Sandra Cristina Mendo; Delgado, Millena Freire; Sá, Tiago Gomes; Teixeira, Sílvia Mónica Pereira; Souza, Lara Helk; Ribeiro, Rita Cássia Helú Mendonça; Oliveira, Gabriela Fernanda Neves; Mendonça, Ana Elza Oliveira; Ozen, Nurten
    The cannulation technique is important for the survival of the arteriovenous access. Choosing the appropriate technique is a complex decision. Such choice must be customized to patients, considering their characteristics, the type of arteriovenous access and the experience of the hemodialysis team. We describe seven items that can help nurses to identify the appropriate cannulation technique: type of arteriovenous access; drainage vein; hygienic self-care profile; experience of the nursing staff in the cannulation technique and nurse-to-patient ratio; hemodialysis treatment method; patient's condition; and patient's decision. Such items can help nurses in decision-making on the "ideal" cannulation technique for each patient.
    2023Artigo científico Acesso restrito Ver mais
  • Investigating the Effect of a Structured Intervention on the Development of Self-Care Behaviors With Arteriovenous Fistula in Hemodialysis Patients
    Publication . Sousa, Clemente Neves; Paquete, Ana Rita Cabral; Teles, Paulo; Barroso, Cristina; Dias, Vanessa Filipa Ferreira; Ribeiro, Olga; Manzini, Carlene Souza Silva; Nicole, Andressa Garcia; Souza, Lara Helk; Ozen, Nurten
    This study aimed to assess the effectiveness of a structured intervention on the frequency of self-care behaviors with arteriovenous fistula (AVF) by patients on hemodialysis. This is a quasi-experimental study with pre- and post-measurements. Participants were assigned to an intervention group (IG) (n=48) or to a control group (CG) (n=41). IG patients were subject to a structured intervention on self-care with AVF (SISC-AVF) consisting of both a theoretical and a practical part. After SISC-AVF application, patients in the IG showed better overall self-care behaviors with AVF than patients in the CG (79.2% and 91.4%, respectively, p<.001) as well as better self-care concerning both the management of signs and symptoms (90.1% and 94.4% respectively, p=.004) and the prevention of complications (72.7% and 89.5%, respectively, p<.001). The study results suggest that the SISC-AVF had positive effects on patients in the IG.
    2020Artigo científico Acesso aberto Ver mais