Browsing by Author "Alves, Paulo J. P."
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- Applying mHealth for assessment of complex wounds: insights from a focus groupPublication . Marques, Raquel; Mira, Helena I. M. F.; Lopes, Marcos V. O.; Neves-Amado, João D.; Ramos, Paulo A. S.; Alves, Paulo J. P.Background. It is a reality of care praxis that it is difficult for healthcare professionals to assess and monitor the local status of wounds objectively and regularly. This study aims to identify the minimum data required to evaluate patients with complex wounds to be incorporated into mHealth. Methods. Descriptive qualitative study, based on thematic analysis, using the online focus group technique. An intentional sample was selected, and two separate sessions were held, attended by 6 experts and 7 nurses. The data were coded by two researchers, with a deductive method, using NVivo software. Results. 5 themes emerged which are described as follows: assessment of patients with complex wounds, distinctive criteria based on the type of wound, flowcharts for approaching patients with wounds, characteristics of a mobile application focused on wound care, and alerts to be included in a mobile health application dedicated to wound treatment. The theme characteristics of a mobile application for approaching the patient with wounds raised 4 subthemes: (1) image, (2) communication, (3) decision-making, and (4) safety. Conclusion. The use of wound assessment tools provides data capable of generating quality care outcome indicators. These serve as good practice guides, enhancing health gains, whether they are economic or quality-of-life improvements.
- Skin temperature as a clinical parameter for nursing care: a descriptive correlational studyPublication . Soares, Rhea S.A.; Lima, Suzinara B.S.; Eberhardt, Thaís D.; Rodrigues, Liane R.; Martins, Robson S.; Silveira, Lidiana B. T. D.; Alves, Paulo J. P.Objective: To identify the skin temperature in different body areas of hospitalised individuals in the surgical unit, without risk of developing a pressure ulcer (PU). Methods: A descriptive, correlational and cross-sectional study, carried out May–October 2017, in a surgical unit of a university hospital in southern Brazil. Temperature was measured at the bony prominences including scapula, elbow, trochanters and heels, on both sides of the body, as well as occipital and sacral regions. Results: A total of 230 patients took part in the study. All regions of the body measured presented differences in temperatures. The sacral region presented the highest mean temperature (34.2±0.1°C). Patients (aged 18–59 years) had higher skin temperatures in the sacral region than older patients (aged 60–88 years). There was a symmetry in temperatures on both sides of the body. There was a low degree of correlation between age, room temperature, room humidity and skin temperature in some body regions. Conclusion: The study established mean values for skin temperature in specific body regions in patients without risk of developing a PU, hospitalised in a surgical unit. It also demonstrates how skin temperature can be used as a clinical parameter in practice to support the prevention of PUs.