ABSTRACT Objective: This study analyzed the impact of sex on self-reported health and lifestyle parameters in peripheral artery disease patients at two periods of the COVID-19 pandemic. Methods: In this longitudinal study, 99 patients with peripheral artery disease (53 men and 46 women) were evaluated during two periods of the COVID-19 pandemic ( i.e ., at onset: May to August 2020, and on follow-up: May to August 2021). Patients were interviewed via telephone, and information regarding lifestyle and health parameters was obtained. Results: At the onset of the COVID-19 pandemic, health and habit parameters were similar between women and men, with 63.0% and 45.3% indicating frequent fatigue, 73.9% and 84.9% reporting increased sitting time, and 23.9% and 39.6% practicing physical activity, respectively. At follow-up, difficulties in physical mobility (women: from 26.1% to 73.9%, p<0.001; men: from 39.6% to 71.7%, p=0.001) and the frequency of hospitalization for reasons other than COVID-19 increased similarly in women and men (women: from 4.3% to 21.7%, p=0.013; men: from 9.4% to 24.5%, p=0.038). The other parameters were similar between the periods. Conclusion: Self-reported physical mobility difficulties and hospitalization frequency increased in women and men with peripheral artery disease. Objective selfreported self reported COVID19 COVID 19 COVID-1 Methods 9 53 (5 4 ie i e . 2020 followup follow up follow-up 2021. 2021 2021) telephone obtained Results 630 63 0 63.0 453 45 3 45.3 fatigue 739 73 73.9 849 84 84.9 time 239 23 23.9 396 39 6 39.6 activity respectively followup, up, (women 261 26 1 26.1 p<0.001 p0001 p 001 717 71 7 71.7% p=0.001 43 4.3 217 21 21.7% p=0.013 p0013 013 94 9.4 245 24 5 24.5% p=0.038. p0038 p=0.038 038 p=0.038) Conclusion Selfreported Self COVID1 COVID- 202 63. 45. 73. 8 84. 2 23. 39. 26. p<0.00 p000 00 71.7 p=0.00 4. 21.7 p=0.01 p001 01 9. 24.5 p003 p=0.03 03 20 p<0.0 p00 71. p=0.0 21. 24. p<0. p0 p=0. p<0 p=0 p< p=

Resumo Contexto A pandemia do Coronavírus 2019 (COVID-19) tem afetado negativamente o comportamento da população. Nesse contexto, o impacto da pandemia da COVID-19 no tratamento medicamentoso dos pacientes com doença arterial periférica (DAP) e claudicação intermitente (CI) permanece obscuro. Objetivos Analisar o impacto da pandemia da COVID-19 no tratamento medicamentoso dos pacientes com DAP e CI. Métodos Neste estudo observacional transversal, 136 pacientes com DAP e CI, recrutados do nosso banco de dados, responderam por telefone um questionário envolvendo as seguintes questões: a) cuidados com a COVID-19; b) saúde global; c) tratamento das doenças. Posteriormente, os pacientes foram divididos em dois grupos, de acordo com a dificuldade para a aquisição dos medicamentos (DAM: dificuldade e SDAM: sem dificuldade), para a comparação da saúde global entre os dois grupos. Resultados Dezessete porcento dos pacientes reportaram dificuldades para a aquisição dos medicamentos durante a pandemia. Uma maior prevalência desses pacientes reportou estar mais triste (56,5% versus 24,8%, p < 0,01) e com mais dificuldades para dormir (56,5% versus 24,8%, p < 0,01) em relação aos pacientes do grupo SDAM. Os grupos não apresentaram diferenças para o declínio na capacidade de caminhada, ansiedade, estresse e depressão (p > 0,05). Conclusões Uma maior prevalência de pacientes do grupo DAM reportou estar mais triste e com mais dificuldade para dormir em comparação ao grupo SDAM durante a pandemia da COVID-19.

Abstract Background The Coronavirus 2019 (COVID-19) pandemic has had a negative impact on the population’s behavior. In this context, the effect of the COVID-19 pandemic on drug treatment of patients with peripheral arterial disease (PAD) and intermittent claudication (IC) remains unclear. Objectives To analyze the impact of the COVID-19 pandemic on drug treatment of patients with PAD and IC. Methods In this cross-sectional, observational study, 136 patients with PAD and IC were recruited from our database and answered a questionnaire by telephone involving the following questions: a) precautions related to COVID-19; b) general health status; and c) treatment of diseases. Subsequently, patients were divided into two groups according to difficulty in obtaining their drugs (DOD: difficulty obtaining drugs, or NDOD: no difficulty obtaining drugs) and overall health was compared between groups. Results Seventeen percent of patients reported difficulties with obtaining drugs during the pandemic. A higher proportion of these patients reported being sadder (56.5% vs. 24.8%, P < 0.01) and having more difficulty sleeping (56.5% vs. 24.8%, P < 0.01) than of the patients in the NDOD group (P <0.01). The groups did not differ in terms of impairment of walking capability, anxiety, stress, or depression (P> 0.05). Conclusions A higher proportion of patients in the DOD group reported being sadder and having greater difficulty sleeping compared to the NDOD group during the COVID-19 pandemic.

SUMMARY OBJECTIVE: To describe physical activity habits and barriers for physical activity practice in patients with peripheral artery disease and claudication symptoms during Coronavirus 2019 (COVID-19) pandemic. METHODS: In this cross-sectional survey study, 127 patients with peripheral artery disease (59.8% men; 68±9 years old; and 81.9% had the peripheral artery disease diagnosis ≥5 years old) were included. The physical activity habits and barriers for physical activity practice were assessed through telephone interview using a questionnaire with questions related to: (a) COVID-19 personal care; (b) overall health; (c) physical activity habits; (d) for those who were inactive, the barriers for physical activity practice. RESULTS: Only 26.8% of patients reported practicing physical activity during the COVID-19 pandemic. Exercise characteristics more common among these patients include walking, performed at least 5 days a week, during 31–60 min at light intensity. In contrast, among physically inactive patients, pain, injury or disability (55%), the COVID-19 pandemic (50%), the need to rest due to leg pain (29%), and lack of energy (27%) were the most frequent barriers to physical activity practice. CONCLUSION: The physical activity level of patients with peripheral artery disease is impacted by the COVID-19 pandemic.

This is an integrative review, in order to synthesize the national scientific production of nursing supervision in hospital services from 1999 to 2010. Data were collected in the electronic database LILACS (Latin American and Caribbean Health Science Literature Database) and recorded on a specific instrument. It was analyzed 16 publications grouped by content similarities: the role of the nursing supervisor, nine articles (56.25%), nursing supervision and management theories, five articles (31.25%) and nursing supervisor formation with two articles (12.50%). The evidence showed that the nurse in the exercise of supervision is still based on classical theories of administration of Taylor and Fayol, characterized by parent and punitive action, not supplying the needs of staff, patients and health services. Currently, it is expected that the supervision is done in a participatory manner, with focus on improvement on assistance and labor relations of hospital nursing staff.

Revisión integrativa con finalidad de sintetizar producción científica de enfermería referente a supervisión en servicios hospitalarios, de 1999 a 2010. Datos fueron recogidos en base electrónica LILACS (Literatura Latinoamericana y del Caribe de la Salud) y registrados en instrumento específico. Fueron analizadas 16 publicaciones agrupados por similitud de contenidos: función del supervisor de enfermeros con nueve artículos (56,25%), supervisión de enfermería y teorías de gestión, cinco artículos (31,25%) y el supervisor de educación en enfermería, dos artículos (12, 50%). Se evidenció que enfermeros en ejercicio de la supervisión se basa aún en teorías clásicas de administración de Taylor y Fayol, que se caracteriza por la acción de control y sanciones, no suple las necesidades de personal, pacientes y servicios de salud. En la actualidad, se espera que la supervisión sea de manera participativa, con enfoque en mejorar el servicio y relaciones laborales del personal de enfermería del hospital.

Trata-se de revisão integrativa, com objetivo de sintetizar produção científica nacional sobre supervisão de enfermagem em serviços hospitalares, de 1999 a 2010. Os dados foram coletados na base eletrônica LILACS (Literatura Latino-Americana e do Caribe em Ciências da Saúde) e registrados em instrumento específico. Foram analisadas 16 publicações que foram agrupados por similaridade de conteúdo: papel do enfermeiro supervisor, com nove artigos (56,25%); supervisão de enfermagem e teorias administrativas com cinco artigos (31,25%) e formação do enfermeiro supervisor com dois artigos (12,50%). As evidências mostraram que o enfermeiro no exercício da supervisão ainda se baseia nas teorias clássicas da administração de Taylor e Fayol, caracterizada por ação controladora e punitiva, não suprindo as necessidades das equipes, pacientes e serviços de saúde. Na atualidade, espera-se que a supervisão seja feita de forma participativa, com foco na melhoria da assistência e das relações de trabalho da equipe de enfermagem hospitalar.

This article aims to describe the supervision of nurses in the use of Personal Protective Equipment (PPE), in a general hospital in the municipality of São Paulo. It was a descriptive study, with a population of 20 nurses who answered a questionnaire. Descriptive statistics were used for data analysis. The subjects, most of them were women aged 20-30 years and employed for less than three years in the hospital. As for PPE, 90% said that the institution provides adequate training for its use, 95% report that there is availability and there is resistance to 60% of the Nursing staff in its use. Direct observation (95%), individual counseling (% 85) and group discussion (80%) are the measures for the supervision and encouragement to its use. The use of PPE in the healthcare practice is a challenge for nurses and supervisors.

Este artículo tuvo como objetivo describir la supervisión de enfermería acerca del uso de Equipos de Protección Individual (EPI), en hospital general de municipio en interior paulista. El estudio fue descriptivo, siendo su población constituida por 20 enfermeros, los cuales contestaron a un cuestionário. Para análisis de los datos, fue utilizada estadística descriptiva. Los sujetos, en su mayoría, son mujeres en la franja etaria de 20-30 años y trabajan por menos de tres años en hospital. Cuanto al EPI, 90% afirman que la institución provee entreinamiento adecuado para su uso, 95% dicen que existe disponibilidad y para 60% hay resistencia de la Enfermería en su uso, siendo la observación directa (95%), orientación individual (85%) y discusión en grupo (80%) las medidas para la supervisión y estímulo al uso. El empleo de EPI en la práctica asistencial constituye un desafío a enfermeros y supervisores.

Este artigo tem como objetivo descrever a supervisão de enfermagem em relação ao uso de Equipamentos de Proteção Individual (EPI), em hospital geral de município no interior paulista. O estudo teve cunho descritivo, sendo a população constituída por 20 enfermeiros, os quais responderam a um questionário. Para análise dos dados foi utilizada estatística descritiva. Os sujeitos, em sua maioria, são mulheres na faixa etária de 20-30 anos e trabalham há menos de três anos no hospital. Quanto ao EPI, 90% afirmam que a instituição fornece treinamento adequado para seu uso, 95% referem que existe disponibilidade e para 60% há resistência da Enfermagem no seu uso, sendo a observação direta (95%), orientação individual (85%) e discussão em grupo (80%) as medidas para a supervisão e estímulo ao uso. O emprego de EPI na prática assistencial constitui um desafio a enfermeiros e supervisores.