https://repositorio.ufu.br/handle/123456789/41499 Wed, 08 Apr 2026 07:18:18 GMT 2026-04-08T07:18:18Z https://repositorio.ufu.br/handle/123456789/48588 Title: Comparação de instrumentos de avaliação nutricional em pacientes oncológicos: uma revisão integrativa da literatura Abstract: To identify, based on scientific evidence, which nutritional assessment tool shows the greatest sensitivity, specificity, and applicability for detecting malnutrition in oncology patients. Method: This is an integrative literature review, in which the searches were limited to publications from the last ten years in the following electronic databases: PubMed/Medline, CAPES Journals Portal, LILACS, and SciELO, in Portuguese, English, and Spanish, using the following descriptors: “malnutrition”, “nutritional status”, “nutritional assessment tools”, and “oncology patient”. Results: A total of 324 articles were initially identified in the databases; after selection according to the predefined exclusion criteria, 5 articles fully met all criteria and therefore composed the final sample of this integrative review. The included studies compared nutritional screening and assessment tools, with GLIM, NRS-2002, and PG-SGA being the most prevalent. Conclusion: The findings of this review indicate that the combination of instruments, with initial screening followed by detailed diagnostic assessment (PG-SGA and/or GLIM), is the most effective strategy for the early identification of malnutrition in cancer patients. Due to the methodological heterogeneity of the studies included in this review and the absence of a universal gold standard for nutritional diagnosis, important gaps in the literature were identified, highlighting the need for more rigorous standards in future research. Thu, 11 Dec 2025 00:00:00 GMT https://repositorio.ufu.br/handle/123456789/48588 2025-12-11T00:00:00Z https://repositorio.ufu.br/handle/123456789/48395 Title: Estomia de eliminação em mulheres: aspectos psicológicos e intervenção cognitivo-comportamental. Abstract: Elimination ostomy represents a significant challenge to the physical and emotional health of patients, especially hospitalized women, whose experiences are marked by bodily transformations, social stigma, and impacts on self-esteem. This study aimed to understand the psychological aspects involved in ostomy management in hospitalized women, analyzing their vulnerability through the Minority Stress Theory (MST) and discussing the applicability of Cognitive-Behavioral Therapy (CBT) in the context of hospital psychology. This is a theoretical-reflective study, qualitative in nature, based on a literature review and the author's professional experience as a resident psychologist. The results identified that stigma manifests as internalized stigma and concealment behavior, factors that drive isolation and suffering. CBT, through its techniques, emerges as an effective model for combating these stressors, promoting the patients' self-efficacy and functional adaptation. The reflections reinforce the urgency of structured and interdisciplinary psychological action, capable of dealing with the biopsychosocial complexity of the condition. Thu, 11 Dec 2025 00:00:00 GMT https://repositorio.ufu.br/handle/123456789/48395 2025-12-11T00:00:00Z https://repositorio.ufu.br/handle/123456789/48331 Title: Processos educacionais e estratégias de capacitação para cuidadores de pacientes em ventilação mecânica domiciliar invasiva: uma revisão integrativa Abstract: Background: Patients who depend on invasive home mechanical ventilation (IHMV) re-quire complex care, making caregivers central to ensuring continuity of assistance. In this context, educational processes and training strategies directly influence the safety, auton-omy, and quality of care provided in the home setting. Objective: To synthesize the available evidence on educational processes, training strategies, and capacity-building initiatives offered to caregivers of patients on home mechanical ventilation during the transition from hospital to home care. Methods: An integrative review conducted in the PubMed, SciELO, BVS, Cochrane, and SciELO databases, using descriptors related to mechanical ventilation, caregivers, education, and care transition. Qualitative, quantita-tive, mixed-methods studies and randomized controlled trials published in the last ten years were included and analyzed through a comparative thematic synthesis. Results: The studies indicate that caregivers often assume responsibility for care with insufficient preparation and significant gaps in the health education provided during the discharge process. Training models vary in duration, format, and depth, but evidence shows that structured training increases caregiver safety, perceived competence, and reduces stress. Factors such as social support, home follow-up, availability of nursing services, and ongo-ing educational programs positively influence the transition of care and the maintenance of home mechanical ventilation. Conclusions: Educational processes designed for care-givers remain heterogeneous and, at times, insufficient. There is a need for standardiza-tion of training strategies, emphasizing practical instruction, post-discharge follow-up, and multidisciplinary support to ensure safe and sustainable home care. Keywords: Home mechanical ventilation. Caregivers. Health education. Care transition. Caregiver training. Fri, 12 Dec 2025 00:00:00 GMT https://repositorio.ufu.br/handle/123456789/48331 2025-12-12T00:00:00Z https://repositorio.ufu.br/handle/123456789/48309 Title: Representações sociais entre profissionais de saúde em UTI sobre cuidados paliativos: revisão de escopo Abstract: Objective: To map and analyze the social representations (SR) of healthcare professionals in Intensive Care Units (ICU) regarding palliative care (PC) in recent scientific literature. Methods: A scoping review based on PRISMA-ScR guidelines, conducted across the VHL/BVS, PubMed, Scopus, and SciELO databases (2020–2024). The 113 included studies underwent thematic analysis and were interpreted in light of Social Representations Theory. Results: A structural fragility was identified in the Information Field, where gaps in technical knowledge are filled by personal beliefs and legal fears. The social representation of PC proved to be paradoxical: anchored in the ethical ideal of the "good death," but objectified in institutional practice as "therapeutic failure" or "crisis management." This conflict manifests through defensive language (use of technical euphemisms) and is sustained by an interprofessional rift, where the medical representation (focused on decision-making) silences the nursing representation (focused on invisible care). Moral distress emerges not as an isolated event, but as a symptom of a collapsing symbolic system. Conclusion: Isolated formal education proves insufficient to transform practice, as new knowledge is consistently neutralized by the hegemonic curative cultural anchoring of the ICU. To mitigate moral distress and improve care quality, interventions must go beyond technical training and focus on reshaping organizational culture, horizontalizing decision-making processes, and reframing the language used to address death. Wed, 10 Dec 2025 00:00:00 GMT https://repositorio.ufu.br/handle/123456789/48309 2025-12-10T00:00:00Z