10^th Global Nursing & Healthcare Conference August 18-19, 2016 Sao Paulo, Brazil

Geórgia Alcântara Alencar Melo has completed her Master’s in Nursing Graduate Diploma in Nursing at the Federal University of Ceará Program.

This study aimed to evaluate the conformities and non-conformities in the preparation and administration of antibacteria. This is an observational and cross-sectional study conducted from August to December 2014 in clinical units of a hospital. The sample consisted of 265 doses of antibacteria, which had their preparation and administration steps observed through two check-list in three shifts. Data were analyzed using descriptive and analytical statistics, and all ethical procedures were followed. The non-compliance more frequent in both steps was the failure of semiotics 265 (100%). The organization was associated with a greater number of errors in the choice of drug (p=0.027); the use of prescription and confirmation of the patient's name had nothing to do with the errors (p=0.942). By analyzing the specific variables of each phase, there was a higher frequency of actions of non-compliance on the labeling of the drug 265 (100%) for the preparation and use of the prescription to confirm the data of the drug and the patient 243 (91.7 %) at the time of administration of the antibacteria. Paradoxically, during the process of preparation, it was found higher degree of compliance in the item that evaluated the use of prescription to confirm the patient's name 222 (83.8%).Thus, it is concluded that behavioral changes in the work process must be implemented to reduce non-conformities and consequently medication errors.

Mei-Yeh Wang has completed her PhD from Taipei Medical University and currently, working as Associate Professor in Department of Nursing, Cardinal Tien Junior College of Healthcare and Management. Her research is related to patients with major depressive disorder and focuses on “The assessment and non-pharmacological intervention of fatigue and sleep disturbance”. Moreover, her doctoral dissertation focused on “The assessment of cardiovascular risks of people with depressive symptoms”. She has published more than 20 papers in reputed journals

Aim: Preventing and/or delaying cognitive impairment has become a major public health concern in many countries. Physical activity has been documented as having beneficial effects to alleviate the negative impact of age-related cognitive decline. This study aimed to investigate the frequency of leisure’s time physical activity in relation to cognitive function. Methods: This study was based on data from the Taiwan longitudinal study in Aging. A total of 3585 of middle-aged and older people aged 57-85 were assessed (mean: 70.59, SD: 7.78). Results: Frequency of physical activity significantly predicted cognitive level after adjustment of age, gender, educational level, depressive level, and health risk behaviour (i.e., smoking and drinking). Participants engaging in physical activity at least for 1-2 times per week had significantly better cognitive level than sedentary participants. In participants aged 57-65 (n=1149), individuals engaging in physical activity for six more times per week had significantly better cognitive level than sedentary individuals. Cognitive level of sedentary individuals did no differ from individuals who had physical activity for 1-2 times or 3-5 times per week. Similar finding was found in participants aged 66-85 (n=2436), individuals engaging in physical activity were associated with better cognitive level compared with sedentary individuals. However, there were no differences in cognitive level among groups of individuals engaging in physical activity according to frequency. Conclusion: This general population-based study suggests that participation in leisure-time physical activity promoted cognitive level among the middle-aged and elderly

Chiu-Yueh Yang has completed his PhD from National Taiwan University. He is currenlty working as an Assistant Professor. He has published more than 15 papers in reputed journals.

Background: Low levels of physical activity and central obesity contribute to metabolic syndrome in patients with schizophrenia. Objective: To examine the effectiveness of a Baduanjin exercise program on the body mass index (BMI), body weight and metabolic parameters of patients with chronic schizophrenia. Method: The eligibility criteria included BMI >25 kg/m2 or metabolic syndrome. A total of 22 participants with schizophrenia participated in this randomized, controlled study. Eleven patients were assigned to the experimental group (EG), and 11 were assigned to the control group (CG). The EG received Baduanjin exercise as a treatment, while the CG received routine care. Body weight and metabolic parameters (i.e., waist circumference, blood pressure, high-density lipoprotein cholesterol, triglycerides and fasting glucose) were assessed before and after the intervention. The program included eight movements that were incorporated into 60-minute sessions provided three times a week for 12 weeks. Result: Based on the overall mean change score in body weight and waist circumference between the baseline and 3-month measurements, the intervention participants showed greater improvements in body weight and waist circumference from pre-test to post-test compared with the controls. There were nonsignificant differences between the EG and CG in the changes in 5 metabolic parameters. Conclusion: The Baduanjin exercise program may offer anonpharmacological treatment for reducing body weight and waist circumference in people with schizophrenia

Yueh-Tao Chiang has completed her PhD at the age of 42 years from Chang Gung University Graduate Institute of Clinical Medical Sciences. She is the assistant professor of Chang Gung University School of Nursing. She has published more than 8 papers in reputed journals

A population-based prospective cohort study was used. Results: During 2006-2011, overall, 153 of the 1478 patients included(10.4%) were transiently fail to follow-up. Multivariable logistic regression revealed that age 7-12 (OR=1.850, 95% CI=1.028-3.329), 13-18 (OR=2.450,95% CI=1.172-5.120),19-24 (OR=6.021, 95% CI=2.356-15.390), ≧41 (OR=0.324, 95% CI=0.128-0.821), Catastrophic Illness (OR=5.217, 95% CI=3.313-8.251),≧2 diagnoses for congenital heart disease (OR=1.726, 95% CI=1.083-2.749), moderate of congenital heart disease (OR= 5.907, 95% CI=3.873-9.010) and severe of congenital heart disease (OR=5.208 , 95% CI=2.538-10.686) were associated with transiently fail to follow-up. Conclusion: Transiently lost to follow-up begins during childhood, especially in adolescence to early adulthood, a time when transition to adult service. Transiently lost to follow-up was more common among subjects with moderate and sever diagnoses. The findings will provide as important references for clinical practice, and a scientific knowledge base for relevance intervention develop. This study was funded by The Ministry of Science and Technology, grant number MOST102-2314-B-182-006.

Shiou-Rung Lin has completed her Master’s from National Yang-Ming University. She is currently serving as a Head Nurse

The perceived dignity affect patients' self-esteem and quality. This cross-sectional correlation study aimed to examine the correlations among the psychotic symptoms, self-stigma, and perceived dignity of patients with schizophrenia. We employed convenience sampling at psychiatric hospitals and clinics located in Eastern Taiwan. After excluding patients with schizophrenia associated with dementia or mental retardation, 202 schizophrenia patients were recruited. We adopted a self-report questionnaire, which comprised demographic data, the Perceived Psychiatric Stigma Scale, and dignity instrument. The Positive and Negative Syndrome Scale (PANSS) was also used to conduct semi-structural interview. The hierarchical multiple regression was performed to examine the important predictors for the perceived dignity of patients with schizophrenia. The following results were obtained: The patients who exhibited significant negative symptoms and general psychopathology perceived a low level of dignity; After controlling for the positive syndrome, negative syndrome, and general psychopathology derived from the PANSS in the three-level hierarchical regression model, we determined that years of education, negative symptom, and self-stigma were the critical predictors for patients’ perceived dignity. According to the results, we provided the following recommendations: (a) Nurses should provide additional information and skills, such as social skill training, for patients to mitigate the influence exerted by the negative symptoms; and (b) Care models on destigmatization should be provided for patients to elevate their perceived dignity and further improve their health.

Chun-Ping Lin has completed his Master’s from National Yang-Ming University. She is currently working as a Registered Nurse.

Background: Lifestyles with longer sitting time and unhealthy diet patterns have become more and more common in the transiting society. The number of people with metabolic syndrome is increasing. Objective: The objective of the study is to determine the prevalence of metabolic syndrome in patients with schizophrenia. Method: This cross sectional study adopted a convenience sampling approach and recruited 260 chronic schizophrenia patients from a psychiatric hospital in Northern Taiwan. National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATP IIIA) diagnostic criteria for metabolic syndrome were used. Results: The prevalence rates of metabolic syndrome for all, male and female patients were 35.38%, 36.42% and 33.95%, respectively. Age40years, BMI24 were risk factors of metabolic syndrome. Conclusion: This study supports the need for nurses to monitor the risk of metabolic syndrome in patients with schizophrenia with age40years, BMI24 and marital status. Increased frequency and intensity of physical activity in daily life are recommended for patients with schizophrenia with metabolic syndrome because their physical activities were lower than schizophrenia patients without metabolic syndrome.

Dayse Mary da Silva Correia is a professor in School of Nursing Aurora de Afonso Costa of the University of Federal Fluminense.

Background: Th e digitalis study developed at the primary health care in the municipality of Niteroi (rj) with 633 adults registered in the family medicine program, showed a high prevalence (79%) of individuals aged ≥ 45 years at risk for developing heart failure. To follow up, a 5-year prospective cohort was proposed and approved in 04 steps, being the fi rst the contact phone. Th erefore, the main of this fi rst step was to obtain by contact phone from the research participants, confi rmed hospitalizations, deaths, and continuous use of medication and on aspects of self-care. Design, Sample and Methods: Exploratory study composed of 173 individuals in the total sample of the ii-phase of the digitalis study, which is subject to approval by the ethical research committee of the Antônio Pedro university hospital, of the University of Federal Fluminense. Th e data were obtained from a structured questionnaire, in the period from 11 April to 20 June 2016, in diff erent moments of the day, totaling 05 attempts per individual and using descriptive statistics analysis, for which the SPSS soft ware, version 21 was used. Results: 173 contacts analyzed, there is female predominance (55.5%), average age was 54 years, 57% hypertensive, 19, % diabetic, 22% smokers, 24% with BMI of ≥ 30, and 14% have heart failure. In addition, we identifi ed that there was 07 (4%) deaths, 40 (23%) cases of hospitalizations in the last 4 years, and 72% say make continuous use of drugs, such as antihypertensive, antidepressant, or hypoglycemic. As for the self-care aspects, 24 (13%) participants complained of diffi culties in everyday activities such as: climbing stairs, walking, bathing, feeding or dressing. Conclusion: Th e identifi cation of the impairment of health condition of the individuals, either on the evolution of the chronic disease, or of the impact on their daily life, seeks to support to the actions of health policies of the Family Medicine Program in the municipality of Niterói, specially prevention, promotion and health rehabilitation.