Virtual Environment: assistance in nursing care for the deaf based on
                    the protocol of Primary Care

Rodrigues, Silvia Cristina Martini; Damião, Gardênia Costa

doi:10.1590/S0080-623420140000400022

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Original Article • Rev. esc. enferm. USP 48 (04) • Aug 2014 • https://doi.org/10.1590/S0080-623420140000400022 copy

Virtual Environment: assistance in nursing care for the deaf based on the protocol of Primary Care^* * Extracted from the study “Ambiente Virtual: auxílio ao atendimento de enfermagem para surdos baseado no protocolo de atenção básica”, Biomedical Engineering, Universidade de Mogi das Cruzes, 2011

Ambiente virtual: apoyo al servicio de enfermería para los sordos basado en el protocolo de atención básica

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective: Presenting a Virtual Environment (VE) based on the Protocol of Treatment of Hypertension and Diabetes Mellitus type 2, used in Primary Care for evaluation of dietary habits in nursing consultations. Method: An experimental study applied by two nurses and a nurse manager, in a sample of 30 deaf patients aged between 30 and 60 years. The environment was built in Visual Basic NET and offered eight screens about feeding containing food pictures, videos in Libras (Brazilian sign language) and audio. The analysis of the VE was done through questionnaires applied to patients and professionals by the Poisson statistical test. Results: The VE shows the possible diagnostics in red, yellow, green and blue colors, depending on the degree of patients’ need. Conclusion: The environment obtained excellent acceptance by patients and nurses, allowing great interaction between them, even without an interpreter. The time in consultation was reduced to 15 minutes, with the preservation of patient privacy.

Persons with hearing impairments; Sign language; Nursing care; Nursing diagnosis; Nursing informatics

Questions	Answers	Score
1º) Most frequently used:	Butter	2
	Margarine	4
	Both	6
	Do not use	1
2º) If you use margarine, is it the light version?	No	1
	Yes	0.75
	Do not know	0.75
	Do not use	0.75
3º) Most frequently used:	Skimmed milk	2
	Semi skimmed milk	3
	Whole milk	4
	Do not use	1
4º) Most frequent use of cheese, cheese spread or yogurt:	Diet/light	3
	Regular	4
	Both	7
	Do not use	1
5º) Most frequent use of soft drinks:	Diet/light	3
	Regular	4
	Both	7
	Do not use	1
6º) How often do you add salt on your plate?	Never	1
	Taste and add if necessary	2
	Almost Always	4
7º) How often do you remove the skin from chicken or beef fat?	Never	4
	Sometimes	3
	In most times	2
	Always	1
8º) Do you use sweetener in coffee, tea, juices, etc.?	Never	4
	Sometimes	3
	In most times	2
	Always	1

	Terrible		Bad		Regular		Good		Great		Total
Opinion	F	%	F	%	F	%	F	%	F	%	F	%
Communication with the hearing impaired	0	-	0	-	0	-	0	-	3	100	3	100
Ease in nursing consultation	0	-	0	-	0	-	0	-	3	100	3	100
Time spent in consultation	0	-	0	-	0	-	1	33.3	2	66.7	3	100
Using the Virtual Environment	0	-	0	-	0	-	0	-	3	100	3	100

	Terrible		Bad		Regular		Good		Great		Total
Opinion	F	%	F	%	F	%	F	%	F	%	F	%
Communication with nurses	0	-	0	-	8	26.7	19	63.3	3	10	30	100
Satisfaction with the Virtual Environment	0	-	0	-	3	10	23	76.7	4	13.3	30	100
Using the virtual environment without an interpreter	0	-	0	-	5	16.7	4	13.3	21	70	30	100

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Correspondence: Silvia Cristina Martini Rodrigues . Av. Dr. Cândido Xavier de Almeida Souza, 200  CEP 08780-911 - Mogi das Cruzes, SP, Brazil.  E-mail: silviac@umc.br