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Ventura MWS, Lima FET, Brito PDS, Pascoal LM, de Albuquerque NLS, de Almeida PC. Social determinants and access to health services in patients with COVID-19: a cross-sectional study. Rev Esc Enferm USP 2024; 58:e20230324. [PMID: 38466908 PMCID: PMC10927267 DOI: 10.1590/1980-220x-reeusp-2023-0324en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2023] [Accepted: 01/19/2024] [Indexed: 03/13/2024] Open
Abstract
OBJECTIVE To verify the association between social determinants of health and access to health services for COVID-19 patients. METHOD Analytical, cross-sectional study, carried out in three states in the Northeast of Brazil (Ceará, Maranhão and Pernambuco), with 968 patients, using questionnaires with sociodemographic data, determinants and the Primary Care Assessment Tool, adapted to the reality of COVID-19, with 58 items, classified as high (score ≥ 6.6) and low (score < 6.6), whose high value reveals better standards of access to health services. The Chi-square test was used for comparative analysis. RESULTS There was a significant difference (p < 0.05) between the domains of the instrument and the following determinants: age, skin color, body mass index, origin, schooling, employment, services close to home, first service, income and means of transport. CONCLUSION Access to health services for people with COVID-19 was associated with various determinants, including individual, behavioural and social ones, correlated with the structural and organizational aspects of the health services offered by the three states of Northeastern Brazil.
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Affiliation(s)
- Maria Williany Silva Ventura
- Universidade Federal do Ceará, Faculdade de Farmácia, Odontologia e Enfermagem, Departamento de enfermagem, Fortaleza, CE, Brazil
| | | | | | - Lívia Maia Pascoal
- Universidade Federal do Maranhão, Departamento de Enfermagem, Imperatriz, MA, Brazil
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Maciel AMS, Ramos Junior AN, Ferreira AF, de Almeida NMGS, de Almeida PC, Szwarcwald CL, Favacho JDFR, Franco Filho LC, Gomes VDS, Damasceno LS, Maciel MMS, Delerino AL, Pires Neto RDJ. Prevalence of trachoma in the non-indigenous Baixo Jaguaribe micro-region, Ceará State, Northeast Brazil. Trans R Soc Trop Med Hyg 2023; 117:844-851. [PMID: 37551629 DOI: 10.1093/trstmh/trad052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2023] [Revised: 04/29/2023] [Accepted: 07/24/2023] [Indexed: 08/09/2023] Open
Abstract
BACKGROUND The aim of the current study was to estimate the population prevalence of trachoma in non-indigenous populations in the Baixo Jaguaribe micro-region, in the state of Ceará, northeast region of Brazil, 2021-2022. METHODS A population-based prevalence survey focusing on detecting cases of trachomatous inflammation-follicular (TF) in children aged 1-9 y and trachomatous trichiasis (TT) 'unknown to the health system' in people aged ≥15 y, was conducted in rural areas of the Baixo Jaguaribe micro-region in the state of Ceará. Indigenous populations will be further researched. RESULTS There was no detection of cases of TF and TT. In 900 households, 2234 people were examined. In the Baixo Jaguaribe micro-region, females (54.6%; 1219/2234) and the mixed/Pardo-Brazilian ethnicity (68.1%; 1521/2234) predominated. The most commonly reported educational level was elementary and middle school (41.8%; 702/1679). In 56.2% (506/900) of households, there was a source of water within the household. The monthly income range of 50%-100% of the minimum wage predominated in the families of the Baixo Jaguaribe micro-region (43.1%; 388/900). CONCLUSIONS Although no cases of TF and TT were detected in the Baixo Jaguaribe micro-region in the state of Ceará during the study period, considering the historical endemicity, we emphasise the need for monitoring and sustainability of surveillance actions in areas at risk for trachoma, common contexts for neglected populations.
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Affiliation(s)
- Adjoane Maurício Silva Maciel
- Postgraduate Program of Public Health, School of Medicine, Federal University of Ceará, Fortaleza 60430140, Ceará, Brazil
- Municipal Secretary of Health, Russas, 62900000, Ceará, Brazil
| | - Alberto Novaes Ramos Junior
- Postgraduate Program of Public Health, School of Medicine, Federal University of Ceará, Fortaleza 60430140, Ceará, Brazil
- Department of Community Health, School of Medicine, Federal University of Ceará, Fortaleza, 60430140, Ceará, Brazil
| | - Anderson Fuentes Ferreira
- Postgraduate Program of Public Health, School of Medicine, Federal University of Ceará, Fortaleza 60430140, Ceará, Brazil
| | | | | | | | | | - Luciano Chaves Franco Filho
- Secretary of Health Surveillance, Evandro Chagas Institute, Ministry of Health, Belém, 67030000, Pará, Brazil
| | - Vivian da Silva Gomes
- Postgraduate Program of Public Health, School of Medicine, Federal University of Ceará, Fortaleza 60430140, Ceará, Brazil
- Secretary of Health of the State of Ceará, Fortaleza, 60060440, Ceará, Brazil
| | - Lisandra Serra Damasceno
- Postgraduate Program of Public Health, School of Medicine, Federal University of Ceará, Fortaleza 60430140, Ceará, Brazil
- Department of Community Health, School of Medicine, Federal University of Ceará, Fortaleza, 60430140, Ceará, Brazil
| | | | - Antônio Lucas Delerino
- Department of Nursing, School of Pharmacy, Dentistry and Nursing, Federal University of Ceará, Fortaleza, 60430160, Ceará, Brazil
| | - Roberto da Justa Pires Neto
- Postgraduate Program of Public Health, School of Medicine, Federal University of Ceará, Fortaleza 60430140, Ceará, Brazil
- Department of Community Health, School of Medicine, Federal University of Ceará, Fortaleza, 60430140, Ceará, Brazil
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Mota ALC, Barbosa IM, Rodrigues AB, Chaves EMC, Almeida PCD. Pesticide exposure and risk of Central Nervous System tumors in children: a systematic review with meta-analysis. Cien Saude Colet 2023; 28:2583-2594. [PMID: 37672448 DOI: 10.1590/1413-81232023289.00262023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2022] [Accepted: 01/31/2023] [Indexed: 09/08/2023] Open
Abstract
Central Nervous System (CNS) tumors represent more than half of all childhood malignant neoplasms. The aim of this study was to determine the relationship between environmental exposure to pesticides and the development of CNS tumors in children. We conducted a systematic review of the literature in the PubMed/MEDILINE, Embase, Web of Science, Scopus, and CINAHL databases. The inclusion criteria were cohort and case-control studies investigating the association between exposure to pesticides and CNS tumors (all histological types included in group III of the WHO Classification of Childhood Cancer) in children aged 0-14 years. The meta-analysis was performed using a random effects model and the Mantel-Haenszel method. Strength of association was measured using odds ratios (OR). The review was registered in the International Prospective Register of Systematic Reviews (PROSPERO) under identification number CRD42021209354. The search identified 1,158 studies, 14 of which were included in the review. There was evidence of an association between the development of astrocytomas and exposure to all classes of pesticides (OR 1.50; 95%CI 1.15-1.96; p=0.03). The synthesis of the evidence pointed to a relationship between exposure to pesticides and some histological types of CNS tumors in childhood.
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Affiliation(s)
- Anne Lívia Cavalcante Mota
- Programa de Pós- Graduação em Cuidados Clínicos em Enfermagem e Saúde, Universidade Estadual do Ceará (UECE). Av. Dr. Silas Munguba 1700, Campus do Itaperi. 60714-903 Fortaleza CE Brasil.
| | - Isadora Marques Barbosa
- Programa de Pós- Graduação em Cuidados Clínicos em Enfermagem e Saúde, Universidade Estadual do Ceará (UECE). Av. Dr. Silas Munguba 1700, Campus do Itaperi. 60714-903 Fortaleza CE Brasil.
| | | | - Edna Maria Camelo Chaves
- Programa de Pós- Graduação em Cuidados Clínicos em Enfermagem e Saúde, Universidade Estadual do Ceará (UECE). Av. Dr. Silas Munguba 1700, Campus do Itaperi. 60714-903 Fortaleza CE Brasil.
| | - Paulo César de Almeida
- Programa de Pós- Graduação em Cuidados Clínicos em Enfermagem e Saúde, Universidade Estadual do Ceará (UECE). Av. Dr. Silas Munguba 1700, Campus do Itaperi. 60714-903 Fortaleza CE Brasil.
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Bringel JMDA, Abreu I, Muniz MCMC, de Almeida PC, Silva MRG. Excessive Noise in Neonatal Units and the Occupational Stress Experienced by Healthcare Professionals: An Assessment of Burnout and Measurement of Cortisol Levels. Healthcare (Basel) 2023; 11:2002. [PMID: 37510443 PMCID: PMC10379383 DOI: 10.3390/healthcare11142002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2023] [Revised: 07/04/2023] [Accepted: 07/05/2023] [Indexed: 07/30/2023] Open
Abstract
Excessive noise in the work environment has been associated with extra-auditory symptoms, which can have harmful long-term effects on individuals. The purpose of this study was to identify noise levels in neonatal intensive care units and investigate their impact on the occurrence of stress among healthcare professionals, using cortisol levels as a biomarker for Burnout Syndrome. This descriptive, observational, and cross-sectional study was conducted in four public teaching hospitals in Fortaleza, Ceará, Brazil. Sound pressure levels in the environment were measured, and questionnaires were administered to collect sociodemographic data and assess perceptions of the work environment and Burnout symptoms. Saliva samples were collected at the beginning and end of work shifts for cortisol quantification. The average sound pressure ranged from 59.9 to 66.4 dB(A), exceeding the recommended levels set by Brazilian and international legislation. Among the 256 participants, the average age was 39.4 years, with 95% being female. The majority (70.9%) were nurses, and 22.7% were physicians. There was no significant association found between noise and Burnout Syndrome, nor with changes in cortisol levels. However, a significant association was observed between the perception of excessive noise and the sensation of a stressful work shift (p = 0.012). All evaluated professionals displayed symptoms of Burnout. The high sound pressure levels indicated that the assessed environments did not meet the recommended standards for acoustic comfort, and this was associated with the participants' perception of stressful work shifts. While Burnout symptoms were evident in our participants, it was not possible to confirm a correlation with high noise levels.
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Affiliation(s)
| | - Isabel Abreu
- Faculty of Science and Technology, University Fernando Pessoa, 4249-004 Porto, Portugal
- FP-I3ID, University Fernando Pessoa, 4249-004 Porto, Portugal
| | | | - Paulo César de Almeida
- Postgraduate Program in Clinical Health Care Nursing, Universidade Estadual do Ceará, Fortaleza 60714-903, Brazil
| | - Maria-Raquel G Silva
- FP-I3ID, University Fernando Pessoa, 4249-004 Porto, Portugal
- Faculty of Health Sciences, University Fernando Pessoa, 4200-150 Porto, Portugal
- CIAS-Research Centre for Anthropology and Health-Human Biology, Health and Society, University of Coimbra, 3000-456 Coimbra, Portugal
- CHRC-Comprehensive Health Research Centre, Nova Medical School, Nova University of Lisbon, 1150-090 Lisbon, Portugal
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de Azevedo Bringel JM, Abreu I, Muniz MCMC, de Almeida PC, Silva MRG. Health Professionals' Chronotype Association with Salivary Cortisol and Occupational Stress in Neonatal Intensive Care Units. Int J Environ Res Public Health 2023; 20:ijerph20095683. [PMID: 37174200 PMCID: PMC10178597 DOI: 10.3390/ijerph20095683] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/05/2023] [Revised: 03/18/2023] [Accepted: 04/13/2023] [Indexed: 05/15/2023]
Abstract
Burnout syndrome has been reported among health workers, particularly those working in critical areas, and is considered a significant public health problem. This study aimed to investigate the relationship between chronotype and work-related stress, as measured by salivary cortisol levels and burnout, among health professionals working in neonatal intensive care units. A cross-sectional study was conducted across four public hospitals in Fortaleza, Ceará, Brazil. Two hundred and fifty-six health professionals were administered the brazilian version of the Burnout Characterization Scale, the morningness-eveningness questionnaire, for chronotype, a sociodemographic questionnaire that included lifestyle habits and a salivary cortisol test. The results indicated that morning chronotype workers were significantly associated with the following: advanced age (p < 0.001), female gender (p = 0.032), married status (p = 0.014), and having children (p = 0.030) compared to those with evening and intermediate chronotypes. However, no significant association was found between signs of burnout syndrome and chronotype (p = 0.316). Participants whose work shift did not match their chronotype had significantly higher initial salivary cortisol levels (p = 0.013). The findings suggest that adapting working hours to an individual's biological rhythm can help mitigate potential negative effects on physical and mental health. Thus, it is recommended that professionals' working hours be adjusted accordingly.
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Affiliation(s)
| | - Isabel Abreu
- Faculty of Science and Technology, University Fernando Pessoa, 4249-004 Porto, Portugal
- FP-I3ID, University Fernando Pessoa, 4249-004 Porto, Portugal
| | | | - Paulo César de Almeida
- Postgraduate Program in Clinical Health Care Nursing, Universidade Estadual do Ceará, Fortaleza 60714-903, Brazil
| | - Maria-Raquel G Silva
- FP-I3ID, University Fernando Pessoa, 4249-004 Porto, Portugal
- Faculty of Health Sciences, University Fernando Pessoa, 4200-150 Porto, Portugal
- CIAS-Research Centre for Anthropology and Health-Human Biology, Health and Society, University of Coimbra, 3000-456 Coimbra, Portugal
- CHRC-Comprehensive Health Research Centre-Nova Medical School, Nova University of Lisbon, 1150-090 Lisbon, Portugal
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Lobo BLV, Almeida PCD, Cabral M. COVID-19 e a saúde mental de médicos residentes na atenção primária. Rev Bras Med Fam Comunidade 2022. [DOI: 10.5712/rbmfc17(44)3163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Introdução: A pandemia da COVID-19 tem feito inúmeras vítimas fatais em todo o mundo. Ela não apenas ameaça a esfera física do indivíduo, como também pode gerar importante adoecimento psicológico na população, principalmente por conta do medo de contrair a doença. Objetivo: Avaliar a relação do medo da COVID-19 com sintomas ansiosos e depressivos dos residentes de Medicina de Família e Comunidade da região metropolitana de Fortaleza. Métodos: Realizou-se um estudo quantitativo analítico, correlacional e transversal, no qual os participantes responderam a um formulário eletrônico que continha um questionário elaborado pelos autores e os instrumentos Escala Hospitalar de Ansiedade e Depressão (HADS) e Escala de Medo do COVID-19 (EMC-19). Resultados: A pesquisa contou com 50 participantes. Verificou-se que 52% dos residentes apresentavam sintomas de ansiedade, 36% sintomas depressivos e 22% possuíam medo da doença de moderado a intenso. As maiores médias de medo foram dos residentes que já tratavam ansiedade ou depressão e dos residentes que iniciaram tratamento durante a pandemia. Conclusões: O estudo demonstrou que uma porcentagem relevante dos pesquisados apresentou sintomas de ansiedade e depressão, além de mostrar associação direta entre esses sintomas e o medo da COVID-19. Conclui-se enfatizando que o contexto pandêmico exige maior atenção às circunstâncias da saúde mental dos residentes de Medicina de Família para propor medidas de enfrentamento mais resolutivas à problemática.
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Perdigão MMDM, Rodrigues AB, Carvalho REFLD, Oliveira SKPD, Anjos SDJSBD, Almeida PCD. Distress em Pacientes Oncológicos no Brasil: Revisão Integrativa da Literatura. Rev Bras Cancerol 2022. [DOI: 10.32635/2176-9745.rbc.2022v68n3.2402] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022] Open
Abstract
Introdução: O paciente oncológico vivencia uma serie de mudanças em sua vida diante do diagnóstico e do tratamento, sendo o aspecto emocional um dos atingidos nesse processo. O termo “distress” foi escolhido para se referir ao sofrimento emocional vivenciado pelo paciente oncológico. Objetivo: Identificar como o distress em pacientes oncológicos tem sido abordado em estudos realizados no Brasil. Método: Revisão integrativa da literatura cientifica sobre o distress realizada em setembro de 2020. Para a busca nas bases de dados, utilizaram-se o descritor “Neoplasias” e o termo “Distress”. Foram selecionados artigos disponíveis na integra publicados em português, inglês ou espanhol, tendo como assunto pais/Região: Brasil, sem corte temporal, nas bases de dados LILACS, MEDLINE e BDENF. Foi realizada a etapa de leitura crítica para análise e síntese dos artigos. Os artigos selecionados foram organizados e apresentados na forma de quadro e a interpretação dos resultados em categorias. Resultados: A amostra final desta revisão resultou em nove artigos que apontaram instrumentos capazes de identificar e/ou medir o distress, discorreram sobre os fatores associados a presença do distress e os fatores que impactaram na redução dos distress. Conclusão: O paciente com câncer pode vivenciar o distress em qualquer fase da doença. Diante da escassez de artigos acerca do distress no cenário brasileiro, recomenda-se que se desenvolvam mais estudos a fim de aprofundar e consubstanciar a temática.
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Cunha GHD, Lima MAC, Siqueira LR, Fontenele MSM, Ramalho AKL, Almeida PCD. Lifestyle and adherence to antiretrovirals in people with HIV in the COVID-19 pandemic. Rev Bras Enferm 2022; 75Suppl 2:e20210644. [PMID: 35858022 DOI: 10.1590/0034-7167-2021-0644] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Accepted: 03/17/2022] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVES to assess the lifestyle and adherence to antiretrovirals in people living with HIV (PLHIV) in the COVID-19 pandemic. METHODS a cross-sectional study, through telephone interview to 150 patients, using a sociodemographic, epidemiological and clinical form, and questionnaires to assess lifestyle profile and adherence to antiretrovirals. Statistics analysis used Fisher's exact test, odds ratio and 95% confidence interval. RESULTS most patients had a satisfactory lifestyle (121; 80.7%) and adequate adherence to antiretrovirals (133; 88.7%). All were in social isolation, without follow-up appointments, with access to the health service only to receive antiretrovirals, and 16 (10.7%) had COVID-19 infection. Evangelicals (p=0.002), Spiritists (p=0.045), patients using atazanavir (p=0.0001) and ritonavir (p=0.002) had a more unsatisfactory lifestyle. Adherence to antiretrovirals was more inadequate in female patients (p=0.009), with two (p=0.004) and three or more children (p=0.006), retired (p=0.029), with serodiscordant partner (p=0.046) and diagnosis time of 5 to 10 years (p=0.027). CONCLUSIONS the most PLHIV had a satisfactory lifestyle and adequate adherence to antiretrovirals, but some groups needed intervention to improve medication adherence and lifestyle.
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Mota ALC, Barbosa IM, Almeida PCD. Distribuição da Mortalidade Infantojuvenil por Tumores do Sistema Nervoso Central no Estado do Ceará. Rev Bras Cancerol 2022. [DOI: 10.32635/2176-9745.rbc.2022v68n2.2134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
Abstract
Introdução: Os tumores do sistema nervoso central (SNC) são um dos tipos mais comuns de tumores sólidos que acometem crianças. Apresentam heterogeneidade por compreender mais de 100 tipos histológicos definidos com base na origem da célula e outras características histopatológicas. Objetivo: Analisar a distribuição espacial da mortalidade por tumores do SNC em crianças e adolescentes no Estado do Ceará, no período de 2008-2018. Método: Estudo ecológico realizado com dados de fontes secundárias de 2008-2018 disponíveis no Sistema de Informação sobre Mortalidade (SIM). Foram calculadas as taxas brutas, o Índice de Moran Global e Local e o risco relativo para todos os óbitos. Resultados: Dos 378 óbitos, 197 eram do sexo masculino (52%), 116 apresentavam a faixa etária entre 5-9 anos (30,7%), 193 eram pardos (51%) e 354 morreram no hospital (93,6%). Os municípios que apresentaram as maiores taxas (49,94 e 99,88 óbitos/1 milhão de habitantes) foram Aracati, Barreira, Catunda, Coreaú e Fortaleza. Pelo Índice de Moran, observou-se a formação de um cluster com padrão alto-alto e significância estatística de distribuição na Mesorregião do Metropolitana de Fortaleza. O município de Pacujá apresentou o maior risco relativo (7,32) seguido do município de Catunda (6,94). Conclusão: As Regiões Norte e Noroeste do Ceará possuem taxas mais elevadas e risco maior para mortalidade por tumores do SNC.
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da Penha JC, do Nascimento LA, de Sabino LMM, da Rocha Mendes ER, da Rocha SS, Roubert ESC, Lima FET, de Oliveira Melo RC, de Almeida PC, Melo ESJ, Barbosa LP. Effects of Educational Interventions on Maternal Self-efficacy and Childhood Diarrhea: A Randomized Clinical Trial. Matern Child Health J 2022; 26:1507-1515. [PMID: 35288818 DOI: 10.1007/s10995-022-03408-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/03/2022] [Indexed: 11/27/2022]
Abstract
OBJECTIVE Diarrhea still causes high morbidity and mortality in children under five, requiring constant interventions. Thus, the study aims to evaluate the effects of educational technologies on maternal self-efficacy to prevent childhood diarrhea. METHODS Randomized clinical trial carried out in Fortaleza, Ceará, Brazil, with four randomized groups of mothers of children under 5 years of age, as follows: control group (n = 61), group A (booklet, n = 60), group B (video, n = 60), and group AB (booklet and video, n = 60). From June to October 2015, data collection was carried out in three moments (the first in person and the others by telephone monitoring). RESULTS All groups improved their self-efficacy after the intervention, with higher scores in the group AB (booklet and video). A statistically significant association was found between the occurrence of diarrhea and maternal self-efficacy in groups A (booklet) (p = 0.023) and AB (booklet and video) (p = 0.042) at the second moment of data collection. From the second moment to the third moment, the risk of diarrhea decreased in group A, from 12.8 to 1.3, and in group AB, from 8.5 to 1.1. CONCLUSION The technologies used, isolated or combined, were effective in improving maternal self-efficacy and decreasing the occurrence of childhood diarrhea; therefore, they can be used by nurses as health education tools.
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Affiliation(s)
| | | | | | | | | | - Emilia Soares Chaves Roubert
- Department of Nursing, University of International Integration of African-Brazilian Lusophony, Redenção, Ceará, Brazil
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Aguiar ASCD, Almeida PCD, Grimaldi MRM, Guimarães FJ. TECNOLOGIAS PARA EDUCAÇÃO EM SAÚDE DE PESSOAS COM DEFICIÊNCIA VISUAL: REVISÃO INTEGRATIVA. Texto contexto - enferm 2022. [DOI: 10.1590/1980-265x-tce-2021-0236pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
RESUMO Objetivo: investigar as evidências científicas acerca das tecnologias existentes e/ou que são utilizadas para educação em saúde de pessoas com deficiência visual. Método: revisão integrativa realizada nas bases de dados MEDLINE/PubMed, CINAHL, LILACS, via Biblioteca Virtual em Saúde, Web of Science, Scopus e Cochrane Library, em novembro de 2021. Resultados: identificaram-se 18 artigos, dos quais oito estudos foram publicados em periódicos de enfermagem. Acerca dos países que foram locais de pesquisa, dez estudos foram publicados no Brasil e os demais em países como Estados Unidos, Irã, Índia, Turquia e Portugal. Os temas mais abordados pelas tecnologias foram saúde sexual e reprodutiva e saúde bucal. Os demais versaram sobre amamentação, saúde ocupacional, hipertensão arterial, diabetes e drogas. Quanto aos tipos de recursos de acessibilidade empregados nas tecnologias, prevaleceu o uso do áudio, através de texto ou CD, em dez estudos, e de recursos que exploraram o sentido tátil do cego, por meio de protótipos didáticos anatômicos, manuais educativos com figuras em alto relevo e texturas diferentes, em nove artigos. Outros recursos de acessibilidade foram audiodescrição, tecnologias mediadas pelo uso da internet e/ou do computador e materiais impressos em Braille. Predominaram estudos metodológicos e, em quatorze estudos, ocorreu a aplicação da tecnologia com as pessoas com deficiência visual. Conclusão: os estudos mostraram adequabilidade e viabilidade das tecnologias desenvolvidas para educação em saúde de pessoas com deficiência visual, por oferecerem conhecimento sobre os temas propostos e igualdade de acesso a materiais educativos para este grupo.
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Ferreira MA, Belchior ADB, Alencar CSD, Almeida PCD, Nascimento FG, Oliveira SKPD. Resiliência de pessoas com diabetes mellitus durante a pandemia da COVID-19. Rev Gaucha Enferm 2022. [DOI: 10.1590/1983-1447.2022.20210202.pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
RESUMO Objetivo: Analisar a resiliência de pessoas com diabetes mellitus durante a pandemia da COVID-19. Método: Estudo transversal realizado com 235 pessoas com diabetes por meio de um formulário compartilhado em mídias sociais com dados sociodemográficos e clínicos e a escala de resiliência de Connor-Davidson validada para o contexto brasileiro. Os escores da escala foram comparadas com dados sociodemográficos e clínicos pelos testes t de Student, análise de variância e Mann-Whitney. Resultados: A pontuação média da escala de resiliência foi 63,58+14,5. Os maiores escores de resiliência foram evidenciados em homens, pessoas com maior renda, maior escolaridade, usuários de antidiabéticos orais, que tinham alimentação saudável e que realizavam atividade física e acompanhamento com a equipe de saúde. Conclusão: A média da resiliência foi inferior ao escore evidenciado na literatura e os grupos com escores mais altos tinham melhores comportamentos de saúde.
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Ferreira MA, Belchior ADB, Alencar CSD, Almeida PCD, Nascimento FG, Oliveira SKPD. Resilience of people with diabetes mellitus during the COVID-19 pandemic. Rev Gaucha Enferm 2022; 43:e20210202. [DOI: 10.1590/1983-1447.2022.20210202.en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2021] [Accepted: 05/23/2022] [Indexed: 11/16/2022] Open
Abstract
ABSTRACT Objective: To analyze the resilience of people with diabetes mellitus during the COVID-19 pandemic. Method: Cross-sectional study carried out with 235 people with diabetes using a form shared on social media with sociodemographic and clinical data and the Connor-Davidson resilience scale validated for the Brazilian context. Scale scores were compared with sociodemographic and clinical data using Student’s t-test, analysis of variance and Mann-Whitney. Results: The mean score on the resilience scale was 63.58+14.5. The highest resilience scores were evidenced in men, people with higher income, higher education, users of oral antidiabetics, who had healthy diet and who performed physical activity and follow-up with the health team. Conclusion: Mean resilience was lower than the score shown in the literature and groups with higher scores had better health behaviors.
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Aguiar ASCD, Almeida PCD, Grimaldi MRM, Guimarães FJ. HEALTH EDUCATION TECHNOLOGIES FOR PEOPLE WITH VISUAL IMPAIRMENT: INTEGRATIVE REVIEW. Texto contexto - enferm 2022. [DOI: 10.1590/1980-265x-tce-2021-0236en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Objective: to investigate scientific evidence about existing health education technologies for people with visual impairment. Method: integrative review performed in MEDLINE/pubmed, CINAHL, LILACS databases, via Virtual Health Library, Web of Science, Scopus and Cochrane Library, in November 2021. Results: 18 articles were identified, of which eight were published in nursing journals. Regarding the countries that were research sites, ten studies were published in Brazil and the others in countries such as the United States, Iran, India, Turkey and Portugal. The most addressed themes of the technologies were sexual and reproductive health and oral health. The others were about breastfeeding, occupational health, hypertension, diabetes and drugs. Regarding the types of accessibility resources used in the technologies, the use of audio, through text or CD, prevailed in ten studies, and resources that explored the tactile sense through anatomical didactic prototypes, educational manuals with embossed figures and different textures, in nine articles. Other accessibility features were audio description, technologies mediated by the use of the Internet and/or computer, and braille printed materials. Methodological studies predominated and, in fourteen studies, the application of technology with visual impaired people occurred. Conclusion: the studies showed adequacy and feasibility regarding the health education technologies developed for people with visual impairment, because they offer knowledge about the proposed themes and equal access to educational materials for this group.
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Sandoval LJS, Lima FET, Barbosa LP, Pascoal LM, Almeida PCD, Morán YL. Professional performance in the administration of medicines in pediatrics: a study cross-sectional observational. Rev Bras Enferm 2022; 75:e20200299. [DOI: 10.1590/0034-7167-2020-0299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2020] [Accepted: 09/19/2021] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Objectives: to evaluate Patient Safety actions carried out by nurses in the Administration of Medicines in Pediatrics. Methods: observational, cross-sectional, quantitative study carried out in 2018, with 25 nurses from a Hospital in Peru. 183 observations were made; the instrument Safety of the patient was used in the administration of medicines in Pediatrics Spanish version. The performance of the professionals was evaluated by the Positivity Index. Results: of 22 itens observed, five were adequate, five were safe, two were classified as borderline and ten as endurable among those who stand out; Bring to bed only medications prescribed for a single child and maintains an adequate record of prepared medications that will be stored. Conclusions: weaknesses were observed in the medication administration process, since only 10 itens were classified as safe or adequate, reinforcing the need for permanent education activities by the institution for nursing training.
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Melo GMD, Cardoso MVLML, Almeida PCD, Rodrigues EC. Effect of music combined with swaddling on pain in full-term newborns: randomized clinical trial. Rev Bras Enferm 2021; 75:e20210017. [PMID: 34706047 DOI: 10.1590/0034-7167-2021-0017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2021] [Accepted: 06/08/2021] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVES to evaluate the effect of music applied within ten and 15 minutes, combined with swaddling, on behavioral (facial action) and physiological (heart rate) responses to pain in full-term newborns, before and during venipuncture for blood sampling. METHODS a randomized, triple-blind, clinical trial with 52 rooming in infants randomly assigned to four groups of 13: Experimental 1 (music [ten minutes] plus swaddling), Experimental 2 (music [15 minutes] plus swaddling), Control 1 (no music [ten minutes] plus swaddling), and Control 2 (no music [15 minutes] plus swaddling). Pain was measured using the Neonatal Facial Coding System in the basal and procedural moments. RESULTS experimental 2 group showed high pain absence (p < 0.05); low heart rate mean (p < 0.0001) in the basal and procedural (antisepsis, puncture, blood squeezing/aspiration, compression) moments. CONCLUSIONS neonates who listened to 15 minutes of music plus swaddling showed a greater absence of facial pain actions.
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Sousa LSD, Oliveira RM, Santiago JCDS, Bandeira ÉDS, Brito YCF, Alves HFA, Almeida PCD. Predictors of moral harassment in nursing work in critical care units. Rev Bras Enferm 2021; 74:e20200442. [PMID: 34161497 DOI: 10.1590/0034-7167-2020-0442] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Accepted: 01/18/2021] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVES to analyze the predictors of moral harassment in nursing work in critical care units. METHODS a cross-sectional study conducted in a public hospital in Fortaleza, Ceará, with 167 nursing professionals in 2016. Sociodemographic/occupational questionnaire and Negative Acts Questionnaire Revised were applied. The analysis included descriptive statistics, measures of central tendency and dispersion, as well as Mann-Whitney, Kruskal-Wallis and Conover Inman U-tests for multiple comparisons. RESULTS there was a 33% prevalence of self-perception of moral harassment, highlighting personal/professional disqualification and work-related harassment. The predictors of moral harassment included age, time working in the job and time in the unit, employment relationship and sector. CONCLUSIONS young professionals (< 30 years), cooperative, crowded in intensive care or emergency units, with less time working in the job (< 5 years) or greater time in the unit (above 10 years) are the biggest victims of moral harassment in the work of nursing in critical environments.
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Uchoa JL, Barbosa LP, Mendonça LBDA, Lima FET, Almeida PCD, Rocha SSD. Influence of social determinants of health on skin to skin contact between mother and newborn. Rev Bras Enferm 2021; 74:e20200138. [PMID: 34133704 DOI: 10.1590/0034-7167-2020-0138] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2019] [Accepted: 11/24/2020] [Indexed: 08/23/2023] Open
Abstract
OBJECTIVE to analyze the association of skin-to-skin contact and social determinants of health. METHODS this is a cross-sectional study with 187 medical records of newborns from a reference rooming in in northeastern Brazil. An instrument with maternal and neonatal data was used. Analysis was descriptive and inferential statistics. For the associations, a chi-square test was used to measure strength, an Odds Ratio was calculated, with a 95% confidence interval. RESULTS 62% of newborns who made skin-to-skin contact at birth were eutrophic, full-term, Apgar > 7, mothers with prenatal care and without abortion. The determinants associated with non-skin-to-skin contact were preterm (CR=3.2;95%CI: 2.72-18.98); 1st minute Apgar < 7 (CR:2.9;95%CI: 2.38-3.06), cesarean section (CR:8.4;95%CI: 4.29-16.57), and unhealthy NB (CR 12.7;95%CI: 4.9-32.67). We used STROBE guidelines. CONCLUSION skin-to-skin contact was influenced by gestational age, Apgar, delivery, and newborn health.
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Affiliation(s)
- Janaiana Lemos Uchoa
- Universidade Federal do Ceará, Hospital Universitário Walter Cantídio. Fortaleza, Ceará, Brazil
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de Sabino LMM, Ferreira ÁMV, Mendes ERR, Melo ESJ, Penha JC, Lima KF, do Nascimento LA, Lima FET, de Melo RC, de Almeida PC, Barbosa LP. Educational interventions using a primer and motivational interviewing: randomized clinical trial. Eur J Public Health 2021; 31:985-990. [PMID: 33942065 DOI: 10.1093/eurpub/ckab021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Many educational technologies have been used to promote the health of the population. Thus, the objective was to assess the effect of using an individual educational primer along with the Brief Motivational Interviewing (BMI) for increasing maternal self-efficacy for preventing childhood diarrhoea. METHODS Randomized clinical trial, conducted in Fortaleza/Ceará-Brazil, composed of 181 mothers and/or guardians of children under five years, who were randomized into three groups: experimental group A (EG A)-who read the primer, experimental group B (EG B)-application of the primer and BMI and the control group (CG). The participants' assessment was based on the Maternal Self-Efficacy Scale for Preventing Childhood Diarrhoea and the diarrhoea Investigation Form at the beginning of the intervention and then 30 and 60 days after the first contact with the participants. RESULTS There were 60 participants in EG A and CG and 61 in EG B. It was noted a greater incidence of participants with high self-efficacy in EG B after applying the technologies. All groups manifested diarrhoea among children after the interventions, although with a lower number in EG B, one-month post-intervention (P = 0.025). CONCLUSIONS The combined use of the primer and the BMI contributed significantly over time to increase maternal self-efficacy in preventing childhood diarrhoea and reduce cases of this disease.
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Affiliation(s)
| | - Ádria Marcela V Ferreira
- Nursing Department, University of International Integration of Afro-Brazilian Lusophony, Redenção, Ceará, Brazil
| | | | - Emanuella S J Melo
- Nursing Department, University of International Integration of Afro-Brazilian Lusophony, Redenção, Ceará, Brazil
| | - Jardeliny C Penha
- Nursing School, Federal University of Piauí, Floriano, Piauí, Brazil
| | - Kamila F Lima
- Nursing Department, Federal University of Ceará, Fortaleza, Ceará, Brazil
| | | | - Francisca Elisângela T Lima
- Nursing Department, University of International Integration of Afro-Brazilian Lusophony, Redenção, Ceará, Brazil
| | - Regina Claúdia de Melo
- Nursing Department, University of International Integration of Afro-Brazilian Lusophony, Redenção, Ceará, Brazil
| | | | - Lorena P Barbosa
- Nursing Department, National Council for Scientific and Technological Development of Brazil, Federal University of Ceará, Fortaleza, Ceará, Brazil
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Sampaio CL, Almeida PCD, Souza ÂMAE, Neri MFDS, Silva LAD, Caetano JÁ. Differences between quality of life and occupational coping of tenured and outsourced nurses. Rev Bras Enferm 2021; 73 Suppl 1:e20190462. [PMID: 32667483 DOI: 10.1590/0034-7167-2019-0462] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2019] [Accepted: 01/23/2020] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVES To compare the relation of quality of life to occupational coping and verify the association of these indicators with sociodemographic variables of tenured and outsourced nurses. METHODS Cross-sectional study, carried out from June to November 2014, with 145 outsourced nurses and 45 tenured nurses. We applied an identification instrument (WHOQOL-bref) and Occupational Coping Scale. Student's t-tests and Pearson's correlation coefficient were used. RESULTS Tenured nurses had better quality of life (p=0.011) and a mean in the Avoidance factor with a strong correlation (p=0.001). Female public servants (p=0.006; p<0.0001), between 40 and 66 years old (p=0.005; p=0.031), specialists (p=0.028; p=0.005), with a family income from 2.5 to 6.8 minimum wages (p=0.021; p=0.006) and working in the morning or afternoon (p=0.043; p=0.020) and morning and afternoon (p=0.038; p=0.007) showed a difference in quality of life and in Avoidance factor, respectively. CONCLUSION Tenured nurses demonstrated better quality of life, and some variables trigger differences in the groups, demonstrating the need to promote occupational health.
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Sandoval LJS, Lima FET, Gurgel SDS, Freitas ID, Barbosa LP, Almeida PCD. Traducción y adaptación transcultural instrumento Seguridad de Paciente en Administración de Medicamentos Pediatría: Versión español. Esc Anna Nery 2021. [DOI: 10.1590/2177-9465-ean-2020-0333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Resumen Objetivo Traducir, adaptar e validar el contenido del instrumento Seguridad del paciente en la Administración de Medicamentos en Pediatría versión portugués para el español en la realidad de Perú. Método Estudio metodológico, a partir de las etapas: traducción inicial para idioma español por dos traductores independientes; síntesis de las traducciones; Retrotraducción de la síntesis del instrumento para el idioma de origen; test de la versión prefinal con tres enfermeras y evaluación de las propiedades psicométricas del instrumento en la versión español, de acuerdo validación de contenido y de confiabilidad. Fue aprobado por el comité de ética. Resultados las etapas de traducción y retrotraducción por el comité de especialistas consolido las versiones y componentes del instrumento y las traducidas quedando la versión prefinal del instrumento para testar en la práctica asistencial después de realizadas modificaciones en la redacción de algunos ítems de la versión traducida. En el análisis de las propiedades psicométricas, el Coeficiente de validez de contenido obtenida por el comité de especialistas es adecuado (>0,80), con Alfa de Cronbach final del instrumento de 0,91. Conclusión el instrumento Seguridad del Paciente en la Administración de Medicamentos en Pediatría – versión español se encuentra traducido, adaptado, validado y adecuada confiabilidad.
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Cavalcante EGF, Galvão MTG, Lima ICVD, Almeida PCD. Strategies for notifying sexual partners of people with sexually transmitted infections: a randomized clinical trial. Rev Esc Enferm USP 2020; 54:e03648. [PMID: 33295528 DOI: 10.1590/s1980-220x2019010103648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2019] [Accepted: 02/06/2020] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To compare the effectiveness of verbal communication and communication by card in getting sexual partners of people with sexually transmitted infections to attend a health service and the factors associated with the success of these types of communication. METHOD Clinical, controlled, and randomized study, whose intervention was offering a reporting card for index patients to hand to their sexual partners. RESULTS The sample was 189 index patients, 94 of whom were in the control group, and verbally invited their sexual partners to receive care, and 95 were allocated to the intervention group, and took their partner's reporting card to their partners as a way to invite them to receive care. The percentage of partners invited by card who came to the service was 52.6%, in contrast with 43.6% among partners who were invited verbally, but no significant statistical difference was found (p=0.215). The factors associated with failure to convince partners to come to the service were: not living with the partner (p=0.0001); not having a steady partner (p=0.0001); having casual partners (p=0.028); and using condoms with a steady partner (p=0.045). The infection type did not influence the studied partners' visits to the service. CONCLUSION Given the failure to achieve effectiveness when applying the reporting by card, the authors recommend another card model containing information for partners to be used in combination with other methods. Brazilian Clinical Trials Registry: RBR-7jp5mr.
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Affiliation(s)
| | | | | | - Paulo César de Almeida
- Universidade Estadual do Ceará, Programa de Pós-Graduação Cuidados Clínicos em Enfermagem e Saúde, Fortaleza, CE, Brasil
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Pinto SDL, Sampaio LA, Galindo Neto NM, Almeida PCD, Oliveira MFD, Caetano JÁ. Educational intervention with serial album about pregnant women positioning for spinal anesthesia: randomized clinical trial. Rev Bras Enferm 2020; 73:e20190878. [PMID: 33027488 DOI: 10.1590/0034-7167-2019-0878] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2019] [Accepted: 04/01/2020] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE To evaluate effectiveness of using educational intervention serial album to positioning pregnant women for spinal anesthesia. METHOD Randomized clinical trial with 90 women casually assigned to control (CG) and intervention group (IG), in a maternity hospital located in Northeast region of Brazil. The primary endpoint was "achieve correct positioning to perform spinal anesthesia"; and secondary, "how number of spinal cord puncture attempts". Effectiveness was verified using the chi-square test, Fisher's exact test and likelihood ratio. RESULTS The positioning was correct in 37 women in each group. There was an association between women in control group remaining still, relaxing shoulders and flexing the spine; and women in intervention group should remain still and relax the shoulders; furthermore there was a statistical association achieved by correct positioning and the number of attempts to access the lumbar puncture. CONCLUSION Educational intervention with serial album was effective and contributed to immobility and positioning of pregnant women. Brazilian Registry of Clinical Trials (RBR-3Z7SRD).
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Barbosa ML, Barbosa AL, Barbosa TP, Silva RCCD, Almeida PCD, Libório AB. Perfil clínico-epidemiológico de mulheres no ciclo gravídico-puerperal internadas em uma Unidade de Terapia Intensiva. Rev Med UFC 2020. [DOI: 10.20513/2447-6595.2020v60n3p34-41] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Objetivo: avaliar o perfil sociodemográfico e clínico de mulheres no ciclo gravídico-puerperal internadas em uma Unidade de Terapia Intensiva Obstétrica. Método: trata-se de um estudo de coorte retrospectivo na Maternidade Escola Assis Chateaubriand/Fortaleza-CE. Resultados: predominaram as puérperas (78,5%), a idade com maior prevalência foi de 20-34 anos (61,4%), o parto cesárea foi mais frequente (89,6%), as síndromes hipertensivas foram a maior causa de admissão na UTI obstétrica (47,2%), a hipertensão arterial foi a mais presente das comorbidades (13,0%) e as síndromes hipertensivas foram as maiores causas de óbitos das pacientes internadas. Conclusão: evidenciou-se inúmeros pontos correlatos quanto ao perfil de gestantes e puérperas dessa UTI com outras regiões similares do Brasil, com a maior parte das pacientes sendo jovens em pós-operatório de cesariana por pré-eclâmpsia ou por hemorragias específicas da gestação, destoando os bons resultados no que se refere a taxa de permanência na UTI e mortalidade.
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Beserra GDL, Oliveira PMPD, Pagliuca LMF, Almeida PCD, Anjos SDJSBD, Barbosa AS. Verbal communication of the parturient nurse's dyad in the active phase of labor. Rev Bras Enferm 2020; 73:e20190266. [PMID: 32609215 DOI: 10.1590/0034-7167-2019-0266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2019] [Accepted: 09/28/2019] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVES to analyze verbal communication between the nurse and the parturient during the active phase of labor in two Lusophone countries. METHODS quantitative analytical study. Sample of 709 interactions between nurses and parturients using verbal communication during the active phase of labor in Brazil and Cape Verde. The following variables were analyzed: companion, conative vocative, conative imperative, emotive/expressive and referential/context functions, contact/channel and code. RESULTS the absence of interaction predominated in most of the variables analyzed during the active phase of labor in both countries. In Cape Verde all interactions occurred during the absence of the companion. CONCLUSIONS considering the social and cultural aspects of each country, nurses need to develop skills to communicate verbally with the parturient, offering a better interaction during the parturition process.
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Maciel AMS, Almeida NMGSD, Silva ACE, Almeida PCD. Factors associated with trachoma treatment and control treatment in schools of municipality of the Northeast Region, Brazil. Rev Bras Epidemiol 2020; 23:e200011. [PMID: 32130399 DOI: 10.1590/1980-549720200011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2018] [Accepted: 11/01/2018] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION Trachoma maintains itself as a public health problem and an important cause of morbidity, visual impairment and preventable blindness in Brazil. OBJECTIVE To analyze factors associated with treatment and control of trachoma treatment in schoolchildren diagnosed during the national campaign in 2014, in the town of Russas, Ceará. METHODOLOGY A cross-sectional study was brought out from January to April 2016. Social, demographic, economic and follow-up data were collected for 390 schoolchildren aged five to 14 years old, diagnosed with trachoma in the campaign in 2014. They were defined dependent variables: trachoma treatment and control of trachoma disease, categorized as adequate and inadequate, and multivariate analyzes were performed. RESULTS Treatment was considered adequate in 56.7% of schoolchildren and in only 5.9% treatment control was classified as adequate. In the multivariate analysis, they have got an association with the trachoma treatment result: rural residence zone and waste destination in a non-public space. The last control of the treatment of trachoma remained associated to the variables: rural residence zone; family income less than a minimum wage and school not examined by the physician. CONCLUSION Inadequate treatment and control of trachoma treatment showed an association with socioeconomic variables and follow-up of primary care. Health education activities were not accessible to the entire community, indicating the need for more involvement by primary care professionals.
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Ferreira ÁMV, Sabino LMMD, Sandoval LJS, Lima FET, Martins MC, Almeida PCD, Barbosa LP. Four levels of evaluation nurse training program on regional food. Rev Bras Enferm 2020; 73:e20190745. [DOI: 10.1590/0034-7167-2019-0745] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2020] [Accepted: 07/04/2020] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Objectives: to verify the effectiveness of a regional nutrition training program for nurses based on four levels of assessment: response, learning, behavior, and conclusions. Methods: this was a longitudinal, almost experimental before and after type of study, carried out in 2014 with eight nurses and 62 mothers attended in the Primary Health Care Units of the rural area of Ceará, Brazil, in a training program using educational technology on regional food. Results: the evaluations showed a positive reaction from the nurses; a very good post-test average (92.3%); a change in nurses’ behavior, verified by 30 educational activities after training; and satisfactory results, verified by improvement in knowledge, attitude and practice of the mothers about regional food and food safety after participating in the educational interventions carried out by the trained nurses. Conclusions: the training program was considered effective, showing positive results in the four levels of evaluation.
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Nogueira PSF, Barbosa RGB, Almeida PCD, Florêncio CMGD, Marques MB, Teles LMR. Aplicabilidade do instrumento “Screening of Activity Limitation and Safety Awareness” em idosos com hanseníase. Esc Anna Nery 2020. [DOI: 10.1590/2177-9465-ean-2019-0251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO Objetivo Analisar a aplicabilidade da Screening of Activity Limitation and Safety Awareness (SALSA) para a avaliação da capacidade funcional de idosos com hanseníase. Método Pesquisa descritiva, transversal, desenvolvida com 77 idosos com hanseníase acompanhados no Centro de Referência em Dermatologia, em Fortaleza, Ceará, de junho a agosto de 2015, por meio da aplicação da SALSA e de outras duas escalas já validadas para uso em idosos. Para a análise, utilizou-se estatística descritiva e inferencial. Resultados Houve convergência entre as escalas (p=0,0000) na avaliação da capacidade funcional. As variáveis idade e sexo apresentaram maior número de associações com as atividades avaliadas, ao passo que, nas variáveis clínicas relacionadas à hanseníase, apenas o grau de incapacidade física apresentou relação com mais de duas atividades. Conclusão A SALSA contribuiu para a avaliação eficaz da capacidade funcional na população estudada, sendo mais influenciada pela idade do que pela hanseníase. Implicações para a prática: Assim, recomenda-se a sua aplicação nas consultas iniciais como instrumento de rastreio da capacidade funcional de idosos com hanseníase.
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Oliveira MRD, Almeida PCD, Moreira TMM, Torres RAM. Nursing care systematization: perceptions and knowledge of the Brazilian nursing. Rev Bras Enferm 2019; 72:1547-1553. [DOI: 10.1590/0034-7167-2018-0606] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2018] [Accepted: 01/26/2019] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Objective: to present the perception and knowledge of Brazilian nursing nurses and academics regarding Nursing Care Systematization. Method: a descriptive study, carried out in the first half of 2018. Results: of the 596 respondents, 86% perceived Nursing Care Systematization as very important, but only 60.9% used it in their care practice. Its use was statistically associated with a higher level of training. Non-utilization was associated with the perception that it is irrelevant and with little knowledge on the Nursing Process, even in the face of recognition of its obligation. Among professionals who wish to learn more about the subject, understanding the application of the process, especially the planning step, is perceived as a necessity. Conclusion: the relevance perception of systematization and levels of knowledge of the professional/academic are directly related to the use or not of Nursing Care Systematization principles.
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Beserra GDL, Oliveira PMPD, Pagliuca LMF, Almeida PCD, Anjos SDJSBD, Pinheiro AKB. Non-verbal nurse-parturient communication in labor in Portuguese-speaking countries. Rev Lat Am Enfermagem 2019; 27:e3193. [PMID: 31596422 PMCID: PMC6781356 DOI: 10.1590/1518-8345.3032.3193] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2018] [Accepted: 06/18/2019] [Indexed: 11/21/2022] Open
Abstract
Objective: to analyze nonverbal communication between nurse and parturient during the active phase of labor in two Portuguese-speaking countries. Method: a quantitative and analytical study, whose sample consisted of 709 interactions that used the nonverbal communication of nurses and parturients. The analyzed variables were: distance; posture; axis; contact; emblematic gestures; illustrator gestures and regulatory gestures. For the analysis of the data, the Chi-Square and Likelihood Ratio tests were used. Results: the intimate distance between nurse and parturient in both countries (p = 0.005) prevailed. In both, touch was the most commonly used form of contact (p <0.0001). In both countries, the parturient remained lying down (p <0.0001). In relation to the established contact (p <0.0001), the parturient did not use contact. The face-to-face axis predominated in the interactions in both countries between nurse-parturient (p <0.0001) and parturient-nurse (p <0.0001). Conclusion: similarities were observed in non-verbal communication between nurses and parturients in both countries. However, there are differences such as the established contact between Brazilian and Cape Verdean nurses to parturients.
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Affiliation(s)
- Gilmara de Lucena Beserra
- Universidade Federal do Ceará, Fortaleza, CE, Brazil.,Scholarship holder at the Fundação Cearense de Apoio ao Desenvolvimento Científico e Tecnológico (FUNCAP), Brazil
| | | | | | - Paulo César de Almeida
- Universidade Estadual do Ceará (UECE), Centro de Ciências da Saúde, Fortaleza, CE, Brazil
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Borges FM, Silva ARVD, Lima LHDO, Almeida PCD, Vieira NFC, Machado ALG. Health literacy of adults with and without arterial hypertension. Rev Bras Enferm 2019; 72:646-653. [PMID: 31269128 DOI: 10.1590/0034-7167-2018-0366] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2018] [Accepted: 02/13/2019] [Indexed: 12/24/2022] Open
Abstract
OBJECTIVE Assess the level of health literacy of adults, with and without hypertension, treated in three basic health units (UBS) in Picos, Piauí. METHODS Cross-sectional study conducted with 357 adults. Data were collected using a questionnaire with sociodemographic variables, and literacy was assessed by the Test of Functional Literacy in Adults. Descriptive analysis was performed followed by the association between literacy and exposure variables with Pearson's chi-squared (X2) test and Mann-Whitney U test. RESULTS Inadequate or marginal health literacy was found in three units investigated (71.5%; 77.8% and 85.2%);. Age and the years of schooling were factors associated with inadequate literacy in adults with hypertension (p<0.0001). CONCLUSION Inadequate literacy was found in more than 70% of the hypertensive patients investigated. This finding reinforces the need to improve the self-care skills of hypertensive patients, especially the older ones and those with few years of schooling.
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Barbosa DO, Albuquerque SA, Almeida PCD, Martins ACDO, Fernandes PFCBC, Oliveira CMCD. Hiperparatireoidismo pós-transplante em uma unidade de transplante renal do nordeste do Brasil: prevalência e aspectos clínicos. Rev Med UFC 2019. [DOI: 10.20513/2447-6595.2019v59n2p27-32] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Introdução: o hiperparatireoidismo (HPT) após o transplante renal (Tx) tem prevalência variável e impacto negativo na sobrevida do enxerto/paciente. Objetivo: avaliar a prevalência de HPT persistente em uma unidade de Tx renal e a correlação entre o paratormônio (PTH) e variáveis clínicas/laboratoriais. Métodos: foi considerado HPT persistente níveis de PTH ≥ 100pg/ml após 12 meses (m) de Tx, sendo testada a correlação do PTH com tempo em diálise, creatinina, taxa de filtração glomerular, cálcio, fósforo, Hb, pressão arterial sistólica (PAS) e pressão arterial diastólica (PAD). Resultados: analisados 68 pacientes, idade média de 43 anos, 70,6% do masculino. HPT foi observado em 88% aos 12 m e 33% aos 24 m. Houve correlação linear negativa significativa do PTH com o fósforo aos 12 m e positiva com a PAD aos 24 m e entre o tempo em diálise e o PTH pré-Tx aos 12 e 24 meses. Entre os grupos com PTH < 100 pg/ml e PTH ≥ 100 pg/ml, foi observado diferença significativa em relação ao fósforo aos 12 m (p=0,040); creatinina (p=0,018) e taxa de filtração glomerular (TFG) (p= 0,020) aos 24 m. Conclusão: a prevalência de HPT persistente no primeiro ano após o Tx renal foi elevada, com melhora nesta taxa após 24 meses. Foi detectada correlação significativa do PTH com o tempo em diálise, fósforo e a PAD, assim como houve uma diferença significativa entre os grupos de PTH para o fósforo aos 12 m, e creatinina e TFG aos 24 m. Estudos adicionais e com delineamento prospectivo permitirão melhor investigação do HPT pós-Tx, incluindo aspectos de prevenção, tratamento e morbimortalidade.
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Araújo PR, Lima FET, Ferreira MKM, Oliveira SKPD, Carvalho REFLD, Almeida PCD. Medication administration safety assessment tool: Construction and validation. Rev Bras Enferm 2019; 72:329-336. [PMID: 31017193 DOI: 10.1590/0034-7167-2018-0340] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2018] [Accepted: 08/12/2018] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To build and validate the Patient Safety Assessment in Medication Administration (ASPAM - Avaliação da Segurança do Paciente na Administração de Medicamentos) tool. METHOD Methodological study in which the construction, Content Validation Index (CVI), construct validation (factorial analysis) and reliability were performed in terms of homogeneity (Cronbach's Alpha). RESULTS The ASPAM reached CVI of 0.77 for simplicity, 0.76 for clarity and 0.93 for relevance. The exploratory factorial analysis was adequate for the tool (Kaiser-Meyer-Olkim of 0.66 and Bartlett's sphericity with p <0.001). The Cronbach's Alpha end of the scale with 28 items was 0.85. CONCLUSION The ASPAM tool was valid and reliable for the identification of risk-generating conditions for the occurrence of Adverse Drug Events.
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Pinto do Nascimento Paiva R, Sousa Carvalho de Aguiar A, Arruda Cândido D, Macêdo Monteiro AR, de Almeida PC, Gomes Cezario Roscoche K, Mendes Siqueira C, Alencar Mendes Reis P. Análise do perfil de usuários atendidos em um centro de atenção psicossocial. J Health NPEPS 2019. [DOI: 10.30681/252610103360] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Araújo ESS, Silva LDFD, Moreira TMM, Almeida PCD, Freitas MCD, Guedes MVC. Nursing care to patients with diabetes based on King's Theory. Rev Bras Enferm 2018; 71:1092-1098. [PMID: 29924160 DOI: 10.1590/0034-7167-2016-0268] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2016] [Accepted: 04/05/2017] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To verify the effectiveness of nursing interventions based on the Imogene King's Theory of Goal Attainment, on improving care for people with diabetes and adherence to treatment. METHOD Quasi-experimental, longitudinal, randomized, simple study in a Primary Health Care Unit, in the city of Fortaleza, Ceará state, Brazil. The sample consisted of 60 people with diabetes, divided into intervention and control groups, whose collection occurred from February to August 2013. RESULTS In the intervention group, a significant adherence of the patients to the goals defined in the study was found. In the control, there was improvement in some aspects of the treatment. CONCLUSION With these results, it was possible to conclude the feasibility of using Theory of Goal Attainment in the positive aspects for adherence to diabetes treatment and improvement of quality of life.
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Aguiar LL, Guedes MVC, Galindo Neto NM, Melo GAA, Almeida PCD, Oliveira RM, Caetano JÁ. Validação de instrumento de avaliação da segurança de pacientes renais em hemodiálise. ACTA PAUL ENFERM 2018. [DOI: 10.1590/1982-0194201800084] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Resumo Objetivo Construir e validar um instrumento de avaliação da segurança de pacientes renais crônicos em hemodiálise. Métodos Estudo metodológico que abrangeu elaboração do instrumento e validação de conteúdo por 14 juízes; e avaliação da compreensão, por nove enfermeiros. A construção foi fundamentada na legislação sanitária sobre hemodiálise e padrões internacionais de segurança de pacientes. Para análise da concordância dos juízes, foi calculado o Coeficiente de Correlação Intraclasse, Índice de Validade de Conteúdo e teste binomial. Resultados Os itens do instrumento do tipo Likert foram distribuídos nas seis metas internacionais de segurança de pacientes, obtiveram Coeficiente de Correlação Intraclasse de 0,98. O instrumento final ficou com 57 itens com Índice de Validade de Conteúdo de 0,96 e teste binomial ≥0,86. Conclusão O instrumento foi considerado compreensível, relevante e condizente com os padrões de segurança, tendo demonstrado validade de conteúdo e compatibilidade para avaliar a segurança do paciente em ambientes de tratamento hemodialítico.
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Fontoura FC, Cardoso MVLML, Rodrigues SE, de Almeida PC, Carvalho LB. Anxiety of mothers of newborns with congenital malformations in the pre- and postnatal periods. Rev Lat Am Enfermagem 2018; 26:e3080. [PMID: 30462791 PMCID: PMC6248767 DOI: 10.1590/1518-8345.2482.3080] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2017] [Accepted: 09/01/2018] [Indexed: 10/05/2023] Open
Abstract
OBJECTIVE to analyze the anxiety level of the mothers of newborns with congenital malformations who were diagnosed in prenatal and postnatal care. METHODS a cross-sectional study with 115 mothers of 117 newborns with congenital malformation admitted to three neonatal units. A questionnaire containing maternal and neonatal variables was used, as well as the Trait-State Anxiety Inventory. Data were analyzed by Student's t-test and Kolmogorov-Sminorv test. The anxiety level was categorized as low (percentile <25), moderate (25-75) and high (> 75), with a significance level of 5%. RESULTS most mothers had moderate levels of anxiety. Regarding the diagnosis of the malformation, 57% received the news in the prenatal and 43% in the postnatal period. The anxiety level of those who received the prenatal diagnosis was lower than those who received in the postnatal period, evaluated by the Trait Anxiety Inventory (p = 0.026). CONCLUSION mothers of newborns with malformations presented moderate anxiety, and this was higher when the diagnosis was given in the postnatal period. The use of the Trait-State Anxiety Inventory can provide guidance to other studies and to clinical practice.
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Gomes ALA, Joventino ES, Lima KF, Dodt RCM, Almeida PCD, Ximenes LB. Validation and reliability of the scale Self-efficacy and their child's level of asthma control. Rev Bras Enferm 2018; 71:406-412. [PMID: 29412300 DOI: 10.1590/0034-7167-2016-0528] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2016] [Accepted: 03/19/2017] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE To evaluate the psychometric properties in terms of validity and reliability of the scale Self-efficacy and their child's level of asthma control: Brazilian version. METHOD Methodological study in which 216 parents/guardians of children with asthma participated. A construct validation (factor analysis and test of hypothesis by comparison of contrasted groups) and an analysis of reliability in terms of homogeneity (Cronbach's alpha) and stability (test-retest) were carried out. RESULTS Exploratory factor analysis proved suitable for the Brazilian version of the scale (Kaiser-Meyer-Olkim index of 0.879 and Bartlett's sphericity with p < 0.001). The correlation matrix in factor analysis suggested the removal of item 7 from the scale. Cronbach's alpha of the final scale, with 16 items, was 0.92. CONCLUSION The Brazilian version of Self-efficacy and their child's level of asthma control presented psychometric properties that confirmed its validity and reliability.
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Affiliation(s)
- Ana Lúcia Araújo Gomes
- Universidade Federal do Ceará, Postgraduate Program in Nursing. Fortaleza, Ceará, Brazil
| | - Emanuella Silva Joventino
- Universidade da Integração Internacional da Lusofonia Afro-Brasileira, Institute of Health Sciences. Redenção, Ceará, Brazil
| | - Kamila Ferreira Lima
- Universidade Federal do Ceará, Postgraduate Program in Nursing. Fortaleza, Ceará, Brazil
| | - Regina Cláudia Melo Dodt
- Universidade Federal do Ceará, Pharmacy, Odontology and Nursing School. Fortaleza, Ceará, Brazil
| | - Paulo César de Almeida
- Universidade Estadual do Ceará, Postgraduate Program in Clinical Care in Nursing and Health. Fortaleza, Ceará, Brazil
| | - Lorena Barbosa Ximenes
- Universidade Federal do Ceará, Postgraduate Program in Nursing. Fortaleza, Ceará, Brazil
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Oliveira PMPD, Pagliuca LMF, Almeida PCD, Mariano MR, Carvalho ALRFD, Silva GMD. TECNOLOGIA ASSISTIVA SOBRE AMAMENTAÇÃO PARA PESSOAS COM DEFICIÊNCIA VISUAL: COMPARAÇÃO BRASIL E PORTUGAL. Texto contexto - enferm 2018. [DOI: 10.1590/0104-070720180004340016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
RESUMO Objetivo: descrever o resultado da validação aparente e de conteúdo da tecnologia assistiva “Amamentação em ação”, junto a pessoas com deficiência visual de duas realidades, de Portugal e Brasil. Método: estudo de validação aparente fundamentado no modelo da psicometria composto dos polos teórico, empírico e analítico. Participaram, no Brasil, 19 pessoas com deficiência visual e em Portugal 21. O construto é a Tecnologia Assistiva em formato cordel, “Amamentação em Ação”, elaborada no Brasil e adaptada para aplicação também em Portugal. Para coleta, foi utilizado computador com sintetizador de voz e sistema de leitura de tela do computador para cegos. Para os itens de avaliação utilizou-se escala tipo Likert. Resultados: entre os participantes da América do Sul prevaleceram adultos jovens com escolaridade correspondente ao ensino fundamental e entre os europeus, idosos com ensino fundamental. Concernente à tecnologia propriamente dita, em todos os tópicos e itens houve excelentes avaliações com alguns tópicos analisados diferentemente nos dois países. Os participantes gostaram da Tecnologia Assistiva, mas para validar utilizando o sintetizador, precisou-se de tempo, e mesmo assim, muitas vezes, foi complexo. Alguns se recusaram a responder isto pode estar relacionado ainda à ausência da inclusão digital. Conclusão: concluiu-se que a tecnologia foi avaliada. A mesma foi bem-aceita e conclui-se que para pessoas com deficiência visual ainda são necessárias novas estratégias de inclusão, tanto na saúde como em outras áreas.
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Marques JF, Áfio ACE, Carvalho LVD, Leite SDS, Almeida PCD, Pagliuca LMF. Physical accessibility in primary healthcare: a step towards the embracement. ACTA ACUST UNITED AC 2018; 39:e20170009. [PMID: 29995068 DOI: 10.1590/1983-1447.2018.2017-0009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2017] [Accepted: 10/06/2017] [Indexed: 11/22/2022]
Abstract
OBJECTIVE To assess the physical accessibility from the front desk of primary healthcare units. METHOD Descriptive and quantitative research to map the accessibility of the physical space in 157 health units, between August 2014 and May 2015, in the region of Baturité, Ceará, Brazil. The data were collected using a checklist instrument type, and absolute and relative frequencies, binomial and verisimilitude tests for statistical analysis, with statistical significance of p <0.05 were used. RESULTS Of the analyzed items, stairs (24.8%), ramps (47.1%) and floors (75.8%) were inaccessible in most health units. Comparing urban and rural areas, circulation area (0.7x, p=0.293), counter (0.4x, p=0.010), seat (0.7x, p=0.758) and drinking fountain (0.7x, p=0.736) were more inaccessible in the urban area. CONCLUSION The access of persons with physical disabilities to primary care should be seen as a priority. There are physical, architectural and furniture barriers that compromise the full embracement of the user.
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Affiliation(s)
- Juliana Freitas Marques
- Universidade Federal do Ceará (UFC), Faculdade de Enfermagem, Farmácia e Odontologia, Programa de Pós-Graduação em Enfermagem, Fortaleza, Ceará, Brasil
| | - Aline Cruz Esmeraldo Áfio
- Universidade Federal do Ceará (UFC), Faculdade de Enfermagem, Farmácia e Odontologia, Programa de Pós-Graduação em Enfermagem, Fortaleza, Ceará, Brasil
| | - Luciana Vieira de Carvalho
- Universidade Federal do Ceará (UFC), Faculdade de Enfermagem, Farmácia e Odontologia, Programa de Pós-Graduação em Enfermagem, Fortaleza, Ceará, Brasil
| | - Sarah de Sá Leite
- Universidade Federal do Ceará (UFC), Faculdade de Enfermagem, Farmácia e Odontologia, Programa de Pós-Graduação em Enfermagem, Fortaleza, Ceará, Brasil
| | - Paulo César de Almeida
- Universidade Estadual do Ceará (UFC), Centro de Ciências da Saúde, Departamento de Enfermagem. Fortaleza, Ceará, Brasil
| | - Lorita Marlena Freitag Pagliuca
- Universidade Federal do Ceará (UFC), Faculdade de Enfermagem, Farmácia e Odontologia, Programa de Pós-Graduação em Enfermagem, Fortaleza, Ceará, Brasil.,Universidade da Integração Internacional da Lusofonia Afro-Brasileira (UNILAB). Redenção, Ceará, Brasil
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Borges AC, Almeida PCD, Furlani SMT, Cury MDS, Pleskow DK. ERCP PERFORMANCE IN A TERTIARY BRAZILIAN CENTER: FOCUS ON NEW RISK FACTORS, COMPLICATIONS AND QUALITY INDICATORS. Arq Bras Cir Dig 2018; 31:e1348. [PMID: 29947682 PMCID: PMC6049994 DOI: 10.1590/0102-672020180001e1348] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/21/2017] [Accepted: 01/30/2018] [Indexed: 01/14/2023]
Abstract
Background: ERCP can lead to complications, which can be prevented by the recognition of risk factors. Aim: To identify these risk factors, with quality evaluation. Methods: Retrospective study in a Brazilian hospital in 194 patients, excluding surgically altered anatomy. Results: 211 ERCPs were performed: 97.6% were therapeutic, 83.4% were started by trainees, with deep cannulation rate of 89.6%. Precut was needed in 16.6% of the ERCPs and classic sphincterotomy in 67.3%, with 75.4% of ductal clearance at single session and 8.0% of technical failure. Inacessible papillas ocurred in 2.5% of cases. There were 2.5% of late complications and 16% of early complications. Multivariate analysis identified six predictors for early complications: fistulotomy precut (OR=3.4, p=0.010), difficult cannulation (OR=21.5, p=0.002), attending’s procedural time (OR=2.4, p=0.020), choledocholithiasis (adjusted OR=1.8, p=0.015), cannulation time (adjusted OR=3.2, p=0.018) and ERCP duration (adjusted OR=2.7, p=0.041). Conclusion: Six risk factors for post-ERCP complications were identified. ERCP duration and cannulation time are suggested as new potential quality indicators.
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Affiliation(s)
- Alana Costa Borges
- Zilda Arns Hospital and Maternity, Gastrointestinal Endoscopy, Fortaleza, CE, Brasil
| | | | | | - Marcelo de Sousa Cury
- SCOPE Gastrointestinal Endoscopy Unit, Gastrointestinal Endoscopy, Campo Grande, MS, Brasil
| | - Douglas K Pleskow
- Beth Israel Deaconess Medical Center, Center for Advanced Endoscopy, Boston, Massachusetts,USA
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Javorski M, Rodrigues AJ, Dodt RCM, Almeida PCD, Leal LP, Ximenes LB. Efeitos de uma tecnologia educativa na autoeficácia para amamentar e na prática do aleitamento materno exclusivo. Rev Esc Enferm USP 2018; 52:e03329. [DOI: 10.1590/s1980-220x2017031803329] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2017] [Accepted: 12/19/2017] [Indexed: 11/21/2022] Open
Abstract
RESUMO Objetivo Avaliar os efeitos do uso de um álbum seriado sobre a autoeficácia materna na amamentação e suas repercussões no aleitamento materno exclusivo (AME) nos primeiros 2 meses de vida da criança. Método Ensaio clínico realizado em Recife, Região Nordeste do Brasil, com 112 mulheres no terceiro trimestre de gestação, distribuídas de forma aleatória em grupo-intervenção (GI) e grupo-controle (GC). A intervenção caracterizou-se pelo uso do álbum seriado no GI. A coleta de dados foi realizada por meio de entrevistas no pré-natal e contato telefônico na segunda, quarta e oitava semanas pós-parto. Foi utilizada a BSES-SF para mensurar os escores de autoeficácia. Na análise, utilizou-se de estatística descritiva, bivariada por meio de testes de comparação de proporções e médias e avaliação do risco relativo. Resultados Houve diferença estatisticamente significante nas médias dos escores de autoeficácia entre as mulheres do GI e GC (p<0,001) e nas taxas de AME (p<0,001), a probabilidade de amamentar exclusivamente no GI foi duas vezes maior do que no GC (RR 2,2 IC 1,51-3,21). Conclusão O uso do álbum seriado como ferramenta educacional repercutiu positivamente nos escores de autoeficácia para amamentar e na manutenção do AME no GI. Registro Brasileiro de Ensaios Clínicos: RBR-5N7K99
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Aguiar MIFD, Alves NP, Braga VAB, Souza ÂMAE, Araújo MÂM, Almeida PCD. ASPECTOS PSICOSSOCIAIS DA QUALIDADE DE VIDA DE RECEPTORES DE TRANSPLANTE HEPÁTICO. Texto contexto - enferm 2018. [DOI: 10.1590/0104-070720180003730016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
RESUMO Objetivo: avaliar a dimensão psicossocial da qualidade de vida de pacientes antes e depois do transplante hepático. Método: estudo descritivo, transversal, com abordagem quantitativa, com 150 pacientes submetidos ao transplante de fígado em seguimento a partir do sexto mês, no ambulatório de um centro de referência em transplante hepático. A coleta de dados foi realizada a partir da aplicação de um instrumento com dados sociodemográficos/clínicos e do questionário Liver Disease Quality of Life. Foi utilizada análise estatística descritiva, teste t de Student para comparação das médias dos domínios e Games-Howell para comparações múltiplas. Resultados: houve melhoria nos níveis de qualidade de vida pós-transplante nos quatro domínios avaliados (<0,0001), com maior elevação de escores para os domínios: preocupação (55,5 vs 87,9) e estigma da doença hepática (58,6 vs 93,7). Conclusão: o estudo demonstrou que os pacientes submetidos ao transplante hepático obtiveram uma melhoria significativa da percepção da qualidade de vida no que diz respeito à dimensão psicossocial, sendo mais perceptiva nos domínios preocupação e estigma da doença hepática.
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Gomes ALA, Lima KF, Mendes ERDR, Joventino ES, Martins MC, Almeida PCD, Ximenes LB. Association of self-efficacy of parents/caregivers with childhood asthma control parameters. Rev Esc Enferm USP 2018; 51:e03282. [PMID: 29562048 DOI: 10.1590/s1980-220x2017008003282] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2017] [Accepted: 08/17/2017] [Indexed: 11/22/2022] Open
Abstract
Objective To verify the association between the self-efficacy of parents/caregivers and control parameters of childhood asthma. Method Cross-sectional study with parents/caregivers of asthmatic children. Data were collected through a sociodemographic questionnaire and the Self-efficacy and their child's level of asthma control scale: Brazilian version. Results Participation of 216 parents/caregivers in the study. There was a statistically significant association between self-efficacy scores and the following variables: unscheduled physician visit (p=0.001), visit to emergency department (p<0.001), hospital stays in the previous 12 months (p=0.005), physical activity limitation (p=0.003), school days missed (p<0.001), impaired sleep (p<0.001), ability to differentiate crisis medication from control medication (p=0.024), use of spacer (p=0.001), performing oral hygiene after use of inhaled corticosteroids (p=0.003), and knowledge of medication gratuity (p=0.004). Conclusion A significant relationship of the self-efficacy of parents/caregivers of asthmatic children with control parameters and training on the necessary skills to reach this control was demonstrated in the study.
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Ferreira HLOC, Oliveira MFD, Bernardo EBR, Almeida PCD, Aquino PDS, Pinheiro AKB. Fatores Associados à Adesão ao Aleitamento Materno Exclusivo. Ciênc saúde coletiva 2018. [DOI: 10.1590/1413-81232018233.06262016] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023] Open
Abstract
Resumo Estudo correlacional que objetivou verificar a associação entre variáveis maternas e aleitamento materno exclusivo em um ambulatório especializado do estado do Ceará, Brasil. Verificou-se a prática do aleitamento materno exclusivo, apresentando sua diminuição no decorrer dos seis primeiros meses de vida da criança. A maioria das mulheres era jovem, com companheiro, com bom nível de escolaridade, multigesta e que realizou até seis consultas de pré-natal em postos de saúde. Houve associação significativa entre as variáveis multiparidade e aleitamento materno exclusivo, mostrando-se como uma variável protetora para essa prática. A maioria das mulheres que amamentou exclusivamente afirmou não ter recebido orientação sobre aleitamento materno durante o pré-natal, o que evidencia a existência de outros fatores externos que podem influenciar no aleitamento materno exclusivo.
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Rodrigues AP, Dodt RCM, Oriá MOB, Almeida PCD, Padoin SMDM, Ximenes LB. PROMOÇÃO DA AUTOEFICÁCIA EM AMAMENTAR POR MEIO DE SESSÃO EDUCATIVA GRUPAL: ENSAIO CLÍNICO RANDOMIZADO. Texto contexto - enferm 2018. [DOI: 10.1590/0104-07072017001220017] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO Objetivo: avaliar o efeito da estratégia educativa em sessão grupal a partir da utilização do álbum seriado "Eu posso amamentar o meu filho" na promoção da autoeficácia em amamentar. Método: foi desenvolvido um ensaio clínico com 208 puérperas randomizadas aleatoriamente para o grupo intervenção ou controle. A intervenção consistiu na aplicação do álbum seriado "Eu posso amamentar o meu filho" em sessão grupal no alojamento conjunto. Utilizou-se a Breastfeeding Self-Efficacy Scale - Short Form para mensurar os escores de autoeficácia no período de acompanhamento (alojamento conjunto, 15 dias após o parto e mensalmente até os 120 dias). Resultados: encontrou-se maior percentual de mulheres com autoeficácia em amamentar alta ao longo do período de acompanhamento no grupo intervenção (p=0,002) e um aumento da média dos escores de autoeficácia nesse grupo no período de acompanhamento (p<0,05). Conclusão: houve modificação ou reforço da autoeficácia materna em amamentar com a utilização do álbum seriado em sessão grupal - Número de Registro: RBR-6srs33.
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Leite SDS, Áfio ACE, Carvalho LVD, Silva JMD, Almeida PCD, Pagliuca LMF. Construction and validation of an Educational Content Validation Instrument in Health. Rev Bras Enferm 2018; 71:1635-1641. [DOI: 10.1590/0034-7167-2017-0648] [Citation(s) in RCA: 54] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2017] [Accepted: 01/27/2018] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Objective: to construct and validate the Educational Content Validation Instrument in Health. Method: methodological study that includes the establishment of the conceptual structure; definition of objectives and population; construction of items and response scale; selection and arrangement of items; instrument structuring; opinion of experts; pre-test and content validation. Results: an instrument with 15 items was constructed and, after expert evaluation, eighteen items were obtained, divided into three domains: objectives (four), structure/presentation (nine), and relevance (two). Six items were modified since they presented a percentage of agreement below 0.8. Items of the total instrument presented good internal consistency (0.877) regarding domains. Conclusion: an Educational Content Validation Instrument in Health was elaborated and validated, presenting good reliability, and may contribute to the practice of researchers and health professionals in the development of educational content.
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Lima MBD, Rebouças CBDA, Castro RCMB, Cipriano MAB, Cardoso MVLML, Almeida PCD. Construction and validation of educational video for the guidance of parents of children regarding clean intermittent catheterization. Rev Esc Enferm USP 2017; 51:e03273. [PMID: 29267731 DOI: 10.1590/s1980-220x2016005603273] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2017] [Accepted: 07/20/2017] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE To construct and validate an educational video for the guidance of parents of children who require clean intermittent catheterization. METHOD Methodological study, developed in two stages: construction and validation of the video was performed by experienced judges from March to December 2016. The construction of the technology had the Theory of Adaptation as theoretical reference. For the data analysis, the intraclass correlation index was used. RESULTS The first version of the video was 12 minutes, after validation the replacement of technical terms by colloquial language, dynamism in dialogues and the mention of handwashing before assembling the material was recommended. With regard to total reliability, the intraclass correlation coefficient for all the categories evaluated was 0.768, considered reasonable. In the evaluation of language clarity, relevance to practice and theoretical relevance, the results were 0.745, 0.771 and 0.777, respectively, considered reasonable, with p<0.0001. CONCLUSION The educational video was valid regarding appearance and content, with potential to mediate educational practices in hospital and outpatient settings.
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Affiliation(s)
- Marília Brito de Lima
- Universidade Federal do Ceará, Departamento de Enfermagem, Programa de Pós-Graduação em Enfermagem, Fortaleza, CE, Brasil
| | | | | | | | | | - Paulo César de Almeida
- Universidade Estadual do Ceará, Departamento de Enfermagem, Programa de Pós-Graduação em Cuidados Clínicos em Enfermagem e Saúde, Fortaleza, CE, Brasil
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Abstract
RESUMO O artigo teve como objetivo avaliar a Qualidade de Vida (QV) de brasileiras vivendo em Portugal. O 'Medical Outcomes Study: 36-Item Short Form Survey' (SF-36) e um questionário sociodemográfico foram aplicados à amostra de 682 brasileiras maiores de 18 anos. Verificou-se que a média dos preditores de QV foi superior para a dimensão 'capacidade funcional'; enquanto as dimensões 'aspectos emocionais', 'saúde mental' e 'vitalidade' apresentaram valores menores. Constatou-se que os processos da migração e da QV constituem pauta de investigação contínua para a promoção da saúde no país de acolhimento.
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de Araujo TS, Barbosa Filho VC, Gubert FDA, de Almeida PC, Martins MC, Carvalho QGDS, Costa ACPDJ, Vieira NFC. Factors Associated With Body Image Perception Among Brazilian Students From Low Human Development Index Areas. J Sch Nurs 2017; 34:449-457. [DOI: 10.1177/1059840517718249] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
This study aimed to evaluate sociodemographic, behavioral, and individual factors associated with body image perception in a sample of adolescents from schools in low Human Development Index areas in Brazil. This cross-sectional study included 609 boys and 573 girls (aged 11–17 years). Body image perception (nine-silhouettes scale) and sociodemographic, behavioral, and individual variables were included. Multinomial logistic regression analysis was used. Most boys (76.9%) and girls (77.5%) were dissatisfied with their body image. Body mass index status and healthy body image evaluation were significantly associated with body image dissatisfaction in both boys and girls ( p < .001), and daily fruit consumption was associated with body image dissatisfaction only in boys ( p = .035). Education and health care focused on body image can pay special attention to young people from vulnerable areas with unhealthy nutritional status and focus on strategies that enable improving the perception of a healthy body and a healthy diet.
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