Programa de Pós-Graduação em Enfermagem - PPGENF/ICS

URI Permanente desta comunidadehttps://repositorio.ufpa.br/handle/2011/4814

O Programa de Pós-Graduação em Enfermagem (PPGENF) do Instituto de Ciências da Saúde (ICS) da Universidade Federal do Pará (UFPA). O Programa tem por objetivo formar Enfermeiros Pesquisadores com uma visão global do cuidado de enfermagem numa compreensão da realidade amazônica para as práticas de atenção à saúde nos serviços e no ensino com base em fundamentações teóricas e metodológicas críticas para o cuidado humano, contribuindo, assim, para a reorganização dos Serviços de Saúde, repercutindo no âmbito político, econômico e social da região amazônica.

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Autocuidado de mulheres residentes no município de Benevides/PA na prevenção e controle de HPV: participação da(o) enfermeira(o)
(Universidade Federal do Pará, 2013-12-13) MIRANDA, Shirley Aviz de; GONÇALVES, Lucia Hisako Takase; http://lattes.cnpq.br/6191152585879205; https://orcid.org/0000-0001-5172-7814
INTRODUCTION: Infection with Human Papilloma Virus (HPV) is one of the most common STIs in the world and has high carcinogenic potential for uterine cervix. OBJECTIVES: To identify possible deficits of competence for self-care behavior on the sexual health of women attending the Health Units of Family Paradise of Murinin with positive findings of HPV and develop strategies for health education that contribute to healthy sexual behavior in prevention and control HPV and its consequences. METHODS: A survey conducted in the city of Benevides, Pará. This study was configured as a convergent - care research (PCA), which had as its theoretical framework of Orem self-care. The educational strategy was applied in 11 women aged between 25 and 64 years who were examined in PCCU between the years 2011 and 2012 and who had income from changes related to HPV infection. We use in the development of educational the strategy to focus group technique, which lasted for two months (19/03/13-14/05/2013) with seven group meetings. The procedure for analyzing information collected during group activities, was based on PCA and reference Orem self-care focused on defined objectives, seeking to assess how the change in the perception of health behaviors in the prevention and control of HPV was processed before developed the educational strategy , guided by the precepts of the nursing support OREM - education system. RESULTS: We identified during the research deficit of competence for self-care in the prevention, treatment/control of HPV and appropriate care, lack of knowledge about HPV, its consequences and its confrontation; deficit of competence for self-care practices in sex life satisfactorily shared; deficit of competence to care related to the reduction of socioeconomic risks, lack of self-care health disorders related to the treatment and control of HPV. Later taxpayers educational actions for safer sexual behaviors towards HPV and other STIs have been developed. Throughout the educational process, women began demonstrating cognitive competence for HPV infection and competence in self-care practices successfully shared sex life. CONCLUSION AND IMPLICATIONS: We concluded that educational strategies used contribute to the learning of HPV infection in women as they showed signs of acquiring skills and abilities to self-care and hygiene healthier sexual practices, shared with their partners so. The implications for nursing practice are related to nursing needs to develop mechanisms to better accommodate the sexual partner as users, according to the policy of prevention of STIs and promotion of women's health. For teaching, we emphasize the importance of in-service training to meet the woman / man unit as marital / sexual partner, as well as training professionals with a comprehensive overview of the unit involved: the couple, the family. For research, the investigation of human behaviors that maintain the high incidence of human papillomavirus, is essential to find strategies in extinction of its incidence, control, treatment and disease prevention by HPV.
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Desafios do Programa HIPERDIA e implicações para a enfermagem
(Universidade Federal do Pará, 2014-06-27) FERNANDEZ, Darla Lusia Ropelato; POLARO, Sandra Helena Isse; http://lattes.cnpq.br/7875594038005793; GONÇALVES, Lucia Hisako Takase; http://lattes.cnpq.br/6191152585879205; https://orcid.org/0000-0001-5172-7814
INTRODUCTION: The HIPERDIA Program was established in 2001 in primary care because of the severity of epidemiological Hypertension (HBP) and Diabetes Mellitus (DM), conditions that can lead to serious complications instilling limitations and suffering in the lives of their patients and their families. In this context, it is worth mentioning the importance of primary prevention of these diseases and their complications. Past more than a decade of implementation, it is worth to reflect on the impact on health conditions that the program has generated among its users. OBJECTIVES: To elucidate the principles, philosophy and the guiding policy of HIPERDIA Program of the Ministry of Health (MH); describe how the patient care works, by a health team of HIPERDIA Program; explore the life and health behaviors demonstrated by users of HIPERDIA after its insertion into the program. METHODOLOGY DESCRIPTION: This is a Case Study second Yin (2010) whose object of study was a HIPERDIA Program executed in a Basic Health Unit outskirts of Belém. Data were obtained through interviews with users, staff and managers of the program, in addition to direct field observation, consultation records and official documentation of MS. The data analysis was performed by the analytical strategy "Relying on Theoretical Propositions" and the analytical technique "Standard Combination". RESULTS: The deterioration of the HIPERDIA program management illustrated by deficiencies in infrastructure, supplies, medicines and weaknesses in the reference and counter reference network, excessive spontaneous demand that overloads the health team allocated insufficient in number and the context of poverty and urban violence in users living contribute to poor adherence to treatment regimen and limit the team in its interdisciplinary and integral action. Furthermore, the current model of care is grounded in traditional, based on consultations and prescriptions and that has not proved sufficient to fully meet the needs of care to people with chronic condition requiring long-term care by adopting lifestyles more consistent and healthy. FINAL THOUGHTS: Big challenges are drawn against the data emerged from this study and it involves governmental and intersectoral actions that promote improvements in the living conditions of the population which requires political will to investing the necessary resources. Notwithstanding this, the nurse can make a contribution by promoting cultural care and self-care actions, customizing the plan of action and bringing the responsibility of the user and their families in improving their health condition.
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Enfermagem de família: o enfrentamento de famílias cuidadoras de idoso com doença de Alzheimer
(Universidade Federal do Pará, 2017-12-19) CANTO, Maria Gorete Bentes; GONÇALVES, Lucia Hisako Takase; http://lattes.cnpq.br/6191152585879205; https://orcid.org/0000-0001-5172-7814
Alzheimer's is a neurodegenerative disease that causes the decline of cognitive functions, reducing physical and social abilities, interfering in behavior and personality. With the evolution of the picture, Alzheimer's causes a great impact on the daily life of the person becoming more and more dependent on the help of family members. This study had as objective To know the ways of functioning of caregiver families who experience the coexistence of the care of the elderly person affected by Alzheimer's disease, in the domestic sphere. METHODOLOGICAL DESCRIPTION: A descriptive study with a qualitative approach, used as a theoretical and methodological reference point, the Calgary Family Assessment Model. It was developed in the city of Belém-PA, in a reference hospital in geriatrics. The study included 08 families of elderly people diagnosed with Alzheimer's who were being treated at the outpatient clinic of the João de Barros Barreto University Hospital. The semistructured interview technique was used, whose sessions were written in full and drawn (genogram), avoiding the loss or misrepresentation of the information. The analysis of thematic content was carried out in the light of the Calgary Family Assessment Model in three categories: structural, developmental and functional evaluation, presented through the Genogram and Ecomapa through the statements of each family interviewed. RESULTS: From the experiences of caring for the elderly with Alzheimer's, we found that families experienced significant changes and problems of various magnitudes that compromised some relationships in the internal and external structure of families. The Calgary Family Assessment Model allowed us to observe a scientific and systematic structure, through its family assessment categories, because it helped us gather information, which subsidized us in the construction of the Genogram and Ecomapa in a way that allowed us a more structure of the family structure. Conclusion: We concluded that the objective of the research was achieved, since the elderly and their family members require a qualified and systematized assistance in order to enable paths that favor feelings of hope, safety before treatment and, consequently, aiming a satisfactory prognosis. we emphasize the need for new studies related to the family of the elderly with Alzheimer, especially the applicability of the Calgary Family Intervention Model (MCIF), in order to deepen and enable new dimensions, providing to family nursing new collaborations of great scientific relevance.
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Fatores associados a aceitabilidade da vacina contra o papilomavírus humano por pais e responsáveis de adolescentes residentes em uma capital da região amazônica
(Universidade Federal do Pará, 2020-05-05) FORMIGOSA, Julie Ane da Silva; RAMOS, Aline Maria Pereira Cruz; http://lattes.cnpq.br/5659071119788962; https://orcid.org/0000-0001-8812-2923; GONÇALVES, Lucia Hisako Takase; http://lattes.cnpq.br/6191152585879205; https://orcid.org/0000-0001-5172-7814
Human Papilloma Virus (HPV) has an oncogenic potential capable of inducing the development of cancers: anal, penile, vulvar, oropharyngeal and cervical, making it a major worldwide public health problem. The production of the quadrivalent vaccine has been the most effective and most cost-effective method for controlling the virus, made available by the Unified Health System (SUS) for girls and boys. The State of Pará had one of the lowest rates of vaccination coverage against HPV since its insertion in the vaccination calendar. Therefore, the objective of this research was to analyze the knowledge of parents and guardians about HPV and its vaccine, as well as to identify the factors associated with the barrier and acceptability of the vaccine. This is a cross-sectional study, with a quantitative approach, carried out with 247 parents and guardians in peripheral areas covered by the Terra Firme Family Health Strategy in the city of Belém - PA. The results showed that in the studied population, the age between 28 to 37 years, stable union and illiterate education, fundamental and medium, are factors associated with low and medium knowledge about HPV and its vaccine. It is concluded that although the degree of knowledge of parents and guardians is medium to high and that their acceptability of the vaccine is high, this has little repercussion for a result recommended by WHO for the vaccination coverage of children / adolescents. Therefore, it is necessary to evaluate and select the most effective HPV promotion and prevention strategies.
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Fatores de vulnerabilidade relacionados ao conhecimento sobre infecções sexualmente transmissíveis em população periférica da Amazônia brasileira
(Universidade Federal do Pará, 2020-06-25) OLIVEIRA, Ingrid Saraiva de; FERREIRA, Glenda Oliveira Naiff; http://lattes.cnpq.br/7459094802051187; https://orcid.org/0000-0002-8206-4950; GONÇALVES, Lucia Hisako Takase; http://lattes.cnpq.br/6191152585879205; https://orcid.org/0000-0001-5172-7814
Sexually Transmitted Infections are a worldwide public health problem and are widely distributed among different populations in the Brazilian Amazon. The state of Pará has the second highest AIDS mortality rate in Brazil and an increasing increase in the incidence of notifiable sexually transmitted infections, with people with low education being the most affected. This epidemiological context occurs in a capital that has low coverage of family health strategy teams in territories that lack basic infrastructure and with marked social inequities. In this way, social inequalities and access to health services can cause inequalities in the health of populations both at the individual and community levels. Considering this context and the absence of studies, this study aimed to analyze the vulnerability factors to knowledge about sexually transmitted infections in a peripheral population in the Brazilian Amazon. This is an observational, cross-sectional study with a quantitative approach, carried out in areas of Bairro Montese. The study included 300 people aged 18 years or over. The collection took place between October and December 2019, through the application of questionnaires in the participants' homes. The American Questionnaire Sexually Transmitted Disease Knowledge Questionnaire and the sociodemographic questionnaire with questions related to vulnerability factors were used. Data analysis was performed using descriptive statistical methods, chi-square test and ordinal logistic regression, in the Bioestat 5.3 and Minitab 18® programs. 300 participated in the study. The average age of the participants was 46.09 years. There was a higher frequency of females (68.4%), Catholic (49.1%), with children (82.2%), high school (50.9%), mixed race (65%), married / union stable (51.6%), lives with spouse (47.5%), does not work (56.9%), economic classification C criterion Brazil (51.6%), income below one minimum wage (42.5%). There was a significant association between low knowledge and illiterate / elementary education, income equal to or less than one salary, Brazil criterion of economic classification C, D and E, single marital status, lack of guidance by a health professional and not receiving lubricating gel. The age groups of 28 to 37 years and 38 to 47 years were associated with the high level of knowledge. Conclusion: The social and programmatic dimensions of vulnerability were related to low knowledge, making it necessary for the actions of public social and health policies to bring about changes through interventions at the community level.
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O protagonismo da prevenção de quedas por idosos na perspectiva de promoção da saúde de Nola Pender
(Universidade Federal do Pará, 2019-07-11) RODRIGUES, Ana Rafaela Souza; POLARO, Sandra Helena Isse; http://lattes.cnpq.br/7875594038005793; https://orcid.org/0000-0001-5026-5080; GONÇALVES, Lucia Hisako Takase; http://lattes.cnpq.br/6191152585879205; https://orcid.org/0000-0001-5172-7814
INTRODUCTION: Falling in the elderly represents a public health problem, since it manifests itself in high prevalence, presents multicausality and is one of the geriatric syndromes. It is important to emphasize the importance of nursing to develop safe practices directed to the factors that influence the health behaviors of the elderly. OBJECTIVES: To apply the Pender Health Promotion Model in the Nursing process to the elderly with risk factors for falls; Evaluate health behavior safety promoters against falls; Explore selfefficacious practices of safe behaviors in the face of the event falls. METHODOLOGY: The study was characterized by a descriptive research with a qualitative approach, such as Research Convergent Care. This study was carried out with 7 elderly residents of the Guamá Belém / PA district who are users of public services. The data were obtained through the application of the nursing process, having for analysis, the sources: (a) Nursing History; (b) The application of the Photovoice technique; (c) International Classification for Nursing Practice CIPE; d) Planning, debates and synthesis of each of the four focal group meetings. RESULTS: Health behaviors according to MPS are summarized in three categories and their subcategories: 1 Characteristics, Individual experience: Risk behavior for falls, Consequence of falls and Learning with falls; 2 Specific Behavior: Influential selfperception for falls, Interpersonal influences that affect the behavior of others, Wishes for changes that will contribute to the prevention of falls; 3 Behavioral Result: Selfefficacious fall prevention and positive action / suggestion assessment. The self efficacious practices exercised during the application of the nursing process resulted in initial changes in behavior regarding life habits such as: paying more attention to where to walk, wandering slowly and looking at the floor, do not be ashamed to ask for help. CONCLUSION: The demonstration of the health behavior of the elderly has influence coming from the experiences of fall. Although being users of public services, no influences from educational programs were perceived. Regarding the observed behavioral changes of selfefficacious practices, some positive life habits were observed, however, socioeconomic and family barriers make it difficult to prevent falls in the elderly, especially in the context studied.
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Saúde sexual e HIV/AIDS na terceira idade
(Universidade Federal do Pará, 2017-05-10) MENDONÇA, Evelyn Tayana Maciel; ARAÚJO, Eliete da Cunha; http://lattes.cnpq.br/5906453187927460; https://orcid.org/0000-0002-1312-4753; GONÇALVES, Lucia Hisako Takase; http://lattes.cnpq.br/6191152585879205; https://orcid.org/0000-0001-5172-7814
The rate of HIV infection has increased among the elderly. Likewise, the improvement of social life and the growth of the pharmaceutical industry have stimulated the prolongation of sexual activity in old age. However, the conception of the elderly as an asexual person, including among health professionals, has reduced the space for the elderly to express their sexuality or to discuss the subject in a way that provides information, resulting in dangerous sexual practices and remoteness of their sexual health. The objective of this study was to analyze how the knowledge about HIV / AIDS reflects the sexuality experience of the elderly users of a Health Center in the city of Belém-PA. For this purpose, it was opted for the evaluation research approach, adopting the triangulation method. In compliance with the first objective that was assessing the knowledge of the elderly about HIV / AIDS, applying the Questionnaire about HIV to Third-Age (QHIV3I). Already to reach the second objective, which was to explore how the elderly think and experience their sexuality, it was adopted the focus group technique, applying for two separate groups of men and women. The data obtained through the questionnaire were treated and analyzed by simple descriptive statistics, resulting in the fact that the elderly people who participate of this research have some knowledge about AIDS, mainly in relation to the areas "concept", "transmission" and "prevention ". However, it was observed the existence of knowledge gaps especially about the asymptomatic phase of the disease and ways in which virus transmission does not occur. In addition, 93% of them do not use condoms in their sexual practice and only 40% have already had the HIV test. The data obtained through the study group were treated by the Thematic Content Analysis, thus emerging four categories: sexuality of the elderly among the challenges of aging and prejudice; elderly widows – the influence of marital status on sexuality; the negotiation of condom use among couples of the elderly – between trust and suspicion of infidelity; Nursing between the old and new: the conversation about IST and HIV / AIDS with the elderly. It was concluded that knowing does not always reflect positive attitudes toward HIV / AIDS prevention and other STIs. The elderly do not use the condom because of the following reasons: trust in the partner, relationship of power of the man to the woman, biological changes and lack of habit.
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Serviços e programas educacionais de prevenção e controle da tuberculose em ambiente prisional: revisão integrativa
(Universidade Federal do Pará, 2021-08-30) SILVA, Andresa Pereira; GONÇALVES, Lucia Hisako Takase; http://lattes.cnpq.br/6191152585879205; https://orcid.org/0000-0001-5172-7814
Tuberculosis (TB) is one of the main causes of morbidity and mortality related to infectious diseases in developing countries. The incidence rate of TB in the prison population in Brazil is about 28 times higher than that of the general population, which is 34.8/100,000 inhabitants. TB remains a serious public health problem worldwide. WHO and nations are making efforts to end TB as a public health problem by 2035. Investing in health education is one of the WHO's bets and one of the greatest challenges for prison services. Objective: To identify and synthesize the scientific evidence present in national and international literature about educational services and programs related to the prevention and control of tuberculosis for Persons Deprived of Liberty (PPLs) in prisons. Method: Integrative Literature Review (RIL) based on the PICO strategy to formulate the research question: P (population) = PPL; I (interest) = intervention of educational services and programs for TB control and prevention; C (comparison – not included here); and O (outcome) = evidence of TB prevention and control in educational services and programs for PPL. Literature was collected in selected databases: Medical Literature Analysis and Retrieval System Online (MEDLINE), Latin American and Caribbean Literature in Health Sciences (LILACS), Cumulative Index to Nursing and Allied Health Literature (CINAHL), SciVerse SCOPUS and Cochrane Library. Of the total of 10,903 identified articles, those duplicates were excluded and after reading the titles and abstracts with application of the inclusion and exclusion criteria, 103 articles were pre-selected. Then, a careful reading and analysis of the pre-selected articles was performed, resulting in the selection of 12 to compose the sample of this review. These 12 articles received the following classification: nine of them made up Category I – Control and prevention of tuberculosis in prisons; and the other three articles, Category II – Practice and educational program for tuberculosis control in People Deprived of Liberty. Conclusion: The authors of the studies included in this review propose the Intersectoral Cooperation of Public Health and the Prison Service through joint actions to control TB and prevent the spread of the disease in the community. They emphasize that joint action is only possible if there is political will from the authorities responsible for the geopolitical region where the prisons are located.

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