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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Item Acesso aberto (Open Access) Análise espacial e espaço-temporal dos casos de feminicídio ocorridos no estado do Pará entre 2016 e 2021(Universidade Federal do Pará, 2023-10-27) SILVA, Ana Karoline Souza da; BOTELHO, Eliã Pinheiro; http://lattes.cnpq.br/6276864906384922; https://orcid.org/0000-0002-9682-6530; LIMA, Vera Lúcia de Azevedo; http://lattes.cnpq.br/5247917929280755; https://orcid.org/0000-0003-0094-4530INTRODUCTION: Feminicide is a public health problem worldwide, with Brazil occupying the 5th position among the countries that kill the most. In order to combat feminicide, it is imperative to understand its association with social determinants of health, and spatial analysis is a fundamental tool for this. OBJECTIVE: To analyze the spatial and space-time scenario of the femicide rate and its relationship with the social determinants of health in the State of Pará between 2016 and 2021. METHODS: An ecological study using secondary data from the Integrated Public Security System (SISP-WEB). Gross municipal feminicide rates were analyzed using spatial distribution and autocorrelation (Gi statistic), temporal-spatial risk analysis, and geographically weighted spatial regression (GWR). RESULTS: During the study period, 339 cases of feminicide were reported in Pará. The spatial distribution of the feminicide rate during the study period showed a territorial expansion, with municipalities in the Metropolitan Region of Belém, Northeast, Southeast, and Southwest of Pará being the most affected areas. From 2016 to 2018, there was a high-high in feminicide rate (hotspot) formed by municipalities in the southeast and southwest of Pará, while between 2019 and 2021, there were two hotspots in the southeast and northeast. The spatio-temporal analysis revealed only one risk zone (RR=2.11; p<0.000) in the period from 2018 to 2020 that consisted of municipalities in the Metropolitan region of Belém, Northeast, Lower Amazonas, Southeast and Southwest of Pará. The GWR showed that the variability of the feminicide rate was associated with the DSS “youth homicide rate per 100,000 inhabitants”, “primary care coverage rate”, and “total high school pass rate”. CONCLUSION: To combat feminicide it is necessary to promote greater social equity, discuss gender equality in schools, and bring greater responsibility/qualification of health professionals in the Primary Health Care network for the early identification of signs of domestic violence as well as reporting to competent legal channels.Item Acesso aberto (Open Access) Caracterização dos homicídios de crianças paraenses(Universidade Federal do Pará, 2020-02-19) SILVA, Adria Vanessa da; LIMA, Vera Lúcia de Azevedo; http://lattes.cnpq.br/5247917929280755; https://orcid.org/0000-0003-0094-4530INTRODUCTION: Homicide is an expression of interpersonal violence, it is from it that we can grasp the seriousness of the situation of violence perpetrated against children in the state of Pará. It represents the extreme of violence in a society and a serious conjecture of economic, social disorder , political and religious. A complex, multifactorial, heterogeneous phenomenon with an impact not only on quality, but also on people's life expectancy. The characteristics of these deaths can vary according to the victim's age, sex, color or race and other factors. OBJECTIVE: To characterize the homicides of children in the state of Pará. METHODOLOGY: Descriptive, retrospective study with a quantitative approach based on Epidemiology. The study was carried out based on the homicide data of children in the state of Pará, registered with the Assistant Secretary of Intelligence and Criminal Analysis, linked to the Secretary of Public Security of Pará, covering the period from January, 2014 to December, 2018. 77 occurrences resulting in homicide were identified. For data collection, the technique of descriptive analysis was used in order to highlight the characterization of victims and authors. RESULT: The profile of the victimized children and the aggressors found that the children's age range is from 0 to 11 years old incomplete, with the male gender prevailing and the highest percentage in the 18 to 24 age group, the highest percentage practiced by stepfathers, who practiced the act against the minor in his own residence. The feeling of hatred / revenge, followed by jealousy and ambition were the presumed causes that led the aggressor to commit the act, being the means used to consummate the fact the firearm. The ten municipalities in the state of Pará with the highest prevalence of homicides with children in this period was Belém, followed by Ananindeua, Itaituba, Altamira, Monte Alegre, Marabá, Salvaterra, Breu Branco, Xinguara and Marapanim. Recognizing the intensity of the victimization of children by homicide and its distribution in the municipalities of our state provides contributions for the State to encourage public policies in order to effectively protect and maintain the lives of children in situations of violence within the family.Item Acesso aberto (Open Access) Cartilha “Aprendendo melhor a cuidar de si” para o autocuidado do cuidador de adoecidos pelo câncer(Universidade Federal do Pará, 2022-06-04) VALE, Jamil Michel Miranda do; SANTANA, Mary Elizabeth de; http://lattes.cnpq.br/6616236152960399; https://orcid.org/0000-0002-3629-8932; LIMA, Vera Lúcia de Azevedo; http://lattes.cnpq.br/5247917929280755; https://orcid.org/0000-0003-0094-4530The objective of this study was to apply the booklet “Learning better to take care of yourself” to family caregivers of people sick with cancer in palliative oncology care, as well as to investigate the burden on family caregivers and to analyze the correlation between the booklet “Learning better to take care of themselves” with the burden of these family caregivers. This is a descriptive study with a quantitative approach, carried out at the Ophir Loyola Hospital Palliative Care Clinic, with 147 family caregivers, in the second half of 2020. For the collection, two instruments were used: (a). Form for the characterization of caregivers and appreciation of the booklet; (B). Zarit Overhead Scale Questionnaire - Burden Interview. The collected data were tabulated, interpreted, processed and analyzed using descriptive and inferential statistics in Microsoft Excel® 2019 spreadsheets, in order to consolidate the information related to the data collected. The built database was organized and analyzed using the Statistical Package for the Social Sciences software version 24.0 in Windows 10 environment, with the results presented in tables and discussed based on the scientific literature. As a result it was obtained in the sociodemographic data that the caregivers are children (67 – 45,6%), female (86 – 58,5%), living outside Belém or metropolitan region (85, 57.8%), have completed High School (63 – 42,9%), are married (74 – 50,3%), mostly housewives (57 – 38,8%) and self-employed (45 – 30,6%), Catholic (71 – 48,3%) and have no income (81 – 55,1%). The average age of caregivers is 40 years old. Being a caregiver was a family decision (65 – 44,2%), exercising full-time care (89 – 60,5%), within a period of 1 to 5 years (69 – 46,94%), and sharing care with someone (89 – 60,5%) usually the brother (58 – 39,5%). The educational technology, the booklet 'Learning better to take care of yourself', achieved 91% acceptability. Regarding the general burden of caregivers, the majority presented Moderate to Severe burden (104 – 70,7%) and there was insufficient evidence to conclude that any of the variable’s gender, age group, health problems or length of care have any statistically relevant relationship with Zarit score (p > 0,05). As a conclusion, the booklet 'Learning better to take care of yourself', obtained 91% acceptability from family caregivers, who presented moderate to severe overload; Through the analyses, it was demonstrated that the acceptance of the booklet has a weak and inverse correlation with the burden, that is, the greater the acceptance of the booklet, the lower the burden presented by the family caregiver (alternative hypothesis - H1) and the burden will not be underwent statistically significant influence of the variables gender, age group, health problems or length of care, in this specific public (null hypothesis - H0). From the scores obtained in the question “do you have a health problem”, pain on the coast and use of alcoholic beverages did not show statistically significant differences. Although the other problems and habits were statistically significant. The Booklet, as an educational technology, strengthens and subsidizes the nursing care practice, legitimizing the continuity of the walk directed towards the new future care perspectives.Item Acesso aberto (Open Access) Discurso dos(as) enfermeiros(as) da atenção básica sobre saúde sexual e reprodutiva das mulheres lésbicas(Universidade Federal do Pará, 2019) FARIAS, Gesiany Miranda; LIMA, Maria Lúcia Chaves; http://lattes.cnpq.br/2883065146680171; https://orcid.org/0000-0003-3062-2399; LIMA, Vera Lúcia de Azevedo; http://lattes.cnpq.br/5247917929280755; https://orcid.org/0000-0003-0094-4530Among the priority areas of Primary Health Care (PHC) is the attention on sexual and reproductive health, which must be offered to the population with ethics and humanization, being human rights that are part of public health policies. Refering for women, it reports that they can exercise their sexuality without repression and violence. However, countless people have their rights violated because of their sexual orientation. It cites here, the lesbians who often have their sexual and reproductive rights infringed within health services. Among the professionals who work in these services, the nurse is mentioned, who has an important role in the care and, therefore, should seek the improvement of their practices to provide a better assistance to the lesbians, within their demands and specificity. Thus, this research had the objective of characterizing the discourses of nurses who work in Primary Health Care (PHC) of Belém about sexual and reproductive health of the lesbians. The methodology used was exploratory with a qualitative approach, collected in the city of Belém in a UBS of each one of the 07 administrative districts of that capital. Participants were nurses that atued in these health sectors and that prested assistance to Ministry of Health programs that involved women's health. It were consulted a total of 23 nurses were consulted for the research. However, 10 discorded about the inclusion criteria, resulting in 13 nurses interviewed. The research happenned through a sociodemographic questionnaire, followed by a semistructured interview script. The content analysis was according to the structure proposed by Bardin, perpassing for the steps of preanalysis, material exploration, treatment of results, inference and interpretation. The results and discussions of this research were divided into four categories, the first about stereotypes involving lesbianity, the second reporting the need for training and qualification of these professionals, the third mentioning sexual health in primary care, and the fourth citing the reproductive rights of lesbians. Through this research it can characterize the discourse of these professionals, being fundamental to propose strategies for the reduction or eradication of some fragilities found such as heteronormativity in health care, lack of capacity, the stereotype that affect lesbians and the assistence question in sexual health and reproductive. All these themes were analyzed with theoretical bases, through discussions involving authors that discuss lesbianity, lesbian health, as well as publications of the Ministry of Health through its guidelines and concepts.Item Acesso aberto (Open Access) Homens autores de violência contra a mulher: a versão da mídia impressa paraense e as contribuições para a enfermagem(Universidade Federal do Pará, 2013-11-14) CHAVES, Alessandra Carla Santos de Vasconcelos; LIMA, Vera Lúcia de Azevedo; http://lattes.cnpq.br/5247917929280755; https://orcid.org/0000-0003-0094-4530This study analyze the profile of men who commit violence against women identified in the news of the Liberal newspaper, of the state of Pará - Brazil, suggesting possible nursing strategies for coping problem. This is an exploratory study of the nature quantitative and qualitative using the statistical method and content analysis of Bardin (2011). Was developed in the Pará Tancredo Neves Cultural Foundation (CENTUR), where 2,190 copies of the newspaper O Liberal were analyzed, in that, 211 notes about marital violence in Pará was observed, of which 85 were published in the period from January 01 2004 and July 31, 2006 (before the Maria da Penha Law), and 126 were published from August 1, 2006 to December 31, 2008 (After the creation of the Maria da Penha Law). In the quantitative approach, it was found that men who commit violence against women are his companions with 25.88% (before the Maria da Penha Law) and 48.41% (after the Maria da Penha Law); are aged between 23 and 33 years with 27.06% (before the Maria da Penha Law) and 23.81% (after the Maria da Penha Law); they exert low specialized activity such as farmer 2.35% (before the Law Maria Penha) and mason with 6.35% (after the Maria da Penha Law). 3.53% have criminal records for assault prior to the creation of the Maria da Penha Law and trafficking in drugs with a percentage of 3.97%, for the years that follow the Maria da Penha Law years. Discussions with rates of 24.71% (before the Maria da Penha Law) and 27.78% (after the Maria da Penha Law) represent the main factor for aggression and/ or death of the woman. Physical violence is the most significant percentage with 89.4% (before the creation of the Maria da Penha Law) and 77.78% (after the creation of the Law). In the qualitative approach five thematic categories were identified: Violence against women is a complex phenomenon; Construction of the identity of the man author of violence committed against women; Major factors that lead men to commit violence against the partner; Applicability of Law 11.340/2006 the newspaper O Liberal; Forms of referencing the perpetrators of violence. Therefore, the prevention of violence against women does not depend solely on their empowerment, but must include transformations from the author of violence. Thus, the nurse plays a key role in the care of this man, as to join forces with other professionals to find a support to work in the education process in health from the authors of violence and their families.