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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Navegando Programa de Pós-Graduação em Enfermagem - PPGENF/ICS por Orientadores "POLARO, Sandra Helena Isse"
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Item Acesso aberto (Open Access) Análise espacial da mortalidade por Aids entre jovens no Pará e os impactos dos determinantes sociais de saúde(Universidade Federal do Pará, 2022-07-15) SOUSA, Sara Melissa Lago; BOTELHO, Eliã Pinheiro; http://lattes.cnpq.br/6276864906384922; https://orcid.org/0000-0002-9682-6530; POLARO, Sandra Helena Isse; http://lattes.cnpq.br/7875594038005793; https://orcid.org/0000-0001-5026-5080Introduction: Worldwide, AIDS control policies have led to a small decrease in the mortality rate among young people, which is only 6% among young males. For a better effectiveness of these policies, it is necessary to take into account the influence of social determinants of health (SDH) on the mortality rate in each territory. Objective: To spatially analyze the AIDS mortality rate among young people in the state of Pará and the spatial variability of the rate promoted by the DSS from 2007 to 2018. Method: Ecological study using secondary data from the Mortality Information System (SIM). All notifications of AIDS deaths in young people residing in the state of Pará between 2007 and 2018 were included in the study. The mortality rate was analyzed using spatial distribution and autocorrelation, spatial scanning, and geographically weighted regression (GWR). Results: During the study period, 1,372 AIDS deaths were reported among young people from Pará. The AIDS mortality rate showed territorial expansion. Spatial autocorrelation showed two high-high clusters in the period from 2007 to 2010, one formed by municipalities in the southeast of Pará and the other in the metropolitan region of Belém (RMB), with only the cluster of RMB remaining between 2011 and 2018. The RMB presented the highest spatial risk for AIDS mortality and the only one with the spatio-temporal risk in the period 2013-2018. The spatial variability of the AIDS mortality rate was promoted by the "homicide rate among young people", "elementary school dropout rate" and "by the number of families registered in CADÚNICO". Conclusion: This study covers the Amazonian particularities that involve AIDS mortality among young people from Pará, allowing the spatial identification of the involvement of rate variability promoted by the DSS.Item Acesso aberto (Open Access) Análise temporal e distribuição espacial das internações hospitalares por queda de idosos no Brasil, entre 2009 e 2018(Universidade Federal do Pará, 2020-09-21) CHAGAS, Tiago de Nazaré das Chagas e; FERREIRA, Glenda Roberta Oliveira Naiff; http://lattes.cnpq.br/7459094802051187; https://orcid.org/0000-0002-8206-4950; POLARO, Sandra Helena Isse; http://lattes.cnpq.br/7875594038005793; https://orcid.org/0000-0001-5026-5080Objective: To analyze the temporal trend and spatial distribution of hospital admissions due to falls in the elderly in Brazil. Method: Cross-sectional population-based study based on data from the Informatics Department of the Unified Health System (DATASUS) and the Hospital Information System of the Unified Health System (SIH / SUS). Therefore, the data were collected in a secondary database. Data were extracted from the SUS Information System - DATASUS, and correspond to information referring to Hospital Admissions Authorizations - AIH, of elderly hospitalized for falls in the period from 2009 to 2018 in Brazil. Data analysis used resources from descriptive and inferential statistics. Terra View® programs were used for spatial analysis and Join point® for trend analysis. Results: Over the ten years studied, the trend of hospitalizations for the elderly as a result of falls has grown significantly by 1.2% per year in Brazil. Among the regions, this behavior was variable, with periods of growth and stationary, with significant hospitalization among all age groups of elderly people above 75 years old, and among women, also observing different patterns between each state. The spatial analysis showed a Moran Global index of 0.39 (p = 0.02) in the period from 2009 to 2013, showing the existence of spatial autocorrelation, with a grouping of three states with low-low pattern, Pará, Amazonas and Amapá. Conclusion: Brazil is heading towards a new population configuration with an increase in the elderly population. The need to improve the structure of health care networks is urgent in all regions of the country in order to provide quick and effective care to the elderly victims of falls.Item Acesso aberto (Open Access) Crianças com transtorno do espectro autista: os desafios do cuidado e tecnologias cuidativas na ótica dos profissionais de saúde(Universidade Federal do Pará, 2023-11-08) SILVA JÚNIOR, Marco Antônio Mesquita da; POLARO, Sandra Helena Isse; http://lattes.cnpq.br/7875594038005793; https://orcid.org/0000-0001-5026-5080Autism Spectrum Disorder (ASD) is a behavioral syndrome with developmental, behavioral and social interaction disorders. Care technologies, used by the multidisciplinary team, are strategies that seek to promote satisfactory results in social interaction, behavior and breaking stereotypical routines. The study aims to reveal the challenges that permeate the care of health professionals who care for children with ASD and to learn about the care technologies used in the care of health professionals who care for children with ASD. This is a descriptive study with a qualitative approach, carried out between July and August 2023. 17 health professionals were interviewed. The data were analyzed from the perspective of Bardin's content analysis technique and processed by the software Interface de R pour les Analyzes Multidimensionnelles de Textes et de Questionnaires. The results of processing the Iramuteq software identified 6 classes and, through semantic grouping, three thematic categories emerged: “Techniques and strategies used in the intervention and behavioral management of children with ASD”; “Challenges in providing care to children with ASD” and “Role of the family in caring for children with ASD: Challenges, Acceptance and Overcoming”. It is concluded that it is essential to adopt multidisciplinary approaches, which integrate techniques, technologies, specialized clinical care, family support and integration into the social context, to promote comprehensive care for children with ASD.Item Acesso aberto (Open Access) Estratégias educacionais em saúde para mitigar o estigma da tuberculose sofrido pelos pacientes e familiares: revisão integrativa de literatura(Universidade Federal do Pará, 2020-08-24) AZEVEDO, Leyvilane Libdy; GONÇALVES, Lucia Hisako Takase; http://lattes.cnpq.br/6191152585879205; https://orcid.org/0000-0001-5172-7814; POLARO, Sandra Helena Isse; http://lattes.cnpq.br/7875594038005793; https://orcid.org/0000-0001-5026-5080INTRODUCTION: Tuberculosis is an infectious disease, caused by the bacterium Mycobacterium tuberculosis. It is one of the oldest diseases that has received several different meanings according to the historical period. The precarious social conditions of most carriers require commitment, involvement and recognition of their impact on the various dimensions of human life from health services, requiring the perception of these issues and the understanding of their possible influence in the search for health services. OBJECTIVE: The present study aims to analyze educational health strategies aimed at destigmatizing tuberculosis among patients and their families. CONCEPTUAL FRAMEWORK: The concept of Evidence Based Practice and Stigma approached by Goffmann was used as a conceptual framework. METHOD: This is an Integrative Literature Review RIL about studies on educational health strategies aimed at destigmatizing tuberculosis among patients and their families. This was carried out in six stages, namely: elaboration of the research question; sampling; categorization of studies; evaluation of studies; interpretation of results; and presentation of the review. RESULTS AND DISCUSSION: A total of 429 studies were identified, duplicate ones were excluded, resulting in 266 articles. After reading the abstracts and applying the inclusion and exclusion criteria, 40 studies were pre-selected. Of these, 12 were excluded for not being in open access mode. Then, a careful reading of the other articles was carried out, of which 6 were selected to compose the sample of this integrative review. After thorough reading and data collection of the articles included in the IR, the following thematic categories related to the object of study emerged: Stigma, myths and concepts; and Educational health strategies. FINAL CONSIDERATIONS: Based on the results found, educational strategies aimed at patients and family members are pointed out as the best way to reduce stigma in this nucleus. The study pointed out weaknesses regarding the findings that deal with educational strategies aimed at this binomial, since only 6 articles were identified, the majority with a low level of evidence. The low production of Brazilian studies allows a reflection on the need to develop research and broader national discussions on the implementation of strategies with the aim of reducing the stigma associated with the disease.