Navegando por Orientadores "CARVALHO, Jacira Nunes"

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Enfermagem de família: uso do modelo Calgary para avaliação de famílias ribeirinhas
(Universidade Federal do Pará, 2017-12-19) IMBIRIBA, Jéssica Mayara Marques Barboza; CARVALHO, Jacira Nunes; http://lattes.cnpq.br/9434086419077532; https://orcid.org/0000-0002-5464-2434
The family constitutes an important social group, in which the health-disease process occurs and is most often solved, in this way the family acts as a unit of primary care in the health and care of its members. It should be relevant to the study on the health of the Amazon family especially the riverside, as can be observed that the familiar system of these populations present complexities unique evolutionary and contextual features, developed over the years in their interaction with the environment and regional characteristics of the Amazon, besides the professional nurses not being able to carry out evaluations of families, in the perspective that the health models today propose equity, universality, resolubility with co-responsibilities. This dissertation aimed to describe how the families living on the Island of Combu face the problems of life and health in the family everyday. This is a descriptive and explanatory research of a qualitative nature. Where families were evaluated according to the Calgary Model of Family Evaluation (FHH), using observation, the Figueiredo interview form (2012) based on Wright, Leahey (2012) and adapted, field diary, the Genogram and the Ecomapa. As a context of the study we have the Combu Island, and as a target population 10 families attended in the Family Health Strategy that have an area of easy access for the research team. This research complied with Resolution Nº. 466 of 12 of December, 2012 of the National Health Council (CNS). As results the predominant type of family is the single parent led by the woman, the occupation of the mothers was of the home, the occupation of the parents was extractive and the occupation of the student children. The type of contact with the family occurs through personal, and they use the extended family mainly for social company. It has as form of sustenance as being the work of own account, those who have children in school stage reports that all attend the school. They use the ESF mainly for disease prevention and hospital services only when referenced. They have a very present religiosity. The way of access is by means of boats, and the houses do not have refrigeration or heating, the discharge of garbage is given by means of the burning. Regarding family planning, most did not plan their children despite knowing about contraceptive methods, social rights in pregnancy, and social rights of motherhood and fatherhood. We have the most active member as being the figure of the mother, the relatives have shown to have a very strong relationship with each other, and the approximation in relation to the resolutions of problems and affective occurs mainly in the contact mother and first-born. In conclusion, it was possible to observe that the nursing professional only has to carry out actions of health education with the purpose of guiding the families and reducing the impacts of the absence of the public power in relation to the issues of basic sanitation and water supply.
Acesso aberto (Open Access)
Letramento em saúde acerca de infecções sexualmente transmissíveis em população jovem de áreas periféricas no contexto amazônico
(Universidade Federal do Pará, 2020-02-19) PEREIRA, Ana Trindade; CARVALHO, Jacira Nunes; http://lattes.cnpq.br/9434086419077532; https://orcid.org/0000-0002-5464-2434
Functional Health Literacy (FHL) is defined as the ability to obtain, process and understand basic information and services in order to make appropriate decisions regarding health and medical care (CHEHUEN NETO et al., 2019). The Amazon region is experiencing an accelerated growth of STIs, with no studies addressing the possible causes for this behavior. Objective: To evaluate health literacy about STIs in the population of young SUS users who live in peripheral areas in the Amazon context. Methodology: This is a descriptive field study, with a qualitative approach. The population consisted of 34 young people, who live in the District of Water of the Montese neighborhood, aged between 15 and 24 years. The Instrument for Health Literacy was applied, translated and adapted by Lisiane Paskulin et al. (2011) for use in the Brazilian context. The initial sociodemographic data were analyzed using descriptive statistics. The qualitative analysis of the contents of the answers to open questions was categorized according to its different dimensions, considering the nature and its frequency was distributed in five dimensions: The understanding about Sexually Transmitted Infection; Search for information about STI; Understanding of STI information; Sharing the information received; The repercussions of information for young people. The project was approved by the Research Ethics Committee of the ICS - UFPA opinion, n°. 3,567,868. Regarding to the characterization of participants among young people, 82.35% were aged between 15 and 18 years old, there was a preponderance of females, in sexual orientation, 85.29% said they were heterosexual and in marital status, 61, 77% were single. Regarding education, 44.20% reported having completed high school and 64.70% of families had an income between 1-2 minimum wages, being 82.35% of young people not working. About the number of partners, 52.95% of young people answered that they had not yet started sexual life, which pointed to the identification of sexual abstinence among young people as a protective factor against exposure to STIs. Functional health literacy was identified as insufficient, more specifically the difficulties of young people in relating causes and effects, lack of knowledge about signs and symptoms and an unconcern regarding the severity of the epidemiological situation of sexually transmitted diseases. The young people's responses in the different dimensions of the analyzed FHLrevealed apparent conformity and passivity about information about STIs. Final considerations: As a result, insufficient functional health literacy in all dimensions was revealed in the studied population. Therefore, there was a need for improvements with regard to health education and the involvement of various spaces such as the school and the Basic Health Unit, acting with actions to improve the health literacy status of young people.
Acesso aberto (Open Access)
A vivência de familiares cuidadores de crianças acometidas por fibrose cística à luz da teoria de callista roy
(Universidade Federal do Pará, 2019-01-08) MARCELINO, Thais Cristina Flexa Souza; SANTANA, Mary Elizabeth de; http://lattes.cnpq.br/6616236152960399; https://orcid.org/0000-0002-3629-8932; CARVALHO, Jacira Nunes; http://lattes.cnpq.br/9434086419077532; https://orcid.org/0000-0002-5464-2434
Within the family there are several healthillness situations that can occur, among them the diagnosis of a chronic illness in a child, such as cystic fibrosis, causing a disorder that has a biological, psychological and cognitive basis. Cystic Fibrosis or Mucoviscidosis is a serious genetic and hereditary disease and particularly affects the lungs and pancreas. The aim of the study was to know the experiences of family caregivers of children with cystic fibrosis in the light of Callista Roy's Theory of Adaptation and to propose nursing interventions to family caregivers of children with cystic fibrosis. The study was performed at the João de Barreto Hospital Unit in the Cystic Fibrosis Outpatient Clinic. Fifteen family caregivers aged 2363 years participated in the study. During the evaluation of stimuli, the focal stimulus is full of stress, by organizing a new work and domestic routine and observing religious practices for the relief of suffering. As for the contextual stimuli, the social life is affected and there is an increase of the domestic tasks due to the disease, the attention turns completely to the child. Regarding residual stimuli, it was noted that the fear of losing the child is constant. After the evaluation of the behavior, it is inferred that the most affected part is emotional, dysfunctions occurred in the physiological way like increase of the blood pressure, obesity and overweight, insomnia and sudden weight loss. The way of selfconcept is harmed, they always prioritize children instead of themselves. In the role of paper, the point of support is the nuclear family, in which they share and deal with emotional and financial problems. Feeling of sadness, anger and worry are often observed in the mode of interdependence. Therefore, this study in the vision of the Adaptive Theory of Callista Roy fit ideally for the analysis of the experience of the familiar caregiver to the child with cystic fibrosis. Following the course of the theory, one can visualize the stimuli received from the environment and how these influence the generated behavior.
Acesso aberto (Open Access)
Vivências de famílias de crianças com câncer no contexto amazônico
(Universidade Federal do Pará, 2017-04-03) CARVALHO, Milene do Socorro Bastos de; CARVALHO, Jacira Nunes; http://lattes.cnpq.br/9434086419077532; https://orcid.org/0000-0002-5464-2434
The diagnosis of cancer is a disorganizing moment in the child's life and also in the lives of those who live with him or her, the reactions can be disastrous for the child and their families, leading them to emotional imbalances, insecurity, guilt, fear, and symptoms of depression. Identifying the family system, that is, the family as a complex phenomenon, which demands support among its members, to deal with a particular disease situation, can be the first step towards raising awareness and reflection on the importance and care of the family for the nursing. Family nursing research has contributed to new care experiences, which implies a reflection on new possibilities for nurses / family interaction in different scenarios and contexts. OBJECTIVES: To identify the structure, development and standard of functioning of the children's families with cancer in the region of Amazonia/Belém/Pará, by applying the Calgary Family Assessment Model (MCAF); to describe the children's families history with cancer according to the MCAF in the Amazonian context; to describe the expectations of the children's family members with cancer in relation to the participation of the nurse in the care of the child and his / her family. METHODOLOGY: A descriptive and exploratory study with a qualitative approach, used as a theoretical and methodological reference, the Calgary Family Assessment Model. It was developed in the city of Belém-PA, in a reference hospital in pediatric oncology. The study included 05 families of children diagnosed with cancer who were being treated in the hospitalization sector. A semistructured interview technique was performed, whose sessions were recorded and transcribed entirety, avoiding the loss or misrepresentation of the information. The analysis of thematic content was carried out in the light of the MCAF 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 child with cancer we verified that the families experienced significant changes and problems of several magnitudes that came to compromise some relationships in the internal and external structure of the families. The Calgary Family Assessment Model allowed us to observe a scientific and systematic structure, through its categories of family assessment, because it helped us to gather information, which gave us support in the construction of the Genogram and Ecomapa in a way that allowed a broader and more significant view of the family structure. FINAL CONSIDERATIONS: The child and his/her family need a qualified and systematized assistance in order to enable paths that foster feelings of hope, security and confidence regarding the treatment and consequently aiming a satisfactory prognosis, so we emphasize the need for new studies related to the family, especially the applicability of the Calgary Family Intervention Model (MCIF), in order to deepen and make possible new dimensions, giving to family nursing new collaborations of great scientific relevance.