Dissertações em Enfermagem (Mestrado) - PPGENF/ICS
URI Permanente para esta coleçãohttps://repositorio.ufpa.br/handle/2011/4815
O Mestrado Acadêmico iniciou-se 01/01/2011 pertence ao Programa de Pós-Graduação em Enfermagem (PPGENF) do Instituto de Ciências da Saúde (ICS) da Universidade Federal do Pará (UFPA).
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Item Acesso aberto (Open Access) Continuidade do cuidado por enfermeiros a pacientes covid-19 após alta hospitalar na Amazônia paraense(Universidade Federal do Pará, 2023-11-09) SOUZA, Larissa Aline Costa Coelho de; COSTA, Maria Fernanda Baeta Neves Alonso da; http://lattes.cnpq.br/1219951595746213; https://orcid.org/0000-0002-2763-8050; PARENTE, Andressa Tavares; http://lattes.cnpq.br/2584253687792237; https://orcid.org/0000-0001-9364-4574Objective: to understand nurses' strategies for continuing care for patients recovered from Covid-19, post-discharge, in a reference university hospital in the Amazon of Pará. Method: qualitative descriptive study, part of a multicenter project, which investigated the reality of ten institutions in Brazilian territory. Interviews were carried out with nurses who worked in clinical sectors caring for patients with Covid-19 at the João de Barros Barreto University Hospital (HUJBB), in Belém (PA), from December 2021 to May 2022. The interviews were transcribed and submitted to content analysis by Bardin, with the support of the free software IRAMUTEQ. Results: 15 nurses were interviewed (12 women and three men), with an average experience of one year and nine months in the Covid-19 patient sector. Three analyzes were carried out with IRAMUTEQ: similarity; word cloud; and descending hierarchical classification (CHD). The words that appeared most strongly were: patient and care. From the CHD, two categories emerged that guided the discussion: the first category dealt with admission and care during hospitalization of patients with Covid-19 in the hospital environment, in which the following stood out: rapid or laboratory testing for positive Covid-19; oxygen therapy; control of vital signs; dressings; among other aspects; the second, addresses hospital discharge and the continuity of care for patients recovered from Covid-19, demonstrating that the discharge process is a medical decision, and, after this process, Nursing assumes care and guidance at home, directing patients subject preferably to the institution's outpatient clinic. Conclusion: it was possible to understand that the nurse identifies the need for transition of care and the clinical conditions that require post-discharge care, but there is still no structured transition care practice in the institution.Item Acesso aberto (Open Access) Os determinantes sociais, a infecção pelo HIV e a AIDS em uma capital na Amazônia brasileira: análise espacial e temporal(Universidade Federal do Pará, 2021-05-21) DIAS, Bruna Rafaela Leite; BOTELHO, Eliã Pinheiro; http://lattes.cnpq.br/6276864906384922; https://orcid.org/0000-0002-9682-6530; POLARO, Sandra Helena Isse; http://lattes.cnpq.br/7875594038005793Almost 40 years after its discovery, the Human Immunodeficiency Virus (HIV) continues to be a challenge for public health worldwide. In Brazil, the states of the Northern region have the greatest impact of the HIV epidemic, with a continuous increase in detection rates. This study aimed to perform the spatial and temporal analysis of the incidence of HIV infection and AIDS, and its relationship with social determinants. Ecological study employing secondary data of cases reported to the Notifiable Diseases Information System (SINAN), in the period 2007- 2018, of individuals living in the city of Belém/PA. Temporal analysis was performed using Box and Jenkins methodology. For the spatial analysis, incidence was analyzed using autocorrelation and spatial regression techniques, Kernel density to study the expansion of the HIV epidemic in the city, and sweep statistics to identify clusters of risk. During the study period, 6,007 new cases of HIV/AIDS were reported to SINAN. Time series analysis revealed stability of incidence from 2007 until October 2016, followed by an upward trend. Starting in January 2017, incidence rates showed irregular fluctuations until the end of December 2018. Seasonal behavior was observed for the forecast from 2019 to 2022. High incidence clusters were located in the central and transitional areas of Bethlehem. The epidemic progressed from 2007-2010 to 2015-2018. The spatial high-risk zone for HIV was observed in the transition zone (RR = 3.65; 95% CI = 2.47 - 5.34; p = 0.00016), while the spatiotemporal high-risk zone was observed in the central, transition and expansion zones (RR = 4.24; 95% CI = 3.92 - 4.52; p = 0.000). Incidence rates were directly correlated to Family Health Strategy (FHS) coverage (adjusted R² = 0.38). The upward trend observed in the incidence rates of HIV infection and AIDS in Belém may be correlated with the efforts of public policies to combat the virus. However, the irregular behavior in incidence rates from 2017 and the seasonal behavior revealed in the forecasts suggest a loosening in public health policies. This study provides subsidies for the development of public health strategies to combat HIV.Item Acesso aberto (Open Access) EDUCAHIV: avaliação da usabilidade de aplicativo móvel para a prevenção e controle do HIV/AIDS(Universidade Federal do Pará, 2023-11-09) BARROS, Kely da Silva; RAMOS, Aline Maria Pereira Cruz; https://lattes.cnpq.br/5659071119788962; https://orcid.org/0000-0001-8812-2923Introduction: Aiming to achieve the 95-95-95 target recommended by the United Nations to end AIDS by 2030, the use of mobile health applications, also called mHealth (mobile health), has become a very useful technological equipment in the combating the HIV virus epidemic, as it is a universal and easily accessible tool. It was found that applications based on Ministry of Health Protocols are available in a fragmented manner and that there is no one that brings together all the necessary information and is aimed at nurses, making their daily clinical practice, which tends to meet diverse demands, difficult. Objective: To evaluate the usability of the “EducaHIV. Methodological Course: This is a methodological research, with usability evaluation carried out with nurses who work in Primary Health Care in the Administrative District of Guamá, municipality of Belém. The instrument used to evaluate the usability of the application was the SURE questionnaire ( Smartphone Usability questionnaiRE) which uses a 4-point Likert-type response scale and which also has its own result scale to evaluate usability, in addition, the Content Validity Index-CVI, the CVI of individual items, was calculated and the S-CVI/AVE which is the average of the I-CVI. Results: 17 nurses participated in the research who used the application for an average of 20 minutes using smartphones or tablets and, after using it, answered the printed SURE questionnaire with an average duration of 10 minutes. Data collection took place in a unique approach in October 2023. Data analysis showed that 94% of nurses obtained a usability level of 80 on the SURE scale, ensuring that the application was useful and also obtained a CVI of 0.92 and the S-CVI/AVE of 0.91. Regarding the considerations reported in the questionnaire, the most frequent was the need for the application to zoom to improve the visualization of the content and the insertion of information about drug interactions of antiretrovirals and other medications. Conclusion: Given the satisfactory results, it is concluded that the EducaHIV application has a high level of usability and a good agreement rate, which reflects on the quality of the application and user satisfaction.