Navegando por Autor "OLIVEIRA, Fabiana Pereira Sabino de"

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Adesão ao tratamento do hipotireoidismo congênito segundo relato de cuidadores
(2010-04) OLIVEIRA, Fabiana Pereira Sabino de; FERREIRA, Eleonora Arnaud Pereira
This study aims at identifying variables which interfere on the entry into the treatment according to reports of caregivers of children suffering from Congenital Hypothyroidism seen at the Center of Reference in Pará State. Fifty main caregivers, with different degrees of kinship to the children and ranging from 17 to 55 years old, took part in this study. The variables related to the treatment entry were identified by means of interviews with the caregivers following structured pilot instructions. Results showed that most of the caregivers are not aware of the characteristics of the disease, its etiology, diagnosis, treatment and prognostic, regardless the age, school degree, kinship and amount of time the child is on the Program, which makes the treatment entry more difficult. In most children, the Newborn Screening Test was not done in the right time, fact that brought damage to the treatment.
Acesso aberto (Open Access)
Adesão ao tratamento por cuidadores de crianças com hipotireoidismo congênito
(Universidade Federal do Pará, 2005-06-03) OLIVEIRA, Fabiana Pereira Sabino de; FERREIRA, Eleonora Arnaud Pereira; http://lattes.cnpq.br/6600933695027723
Chronic diseases which require attention and continuous evaluations and have called for attention ofhealth professionals, specially those who devote themselves to the area ofPediatric Psychology, who devote themselves to the study of child development, as well as to the relationship between health and sickness and the interferences in the life quality of children and their relatives. This study aims accomplishing a descriptive study to identify variables making easier or more difficult, the adherence to the treatment of caregivers of children with Congenital Hypothyroidism, attended by the Center of Reference in Pará State. Fifty main caregivers ranging between 17 to 55 years of age. Forty mothers, four grandmothers, four fathers and two aunts took part in this study. Variables related to the adherence were identified by means of structured interviews. Program characteristics were analyzed through structured interviews carried out by the team professionals. The analyses of caregivers reports showed that some of the demands to the treatment adherence are not being supplied. Informations about the illness characteristics, etiology, diagnostics, treatment and prognostics are not part of the repertory of most caregivers, independently of age, school degree, degree of relationship with reiatives and time of participation in the Neonatal Selection Programo Significant differences were found regarding the adequate time for the exam accomplishment, which showed the delay of the treatment start. The difficulties described by the professionals as to the adherence to the treatment by the caregivers were attributed not only to the problems showed by the Program structure itselfbut also by the lack of interest to it. The study brings relevant implications to the implantation of more effective and efficacious prevention programs to attend the needs of caregivers and promote the adequate child development.
Acesso aberto (Open Access)
Instrução como estratégia de enfrentamento para a realização de curativo sem sedação em enfermaria com crianças vítimas de queimadura
(Universidade Federal do Pará, 2011-04-05) OLIVEIRA, Fabiana Pereira Sabino de; FERREIRA, Eleonora Arnaud Pereira; http://lattes.cnpq.br/6600933695027723
One may define “burn” as the resulting picture or the outcome of a direct or indirect action of heat, chemical compounds or electricity over the human organic structure. Some studies point out children as the majority of victims. Procedures, inherent to the process of recovery, are known to be particularly painful. The frequency of invasive medical procedures on burn-victims, favors the production of concurrent behaviors from the child and can lead to the generalization of the aversive feature of the invasive procedure to stimuli existing in the environment, thus justifying studies over the effectiveness of such invasive interventions. The research was divided into two studies with specific objectives. Study 1 (n = 5): to characterize behaviors of children which are burn-victims, produced during curative procedures without sedation in wards and to compare the frequency of concurrent and non-concurrent behaviors generated by these children in two consecutive sessions of this procedure. Study 2 (n = 2): to analyze the effects of the use of instruction on the frequency of concurrent and non-concurrent behaviors in children which are burn-victims during the curative procedure without sedation in wards. Seven children (four boys and three girls, ages 7-12) victims of burns on body lower areas inferior to 70% and their companions, selected from a Burn Treatment Center (BTC) participated. The following were used as instruments: (a) Health Care Team Consultation Protocol, (b) Child Behavioral Check List (CBCL 6-18 years), (c) Guide Book for interviewing the child, (d) Observation scale of behavioral distress OSBD, (e) Scale to evaluate the child’s facial pain perception and (f) Instruction Manual on curative procedures. In Study 1, it was noticed a higher frequency of concurrent behavior over the non- concurrent one in two sessions of curative procedures. In Study 2, upon using the Instruction Manual, it was noticed a statistically significant reduction in the frequency of the concurrent behavior Whimpering (p-value = 0.0447) and a significant increase (p-value = 0.0324) in the frequency of non-concurrent behavior Assistant in the implementation of the procedure. There was a significant correlation (p-value = 0.0066) between the frequency of non-concurrent behaviors among children in Study 1 and those who participated in Study 2, therefore suggesting that the intervention was effective in increasing the frequency of non-concurrent behaviors in children participating in Study 2.