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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Conhecimento de famílias ribeirinhas relacionado às infecções sexualmente transmissíveis
(Universidade Federal do Pará, 2022-08-26) LIMA, Nyvia Cristina dos Santos; CASTRO, Nádile Juliane Costa de; http://lattes.cnpq.br/2532971599666350; https://orcid.org/0000-0002-7675-5106
Introduction: Sexually Transmitted Infections are Public Health problems, due to their magnitude and difficulty in accessing adequate treatment. Considering the magnitude and consequences of STIs for the world, it is important to provide and develop studies that allow researchers and managers of public policies and social investments to outline specific, solid and long-term strategies for the transformation of behaviors. In this sense, it is emphasized that it is necessary to implement specific policies so that they contemplate regional realities, peculiarities and specificities of Amazonian riverside communities regarding these infections, the subjects involved and the care practices. Objective: To explore the knowledge of riverine families about Sexually Transmitted Infections. Methodology: Exploratory descriptive research with a qualitative approach. It was carried out in the city of Igarapé-Miri-PA, a riverside community on the Meruú River and is located in the mesoregion of northeast Pará and in the microregion of Cametá and is 78 km away from the capital of Pará, Belém, in the lower Tocantins. Data collection took place in January 2022, through forms. Data were processed in the IRAMUTEQ software and submitted to content analysis. Result: 38 families were interviewed, most of the participants were female, aged between 36 and 59 years old, in a stable union and with different schooling, with emphasis on elementary school. The data pointed to 04 classes, later presented in three categories such as: care practice, knowledge of sexually transmitted infections and accessibility to health services and the availability of treatment. Final considerations: Residents have deficient knowledge about sexually transmitted diseases, whether for prevention or treatment. The care practices mentioned are related to the use of natural resources and presented in the form of bottles and teas, used as an alternative to the scarcity of local primary care services. The lack of accessibility to health services and the conditions of social vulnerability interfere with knowledge, care and continuity of treatment by the public health service.
Acesso aberto (Open Access)
Diagnóstico das condições de vida e saúde de idosos: um estudo de enfermagem na estratégia de saúde da família
(Universidade Federal do Pará, 2014-01-29) SOUSA, Fabianne de Jesus Dias de; RAMOS, Edson Marcos Leal Soares; http://lattes.cnpq.br/8324947891255931; https://orcid.org/0000-0001-5425-8531; OLIVEIRA, Marília de Fátima Vieira de; http://lattes.cnpq.br/7030765721580568; https://orcid.org/0000-0003-4303-9434
The longevity despite being undoubtedly a triumph , shows important differences between developed and developing countries . While , in the first , aging was associated with improvements in general living conditions in the other , this process happens quickly, with no time for social reorganization and the area of proper health to meet the new demands emerging . This study aims to know the health status of the registered in the city of Benevides - PA family health strategy elderly population , as well as describe the social and demographic characteristics , living conditions and health of the elderly population and to establish that the relationships between variables living conditions and health and socio- epidemiological profile established. We conducted a prospective cross-sectional study with a quantitative approach in the units of the Family Health Strategy , with 441 elderly using statistical techniques such as exploratory data analysis and correspondence analysis . It is noteworthy that most of the elderly is between 60 to 64 years , are female , married ( a) s , catholic (as) and family income 1-3 minimum wages . Most do not drink alcoholic beverages and does not have the habit of smoking , as not practicing physical activity . Hypertension is a chronic disease not - transmitted more prevalent . In the study it was possible to identify the diagnosis of conditions of life and health of the elderly population showing its age with the presence of comorbidities , and can facilitate the implementation of public health policies targeting this elderly population of Benevides to provide better conditions for life and health.
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Educação permanente em saúde: mecanismo indutor do processo educativo no cotidiano do trabalho
(Universidade Federal do Pará, 2016-02-29) DIAS, Geyse Aline Rodrigues; LOPES, Márcia Maria Bragança; http://lattes.cnpq.br/6740484061412959
The study aims to reveal the development of health continuing education proposal (EPS) on a Pará municipality, identifying difficulties and their influence in the educational process in health work daily, in view of the need to discuss on the National Policy of Permanent Education in health (PNEPS) in order to modify the practices, qualify the health care, to evaluate their influences and reflexes to consolidation of the Unified health System (SUS). In the theoretical referential, are used the assumptions of liberating pedagogical concept of Paulo Freire. Participated in the study forty-three (43) subjects, including coordinators and other health professionals involved in permanent education proposals in the Benevides-PA municipality.It consists a study of holistic single case, from a qualitative approach and, according to its objectives, with an explanatory and descriptive strategy (YIN, 2005). The data collection period was from February to June 2014, through focused interview guided by Yin (2015), from the use of interview protocol. Was used to analyze a general analytical strategy named "Couting on theoretical propositions," directed by Yin (2015), founded on the theoretical propositions of Continuing Education in Health and Educational Process in the Labour Everyday Health, followed by analytical procedure Strauss; Corbin (2008), from which emerged a total of three (03) categories, which are : "Understanding on Permanent Education in Health", "Process of Continuing Health Education experienced in Labor Daily", "Importance of Continuing Education in Daily the work in Health "; eight (08) subcategories, namely: "Concept of Continuing Education in Health", "Objective of Continuing Education in Health", "Demands of actions to be taken", "Development of Permanent Education Project Health"; "Development of the actions of Continuing Education in Health", "Difficulties in the development of the actions of Continuing Health Education", "Evaluation of the actions of Continuing Education in Health" and "Influence of Continuing Education in Health in daily work." The results showed that the development of EPS proposal deployed in the city is in its initial phase, because from that guides the PNEPS, interaction and coordination is essential between the levels of government, health workers, education and the community, however , was evidenced of a vertical relationship process, management hierarchical and centralized, with a predominance of traditional educational processes, the transfer of information with little or no process of critical reflection of reality. It is understood that the municipality is experiencing a challenging phase implementation of EPS, in this perspective, it is suggested to prioritize and create more moments and collective spaces, and dialogic participatory planning with all stakeholders, so as to foster horizontal processes of health production, preparation and development of problem-solving educational activities, critical and reflective, that meet the real needs of workers and users, as well as contribute to the motivation and professional appreciation , developing and expanding the services and collaborating effectively with the SUS consolidation.
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Enfermeiros da região amazônica brasileira e o acesso à informação na atenção primária à saúde
(Universidade Federal do Pará, 2023-11-09) FERREIRA, Evellyn de Paula Moraes; OLIVEIRA, Marília de Fátima Vieira de; http://lattes.cnpq.br/7030765721580568; https://orcid.org/0000-0003-4303-9434
The study aims to analyze the access to information on Primary Health Care (PHC) by nurses from the Brazilian Amazon Region. The research is part of the macro project Nursing Practices in the Context of Primary Care: a national study of mixed methods and its data were collected from November 2019 to August 2021. The participants were 626 nurses, who work in PHC in the Northern Region. For data collection, an electronic questionnaire was used, with closed questions, whose data were stored in the Microsoft Excel program. The chi-square test was used to evaluate differences in the proportion of access to information between the states of the North Region, by which the two states with lower coverage (Amapá and Pará) were compared to each other and then to the others. Also, the chi-square partition test was applied and, for the variables that presented statistical significance, the residue test was used, considering a residual value equal to or greater than 1.96 for p < 0.05. These analyzes were performed using the program bioestatₒ and the resulting data were presented in the form of tables. The study was approved by the Research Ethics Committee (CEP) of the University of Brasília under opinion no. 4.263.831 and CEP of the Federal University of Pará under opinion no: 4.520.687. When comparing the states of the Northern Region with Pará and Amapá, which have lower PHC coverage, the following results: Roraima has a higher proportion of nurses who access information on Primary Health Care by printed means (p = 0.0177); Amazonas (p < 0.0001), Rondônia (p = 0.0049), Roraima (p = 0.0288) and Tocantins (p = 0.0014) have higher proportions of nurses who access information in the workplace; Amazonas nurses access less information published in scientific journals (p = 0.0388); nurses in Roraima have a higher proportion of access to information from specialized books (p = 0.0247); and nurses in Rondônia (p = 0.0373) and Roraima (p = 0.0357) have greater access to information from government sources. The access to information and resources by the nurses of the PHC of the Brazilian Amazon participating in the research, involve a combination of specific training, cooperation with health networks, partnerships with organizations and access to online portals and specialized publications, elements that contribute to the continuous training of nurses and that improve the quality of health care offered in the Brazilian Amazon.
Acesso aberto (Open Access)
Fatores associados a aceitabilidade da vacina contra o papilomavírus humano por pais e responsáveis de adolescentes residentes em uma capital da região amazônica
(Universidade Federal do Pará, 2020-05-05) FORMIGOSA, Julie Ane da Silva; RAMOS, Aline Maria Pereira Cruz; http://lattes.cnpq.br/5659071119788962; https://orcid.org/0000-0001-8812-2923; GONÇALVES, Lucia Hisako Takase; http://lattes.cnpq.br/6191152585879205; https://orcid.org/0000-0001-5172-7814
Human Papilloma Virus (HPV) has an oncogenic potential capable of inducing the development of cancers: anal, penile, vulvar, oropharyngeal and cervical, making it a major worldwide public health problem. The production of the quadrivalent vaccine has been the most effective and most cost-effective method for controlling the virus, made available by the Unified Health System (SUS) for girls and boys. The State of Pará had one of the lowest rates of vaccination coverage against HPV since its insertion in the vaccination calendar. Therefore, the objective of this research was to analyze the knowledge of parents and guardians about HPV and its vaccine, as well as to identify the factors associated with the barrier and acceptability of the vaccine. This is a cross-sectional study, with a quantitative approach, carried out with 247 parents and guardians in peripheral areas covered by the Terra Firme Family Health Strategy in the city of Belém - PA. The results showed that in the studied population, the age between 28 to 37 years, stable union and illiterate education, fundamental and medium, are factors associated with low and medium knowledge about HPV and its vaccine. It is concluded that although the degree of knowledge of parents and guardians is medium to high and that their acceptability of the vaccine is high, this has little repercussion for a result recommended by WHO for the vaccination coverage of children / adolescents. Therefore, it is necessary to evaluate and select the most effective HPV promotion and prevention strategies.
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Literacia para a saúde do cuidador informal na pandemia de COVID-19 no contexto amazônico
(Universidade Federal do Pará, 2023-11-10) ARAÚJO, Lucianne do Socorro Nascimento de; SOUSA, Fabianne de Jesus Dias de; http://lattes.cnpq.br/9925044069366557; https://orcid.org/0000-0002-8151-3507
Introduction: It is a priority to include the health literacy of informal caregivers in public health policies, with potential benefits for the health of the caregiver and the care provided to the elderly. This study aimed to evaluate the health literacy of informal caregivers of elderly people cared for in a university hospital during the COVID-19 pandemic. Methods: Cross-sectional, observational, descriptive, correlational and quantitative approach with 37 informal caregivers of elderly people treated at the Geriatrics Service of the Hospital Universitário João de Barros Barreto. The following instruments were used: sociodemographic and European Health Literacy Survey Questionnaire. For data processing and analysis, we used the statistical programs Epi Info version 7.2.5.0 (Centers for Disease Control and Prevention, Atlanta, United States) and GraphPad Prism version 8. Regarding descriptive statistics, the following were performed: absolute and relative frequencies for all variables and, in the case of numerical variables, we calculate the mean, median, standard deviation, minimum and maximum, with their respective 95% Confidence Intervals. In inferential statistics, the non-parametric chi-square tests of adherence were applied for univariate categorical comparison and G test for bivariate categorical comparisons. Considering the numerical comparisons, ANOVA 1 criterion was used since they met the assumptions of normality (assessed by the Bartlett test). An alpha statistical significance level of 5% was considered for all analyzes carried out. Results: Of the 37 informal caregivers, they were women (91.8%) with an average age of 48 years, married (62.1%), with high school education (43.2%), living in the same house with the elderly person being cared for (45, 9%) with good health status (54.0%) self-report that the provision of care to the elderly was not affected (56.7%), they take care of one person (45.9%), their father/mother (64 .8%). As for the elderly people cared for, the majority were women (72.9%) with an average age of 78.2 (±13.2) years. The LS of informal caregivers was 21.7, proving to be inadequate. The domain with the best score was “Health Promotion” (23.6) and “Disease Prevention” (20.1), the worst. Conclusion: The results showed that the health literacy of informal caregivers is inadequate, highlighting the need for educational actions for this population with a view to improving the care provided to elderly people.
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Representações sociais sobre alcoolismo entre alcoolistas abstêmios em tempos de pandemia
(Universidade Federal do Pará, 2022-07-11) RODRIGUES, Diana Madeira; SILVA, Sílvio Éder Dias da; http://lattes.cnpq.br/0084512862619143; https://orcid.org/0000-0003-3848-0348
Introduction: The COVID-19 pandemic, caused by the SARS-Co-V-2 virus, has been producing repercussions on a global scale, bringing both biopsychosocial, economic, political, cultural and historical impacts, unprecedented in the recent history of epidemics. The population was in isolation and social distance to avoid contamination among their peers, causing, in a way, changes in the physical and mental health of the human being, which can lead the person to risk for the consumption of alcoholic beverages. Problems related to alcoholism affect the individual and the family as a whole, causing psychological, emotional, spiritual illness and breakdown in the family system. Thus, in order to understand the social representations related to alcohol use, it is necessary to retrace the paths and contexts of its social construction. Objective: To understand the social representations of alcoholism among abstemious alcoholics in times of the COVID-19 pandemic in a Psychosocial Care Center for Alcohol and Other Drugs in Belém-Pa. Method: This is a descriptive study with a qualitative approach, using the theoretical framework of the Theory of Social Representations (SRT) in the procedural aspect according to Serge Moscovici, Denise Jodelet and collaborators. The research scenario was developed at the Center for Psychosocial Care for Alcohol and Other Drugs - CAPS AD III Marajoara, district of Entroncamento (DAENT), municipality of Belém, where abstemious alcoholic users participated through the application of the theoretical data saturation technique. Data collection took place through the sociodemographic profile, the analysis of research on alcoholism, the technique of free association of words (TALP) and the semi-structured interview. For the preparation of the material, the ATLAS.ti version 22 software was used, with the Braun & Clark thematic analysis being carried out until, and later, after organizing the data, the report was produced. Results: from the analysis of the data obtained, the registration units converged to three categories, namely: Social representations about alcoholism and its social challenges; Social representations of the meanings of CAPS AD and its repercussions for the treatment; Social representations in the (re)construction of alcohol abstinence. Final considerations: The social representations of alcoholics made it possible to know and understand the true extent of the challenges that caring for an alcoholic user entail in their daily lives. In addition, CAPS AD offers a significant welcome in the lives of users and families at different levels of care, valuing the role of the alcoholic user, in the construction of their citizenship, integrating to their territory in which they live, in a perspective of a way of to be and to live singularly as a person, and not as one discriminated against by society.
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Transição do cuidado na alta hospitalar para o domicílio de pacientes recuperados de COVID-19 no contexto amazônico
(Universidade Federal do Pará, 2022-08-01) ARRAIS, Diego João de Lima; COSTA, Maria Fernanda Baeta Neves Alonso da; http://lattes.cnpq.br/1219951595746213; https://orcid.org/0000-0002-2763-8050; SOUSA, Fabianne de Jesus Dias de; http://lattes.cnpq.br/9925044069366557; https://orcid.org/0000-0002-8151-3507
Introduction: The transition of care is characterized as the follow-up of patient care for the period of their hospitalization until the posteriority of this period, materializes the holistic care thoughts adopted by nursing and perpetuates the true meaning of "caring". Objective: To assess the transition of care for COVID-19 patients who were discharged from the hospital service to the home. Methodology: This is a quantitative, cross-sectional, descriptive and analytical study carried out with 49 patients and/or caregivers who were discharged from the Hospital Universitário João de Barros de Barreto, in Belém-PA. A random sample was used. The Care Transitions Measure-CTM-15 questionnaire validated in Brazil was applied. The collected data were tabulated in the Microsoft Office Excel® 2016 program, checked in full by another researcher to ensure the correct insertion of the answers and analyzed by the SPSS® software. Results: The mean score for care transition was 87.4 (±16.1). Factor 1 (Self-Management Training) had an average score of 82.6 (± 14.8), Factor 2 (Understanding of Medication) 86.6 (± 15.0), Factor 3 (Respected Preferences) 82.0 ( ± 16.7) and Factor 4 (Care Plan) 81.2 (± 18.2). Conclusion: The quality of the care transition perceived by the patient recovered from COVID-19, or by their caregivers, in the process of hospital discharge to home, was considered high, evidencing the involvement of the multidisciplinary team in the preparation and guidelines for the follow-up of care. at home, reducing the rates of readmissions and post-discharge complications.

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