Navegando por CNPq "CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA::MEDICINA PREVENTIVA"

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Autocuidado de mulheres residentes no município de Benevides/PA na prevenção e controle de HPV: participação da(o) enfermeira(o)
(Universidade Federal do Pará, 2013-12-13) MIRANDA, Shirley Aviz de; GONÇALVES, Lucia Hisako Takase; http://lattes.cnpq.br/6191152585879205; https://orcid.org/0000-0001-5172-7814
INTRODUCTION: Infection with Human Papilloma Virus (HPV) is one of the most common STIs in the world and has high carcinogenic potential for uterine cervix. OBJECTIVES: To identify possible deficits of competence for self-care behavior on the sexual health of women attending the Health Units of Family Paradise of Murinin with positive findings of HPV and develop strategies for health education that contribute to healthy sexual behavior in prevention and control HPV and its consequences. METHODS: A survey conducted in the city of Benevides, Pará. This study was configured as a convergent - care research (PCA), which had as its theoretical framework of Orem self-care. The educational strategy was applied in 11 women aged between 25 and 64 years who were examined in PCCU between the years 2011 and 2012 and who had income from changes related to HPV infection. We use in the development of educational the strategy to focus group technique, which lasted for two months (19/03/13-14/05/2013) with seven group meetings. The procedure for analyzing information collected during group activities, was based on PCA and reference Orem self-care focused on defined objectives, seeking to assess how the change in the perception of health behaviors in the prevention and control of HPV was processed before developed the educational strategy , guided by the precepts of the nursing support OREM - education system. RESULTS: We identified during the research deficit of competence for self-care in the prevention, treatment/control of HPV and appropriate care, lack of knowledge about HPV, its consequences and its confrontation; deficit of competence for self-care practices in sex life satisfactorily shared; deficit of competence to care related to the reduction of socioeconomic risks, lack of self-care health disorders related to the treatment and control of HPV. Later taxpayers educational actions for safer sexual behaviors towards HPV and other STIs have been developed. Throughout the educational process, women began demonstrating cognitive competence for HPV infection and competence in self-care practices successfully shared sex life. CONCLUSION AND IMPLICATIONS: We concluded that educational strategies used contribute to the learning of HPV infection in women as they showed signs of acquiring skills and abilities to self-care and hygiene healthier sexual practices, shared with their partners so. The implications for nursing practice are related to nursing needs to develop mechanisms to better accommodate the sexual partner as users, according to the policy of prevention of STIs and promotion of women's health. For teaching, we emphasize the importance of in-service training to meet the woman / man unit as marital / sexual partner, as well as training professionals with a comprehensive overview of the unit involved: the couple, the family. For research, the investigation of human behaviors that maintain the high incidence of human papillomavirus, is essential to find strategies in extinction of its incidence, control, treatment and disease prevention by HPV.
Acesso aberto (Open Access)
Avaliação do burnout em trabalhadores de um hospital universitário do município de Belém (PA)
(Universidade Federal do Pará, 2017-06) PANTOJA, Fábio Gian Braga; SILVA, Marcos Valério Santos da; ANDRADE, Marcieni Ataide de; SANTOS, Alex de Assis Santos dos
The objective of this study was to evaluate the elements that characterize burnout in workers at a university hospital in the city of Belém, state of Pará, Brazil. It is a descriptive study, with a quantitative approach and a cross-sectional delineation, investigating 62 workers. It was verified a high prevalence rate. Although some results do not confirm the literature, it must be emphasized that most of the professional categories had not yet been studied adopting this methodology, which prevents more consistent comparisons. It is suggested that working conditions may be more responsible for the symptoms of burnout rather than the isolated characteristics of the professionals.
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A compreensão de diabéticos sobre as complicações com os pés e as implicações para o autocuidado
(Universidade Federal do Pará, 2013-10-30) PEREIRA, Odenilce Vieira; SANTANA, Mary Elizabeth de; http://lattes.cnpq.br/6616236152960399; https://orcid.org/0000-0002-3629-8932
The mellitus diabetes is a chronic disease that in recent years has contributed to the increased mortality in the world. The nurse stands out as a primary actor in diabetic care by performing nursing care at different levels of health care patient. The study aimed to describe the understanding of diabetic complications on his feet; identifying information submitted by nurses and examine factors that contribute to the incidence of vascular complications involving self-care. Descriptive qualitative research, developed in the months from May to July 2013, with thirty diabetic hospitalized at the University Hospital of Belém - Pará. Data were collected through semi-structured and subjected to thematic content analysis according to the model proposed by Bardin interview. All legal requirements have been rigorously considered. The study included seventeen women and thirteen men with a mean age of sixty . Most respondents had low level of education , ignorance and misinformation about diabetes which resulted in the realization of self-care. The data analysis allowed the learning of four core categories: discovery and control of diabetes, complications of diabetes and foot care; evidence that interfere with self-care of the feet; contributions of the healthcare team to practice self-care with their feet. The discussion was based on the theoretical framework that has supported the research and related theory of Orem Self Care. This research sought to emphasize inpatient hospital setting, as a characteristic for the curative treatment environment, however we believe that it can also be a place conducive to educational activities related to self-care and prevention for complications with the feet of diabetic patients.
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Desafios do Programa HIPERDIA e implicações para a enfermagem
(Universidade Federal do Pará, 2014-06-27) FERNANDEZ, Darla Lusia Ropelato; POLARO, Sandra Helena Isse; http://lattes.cnpq.br/7875594038005793; GONÇALVES, Lucia Hisako Takase; http://lattes.cnpq.br/6191152585879205; https://orcid.org/0000-0001-5172-7814
INTRODUCTION: The HIPERDIA Program was established in 2001 in primary care because of the severity of epidemiological Hypertension (HBP) and Diabetes Mellitus (DM), conditions that can lead to serious complications instilling limitations and suffering in the lives of their patients and their families. In this context, it is worth mentioning the importance of primary prevention of these diseases and their complications. Past more than a decade of implementation, it is worth to reflect on the impact on health conditions that the program has generated among its users. OBJECTIVES: To elucidate the principles, philosophy and the guiding policy of HIPERDIA Program of the Ministry of Health (MH); describe how the patient care works, by a health team of HIPERDIA Program; explore the life and health behaviors demonstrated by users of HIPERDIA after its insertion into the program. METHODOLOGY DESCRIPTION: This is a Case Study second Yin (2010) whose object of study was a HIPERDIA Program executed in a Basic Health Unit outskirts of Belém. Data were obtained through interviews with users, staff and managers of the program, in addition to direct field observation, consultation records and official documentation of MS. The data analysis was performed by the analytical strategy "Relying on Theoretical Propositions" and the analytical technique "Standard Combination". RESULTS: The deterioration of the HIPERDIA program management illustrated by deficiencies in infrastructure, supplies, medicines and weaknesses in the reference and counter reference network, excessive spontaneous demand that overloads the health team allocated insufficient in number and the context of poverty and urban violence in users living contribute to poor adherence to treatment regimen and limit the team in its interdisciplinary and integral action. Furthermore, the current model of care is grounded in traditional, based on consultations and prescriptions and that has not proved sufficient to fully meet the needs of care to people with chronic condition requiring long-term care by adopting lifestyles more consistent and healthy. FINAL THOUGHTS: Big challenges are drawn against the data emerged from this study and it involves governmental and intersectoral actions that promote improvements in the living conditions of the population which requires political will to investing the necessary resources. Notwithstanding this, the nurse can make a contribution by promoting cultural care and self-care actions, customizing the plan of action and bringing the responsibility of the user and their families in improving their health condition.
Acesso aberto (Open Access)
Impacto na incidência de infecção relacionada a cateter vascular central após medidas de educação na unidade de terapia intensiva do Hospital Universitário João de Barros Barreto
(Universidade Federal do Pará, 2007) COSTA, Maria Heliana Alencar da; SOUSA, Rita Catarina Medeiros; http://lattes.cnpq.br/3560941703812539
Central venous catheters are commonly employed in the management of critically ill patients in intensive care units (ICU). Primary bloodstream infections resulting from central venous catheterization (CVC-BSI) are a common cause of excess morbidity, mortality, and medicalcare costs associated in the ICU setting. Many strategies have been used to decrease the risk of CVC-BSI and educational initiatives aimed at improving CVC insertion and care has been demonstrated successful results. The purpose of the study was to determine the impact of an educational program targeted to specific points observed during CVC care practices on decreasing CVC-BSI rates in ICU setting. This was a preintervention and postintervention study. Barros Barreto Hospital is a 260-bed university urban teaching hospital located in Belém city, Pará, Brazil and its ICU is a 10-bed surgical-medical unit. In this ICU, reported CVC-BSI from January 2003 to December 2005 was 11.8 episodes of CVC-BSI per 1000 CVC-days. Between January 2006 and July 2007 this study was carried in this setting. An educational program based on CDC Guidelines for Prevention of Intravascular Catheter- Related Infection directed to nurses and physicians was developed by a multidisciplinary task force to highlight correct practices for CVC care. Posters concerning CVC-BSI pathogenesis and prevention, tips about importance of handwashing were available in the unit. BSI-CVC rates were monitored in the following 12-months period after educational intervention. Twenty episodes of catheter-associated bloodstream infections (11.8 per 1,000 catheter-days) occurred in the 36 months before the introduction of the education program. Following implementation of the intervention, the rate of catheter-associated bloodstream infection decreased to four episodes in 1667 catheter-days (2.4 per 1,000 catheter-days), a decrease of 78%. Behavior changes such as adherence to hand hygiene before manipulating CVC and CVC dressing was dramatically enhanced after the educational intervention (49.5% to 98.5% and 15.4% to 96.9%, respectively) [p < .0001]. A multiple approach included a focused educational strategy targeted to specific problems observed during a careful evaluation of CVC care practices, and policy changes can lead to decrease in the incidence of bloodstream infections associated to CVC. Educational programs directed to healthcare professionals may lead to decrease in cost, morbidity, and mortality associated to healthcare-related infections.
Acesso aberto (Open Access)
A Política nacional de urgência e emergência sob a coordenação federativa em municípios paraenses
(Universidade Federal do Pará, 2017-09) FARIA, Tamara Lima Martins; NASCIMENTO, Durbens Martins; FARIAS FILHO, Milton Cordeiro; NUNES, Silvia Ferreira
The national policy of the emergency department (PNAU) aims to mediate primary care and medium and high complexity services. Which is the theme of this article’s research, that aimed to identify the main difficulties of PNAU agreed management in two main cities of the metropolitan region of Belém, Pará, Brazil. This is a basic qualitative research, which used documents and semi-structured interviews with the main managers of both the policy and control and supervision institutions. The results indicate federative coordination difficulties that impose four constraints to the policy to be efficient: centralization, cooperation, financing, and agreement. We conclude that decentralization in the health area is still not efficient when it comes to the national policy of urgency and emergency, due to the difficulties that federal entities face with the required pacts and political issues present in planning and management.
Acesso aberto (Open Access)
Prevalência e fatores de risco da infecção pelo HPV em mulheres atendidas no município de Imperatriz – MA
(Universidade Federal do Pará, 2012) ALMEIDA, Josenólia Araújo; PINHEIRO, Maria da Conceição Nascimento; http://lattes.cnpq.br/6353829454533268
Infection with human papillomavirus (HPV) is sexual transmission disease (STD) of great magnitude for women, especially in developing countries contributing to increased morbidity and mortality indicators for being the main factor associated with cervical cancer. This study evaluated the prevalence and risk factors associated with HPV infection in population of women seen at Center of Medical Specialties from Imperatriz-MA, in the period May-June 2012. The study was conducted in 103 women enrolled in Cancer Prevention Program Cervix, residents in Imperatriz city who underwent sampling for cervical-vaginal Papanicolaou testing and determination of HPV DNA by PCR. The demographic and clinicalepidemiological data sheet were taken from each woman's gynecological records which occurred on day of harvest survey. The profile of women was predominantly age over 25 years old, married, african descent and education with over eight years. The prevalence of HPV infection was 10.68%. There was no association with any of variables multiple partners ((20%), condom use (23.5%), not holding an annual PAP (13.6%), cigarette smoking (22.2%). Prevalence of HPV infection in women attending in Department of Women's Health Care at Imperatriz-MA was relatively low compared to other cities. Though no variable demonstrate association with the risk of infection, early sexual initiation, multiple partners, STDs showed high prevalence.