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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Análise espacial da epidemia de HIV entre homens jovens no Brasil: um estudo ecológico
(Universidade Federal do Pará, 2023-08-21) MARTINS, Cleyton Abreu; BOTELHO, Eliã Pinheiro; http://lattes.cnpq.br/6276864906384922; https://orcid.org/0000-0002-9682-6530
Introduction: Globally, it is estimated that for every seven new human immunodeficiency virus (HIV) infections, two occur among young people. Spatial analysis studies are essential tools in the fight against HIV. Objective: To spatially analyze the Brazilian historical scenario of the HIV epidemic among young men, from 2007 to 2021. Methods: An ecological study that used secondary databases from the Notifiable Diseases Information System. All cases of HIV and immunologically acquired disease syndrome (AIDS) among men between 15 and 29 years of age and with fixed residence in Brazil were considered. The 5,570 Brazilian municipalities were considered as the unit of analysis and the HIV/AIDS incidence rate standardized by age group as a variable. The following spatial analysis techniques were used: 1) Spatial Distribution, 2) Spatial Autocorrelation and 3) Spatial Scan. Results: 108,392 cases of HIV were reported in Brazil among young men during the study period. The Southeast Region had the highest incidence rates, followed by the Northeast, South, North and Midwest regions. The HIV epidemic showed territorial expansion in all Brazilian regions, with the exception of the southern region, which contracted. Although there has been a decrease in the number of hotspots in all regions, in the North and Northeast regions there has been an expansion in the size of hotspots. There was no expansion of coldspots in the regions. The space-time risk zones were comprised between 2015 and 2021 and all were formed by state capitals and surrounding municipalities. Conclusion: The different behaviors of the HIV epidemic in Brazilian regions may be associated with different regional sociopolitical scenarios. The consolidation, expansion and emergence of new hotspots point to locations where the fight against HIV among young people should be strengthened. The space-time risk analysis shows that the highest HIV detection rates occur in municipalities with higher demographic densities, and the long time period suggests fragility in policies to combat the virus. For the elimination of HIV, greater integration of municipalities, states and the federal government is necessary in the search for greater social equity.
Acesso aberto (Open Access)
Análise espacial da epidemia do HIV entre mulheres brasileiras
(Universidade Federal do Pará, 2023-05-25) BEZERRA, Ana Luisa Lemos; BOTELHO, Eliã Pinheiro; http://lattes.cnpq.br/6276864906384922; https://orcid.org/0000-0002-9682-6530
INTRODUCTION: The detection rate of Human Immunodeficiency Virus (HIV) among women has been decreasing in recent years. However, an epidemiological diagnosis at the national level is necessary to detail this behavior of the epidemic in this population, since the Acquired Immunodeficiency Syndrome (AIDS) remains the main cause of mortality among women aged 15 to 49 years. OBJECTIVE: To spatially analyze the historical scenario of the HIV epidemic in Brazil, among women from 15 years of age, from 2007 to 2020. METHODOLOGICAL DESIGN: Ecological study that used secondary databases of the Information System of Notifiable Diseases considering as unit of analysis the 5,570 Brazilian municipalities. All cases of HIV and AIDS among women living in Brazil were considered. The following spatial analysis techniques were used: 1) Spatial Distribution, 2) Spatial Autocorrelation and 3) Spatio-temporal risk analysis. RESULTS: There was a territorial decrease in the HIV epidemic throughout Brazil, but less decrease in the North, Northeast and Midwest regions. There was a decrease in the number of hotspost clusters (neighboring municipalities with a high incidence rate) throughout Brazil. However, some consolidated with expansion or contraction. Bahia, Paraná and Piauí were the only Brazilian states with coldspot clusters (neighboring municipalities with a low incidence rate), with Piauí standing out with the greatest expansion of this grouping. The South and Southeast regions presented spatio-temporal risks earlier than the other regions and all risk zones had in their compositions state capitals and most of them included adjacent municipalities. CONCLUSION: Although cluster hotspots have decreased in number, others have consolidated and new hotspots have also emerged. This study provides subsidies for the implementation of more effective and focused public policies to combat HIV among Brazilian women. There is a need to include municipal and state authorities in the planning of policies against HIV, always respecting the regional characteristics and each Brazilian municipality.
Acesso aberto (Open Access)
Análise espacial da mortalidade por Aids entre jovens no Pará e os impactos dos determinantes sociais de saúde
(Universidade Federal do Pará, 2022-07-15) SOUSA, Sara Melissa Lago; BOTELHO, Eliã Pinheiro; http://lattes.cnpq.br/6276864906384922; https://orcid.org/0000-0002-9682-6530; POLARO, Sandra Helena Isse; http://lattes.cnpq.br/7875594038005793; https://orcid.org/0000-0001-5026-5080
Introduction: Worldwide, AIDS control policies have led to a small decrease in the mortality rate among young people, which is only 6% among young males. For a better effectiveness of these policies, it is necessary to take into account the influence of social determinants of health (SDH) on the mortality rate in each territory. Objective: To spatially analyze the AIDS mortality rate among young people in the state of Pará and the spatial variability of the rate promoted by the DSS from 2007 to 2018. Method: Ecological study using secondary data from the Mortality Information System (SIM). All notifications of AIDS deaths in young people residing in the state of Pará between 2007 and 2018 were included in the study. The mortality rate was analyzed using spatial distribution and autocorrelation, spatial scanning, and geographically weighted regression (GWR). Results: During the study period, 1,372 AIDS deaths were reported among young people from Pará. The AIDS mortality rate showed territorial expansion. Spatial autocorrelation showed two high-high clusters in the period from 2007 to 2010, one formed by municipalities in the southeast of Pará and the other in the metropolitan region of Belém (RMB), with only the cluster of RMB remaining between 2011 and 2018. The RMB presented the highest spatial risk for AIDS mortality and the only one with the spatio-temporal risk in the period 2013-2018. The spatial variability of the AIDS mortality rate was promoted by the "homicide rate among young people", "elementary school dropout rate" and "by the number of families registered in CADÚNICO". Conclusion: This study covers the Amazonian particularities that involve AIDS mortality among young people from Pará, allowing the spatial identification of the involvement of rate variability promoted by the DSS.
Acesso aberto (Open Access)
Análise espacial e espaço-temporal dos casos de feminicídio ocorridos no estado do Pará entre 2016 e 2021
(Universidade Federal do Pará, 2023-10-27) SILVA, Ana Karoline Souza da; BOTELHO, Eliã Pinheiro; http://lattes.cnpq.br/6276864906384922; https://orcid.org/0000-0002-9682-6530; LIMA, Vera Lúcia de Azevedo; http://lattes.cnpq.br/5247917929280755; https://orcid.org/0000-0003-0094-4530
INTRODUCTION: Feminicide is a public health problem worldwide, with Brazil occupying the 5th position among the countries that kill the most. In order to combat feminicide, it is imperative to understand its association with social determinants of health, and spatial analysis is a fundamental tool for this. OBJECTIVE: To analyze the spatial and space-time scenario of the femicide rate and its relationship with the social determinants of health in the State of Pará between 2016 and 2021. METHODS: An ecological study using secondary data from the Integrated Public Security System (SISP-WEB). Gross municipal feminicide rates were analyzed using spatial distribution and autocorrelation (Gi statistic), temporal-spatial risk analysis, and geographically weighted spatial regression (GWR). RESULTS: During the study period, 339 cases of feminicide were reported in Pará. The spatial distribution of the feminicide rate during the study period showed a territorial expansion, with municipalities in the Metropolitan Region of Belém, Northeast, Southeast, and Southwest of Pará being the most affected areas. From 2016 to 2018, there was a high-high in feminicide rate (hotspot) formed by municipalities in the southeast and southwest of Pará, while between 2019 and 2021, there were two hotspots in the southeast and northeast. The spatio-temporal analysis revealed only one risk zone (RR=2.11; p<0.000) in the period from 2018 to 2020 that consisted of municipalities in the Metropolitan region of Belém, Northeast, Lower Amazonas, Southeast and Southwest of Pará. The GWR showed that the variability of the feminicide rate was associated with the DSS “youth homicide rate per 100,000 inhabitants”, “primary care coverage rate”, and “total high school pass rate”. CONCLUSION: To combat feminicide it is necessary to promote greater social equity, discuss gender equality in schools, and bring greater responsibility/qualification of health professionals in the Primary Health Care network for the early identification of signs of domestic violence as well as reporting to competent legal channels.
Acesso aberto (Open Access)
Análise temporal e distribuição espacial das internações hospitalares por queda de idosos no Brasil, entre 2009 e 2018
(Universidade Federal do Pará, 2020-09-21) CHAGAS, Tiago de Nazaré das Chagas e; FERREIRA, Glenda Roberta Oliveira Naiff; http://lattes.cnpq.br/7459094802051187; https://orcid.org/0000-0002-8206-4950; POLARO, Sandra Helena Isse; http://lattes.cnpq.br/7875594038005793; https://orcid.org/0000-0001-5026-5080
Objective: To analyze the temporal trend and spatial distribution of hospital admissions due to falls in the elderly in Brazil. Method: Cross-sectional population-based study based on data from the Informatics Department of the Unified Health System (DATASUS) and the Hospital Information System of the Unified Health System (SIH / SUS). Therefore, the data were collected in a secondary database. Data were extracted from the SUS Information System - DATASUS, and correspond to information referring to Hospital Admissions Authorizations - AIH, of elderly hospitalized for falls in the period from 2009 to 2018 in Brazil. Data analysis used resources from descriptive and inferential statistics. Terra View® programs were used for spatial analysis and Join point® for trend analysis. Results: Over the ten years studied, the trend of hospitalizations for the elderly as a result of falls has grown significantly by 1.2% per year in Brazil. Among the regions, this behavior was variable, with periods of growth and stationary, with significant hospitalization among all age groups of elderly people above 75 years old, and among women, also observing different patterns between each state. The spatial analysis showed a Moran Global index of 0.39 (p = 0.02) in the period from 2009 to 2013, showing the existence of spatial autocorrelation, with a grouping of three states with low-low pattern, Pará, Amazonas and Amapá. Conclusion: Brazil is heading towards a new population configuration with an increase in the elderly population. The need to improve the structure of health care networks is urgent in all regions of the country in order to provide quick and effective care to the elderly victims of falls.
Acesso aberto (Open Access)
Assistência pré-natal e puerpério no âmbito da atenção básica no Brasil
(Universidade Federal do Pará, 2023-07-10) SOUSA, Dimauro Soares de; RODRIGUES, Diego Pereira; http://lattes.cnpq.br/8470989067617455; https://orcid.org/0000-0001-8383-7663; CUNHA, Carlos Leonardo Figueiredo; http://lattes.cnpq.br/9603271880856443; https://orcid.org/0000-0002-1891-4201
Recognizing Primary Care as the preferential gateway to public health services and its role in organizing care, investigating prenatal and puerperal care is essential for measuring its reach and quality, in order to provide subsidies for making decisions based on the results. Objectives: To analyze prenatal and postpartum care within the scope of Primary Care in Brazil. Methodology: This is a research with a quantitative and analytical approach. Brazil is the reference for this study. The variables related to the External Evaluation of the third cycle of the National Program for Improving Access and Quality of Primary Care were used for the research, Module II – Interview with the professional, coordinated by the ministry of health, from 2017 to 2018, which includes interviews with key informants. Teams were categorized by federative units and geographic regions, and data analysis were done using descriptve statistics, using absolute and relative frequency. All analyzes were done in IBM SPSS Statistics Software, version 20.0, and presented in the form of charts, graphs and figures. Results: The collection of data for the External Assessment that make up the second phase of the third cycle of the National Program for Improving Access and Quality in Primary Care, had the adhesion of 5.324 cities (95,6%). A total of 38,865 primary care teams in Brazil were evaluated, of these 36.702 (98,30%) teams perform prenatal consultations, 35.771(97,50%) presente a document proving the prenatal consultation, 36.433 (99,3%) of the primary care teams use the pregant woman’s handbook to monitor the pregnat women and 34.096(92,90) of those teams have a copymirror of the pregnant women’s handbook, or another form with equivalent information, at the Basic Health Unit. Regarding to the actions carried out by the team to guarantee the postpartum consultation up to one week after the childbirth, all of the brazilian regions have low rates of consultation at special times, in which any day of the week, with 65.4% adherence in this aspect. Conclusion: The results suggest that there are differences in prenatal and puerperal care in Brazilian regions. These results can be useful for other studies and for strengthening reginal planning actions. For managerial practice, the assistance during the prenatal and postpartum period must be repeatedly discussed.
Acesso aberto (Open Access)
A atuação de enfermeiros nos institutos federais de educação da região norte do Brasil: visão pré e pós pandemia de COVID-19
(Universidade Federal do Pará, 2023-06-13) SOUZA, Jamily Silva; CASTRO, Nádile Juliane Costa de; http://lattes.cnpq.br/2532971599666350; https://orcid.org/0000-0002-7675-5106
Introduction: Nursing is present on several campuses of the Federal Institutes of Education (IFE), at the service of the academic community; they work mainly in health promotion and in advising teaching, research and extension activities. Due to the Covid-19 pandemic, several control and prevention measures were adopted, also affecting educational institutions such as IFE that reorganized their academic and administrative activities in the remote system, also affecting nurses who work in these institutions, with essential actions to guarantee of the health and safety of the school community and have their importance highlighted in the context of the pandemic. Objective: To analyze the performance of nurses in IFE in the North of Brazil in a pre and post Covid-19 pandemic view, considering the regional Amazonic specificities. Methodology: descriptive research with a qualitative approach carried out with nurses who work in community care at the 7 IFE in the 7 States of the North Region of Brazil. Data collection took place between October 2022 and January 2023 with semi-structured interviews following a script divided into two axes: 1) Characterization of the professional profile of the nurses targeted by the research; and 2) The performance of nurses in the pre- and post-pandemic context within their campuses. Data were processed using the IRAMUTEQ software and submitted to content analysis. Result: 20 nurses from 5 Institutes were interviewed. Most of the participants were female, aged between 28 and 37 years and specialists. Most had between 4 and 7 years of service in the institution. The data organized at Iramuteq pointed five classes, later presented in four categories: The Work place and Training, Work before the Covid-19 Pandemic, Work during the Covid-19 pandemic and Current work perspectives. Final considerations: Nurses in the IFE work mainly in health education, in addition to carrying out nursing procedures and advising on student care; during the pandemic, most of these activities were adapted to the remote model and new ones emerged as support in the institution's planning to combat Covid-19. Some difficulties that already existed were aggravated by the pandemic, such as deficiencies in infrastructure and means of communication, due to factors such as management problems and the peculiarities of the region. Nursing work gained recognition in the pandemic but needs to be further studied and regulated when it comes to performance in educational institutions such as IFE.
Acesso aberto (Open Access)
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 da implementação dos planos de contingência para enfrentamento da COVID-19 em hospitais universitários brasileiros
(Universidade Federal do Pará, 2023-06-06) SOUSA, Michele Monteiro; ALMEIDA, Deybson Borba de; http://lattes.cnpq.br/3390707163827574; https://orcid.org/0000-0002-2311-6204; CUNHA, Carlos Leonardo Figueiredo; http://lattes.cnpq.br/9603271880856443; https://orcid.org/0000-0002-1891-4201
The aim of this study was to evaluate the implementation of contingency plans to cope with COVID-19 in Brazilian university hospitals. Comprehensive qualitative qualitative study with semi-structured interviews applied to managers and workers of 8 federal educational institutions who participated in the construction, implementation and evaluation of contingency plans to cope with COVID-19. The textual content of the interviews was submitted to the N-vivo software. Data analysis was performed using Bardin's content analysis, and as a theoretical basis Donabedian's theory evaluating the triad structure, process and result. The profile of the 17 participants of the research was mostly female (76%), 59% are nurses and 23% act as health care managers and 23% as superintendents within the EBSERH. In the structural dimension, the lack of inputs, such as PPE and medicines, directly interfered in the effectiveness of contingency plans. It evidenced the historical demands of health professionals regarding working conditions. The results found in the dimension, structure and result evidenced the weaknesses of some university hospitals to meet the potential demand generated by the COVID-19 pandemic. This study demonstrated the importance of planning, preparing and updating guiding documents for hospital institutions, such as the contingency plan, aimed at coping with a public health emergency, as well as the need for integration between management, care, teaching and research services.
Acesso aberto (Open Access)
Características epidemiológicas e análise temporal de sífilis congênita na região norte do Brasil de 2010 a 2019
(Universidade Federal do Pará, 2022-07-29) SANTOS, Fabio Conceição dos; ARAÚJO, Eliete da Cunha; http://lattes.cnpq.br/5906453187927460
Introduction: Sexually transmitted infections (STIs) are considered a public health problem, with a direct impact on reproductive and child health, causing infertility and complications in pregnancy and childbirth, in addition to causing fetal death and health problems for children permanent. Among the STIs, syphilis is one of the most frequent, being exclusive to humans, and when vertical transmission occurs, it is called congenital syphilis. Worldwide efforts are used to eliminate Congenital Syphilis, however, its incidence is still high in several countries around the world, including Brazil. Objective: To evaluate the epidemiology and temporal trend of Congenital Syphilis in the North region of Brazil from 2010 to 2019. Materials and Method: This is an epidemiologicaldescriptive, retrospective research with a quantitative approach, which analyzed the epidemiological and temporal profile of cases of Congenital Syphilis in the Northern Region of Brazil from 2010 to 2019, through data recorded in SINAN AND SINASC. A descriptive analysis of the sociodemographic data was carried out, followed by a temporal analysis, through the calculation of the incidence of the regression model by inflection points (Joinpoint Regression Analysis), which allows knowing the annual percentage change (APV) and that of the entire period, called average annual percentage change (VPAM). For each trend detected, the 95% confidence interval was considered. The significance level adopted was 5%. Results: 14,434 cases of congenital syphilis were registered in the North Region, with the state of Pará being the most notified, followed by Amazonas and Tocantins. The data signaled the maternal characteristics, showing that most were of reproductive age, followed by those with a migratory period to adulthood. Most did not complete elementary and high school, with a phenotypic predominance of brown, followed by white. Still, most of the diagnosis of gestational syphilis happened in prenatal care, with them performing followup in 79.54% of cases, and partners in treatment in only 34.68%, with recent congenital syphilis as the most diagnosed in 99, 73% from birth to incomplete 23 months. There was significance for the average annual increasing incidence rates in several states and capitals in the region. All capitals showed a yeartoyear growth trend, with fluctuating periods, as seen in the capitals Macapá and Boa Vista between 2014 and 2015. The capital Belém showed a peak incidence of congenital syphilis cases between 2015 and 2016 (highest incidence rate between years). Other capitals such as Manaus and Palmas had an explosion of cases in 2018, with 19.8 and 17.6 for every thousand live births. Conclusion: In this study there was a limitation in terms of time for an investigation with greater accuracy, which should include other epidemiological and local data, and in regions with a higher incidence of this pathology. Therefore, it is necessary to carry out other studies on SC that work with spatial analysis in its various regions, contributing to the improvement of maternal and child health indicators in the region under study.
Acesso aberto (Open Access)
Caracterização dos homicídios de crianças paraenses
(Universidade Federal do Pará, 2020-02-19) SILVA, Adria Vanessa da; LIMA, Vera Lúcia de Azevedo; http://lattes.cnpq.br/5247917929280755; https://orcid.org/0000-0003-0094-4530
INTRODUCTION: Homicide is an expression of interpersonal violence, it is from it that we can grasp the seriousness of the situation of violence perpetrated against children in the state of Pará. It represents the extreme of violence in a society and a serious conjecture of economic, social disorder , political and religious. A complex, multifactorial, heterogeneous phenomenon with an impact not only on quality, but also on people's life expectancy. The characteristics of these deaths can vary according to the victim's age, sex, color or race and other factors. OBJECTIVE: To characterize the homicides of children in the state of Pará. METHODOLOGY: Descriptive, retrospective study with a quantitative approach based on Epidemiology. The study was carried out based on the homicide data of children in the state of Pará, registered with the Assistant Secretary of Intelligence and Criminal Analysis, linked to the Secretary of Public Security of Pará, covering the period from January, 2014 to December, 2018. 77 occurrences resulting in homicide were identified. For data collection, the technique of descriptive analysis was used in order to highlight the characterization of victims and authors. RESULT: The profile of the victimized children and the aggressors found that the children's age range is from 0 to 11 years old incomplete, with the male gender prevailing and the highest percentage in the 18 to 24 age group, the highest percentage practiced by stepfathers, who practiced the act against the minor in his own residence. The feeling of hatred / revenge, followed by jealousy and ambition were the presumed causes that led the aggressor to commit the act, being the means used to consummate the fact the firearm. The ten municipalities in the state of Pará with the highest prevalence of homicides with children in this period was Belém, followed by Ananindeua, Itaituba, Altamira, Monte Alegre, Marabá, Salvaterra, Breu Branco, Xinguara and Marapanim. Recognizing the intensity of the victimization of children by homicide and its distribution in the municipalities of our state provides contributions for the State to encourage public policies in order to effectively protect and maintain the lives of children in situations of violence within the family.
Acesso aberto (Open Access)
Cartilha “Aprendendo melhor a cuidar de si” para o autocuidado do cuidador de adoecidos pelo câncer
(Universidade Federal do Pará, 2022-06-04) VALE, Jamil Michel Miranda do; SANTANA, Mary Elizabeth de; http://lattes.cnpq.br/6616236152960399; https://orcid.org/0000-0002-3629-8932; LIMA, Vera Lúcia de Azevedo; http://lattes.cnpq.br/5247917929280755; https://orcid.org/0000-0003-0094-4530
The objective of this study was to apply the booklet “Learning better to take care of yourself” to family caregivers of people sick with cancer in palliative oncology care, as well as to investigate the burden on family caregivers and to analyze the correlation between the booklet “Learning better to take care of themselves” with the burden of these family caregivers. This is a descriptive study with a quantitative approach, carried out at the Ophir Loyola Hospital Palliative Care Clinic, with 147 family caregivers, in the second half of 2020. For the collection, two instruments were used: (a). Form for the characterization of caregivers and appreciation of the booklet; (B). Zarit Overhead Scale Questionnaire - Burden Interview. The collected data were tabulated, interpreted, processed and analyzed using descriptive and inferential statistics in Microsoft Excel® 2019 spreadsheets, in order to consolidate the information related to the data collected. The built database was organized and analyzed using the Statistical Package for the Social Sciences software version 24.0 in Windows 10 environment, with the results presented in tables and discussed based on the scientific literature. As a result it was obtained in the sociodemographic data that the caregivers are children (67 – 45,6%), female (86 – 58,5%), living outside Belém or metropolitan region (85, 57.8%), have completed High School (63 – 42,9%), are married (74 – 50,3%), mostly housewives (57 – 38,8%) and self-employed (45 – 30,6%), Catholic (71 – 48,3%) and have no income (81 – 55,1%). The average age of caregivers is 40 years old. Being a caregiver was a family decision (65 – 44,2%), exercising full-time care (89 – 60,5%), within a period of 1 to 5 years (69 – 46,94%), and sharing care with someone (89 – 60,5%) usually the brother (58 – 39,5%). The educational technology, the booklet 'Learning better to take care of yourself', achieved 91% acceptability. Regarding the general burden of caregivers, the majority presented Moderate to Severe burden (104 – 70,7%) and there was insufficient evidence to conclude that any of the variable’s gender, age group, health problems or length of care have any statistically relevant relationship with Zarit score (p > 0,05). As a conclusion, the booklet 'Learning better to take care of yourself', obtained 91% acceptability from family caregivers, who presented moderate to severe overload; Through the analyses, it was demonstrated that the acceptance of the booklet has a weak and inverse correlation with the burden, that is, the greater the acceptance of the booklet, the lower the burden presented by the family caregiver (alternative hypothesis - H1) and the burden will not be underwent statistically significant influence of the variables gender, age group, health problems or length of care, in this specific public (null hypothesis - H0). From the scores obtained in the question “do you have a health problem”, pain on the coast and use of alcoholic beverages did not show statistically significant differences. Although the other problems and habits were statistically significant. The Booklet, as an educational technology, strengthens and subsidizes the nursing care practice, legitimizing the continuity of the walk directed towards the new future care perspectives.
Acesso aberto (Open Access)
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.
Acesso aberto (Open Access)
A compreensão dos socorristas acerca do atendimento pré-hospitalar para idosos à luz da política HumanizaSUS
(Universidade Federal do Pará, 2021-12-20) RODRIGUES, Thamyris Abreu Marinho; POLARO, Sandra Helena Isse; http://lattes.cnpq.br/7875594038005793; https://orcid.org/0000-0001-5026-5080; OLIVEIRA, Marília de Fátima Vieira de; http://lattes.cnpq.br/7030765721580568; https://orcid.org/0000-0003-4303-9434
Acesso aberto (Open Access)
Conceitos de gestão e gerência do cuidado de enfermagem: revisão de escopo
(Universidade Federal do Pará, 2021-02-20) BARROS, Aurilívia Carolinne Lima; MENEGAZ, Jouhanna do Carmo; http://lattes.cnpq.br/2423764452219953; https://orcid.org/0000-0002-7655-9826
Introduction: Terms “Care Management” and “Care Administration” are strongly present in the reality of health services and academic literature in studies at the most diverse care levels. The scope and differentiation of the terms Nursing Care Management and Nursing Care Administration are a matter of great concern. Objectives: To define the Management and Nursing Care Administration concepts based on the existing scientific production. Methods: This is a scoping review based on the protocol of the Joanna Briggs Institute. Data was collected in the 04-25/04/2020 period. The researched papers were retrieved from LILACS, CINAHL, MEDLINE, and SCOPUS databases without time limits. The sample consisted of studies published in Portuguese, English, and Spanish from 2007 to 2020. Results: We established a structural framework that involves the Nursing Care Management and Nursing Care Administration concepts. The definition and characterization of each component of this framework, its relationships, and, mainly, the conceptualization of the Care Management and Nursing Care Administration terms. This study identified that working in “Nursing Care Management” requires the same skills as working in “Nursing Care Administration”. However, such concepts are mobilized under different frequency and density, and skills with more significant strategic-administrative nuances are more strongly mobilized in the “Nursing Care Administration” thematic core. In contrast, skills mobilized show essentially strategic-cognitive nuances in the “Nursing Care Management” thematic core.
Acesso aberto (Open Access)
Conhecer para atuar: propostas para ações mais eficazes na prevenção do HIV/AIDS em adolescentes no município de Belém do Pará
(Universidade Federal do Pará, 2017-05-31) LIMA, Mariana Souza de; BOTELHO, Eliã Pinheiro; http://lattes.cnpq.br/6276864906384922; https://orcid.org/0000-0002-9682-6530
The State of Pará and Belém occupy the tenth and sixth position between the Federative Units and the Brazilian capitals, respectively, in the detection rate of human immunodeficiency virus (HIV). HIV infection has grown a mong young adolescents, even th ough the government media campaigns for HIV preventio n. From the year 1980 to the year 2013, the Northern Region presented a 111% increase in the detection rate among subjects aged 15 to 24 years. With the objective of designing more effective and timely health education campaigns against HIV infection in yo ung adolescents in the city of Belém, in this work I was PROPOSED in the foreground to outline the epidemiological profile for HIV infection or A cquired Immunodeficiency S yndrome (AIDS) among adolescents between the ages of 15 and 24 years for each of the administrative district of Belém, and secondly to evaluate the knowledge about HIV / AIDS among high school students of state schools in these administrative regions. The survey of the epidemiological profile will be done at the Center for Testing and Coun seling (CTA) of the Municipal Health Department of Belém (SESMA) using questionnaires filled by users, aged 15 to 24 years, whose tests were positive for HIV in the period between 2010 and 2015. The data were grouped by location of the user's residence. In order to assess the level of knowledge about HIV/A ids in high school students, semi - structured questionnaires with closed questions were used where the student has options to agree to the question, do not agree or mark "I do not know". It is hoped that th e results provided by this study will provide further subsidies to public health policies to combat HIV/ A ids . We hope that our findings will be sources for further studies and that they alert us to effective action in the fight against HIV in public school students by municipal, state and even federal agencies.
Acesso aberto (Open Access)
Conhecimento de enfermeiros da atenção primária à saúde sobre síndromes hipertensivas específicas da gestação
(Universidade Federal do Pará, 2020-08-27) SIQUEIRA, Lorena Saavedra; TAVARES, Roseneide dos Santos; http://lattes.cnpq.br/2302813977671086; https://orcid.org/0000-0003-4556-2683
The Specific Hypertensive Syndrome of Pregnancy (SHEG) is characterized by clinical manifestations such as hypertension and proteinuria, a symptom that manifests itself after the 20th week of pregnancy, is considered the first cause of maternal death in Brazil. In this context, through the inclusion of preventive and curative procedures and health promotion, prenatal care can be considered a protective factor for the health of pregnant women. The nurse is the health professional most qualified to identify, and perform the first care and referral for high-risk pregnant women to prenatal care if necessary. The nursing care practiced by the nurse is permeated by several knowledge and skills that have a strong influence on care during the puerperal pregnancy cycle. It is essential to know and understand pregnancy and its complications for measures to be taken in a timely manner to protect the health of the mother and fetus. Thus, the objective was to unveil the knowledge of nurses who attend prenatal care in basic health units about Specific Hypertensive Syndromes of Pregnancy in the city of Belém, state of Pará. A field research with a qualitative descriptive approach was carried out in the eight administrative districts of Belém, and the sample consisted of fifteen nurses who attend prenatal care in primary care, the collection was made through an oral and recorded interview, the analysis Data analysis was carried out through Bardin's Content Analysis, and to assist in processing, the IRAMUTEQ software was used as a tool that brings statistical rigor to qualitative research carried out according to Reinert's method, which uses the Descending Hierarchical Classification. In the results, four categories and three subcategories emerged. Category 1 “Main aspects about SHEG” with subcategories 1 and 2, respectively, “Knowledge of prenatal nurses about SHEG and its clinical manifestations”, “Preventive measures to reduce complications triggered by SHEG during prenatal care. primary ", category 2" Prenatal care in primary care of pregnant women with SHEG ", with subcategory 1" Factors associated with referral of pregnant women with SHEG to Obstetric Urgencies and Emergencies ", Category 3" Nurses' assistance to pregnant women diagnosed with SHEG "and Category 4" Nurses' knowledge about nutritional factors during pregnancy and the relationship with SHEG ". Nurses who work in prenatal care have knowledge about SHEG, however they have difficulties in its classification, describing the pathology in a more general way. In addition, some clinical signs such as edema are described as a diagnostic criterion, despite the literature demonstrate the opposite. Another relevant factor concerns the prevention of SHEG, where nurses describe healthy habits as protective factors, which according to the evidence only prevent complications that this pathology causes, besides, within the management, a strong tendency to refer to the pre-natural high-risk and obstetric emergencies, however there is no reference to the return of this woman to her unit of origin to share prenatal care as guided by women's health protocols. We concluded that most of the participants had been without training on prenatal care for a long time, which may be related to the outdated information about changes in protocols and inappropriate conduct. Through investigation, we understand the need for professional improvement of nurses on SHEG, and that the creation and use of care protocols based on the most current scientific evidence being addressed in the clinical practice of nurses are extremely important to guide the decision-making process and ensuring the provision of quality and safe care. In this context, we can say that nurses have knowledge about SHEG, however there are still many gaps regarding the proper classification of the pathology, the clinical management within primary care shows a difference in the procedures adopted despite the existence of national protocols.
Acesso aberto (Open Access)
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.
Desconhecido
A construção do cenário epidemiológico do HIV e AIDS na Colômbia: uma análise espaço-temporal
(Universidade Federal do Pará, 2020-02-06) RESTREPO, Jhon Fredy Montana; COUTO, Danielle Costa Carrara; http://lattes.cnpq.br/4583227212550116; https://orcid.org/0000-0003-3810-1686; BOTELHO, Eliã Pinheiro; http://lattes.cnpq.br/6276864906384922; https://orcid.org/0000-0002-9682-6530
The HIV and AIDS epidemic is a global health problem and has its own identity for each country, region and state. Spatial analysis techniques are useful as they allow situational diagnosis by correlating this with socio-political territorial factors that may contribute to the epidemic. However, during the literature review, no study of this nature was observed in Colombian territory. Objective: The present study analyzed the spatial and temporal distribution of the HIV and AIDS epidemic in Colombia from 2008 to 2016. Methodology: This is an ecological study using techniques of spatial analysis and time series, in which Secondary data collected from the National Health Institute and the National Statistics Department of Colombia were analyzed. The incidence rates of HIV and AIDS and AIDS Mortality were calculated and a descriptive analysis was performed using the Microsoft® Office Excel® 2013 program and the Minitab 18® program. For temporal analysis, the regression model of the Joinpoint® 4.7.0.0 program was used. In spatial analysis, global Moran spatial autocorrection was used, followed by local spatial autocorrelation indicators, bivariate Moran analyzes and Kernel density. Spatial analyzes were performed using ArcGis 10.3.1 and TerraView 4.2.2. Results: Men were most affected by the epidemic during the study period. The incidence rate of HIV and AIDS tended to increase, while the mortality rate showed stability. The age group with the highest incidence growth was 15 to 44 in men and over 65 in women. The mortality rate increased in the age group of 65 years or more, for both sexes. The expansion of the epidemic occurred in the extreme North and from the central region towards the northeast of Colombia, with the municipalities belonging to the “coffee axis” and the Caribbean region being the areas of greatest epidemiological pressure. Tourist municipalities, crossed by the main highways, with high human development index and demographic density had the highest incidences. Between 2014 and 2016 there was an increase in incidence in municipalities in the border area with Venezuela. Conclusion: The incidence of HIV and AIDS is higher in the most developed regions of Colombia and is beginning to expand in municipalities bordering Venezuela. Highways play a major role in the spread of HIV in Colombian territory. Implementation of health policies in these places is necessary to reduce HIV and AIDS.
Desconhecido
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/0000-0001-9364-4574
Objective: 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.