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 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 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)
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)
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)
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)
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.
Acesso aberto (Open Access)
Crianças com transtorno do espectro autista: os desafios do cuidado e tecnologias cuidativas na ótica dos profissionais de saúde
(Universidade Federal do Pará, 2023-11-08) SILVA JÚNIOR, Marco Antônio Mesquita da; POLARO, Sandra Helena Isse; http://lattes.cnpq.br/7875594038005793; https://orcid.org/0000-0001-5026-5080
Autism Spectrum Disorder (ASD) is a behavioral syndrome with developmental, behavioral and social interaction disorders. Care technologies, used by the multidisciplinary team, are strategies that seek to promote satisfactory results in social interaction, behavior and breaking stereotypical routines. The study aims to reveal the challenges that permeate the care of health professionals who care for children with ASD and to learn about the care technologies used in the care of health professionals who care for children with ASD. This is a descriptive study with a qualitative approach, carried out between July and August 2023. 17 health professionals were interviewed. The data were analyzed from the perspective of Bardin's content analysis technique and processed by the software Interface de R pour les Analyzes Multidimensionnelles de Textes et de Questionnaires. The results of processing the Iramuteq software identified 6 classes and, through semantic grouping, three thematic categories emerged: “Techniques and strategies used in the intervention and behavioral management of children with ASD”; “Challenges in providing care to children with ASD” and “Role of the family in caring for children with ASD: Challenges, Acceptance and Overcoming”. It is concluded that it is essential to adopt multidisciplinary approaches, which integrate techniques, technologies, specialized clinical care, family support and integration into the social context, to promote comprehensive care for children with ASD.
Acesso aberto (Open Access)
Os determinantes sociais, a infecção pelo HIV e a AIDS em uma capital na Amazônia brasileira: análise espacial e temporal
(Universidade Federal do Pará, 2021-05-21) DIAS, Bruna Rafaela Leite; BOTELHO, Eliã Pinheiro; http://lattes.cnpq.br/6276864906384922; https://orcid.org/0000-0002-9682-6530; POLARO, Sandra Helena Isse; http://lattes.cnpq.br/7875594038005793
Almost 40 years after its discovery, the Human Immunodeficiency Virus (HIV) continues to be a challenge for public health worldwide. In Brazil, the states of the Northern region have the greatest impact of the HIV epidemic, with a continuous increase in detection rates. This study aimed to perform the spatial and temporal analysis of the incidence of HIV infection and AIDS, and its relationship with social determinants. Ecological study employing secondary data of cases reported to the Notifiable Diseases Information System (SINAN), in the period 2007- 2018, of individuals living in the city of Belém/PA. Temporal analysis was performed using Box and Jenkins methodology. For the spatial analysis, incidence was analyzed using autocorrelation and spatial regression techniques, Kernel density to study the expansion of the HIV epidemic in the city, and sweep statistics to identify clusters of risk. During the study period, 6,007 new cases of HIV/AIDS were reported to SINAN. Time series analysis revealed stability of incidence from 2007 until October 2016, followed by an upward trend. Starting in January 2017, incidence rates showed irregular fluctuations until the end of December 2018. Seasonal behavior was observed for the forecast from 2019 to 2022. High incidence clusters were located in the central and transitional areas of Bethlehem. The epidemic progressed from 2007-2010 to 2015-2018. The spatial high-risk zone for HIV was observed in the transition zone (RR = 3.65; 95% CI = 2.47 - 5.34; p = 0.00016), while the spatiotemporal high-risk zone was observed in the central, transition and expansion zones (RR = 4.24; 95% CI = 3.92 - 4.52; p = 0.000). Incidence rates were directly correlated to Family Health Strategy (FHS) coverage (adjusted R² = 0.38). The upward trend observed in the incidence rates of HIV infection and AIDS in Belém may be correlated with the efforts of public policies to combat the virus. However, the irregular behavior in incidence rates from 2017 and the seasonal behavior revealed in the forecasts suggest a loosening in public health policies. This study provides subsidies for the development of public health strategies to combat HIV.
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.
Acesso aberto (Open Access)
Educação interprofissional na formação em saúde do curso de graduação em enfermagem
(Universidade Federal do Pará, 2022-08-01) SANTOS, Sávio Felipe Dias; FERREIRA, Glenda Roberta Oliveira Naiff; http://lattes.cnpq.br/7459094802051187; https://orcid.org/0000-0002-8206-4950; OLIVEIRA, Marília de Fátima Vieira de; http://lattes.cnpq.br/7030765721580568; https://orcid.org/0000-0003-4303-9434
Objective: in general, the study proposed to know, within the scope of the Pedagogical Projects of the undergraduate nursing course of public universities, contents that address Interprofessional Education, in relation to the specific character, the study sought to characterize the undergraduate courses in of public federal, state and municipal universities, regarding the regional distribution and the curricular proposal in relation to Interprofessional Education and also to analyze the Curricular Pedagogical Projects of the undergraduate nursing course and the factors/aspects related to the offer of Interprofessional Education. Method: this is an observational, cross-sectional study that carried out a survey based on documentary sources (Curricular Pedagogical Projects). The data source was the Ministry of Education's electronic platform and took place during the period of March and April 2022 from a data collection instrument, the eligibility of the institutions that would be part of the scope of the research were undergraduate nursing courses, in a baccalaureate degree, in the face-to-face modality, that was in activity and with the Curricular Pedagogical Projects available at the electronic address. In relation to the analysis, non-parametric tests were used for categorical and normality variables to choose the test of quantitative variables, and to verify if there was a difference in the proportion, the chi-square tests and the G test were used. Results: they were part of the results 88 Higher Education Institutions Out of the 140 institutions found in the Ministry of Education database, of this sample, 47 (53.4%) were from federal public institutions, 34 (38.6%) from state public institutions and 7 (8%) of municipal institutions. Of this total, only 13 presented Interprofessional Education based on their Pedagogical and Curricular Projects, being divided, in Brazil, 5 Institutions (38.4%) in the northeast region and 2 Institutions (15.4%) in each of the other regions and the administrative category of this group were presented as follows, 7 Institutions (53.8%) were federal public and 6 Institutions (46.2%) were state public. On the other hand, regarding the administrative aspects/concepts of the course and the offer of EIP, only the type of course offer was related to the offer of EIP, with statistical significance (p=0.02), on the other hand, the proportion of EIP offered was higher among the offer of annual courses (28.1%) when compared to the semester (7.1%). Conclusion: implementing Interprofessional Education in national education and health policies is an essential process for the theoretical and methodological structure of the curricula and, consequently, for the curricular projects of undergraduate courses in health and nursing, since the training of these professionals must ensure a better health care.
Acesso aberto (Open Access)
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.
Acesso aberto (Open Access)
Educação permanente para a melhoria da qualidade e segurança do paciente em hospital público acreditado
(Universidade Federal do Pará, 2023-01-10) PARENTE, Angeline do Nascimento; CARNEIRO, Marcia Simão; http://lattes.cnpq.br/3702559186954581; https://orcid.org/0000-0001-7732-1310
Introduction: hospital accreditation requires hospitals to reach organizational levels of excellence. To achieve accreditation, it is necessary to promote improvements in the quality of care, thus, educational activities stand out. The development of Permanent Education is still a challenge for health care institutions when carrying out actions with the aim of training, updating and developing human resources to promote safe, quality, humanized, harm-free care and focused on patient safety. Goal: to understand the challenges faced by Permanent Education to achieve quality improvement and patient safety in an accredited public hospital in the state of Pará. Methodology: this is a single integrated case study, carried out at the Holy House of Mercy of Pará Foundation Hospital, with a descriptive, cross-sectional and qualitative approach. The Case Study methodology proposed by Robert K. Yin was used. Data collection took place through semi-structured interviews with 22 professionals. The interviews were audio-recorded on a Smartphone, with an average of 22 minutes and 40 seconds, later they were completely transcribed, analyzed and interpreted through Bardin's thematic content analysis, in the light of Paulo Freire’s ideas. The IRAMUTEQ software (Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires) was used to analyze the textual corpus and the BioEstat 5.3 software was applied to analyze the participants’ profile. Data collection took place in June 2022. Results: most participants were women (90.9%), with a mean age of 43.7 years; average time of professional experience of 18.1 years; working time at the institution was 11.4 years; 81.8% were nurses; and 77.3% had a lato sensu graduate degree. It was generated three analyzes by IRAMUTEQ: word cloud, similarity analysis and Descending Hierarchical Classification (CHD). It was obtained five classes, which originated three categories: Challenges faced by Permanent Education to guarantee the process of continuous improvement; Permanent Education for the promotion of quality and patient safety in the context of hospital accreditation; and Educational strategies for improving quality and patient safety. Conclusion: there are challenges inherent to Permanent Education in Health (PEH) actions, such as resistance to change, adherence to activities, high turnover of professionals and difficulty in releasing workers to participate in activities. In addition, PEH proved to be fundamental in promoting a culture of quality and safety, thus contributing to hospital accreditation. The results also pointed out to strategies for carrying out PEH activities such as the use of realistic simulation, carrying out educational activities in loco, in all work shifts and promoting remote educational activities (online).
Acesso aberto (Open Access)
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)
Enfermeiros empreendedores de negócios no Brasil: perfil socioprofissional e de formação
(Universidade Federal do Pará, 2022-08-01) PONTES, Emily Silva; TRINDADE, Letícia de Lima; http://lattes.cnpq.br/4855649408920925; https://orcid.org/0000-0002-7119-0230; MENEGAZ, Jouhanna do Carmo; http://lattes.cnpq.br/2423764452219953; https://orcid.org/0000-0002-7655-9826
Objective: to analyze socioprofessional and training characteristics of business entrepreneurs nurses in Brazil. Method: cross-sectional, exploratory and descriptive study, with a quantitative approach; it is presented as a clipping of the macro-research project entitled Nurses Entrepreneurs of Business in Brazil: labor market and training that aims to investigate entrepreneurial entrepreneurship in Brazilian nursing and aspects of its training. A total of 185 business-entrepreneur nurses in Brazil participated, using a non-probabilistic sampling technique for convenience. An online questionnaire was used for data collection, elaborated in theSurveyMonkey Program, with a link to the Free and Informed Consent Term. Data were analyzedusing descriptive statistical analysis, where quantitative variables were presented by mean, standard deviation and central tendency and categorical variables were described by absolute and relative frequencies. Results: business entrepreneur nurses presente
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Ensino-aprendizagem em saúde mental e psiquiatria: percepção dos alunos da graduação em enfermagem
(Universidade Federal do Pará, 2017-03-09) FREITAS, Karina Faine da Silva; OLIVEIRA, Marília de Fátima Vieira de; http://lattes.cnpq.br/7030765721580568; https://orcid.org/0000-0003-4303-9434
The purpose of this study is to understand the student's perception about the teaching learning process in curricular activities: Nursing in Mental Health and Psychiatry and Semi Internship in Nursing II, identifying weaknesses in the training process. The philosophical theoretical support is based on the libertanting pedagogical conception of Paulo Freire, as well as, it is anchored in authors and documents that discuss the proposed theme. Fourteen graduating students had participated in the curricular activities of Nursing in Mental Health and Psychiatry and Semi-Internship in Nursing II, ministered respectively in the 4th and 9th semesters of the Nursing Course-UFPA, divided between two sessions, the first one composed of four Students and the second session of ten students. Data collection was realized in September and October 2015, throught the technique of group interviews, via the focal group. The data obtained were analyzed following the steps proposed by John W. Creswell (2010), from which four important thematic units appeared: "The critical-curious look for the classes of Mental Health and Psychiatry"; "The Pedagogical dimension"; "Learning in relation to Mental Health and Psychiatry"; "The stigma in relation to the psychiatric patient". The results revealed that the students perceive their training process and critically contemplate the ways of teaching in mental health and psychiatry, and recognize that the way in which the content is worked makes difference in the teaching-learning process. It is inferred, that for teachers it is still a challenge to understand the pedagogical action and the role they play in this process, recognizing the demands and requirements that determine the formation process, as well as, respect for the autonomy of the students. Through this study we perceive the need to consolidate the training of nurses from the perspective of SUS, in order to know the devices of the Psychosocial Attention Network and the precepts of the Psychiatric Reform. The results indicate the need to overcome the pontual formation of mental health, however, it should favor an academic environment that fosters the topic of discussion in all curricular activities because it is a transversal theme and takes place throughout the living process of the human being. It was possible to understand through the praxis, the process of reflection on the action and the critical posture, that the environment changes and people are transformed.
Acesso aberto (Open Access)
Epidemia do HIV e os determinantes sociais em saúde entre jovens no contexto amazônico: análise geograficamente ponderada e projeções temporais
(Universidade Federal do Pará, 2022-07-11) PEDROSO, Andrey Oeiras; NOGUEIRA, Laura Maria Vidal; http://lattes.cnpq.br/9020674768816530; https://orcid.org/0000-0003-0065-4509; BOTELHO, Eliã Pinheiro; http://lattes.cnpq.br/6276864906384922; https://orcid.org/0000-0002-9682-6530
Introduction: In Brazil, the HIV/AIDS detection rate (/100,000 inhab.) showed a decrease in the general population of 17.2%, from 2009 (21.5) to 2019 (17.8). However, this rate increased substantially among the young population, which had the highest detection rate in the country, 52.0 (/100,000 inhab.) (BRASIL, 2020a). This advance on the young population is due to obstructions, discrimination, inequalities, stigmas and social and health inequities, intrinsic vulnerabilities of this population stratum that enhance their chances of becoming infected with HIV. However, the risk of HIV infection cannot be conditioned only to the individual, since behaviors are directly influenced by socioeconomic territorial factors that exceed the individual. Despite all the advancement of HIV among young people, there is a scarcity of studies aimed at analyzing the impact of Social Determinants of Health (SDH) on the epidemic in this age group. Objective: To analyze temporally and spatially the HIV epidemic among young people in the State of Pará. Methods: An ecological study that analyzed HIV/AIDS cases diagnosed between 2007 and 2018 in Pará, Brazil. An exploratory analysis was performed using descriptive statistics. The temporal projections (2019-2022) used mixed method, ARIMA + STL in the RStudio software. For the spatial analysis, we used statistical scanning techniques to obtain the Relative Risk (RR), with a confidence interval of 95%; Moran's autocorrelation statistic considering statistically significant (p < 0.05) for building the LISAMap in ArcGIS software. In SPSS software, we developed models from Ordinary Least Squares (OLS) and later by Geographically Weighted Regression (GWR), with spatial analysis of residuals, with the help of MGWR and ArcGIS software. Results: Of the 8,143 cases analyzed, 47.97% were young people between 25 and 29 years old, men (66.46%), mixed race (76.95%), living in urban areas (85.20%) and heterosexuals (54 .41%). An expansion of HIV among young people in Pará was identified, with a temporal projection of increase for young people aged 20-24 years. Spatial variability of DSS: 'Basic Education Development Index'; doctors per 10,000 inhabitants and municipal high school abandonment (MHSA) rate were associated with the risk of HIV infection among young people. The relative risk showed spatial variability. Conclusions: The SDH associated with HIV risk among young people in Pará, show social particularities of HIV in the study region and should be considered in the formulation of policies to reach the global goal of eliminating AIDS by 2030 among young people.