Programa de Pós-Graduação em Enfermagem - PPGENF/ICS

URI Permanente desta comunidadehttps://repositorio.ufpa.br/handle/2011/4814

O Programa de Pós-Graduação em Enfermagem (PPGENF) do Instituto de Ciências da Saúde (ICS) da Universidade Federal do Pará (UFPA). O Programa tem por objetivo formar Enfermeiros Pesquisadores com uma visão global do cuidado de enfermagem numa compreensão da realidade amazônica para as práticas de atenção à saúde nos serviços e no ensino com base em fundamentações teóricas e metodológicas críticas para o cuidado humano, contribuindo, assim, para a reorganização dos Serviços de Saúde, repercutindo no âmbito político, econômico e social da região amazônica.

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    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.
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    Literacia para a saúde do cuidador informal na pandemia de COVID-19 no contexto amazônico
    (Universidade Federal do Pará, 2023-11-10) ARAÚJO, Lucianne do Socorro Nascimento de; SOUSA, Fabianne de Jesus Dias de; http://lattes.cnpq.br/9925044069366557; https://orcid.org/0000-0002-8151-3507
    Introduction: It is a priority to include the health literacy of informal caregivers in public health policies, with potential benefits for the health of the caregiver and the care provided to the elderly. This study aimed to evaluate the health literacy of informal caregivers of elderly people cared for in a university hospital during the COVID-19 pandemic. Methods: Cross-sectional, observational, descriptive, correlational and quantitative approach with 37 informal caregivers of elderly people treated at the Geriatrics Service of the Hospital Universitário João de Barros Barreto. The following instruments were used: sociodemographic and European Health Literacy Survey Questionnaire. For data processing and analysis, we used the statistical programs Epi Info version 7.2.5.0 (Centers for Disease Control and Prevention, Atlanta, United States) and GraphPad Prism version 8. Regarding descriptive statistics, the following were performed: absolute and relative frequencies for all variables and, in the case of numerical variables, we calculate the mean, median, standard deviation, minimum and maximum, with their respective 95% Confidence Intervals. In inferential statistics, the non-parametric chi-square tests of adherence were applied for univariate categorical comparison and G test for bivariate categorical comparisons. Considering the numerical comparisons, ANOVA 1 criterion was used since they met the assumptions of normality (assessed by the Bartlett test). An alpha statistical significance level of 5% was considered for all analyzes carried out. Results: Of the 37 informal caregivers, they were women (91.8%) with an average age of 48 years, married (62.1%), with high school education (43.2%), living in the same house with the elderly person being cared for (45, 9%) with good health status (54.0%) self-report that the provision of care to the elderly was not affected (56.7%), they take care of one person (45.9%), their father/mother (64 .8%). As for the elderly people cared for, the majority were women (72.9%) with an average age of 78.2 (±13.2) years. The LS of informal caregivers was 21.7, proving to be inadequate. The domain with the best score was “Health Promotion” (23.6) and “Disease Prevention” (20.1), the worst. Conclusion: The results showed that the health literacy of informal caregivers is inadequate, highlighting the need for educational actions for this population with a view to improving the care provided to elderly people.
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    O protagonismo da prevenção de quedas por idosos na perspectiva de promoção da saúde de Nola Pender
    (Universidade Federal do Pará, 2019-07-11) RODRIGUES, Ana Rafaela Souza; POLARO, Sandra Helena Isse; http://lattes.cnpq.br/7875594038005793; https://orcid.org/0000-0001-5026-5080; GONÇALVES, Lucia Hisako Takase; http://lattes.cnpq.br/6191152585879205; https://orcid.org/0000-0001-5172-7814
    INTRODUCTION: Falling in the elderly represents a public health problem, since it manifests itself in high prevalence, presents multi­causality and is one of the geriatric syndromes. It is important to emphasize the importance of nursing to develop safe practices directed to the factors that influence the health behaviors of the elderly. OBJECTIVES: To apply the Pender Health Promotion Model in the Nursing process to the elderly with risk factors for falls; Evaluate health behavior safety promoters against falls; Explore self­efficacious practices of safe behaviors in the face of the event falls. METHODOLOGY: The study was characterized by a descriptive research with a qualitative approach, such as Research Convergent Care. This study was carried out with 7 elderly residents of the Guamá ­ Belém / PA district who are users of public services. The data were obtained through the application of the nursing process, having for analysis, the sources: (a) Nursing History; (b) The application of the Photovoice technique; (c) International Classification for Nursing Practice ­ CIPE; d) Planning, debates and synthesis of each of the four focal group meetings. RESULTS: Health behaviors according to MPS are summarized in three categories and their subcategories: 1 Characteristics, Individual experience: Risk behavior for falls, Consequence of falls and Learning with falls; 2 Specific Behavior: Influential self­perception for falls, Interpersonal influences that affect the behavior of others, Wishes for changes that will contribute to the prevention of falls; 3 Behavioral Result: Self­efficacious fall prevention and positive action / suggestion assessment. The self efficacious practices exercised during the application of the nursing process resulted in initial changes in behavior regarding life habits such as: paying more attention to where to walk, wandering slowly and looking at the floor, do not be ashamed to ask for help. CONCLUSION: The demonstration of the health behavior of the elderly has influence coming from the experiences of fall. Although being users of public services, no influences from educational programs were perceived. Regarding the observed behavioral changes of self­efficacious practices, some positive life habits were observed, however, socioeconomic and family barriers make it difficult to prevent falls in the elderly, especially in the context studied.
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