Ana Cristina Freire Abud

Epidemiological aspects of dengue in Aracaju, State of Sergipe, Brazil

INTRODUCTIONnThe dengue fever remains to be a disease of serious public health concern, and its incidence has increased in the past decades. This study aimed to characterize the epidemiological incidence of dengue in the period 2001-2010.nnnMETHODSnThis is an epidemiological study of dengue in the municipality of Aracaju, state of Sergipe, in the period between 2001 and 2010, whose data were obtained from the Information System of Diseases Notifications. A descriptive analysis of the number of confirmed cases of dengue, according to year, semester, sanitary district, age, and sex, was performed.nnnRESULTSnThere were 16,462 confirmed cases, especially in 2008, which obtained the highest incidence of the disease, with 10,485 confirmed cases. The first semester obtained the highest registration of cases during the years of research; this was predominated by females between 15 and 49 years old. With regard to the territorial distribution, the second district of the municipality obtained the highest number of cases.nnnCONCLUSIONSnIn 2008, in the City of Aracaju, SE, a significant increase in the proportion of dengue cases compared with other years was verified. However, a fast decline in the other years was observed, possibly because of the intensification of preventive actions to combat the mosquito that transmits the dengue virus.

Factors associated with the humanization of care in a public maternity

RESUMO Objetivo : identificar fatores associados a humanizacao da assistencia durante o trabalho de parto, parto e nascimento. Metodo : estudo quanti-qualitativo, transversal, descritivo, realizado em uma maternidade publica. Foi utilizado formulario para a coleta de dados. Os dados foram analisados por meio de estatistica simples e testes de associacao e pela tecnica de Analise de conteudo. Resultados : participaram do estudo 373 puerperas com idade media de 26 anos, pardas, com baixa escolaridade e baixa renda. Houve associacao significante entre a presenca do acompanhante e liberdade para fazer perguntas; baixa escolaridade e menor informacao; parto vaginal e desrespeito por parte dos profissionais; mulheres brancas e presenca do acompanhante com maior satisfacao. Quanto a percepcao para melhoria da assistencia, emergiram as categorias: ambiencia, privacidade, informacao, respeito, garantia do acompanhante e desejo pela cirurgia cesariana. Conclusao : a adequada estrutura fisica e dimensionamento de pessoal qualificado sao necessarios para garantir a assistencia baseada em evidencias, centrada na mulher, visando a garantia dos seus direitos. Descritores : Satisfacao do Paciente; Assistencia a Saude; Humanizacao da Assistencia; Maternidades; Parto; Enfermagem Obstetrica. ABSTRACT Objective : To identify factors associated with the humanization of care during labor, delivery and birth. Method : this is a quantitative, cross-sectional, descriptive study carried out in a public maternity hospital. A form for data collection was used. Data were analyzed using simple statistics and association tests and by the Content Analysis technique. Results : there were 373 postpartum women with a mean age of 26 years old, with low educational level and low income participating in the study. There was a significant association between the presence of the companion and the freedom to ask questions; low education level and less information; vaginal delivery and disrespect by the professionals; white women and presence of the companion with greater satisfaction. Concerning the perception for better care, the following categories emerged: ambience, privacy, information, respect, the right of a companion, and desire for cesarean surgery. Conclusion : Adequate physical structure and skilled staffing are needed to ensure evidence-based, women-centered assistance to ensure their rights. Descriptors : Patient Satisfaction; Delivery of Health Care; Humanization of assistance; Hospitals, Maternity; Parturition; Obstetric Nursing. RESUMEN Objetivo : identificar factores asociados a la humanizacion de la asistencia durante el trabajo de parto, parto y nacimiento. Metodo : estudio cuanti-cualitativo, transversal, descriptivo, realizado en una maternidad publica. Fue utilizado um formulario para la recoleccion de datos. Los datos fueron analizados por medio de estadistica simple y tests de asociacion y por la tecnica de Analisis de contenido. Resultados : participaron del estudio 373 puerperas con edad media 26 anos, pardas, con baja escolaridad y baja renta. Hubo asociacion significante entre la presencia del acompanante y libertad para hacer preguntas; baja escolaridad y menor informacion; parto vaginal y falta de respeto por parte de los profesionales; mujeres blancas y presencia del acompanante con mayor satisfaccion. Sobre la percepcion para mejoria de la asistencia, surgieron las categorias: ambiente, privacidad, informacion, respeto, garantia del acompanante y deseo por la cirugia de cesaria. Conclusion : la adecuada estructura fisica y dimensionamiento de personal calificado son necesarios para garantizar la asistencia basada en evidencias, centrada en la mujer, visando la garantia de sus derechos. Descriptores : Satisfaccion del Paciente; Prestacion de Atencion de Salud; Humanizacion de la Atencion; Maternidades; Parto; Enfermeria Obstetrica.