Andréa Carvalho Araújo Moreira

Promoção da saúde em ambientes hospitalares

Apresentam-se reflexoes acerca da pratica da promocao da saude em instituicoes hospitalares, abordando os aspectos que permeiam o ambiente hospitalar e dificultam a implementacao de estrategias para a promocao da saude nesses servicos. Discute-se o hospital como lugar estrategico para novas praticas, ressaltando-se acoes realizadas nesse espaco, que podem contribuir para efetivacao da promocao da saude dos clientes. Acredita-se que a promocao da saude tanto seja possivel quanto necessaria em ambientes hospitalares; e que as acoes desenvolvidas nesse sentido podem conduzir o individuo e sua familia na busca de uma melhor qualidade de vida.

Cross-cultural adaptation of the Caregiver Reaction Assessment for use in Brazil with informal caregivers of the elderly

This study aimed to carry out the cross-cultural adaptation of the Caregiver Reaction Assessment CRA for use in Brazil with informal caregivers of dependent elderly METHOD A methodological study, of five steps: initial translation, synthesis of translations, retro-translation, evaluation by a judge committee and a pre-test, with 30 informal caregivers of older persons in Fortaleza, Brazil. Content validity was assessed by five experts in gerontology and geriatrics. The cross-cultural adaptation was rigorously conducted, allowing for inferring credibility. RESULTS The Brazilian version of the CRA had a simple and fast application (ten minutes), easily understood by the target audience. It is semantically, idiomatically, experimentally and conceptually equivalent to the original version, with valid content to assess the burden of informal caregivers for the elderly (Content Validity Index = 0.883). CONCLUSION It is necessary that other psychometric properties of validity and reliability are tested before using in care practice and research.UNLABELLED This study aimed to carry out the cross-cultural adaptation of the Caregiver Reaction Assessment CRA for use in Brazil with informal caregivers of dependent elderly METHOD A methodological study, of five steps: initial translation, synthesis of translations, retro-translation, evaluation by a judge committee and a pre-test, with 30 informal caregivers of older persons in Fortaleza, Brazil. Content validity was assessed by five experts in gerontology and geriatrics. The cross-cultural adaptation was rigorously conducted, allowing for inferring credibility. RESULTS The Brazilian version of the CRA had a simple and fast application (ten minutes), easily understood by the target audience. It is semantically, idiomatically, experimentally and conceptually equivalent to the original version, with valid content to assess the burden of informal caregivers for the elderly (Content Validity Index = 0.883). CONCLUSION It is necessary that other psychometric properties of validity and reliability are tested before using in care practice and research.

Health promotion in hospital settings

Apresentam-se reflexoes acerca da pratica da promocao da saude em instituicoes hospitalares, abordando os aspectos que permeiam o ambiente hospitalar e dificultam a implementacao de estrategias para a promocao da saude nesses servicos. Discute-se o hospital como lugar estrategico para novas praticas, ressaltando-se acoes realizadas nesse espaco, que podem contribuir para efetivacao da promocao da saude dos clientes. Acredita-se que a promocao da saude tanto seja possivel quanto necessaria em ambientes hospitalares; e que as acoes desenvolvidas nesse sentido podem conduzir o individuo e sua familia na busca de uma melhor qualidade de vida.

A percepção do idoso com diabetes acerca de sua doença e o cuidado de enfermagem/ The perception of the elderly with diabetes on their disease and the nursing care

A Diabetes tornou-se um importante problema de Saude Publica, frente ao envelhecimento populacional. O enfermeiro deve dispor de um atendimento holistico no cuidado aos idosos diabeticos, visando a sua qualidade de vida. Objetivou-se conhecer a percepcao dos idosos com diabetes sobre essa doenca e o cuidado de enfermagem na atencao basica. Trata-se de uma pesquisa exploratoria descritiva com abordagem qualitativa, realizada no municipio de Sobral-CE, em outubro de 2013. Participaram 13 idosos, que foram entrevistados por meio de visitas domiciliares. Apos a realizacao da tecnica de analise tematica, emergiram como categorias: Percepcoes dos idosos acerca do diabetes; Autocuidado do idoso com diabetes; O olhar dos idosos com diabetes sobre o cuidado de enfermagem na atencao basica. Percebeu-se que os idosos nao tinham um conhecimento adequado sobre a doenca, mas adotam praticas de autocuidado por reconhecer as complicacoes da doenca na sua qualidade de vida. Sobre os cuidados de enfermagem, observou-se nos discursos diferentes opinioes com relacao ao estabelecimento de vinculos entre enfermeiros-idosos. Portanto, aponta-se a necessidade de investir em acoes de educacao em saude, alem de superar as fragilidades da assistencia de enfermagem, ja que o estabelecimento de vinculos entre profissionais e usuarios e um fator determinante no processo de cuidar.

Adaptación Transcultural Del Caregiver Reaction Assessment Para Empleo En Brasil Con Cuidadores Informales De Ancianos

This study aimed to carry out the cross-cultural adaptation of the Caregiver Reaction Assessment CRA for use in Brazil with informal caregivers of dependent elderly METHOD A methodological study, of five steps: initial translation, synthesis of translations, retro-translation, evaluation by a judge committee and a pre-test, with 30 informal caregivers of older persons in Fortaleza, Brazil. Content validity was assessed by five experts in gerontology and geriatrics. The cross-cultural adaptation was rigorously conducted, allowing for inferring credibility. RESULTS The Brazilian version of the CRA had a simple and fast application (ten minutes), easily understood by the target audience. It is semantically, idiomatically, experimentally and conceptually equivalent to the original version, with valid content to assess the burden of informal caregivers for the elderly (Content Validity Index = 0.883). CONCLUSION It is necessary that other psychometric properties of validity and reliability are tested before using in care practice and research.UNLABELLED This study aimed to carry out the cross-cultural adaptation of the Caregiver Reaction Assessment CRA for use in Brazil with informal caregivers of dependent elderly METHOD A methodological study, of five steps: initial translation, synthesis of translations, retro-translation, evaluation by a judge committee and a pre-test, with 30 informal caregivers of older persons in Fortaleza, Brazil. Content validity was assessed by five experts in gerontology and geriatrics. The cross-cultural adaptation was rigorously conducted, allowing for inferring credibility. RESULTS The Brazilian version of the CRA had a simple and fast application (ten minutes), easily understood by the target audience. It is semantically, idiomatically, experimentally and conceptually equivalent to the original version, with valid content to assess the burden of informal caregivers for the elderly (Content Validity Index = 0.883). CONCLUSION It is necessary that other psychometric properties of validity and reliability are tested before using in care practice and research.

Adaptação transcultural do Caregiver Reaction Assessment para uso no Brasil com cuidadores informais de idosos

This study aimed to carry out the cross-cultural adaptation of the Caregiver Reaction Assessment CRA for use in Brazil with informal caregivers of dependent elderly METHOD A methodological study, of five steps: initial translation, synthesis of translations, retro-translation, evaluation by a judge committee and a pre-test, with 30 informal caregivers of older persons in Fortaleza, Brazil. Content validity was assessed by five experts in gerontology and geriatrics. The cross-cultural adaptation was rigorously conducted, allowing for inferring credibility. RESULTS The Brazilian version of the CRA had a simple and fast application (ten minutes), easily understood by the target audience. It is semantically, idiomatically, experimentally and conceptually equivalent to the original version, with valid content to assess the burden of informal caregivers for the elderly (Content Validity Index = 0.883). CONCLUSION It is necessary that other psychometric properties of validity and reliability are tested before using in care practice and research.UNLABELLED This study aimed to carry out the cross-cultural adaptation of the Caregiver Reaction Assessment CRA for use in Brazil with informal caregivers of dependent elderly METHOD A methodological study, of five steps: initial translation, synthesis of translations, retro-translation, evaluation by a judge committee and a pre-test, with 30 informal caregivers of older persons in Fortaleza, Brazil. Content validity was assessed by five experts in gerontology and geriatrics. The cross-cultural adaptation was rigorously conducted, allowing for inferring credibility. RESULTS The Brazilian version of the CRA had a simple and fast application (ten minutes), easily understood by the target audience. It is semantically, idiomatically, experimentally and conceptually equivalent to the original version, with valid content to assess the burden of informal caregivers for the elderly (Content Validity Index = 0.883). CONCLUSION It is necessary that other psychometric properties of validity and reliability are tested before using in care practice and research.

Diagnóstico e tratamento da sífilis: uma investigação com mulheres assistidas na atenção básica em Sobral, Ceará

A sifilis e uma DST que acomete praticamente todos os orgaos e sistemas, e, apesar de ter tratamento eficaz e de baixo custo, mantem-se como problema de saude publica ate os dias atuais. Nas mulheres, a sua incidencia e elevada e o controle e um desafio devido as implicacoes sociais e de genero. Objetivo: conhecer a vivencia de mulheres portadoras de sifilis, acompanhadas pela Estrategia de Saude da Familia no municipio de Sobral, Ceara.Metodos: trata-se de um estudo qualitativo, do tipo exploratorio, envolvendo sete mulheres que estavam em tratamento ou acompanhamento de sifilis emuma Unidade Basica de Saude do municipio de Sobral. As informacoes foram coletadas mediante a aplicacao de entrevista semiestruturada com as referidas mulheres e os resultados foram analisados conforme a tecnica de categorizacao das falas das participantes. A pesquisa atendeu as exigencias eticas ecientificas fundamentais para o trabalho com seres humanos. Resultados: os resultados foram analisados em tres categorias: conhecimento sobre a doenca,sentimentos despertados e dificuldades enfrentadas diante da sifilis. Constatou-se que as participantes desconhecem a doenca e a ocorrencia da sifilis resulta em impacto negativo para a vida das mulheres em relacao ao seu convivio social e ao seu relacionamento familiar, principalmente com o parceiro sexual.Conclusao: o diagnostico de uma DST, particularmente da sifilis, para a maioria das mulheres, resulta em sentimentos negativos e receio de serem alvode preconceito por parte do parceiro sexual e da sociedade, podendo acarretar alteracoes emocionais e psicologicas nas pessoas acometidas com a doenca. Syphilis is a sexually transmitted disease which affects almost all organs and systems of our body. Although it has an affective and low costtreatment, it remains a public health problem until nowadays. It has a high incidence among women and its control is a big challenge because of the socialimplications. Objective: to know the experience of women who carry syphilis, accompanied by the family health system in the city of Sobral. Methods:this is an exploratory qualitative study involving seven women who were undergone to a syphilis treatment in a health center in Sobral. The information was collected by means of a semi-structured interview and the results were analyzed according to a categorizing technique of their speeches. The researchhas met the scientific and ethical requirements for a work involving people. Results: the results were analyzed according to three categories: the knowledge about the disease, impressions about syphilis and difficulties faced due to Syphilis. It was found that the participants do not know much about that disease and its incident results in a negative impact on womens lives, involving their social coexistence and their family relationships, mainly their partners.Conclusion: the diagnostic of a sexually transmitted disease, particularly syphilis, for most women, results in negative feelings and fear of being a target of prejudice from their partners and society, resulting on psychological and emotional problems.

Promoción de la salud en ambientes hospitalarios

Apresentam-se reflexoes acerca da pratica da promocao da saude em instituicoes hospitalares, abordando os aspectos que permeiam o ambiente hospitalar e dificultam a implementacao de estrategias para a promocao da saude nesses servicos. Discute-se o hospital como lugar estrategico para novas praticas, ressaltando-se acoes realizadas nesse espaco, que podem contribuir para efetivacao da promocao da saude dos clientes. Acredita-se que a promocao da saude tanto seja possivel quanto necessaria em ambientes hospitalares; e que as acoes desenvolvidas nesse sentido podem conduzir o individuo e sua familia na busca de uma melhor qualidade de vida.