Andréia da Silva Gustavo

A integração ensino-serviço como estratégia na formação profissional para o SUS

Trata-se de um relato de experiencia relativo as estrategias e acoes adotadas para a integracao ensino-servico, com a finalidade de contribuir no processo de formacao profissional na area da saude, em consonância com as diretrizes e principios do Sistema Unico de Saude (SUS). O trabalho aborda as descobertas, os avancos, as potencialidades, as dificuldades e os pontos criticos encontrados, assim como as experiencias bem-sucedidas e a sustentabilidade vivenciada no contexto da Atencao Primaria a Saude com os programas Pro-Saude e PET-Saude.

Alimentary habits, physical activity, and Framingham global risk score in metabolic syndrome.

Background Metabolic syndrome is a complex disorder represented by a set of cardiovascular risk factors. A healthy lifestyle is strongly related to improve Quality of Life and interfere positively in the control of risk factors presented in this condition. Objective To evaluate the effect of a program of lifestyle modification on the Framingham General Cardiovascular Risk Profile in subjects diagnosed with metabolic syndrome. Methods A sub-analysis study of a randomized clinical trial controlled blind that lasted three months. Participants were randomized into four groups: dietary intervention + placebo (DIP), dietary intervention + supplementation of omega 3 (fish oil 3 g/day) (DIS3), dietary intervention + placebo + physical activity (DIPE) and dietary intervention + physical activity + supplementation of omega 3 (DIS3PE). The general cardiovascular risk profile of each individual was calculated before and after the intervention. Results The study included 70 subjects. Evaluating the score between the pre and post intervention yielded a significant value (p < 0.001). We obtained a reduction for intermediate risk in 25.7% of subjects. After intervention, there was a significant reduction (p < 0.01) on cardiovascular age, this being more significant in groups DIP (5.2%) and DIPE (5.3%). Conclusion Proposed interventions produced beneficial effects for reducing cardiovascular risk score. This study emphasizes the importance of lifestyle modification in the prevention and treatment of cardiovascular diseases.

Work-related stress according to the demand-control model and minor psychic disorders in nursing workers

This was a cross-sectional study that aimed to assess the association between work-related stress according to the Demand-Control Model, and the occurrence of Minor Psychic Disorder (MPD) in nursing workers. The participants were 335 professionals, out of which 245 were nursing technicians, aged predominantly between 20 and 40 years. Data were collected using the Job Stress Scale and the Self-Reporting Questionnaire-20. The analysis was performed using descriptive and analytical statistics. The prevalence of suspected MPD was 20.6%. Workers classified in the quadrants active job and high strain of the Demand-Control Model presented higher potential for developing MPD compared with those classified in the quadrant low strain. In conclusion, stress affects the mental health of workers and the aspects related to high psychological demands and high control still require further insight in order to understand their influence on the disease processes of nursing workers.

Morse Fall Scale: tradução e adaptação transcultural para a língua portuguesa

The study aimed to translate and adapt the Morse Fall Scale from English into the Portuguese language. This was performed in seven steps: authorization by the author of the scale; translation into Portuguese; evaluation and structuring of the translated scale; reverse translation into English; evaluation and validation of the scale by a committee of experts; evaluation of clarity of items and operational definitions with 45 professionals; evaluation of agreement between raters and the reliability of reproducibility, related to data from the evaluation of 90 patients, performed by four evaluators/judges. The clarity of the scale was considered very satisfactory, with a confidence interval of 73.0% to 100% in the option very clear. For the concordance of responses, the results showed Kappa coefficients of approximately 0.80 or higher. It was concluded that the adaptation of the scale was successful, indicating that its use is appropriate for the population of Brazilian patients.The study aimed to translate and adapt the Morse Fall Scale from English into the Portuguese language. This was performed in seven steps: authorization by the author of the scale; translation into Portuguese; evaluation and structuring of the translated scale; reverse translation into English; evaluation and validation of the scale by a committee of experts; evaluation of clarity of items and operational definitions with 45 professionals; evaluation of agreement between raters and the reliability of reproducibility, related to data from the evaluation of 90 patients, performed by four evaluators/judges. The clarity of the scale was considered very satisfactory, with a confidence interval of 73.0% to 100% in the option very clear. For the concordance of responses, the results showed Kappa coefficients of approximately 0.80 or higher. It was concluded that the adaptation of the scale was successful, indicating that its use is appropriate for the population of Brazilian patients.

Burden of asthma among inner-city children from Southern Brazil

Abstract Objective: To assess the impact of asthma in a population of inner-city Brazilian children. Methods: In a cross-sectional study, we selected children with asthma and healthy controls from public schools (8–16 years) from a capital city of Southern Brazil. Divided into three phases, questionnaires were administered, assessing lung function, body mass index and allergic sensitization. Results: From 2500 children initially included in the study (48.4% males; mean age of 11.42 ± 2.32 years), asthma prevalence was detected in 28.6% (715/2500). The disease was not controlled in 42.7% (305/715) of the children, with 7.6% of hospitalization rate. School absenteeism (at least one day of missing school because of asthma) and sedentary behavior were high (57.1 and 67.2%, respectively), with 47.9% of subjects requiring oral steroids in the previous year, and physical well-being significantly lower than controls, directly interfering with quality of life, and therefore in the daily activities of these students. Moreover, 38% of the parents admitted to being non-adherent to treatment with their children and 31.1 and 53.6%, respectively, believed that rescue medication and exercise might be harmful. Conclusions: The burden of asthma in Brazilian children seems to be substantial. New international guidelines with a special focus in developing countries settings, with more pragmatic approaches, should be a priority for discussion and implementation actions.

Morse fall scale: translation and transcultural adaptation for the portuguese language

The study aimed to translate and adapt the Morse Fall Scale from English into the Portuguese language. This was performed in seven steps: authorization by the author of the scale; translation into Portuguese; evaluation and structuring of the translated scale; reverse translation into English; evaluation and validation of the scale by a committee of experts; evaluation of clarity of items and operational definitions with 45 professionals; evaluation of agreement between raters and the reliability of reproducibility, related to data from the evaluation of 90 patients, performed by four evaluators/judges. The clarity of the scale was considered very satisfactory, with a confidence interval of 73.0% to 100% in the option very clear. For the concordance of responses, the results showed Kappa coefficients of approximately 0.80 or higher. It was concluded that the adaptation of the scale was successful, indicating that its use is appropriate for the population of Brazilian patients.The study aimed to translate and adapt the Morse Fall Scale from English into the Portuguese language. This was performed in seven steps: authorization by the author of the scale; translation into Portuguese; evaluation and structuring of the translated scale; reverse translation into English; evaluation and validation of the scale by a committee of experts; evaluation of clarity of items and operational definitions with 45 professionals; evaluation of agreement between raters and the reliability of reproducibility, related to data from the evaluation of 90 patients, performed by four evaluators/judges. The clarity of the scale was considered very satisfactory, with a confidence interval of 73.0% to 100% in the option very clear. For the concordance of responses, the results showed Kappa coefficients of approximately 0.80 or higher. It was concluded that the adaptation of the scale was successful, indicating that its use is appropriate for the population of Brazilian patients.

Prevalência de flebites em pacientes adultos com cateter venoso periférico

Objective: To determine the prevalence of phlebitis and its association with sociodemographic characteristics and related to the peripheral venous catheter in adults admitted in a university hospital. Method: A cross-sectional study with a sample of 231 patients with peripheral venous access. Results: The prevalence of phlebitis was 24.7%, with higher concentration in grade 2 with 35.1%. Considering the degree, it was found statistically significant (p = 0.006) of Grade 1 phlebitis (92.3%) and 2 (65.0%) with a time of catheter 72 hours and phlebitis grade 3 (63.6 %) and Grade 4 (69.2%) had spent more than 72 hours. Conclusion: High prevalence of phlebitis in patients is worrying. Discussing these references with the nursing staff, establish indicators of the prevalence of phlebitis can be an important strategy for monitoring nursing care/health

Situação vacinal e associação com a qualidade de vida, a funcionalidade e a motivação para o autocuidado em idosos

O estudo tem por objetivo identificar a situacao vacinal de idosos quanto as vacinas antinfluenza, a dupla tipo adulto, constituida dos toxicoides tetânico e difterico, e a antipneumococica polissacarridea 23 valente, relacionando-a com aspectos demograficos, com a qualidade de vida, o indice de funcionalidade e a motivacao para o autocuidado. O estudo e do tipo transversal, com uma amostra de 509 idosos. A media de idade foi de 70,30 anos e predominou o genero feminino. A situacao vacinal foi: antinfluenza - 76,4%; dupla adulto - 73,9%; e antipneumococica polissacarridea 23 valente - 6,7 %. Nao se constatou uma diferenca significativa na relacao da prevalencia das vacinas com o genero, mas houve uma diferenca consideravel entre os grupos que fizeram ou nao a vacina dupla adulto e alguns dominios de Qualidade de Vida. Os resultados tambem evidenciaram uma diferenca significativa na independencia funcional entre o grupo que recebeu e o grupo que nao recebeu a vacina antipneumococica polissacarridea 23 valente.

Asthma treatment in children and adolescents in an urban area in southern Brazil: popular myths and features.

Objective: To describe the frequency of popular myths about and features of asthma treatment in children and adolescents in an urban area in southern Brazil. Methods: The parents or legal guardians of public school students (8-16 years of age) completed a specific questionnaire regarding their understanding of asthma, asthma control, and treatment characteristics. The sample included parents or legal guardians of students with asthma (n = 127) and healthy controls (n = 124). Results: The study involved 251 parents or legal guardians, of whom 127 (68.5%) were the mothers and 130 (51.8%) were White. The mean age of these participants was 38.47 ± 12.07 years. Of the participants in the asthma and control groups, 37 (29.1%) and 26 (21.0%), respectively, reported being afraid of using asthma medications, whereas 61 (48%) and 56 (45.2%), respectively, believed that using a metered dose inhaler can lead to drug dependence. However, only 17 (13.4%) and 17 (13.7%) of the participants in the asthma and control groups, respectively, reported being afraid of using oral corticosteroids. In the asthma group, 55 students (43.3%) were diagnosed with uncontrolled asthma, only 41 (32.3%) had a prescription or written treatment plan, and 38 (29.9%) used asthma medications regularly. Conclusions: Popular myths about asthma treatment were common in our sample, as were uncontrolled asthma and inappropriate asthma management. Further studies in this field should be conducted in other developing countries, as should evaluations of pediatric asthma treatment programs in public health systems.

Idealização e realidade no trabalho da enfermeira em unidades especializadas

The research aimed at analyzing the nurses work organization in specialized hospital sectors, and at knowing her conception about the activities in the clinical model of the health care. Through semi-structured interviews, it was found that activities change according to care complexity. The nurse has freedom of action in her routine, which is made in the interdependence relationship of health professionals. The articulating role developed by the nurse related to the physicians work and also to the other institution services was identified. It was confirmed that caring and managing are the nurses work dimensions, which change according to the activities specification in the different specialized units.The research aimed at analyzing the nurses work organization in specialized hospital sectors, and at knowing her conception about the activities in the clinical model of the health care. Through semi-structured interviews, it was found that activities change according to care complexity. The nurse has freedom of action in her routine, which is made in the interdependence relationship of health professionals. The articulating role developed by the nurse related to the physicians work and also to the other institution services was identified. It was confirmed that caring and managing are the nurses work dimensions, which change according to the activities specification in the different specialized units. Descriptors: nursing; nurses role; nursing services Title: Idealization and reality at the nurses work in specialized hospital sectors ResumenThe research aimed at analyzing the nurses work organization in specialized hospital sectors, and at knowing her conception about the activities in the clinical model of the health care. Through semi-structured interviews, it was found that activities change according to care complexity. The nurse has freedom of action in her routine, which is made in the interdependence relationship of health professionals. The articulating role developed by the nurse related to the physicians work and also to the other institution services was identified. It was confirmed that caring and managing are the nurses work dimensions, which change according to the activities specification in the different specialized units.