Antônio Medeiros Júnior

Experiência extramural em hospital público e a promoção da saúde bucal coletiva

OBJETIVO: Descrever a atividade docente assistencial, cujo objetivo e proporcionar experiencia de promocao da saude bucal coletiva a estudantes concluintes do curso de odontologia. METODOS: Tal experiencia fundamenta-se na avaliacao do desempenho do aluno, como educador em saude bucal, a medida que ele tem, entre outras tarefas, a de motivar pacientes internados e seus acompanhantes, na geracao de habitos saudaveis, visando a assistencia integral e mais humanizada do paciente hospitalizado. RESULTADOS: Os resultados mostraram que as metas desejadas foram atingidas, visto que a higiene bucal dos pacientes ja se tornou uma tarefa incorporada a rotina hospitalar, considerando-se os indices de biofilme dentario: inicial, 1,72; e final, 1,17, respectivamente. Essa diferenca, de acordo com a estatistica U-Mann-Whitney, mostrou-se significativa, pois o valor de p<0,0001 traduz o alto nivel de motivacao, alcancado pelo binomio mae-crianca, no que se refere a higiene oral. CONCLUSOES: Conclui-se que as experiencias de ensino-aprendizagem, oriundas das atividades interdisciplinares e multiprofissionais, tem permitido melhor entendimento do processo saude-doenca, por parte do aluno de odontologia. Servem ainda como oportunidade para o seu aprendizado sobre o planejamento e execucao de atividades educativo-preventivas, que complementam sua vivencia tecnico-profissional e despertam a sensibilidade social, tao necessaria a sua formacao academica.

Percepções e Sentimentos de Gestantes e Puérperas sobre a Pré-Eclâmpsia

Objetivo Compreender como gestantes e puerperas com pre-eclâmpsia, percebiam e vivenciavam a pre-eclâmpsia. Material e metodos Entrevistas e observacao foram realizadas entre fevereiro e junho de 2007, no ambulatorio e internamento de uma maternidade publica no Nordeste do Brasil, com 20 mulheres que apresentaram pre-eclâmpsia. A analise foi baseada na hermeneutica de Gadamer, com a construcao de categorias tematicas. Resultados As mulheres percebiam a gravidade e alguns riscos aos quais estavam expostas, porem conheciam pouco acerca da pre-eclâmpsia e suas consequencias e pouca informacao foi repassada pelos profissionais de saude que as acompanhavam. O sentimento mais presente entre elas foi o medo de morrer, de perder o bebe e o medo por nao conhecer a doenca. Conclusoes A percepcao da gravidade desta doenca somada a pouca informacao recebida durante o tratamento intensificou o medo destas mulheres. A adocao, por parte dos profissionais de saude, de uma maior humanizacao do pre-natal de alto risco, em especial em relacao a pre-eclâmpsia possibilitaria uma abordagem que considerasse a dimensao emocional das gestantes e puerperas durante as consultas.OBJECTIVE The present study was aimed at understanding how pregnant and postpartum women with preeclampsia perceived and experienced their condition. MATERIALS AND METHODS Interviews and observation were conducted with 20 women having preeclampsia between February and June 2007 in the outpatients department and hospitalisation ward of a public maternity hospital in north-eastern Brazil. The analysis was based on Gadamers hermeneutics, with construction of thematic categories. RESULTS The women were aware of the gravity and some of the risks to which they were exposed; however, they had little knowledge about preeclampsia and its consequences and little information was given by the health professionals who were treating them. The most present feeling among these women was fear of death, fear of miscarriage and fear caused by lack of information about the disease. CONCLUSIONS The perception of the gravity of the disease coupled to the little information given during treatment increased fear amongst these women. Health professionals making high risk prenatal assistance more humanised (especially regarding preeclampsia) could facilitate an approach which would take the diseases emotional dimension into account during pregnant and postpartum womens clinical appointments.

Educational opportunities for reflective practice

Objective: This paper aims to identify, during the educational process, the development of the ability to work in multidisciplinary team, during regular or electives disciplines, in the view of students. Methods: This is a descriptive study that used the procedure collects a semi-structured questionnaire directed to graduates of the School of Dentistry, Federal University of Rio Grande do Norte. The data were evaluated based on descriptive statistics. Results: The results indicate that interactions with the community in real-world scenarios, in the construction of everyday experiences and significant help in the reflective learning process. Conclusion: These practices are found in the Health and Citizenship discipline (SACI). It is an activity performed since 2000.2 and integrates actions of teaching, research and extension, based on dialogue between traditional and systematized knowledge, equally important in the relationship between education, health and citizenship.

Percepciones y sentimientos de mujeres gestantes y puérperas sobre la pre-eclampsia

Objetivo Compreender como gestantes e puerperas com pre-eclâmpsia, percebiam e vivenciavam a pre-eclâmpsia. Material e metodos Entrevistas e observacao foram realizadas entre fevereiro e junho de 2007, no ambulatorio e internamento de uma maternidade publica no Nordeste do Brasil, com 20 mulheres que apresentaram pre-eclâmpsia. A analise foi baseada na hermeneutica de Gadamer, com a construcao de categorias tematicas. Resultados As mulheres percebiam a gravidade e alguns riscos aos quais estavam expostas, porem conheciam pouco acerca da pre-eclâmpsia e suas consequencias e pouca informacao foi repassada pelos profissionais de saude que as acompanhavam. O sentimento mais presente entre elas foi o medo de morrer, de perder o bebe e o medo por nao conhecer a doenca. Conclusoes A percepcao da gravidade desta doenca somada a pouca informacao recebida durante o tratamento intensificou o medo destas mulheres. A adocao, por parte dos profissionais de saude, de uma maior humanizacao do pre-natal de alto risco, em especial em relacao a pre-eclâmpsia possibilitaria uma abordagem que considerasse a dimensao emocional das gestantes e puerperas durante as consultas.OBJECTIVE The present study was aimed at understanding how pregnant and postpartum women with preeclampsia perceived and experienced their condition. MATERIALS AND METHODS Interviews and observation were conducted with 20 women having preeclampsia between February and June 2007 in the outpatients department and hospitalisation ward of a public maternity hospital in north-eastern Brazil. The analysis was based on Gadamers hermeneutics, with construction of thematic categories. RESULTS The women were aware of the gravity and some of the risks to which they were exposed; however, they had little knowledge about preeclampsia and its consequences and little information was given by the health professionals who were treating them. The most present feeling among these women was fear of death, fear of miscarriage and fear caused by lack of information about the disease. CONCLUSIONS The perception of the gravity of the disease coupled to the little information given during treatment increased fear amongst these women. Health professionals making high risk prenatal assistance more humanised (especially regarding preeclampsia) could facilitate an approach which would take the diseases emotional dimension into account during pregnant and postpartum womens clinical appointments.