Aurélio Molina da Costa

Avaliação da qualidade de vida de mulheres no climatério atendidas em hospital-escola na cidade do Recife, Brasil

PURPOSE to evaluate quality of life of climacteric women attended at a school hospital in Recife, Pernambuco, Brazil, adopting the Medical Outcome Study 36-item Short Form Health Survey (MOS SF-36 Health Survey) and the Womens Health Questionnaire (WHQ), as well as the modified Blatt-Kupperman index. METHODS according to a descriptive, transversal study, 233 women, assisted from February to June 2006, were evaluated. Within a convenience sample, the inclusion criteria were age from 40 to 65 years old and agreement in participating of the research, excluding previous history of bilateral oophorectomy, hormonal therapy in the last semester and uncontrolled illnesses. The sample size was calculated admitting a prevalence of climacteric symptoms of 4% and a precision of 2.5%. The variables were: general health and physical and mental components based on the MOS SF-36 Health Survey; quality of health based on the WHQ and climacteric symptoms according to the modified Blatt-Kupperman index. Data were analyzed by the Statistical Package for Social Sciences, version 13.0 software. RESULTS the quality of life was classified as bad. Based on the MOS SF-36 Health Survey, there was more damage in the mental component (18.53 versus 27.77% for physical components), higher losses in social functions (80.28%) and limitations for emotional problems (78.61%). According to WHQ, there were limitations due to sleep disturbances (69.77%), somatic (69.15%) and vasomotor symptoms (68.80%), considering regular sexual function and menstrual symptoms. Estrogenic deficiency symptoms were found in 53% of the women. The increase of hypoestrogenism symptoms were followed by worsening of general and menopausal health. CONCLUSIONS it seemed reasonable to assume that menopause, for the researched women, was really configured as a biopsychosocial event, more than organic, derived predominantly from estrogenic deficiency.

Changes in family structure and regret following tubal sterilization

Tubal sterilization is one of the contraceptive methods whose use has increased the most in Brazil, but a growing number of women have expressed regret after the procedure. A case-control study was conducted at the Centro Integrado de Saúde Amaury de Medeiros (CISAM), Recife, Pernambuco, Brazil, in 1997 to investigate the association between changes in family structure and request for or submittal to surgical reversal of tubal sterilization, comparing 304 sterilized women who had requested or submitted to reversal of tubal sterilization and 304 women who were also sterilized but had not requested, had not submitted to, and who did not wish to submit to reversal. The simple and adjusted odds ratios were estimated using logistic regression. The results of the current study showed that death of children, partners without children prior to the current union, and partner change after tubal sterilization were associated with the request for or submittal to reversal of tubal sterilization. More strict criteria are suggested in the indication of tubal sterilization, including an in-depth profile of the woman requesting tubal sterilization and identification of risk factors for future regret.

Tubal ligation regret and related risk factors: findings from a case-control study in Pernambuco State, Brazil

A case-control study was carried out at a public teaching hospital in Recife, Pernambuco State, Brazil in 1997 to investigate risk factors among women who feel regret after undergoing sterilization through tubal ligation. The study compared sterilized women who had requested or undergone a tubal reversal with women who were also sterilized but had not undergone this surgery, nor had requested to do so. Women showing a significantly greater probability of regret were those sterilized at a young age, those who had not themselves made the decision to undergo surgery , those for whom the sterilization was carried out up to the 45th day after childbirth and those who had acquired knowledge about contraceptive methods after the tubal ligation procedure. Having had a deceased child, a partner with no children prior to the current union or a change of partner after the tubal sterilization procedure were also associated to the request for or submission to tubal sterilization reversal. It is necessary to assess womens psycho-socio-demographic profiles, their reasons for requesting tubal ligation and to advise the patient about family planning in order to reduce rates of post-sterilization regret.

Cuidados de enfermagem aos indivíduos soropositivos: reflexão à luz da fenomenologia

This reflective study aimed to discuss nursing care to patients with HIV/AIDS in the light of phenomenology. It deals with the humanization of care of HIV-positive individuals and how nursing professionals should act in order to achieve it. Comprehensive health services provided by qualified professionals that take into consideration users’ emotional, social and cultural aspects can improve patients’ quality of life, treatment adherence and increase life expectancy. The use of phenomenological concepts was essential to understand the relationship between patient and professional practice. The method allowed researchers to identify aspects of patients’ everyday life by sharing their experiences.

Climacteric: intensity of symptoms and sexual performance

El presente estudio tuvo como objetivo investigar la asociacion entre la intensidad de los sintomas del climaterio y el patron de la actividad sexual de mujeres durante este periodo del ciclo vital. Estudio transversal realizado entre julio y septiembre de 2011 con la participacion 260 mujeres de un programa de actividad fisica que se encontraban en el climaterio. Se evaluaron las mujeres con el indice menopausico Kupperman y Cociente Sexual. Para el analisis estadistico se utilizo: el promedio, la desviacion estandar, los porcentajes y la Prueba Exacta de Fisher. Las mujeres con estandar de desempeno sexual bueno/excelente, mayoritariamente, reportaron sintomas leves en el indice menopausico, y las que tenian un patron malo/desfavorable tuvieron tasas altas de manifestaciones moderadas y graves. Los sintomas de intensidad leve se asociaron con un mejor patron de rendimiento sexual, demostrando que los cambios en este indice tienen fuerte relacion con la intensidad de los sintomas.

Cuidado de enfermagem à sexualidade da mulher no climatério: reflexões sob a ótica da fenomenologia

Trata-se de estudo reflexivo que discute o cuidado oferecido por profissionais de enfermagem as mulheres no climaterio em relacao a sexualidade das mesmas a luz da percepcao fenomenologica. A utilizacao do metodo fenomenologico possibilitou compreender melhor a relacao da pratica de profissionais de saude com as mulheres, parecendo-nos fundamental para a compreensao do seu cotidiano, a partir do conhecimento de suas vivencias e no compartilhamento de suas experiencias. Sao tambem discutidas questoes acerca da humanizacao do cuidado em saude e como este deve ser realizado pelos profissionais de enfermagem nessa fase da vida que e rodeada de mitos. Pode-se observar que a prestacao de servicos por meio de profissionais qualificados e capacitados, quando realizado do modo integral, isto e, considerando toda a subjetividade do usuario, como os aspectos emocionais, sociais e culturais, podem proporcionar melhoria na qualidade de vida.(AU)

Climaterio: la gravedad de los síntomas y el desempeño sexual

El presente estudio tuvo como objetivo investigar la asociacion entre la intensidad de los sintomas del climaterio y el patron de la actividad sexual de mujeres durante este periodo del ciclo vital. Estudio transversal realizado entre julio y septiembre de 2011 con la participacion 260 mujeres de un programa de actividad fisica que se encontraban en el climaterio. Se evaluaron las mujeres con el indice menopausico Kupperman y Cociente Sexual. Para el analisis estadistico se utilizo: el promedio, la desviacion estandar, los porcentajes y la Prueba Exacta de Fisher. Las mujeres con estandar de desempeno sexual bueno/excelente, mayoritariamente, reportaron sintomas leves en el indice menopausico, y las que tenian un patron malo/desfavorable tuvieron tasas altas de manifestaciones moderadas y graves. Los sintomas de intensidad leve se asociaron con un mejor patron de rendimiento sexual, demostrando que los cambios en este indice tienen fuerte relacion con la intensidad de los sintomas.

CLIMATÉRIO: A INTENSIDADE DOS SINTOMAS E O DESEMPENHO SEXUAL

El presente estudio tuvo como objetivo investigar la asociacion entre la intensidad de los sintomas del climaterio y el patron de la actividad sexual de mujeres durante este periodo del ciclo vital. Estudio transversal realizado entre julio y septiembre de 2011 con la participacion 260 mujeres de un programa de actividad fisica que se encontraban en el climaterio. Se evaluaron las mujeres con el indice menopausico Kupperman y Cociente Sexual. Para el analisis estadistico se utilizo: el promedio, la desviacion estandar, los porcentajes y la Prueba Exacta de Fisher. Las mujeres con estandar de desempeno sexual bueno/excelente, mayoritariamente, reportaron sintomas leves en el indice menopausico, y las que tenian un patron malo/desfavorable tuvieron tasas altas de manifestaciones moderadas y graves. Los sintomas de intensidad leve se asociaron con un mejor patron de rendimiento sexual, demostrando que los cambios en este indice tienen fuerte relacion con la intensidad de los sintomas.

Sexual performance and climacteric symptoms in women who perform physical activity

Objetivo: investigar a associacao entre o padrao de desempenho sexual e a intensidade dos sintomas do climaterio em mulheres que realizam atividade fisica. Metodo: estudo descritivo de corte transversal realizado com 260 mulheres entre 40 e 65 anos de idade no periodo de julho a setembro de 2011. Para coleta de dados utilizou-se um questionario semiestruturado, o Indice Menopausal de Blatt & Kupperman e o Quociente Sexual - versao feminina. O tratamento dos dados incluiu teste de associacoes de Qui-quadrado e Exato de Fisher. Resultados: as mulheres com o padrao de desempenho sexual bom/excelente, avaliadas pelo QS-F, foram as que mais no IMBK, apresentaram manifestacoes leves. Dentre as que apresentaram um padrao de desempenho sexual ruim/desfavoravel encontraram-se maiores escores de manifestacoes moderadas e intensas. A associacao entre as duas escalas se mostrou significativa (p<0,001). Conclusao: o padrao do desempenho sexual esta associado a sintomatologia do climaterio

Qualidade de vida: percepção de idosos de uma unidade de saúde da família

Objective: to investigate the perception of a group of elderly in a Family Health Unit of Recife/PE, about quality of life. Method: qualitative study, conducted with ten elderly during home visits in April 2011, using semi-structured interview using a voice recorder. The material was analyzed through content analysis technique. Results: three categories were extracted: the definition of what is quality of life for the elderly, the significance of the loss of functional capacity and autonomy and the importance of home and family relationships. Conclusion: emerged clearly from the perception of older people that for them the quality of life is conditioned by the absence of disease, possession of a good financial resources, access to health services and family support to carry out their daily activities and caring