Débora Raquel Soares Guedes Trigueiro

Enfoque familiar e orientação para a comunidade no controle da tuberculose

This study aimed to describe tuberculosis control actions in the context of Family Health Teams, regarding the dimensions family focus and community orientation. A cross-sectional evaluative research was carried out in 2008, with 84 healthcare workers. The Primary Care Assessment Tool was used, validated and adapted to assess tuberculosis care in Brazil. Respondents answered each question according to a pre-determined scale, (Likerts scale) ranging from zero to five. Data were tabulated using the Statistical Package for the Social Sciences software and were analyzed according to frequency and median. In the first dimension, outcomes revealed that 67.9% of health workers evaluate contact cases with diagnostic tests; 63.1% use radiology tests; 64.3% include the household to face the disease; 77.4% identify risk factors; 41.7% interface with other sectors to find solutions for the identified problems. In the second dimension, 73.8% of them perform case search; 40.5% provide inputs for sputum collection; 50% take educational actions in the community; 14.3% recognize social participation in tuberculosis control. Therefore, the efficiency of such services requires taking actions that give special attention to family and community, and the development of skills to create new spaces for professionals to act and to strengthen the interface with other sectors of society.

Controle da tuberculose: descentralização, planejamento local e especificidades gerenciais

Buscou-se analisar, segundo a percepcao dos gestores de saude, as praticas que norteiam as acoes de controle da tuberculose, em municipios da regiao metropolitana de Joao Pessoa, PB. Trata-se de estudo qualitativo que envolveu oito profissionais que exerciam cargos de gestao. Os depoimentos foram coletados por meio de entrevista semiestruturada, entre maio e julho de 2009, e organizados mediante analise de conteudo. Embora se reconheca os beneficios da descentralizacao das acoes de controle da tuberculose, o planejamento local sinaliza a predominância de modelo burocratico restrito a negociacao e provisao de insumos. A programacao local centra-se na figura do coordenador, retratando uma linha de comando e gestao vertical que induzem a fragmentacao do processo de trabalho. A tarefa de gerenciar deve trilhar caminho inovador e transformador que ultrapasse as barreiras burocraticas e alcance o maior desafio que lhe e imposto: equilibrar as inter-relacoes profissionais no intuito de aperfeicoar o desempenho do trabalho em saude.The goal was to analyze, according to the perception of health managers, the practices that guide tuberculosis control actions in cities in the metropolitan region of João Pessoa - PB, Brazil. This qualitative study involved eight professionals in management functions. Testimonies were collected through semi-structured interviews between May and June 2009 and organized through content analysis. Despite the acknowledged benefits of tuberculosis control action decentralization, local planning indicates the predominance of a bureaucratic model that is restricted to negotiation and supplies. Local programming is centered on the coordinator, which shows a command line and vertical management that lead to the fragmentation of the work process. Management action should follow an innovative and transformative route that surpasses bureaucratic barriers and faces the biggest challenge it is proposed: to balance professional interrelations with a view to improving health work performance.

Maus-tratos a idosos: revisão integrativa da literatura

The study aimed to identify, through an integrative literature review, scientific knowledge, produced between 2005 and 2009 about the mistreatment of the elderly. It was selected sixteen studies in the data banks LILACS, SciELO and BDENF. Of the sixteen studies, 56.25% comprised original articles. The journal that published the most was the Public Health Journal (25%), being the majority of the studies from the Southeast (56.25%). The survey revealed that the physical violence was prevalent among the elderly; the home was the environment where aggression occurs more frequently; and family members were the main aggressors. Among the elderly attacked, it was observed that women are the victims most affected. These findings raise the development of other researches that might clarify the multiple dimensions of violence against the elderly.The study aimed to identify, through an integrative literature review, scientifi c knowledge, produced between 2005 and 2009 about the mistreatment of the elderly. It was selected sixteen studies in the data banks LILACS, SciELO and BDENF. Of the sixteen studies, 56.25% comprised original articles. The journal that published the most was the Public Health Journal (25%), being the majority of the studies from the Southeast (56.25%). The survey revealed that the physical violence was prevalent among the elderly; the home was the environment where aggression occurs more frequently; and family members were the main aggressors. Among the elderly attacked, it was observed that women are the victims most affected. These firaise the

Tuberculosis control: decentralization, local planning and management specificities

Buscou-se analisar, segundo a percepcao dos gestores de saude, as praticas que norteiam as acoes de controle da tuberculose, em municipios da regiao metropolitana de Joao Pessoa, PB. Trata-se de estudo qualitativo que envolveu oito profissionais que exerciam cargos de gestao. Os depoimentos foram coletados por meio de entrevista semiestruturada, entre maio e julho de 2009, e organizados mediante analise de conteudo. Embora se reconheca os beneficios da descentralizacao das acoes de controle da tuberculose, o planejamento local sinaliza a predominância de modelo burocratico restrito a negociacao e provisao de insumos. A programacao local centra-se na figura do coordenador, retratando uma linha de comando e gestao vertical que induzem a fragmentacao do processo de trabalho. A tarefa de gerenciar deve trilhar caminho inovador e transformador que ultrapasse as barreiras burocraticas e alcance o maior desafio que lhe e imposto: equilibrar as inter-relacoes profissionais no intuito de aperfeicoar o desempenho do trabalho em saude.The goal was to analyze, according to the perception of health managers, the practices that guide tuberculosis control actions in cities in the metropolitan region of João Pessoa - PB, Brazil. This qualitative study involved eight professionals in management functions. Testimonies were collected through semi-structured interviews between May and June 2009 and organized through content analysis. Despite the acknowledged benefits of tuberculosis control action decentralization, local planning indicates the predominance of a bureaucratic model that is restricted to negotiation and supplies. Local programming is centered on the coordinator, which shows a command line and vertical management that lead to the fragmentation of the work process. Management action should follow an innovative and transformative route that surpasses bureaucratic barriers and faces the biggest challenge it is proposed: to balance professional interrelations with a view to improving health work performance.

[Elderly maltreatment: integrative review of the literature].

The study aimed to identify, through an integrative literature review, scientific knowledge, produced between 2005 and 2009 about the mistreatment of the elderly. It was selected sixteen studies in the data banks LILACS, SciELO and BDENF. Of the sixteen studies, 56.25% comprised original articles. The journal that published the most was the Public Health Journal (25%), being the majority of the studies from the Southeast (56.25%). The survey revealed that the physical violence was prevalent among the elderly; the home was the environment where aggression occurs more frequently; and family members were the main aggressors. Among the elderly attacked, it was observed that women are the victims most affected. These findings raise the development of other researches that might clarify the multiple dimensions of violence against the elderly.The study aimed to identify, through an integrative literature review, scientifi c knowledge, produced between 2005 and 2009 about the mistreatment of the elderly. It was selected sixteen studies in the data banks LILACS, SciELO and BDENF. Of the sixteen studies, 56.25% comprised original articles. The journal that published the most was the Public Health Journal (25%), being the majority of the studies from the Southeast (56.25%). The survey revealed that the physical violence was prevalent among the elderly; the home was the environment where aggression occurs more frequently; and family members were the main aggressors. Among the elderly attacked, it was observed that women are the victims most affected. These firaise the

AIDS and jail: social representations of women in freedom deprivation situations.

OBJECTIVE To graspthe AIDS social representations built by freedom-deprived women. METHOD Descriptive study with a quali-quantitative approach that involved 174 convicted women in a womens prison in a capital city of the Brazilian northeastern region. Aword-association test was applied in October and November 2014, using AIDS as a stimulus. The corpuswas processed usingIramuteq software. Descending Hierarchical Classification and Correspondence Factor Analysis were applied. RESULTS The content that comprises the social representation of AIDS was influenced by the prison context, which was pervaded by a lack of assistance, lack of knowledge, discrimination, and suffering that disclosed vulnerability to HIV/AIDS factors such as unprotected sex and object sharing. This underlines the stigma and fear of the illness, in addition to favoring and supporting negative feelings and a sense of rejection. CONCLUSION To consider the use of this representational amalgam to ensure a comprehensive, contextualized care can help redirect practices, motivate self-care practices, and reduce prejudiced attitudes. OBJETIVO Apreenderas representações sociais sobre a aids construídas por mulheres privadas de liberdade. MÉTODO Estudo descritivo, com abordagem quali-quantitativa que envolveu 174 apenadas de Presídio Feminino situado em capital do nordeste brasileiro. Aplicou-se o Teste de Associação Livre de Palavras, em outubro e novembro de 2014, utilizando-se do estímulo aids. O corpus foi processado pelo software Iramuteq, sendo efetuadas a Classificação Hierárquica Descendente e Análise Fatorial de Correspondência. RESULTADOS Os conteúdos que compõem a representação social sobre aids são influenciados pelo contexto prisional, permeado dedesassistência, desconhecimento, discriminação e condições de sofrimento, revelando fatores de vulnerabilidade ao HIV/Aids como atividade sexual desprotegida e compartilhamento de objetos; reiterando o estigma e o temor à doença; e favorecendo e sustentando sentimentos negativos e de rejeição. CONCLUSÃO: Considerar este amálgama representacional na garantia de um cuidado integral e contextualizado pode contribuir para redirecionar práticas, motivar condutas de autocuidado e reduzir atitudes preconceituosas.OBJETIVO Apreenderas representacoes sociais sobre a aids construidas por mulheres privadas de liberdade. METODO Estudo descritivo, com abordagem quali-quantitativa que envolveu 174 apenadas de Presidio Feminino situado em capital do nordeste brasileiro. Aplicou-se o Teste de Associacao Livre de Palavras, em outubro e novembro de 2014, utilizando-se do estimulo aids. O corpus foi processado pelo software Iramuteq, sendo efetuadas a Classificacao Hierarquica Descendente e Analise Fatorial de Correspondencia. RESULTADOS Os conteudos que compoem a representacao social sobre aids sao influenciados pelo contexto prisional, permeado dedesassistencia, desconhecimento, discriminacao e condicoes de sofrimento, revelando fatores de vulnerabilidade ao HIV/Aids como atividade sexual desprotegida e compartilhamento de objetos; reiterando o estigma e o temor a doenca; e favorecendo e sustentando sentimentos negativos e de rejeicao. CONCLUSAO: Considerar este amalgama representacional na garantia de um cuidado integral e contextualizado pode contribuir para redirecionar praticas, motivar condutas de autocuidado e reduzir atitudes preconceituosas.

Integration of health services in the care of people living with aids: an approach using a decision tree

The care offer to people living with HIV/AIDS must transcend specialized outpatient services and include the participation of the Family Health Strategy. By understanding the importance of integration between these two points in the care network, the study aimed to build a decision support model to assist professionals of specialized health services in identifying behavior patterns in the use of Family Health Strategy services by people living with HIV/AIDS attended in the outpatient clinic. Thus, was proposed a model called decision tree, created from a database of 141 people with AIDS, users of a specialized outpatient clinic. The decision-making variable was the use of Family Health Strategy services by evaluating the integration of care. The model enabled the establishment of 23 rules with 80.1% hit percentage, what may support the decision-making of professionals in identifying situations in which it is necessary to stimulate the use of the Family Health Strategy by users.

SIDA y cárcel: representaciones sociales de mujeres en situación de privación de libertad

OBJECTIVE To graspthe AIDS social representations built by freedom-deprived women. METHOD Descriptive study with a quali-quantitative approach that involved 174 convicted women in a womens prison in a capital city of the Brazilian northeastern region. Aword-association test was applied in October and November 2014, using AIDS as a stimulus. The corpuswas processed usingIramuteq software. Descending Hierarchical Classification and Correspondence Factor Analysis were applied. RESULTS The content that comprises the social representation of AIDS was influenced by the prison context, which was pervaded by a lack of assistance, lack of knowledge, discrimination, and suffering that disclosed vulnerability to HIV/AIDS factors such as unprotected sex and object sharing. This underlines the stigma and fear of the illness, in addition to favoring and supporting negative feelings and a sense of rejection. CONCLUSION To consider the use of this representational amalgam to ensure a comprehensive, contextualized care can help redirect practices, motivate self-care practices, and reduce prejudiced attitudes. OBJETIVO Apreenderas representações sociais sobre a aids construídas por mulheres privadas de liberdade. MÉTODO Estudo descritivo, com abordagem quali-quantitativa que envolveu 174 apenadas de Presídio Feminino situado em capital do nordeste brasileiro. Aplicou-se o Teste de Associação Livre de Palavras, em outubro e novembro de 2014, utilizando-se do estímulo aids. O corpus foi processado pelo software Iramuteq, sendo efetuadas a Classificação Hierárquica Descendente e Análise Fatorial de Correspondência. RESULTADOS Os conteúdos que compõem a representação social sobre aids são influenciados pelo contexto prisional, permeado dedesassistência, desconhecimento, discriminação e condições de sofrimento, revelando fatores de vulnerabilidade ao HIV/Aids como atividade sexual desprotegida e compartilhamento de objetos; reiterando o estigma e o temor à doença; e favorecendo e sustentando sentimentos negativos e de rejeição. CONCLUSÃO: Considerar este amálgama representacional na garantia de um cuidado integral e contextualizado pode contribuir para redirecionar práticas, motivar condutas de autocuidado e reduzir atitudes preconceituosas.OBJETIVO Apreenderas representacoes sociais sobre a aids construidas por mulheres privadas de liberdade. METODO Estudo descritivo, com abordagem quali-quantitativa que envolveu 174 apenadas de Presidio Feminino situado em capital do nordeste brasileiro. Aplicou-se o Teste de Associacao Livre de Palavras, em outubro e novembro de 2014, utilizando-se do estimulo aids. O corpus foi processado pelo software Iramuteq, sendo efetuadas a Classificacao Hierarquica Descendente e Analise Fatorial de Correspondencia. RESULTADOS Os conteudos que compoem a representacao social sobre aids sao influenciados pelo contexto prisional, permeado dedesassistencia, desconhecimento, discriminacao e condicoes de sofrimento, revelando fatores de vulnerabilidade ao HIV/Aids como atividade sexual desprotegida e compartilhamento de objetos; reiterando o estigma e o temor a doenca; e favorecendo e sustentando sentimentos negativos e de rejeicao. CONCLUSAO: Considerar este amalgama representacional na garantia de um cuidado integral e contextualizado pode contribuir para redirecionar praticas, motivar condutas de autocuidado e reduzir atitudes preconceituosas.

Aids e cárcere: representações sociais de mulheres em situação de privação de liberdade

OBJECTIVE To graspthe AIDS social representations built by freedom-deprived women. METHOD Descriptive study with a quali-quantitative approach that involved 174 convicted women in a womens prison in a capital city of the Brazilian northeastern region. Aword-association test was applied in October and November 2014, using AIDS as a stimulus. The corpuswas processed usingIramuteq software. Descending Hierarchical Classification and Correspondence Factor Analysis were applied. RESULTS The content that comprises the social representation of AIDS was influenced by the prison context, which was pervaded by a lack of assistance, lack of knowledge, discrimination, and suffering that disclosed vulnerability to HIV/AIDS factors such as unprotected sex and object sharing. This underlines the stigma and fear of the illness, in addition to favoring and supporting negative feelings and a sense of rejection. CONCLUSION To consider the use of this representational amalgam to ensure a comprehensive, contextualized care can help redirect practices, motivate self-care practices, and reduce prejudiced attitudes. OBJETIVO Apreenderas representações sociais sobre a aids construídas por mulheres privadas de liberdade. MÉTODO Estudo descritivo, com abordagem quali-quantitativa que envolveu 174 apenadas de Presídio Feminino situado em capital do nordeste brasileiro. Aplicou-se o Teste de Associação Livre de Palavras, em outubro e novembro de 2014, utilizando-se do estímulo aids. O corpus foi processado pelo software Iramuteq, sendo efetuadas a Classificação Hierárquica Descendente e Análise Fatorial de Correspondência. RESULTADOS Os conteúdos que compõem a representação social sobre aids são influenciados pelo contexto prisional, permeado dedesassistência, desconhecimento, discriminação e condições de sofrimento, revelando fatores de vulnerabilidade ao HIV/Aids como atividade sexual desprotegida e compartilhamento de objetos; reiterando o estigma e o temor à doença; e favorecendo e sustentando sentimentos negativos e de rejeição. CONCLUSÃO: Considerar este amálgama representacional na garantia de um cuidado integral e contextualizado pode contribuir para redirecionar práticas, motivar condutas de autocuidado e reduzir atitudes preconceituosas.OBJETIVO Apreenderas representacoes sociais sobre a aids construidas por mulheres privadas de liberdade. METODO Estudo descritivo, com abordagem quali-quantitativa que envolveu 174 apenadas de Presidio Feminino situado em capital do nordeste brasileiro. Aplicou-se o Teste de Associacao Livre de Palavras, em outubro e novembro de 2014, utilizando-se do estimulo aids. O corpus foi processado pelo software Iramuteq, sendo efetuadas a Classificacao Hierarquica Descendente e Analise Fatorial de Correspondencia. RESULTADOS Os conteudos que compoem a representacao social sobre aids sao influenciados pelo contexto prisional, permeado dedesassistencia, desconhecimento, discriminacao e condicoes de sofrimento, revelando fatores de vulnerabilidade ao HIV/Aids como atividade sexual desprotegida e compartilhamento de objetos; reiterando o estigma e o temor a doenca; e favorecendo e sustentando sentimentos negativos e de rejeicao. CONCLUSAO: Considerar este amalgama representacional na garantia de um cuidado integral e contextualizado pode contribuir para redirecionar praticas, motivar condutas de autocuidado e reduzir atitudes preconceituosas.

A influência dos determinantes individuais no retardo do diagnóstico da tuberculose

Resumen pt: Analisa a influencia dos determinantes individuais sobre o padrao de utilizacao de servicos como definidora do intervalo de tempo que o doente de tubercu...