Eliane de Fátima Almeida Lima

Fatores de risco para mortalidade neonatal no município de Serra, Espírito Santo

Objetivou-se analisar os fatores de risco associados a mortalidade neonatal no municipio de Serra, ES. Realizou-se estudo de coorte nao concorrente, utilizando a tecnica de Linkage que pareou os 32.275 nascidos vivos com 273 obitos neonatais ocorridos no periodo de 2001 a 2005, utilizando-se dados do SINASC e SIM. Apos os ajustes na regressao logistica, os fatores associados a mortalidade foram: maes sem instrucao, idade materna 35 anos, nascer em hospital publico, nenhuma consulta de pre-natal, peso ao nascer.The objective was to analyze the risk factors associated with neonatal mortality in the city of Serra, ES. We studied non-concurrent cohort, using the technique of Linkage that relate the 32.275 live births with 273 neonatal deaths occurred in the period from 2001 to 2005, using data from SINASC and SIM. After adjustments in the logistic regression, factors associated with mortality were: uneducated mothers, maternal age <15 years and > 35 years old, born in a public hospital, no prenatal consultation, birth weight.

Diagnósticos de enfermagem relacionados aos efeitos adversos da radioterapia

Radiotherapy is frequently used in cancer treatment, but it often causes several adverse effects, both immediate and late ones. Objective: To construct nursing diagnoses related to the adverse effects of radiotherapy. Methodology: This is a descriptive, exploratory study, consisting of three stages: literature review on the adverse effects of radiotherapy using textbooks on oncology, and fully available articles from Lilacs and Bdenf databases; selection of empirical indicators, and construction of the nursing diagnoses, according to the ICNP® 2011. Results: 97 diagnoses were constructed considering five different adverse effects (xerostomia, radiodermatitis, trismus, mucositis, and osteoradionecrosis). Conclusion: The previously elaborated diagnoses will be able to guide adequate interventions, allowing for individualized care, and contributing for the effective establishment of the nursing consultation at the Radiotherapy sector.Radiotherapy is frequently used in cancer treatment, but it often causes several adverse effects, both immediate and late ones. Objective: To construct nursing diagnoses related to the adverse effects of radiotherapy. Methodology: This is a descriptive, exploratory study, consisting of three stages: literature review on the adverse effects of radiotherapy using textbooks on oncology, and fully available articles from Lilacs and Bdenf databases; selection of empirical indicators, and construction of the nursing diagnoses, according to the ICNP® 2011. Results: 97 diagnoses were constructed considering five different adverse effects (xerostomia, radiodermatitis, trismus, mucositis, and osteoradionecrosis). Conclusion: The previously elaborated diagnoses will be able to guide adequate interventions, allowing for individualized care, and contributing for the effective establishment of the nursing consultation at the Radiotherapy sector.

Risk factors for neonatal mortality in the city of Serra, Espírito Santo

Objetivou-se analisar os fatores de risco associados a mortalidade neonatal no municipio de Serra, ES. Realizou-se estudo de coorte nao concorrente, utilizando a tecnica de Linkage que pareou os 32.275 nascidos vivos com 273 obitos neonatais ocorridos no periodo de 2001 a 2005, utilizando-se dados do SINASC e SIM. Apos os ajustes na regressao logistica, os fatores associados a mortalidade foram: maes sem instrucao, idade materna 35 anos, nascer em hospital publico, nenhuma consulta de pre-natal, peso ao nascer.The objective was to analyze the risk factors associated with neonatal mortality in the city of Serra, ES. We studied non-concurrent cohort, using the technique of Linkage that relate the 32.275 live births with 273 neonatal deaths occurred in the period from 2001 to 2005, using data from SINASC and SIM. After adjustments in the logistic regression, factors associated with mortality were: uneducated mothers, maternal age <15 years and > 35 years old, born in a public hospital, no prenatal consultation, birth weight.

Which factors influence women in the decision to breastfeed

OBJECTIVE Identify the factors that influence women in the decision to breastfeed. METHODS Integrative review. Information was gathered from original articles, case studies, theoretical studies, consensus and systematic reviews published between 2007-2013 in Spanish, Portuguese and English and recovered in the databases MEDLINE and LILACS. The descriptors used in this study were: breastfeeding, maternal behavior, risk factors, lactation and newborn. RESULTS Were included 30 articles, grouped into five categories. Factors influencing the decision of the breastfeeding woman are a convergence of breastfeedings advantages, benefits and justifications, family, social and professional support, sociodemographic and clinical characteristics of women, personal experience and family tradition and personal choice. CONCLUSION The decision to breastfeed by women is influenced by a convergence of factors. It is essential the role of nursing to encourage women in the decision to initiate and maintain breastfeeding her child.

PREVALÊNCIA E FATORES ASSOCIADOS À VIOLÊNCIA DOMÉSTICA: ESTUDO EM UMA MATERNIDADE DE ALTO RISCO

Objective: to describe the prevalence of domestic violence among postpartum women treated at a high-risk maternity hospital, and to examine the association of these conditions with the demographic, socioeconomic and reproductive variables. Method: cross-sectional study, carried out with 302 postpartum women. The data were collected through interviews from a structured script with questions about the characterization of the participants and an instrument to identify violence, the Abuse Assessment Screen. Results: among the interviewees, 43% reported experiencing mistreatment throughout their lives, 7.6% were victims of physical violence in the last year, and 4.6% were in a situation of physical violence during their pregnancy. Women aged between 31-43 years old (PR: 1.5; 1.1-2.1), having three or more gestations (PR: 1.8; 95% IC: 1.2-2.7) and evangelical women (PR: 1.6 95% CI: 1.1-2.3) more often experienced mistreatment in life. The absence of a partner was associated with a history of physical violence in the last year and during gestation (p<0.05). Conclusion: this study reaffirms that violence is a phenomenon that is present in women’s lives, including during the gestational period, and it has been associated with the demographic and obstetric condition of the woman. DESCRIPTORS: Violence against women. Domestic violence. Pregnant women. Assaulted women. Marital mistreatment. Cross-sectional studies. http://dx.doi.org/10.1590/0104-07072018000810017Objective: to describe the prevalence of domestic violence among postpartum women treated at a high-risk maternity hospital, and to examine the association of these conditions with the demographic, socioeconomic and reproductive variables. Method: cross-sectional study, carried out with 302 postpartum women. The data were collected through interviews from a structured script with questions about the characterization of the participants and an instrument to identify violence, the Abuse Assessment Screen. Results: among the interviewees, 43% reported experiencing mistreatment throughout their lives, 7.6% were victims of physical violence in the last year, and 4.6% were in a situation of physical violence during their pregnancy. Women aged between 31-43 years old (PR: 1.5; 1.1-2.1), having three or more gestations (PR: 1.8; 95% IC: 1.2-2.7) and evangelical women (PR: 1.6 95% CI: 1.1-2.3) more often experienced mistreatment in life. The absence of a partner was associated with a history of physical violence in the last year and during gestation (p<0.05). Conclusion: this study reaffirms that violence is a phenomenon that is present in women’s lives, including during the gestational period, and it has been associated with the demographic and obstetric condition of the woman

Quality assessment of a system of prenatal information

Objetivo: Avaliar a qualidade do Sistema de Informacao de Pre-Natal do municipio de Vitoria - ES. Metodos: Trata-se de um estudo transversal com analise do Sistema de Informacao Pre-natal (SISPRENATAL) de um municipio da regiao sudeste do Brasil. A qualidade do sistema foi avaliado segundo os criterios de acessibilidade, clareza metodologica, oportunidade e completitude definidos pela Comissao Economica para a America Latina e Caribe (CEPAL). A completitude foi avaliada segundo os criterios de incompletitude propostos por Romero e Cunha e atribuidos escores em graus de avaliacao quanto a: excelente, bom, regular, ruim e muito ruim. Resultados: A maioria dos resultados apresentou escore de qualidade ruim e muito ruim. Os campos com qualidade excelente ou boa para incompletitude estao relacionados aos itens de preenchimento obrigatorio. Conclusao: Os profissionais precisam ser sensibilizados para o adequado registro da assistencia prestada a gestante. Palavras-chave: Cuidado pre-natal. Avaliacao em saude. Qualidade da assistencia a saude. Enfermagem obstetrica.Objective To evaluate the quality of the Prenatal Information System of the city of Vitoria - ES. Methods This is a cross-sectional study with an analysis of the Prenatal Information System Data (SISPRENATAL) from a municipality in the Southeast Region of Brazil. The quality of the system was evaluated according to the accessibility criteria, methodological clarity, timeliness and completeness defined by the Economic Commission for Latin America and the Caribbean (ECLAC). Completeness was evaluated according to the criteria of incompleteness proposed by Romero and Cunha, and assigned scores in degrees of evaluation for: excellent, good, fair, bad and very bad. Results Most of the results presented scores of bad and very bad quality. Fields with excellent or good quality for incompleteness are related to the mandatory items. Conclusion Professionals need to be aware of the proper registration of the care provided to pregnant women.

A influência do trabalho em equipe na Atenção Primária à Saúde

1Universidade Federal do Espírito Santo, Vitória/ES, Brasil. RESUMO| Introdução: A Atenção Primária à Saúde (APS) tem sido conceituada como um conjunto de valores e princípios que delimitam a orientação do desenvolvimento dos sistemas de saúde por todo o mundo. Objetivo: Analisar as evidências disponíveis na literatura científica nacional sobre a influência do trabalho em equipe no atendimento realizado na Atenção Primária à Saúde. Métodos: Trata-se de uma revisão integrativa, do período de 2004 a 2013, utilizando a base de dados Literatura Latino-americana e do Caribe em Ciências da Saúde (LILACS) e Medical Literature Analysis and Retrieval System Online (MEDLINE). Atenderam aos critérios de seleção oito artigos. Resultados: A contribuição do trabalho em equipe na Estratégia Saúde da Família é relacionada ao compartilhamento de informações, motivado pelo esclarecimento de dúvidas. São apontadas algumas dificuldades no processo de trabalho, tais como: falta de infraestrutura, falta de planejamento e a falta de interação entre os trabalhadores. Destaca-se, contudo, que o trabalho em equipe é capaz ressignificar os atos em saúde, tornando o atendimento mais compromissado com a democratização das relações de trabalho e valorização dos profissionais de saúde. Conclusão: O trabalho em equipe constitui-se como fator importante para a reorientação do modelo assistencial a partir da atenção básica.

Quais os fatores que influenciam as mulheres na decisão de amamentar

OBJECTIVE Identify the factors that influence women in the decision to breastfeed. METHODS Integrative review. Information was gathered from original articles, case studies, theoretical studies, consensus and systematic reviews published between 2007-2013 in Spanish, Portuguese and English and recovered in the databases MEDLINE and LILACS. The descriptors used in this study were: breastfeeding, maternal behavior, risk factors, lactation and newborn. RESULTS Were included 30 articles, grouped into five categories. Factors influencing the decision of the breastfeeding woman are a convergence of breastfeedings advantages, benefits and justifications, family, social and professional support, sociodemographic and clinical characteristics of women, personal experience and family tradition and personal choice. CONCLUSION The decision to breastfeed by women is influenced by a convergence of factors. It is essential the role of nursing to encourage women in the decision to initiate and maintain breastfeeding her child.

Cuáles son los factores que influencian en las mujeres la decisión de amamantar

OBJECTIVE Identify the factors that influence women in the decision to breastfeed. METHODS Integrative review. Information was gathered from original articles, case studies, theoretical studies, consensus and systematic reviews published between 2007-2013 in Spanish, Portuguese and English and recovered in the databases MEDLINE and LILACS. The descriptors used in this study were: breastfeeding, maternal behavior, risk factors, lactation and newborn. RESULTS Were included 30 articles, grouped into five categories. Factors influencing the decision of the breastfeeding woman are a convergence of breastfeedings advantages, benefits and justifications, family, social and professional support, sociodemographic and clinical characteristics of women, personal experience and family tradition and personal choice. CONCLUSION The decision to breastfeed by women is influenced by a convergence of factors. It is essential the role of nursing to encourage women in the decision to initiate and maintain breastfeeding her child.

Mulher mastectomizada: intervenção de enfermagem e atividade natural killer.

Recebido em: 09/09/2013 Aceito em: 21/11/2013 elianelima66@gmail.com