Elis Martins Ulbrich

As representações dos usuários sobre a doença crônica e a prática educativa

Trata-se de pesquisa qualitativa realizada no periodo de outubro de 2008 a marco de 2009 com 45 usuarios maiores de 60 anos de uma unidade de saude, com o objetivo de identificar as representacoes dos usuarios sobre a doenca cronica. A obtencao das representacoes da doenca foi feita por meio de entrevistas e, apos foram realizadas tres reunioes em grupo, com a media de oito usuarios cada. Desta etapa participaram 24 usuarios, e os temas oriundos dos discursos foram os seguintes: “A chegada da doenca: fatores explicativos”, “O misterio das transformacoes corporais: obrigatoriedade de mudar” e “A importância de aprender e partilhar experiencias”. Os participantes reconhecem os fatores ligados ao aparecimento da doenca e de suas incumbencias, as transformacoes necessarias para continuar vivendo e para postergar complicacoes valorizam a troca de experiencias mediante o dialogo nas atividades educativas.

Avaliação do Programa de Hipertensão Arterial e Diabetes Mellitus na visão dos usuários

OBJECTIVES to evaluate the program proposed by the Reorganization Care Plan for Hypertension and Diabetes Mellitus on users view, and describe aspects of the trajectory of the participants correlating with the programs evaluation. METHOD evaluative study with a qualitative approach conducted in health units with the Family Health Strategy, in a city of the metropolitan region of Curitiba, in the period from September to March, 2012. A total of 30 adults with hypertension and/or Diabetes mellitus were interviewed. Data were analyzed through content analysis. RESULTS Four categories were identified: Disease diagnosis; Reasons for the program need; Knowledge of the program, and program evaluation. CONCLUSION there was the recognition of the orientations, and the monitoring of activities developed, with emphasis in cost reduction for users.

Panorama da produção do conhecimento em enfermagem na saúde do trabalhador: impacto e perspectivas

Trata-se de pesquisa bibliografica realizada no banco de dados de teses e dissertacoes da Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES) no periodo de 1997 a 2006, utilizando as palavras: saude do trabalhador e enfermagem. Foram identificados 172 resumos. As palavras-chave mais utilizadas foram trabalho de enfermagem e trabalho (14,3%), riscos ocupacionais (10%) e acidentes de trabalho (10%). Das 172 producoes, 52,9% de abordagem quantitativa de varias modalidades, principalmente estudos descritivos ou exploratorios, ou os dois em conjunto. Os locais e os sujeitos do estudo foram os trabalhadores de enfermagem, de saude. As perspectivas para o futuro desta area de producao talvez seja a busca de evidencias cientificas e metodologias modernas de investigacao.

A trajetória do câncer contada pela enfermeira: momentos de revelação, adaptação e vivência da cura

Objetivo: Describir la trayectoria desde el diagnostico del cancer colorrectal hasta el final de la quimioterapia. Metodos: Estudio cualitativo desarrollado en una clinica oncologica en Curitiba/Parana. Los datos fueron recolectados a traves de la tecnica narrativa de entrevista de historias de vida, de enero a mayo/2011, con diez adultos de 35-60 anos. Resultados: Emergieron tres categorias: la revelacion, la adaptacion y la experiencia de la curacion. Se observo la eliminacion de habitos inadecuados y preocupacion con la familia antes del diagnostico. Sin embargo, al insertar la enfermedad en su rutina diaria, se hicieron necesarias adaptaciones para enfrentar las dificultades al tratamiento, pero despues de lo termino de este, muchos sujetos se sintieron bien para retornar su funcion profesional, siendo esta correlacionada a la sensacion de autonomia que le era comun antes de la enfermedad. Conclusion: Se verifico que los relatos de vida posibilitaron conocer los cuidados, la vivencia y los sentimientos de los participantes en la tentativa de encarar positivamente la trayectoria del cancer.Objective: To describe the trajectory from diagnosis to end of chemotherapy for colorectal cancer. Methods: Qualitative research developed in an oncology clinic in Curitiba/Parana. Data collection occurred through narrative interview technique through life stories, from January to May/2011, with ten participants, adults of 35-60 years. Results: There were three categories: development,adaptation and experience of healing. In these, there was the abandonment of poor habits and concern for the family before receiving the diagnosis. However, inserting the disease in their daily routine adjustments were necessary to address the problems facing the treatment. At the end,many subjects felt good to return to their professional activities, and this correlated with the sense of autonomy that it was common before the disease. Conclusion: It was noted that reports of life possible to know the care, the experience and the feelings of the participants in an attempt to face positively the course of cancer.

[User's representations of chronic diseases and educational practice].

Trata-se de pesquisa qualitativa realizada no periodo de outubro de 2008 a marco de 2009 com 45 usuarios maiores de 60 anos de uma unidade de saude, com o objetivo de identificar as representacoes dos usuarios sobre a doenca cronica. A obtencao das representacoes da doenca foi feita por meio de entrevistas e, apos foram realizadas tres reunioes em grupo, com a media de oito usuarios cada. Desta etapa participaram 24 usuarios, e os temas oriundos dos discursos foram os seguintes: “A chegada da doenca: fatores explicativos”, “O misterio das transformacoes corporais: obrigatoriedade de mudar” e “A importância de aprender e partilhar experiencias”. Os participantes reconhecem os fatores ligados ao aparecimento da doenca e de suas incumbencias, as transformacoes necessarias para continuar vivendo e para postergar complicacoes valorizam a troca de experiencias mediante o dialogo nas atividades educativas.

Escala para o cuidado apoiado na atenção primária: um estudo metodológico

OBJECTIVE To develop a predictive scale for determining complications in adults with hypertension and actions for care supported in primary care. METHOD Methodological research developed in the municipality of Curitiba-PR in 2013 and 2014, carried out in two stages, the first through the collection of data from 387 adults with hypertension through a structured interview and anxiety scales, depression, quality of life, medication adherence and social support. The second step was the construction of the scale from the statistically significant variables in the multivariate analysis. RESULTS The scale consisted of age, sex, smoking, time of diagnosis, and risk classification in the health unit, medications in use and depression. Later, through literature review, actions were suggested for supported self-care. CONCLUSION The scale enables identification of factors that may predict the development of complications of hypertension and provides actions to supported care.

Care models for people with chronic diseases: integrative review

OBJECTIVES To identify the care models and the impact of the use of these in the care of people with chronic diseases reported in the literature in the years 2000 to 2014. METHODS Integrative literature review in which the following guiding question was adopted: Which care models are used in the care of patients with chronic diseases and what impacts can be verified through their application? We consulted the bibliographic databases Virtual Health Library, LILACS, MEDLINE, Spanish Bibliographic Index of Health Sciences and the Database of Nursing. RESULTS The sample consisted of 17 articles on the topic of interest. Three categories emerged from the analysis: health care costs, model-based care experience, and patient autonomy. The articles addressed self-management, case management and care model for people with chronic diseases. The major impacts on the use of the models were: a better relationship between the patient and the health professional, an increase in the autonomy of the person with chronic illness, and a reduction in personal and health care expenditure. CONCLUSIONS The use of care models for people with chronic diseases presents benefits to the patient and to the health system. Nurses must actively participate in the application of these care models of people with this type of illness.

MOTIVOS PARA ADESÃO AO TRATAMENTO MEDICAMENTOSO DA HIPERTENSÃO ARTERIAL

Objetivo: identificar os aspectos relatados pelas pessoas com hipertensao arterial para aderir ao tratamento medicamentoso. Metodologia: pesquisa descritiva de abordagem quantitativa, realizada em um distrito sanitario do municipio de Curitiba, Parana. Os participantes foram 146 adultos hipertensos, com idade entre 18 e 60 anos, considerados aderentes ao tratamento medicamentoso. A coleta de dados foi realizada no domicilio dos participantes, no periodo de maio de 2013 a fevereiro de 2015, mediante uma entrevista semiestruturada e de um instrumento traduzido e publicado em portugues o Brief Medication Questionnaire . Os dados foram tabulados em uma planilha do Microsoft Excel ® e analisados pelo SPSS versao 20.0. Resultados: alguns motivos para adesao a terapeutica foram a ausencia de dificuldades encontradas com a dispensacao da medicacao e problemas causados pelas medicacoes anti-hipertensivas, os individuos lembrarem de fazer uso das medicacoes todos os dias e acreditarem que estas funcionam bem. Conclusoes: os aspectos relatados pelos participantes que favorecem a adesao ao tratamento foram percebidos mediante a utilizacao da escala e por meio destes podem-se propor acoes para a continuidade desse comportamento. Descritores: Hipertensao; Saude do Adulto; Adesao a Medicacao.

Hypertension and Diabetes Mellitus Program evaluation on user's view

OBJECTIVES to evaluate the program proposed by the Reorganization Care Plan for Hypertension and Diabetes Mellitus on users view, and describe aspects of the trajectory of the participants correlating with the programs evaluation. METHOD evaluative study with a qualitative approach conducted in health units with the Family Health Strategy, in a city of the metropolitan region of Curitiba, in the period from September to March, 2012. A total of 30 adults with hypertension and/or Diabetes mellitus were interviewed. Data were analyzed through content analysis. RESULTS Four categories were identified: Disease diagnosis; Reasons for the program need; Knowledge of the program, and program evaluation. CONCLUSION there was the recognition of the orientations, and the monitoring of activities developed, with emphasis in cost reduction for users.

Evaluación del Programa de Hipertensión Arterial y Diabetes Mellitus el la visión de los usuarios

OBJECTIVES to evaluate the program proposed by the Reorganization Care Plan for Hypertension and Diabetes Mellitus on users view, and describe aspects of the trajectory of the participants correlating with the programs evaluation. METHOD evaluative study with a qualitative approach conducted in health units with the Family Health Strategy, in a city of the metropolitan region of Curitiba, in the period from September to March, 2012. A total of 30 adults with hypertension and/or Diabetes mellitus were interviewed. Data were analyzed through content analysis. RESULTS Four categories were identified: Disease diagnosis; Reasons for the program need; Knowledge of the program, and program evaluation. CONCLUSION there was the recognition of the orientations, and the monitoring of activities developed, with emphasis in cost reduction for users.