Fabiane do Amaral Gubert

Percepção de risco de adolescentes escolares na relação consumo de álcool e comportamento sexual

Alcohol use has been a major precipitating cause of situations of vulnerability in adolescence. The study aims to analyze the risk perception about the relationship of adolescent alcohol use and sexual behavior. The subjects were ten adolescents between 14 and 19, students from a public school in Fortaleza, Ceará, Brazil. Exploratory and descriptive qualitative approach based on the technique of focus group and systematized by means of five workshops. Teenagers recognize the risk between alcohol consumption and sexual behavior and emphasize that drinking facilitates the relations between sexual peers and indicate the influence of media in this process. The perception of adolescents and their relation to alcohol abuse and its consequences is particularly relevant to the implementation of public policies for preventing and fighting alcohol consumption at this stage of growth and development.O uso de alcool tem sido uma das principais causas desencadeadoras de situacoes de vulnerabilidade na adolescencia. O estudo tem como objetivo analisar a percepcao de risco de adolescentes acerca da relacao consumo de alcool/comportamento sexual. Os sujeitos foram dez adolescentes entre 14 e 19 anos, estudantes de escola publica em Fortaleza, Ceara. Estudo exploratorio-descritivo, de abordagem qualitativa, fundamentado na tecnica de Grupo focal, sistematizado por meio de cinco oficinas. Os adolescentes reconhecem o risco entre o consumo de alcool e comportamento sexual, e destacam que o ato de beber facilita as relacoes entre os pares e apontam a influencia da midia neste processo. Conhecer a percepcao dos adolescentes e sua relacao com o abuso de alcool e suas consequencias e relevante para a implementacao de politicas de prevencao e combate ao consumo de bebidas alcoolicas nesta etapa de crescimento e desenvolvimento.

Enfermagem e a prática hemoterápica no Brasil: revisão integrativa

Objective: To assess the current level of nursesknowledge and scientific publication regarding transfusion therapy. Methods: An integrative review of literature for the years 2005 - 2009 was conducted using LILACS, SciELO and MEDLINE databases. The study sample included nine studies that addressed nursing activities with blood donors and recipients. Results: The results show that nurses play a key role in transfusion safety, and that they require education to safely undertake this responsibility. Conclusion: There was a small volume of scientific output, which can be justified because this is a relatively new specialty within Brazilian nursing. Keywords: Scientific and technical publications; Publications for science diffusion; Nursing; HematologyObjective: To assess the current level of nursesknowledge and scientific publication regarding transfusion therapy. Methods: An integrative review of literature for the years 2005 - 2009 was conducted using LILACS, SciELO and MEDLINE databases. The study sample included nine studies that addressed nursing activities with blood donors and recipients. Results: The results show that nurses play a key role in transfusion safety, and that they require education to safely undertake this responsibility. Conclusion: There was a small volume of scientific output, which can be justified because this is a relatively new specialty within Brazilian nursing. Keywords: Scientific and technical publications; Publications for science diffusion; Nursing; Hematology RESUMO Objetivo: Analisar o conhecimento produzido por enfermeiros a respeito da hemoterapica. Metodos: Realizou-se uma revisao integrativa da literatura nas bases de dados LILACS, SciELO e MEDLINE no periodo de 2005 a 2009. A amostra contou com nove estudos que abordam as atividades de enfermagem com doadores e receptores de sangue. Resultados: Os resultados evidenciam que os enfermeiros exercem papel fundamental na seguranca transfusional, necessitando de formacao adequada para assumir esta responsabilidade. Conclusao: Verificou-se uma producao cientifica reduzida, fato que pode ser justificado por esta ser uma especialidade ainda recente no Pais. Descritores: Publicacoes cientificas e tecnicas; Publicacoes de divulgacao cientifica; Enfermagem; Hematologia

Escalas para medida de comportamento preventivo em meninas adolescentes frente às DST/HIV: revisão integrativa

Since the dawn of the AIDS epidemic in the international epidemiological scenario, prevention of transmission of HIV among women and adolescents has been one of the biggest challenges in controlling the disease. Through integrative review, this study aims to describe the studies that used validated scales in order to access behaviors of female adolescents facing the prevention of sexually transmitted diseases. Two databases were used for the selection of articles: PubMed, a digital file produced by the National Library of Medicine and the Cumulative Index to Nursing and Allied Health Literature (CINAHL); the sample consisted of seven items. The scales indicate that health professionals must recognize the interactions among peers, partners and parents to assess the vulnerability of adolescents and encourage the use of reliable tools for nursing practice in the prevention of these diseases.

Rationale and methods of a cluster-randomized controlled trial to promote active and healthy lifestyles among Brazilian students: the “Fortaleça sua Saúde” program

BackgroundInterventions on adolescents’ lifestyle are important, but the main mechanisms that explain the changes (mediating variables) on lifestyle are unclear. This paper presents the rationale and methods of an intervention program focused on promoting active and healthy lifestyles (especially physical activity [PA] practice and reducing screen time) among Brazilian students-the Fortaleça sua Saúde program (Portuguese for “strengthen your health”).Methods/DesignThis is a school-based cluster-randomized controlled trial. Three intervention and three control (no intervention) full-time public schools were randomly selected in Fortaleza, northeastern Brazil. Students (n = 1,272) from classes in Grades 7–9 were eligible, and 1,085 (548 in the intervention and 537 in control schools) completed the baseline and follow-up measures. The program duration was approximately four months and took place in 2014. Intervention strategies focused on teacher training, activities on health in the curriculum, active opportunities in the school environment (the availability of equipment for PA), and health education (health materials for students and parents). Data collection was undertaken before and immediately after the intervention. The primary variables included the practice of PA (weekly PA volume, PA behavior change stage and preference for PA during leisure-time) and screen time (TV and computer/video games). Potential intrapersonal, interpersonal and environmental mediators of PA and screen time were evaluated by a standardized questionnaire. Other lifestyle components (e.g., eating habits, substance use), psychological (e.g., self-rated health, body satisfaction) and biological (general and abdominal obesity) aspects, as well as academic performance were also evaluated in the total sample. Depressive symptoms, eating disorders, sleep quality, objectively-measured PA, and sedentary time were evaluated in obese students.DiscussionIf effective, this program will contribute to the development of public policies for the promotion of active and healthy lifestyles in youth, especially those from low- and middle-income countries. The main intrapersonal, interpersonal and/or environmental mediators of PA and screen time may also be indicated. Finally, we anticipate that the proposed strategies may be adaptable to public schools and may even be extended to the entire school system.Trial registrationClinicalTrials.Gov: NCT02439827. Registration date: May 3, 2015.

PROMOÇÃO DA SAÚDE NO CENÁRIO RELIGIOSO: possibilidades para o cuidado de enfermagem

This was a qualitative study of the documentary type carried out in the first half of 2008, and it aimed to describe the practices of health promotion developed in the religious scenario in a city in the countryside of Ceará, Brazil. Information were collected through audio-taped interviews with the priest in charge of the parish and the three coordinators of projects linked to the Catholic Church, selected by the identification of projects with the priest. The results show that promotion and health education are present in the activities developed by volunteers in the religious scenario. The church seeks to change attitudes and to promote the adoption of healthy behavior by individuals, through individual and collective actions. There is an urgent need to insert healthcare professionals in this scenario, strengthening it as a social support, gradually reducing the assistential activities and intensifying those aimed at health promotion with the support of nursing, in order to improve healthcare in this scenario.Estudo qualitativo, do tipo documental, desenvolvido no primeiro semestre de 2008, objetivando descrever as praticas de promocao da saude desenvolvidas no cenario religioso catolico em municipio do interior do Ceara. As informacoes foram coletadas por meio de entrevistas audio-gravadas, junto ao sacerdote responsavel pela paroquia e a tres coordenadores de projetos vinculados a Igreja Catolica, selecionados a partir da identificacao dos projetos com o paroco. Os resultados apontam que a promocao e educacao em saude estao presentes nas atividades desenvolvidas por voluntarios no cenario religioso. A Igreja busca a mudanca de atitude e adocao de comportamento saudavel dos individuos, por meio de acoes individuais e coletivas. Urge necessidade da insercao de profissionais de saude para atuar neste cenario, fortalecendo-o como rede social de apoio, reduzindo gradativamente atividades assistenciais e intensificando aquelas voltadas a promocao da saude, com apoio da Enfermagem, com vistas a aprimorar o cuidado a saude neste cenario.

Translation and validation of the Parent-adolescent Communication Scale: technology for DST/HIV prevention

OBJECTIVES accomplishment of the transcultural adaptation of the Parent-adolescent Communication Scale, which evaluates the frequency of communication between parents and children concerning the subjects related to sex, condom, DST, HIV and pregnancy. METHOD Methodological research of quantitative approach, accomplished with 313 adolescent pupils of the feminine sex in the 14 to 18 year age group in Fortaleza-CE. The content validity was carried through by means of the initial translation, back translation, pre-final version and final version, being analyzed by a committee of specialists; the reliability was verified by the Cronbachs Alpha and ascertained by testing the hypotheses and test-retest within five weeks. The scale was applied via computer in the online modality in the period November/2010 to January/2011. RESULTS The version of the instrument in Portuguese presented an Alpha of 0.86 regarding the validity of the structure, was partially verified since the testing of the hypotheses of the contracted group was not confirmed. CONCLUSION The version of the instrument adapted for Portuguese is considered valid and reliable in the study sample.1 PhD, Profesor Adjuncto, Departamento de Enfermagem, Universidade Federal do Ceara, Fortaleza, CE, Brasil. 2 PhD, Profesor Asociado, Departamento de Enfermagem, Universidade Federal do Ceara, Fortaleza, CE, Brasil. 3 PhD, Profesor Adjuncto, Departamento de Saude Publica, Universidade Estadual do Ceara, Fortaleza, CE, Brasil. 4 Alumna del curso de graduacion en Enfermeria, Universidade Federal do Ceara, Fortaleza, CE, Brasil. Becario del Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq). Objetivos: realizar la adaptacion transcultural de la escala Parent-adolescent Communication Scale, la

Dialogando com adolescentes de grupos religiosos sobre HIV: desafios para a enfermagem

The aim of this study was to discuss with adolescents involved in the Catholic church about HIV/AIDS, based on Paulo Freires thinking. An action research was developed in 2009 through the Culture Circle, with 10 adolescents who were members of Catholic Charismatic Renewal groups. The analysis and interpretation of the results focused on the discussion according to the group experience. Initially, the teenagers showed surprise and disinterest in the subject, which suggests the need for more spaces providing information on the topic, as well as the use of dialogue as a tool to promote the discussion on HIV infection. It is up to nursing professionals to learn the realities of the subjects and use emancipatory methodologies to promote dialogue based on trust, aiming to strengthen a friendly relationship and the adoption of safe sexual and health promoting behaviors. DESCRIPTORS: Nursing. Adolescent. Sexuality. Religion.The aim of this study was to discuss with adolescents involved in the Catholic church about HIV/AIDS, based on Paulo Freires thinking. An action research was developed in 2009 through the Culture Circle, with 10 adolescents who were members of Catholic Charismatic Renewal groups. The analysis and interpretation of the results focused on the discussion according to the group experience. Initially, the teenagers showed surprise and disinterest in the subject, which suggests the need for more spaces providing information on the topic, as well as the use of dialogue as a tool to promote the discussion on HIV infection. It is up to nursing professionals to learn the realities of the subjects and use emancipatory methodologies to promote dialogue based on trust, aiming to strengthen a friendly relationship and the adoption of safe sexual and health promoting behaviors.

Vulnerabilidade de adolescentes escolares às DST/HIV, em Imperatriz - Maranhão

The aim of this study was to investigate the vulnerability of adolescent students related to sexually transmitted diseases (STD) and the human immunodeficiency virus (HIV), identifying the main risk behaviors and prevention. This quantitative, cross-sectional study was performed in three public schools in Imperatriz--Maranhão, with 295 adolescents, using a structured questionnaire. The results show that: most young people (86.3%) who used a condom the last time they had intercourse, usually keep this practice, 82.8% of adolescents who understand the concept of HIV protect themselves against these infections and believe the main form of contamination is through sex, infected blood or through the placental barrier. We conclude that most teenager participants showed coherent knowledge about sexual practices and risk behaviors that make them vulnerable to STD/HIK presenting a positive aspect for the prevention of these diseases.

Tradução e validação da escala Partner Communication Scale – versão brasileira com adolescentes do sexo feminino

This study aimed to describe the process of adaptation and validation of the Partner Communication Scale with female adolescents in Fortaleza, CE, Brazil. This methodological research, with a quantitative approach, was conducted with 313 adolescent, aged 14–18 years who had already lost their virginity. The transcultural adaptation process was performed by using translation, back translation, evaluation of the translations by a committee of judges, and testing of the final-draft version. The scale was administered with a sociodemographic questionnaire including sexual and reproductive variables, from November 2010 to January 2011. The reliability was assessed by the Cronbach’s alpha (0.86), which demonstrated that it can be successfully applied in the setting of primary health care, during nurse consultations. Moreover, the scale allows for the identification of factors that hinder or facilitate communication, especially concerning sexually transmitted diseases. The scale is an adequate way to verify communication between sexual partners in adolescence.This study aimed to describe the process of adaptation and validation of the Partner Communication Scale with female adolescents in Fortaleza, CE, Brazil. This methodological research, with a quantitative approach, was conducted with 313 adolescent, aged 14-18 years who had already lost their virginity. The transcultural adaptation process was performed by using translation, back translation, evaluation of the translations by a committee of judges, and testing of the final-draft version. The scale was administered with a sociodemographic questionnaire including sexual and reproductive variables, from November 2010 to January 2011. The reliability was assessed by the Cronbachs alpha (0.86), which demonstrated that it can be successfully applied in the setting of primary health care, during nurse consultations. Moreover, the scale allows for the identification of factors that hinder or facilitate communication, especially concerning sexually transmitted diseases. The scale is an adequate way to verify communication between sexual partners in adolescence.

The life of the adolescent with HIV/AIDS and self-care: A descriptive study.

Aim: to describe the relationship of adolescents that live with the Human Immunodeficiency Virus (HIV) and their self-care practices. Methodology: This is a descriptive study, based on the Orem’s Self-care General Theory, performed with nine adolescents, patients of the Sexually Transmitted Diseases ward of a hospital located in the city of Fortaleza, Brazil. The interpretation of this study was based on the analysis of the content found. Results: Family support, health professionals and friends, mass media and intrinsic motivation were mentioned as self-care stimulus. The barriers found were prejudice and shame, ineffective adaptation and lack of information. Discussion: Through the education in health as assisting practice of this context, it is possible to promote strategies of specific self-care inside the sociocultural environment of the adolescents. Conclusion: It is a duty to health professionals, especially the nurses, to join efforts in order to improve the strategies that aim to engage HIV-positive adolescents in the use of self-care practices .