Fernanda Maria Vieira Pereira

Qualidade de vida de mulheres vivendo com o HIV/aids de um município do interior paulista

A terapia antirretroviral de alta potencia beneficia os individuos com HIV/aids na sobrevida, cronicidade e qualidade de vida. Este estudo de corte transversal, com abordagem quantitativa, objetivou avaliar a qualidade de vida de mulheres com HIV/aids, utilizando o WHOQOL - HIV bref e sua associacao com variaveis sociodemograficas. Foi realizado em dois ambulatorios especializados no atendimento a individuos com HIV/aids. De 106 mulheres participantes, 99,1% eram heterossexuais e 92,4% foram infectadas por via sexual. Dentre os dominios de qualidade de vida, espiritualidade obteve maior escore (65,7), seguido pelo fisico (64,7), psicologico (60,6), relacoes sociais (59,5). Menores escores foram atingidos nos dominios nivel de independencia (58,6) e meio ambiente (54,5). Evidenciou-se que os fatores baixo nivel socioeconomico e educacional tiveram associacao com diferentes dominios, denotando a relacao entre qualidade de vida e condicoes de vida. Concluiu-se que persistem os desafios no âmbito das relacoes sociais, afetivas, financeiras, requerendo intervencoes efetivas focando o empoderamento das mulheres com HIV/aids.High potency antiretroviral therapy brings benefits to people with HIV/AIDS, related to survival, chronicity and quality of life. The objective of this quantitative and cross-sectional study was to assess the quality of life of women with HIV/AIDS, using the WHOQOL--HIV bref and its association with sociodemographic variables. The study was performed in outpatient clinics specialized in care to HIV/AIDS patients. Of the 106 interviewed women, 99.1% were heterosexual and 92.4% were infected sexually. Among the domains of quality of life, spirituality had the highest score (65.7), followed by physical (64.7), psychological (60.6), social relationships (59.5). Level of independence (58.6) and environment (54.5) scored the lowest. The factors low socioeconomic and educational levels were associated with different domains of quality of life, showing the relationship between quality of life and living conditions. Challenges persist in the scope of social, affective and financial relations, which require effective interventions regarding empowerment of women with HIV/AIDS.

Adherence to standard precautions of nurses working in intensive care at a university hospital

This study evaluated individual factors relating to work and the organization, related to adherence to standard precautions for nurses working in intensive care. It was a cross-sectional study conducted in a large hospital with 178 professionals. For data collection, Likert-type psychometric scales were used. In the Adherence Scale to Standard Precautions we obtained a score of 4.45 (SD=0.27), classified as intermediate. There was a correlation when compared with the individual risk factors of the Scale of the Risk Personality (r =- 0.169, p=0.024) and the factors related to working with the barriers of the Scale for following standard precautions(r =- 0.359, p=0.000). Adherence to standard precautions among the nursing professionals was intermediate. Individual factors and factors related to work influenced the adherence to standard precautions.This study evaluated individual factors relating to work and the organization, related to adherence to standard precautions for nurses working in intensive care. It was a cross-sectional study conducted in a large hospital with 178 professionals. For data collection, Likert-type psychometric scales were used. In the Adherence Scale to Standard Precautions we obtained a score of 4.45 (SD=0.27), classified as intermediate. There was a correlation when compared with the individual risk factors of the Scale of the Risk Personality (r =- 0.169, p=0.024) and the factors related to working with the barriers of the Scale for following standard precautions (r =- 0.359, p=0.000). Adherence to standard precautions among the nursing professionals was intermediate. Individual factors and factors related to work influenced the adherence to standard precautions.

Quality of life in women with HIV/aids in a municipality in the state of São Paulo

A terapia antirretroviral de alta potencia beneficia os individuos com HIV/aids na sobrevida, cronicidade e qualidade de vida. Este estudo de corte transversal, com abordagem quantitativa, objetivou avaliar a qualidade de vida de mulheres com HIV/aids, utilizando o WHOQOL - HIV bref e sua associacao com variaveis sociodemograficas. Foi realizado em dois ambulatorios especializados no atendimento a individuos com HIV/aids. De 106 mulheres participantes, 99,1% eram heterossexuais e 92,4% foram infectadas por via sexual. Dentre os dominios de qualidade de vida, espiritualidade obteve maior escore (65,7), seguido pelo fisico (64,7), psicologico (60,6), relacoes sociais (59,5). Menores escores foram atingidos nos dominios nivel de independencia (58,6) e meio ambiente (54,5). Evidenciou-se que os fatores baixo nivel socioeconomico e educacional tiveram associacao com diferentes dominios, denotando a relacao entre qualidade de vida e condicoes de vida. Concluiu-se que persistem os desafios no âmbito das relacoes sociais, afetivas, financeiras, requerendo intervencoes efetivas focando o empoderamento das mulheres com HIV/aids.High potency antiretroviral therapy brings benefits to people with HIV/AIDS, related to survival, chronicity and quality of life. The objective of this quantitative and cross-sectional study was to assess the quality of life of women with HIV/AIDS, using the WHOQOL--HIV bref and its association with sociodemographic variables. The study was performed in outpatient clinics specialized in care to HIV/AIDS patients. Of the 106 interviewed women, 99.1% were heterosexual and 92.4% were infected sexually. Among the domains of quality of life, spirituality had the highest score (65.7), followed by physical (64.7), psychological (60.6), social relationships (59.5). Level of independence (58.6) and environment (54.5) scored the lowest. The factors low socioeconomic and educational levels were associated with different domains of quality of life, showing the relationship between quality of life and living conditions. Challenges persist in the scope of social, affective and financial relations, which require effective interventions regarding empowerment of women with HIV/AIDS.

Difference in compliance with Standard Precautions by nursing staff in Brazil versus Hong Kong

The Standard Precautions (SP) are measures to reduce the risk of transmission of bloodborne and other pathogens, and should be used by health professionals in the care of all patients regardless of their condition of infection. However, suboptimal compliance with SP has been consistently reported in the nursing literature. This study evaluated the differences of compliance with SP among nurses from Brazil and Hong Kong. This cross-sectional study was conducted in 2 countries-Hong Kong and Brazil-with nurses working in hospitals who responded to a self-administered questionnaire with demographic data and responses to a 20-item Compliance with Standard Precautions Scale. The compliance rate of 560 nurses was 69.4% for the Brazilian sample and 57.4% for the Hong Kong sample. The additional clinical experience of the Brazilian nurses versus those in Hong Kong may be related to differences in compliance with SP between nurses.

Adesão às precauções-padrão por profissionais de enfermagem que atuam em terapia intensiva em um hospital universitário

This study evaluated individual factors relating to work and the organization, related to adherence to standard precautions for nurses working in intensive care. It was a cross-sectional study conducted in a large hospital with 178 professionals. For data collection, Likert-type psychometric scales were used. In the Adherence Scale to Standard Precautions we obtained a score of 4.45 (SD=0.27), classified as intermediate. There was a correlation when compared with the individual risk factors of the Scale of the Risk Personality (r =- 0.169, p=0.024) and the factors related to working with the barriers of the Scale for following standard precautions(r =- 0.359, p=0.000). Adherence to standard precautions among the nursing professionals was intermediate. Individual factors and factors related to work influenced the adherence to standard precautions.This study evaluated individual factors relating to work and the organization, related to adherence to standard precautions for nurses working in intensive care. It was a cross-sectional study conducted in a large hospital with 178 professionals. For data collection, Likert-type psychometric scales were used. In the Adherence Scale to Standard Precautions we obtained a score of 4.45 (SD=0.27), classified as intermediate. There was a correlation when compared with the individual risk factors of the Scale of the Risk Personality (r =- 0.169, p=0.024) and the factors related to working with the barriers of the Scale for following standard precautions (r =- 0.359, p=0.000). Adherence to standard precautions among the nursing professionals was intermediate. Individual factors and factors related to work influenced the adherence to standard precautions.

Seguimento clínico de profissionais e estudantes da área da saúde expostos a material biológico potencialmente contaminado

OBJETIVO Avaliar o comparecimento aos agendamentos clinicos de profissionais e estudantes da area de saude que sofreram acidente com material biologico potencialmente contaminado. METODO Estudo de corte transversal, de carater retrospectivo, que avaliou as fichas de atendimentos, referentes aos acidentes com material biologico ocorridos de 2005 a 2010, em uma unidade especializada. RESULTADO Foram atendidas 461 pessoas, sendo 389 (84,4%) profissionais e 72 (15,6%) estudantes da area da saude que sofreram exposicao a material biologico. O comparecimento ao seguimento clinico foi realizado por 307 (66,6%) acidentados. Os sujeitos vitimas de acidente com paciente-fonte identificado tiveram 29 vezes mais chance de comparecer aos retornos agendados (OR: 29,98; IC95%: 16,09-55,83). CONCLUSAO Tanto na analise univariada quanto na multivariada, o preditor para o comparecimento ao seguimento clinico foi ter o paciente-fonte conhecido e com sorologia nao reagente para os virus da imunodeficiencia humana e ou das hepatites B e C.OBJECTIVE To assess adherence to clinical appointments by health care workers (HCW) and students who suffered accidents with potentially infectious biological material. METHOD A retrospective cross-sectional study that assessed clinical records of accidents involving biological material between 2005 and 2010 in a specialized unit. RESULTS A total of 461 individuals exposed to biological material were treated, of which 389 (84.4%) were HCWs and 72 (15.6%) students. Of the 461 exposed individuals, 307 (66.6%) attended a follow-up appointment. Individuals who had suffered an accident with a known source patient were 29 times more likely to show up to their scheduled follow-up appointments (OR: 29.98; CI95%: 16.09-55.83). CONCLUSION The predictor in both univariate and multivariate analyses for adherence to clinical follow-up appointment was having a known source patient with nonreactive serology for the human immunodeficiency virus and/or hepatitis B and C.

Nasal colonization with Staphylococcus aureus in individuals with HIV/ AIDS attended in a Brazilian Teaching Hospital

OBJECTIVE to evaluate the prevalence of nasal colonization with Staphylococcus aureus in individuals with HIV/AIDS under inpatient treatment in a teaching hospital in the state of São Paulo (Brazil). METHOD a cross-sectional study undertaken in two units specialized in attending people living with HIV/AIDS, in the period August 2011 - July 2012. Socio-demographic and clinical data was collected through individual interviews and from the medical records; samples of nasal secretion were collected with Stuart swabs on the first day of inpatient treatment. Ethical aspects were respected. RESULT of the 229 individuals with HIV/AIDS hospitalized in this period, 169 participated in the study, with Staphylococcus aureus being identified in the culture tests of 46 (27.2%) of the individuals, resistance to oxacillin being evidenced in 10 (21.8%) participants. CONCLUSION the results of the research indicate that the prevalence of colonization with Staphylococcus aureus in individuals with HIV/AIDS in the specialized units was considered relevant, possibly contributing to future investigations and, moreover, to the implementation of measures to prevent and control this pathogen in this population.OBJETIVO: avaliar a prevalencia da colonizacao nasal por Staphylococcus aureus em individuos com HIV/Aids internados em um hospital-escola do Estado de Sao Paulo (Brasil). METODO: estudo de corte transversal, realizado em duas unidades especializadas no atendimento a pessoas que vivem com HIV/ Aids, no periodo de agosto 2011 a julho 2012. Foram coletados dados sociodemograficos e clinicos, por entrevista individual e prontuario; as amostras de secrecao nasal foram coletadas por meio de swab Stuart no primeiro dia de internacao. Os aspectos eticos foram contemplados. RESULTADOS: dos 229 individuos com HIV/Aids internados no periodo, 169 participaram do estudo, sendo identificado Staphylococcus aureus nos exames de cultura de 46 (27,2%) dos individuos, evidenciando-se resistencia a oxacilina em 10 (21,8%) participantes. CONCLUSAO: os resultados da pesquisa apontam que a prevalencia da colonizacao por Staphylococcus aureus em individuos com HIV/Aids internados nas unidades especializadas foi considerada relevante, podendo contribuir para novas investigacoes e, ainda, para implementar medidas de prevencao e de controle desse patogeno nessa populacao.

O recem-nascido com dor: atuacao da equipe de enfermagem

Estudo quantitativo, descritivo e transversal realizado com profissionais de enfermagem que atuam em neonatologia nos tres hospitais de Alfenas-MG. Objetivou descrever as formas de avaliacao de dor do recem-nascido utilizadas pela equipe de enfermagem e analisar a pratica da enfermagem quanto ao manejo da dor do neonato. A coleta de dados foi feita por meio de formulario semiestruturado, de agosto a setembro de 2008, com 42 profissionais. A analise foi feita pelo software SPSS utilizando estatistica descritiva e teste de correlacao. Os entrevistados acreditam que o recem-nascido e capaz de sentir dor e a avaliam por meio de alteracoes fisiologicas e comportamentais, e que nao ha utilizacao de escalas de avaliacao algica padronizadas nas instituicoes. Para o manejo, realizam intervencoes farmacologicas e nao farmacologicas. Ha necessidade de capacitar os profissionais, contribuindo para a avaliacao e o manejo da dor, e promovendo o cuidado integral ao neonato.

Seguimiento Clínico De Profesionales Y Estudiantes Del Área De La Salud Expuestos A Material Biológico Potencialmente Contaminado

OBJETIVO Avaliar o comparecimento aos agendamentos clinicos de profissionais e estudantes da area de saude que sofreram acidente com material biologico potencialmente contaminado. METODO Estudo de corte transversal, de carater retrospectivo, que avaliou as fichas de atendimentos, referentes aos acidentes com material biologico ocorridos de 2005 a 2010, em uma unidade especializada. RESULTADO Foram atendidas 461 pessoas, sendo 389 (84,4%) profissionais e 72 (15,6%) estudantes da area da saude que sofreram exposicao a material biologico. O comparecimento ao seguimento clinico foi realizado por 307 (66,6%) acidentados. Os sujeitos vitimas de acidente com paciente-fonte identificado tiveram 29 vezes mais chance de comparecer aos retornos agendados (OR: 29,98; IC95%: 16,09-55,83). CONCLUSAO Tanto na analise univariada quanto na multivariada, o preditor para o comparecimento ao seguimento clinico foi ter o paciente-fonte conhecido e com sorologia nao reagente para os virus da imunodeficiencia humana e ou das hepatites B e C.OBJECTIVE To assess adherence to clinical appointments by health care workers (HCW) and students who suffered accidents with potentially infectious biological material. METHOD A retrospective cross-sectional study that assessed clinical records of accidents involving biological material between 2005 and 2010 in a specialized unit. RESULTS A total of 461 individuals exposed to biological material were treated, of which 389 (84.4%) were HCWs and 72 (15.6%) students. Of the 461 exposed individuals, 307 (66.6%) attended a follow-up appointment. Individuals who had suffered an accident with a known source patient were 29 times more likely to show up to their scheduled follow-up appointments (OR: 29.98; CI95%: 16.09-55.83). CONCLUSION The predictor in both univariate and multivariate analyses for adherence to clinical follow-up appointment was having a known source patient with nonreactive serology for the human immunodeficiency virus and/or hepatitis B and C.

Colonização nasal em profissionais de enfermagem de unidades especializadas em HIV/aids

OBJECTIVE to investigate the presence of microorganisms in the nostrils of the nursing professionals of a Brazilian teaching hospital. METHOD cross-sectional study in two inpatient units specialized in HIV/AIDS. Nasal secretion samples of nursing professionals were collected in one month. The samples were processed at the microbiology laboratory of the institution and analyzed using the Statistical Package for the Social Sciences (SPSS) software, version 19.0. Ethical aspects were abided. RESULTS from the 73 members of the nursing staff, samples of nasal secretions were collected from 61 (80.2%). Six types of microorganisms were isolated in 22 (41.0%) positive cultures. It is noteworthy that Staphylococcus aureus accounted for 22.9%, four of them oxacillin-resistant (MRSA). CONCLUSION Staphylococcus aureus microorganism accounted for the largest prevalence in individuals of this study.