Gracimary Alves Teixeira

SIGNIFICADOS ATRIBUÍDOS POR PROFISSIONAIS DE SAÚDE AOS CUIDADOS PALIATIVOS NO CONTEXTO DA ATENÇÃO PRIMÁRIA

Objective: to understand the meanings attributed by health professionals to palliative care assistance in primary health care. Method: a qualitative research, guided by the social phenomenological dimension of Alfred Schutz. Twenty-five health professionals working in one of the three health units and a Family Health Support Center in the city of Natal / RN, Brazil, participated in this study. The fieldwork was carried out through an interview in the year 2015, and the information was analyzed according to the steps of social phenomenology researchers. Results: it was understood that health professionals were able to recognize the need of the other in the practice of palliative care assistance in primary health care. The meanings attributed by health professionals involved the need for an organized system in a health care network that favored the social relationships involved in care. This involves redefining the social attitude of health professionals, in the confrontation of culture and the curative hospital-care model, in palliative care in primary health care, through the inclusion and awareness of the family. Conclusion: the meanings attributed to palliative care in the primary health care context involve the intersubjective experience of health professionals. Based on continuous health practices in the process of interaction between professionals, health care network, patient and family, with the home context as a reality of care

Predisposing Factors For Incidence Of Congenital Syphilis

The study aims to synthesize the knowledge produced in articles about the predisposing factors for the incidence of Congenital Syphilis. An integrative review was conducted in May and June 2014. Three databases were consulted and all publications available at the pre-established time frame were collected. The descriptors congenital syphilis, incidence and causality in Portuguese, English and Spanish were used, resulting in 1723 articles, of which 23 were selected. The results show deficiency in prenatal care; poor diagnosis; inadequante care of the disease; unequal socioeconomic conditions; difficult access to health services; and poor guidelines. The increasing number of new cases of congenital syphilis is due to several factors that can be prevented through quality prenatal care. Therefore, care actions during pregnancy and puerperium need to be redirected so that they are based on early diagnosis, immediate treatment of the couple and health education.

Influences of Non-Accession to Exclusive Breastfeeding: Understanding of Feminine Subjectivity

Objective: To investigate the difficulties experienced by mothers, that influence the failure of Exclusive Breast Feeding. Method: qualitative study, exploratory and descriptive. There were semi-structured interviews with 14 women. The data treatment occurred by means of the content analysis, in the form of thematic analysis. Results: Mammary complications; negative influences of familiar; job out of home and various household duties; insufficient information and weaknesses in communication among professionals of prenatal care; insertion of artificial teats (bottles) in the hospital. Conclusions: it was found that breastfeeding transcends biological concept, because it suffers social and cultural interference. Furthermore, woman as a social being is inserted in a context permeated by values which directly interfere in their attitudes.

Perfil epidemiológico de sífilis adquirida diagnosticada y notificada en hospital universitario materno infantil

Objective: To characterize the epidemiologic profile of users with acquired syphilis. Method: This was an exploratory and descriptive study of quantitative approach, through secondary data collected in investigation forms/syphilis notification in women assisted in a Maternal-Child University Hospital in Santa Cruz-RN in 2012. The study was approved by the Research Ethics Committee under report number 772.884. Results: 67% of mothers reported they had only attended elementary school, 33% were single, 42% had undergone less than six prenatal consultations, 58% of them had performed previous treatment of syphilis, but only 25% of their partners had joined and performed it. Conclusion: This study shows progress regarding diagnosis of syphilis during prenatal care, but it evidences the non-accomplishment of treatment by pregnant women before delivery, as well as by their partners. Therefore, innovative strategies are needed aiming at an early and proper treatment of pregnant women and their partners

Obstetric History and Maternal Complications related to Preterm Birth

Objective: To summarize knowledge produced in scientific articles about obstetric history, maternal complications and types of pregnancy as risk factors related to preterm birth. Method: an integrative review conducted in February and March 2015, through databases: lilacs, CINAHL and Pubmed. For this it was used the Mesh descriptors: Infant, premature; Risk factors and Causality, having been found studies 50,528. After assessment of methodological rigor and level of evidence of the studies 32 articles were selected. Results: Among the risk factors associated to preterm birth highlighted the previous history of prematurity. Also emerged: hypertensive disease by eclampsia and eclampsia no, genitourinary infection and antiretroviral therapy in pregnancy. Conclusion: Maternal complications are subject to screening, treatment and prevention. In addition, obstetric history of risk can be identified in a timely manner to reduce morbidity and mortality both mother and neonatal.

Feelings and Perceptions of Man facing his Lifemate submitted to Mastectomy: Integrative Review

Objective: The aim of this article is to investigate, from the scientific literature, feelings and perceptions presented by men facing the experience of having their women submitted to mastectomy. Methods: This is a literature integrative review collected in the databases LILACS, CINAHL, Scopus, PubMed, Web of Science and Science Direct, in November and December 2015. Results: The sample included 12 publications. In the selected articles, feelings and perceptions of the man before of women undergoing mastectomy were mostly linked to fear, anxiety, sadness, worry and anguish. Conclusion: Facing these findings is great relevance that not only women undergoing the procedure must be assisted during all stages of treatment. But also his companions need assistance as a way of these men take care of their women in full.

Sexuality of the Person with Intellectual Disability as Health Education Practice

Objective: Report on lived experience of the person with intellectual disabilities and their families about sexuality in the context of health education. Method: An exploratory and descriptive study with approach anchored in the experience report. The study was conducted with users, parents and health professionals from an institution of care of people with a disability in the municipality of Santa Cruz-RN. The research was developed in the context of practical discipline of Primary Care and Family Health of undergraduate nursing degree from the Universidade federal do Rio Grande do Norte. It was used wheels of conversations and nursing consultations that allowed individual and collective reports. Results: Previous knowledge concerning sexuality were rescued, allowing users to identify and reflect on stereotypes involving male and female behavior. The wheels of conversations and dynamic with parents and health professionals allowed to note: weaknesses of professionals to deal with issues that permeate the lives of people with disability intelecutal; as well as feelings and conceptions encompassing parents to discuss this theme. Conclusion: Health education conducted favored to minimize the lack of knowledge and approach of health professionals to work with the theme of sexuality existent in the institution.

Metabolic Syndrome: Individual Components in Women who Had Preeclampsia History and Normal Risk Pregnancy

Introduction: Preeclampsia is a serious complication of pregnancy and childbirth that can contribute to the late onset of cardiovascular risk factors, among which the metabolic syndrome. Objective: identifying the prevalence of metabolic syndrome and its individual components in women who had preeclampsia and normal risk of pregnancy, evaluated five years after delivery. Method: analytical and descriptive, cross-sectional study with data collection conducted from March to December 2011 in a maternity hospital school, Natal-RN-Brazil. The sample included 70 women who had previous preeclampsia and 75 with normal pregnancy, selected by simple random probability sampling method. Results: It appeared as a cardiovascular risk factor, with statistical significance for metabolic syndrome p = 0.042, but also the fasting glucose levels p = 0.030, HDL cholesterol p = 0.049, systolic and diastolic pressure p <0.001. Conclusion: Therefore, preeclampsia appears as a potential risk factor for metabolic syndrome. Hence as long-term cardiovascular risk factor.

Leadership Strategies Used by Health Professionals in Hospital Units: Integrative Review

Introduction: Manager in its various operational levels, including the hospital management, needs in your profile to present leadership because this feature is an essential part to work with your team . Objective: Identifying leadership strategies employed by managers in hospital units. Method: Integrative review it was conducted in the following databases - Scopus, PUBMED, LILACS and SCIELO. It was considered all published articles in the last ten years until October 2015. Results: It were selected and analyzed 12 articles. Strategies communication among staff; participatory management and professional qualification were outstanding results in this study. Communication presented predominance as the most used strategy, present in 58.33% of the analyzed articles. Conclusion: Despite the scale of the challenges confronting leadership in hospital units is possible to bet on strategies that promote the achievement of objectives of these institutions. Descriptors: Leadership; Hospital Administration; Hospitals.

Factors associated with the birth of premature baby

Objective: to analyze risk factors associated to preterm birth in infants born by hospital deliveries by mothers living in the municipality of Parnamirim-RN. Method: this is a Case-control study, whose group of cases will be constituted by all preterm births by hospital birth, occurred in the period from April to September 2015, whose mothers living in Parnamirim. Controls group will be composed by live births not preterm selected by simple random sampling. Data will be evaluated using analytical statistics, investigated the relative risk through the calculation of odds ratio OR. The research project was approved by the Research Ethics Committee, protocol no 1.047.431. Expected results: the development of this study may help in improving prenatal care and delivery, considering the actions related to the promotion of healthy birth and disease prevention maternal and child health. Descriptors: Infant, Premature; Risk Factors; Prenatal Care; MaternalChild Nursing. RESUMO Objetivo: analisar os fatores de risco associados ao nascimento pré-termo em crianças nascidas de partos hospitalares de mães residentes no município de Parnamirim-RN. Método: trata-se de um estudo de Casocontrole, em que o grupo de casos serão formados por todos os nascidos vivos pré-termo de parto hospitalar, ocorridos no período de abril a setembro de 2015, de mães residentes em Parnamirim e os controles composto por nascidos vivos não pré-termos selecionados de forma aleatória simples. Os dados serão avaliados através de estatísticas analíticas, investigados o risco relativo, através do calculo de odds ratio OR. O projeto foi aprovado pelo Comitê de Ética em Pesquisa, protocolo no 1.047.431. Resultados esperados: o desenvolvimento deste estudo poderá subsidiar na melhoria da assistência pré-natal e parto, considerando as ações relacionadas à promoção do nascimento saudável e prevenção de agravos a saúde materno-infantil. Descritores: Prematuro; Fatores de Risco; Cuidado Pré-Natal; Enfermagem Materno-Infantil. RESUMEN Objetivo: analizar los factores de riesgo asociados con el parto prematuro en los recién nacidos de partos del hospital por las madres que viven en el municipio de Parnamirim-RN. Método: se trata de un caso-control de estudio, en el que el grupo de casos se compone de todos los nacimientos prematuros por parto en el hospital, que se produjo en el período de abril a septiembre de 2015, a las madres que viven en Parnamirim y controles integrados por nacidos vivos prematuros no seleccionados por muestreo aleatorio simple. Los datos se evaluaron utilizando estadísticas analíticas, investigó el riesgo relativo mediante el cálculo de odds ratio OR. El proyecto de investigación fue aprobado por el Comité Ético de Investigación, protocolo no 1.047.431. Resultados esperados: el desarrollo de este estudio puede ayudar en la mejora de la atención prenatal y el parto, teniendo en cuenta las acciones relacionadas con la promoción de la salud y la enfermedad de la madre al nacer la prevención y la salud infantil. Descriptores: Premature; Factores de Riesgo; Atención prenatal; Enfermería Maternoinfantil. Enfermeira, Especialista em Enfermagem Neonatal, Mestranda, Programa de Pós-Graduação em Enfermagem, Universidade Federal do Rio Grande do Norte/PPGENF/UFRN. Natal (RN), Brasil. E-mail: gracimaryalves@yahoo.com.br; Enfermeira, Especialista em Enfermagem Oncológica, Professora Substituta da Escola de Saúde, Universidade Federal do Rio Grande do Norte. Natal (RN), Brasil. E-mail: thaisrg12@hotmail.com; Enfermeira, Professora Doutora em Ciências da Saúde, Programa de Pós-Graduação em Enfermagem / Escola de Saúde, Universidade Federal do Rio Grande do Norte/PPGENF/UFRN. Natal (RN), Brasil. E-mail: jovanka@es.ufrn.br ARTIGO NOTA PRÉVIA Teixeira GA, Lopes TRG, Carvalho JBL. Fatores associados ao nascimento do... Português/Inglês Rev enferm UFPE on line., Recife, 9(9):9332-5, set., 2015 9333 ISSN: 1981-8963 DOI: 10.5205/reuol.7874-68950-4-SM.0909201524 O nascimento ou parto pré-termo (com menos de 37 semanas de gestação) é considerado um problema de saúde pública mundial, pois é tido como um dos principais fatores de risco para morbidade e mortalidade neonatal. Tal realidade vem despertando interesse na comunidade científica quanto à produção de conhecimentos que tenham impacto na qualidade da assistência, tendo em vista que o crescimento e desenvolvimento fetal são importantes preditores para saúde da criança e estão também relacionados com o estado de saúde na vida adulta. Além disso, o parto pré-termo causa repercussões clínicas que demandam cuidados de maior complexidade e às vezes por toda à vida, acarretando alto custo social e econômico aos países, pois o nascimento prétermo resulta de um conjunto de fatores inter-relacionados os quais impactam na qualidade de vida dos que sobrevivem com seqüelas ou na mortalidade infantil. Em 2012, no ranking mundial da Taxa de Mortalidade Infantil (TMI) os primeiros lugares foram ocupados por nações com índices de mortalidade muito elevados como o Afeganistão (1° lugar) com 121,63 de TMI; Níger (2° lugar) com 109,98 e Mali (3° lugar) com 109,08. Já os países com menor TMI foram Mônaco (1,8), Japão (2,21) e Bermudas (2,47). Estudos apontam que os Estados Unidos apesar de ser um país desenvolvido e mais industrializado que Cuba, Portugal, Singapura ou Reino Unido, as crianças morrem mais e sobrevivem com maiores complicações, devido às características do sistema público de saúde desse país. No Brasil, a taxa de mortalidade neonatal (0 a 27 dias de vida) é considerada o principal componente da TMI, principalmente o neonato precoce (0 a 6 dias de vida), devido a persistência dos problemas na pré-concepção ou durante a gestação. Essa TMI caiu de 26,6 para 16,2 por mil nascidos vivos entre os anos de 2000 e 2010, em virtude da importante queda na mortalidade pós-neonatal (27 dias a 1 ano de vida), devido as ações centradas na prevenção e no tratamento de infecções. Nesse mesmo período, a TMI na região nordeste reduziu de 38,4 para 20,1 por mil nascidos vivos e destes a taxa de mortalidade neonatal era de 22,7 e reduziu para 14,3. Dessa forma, o período pós-neonatal apresentou, em 2010, a taxa de mortalidade de 5,8, enquanto o neonatal com 14,3, caracterizando-se como a faixa de concentração da mortalidade infantil. A prematuridade é responsável por 14% das causas de mortes de crianças no mundo. As complicações do parto pré-termo foi uma das principais causas de mortes neonatais globais em 2008 e o número de crianças pré-termos e com baixo peso ao nascer vem aumentando constantemente durante as últimas décadas. Globalmente 11,1% dos bebês nascem prétermos o que equivale a mais de 15 milhões de crianças ou mais de 1 em cada 10 crianças, nas quais mais de 60% desses nascimentos ocorrem na África e Sul da Ásia, no entanto, os 10 países com as maiores taxas incluem o Brasil, os EUA, a Índia e a Nigéria. O Brasil, em 2012 apontou que 76,21% dos óbitos neonatais na primeira semana de vida foram de recém-nascidos pré-termos, onde as regiões Norte e Nordeste apresentaram as menores proporções com 69,31% e 74,54%, abaixo da nacional, enquanto as demais ultrapassaram a nacional, sendo a Sudeste 79,49%, Centro-oeste 78,05%, Sul 77,11%. No estado do Rio Grande do Norte 78,26% e no município de Parnamirim 78,94%. Nesse mesmo ano o Brasil apresentou prevalência de nascidos vivos pré-termos de 12,46%, no Estado do Rio Grande do Norte de 13,59% e no município de Parnamirim 13,20%. Com o objetivo de melhorar o acesso, a cobertura e a qualidade dessa assistência, o Ministério da Saúde (MS) lançou, em 2000, o Programa de Humanização do Pré-Natal e Nascimento (PHPN) estabelecendo que sejam realizadas, no mínimo, seis consultas, e em todas elas deve-se verificar a pressão arterial, a altura uterina, o peso da gestante e os batimentos cardio-fetais. Além disso, diante da persistência dos problemas preveníveis na pré-concepção ou durante a gestação mantendo a queda dos óbitos neonatais aquém do desejado, o MS iniciou em 2012 a implantação da Rede Cegonha que representa um conjunto de mudanças no processo de cuidado à gravidez, ao parto e ao nascimento; qualificação das equipes de assistência; melhoria da ambiência dos serviços; ampliação dos serviços e profissionais para estimular o parto fisiológico e na humanização do parto e nascimento; organização dos serviços de saúde enquanto uma rede de atenção à saúde (RAS); acolhimento da gestante e do bebê, com classificação de risco em todos os níveis de atenção; vinculação da gestante à maternidade; realização de exames de rotina com resultados em tempo oportuno. Diante do exposto levantou-se o questionamento: quais são os fatores de risco para o nascimento hospitalar pré-termo de crianças no município de Parnamirim-RN INTRODUÇÃO Teixeira GA, Lopes TRG, Carvalho JBL. Fatores associados ao nascimento do... Português/Inglês Rev enferm UFPE on line., Recife, 9(9):9332-5, set., 2015 9334 ISSN: 1981-8963 DOI: 10.5205/reuol.7874-68950-4-SM.0909201524 relacionados às características biológicas, sócio-demográficas, antecedentes reprodutivos, familiares e clínicos da mãe; e as condições gestacionais e de assistência prénatal e parto? Dessa forma, o estudo objetiva analisar os fatores de risco associados ao nascimento pré-termo em crianças nascidas de partos hospitalares de mães residentes no município de Parnamirim-RN. Então, esse estudo foi motivado pela necessidade de se conhecer quais os fatores estão associados ao nascimento pré-termo, tendo em vista esse ser uma das principais causa de mortes em crianças e daí produzir conhecimentos que promova o nascimento saudável e reduza a mortalidade infantil. De igual modo a vivência da autora principal como enfermeira assistencial da Estratégia de Saúde da Família na qual prestava assistência no ciclo gravídico-puerperal, a fez buscar conhecer de forma mais ampla os fatores de risco associados à 1a causa de óbito neonatal, principal responsável pela TMI. T