Isolda Maria Barros Torquato

Impacto do diagnóstico de paralisia cerebral para a família

Pesquisa qualitativa, exploratorio-descritiva, que objetivou compreender a percepcao da familia acerca do impacto do diagnostico de paralisia cerebral e identificar estrategias de enfrentamento. Os dados foram coletados em uma Clinica-Escola de Fisioterapia de Joao Pessoa-PB com sete familias de criancas com paralisia cerebral, entre marco e abril de 2009, por meio de entrevista semiestruturada. A analise seguiu os principios da interpretacao tematica. Os resultados demonstraram que o impacto desse diagnostico e um momento dificil, gerando sentimentos de culpa nos pais. A familia vivencia o medo frente ao desenvolvimento motor do filho e mudancas na dinâmica cotidiana. A fe e o amor ao filho influenciam no modo como as mesmas buscam se adaptar a nova situacao. A familia precisa de uma rede de apoio e atencao especial dos profissionais de saude que devem ser sensiveis para promover escuta atentiva, minimizando o impacto do diagnostico e contribuindo no enfrentamento.

Burn injuries in children and adolescents: clinical and epidemiological characterization

Burns are important causes of morbidity and mortality in children and adolescents whose effects are reflected in significant functional limitations. This is a descriptive, quantitative study aimed to characterize the clinical and epidemiological profile of children and adolescents victims of burns admitted to a referral Hospital of Joao Pessoa, Brazil from January 2007 to December 2009. The majority of victims were infants (87%), preschoolers (88.2%) and boys (54%). The incident mostly occurred at home (85.5%) by accident (90%) and scalding (69.6%). Second-degree burns were predominant in 62.6% of cases and about 24.2% of the sample developed complications and secondary infection was the most common (1.1%). Balneotherapy is one of the most common procedures. We conclude that education programs at schools, community centers and in the media need to be strengthen since most injuries occur in the home environment and could be prevented.As queimaduras constituem importantes causas de morbimortalidade infanto-juvenil, cujas repercussoes refletem em significativas limitacoes funcionais. Trata-se de um estudo descritivo, de natureza quantitativa, que objetivou caracterizar o perfil clinico-epidemiologico de criancas e adolescentes vitimas de queimaduras admitidas em um Hospital de Referencia de Joao Pessoa, Brasil, de janeiro de 2007 a dezembro de 2009. A maioria das vitimas compoe-se de lactentes (37%), pre-escolares (33,2%) e do genero masculino (54%). Os eventos ocorreram, principalmente, no domicilio (85,5%), acidentalmente (90%) e por escaldamento (69,6%). Predominaram as queimaduras de 2o grau, em 62,6% dos casos, e cerca de 24,2% da amostra evoluiram com complicacoes secundarias, sendo a infeccao a mais comum (12,1%). A balneoterapia foi um dos procedimentos mais realizados. Conclui-se a necessidade em intensificar programas educativos nas escolas, nos centros comunitarios e meios de comunicacao, ja que grande parte dos acidentes ocorreu no ambiente domestico, podendo ser evitados.

Queimaduras em crianças e adolescentes: caracterização clínica e epidemiológica

Burns are important causes of morbidity and mortality in children and adolescents whose effects are reflected in significant functional limitations. This is a descriptive, quantitative study aimed to characterize the clinical and epidemiological profile of children and adolescents victims of burns admitted to a referral Hospital of Joao Pessoa, Brazil from January 2007 to December 2009. The majority of victims were infants (87%), preschoolers (88.2%) and boys (54%). The incident mostly occurred at home (85.5%) by accident (90%) and scalding (69.6%). Second-degree burns were predominant in 62.6% of cases and about 24.2% of the sample developed complications and secondary infection was the most common (1.1%). Balneotherapy is one of the most common procedures. We conclude that education programs at schools, community centers and in the media need to be strengthen since most injuries occur in the home environment and could be prevented.As queimaduras constituem importantes causas de morbimortalidade infanto-juvenil, cujas repercussoes refletem em significativas limitacoes funcionais. Trata-se de um estudo descritivo, de natureza quantitativa, que objetivou caracterizar o perfil clinico-epidemiologico de criancas e adolescentes vitimas de queimaduras admitidas em um Hospital de Referencia de Joao Pessoa, Brasil, de janeiro de 2007 a dezembro de 2009. A maioria das vitimas compoe-se de lactentes (37%), pre-escolares (33,2%) e do genero masculino (54%). Os eventos ocorreram, principalmente, no domicilio (85,5%), acidentalmente (90%) e por escaldamento (69,6%). Predominaram as queimaduras de 2o grau, em 62,6% dos casos, e cerca de 24,2% da amostra evoluiram com complicacoes secundarias, sendo a infeccao a mais comum (12,1%). A balneoterapia foi um dos procedimentos mais realizados. Conclui-se a necessidade em intensificar programas educativos nas escolas, nos centros comunitarios e meios de comunicacao, ja que grande parte dos acidentes ocorreu no ambiente domestico, podendo ser evitados.

Assistência Integral a Saúde do Homem: necessidades, obstáculos e estratégias de enfrentamento

Objetivo: Conhecer as necessidades de saude, identificar os obstaculos que impedem o atendimento das necessidades de saude do homem e apresentar as estrategias de enfrentamento para uma assistencia integral e humana a um grupo de homens. Metodos: Estudo de cunho descritivo e exploratorio, com abordagem qualitativa. A coleta dos dados foi realizada em fevereiro de 2012 por meio de entrevista semiestruturada e analisadas a luz do referencial teorico. Resultados: A populacao masculina tem necessidades de saude a serem atendidas e referenciam como obstaculos, a vergonha de se expor, a impaciencia, a inexistencia de tempo e a falta de resolutividade das necessidades de saude. A humanizacao em saude predominou como estrategia de enfrentamento, atraves do acesso, do acolhimento, da comunicacao e do vinculo. Conclusao: A criacao da Politica de Atencao Integral a Saude do Homem nao foi suficiente para inseri-lo no contexto de saude, desta forma, propoe-se mudancas no modelo assistencial.Objective: To know the health needs, to identify obstacles in the health needs of men and to present coping strategies for integral and human assistance to a group of men. Methods: This study was a descriptive, exploratory with qualitative approach. Data collection was conducted in February 2012 through semi-structured interviews and analyzed with theoretical reference. Results: The male population has health needs to be met and they have obstacles as the shame of being exposed, impatience, lack of time and lack of resoluteness health needs. Health humanization prevailed as a coping strategy, through access, reception, communication and bond. Conclusion: The creation of the Policy for Integral Health of Man was not enough to put the man in the context of health. Thus, it proposes to change the health care model.

Lombalgia: prevalência e repercussões na qualidade de vida de gestantes

Aims: the present study seeks to analyze the prevalence of lumbago and its influence on the quality of life of the pregnant woman. Methods: this was a cross-sectional and exploratory-descriptive research with a quantitative approach, performed with 70 pregnant women assisted in the Family Health Strategy network in the city of Paraibano – PB. The instrument used comprised multiple-choice questions related to sociodemographic aspects, the characterization of lumbago, and quality of life. The study was approved by the Ethics in Research Committee under CAAE: 16742713.7.0000.5182., protocol number 475.324. Results: lumbago was prevalent in 87.1% of the sample, present in pregnant women on a daily basis for a period longer than sixty minutes, and ranging from moderate to severe pain. To alleviate pain, women used strategies like the use of drugs, prolonged resting and walking. Conclusions: lumbago is a common symptom among pregnant women, and, therefore, should be more valued by health professionals.

Vigilância em saúde em creches: análise do estado nutricional em menores de dois anos

Objective: to evaluate the nutritional status of assisted children in municipal public daycare centers. Methods: This is a cross-sectional study, carried out with 137 children between zero and 24 months old., The anthropometric measures recommended by the Ministry of Health were used for data collection, including height, weight, and body mass index, and, descriptive and inferential statistics were used for analysis. Results: more than half of the children were eutrophic (70.7%), but 24.1% were overweight, most of them were male. Pictures of thinness (5.2%) were also identified in children between six and 24 months old. Conclusion: the results of the nutritional evaluation indicate a trend towards reduction of malnutrition rates and elevation of overweight in childhood, which reinforces the importance of anthropometric evaluation in the identification of nutritional alterations in children using daycare centers.

Infantile autism: impact of diagnosis and repercussions in family relationships.

Objective To analyse the context in which the diagnosis of autism is revealed and the impact of this revelation on family relationships. Methods This is a qualitative study with 10 families of autistic children assisted at the Psychosocial Care Centre for Children and Youths in a municipality of Paraíba. Data were collected between July and August 2013 through semi-structured interviews and interpreted using thematic content analysis. Results The identified Main Unit of Analysis and the respective categories were: the impact of disclosing the diagnosis of autism to the family; characteristics of diagnosis disclosure: the place, time, and the dialogic relationship between the professional and the family; changes in family relationships and the mothers burden when caring for the autistic child. Conclusions The health professionals who report autism should better prepare the family to cope with the difficulties of this syndrome and autonomously care for the autistic child.

Autismo infantil: impacto do diagnóstico e repercussões nas relações familiares

Objective To analyse the context in which the diagnosis of autism is revealed and the impact of this revelation on family relationships. Methods This is a qualitative study with 10 families of autistic children assisted at the Psychosocial Care Centre for Children and Youths in a municipality of Paraíba. Data were collected between July and August 2013 through semi-structured interviews and interpreted using thematic content analysis. Results The identified Main Unit of Analysis and the respective categories were: the impact of disclosing the diagnosis of autism to the family; characteristics of diagnosis disclosure: the place, time, and the dialogic relationship between the professional and the family; changes in family relationships and the mothers burden when caring for the autistic child. Conclusions The health professionals who report autism should better prepare the family to cope with the difficulties of this syndrome and autonomously care for the autistic child.

Autismo infantil: el impacto del diagnóstico y efectos sobre las relaciones familiares

Objective To analyse the context in which the diagnosis of autism is revealed and the impact of this revelation on family relationships. Methods This is a qualitative study with 10 families of autistic children assisted at the Psychosocial Care Centre for Children and Youths in a municipality of Paraíba. Data were collected between July and August 2013 through semi-structured interviews and interpreted using thematic content analysis. Results The identified Main Unit of Analysis and the respective categories were: the impact of disclosing the diagnosis of autism to the family; characteristics of diagnosis disclosure: the place, time, and the dialogic relationship between the professional and the family; changes in family relationships and the mothers burden when caring for the autistic child. Conclusions The health professionals who report autism should better prepare the family to cope with the difficulties of this syndrome and autonomously care for the autistic child.

Difficulties in a Father’s Day-to-Day Care of a Child with A Chronic Illness

Objective: To understand the difficulties experienced by fathers of children with chronic illnesses in terms of day-to-day childcare. Methodology: A descriptive, qualitative study conducted between June and August 2014 by means of semi-structured interviews with 10 participants who were fathers of children with chronic illnesses. The data were subjected to thematic analysis. Results: The fathers experienced many difficulties in terms of day-to-day care: emotional burden, trying to balance work with caring for their child, administering medication, hospitalisation, and sharing the childs care with the mother. Because the fathers assumed financial responsibility for their homes, they lacked time to better serve their children and to foster the emotional structure needed to support the duties and constraints that arise because of their absence. Conclusion: The fathers needed guidance and support from the health team to overcome the difficulties experienced in day-to-day life and become better prepared to understand and fulfill their roles in caring for children with chronic illness effectively.