José Jeová Mourão Netto

Fragilidades na atenção ao potencial doador de órgãos: percepção de enfermeiros

This study aimed to get to know the perception of nurses about weaknesses in the care for potential organ donors. This is an exploratory-descriptive study with a qualitative approach, involving eight nurses from a reference hospital. It used semi-structured interviews and the results were analyzed according to discourse analysis. Two categories emerged: “perception of nurses on working with potential organ donors” and “weaknesses in the care for potential donors”. There is a limited role of the organ procurement organization. The barriers involve human and financial resources, family refusal, long wait for test results and structural problems. The work of this committee is limited to health care activities, in detriment of management. The professionals perceive weaknesses and fear negative repercussions. One must invest in structure and continuing education for this to be reflected in better care to potential donors and their family.This study aimed to get to know the perception of nurses about weaknesses in the care for potential organ donors. This is an exploratory-descriptive study with a qualitative approach, involving eight nurses from a reference hospital. It used semi-structured interviews and the results were analyzed according to discourse analysis. Two categories emerged: “perception of nurses on working with potential organ donors” and “weaknesses in the care for potential donors”. There is a limited role of the organ procurement organization. The barriers involve human and financial resources, family refusal, long wait for test results and structural problems. The work of this committee is limited to health care activities, in detriment of management. The professionals perceive weaknesses and fear negative repercussions. One must invest in structure and continuing education for this to be reflected in better care to potential donors and their family.Este estudio tuvo como objetivo conocer la percepcion de los enfermeros sobre las deficiencias en la atencion al potencial donante de organos. Se trata de estudio exploratorio-descriptivo con enfoque cualitativo, con la participacion de ocho enfermeros de un hospital de referencia. Se utilizaron entrevistas semiestructuradas y los resultados fueron analizados siguiendo la tecnica de analisis del discurso. Emergieron dos categorias: “percepcion de los enfermeros sobre el trabajo con potenciales donantes de organos” y “deficiencias en la atencion a los posibles donantes”. Fue identificada actuacion limitada en el ambito de la organizacion de busqueda de organos. Los obstaculos estan relacionados con los recursos humanos y financieros, la negativa de la familia, los prolongados tiempos de espera de resultados de examenes y problemas estructurales. Por lo tanto, el trabajo de este grupo se limita a acciones asistenciales, en detrimento de las de gestion. Los profesionales perciben las deficiencias y temen una interferencia negativa. Es necesario invertir en la estructura y en la formacion permanente para que esto se refleja en una mejor atencion al donante potencial y a su familia

Diagnóstico e tratamento da sífilis: uma investigação com mulheres assistidas na atenção básica em Sobral, Ceará

A sifilis e uma DST que acomete praticamente todos os orgaos e sistemas, e, apesar de ter tratamento eficaz e de baixo custo, mantem-se como problema de saude publica ate os dias atuais. Nas mulheres, a sua incidencia e elevada e o controle e um desafio devido as implicacoes sociais e de genero. Objetivo: conhecer a vivencia de mulheres portadoras de sifilis, acompanhadas pela Estrategia de Saude da Familia no municipio de Sobral, Ceara.Metodos: trata-se de um estudo qualitativo, do tipo exploratorio, envolvendo sete mulheres que estavam em tratamento ou acompanhamento de sifilis emuma Unidade Basica de Saude do municipio de Sobral. As informacoes foram coletadas mediante a aplicacao de entrevista semiestruturada com as referidas mulheres e os resultados foram analisados conforme a tecnica de categorizacao das falas das participantes. A pesquisa atendeu as exigencias eticas ecientificas fundamentais para o trabalho com seres humanos. Resultados: os resultados foram analisados em tres categorias: conhecimento sobre a doenca,sentimentos despertados e dificuldades enfrentadas diante da sifilis. Constatou-se que as participantes desconhecem a doenca e a ocorrencia da sifilis resulta em impacto negativo para a vida das mulheres em relacao ao seu convivio social e ao seu relacionamento familiar, principalmente com o parceiro sexual.Conclusao: o diagnostico de uma DST, particularmente da sifilis, para a maioria das mulheres, resulta em sentimentos negativos e receio de serem alvode preconceito por parte do parceiro sexual e da sociedade, podendo acarretar alteracoes emocionais e psicologicas nas pessoas acometidas com a doenca. Syphilis is a sexually transmitted disease which affects almost all organs and systems of our body. Although it has an affective and low costtreatment, it remains a public health problem until nowadays. It has a high incidence among women and its control is a big challenge because of the socialimplications. Objective: to know the experience of women who carry syphilis, accompanied by the family health system in the city of Sobral. Methods:this is an exploratory qualitative study involving seven women who were undergone to a syphilis treatment in a health center in Sobral. The information was collected by means of a semi-structured interview and the results were analyzed according to a categorizing technique of their speeches. The researchhas met the scientific and ethical requirements for a work involving people. Results: the results were analyzed according to three categories: the knowledge about the disease, impressions about syphilis and difficulties faced due to Syphilis. It was found that the participants do not know much about that disease and its incident results in a negative impact on womens lives, involving their social coexistence and their family relationships, mainly their partners.Conclusion: the diagnostic of a sexually transmitted disease, particularly syphilis, for most women, results in negative feelings and fear of being a target of prejudice from their partners and society, resulting on psychological and emotional problems.