Juliane Portella Ribeiro

Depressão e qualidade de vida em jovens de 18 a 24 anos no sul do Brasil

Objective: To investigate the association between depression and quality of life in young adults aged 18 to 24 years. Method: This cross-sectional, population-based study included 1,560 young adults aged 18 to 24 years living in the urban area of Pelotas, southern Brazil. Sample selection was based on cluster sampling: of a total of 448 sectors, 97 were randomly selected. Depression was assessed using the Mini-International Neuropsychiatric Interview (MINI), and quality of life was measured using the Medical Outcomes Study Short-Form General Health Survey (SF-36), both validated for use in Brazilian Portuguese. Results: The prevalence of depression was 12.6%. Mean scores obtained for quality of life in the eight domains assessed by SF-36 were lower in depressive young adults, reaching statistical significance in all domains when assessed using the t test (p = 0.000). Conclusion: Young adults with signs and symptoms suggestive of depression presented lower levels of quality of life based on the domains assessed.

Implicaciones del ambiente en el desarrollo del proceso de trabajo de enfermería: una revisión integradora

This is an integrative literature review, whose objective was to identify in the academic productions the implication of the work environment on the development of the work process of the nursing team. The bibliographic survey was conducted online in the Virtual Health Library, and found sixteen scientific productions, of which six were selected. The analysis of the articles led to the identification of two themes: the working conditions of nursing and who assists the caregiver? From the study, it can be identified that some working conditions affect negatively the effectiveness of the actions of the labor process and health of nurses. Moreover, it is noted a paradox, the caregiver does not know how assists the customer-colleague, nor of himself. Therefore, it is suggested to the nurses that encourage health promotion strategies of the nursery personnel, to ensure a healthy work environment.

Nursing perceptions about abortion management and care: a qualitative study

Objetivou-se descrever a gestao e realizacao do cuidado as mulheres hospitalizadas por abortamento sob a perspectiva dos profissionais de enfermagem. Estudo qualitativo, realizado na unidade de internacao obstetrica de um hospital universitario do extremo sul do Brasil, por meio de entrevista semiestruturada com 19 profissionais de enfermagem. Para analise, utilizou-se a tecnica do Discurso do Sujeito Coletivo. Os discursos mostraram-se ambivalentes. Alguns profissionais de enfermagem referiram que ha interferencia do comportamento discriminatorio e pouca interacao com a mulher, resultando na organizacao do cuidado focado nos aspectos clinicos. Outros consideraram o atendimento bom, independentemente da etiologia do aborto, apontando algumas iniciativas humanizadas como apoio emocional e provisao de um ambiente terapeutico privativo. Esta pesquisa amplia o leque de informacoes acerca da gestao e realizacao do cuidado as mulheres hospitalizadas por abortamento, destacando a importância de articular percepcoes, sentimentos e comportamento etico com acoes de planejar, gerenciar e cuidar.Este estudio tiene el objetivo de describir la gestion y realizacion de las mujeres hospitalizadas por abortamiento bajo la perspectiva de los profesionales de enfermeria. Estudio cualitativo, llevado a cabo en una unidad de Obstetricia del hospital universitario en el extremo sur de Brasil, mediante una entrevista semiestructurada con 19 profesionales de enfermeria. Para el analisis, se utilizo la tecnica del discurso sujeto colectivo. Los discursos eran ambivalientes. Algunos profesionales de la enfermeria, comentaron que hay interferencia de un comportamiento discriminatorio y poca interaccion con la mujer, resultando en la organizacion de la atencion se centro en aspectos clinicos. Otros consideraron buena asistencia, independientemente de la etiologia del aborto, senalando algunas iniciativas humanizadas como apoyo emocional y la provision de un ambiente terapeutico privado. Esta investigacion amplia la gama de informacion sobre la gestion y realizacion del cuidado con las mujeres hospitalizadas por abortamiento, poniendo de relieve la importancia de articular las percepciones, sentimientos y comportamiento etico con acciones para planificar, administrar y cuidar.

Percepções da enfermagem sobre gestão e cuidado no abortamento: estudo qualitativo

Objetivou-se descrever a gestao e realizacao do cuidado as mulheres hospitalizadas por abortamento sob a perspectiva dos profissionais de enfermagem. Estudo qualitativo, realizado na unidade de internacao obstetrica de um hospital universitario do extremo sul do Brasil, por meio de entrevista semiestruturada com 19 profissionais de enfermagem. Para analise, utilizou-se a tecnica do Discurso do Sujeito Coletivo. Os discursos mostraram-se ambivalentes. Alguns profissionais de enfermagem referiram que ha interferencia do comportamento discriminatorio e pouca interacao com a mulher, resultando na organizacao do cuidado focado nos aspectos clinicos. Outros consideraram o atendimento bom, independentemente da etiologia do aborto, apontando algumas iniciativas humanizadas como apoio emocional e provisao de um ambiente terapeutico privativo. Esta pesquisa amplia o leque de informacoes acerca da gestao e realizacao do cuidado as mulheres hospitalizadas por abortamento, destacando a importância de articular percepcoes, sentimentos e comportamento etico com acoes de planejar, gerenciar e cuidar.Este estudio tiene el objetivo de describir la gestion y realizacion de las mujeres hospitalizadas por abortamiento bajo la perspectiva de los profesionales de enfermeria. Estudio cualitativo, llevado a cabo en una unidad de Obstetricia del hospital universitario en el extremo sur de Brasil, mediante una entrevista semiestructurada con 19 profesionales de enfermeria. Para el analisis, se utilizo la tecnica del discurso sujeto colectivo. Los discursos eran ambivalientes. Algunos profesionales de la enfermeria, comentaron que hay interferencia de un comportamiento discriminatorio y poca interaccion con la mujer, resultando en la organizacion de la atencion se centro en aspectos clinicos. Otros consideraron buena asistencia, independientemente de la etiologia del aborto, senalando algunas iniciativas humanizadas como apoyo emocional y la provision de un ambiente terapeutico privado. Esta investigacion amplia la gama de informacion sobre la gestion y realizacion del cuidado con las mujeres hospitalizadas por abortamiento, poniendo de relieve la importancia de articular las percepciones, sentimientos y comportamiento etico con acciones para planificar, administrar y cuidar.

Grupo de familiares de um centro de atenção psicossocial: experiências de seus usuários

Objective: understand the different experiences of the relatives of the person in mental suffering within the family group. Methodology: a qualitative, exploratory and descriptive study, carried out in the domicile of five participants, which are engaged for a minimum period of six months in the Family Group administered by CAPS. The data collection took place in the months of November and December of the year 2009, using semi-structured surveys. Results: the participation of the family in the caring demands their co-responsibility in the formation of connections and in the expression of feelings and doubts among the familial group, building trust to obtain satisfaction with the caring practice. Conclusion: the relatives request the embracement, the listening and the helping to manage the living with the person in mental suffering, optimizing the exchanging and learning of knowledge through the group action

Lifeworld: socio-environmental influence on crack cocaine use by teenagers

OBJECTIVE To understand the influence of the lifeworld on crack cocaine use by teenagers undergoing treatment at the Psychosocial Care Center for users of alcohol and other drugs. METHOD Qualitative research carried out with thirteen teenagers attended at the Psychosocial Care Center for users of alcohol and other drugs, from a municipality in the South of Brazil. The data were collected through semi-structured interviews and the Comprehensive Analysis was carried out from the Phenomenology of the Social World of Alfred Schütz. RESULTS In the lifeworld, there is influence of the community to which the teenager belongs; of the family, by the excess of permissibility and being in an environment of drug use and violence; and the school, where it is influenced by individuals to consume them. CONCLUSION Elements from the lifeworld influence the teenager for the consumption of crack cocaine, being necessary actions contextualized with their world of life.

Puérperas dependientes de crack: dificultades y facilidades afrontadas en el cuidado al recién nacido

Introduction: Newborns of crack-dependent mothers suffer the effects of drug dependence in the first hours of life and can exhibit irritability, sweating, hypertonia and difficulty in their sleep and wake cycles. This reality means the crack-dependent mother requires professional help to be able to care for her newborn child. Objective: The purpose of the study is to identify the newborn care difficulties and facilities facing postpartum women who are dependent on crack. Method: A qualitative study was conducted at a maternity hospital in southern Brazil, through semi-structured interviews with 18 postpartum women. Results: The content analysis made it possible to identify a number of difficulties; namely, abstinence from crack cocaine, no breastfeeding, lack of family support, surveillance by professionals from the Guardianship Council, lack of ability to care for the newborn, fear of hurting the newborn and financial problems. As for facilities, it was found the newborns of crack-dependent mothers cry little and are quiet and tranquil. Support from family members, neighbors and friends and financial help from the partner and the family are possible resources as well. Conclusion: Crack-dependent postpartum women need help to fulfill their role as newborn caregivers. They should be identified during pregnancy so as to receive guidance during the prenatal period and orientation on newborn care and the support services to which they are entitled.

AMBIÊNCIA DA PEDIATRIA: PRODUÇÃO DE SUBJETIVIDADES NAS CRIANÇAS INTERNADAS

Objetivo: investigar os reflexos da ambiencia da unidade de pediatria na producao de subjetividades nas criancas internadas, segundo a perspectiva dos profissionais de enfermagem. Metodologia: estudo descritivo e exploratorio com abordagem qualitativa realizado com 20 profissionais de enfermagem atuantes nas unidades de pediatria de dois Hospitais Universitarios. A coleta de dados ocorreu por meio de entrevistas semiestruturadas, organizadas e tratadas pelo software Nvivo 10. Resultados: os profissionais de enfermagem apontam que desde a entrada na Unidade de Pediatria ha a producao de subjetividades nas criancas, sendo percebida por eles por meio de reacoes de estranhamento ao ambiente quedificultam a interacao com elas, bem como a realizacao das acoes de cuidado. Conclusao: faz-se necessario lancar mao de aspectos humanos como acolhimento, receptividade, calma, carinho e atencao, de forma a contribuir para que a crianca perceba o ambiente hospitalar e os profissionais de enfermagem de forma menos traumatica e agressiva. Descritores: Ambiente de Instituicoes de Saude; Humanizacao da Assistencia; Pediatria; Crianca Hospitalizada; Enfermagem.

Use of crack in pregnancy: repercussions for the newborn

OBJECTIVES To know the effects for the newborn of the use of crack in pregnancy. METHODS This is a qualitative study conducted in a university hospital in southern Brazil, in the first half of 2014. Fifteen mothers crack users and five grandparents participated. The data were produced through semi-structured interviews and later submitted to content analysis. RESULTS It was found that the use of crack in pregnancy leads to repercussions related to the health of the newborn and repercussions related to family restructuring. In relation to the newborn, prematurity, congenital malformation, hospitalization in an intensive care unit, use of care and feeding technologies through artificial milk formulas were mentioned. In the family context, it was evidenced the occurrence of abandonment of the child by the mother, causing the adoption of the newborn by relatives of the family nucleus or their institutionalization due to lack of family structure. CONCLUSIONS It was found that the use of crack in pregnancy leads to repercussions related to the health of the newborn and repercussions related to family restructuring. In this sense, the recruitment of pregnant users of crack by health/nursing professionals and referral for high-risk prenatal care, as well as early identification of the peculiarities of the newborns of these women, and the development of actions that minimize the repercussions of crack are imperative.

Violencia contra niños y adolescentes: características de los casos reportados en un Centro de Referencia del Sur de Brasil

Objective: To present the epidemiology of violence against children and adolescents treated at a Specialized Reference Center for Social Assistance (CREAS), from the records of notifications between January 2009 and May 2014. Methods: This is a descriptive and documentary study, a quantitative approach which examined 800 medical records of CREAS. The research instrument addressed sociodemographic variables selected victims, the aggressors and the type of violence. The analyzed with descriptive statistics and use of SPSS software version 22. Results: The prevalent profile was children and adolescents white, female, aged between seven and 14 years, living in suburbs. Most offenders are male, aged between 20 and 40 years, and low level of education. The study identified the mother as the main responsible for the attacks, father and stepfather then. There was a predominance of sexual, physical and psychological violence. Conclusion: The face of the violence problem is complex, requiring immediate protective.