Kamila Nethielly Souza Leite

Knowledge, attitude and practice of condom use by women of an impoverished urban area

OBJETIVO Avaliar a adequabilidade do conhecimento, da atitude e pratica de mulheres acerca de preservativos masculino e feminino enquanto medida preventiva as IST/HIV. METODO Inquerito domiciliar, avaliativo do tipo conhecimento, atitude e pratica (PAC), de abordagem quantitativa, envolvendo 300 mulheres. A coleta de dados ocorreu entre junho e agosto de 2013, em um aglomerado subnormal do municipio de Joao Pessoa. RESULTADOS Para o preservativo masculino, a maioria das mulheres apresentou conhecimento e pratica inadequados e atitude adequada. Em relacao ao preservativo feminino, as variaveis conhecimento, atitude e pratica foram insatisfatorias. Houve associacoes significativas entre conhecimento/orientacao religiosa e atitude/escolaridade para o preservativo masculino. CONCLUSAO A equipe multiprofissional deve estar compromissada com o desenvolvimento de praticas educativas como ferramentas de promocao do cuidado, no sentido de favorecer a adesao ao uso de preservativos.Objective: Assessing the adequacy of knowledge, attitude and practice of women regarding male and female condoms as STI/HIV preventive measures. Method: An evaluative Knowledge, Attitude and Practice (KAP) household survey with a quantitative approach, involving 300 women. Data collection took place between June and August 2013, in an informal urban settlement within the municipality of Joao Pessoa, Paraiba, Northeast Brazil. Results: Regarding the male condom, most women showed inadequate knowledge and practice, and an adequate attitude. Regarding the female condom, knowledge, attitude and practice variables were unsatisfactory. Significant associations between knowledge/religious orientation and attitude/education regarding the male condom were observed. Conclusion: A multidisciplinary team should be committed to the development of educational practices as care promotion tools in order to improve adherence of condom use.OBJECTIVE Assessing the adequacy of knowledge, attitude and practice of women regarding male and female condoms as STI/HIV preventive measures. METHOD An evaluative Knowledge, Attitude and Practice (KAP) household survey with a quantitative approach, involving 300 women. Data collection took place between June and August 2013, in an informal urban settlement within the municipality of João Pessoa, Paraiba, Northeast Brazil. RESULTS Regarding the male condom, most women showed inadequate knowledge and practice, and an adequate attitude. Regarding the female condom, knowledge, attitude and practice variables were unsatisfactory. Significant associations between knowledge/religious orientation and attitude/education regarding the male condom were observed. CONCLUSION A multidisciplinary team should be committed to the development of educational practices as care promotion tools in order to improve adherence of condom use.

Compreensão de usuárias de uma Unidade de Saúde da Família sobre o exame Papanicolaou

In the attempt to prevent cervical cancer, various preventive measures have been instituted, notable among which is the pap smear test, which fulfills the function of early detection of cancer cells or their precursors. Therefore, the objective was to investigate the discourse on the knowledge, feelings and expectations of women regarding the pap smear test. This is an exploratory qualitative approach, conducted with ten users of a Integrated Family Health Unit in the city of Joao Pessoa in the State of Paraiba. Data collection was conducted through recorded interviews in April 2011. Eight core ideas were identified: prevention of disease; self-motivated search, search recommended by another person; sense of shame and embarrassment, sensation of pain, feeling of satisfaction; conversations during the examination and exchange of knowledge about womens health. Based on the reports, there are many difficulties to be overcome to ensure greater adherence of women to the pap smear test.

Male and female condoms: What do women of a subnormal agglomerate know

OBJECTIVE Evaluate the knowledge about male and female condoms among women living in subnormal agglomerate and identify sources of information and appropriate care to use. METHODS Household survey, descriptive, transversal and quantitative study with 300 women over 18 of João Pessoa, Paraíba, Brasil, who began their sexual life. The systematic sampling plan for data collection was used. The interview form included sociodemographic questions and gazed relevant aspects of the use of condoms as a preventive measure of sexually transmitted infections and AIDS. RESULTS TV and healthcare professionals were the main sources of information. The participants knew more often the male condom features compared to women. The care most often mentioned by women as the use of male and female condoms were related to the validity, form of openness and conditions of packaging and storage of condoms. The largest number of care focused on measures taken in the pre-sexual moment. Moreover, care was nonspecific on the female condom. CONCLUSION The participating women have inadequate knowledge on female and male condoms. It is necessary that the nursing seek health education strategies for improving knowledge about relevant information about male and female condoms.

Multi-professional team care: discourse of women in preoperative mastectomy

Objective: The aim of this study was to investigate the multidisciplinary team regarding the preparation of women in preoperative from mastectomy. Methods: This is an exploratory study with qualitative approach, performed in the surgical clinic of a public hospital in Joao Pessoa PB. The sample consisted of seven women who would make a mastectomy. Data collection was initiated in the period of February to May 2011, after obtaining the assent of the Committee for Research Ethics No 751/10 and No CAAE 0578.0.126.000-10, using the technique of recorded interview. Results: The data were analyzed using the technique of collective subject discourse, generating four central ideas highlighting the role of the multidisciplinary team comprising relevant guidance to the surgical procedure, preoperative psychological, spiritual and nutritional. Conclusion: We conclude that there is a need for greater integration of the multidisciplinary team to provide better care to women during preoperative care of mastectomy.Objetivo: Investigar la actuacion del equipo multiprofesional con respecto a la preparacion de las mujeres en el preoperatorio de Mastectomia. Metodos: Estudio exploratorio, cualitativo, realizado en la clinica quirurgica de un hospital publico de Joao Pessoa (PB). La muestra fue compuesta por siete mujeres que iban a hacer una mastectomia. La recoleccion de datos ocurrio entre febrero y mayo de 2011, despues de haber obtenido el dictamen favorable del Comite de Etica de la Investigacion No 751/10 y No CAAE 0578.0.126.000-10, utilizando la tecnica de la entrevista grabada. Resultados: Los datos fueron analizados mediante la tecnica del Discurso del Sujeto Colectivo, generando cuatro ideas centrales que destacan el papel del equipo multidisciplinario, que incluye las orientaciones pertinentes para el procedimiento quirurgico: preoperatorio; psicologica; espiritual; nutricional. Conclusion: Se hace necesaria una mayor integracion del equipo multidisciplinario para ofrecer una mejor atencion a las mujeres durante el cuidado preoperatorio de mastectomia.

Knowledge of the nursing team in the main types of hospital infections

ABSTRACT Objective : to identify the knowledge of the nursing team regarding hospital infections. Method : this is a quantitative, exploratory-descriptive study, with 30 nursing technicians and 10 nurses. The instrument used for data collection was a questionnaire analyzed statistically. The results were expressed in tables. Results : 100% of nurses and 96.7% of nursing technicians know about hospital infection; 80% of nurses and 70% of nursing technicians use PPE (Personal Protective Equipment) correctly. Conclusion : most of the nursing team understand the risks related to hospital infections; nursing is very important for reducing the levels of infections in hospitals. Descriptors : Hospital Infection; Nursing; Individual Protection Equipment; Hand Washing Technique; Hospital Infection Prevention; Surgery Center. RESUMO Objetivo : identificar o conhecimento da equipe de enfermagem perante as infeccoes hospitalares. Metodo : estudo quantitativo, exploratorio-descritivo, com 30 tecnicos de enfermagem e 10 enfermeiros. O instrumento utilizado para coleta de dados foi um questionario, analisado estatisticamente. Os resultados foram expressos em tabelas. Resultados : 100% dos enfermeiros e 96,7% dos tecnicos de enfermagem tem conhecimento sobre a infeccao hospitalar; 80% dos enfermeiros e 70% dos tecnicos de enfermagem usam o EPI (Equipamento de Protecao Individual) corretamente. Conclusao : a maior porcao da equipe de enfermagem compreende os riscos perante as infeccoes hospitalares; a enfermagem apresenta grande importância para reducao dos niveis de infeccoes nos hospitais. Descritores : Infeccao Hospitalar; Enfermagem; Equipamento de Protecao Individual; Tecnica de Lavagem de Maos; Prevencao de Infeccao Hospitalar; Centro Cirurgico. RESUMEN Objetivo : identificar el conocimiento del equipo de enfermeria frente a las infecciones hospitalares. Metodo : estudio cuantitativo, exploratorio-descriptivo, con 30 tecnicos de enfermeria y 10 enfermeros. El instrumento utilizado para recoleccion de datos fue um cuestionario, analizado estadisticamente. Los resultados fueron expresos en tablas. Resultados : 100% de los enfermeros y 96,7% de los tecnicos de enfermeria tienen conocimiento sobre la infeccion hospitalaria; 80% de los enfermeros y 70% de los tecnicos de enfermeria usan el EPI (Equipamiento de Proteccion Individual) correctamente. Conclusion : la mayor parte del equipo de enfermeria comprende los riesgos frente a las infecciones hospitalarias; la enfermeria presenta grande importancia para reduccion de los niveles de infecciones en los hospitales. Descriptores : Infeccion Hospitalaria; Enfermeria; Equipo de Proteccion Individual; Tecnica de Lavado de Manos; Prevencion de Infeccion Hospitalaria; Centro Cirurgico.

Comparative Analysis Of Humanization Present In Nursing Assistance Between Brazil And New York: A Lived Experience

Objetive: The study is an experience report, with the objective of reporting differences in the humanization present in nursing care between a Brazilian city and two cities of the United States of America, highlighting the potentialities and fragility of care provided in both cities frequented by students of Patos Integrated College - FIP. Method: The study was based on the exchange linked to the Bounce project, funded by the US government, which took place between May 21 and June 20, 2015, and was attended by 8 (eight) FIP scholars from Paraiba, Brazil. Through the study it was possible to perform a comparative analysis between the Brazilian hospital reality, seen in the FIP curriculum internship field, through the Deputy Janduhy Carneiro Regional Hospital, located in the municipality of Patos - Paraiba, Brazil, and the North American, evidenced by the visit to the hospitals of Hudson and New Paltz. Results: It was observed that the difference in care is in the humanization present in the Brazilian nursing care process. It is noteworthy the great work done by these professionals, who are not only concerned with technical-scientific efficiency, but with humanized assistance, based on ethical, moral, affection and for mutual respect precepts. Comparing the assistance provided in the two realities, we observed in our country a predominantly humanistic, rather than mechanical, assistance. Therefore, it is concluded that it is fundamental to seek tools that improve our Health System, consequently, providing benefits both for professionals, as well as for the users assisted. Conclusion: In this way, it can be said that humanization does not depend only on technological resources to be shared. Keywords: Nursing care. Humanization. Hospital.

HISTÓRIA ORAL DE VIDA TEMÁTICA DE MULHERES EM RELAÇÃO À EPISIOTOMIA

Introduction: Pregnancy is a time of expectation responsible for promoting physical and psychological changes in women; therefore, it causes permanent changes to their way of life. It is essential that at the time of delivery the woman be aware of her rights, so that she feels safer and more confident and that labor takes place quietly. Objectives: Analyze the knowledge of women related to the practice of episiotomy; present the physical and emotional consequences of episiotomy, and report the importance of inform women about their rights during childbirth. Patients and Methods: This is a qualitative research, in which the Oral History of Thematic Life resource was used at the Maternidade Dr. Peregrino Filho, in the city of Patos, Paraíba State. The study involved five women who have been pregnant before, and were in the immediate puerperium period. They were 18 years-old and had experienced the procedure of episiotomy in previous pregnancies. Data collection was carried out after approval of the Research Ethics Committee of the Faculdades Integradas de Patos. Results: When asked about the knowledge of the episiotomy, all the women reported unawareness about it. It was noted as main emotional feelings, the fear of performing some physical effort due to the presence of episiorrhaphy. As physical influences, the study participants indicated pain, difficulty in locomotion in the bed, burning, pruritus, difficulty urinating and evacuation, and dyspareunia as major physical discomforts. Conclusions: It was noticed that all study participants experienced some kind of physical and/or emotional consequence after that procedure of the episiotomy. The opinion about the episiotomy from all women was formed in a negative way. It was related to a “cut that is not good” and they would only do it again if it was really necessary. Descriptors: Episiotomy; Humanizing Delivery; Women’s Health.

The Applicability of Information Technology and the Communication in Nursing Undergraduate Education

Objective: to understand the use of information and communica tion technology (ICt) as a pedagogical resource for teaching-learning process in nursing through the discourses of professors, and to identify the types of technology used as a tool to strengthen the teachinglearning process. Method: exploratory descriptive and qualitative study, guided by Grounded theory; the sample consisted of twelve professors of nur sing; data collection was conducted between February and May 2013, through the interview technique; the analysis was developed simulta neously with the collection, allowing the formation of categories and subcategories. Results: the nursing faculty expressed the knowledge dimension of ICt experienced in practice, recognizing it as an aid in the theoreticalpractical activities. Conclusion: this technology should be further stu died and explored in healthcare and, more specifically, in the training of nurses.

Sociodemographic Situation of Elderly Affected by Systemic Arterial Hypertension

Objective: To investigate the occurrence of systemic hypertension in elderly in Cajazeiras County - PB. Methodology: descriptive study, exploratory, cross-sectional, of quantitative approach. A random sample totaled in 348 elderly assisted by Family Health Strategy – FHS at Cajazeiras County - PB. For the analysis, it was used a statistical package, the Statistical Package for Social Sciences, descriptive simple statistics (frequency / percentage). Results: There was a high prevalence of hypertension (73.9%), there was a predominance of males (77.3%), higher incidence of hypertension among the elderly aged ≤ 71 (75.0%), live in rural areas (79.2%), live with his/her partner (77.4%) and income ≤ 1 minimum wage (76.1%). Conclusion: Health professionals, especially nurses, should understand the limitations and disabling aspects faced by the elderly, preventing proper treatment of hypertension and satisfactory lifestyle to disease prevention and health promotion, creating strategies to mitigate or remedy these difficulties.

Repercussions in the Lifestyle of Oophorectomized Women

Objective: To identify the factors that led to hysterectomy, check the effect on the life of the woman after the procedure and understand the influence of hysterectomy on the quality of womens lives. Method: exploratory research with quantitative and qualitative approach, using the collective subject discourse technique, data collection occurred from January to February 2016, through semi-structured questionnaire. Results: The respondents were aged above 31 years, in 17.19% the cause that led to oopheroctomy was uterine leiomyoma. The age range for the procedure was 25-55 years, with prevalence among 36-45. 80.95% of women noticed changes after the procedure on quality of life with the presence of excessive heat, joint pain, weight gain, stress and decreased sexual pleasure, resulting in interference in sexual. Conclusion: there were negative changes after performing the hysterectomy interferes with quality of life of women interview.