Lina Márcia Miguéis Berardinelli

Políticas públicas de saúde face à epidemia da AIDS e a assistência às pessoas com a doença

UNLABELLED The study aimed to identify the major public policy on HIV/AIDS in Brazilian society, since 1980; and to reflect on their impact on the assistance for people living with HIV/AIDS. DESCRIPTORS public health policies, Acquired Immunodeficiency Syndrome and integral health care, we obtained a sample of 23 articles in Medline and Lilacs data bases. After analysis, there were two moments: first, the emergence of public policies in response to the AIDS epidemic, and second, to improve care for people living with HIV/AIDS. Despite the significant advances achieved in terms of public health policies in Brazil, there is a complex way in the pursuit of quality of care for people with HIV/AIDS.Objetivou-se identificar as principais politicas publicas sobre HIV/AIDS no cenario brasileiro, a partir de 1980 e refletir sobre seu impacto na assistencia as pessoas que convivem com HIV/AIDS. A partir dos descritores politicas publicas de saude, Sindrome da Imunodeficiencia Adquirida e assistencia integral a saude, obtive-se uma amostra de 23 artigos, nas bases de dados Medline e Lilacs. Apos analise, verificaram-se dois momentos: o primeiro, do surgimento das politicas publicas em resposta a epidemia da AIDS; e o segundo, de melhoria da assistencia as pessoas que convivem com HIV/AIDS. Apesar dos reconhecidos avancos conquistados em termos de politicas publicas de saude no pais, ha ainda um complexo caminho em busca da qualidade da assistencia as pessoas com HIV/AIDS.Los objetivos del estudio fueran identificar las principales politicas publicas sobre el VIH/SIDA en la sociedad brasilena, a partir de 1980, y reflexionar sobre su impacto en la atencion a las personas que viven con el VIH/SIDA. Con los siguientes descriptores: politicas de salud publica, sindrome de inmunodeficiencia adquirida y la atencion integral de salud, se obtuvo una muestra de 23 articulos en las bases de datos Medline y Lilacs. Tras el analisis, hubo dos momentos: en primer lugar, el surgimiento de las politicas publicas en respuesta a la epidemia del SIDA, y en segundo lugar, mejorar la atencion a las personas que viven con el VIH/SIDA. A pesar de los importantes avances logrados en materia de politicas de salud publica en el pais, todavia hay un complejo camino en la busqueda de la calidad de la atencion para las personas con VIH/SIDA.

Necessidades de orientação de enfermagem para o autocuidado de clientes em terapia de hemodiálise

OBJECTIVE To identify the needs of nursing guidance for the self-care of the clients on hemodialysis. METHOD Descriptive-exploratory research whose data were collected by means of individual interviews with clients who were on hemodialysis therapy, using the Orem conceptions. RESULTS 43 clients were included in self-care system totally compensatory for the needs of guidance: nutritional therapy, fluid intake, hemodialysis complications, anticoagulation physical activity, emotional problems has been the group membership and leisure activities. CONCLUSION In managing hemodialysis sessions, the nurse is fundamental in the orientation of the clients and family. Her support to the patient in the administration of treatment contributes to acquire the competences and ability in self-care actions and thereby promote their quality of life.Objetivo: Identificar necesidades de orientacion de enfermeria para el autocuidado de clientes en hemodialisis. Metodo: Investigacion descriptivo-exploratoria cuyos datos fueron recolectados por medio de entrevista individual con clientes en hemodialisis, utilizando las concepciones de Orem. Resultados: 43 clientes fueron incluidos en el sistema de autocuidado totalmente compensatorio para las necesidades de orientacion: terapia nutricional, ingestion de liquidos, complicaciones de hemodialisis, anticoagulacion, practica de actividad fisica; problemas emocionales, asociacion a grupos y actividades de diversion. Conclusion: La enfermera, al administrar la terapia de hemodialisis, es fundamental en la orientacion de los clientes y familiares. Su suporte al cliente en el enfrentamiento y tratamiento de la dolencia renal cronica, contribuye para que el tenga competencia y habilidades en las acciones de autocuidado y asi promueva su calidad de vida.

Qualidade de vida de clientes em hemodiálise e necessidades de orientação de enfermagem para o autocuidado

Resumen Este trabajo relaciona necesidades de orientación de enfermería con la calidad de vida de clientes con enfermedad renal crónica, en hemodiálisis, considerando conceptos del Autocuidado de Orem. Investigación descriptiva, mediante entrevista con 43 clientes del Hospital Universitario de Rio de Janeiro, de 2008 a 2009. Los sujetos tienen hipertensión ar terial, 83,72% de ellos están en terapia renal hace menos de un año. Aplicando el Kidney Disease Quality of Life Short Form, se obtuve los mejores escores en las dimensiones: física; emocional; condición de trabajo; capacidad funcional. Eses resultados fueron relacionados a los obtenidos con las necesidades de orientación de enfermería para nutrición, ingestión de líquidos, complicaciones con la hemodiálisis, anticoagulación, actividad física, diversiones y asociación a grupos, Se concluyó que eses clientes se encuentran en el Sistema de Autocuidado con total compensación de la enfermera. Se sugiere el desarrollo de la orientación de enfermería para el autocuidado, en consulta de enfermería, para promoción de la calidad de vida de los clientes. Palabras clave: Enfermería. Autocuidado. Hemodiálisis. Calidad de vida. 1Doutora em Enfermagem. Professora Adjunta do Programa de Pós-Graduação da Faculdade de Enfermagem da UERJ. Líder do Grupo de Pesquisa CNPq “Concepções teóricas para o cuidar em saúde e enfermagem”. Bolsista de Produtividade em Pesquisa do CNPq. Rio de Janeiro-RJ. Brasil. Email: iraci.s@terra.com.br,2 Enfermeira Especialista em Nefrologia. Mestre pelo Programa de Pós-Graduação da Faculdade de Enfermagem da Universidade do Estado do Rio de Janeiro. Professora Assistente da Universidade de Várzea Grande. Cuiabá –MT. Brasil. Email: rpfrocha@yahoo.com.br,3 Doutora em Enfermagem. Professora Adjunta do Depar tamento Enfermagem Médico Cirúrgica da Faculdade de Enfermagem da UERJ. Coordenadora do Núcleo de Extensão da FENF/UERJ. Rio de Janeiro-RJ. Brasil. Email: l.m.b@uol.com.br PESQUISA RESEARCH INVESTIGACIÓN This work relates the needs of nursing guidance with quality of life of patients with chronic kidney disease on hemodialysis, considering conceptions of the Self-care of Orem. Descriptive search, through the interview held with 43 clients of the University Hospital of Rio de Janeiro, from 2008 to 2009. The Clients has arterial hypertension, being 83.72% on this treatment for less than a year. Applying the Kidney Disease Quality of Life Short Form obtained the lowest scores in the dimensions: physical emotional, work conditions, functional capacity. These results were related to the ones obtained with the needs of a guidance of nursing for nutrition, fluid intake, hemodialysis complications, anticoagulation, physical and leisure activities with membership associated groups. It was concluded that these clients are in this Totally Compensatory System of Selfcare. Then It is suggested the development of the nursing guidance for the self-care through nursing consult, in order to promote the quality of life of the clients. Iraci dos Santos1 Quality of life of clients on hemodialisys and needs of nursing guidance for self-care Calidad de vida de clientes en hemodiálisis y necesidades de orientación de enfermería para el autocuidado Lina Márcia Miguéis Berardinelli3Este trabajo relaciona necesidades de orientacion de enfermeria con la calidad de vida de clientes con enfermedad renal cronica, en hemodialisis, considerando conceptos del Autocuidado de Orem. Investigacion descriptiva, mediante entrevista con 43 clientes del Hospital Universitario de Rio de Janeiro, de 2008 a 2009. Los sujetos tienen hipertension arterial, 83,72% de ellos estan en terapia renal hace menos de un ano. Aplicando el Kidney Disease Quality of Life Short Form, se obtuve los mejores escores en las dimensiones: fisica; emocional; condicion de trabajo; capacidad funcional. Eses resultados fueron relacionados a los obtenidos con las necesidades de orientacion de enfermeria para nutricion, ingestion de liquidos, complicaciones con la hemodialisis, anticoagulacion, actividad fisica, diversiones y asociacion a grupos, Se concluyo que eses clientes se encuentran en el Sistema de Autocuidado con total compensacion de la enfermera. Se sugiere el desarrollo de la orientacion de enfermeria para el autocuidado, en consulta de enfermeria, para promocion de la calidad de vida de los clientes.

Public health policies facing the epidemic of AIDS and the assistance for people with the disease

UNLABELLED The study aimed to identify the major public policy on HIV/AIDS in Brazilian society, since 1980; and to reflect on their impact on the assistance for people living with HIV/AIDS. DESCRIPTORS public health policies, Acquired Immunodeficiency Syndrome and integral health care, we obtained a sample of 23 articles in Medline and Lilacs data bases. After analysis, there were two moments: first, the emergence of public policies in response to the AIDS epidemic, and second, to improve care for people living with HIV/AIDS. Despite the significant advances achieved in terms of public health policies in Brazil, there is a complex way in the pursuit of quality of care for people with HIV/AIDS.Objetivou-se identificar as principais politicas publicas sobre HIV/AIDS no cenario brasileiro, a partir de 1980 e refletir sobre seu impacto na assistencia as pessoas que convivem com HIV/AIDS. A partir dos descritores politicas publicas de saude, Sindrome da Imunodeficiencia Adquirida e assistencia integral a saude, obtive-se uma amostra de 23 artigos, nas bases de dados Medline e Lilacs. Apos analise, verificaram-se dois momentos: o primeiro, do surgimento das politicas publicas em resposta a epidemia da AIDS; e o segundo, de melhoria da assistencia as pessoas que convivem com HIV/AIDS. Apesar dos reconhecidos avancos conquistados em termos de politicas publicas de saude no pais, ha ainda um complexo caminho em busca da qualidade da assistencia as pessoas com HIV/AIDS.Los objetivos del estudio fueran identificar las principales politicas publicas sobre el VIH/SIDA en la sociedad brasilena, a partir de 1980, y reflexionar sobre su impacto en la atencion a las personas que viven con el VIH/SIDA. Con los siguientes descriptores: politicas de salud publica, sindrome de inmunodeficiencia adquirida y la atencion integral de salud, se obtuvo una muestra de 23 articulos en las bases de datos Medline y Lilacs. Tras el analisis, hubo dos momentos: en primer lugar, el surgimiento de las politicas publicas en respuesta a la epidemia del SIDA, y en segundo lugar, mejorar la atencion a las personas que viven con el VIH/SIDA. A pesar de los importantes avances logrados en materia de politicas de salud publica en el pais, todavia hay un complejo camino en la busqueda de la calidad de la atencion para las personas con VIH/SIDA.

Repensando a interdisciplinaridade e o ensino de enfermagem

The objective of this article is to identify the interdisciplinary effects on the teaching of nursing and to identify the interdisciplinary challenges in building the process of nursing care. Some historical references about the construction of the teaching of nursing in Brazil and its connection with the interdisciplinarity paradigm are pointed out. It emphasises the difficulty in working the borderlines of disciplines and the integration proposed by intediciplinarity and the teaching of nursing. The integration, the construction of human care concepts and their ethical and esthetical questions, combined with instrumental sciences are challenges of interdisciplinarity which guarantee the enlargement of human care actions and nursing. RESUMEN: El presente artículo tiene como objetivo identificar los efectos de la interdisciplinariedad en la enseñanza de la enfermería y el desafío de la misma en la construcción del proceso de cuidado en la enfermería. Son señadas algunas referencias históricas en la construcción de la enseñanza de enfermería en el Brasil y su conexión con el paradigma de la interdisciplinaridad. Se hace enfasis en la presencia de un desvío o de la dificultad de trabajar se las fronteras de las disciplinas, dificultándose la integración prevista por la interdisciplinariedad y la enseñanza de la enfermería. La integración y la reconstrucción de conceptos del cuidado humano y sus cuestiones éticas, estéticas y la conjugación con las ciencias instrumentales se constituyen en un gran desafío de la interdisciplinariedad para garantizar la ampliación de las acciones del cuidado humano y de la enfermería. PALAVRAS-CHAVE: Equipe de assistência ao paciente. Enfermagem – ensino. Enfer-El presente articulo tiene como objetivo identificar los efectos de la interdisciplinariedad en la ensenanza de la enfermeria y el desafio de la misma en la construccion del proceso de cuidado en la enfermeria. Son senadas algunas referencias historicas en la construccion de la ensenanza de enfermeria en el Brasil y su conexion con el paradigma de la interdisciplinaridad. Se hace enfasis en la presencia de un desvio o de la dificultad de trabajar se las fronteras de las disciplinas, dificultandose la integracion prevista por la interdisciplinariedad y la ensenanza de la enfermeria. La integracion y la reconstruccion de conceptos del cuidado humano y sus cuestiones eticas, esteticas y la conjugacion con las ciencias instrumentales se constituyen en un gran desafio de la interdisciplinariedad para garantizar la ampliacion de las acciones del cuidado humano y de la enfermeria.

O grupo pesquisador construindo ações de autocuidado para o envelhecimento saudável: pesquisa sociopoética

Resumen The aim of this study was to analyze the feelings of aged people regarding the self-care, accordingly to Nola Pender’s Theory. This theory takes in consideration cognitive experiences, beliefs, habits and practices, in order to characterize the group’s culture and lifestyle. The subjects were a group of participants from the Third Age Open University Program of Rio de Janeiro State University. The Data was collected through Art techniques and the data production was submitted to Sociopoetics thematic analysis. As results emerged the following categories: Collective face of the aging process – the group members do not see themselves as old, as represented by the cultural and social discrimination; The comprehensiveness of self-care – the image of the nurse attributed only to physical care was deconstructed, thus building the “conffect” (concept/affection) self-care/aging is the quest for another living dimension. To conclude, being old involves adopting positive solutions to face the difficulties regarding the aging process, using people’s own human potential. A contribution may be to promote the self-care as a strategy for personal growth and as a star t point for substantial changes.

Needs of nursing guidance for self-care of clients on hemodialysis therapy

OBJECTIVE To identify the needs of nursing guidance for the self-care of the clients on hemodialysis. METHOD Descriptive-exploratory research whose data were collected by means of individual interviews with clients who were on hemodialysis therapy, using the Orem conceptions. RESULTS 43 clients were included in self-care system totally compensatory for the needs of guidance: nutritional therapy, fluid intake, hemodialysis complications, anticoagulation physical activity, emotional problems has been the group membership and leisure activities. CONCLUSION In managing hemodialysis sessions, the nurse is fundamental in the orientation of the clients and family. Her support to the patient in the administration of treatment contributes to acquire the competences and ability in self-care actions and thereby promote their quality of life.Objetivo: Identificar necesidades de orientacion de enfermeria para el autocuidado de clientes en hemodialisis. Metodo: Investigacion descriptivo-exploratoria cuyos datos fueron recolectados por medio de entrevista individual con clientes en hemodialisis, utilizando las concepciones de Orem. Resultados: 43 clientes fueron incluidos en el sistema de autocuidado totalmente compensatorio para las necesidades de orientacion: terapia nutricional, ingestion de liquidos, complicaciones de hemodialisis, anticoagulacion, practica de actividad fisica; problemas emocionales, asociacion a grupos y actividades de diversion. Conclusion: La enfermera, al administrar la terapia de hemodialisis, es fundamental en la orientacion de los clientes y familiares. Su suporte al cliente en el enfrentamiento y tratamiento de la dolencia renal cronica, contribuye para que el tenga competencia y habilidades en las acciones de autocuidado y asi promueva su calidad de vida.

Repercussions of the climateric among nurses – an exploratory study

The climacteric presents some unique features, especially in relation to body functioning. Although women may experience symptoms due to hormonal, physical and psycho-emotional changes, they may claim that there is a lack of information. Aim: To identify the physical effects of the climacteric on professional nurses who are involved directly in healthcare. Methodology: This is an exploratory, descriptive study carried out with climacteric professional nurses at a University Hospital in Rio de Janeiro in 2010. Data were collected through semi-structured interviews and the results were subjected to content analysis. Results: Exhausting working hours associated with the physical effects of the climacteric increases the chances of alterations in nurses’ personal and professional lives. Conclusion: Considering that nursing is still a predominantly female profession, it is important to look at these professionals from a specific viewpoint, and take the repercussions of the climacteric period into consideration, including in terms of their professional processes and, ultimately, their life as a whole

Práxis interdisciplinar de cuidado em grupo de pessoas que vivem com fibromialgia

Objectives: to analyze the integrated community therapy model for the empowerment of people living with fibromyalgia and discuss the impact of this interdisciplinary intervention in the health-disease process and self-care. Method: a participatory-approach qualitative study, developed in 2015 with 11 participants at the Laboratory of Physiology Applied to Physical Education of the Rio de Janeiro State University, RJ. Data production comprised World Cafe, participant observation and semi-structured interview. The analysis was performed according to Bardin, through data triangulation in dialogue with the relevant literature. Results: the integrated community therapy group is a driving force in building and expanding knowledge about fibromyalgia and in self-care empowerment. Conclusion: this group strategy proved to be an interdisciplinary praxis tool that enables the development of solidary care networks. Thus, shared knowledge was generated, transformed into a listening and reflection environment to manage personal and family obstacles.Objectives: to analyze the integrated community therapy model for the empowerment of people living with fibromyalgia and discuss the impact of this interdisciplinary intervention in the health-disease process and self-care. Method: a participatory-approach qualitative study, developed in 2015 with 11 participants at the Laboratory of Physiology Applied to Physical Education of the Rio de Janeiro State University, RJ. Data production comprised World Café, participant observation and semi-structured interview. The analysis was performed according to Bardin, through data triangulation in dialogue with the relevant literature. Results: the integrated community therapy group is a driving force in building and expanding knowledge about fibromyalgia and in self-care empowerment. Conclusion: this group strategy proved to be an interdisciplinary praxis tool that enables the development of solidary care networks. Thus, shared knowledge was generated, transformed into a listening and reflection environment to manage personal and family obstacles.

From nursing research to care-taking education: a case study.

Introduction: A selection from the project named Promoting Healthy Life Styles and Habits at the UERJ College of Nursing, where the professors departed from the following question : if we contribute to nurses’ education, whose essence is care-taking, can we teach them, while taking care and doing research? Objectives : To discuss care-taking learning-teaching process in the development of the project and analyze how students express the experience of developing research and learning care-taking at the same time. Methodology : Descriptive research of qualitative nature, whose subjects were six students. Data was collected in March 2009 through interviews. The theoretical basis was Paulo Freire’s concepts on education and educational process and Pedro Demo’s concepts on research. Data was submitted to content analysis. The following categories are found in the results : care-taking learning-teaching process, the influences of studying in the learning-teaching process and the experience of learning care-taking and researching through research. The conclusion was that, it is by getting along together, interacting in the same space, researching, teaching and learning, that nursing students learned the care-taking concepts – they went through a transformation process and will certainly help transform other subjects . care-