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Dive into the research topics where Márcia Aparecida Ferreira de Oliveira is active.

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Featured researches published by Márcia Aparecida Ferreira de Oliveira.


Cadernos De Saude Publica | 2009

Prevalência de dependência alcoólica em serviços de atenção primária à saúde de Bebedouro, São Paulo, Brasil

Divane de Vargas; Márcia Aparecida Ferreira de Oliveira; Eutalia Aparecida Candido de Araujo

This cross-sectional study aimed to estimate the prevalence of alcohol addiction as detected by primary healthcare services, analyzing its association with clinical, socio-demographic, and behavioral characteristics. The sample included 755 individuals who attended primary healthcare services in the city of Bebedouro, São Paulo State, Brazil, from August 30 to September 30, 2006. Alcohol addiction was investigated using the Alcohol Use Disorders Identification Test (AUDIT). According to the findings, 9.8% of the sample showed scores suggestive of alcohol addiction (zone IV) on the AUDIT. This group consisted predominantly of male individuals 20 to 39 years of age, white, married, and Catholic. A significant association remained with male gender, smoking, single marital status, lower income, and higher schooling. The strongest predictors of this association were male gender (OR = 5.18), smoking (OR = 7.01), and university schooling (OR = 2.11). Alcohol addiction affects a significant proportion of users of primary healthcare services. In general, male smokers with more schooling and who report some clinical diagnosis were more likely to show an AUDIT score suggestive of alcohol addiction.Estudo transversal que objetivou estimar a prevalencia de dependencia alcoolica em servicos de atencao primaria a saude, analisando sua associacao com caracteristicas clinicas, socio-demograficas e comportamentais. A amostra constituiu-se de 755 sujeitos que procuraram atendimento de saude em servicos de atencao primaria da cidade de Bebedouro, Sao Paulo, Brasil, entre 30 de agosto a 30 de setembro de 2006. Para a investigacao da dependencia alcoolica, utilizou-se o Alcohol Use Disorders Identification Test (AUDIT). Os resultados apontaram que 9,8% da amostra obtiveram, no AUDIT, pontuacao sugestiva para dependencia alcoolica (zona IV). Esse grupo compos-se predominantemente por individuos do sexo masculino, com idade entre 20 e 39 anos, brancos, casados, catolicos. Mantiveram associacao significativa com a dependencia alcoolica sexo masculino, fumantes, solteiros, menor renda e maior escolaridade. Os maiores preditores dessa associacao foram encontrados para o sexo masculino (OR = 5,18), fumante (OR = 7,01) e com nivel superior (OR = 2,11). A dependencia alcoolica acomete significativa proporcao dos usuarios atendidos em servicos de atencao primaria a saude. De modo geral, os homens tabagistas com maior escolaridade e com relato de algum diagnostico clinico apresentaram pontuacao no AUDIT sugestiva para a dependencia alcoolica.


Revista Da Escola De Enfermagem Da Usp | 2007

Práticas inovadoras para o cuidado em saúde

Sônia Barros; Márcia Aparecida Ferreira de Oliveira; Ana Luisa Aranha e Silva

The need to build a new look to the care, based on dialogue and creativity, enables the social transformation of the role of professionals in their practice. It is understood here that the care is more than an act: it is an attitude. Moreover, the conceptual framework of psychosocial rehabilitation is an instrument that might enable the construction of this new look. In this context, to care is to consider the importance of building projects of life, significant for each user, as lynchpin of the therapeutic action. The necessary changes in mental healths practice and psychiatric nursing are progressing, since the knowledge produced in this area incorporates strategies to welcome and maintenance which considers, at all times, the exercise of active citizenship of the mental patients.The need to build a new look to the care, based on dialogue and creativity, enables the social transformation of the role of professionals in their practice. It is understood here that the care is more than an act: it is an attitude. Moreover, the conceptual framework of psychosocial rehabilitation is an instrument that might enable the construction of this new look. In this context, to care is to consider the importance of building projects of life, significant for each user, as lynchpin of the therapeutic action. The necessary changes in mental healths practice and psychiatric nursing are progressing, since the knowledge produced in this area incorporates strategies to welcome and maintenance which considers, at all times, the exercise of active citizenship of the mental patients.


Revista Da Escola De Enfermagem Da Usp | 2011

Caracterização dos sintomas físicos de estresse na equipe de pronto atendimento

Sílvia Maria de Carvalho Farias; Olga Lúcia de Carvalho Teixeira; Walter Moreira; Márcia Aparecida Ferreira de Oliveira; Maria Odete Pereira

Nursing professionals working in Emergency Care suffer from the physical symptoms of stress in their everyday activity. The objective of this study was to characterize these symptoms using the Occupational Stress Indicator, a semi-structured instrument. To do this, the authors created open questions that were applied in interviews that were recorded and analyzed. The researchers listed the following physical symptoms: headache, a sensation of fatigue, leg pain, and tachycardia. According to reports form the workers, pain always resulted from emotional stress or appeared after providing emergency care, which suggests the workers find it very difficult to differentiate physical from mental stress. The investigation found that there is a need for measures to follow workers in their working activity. A manual was created, containing basic suggestions to improve the quality of life of the health team.Nursing professionals working in Emergency Care suffer from the physical symptoms of stress in their everyday activity. The objective of this study was to characterize these symptoms using the Occupational Stress Indicator, a semi-structured instrument. To do this, the authors created open questions that were applied in interviews that were recorded and analyzed. The researchers listed the following physical symptoms: headache, a sensation of fatigue, leg pain, and tachycardia. According to reports form the workers, pain always resulted from emotional stress or appeared after providing emergency care, which suggests the workers find it very difficult to differentiate physical from mental stress. The investigation found that there is a need for measures to follow workers in their working activity. A manual was created, containing basic suggestions to improve the quality of life of the health team.


Revista Da Escola De Enfermagem Da Usp | 2002

Políticas de saúde e de saúde mental no Brasil: a exclusão/inclusão social como intenção e gesto

Ana Tereza Medeiros Cavalcanti da Silva; Sônia Barros; Márcia Aparecida Ferreira de Oliveira

Trata-se de um ensaio que focaliza as politicas de saude mental como politica de saude no âmbito das politicas sociais no Brasil. Busca refletir as articulacoes entre sociedade/Estado/saude no plano politico estrutural e politico especifico, por meio do resgate historico das referidas politicas, identificando as caracteristicas e os problemas de cada momento.Conclui que ha na atualidade, um embate entre duas estrategias de assistencia psiquiatrica: a do modelo hegemonico, hospitalocentrico, que sequestra vidas, mutila corpos e mentes e mercantiliza a saude, e a do modelo contra-hegemonico, que busca a ruptura pela critica aquela logica, para produzir a tolerância para com a diferenca, na sociedade brasileira.This study emphasizes the specific characteristics of the mental health as a health policy in the social political field, in Brazil. The objective of this study is to analyze on the Society/State/Health articulations between the structural policies and the specific politic program by means of the historical rescue of these policies, identifying the characteristics and problems at each moment. Presently, an impact between the two strategies of the psychiatric assistance is observed: the hegemonic, hospital centered model which abducts lives, mutilate bodies and minds and trade the Health and, that one, against to the predominant model, searching the rupture by criticizing the Brazilian society.


Revista Da Escola De Enfermagem Da Usp | 2009

Reabilitação psicossocial dos usuários de álcool e outras drogas: a concepção de profissionais de saúde

Paula Hayasi Pinho; Márcia Aparecida Ferreira de Oliveira; Divane de Vargas; Marilia Mastrocolla de Almeida; Ana Lúcia Machado; Ana Luisa Aranha e Silva; Luciana de Almeida Colvero; Sônia Barros

Estudio exploratorio de abordaje cualitativa cuyo objetivo fue identificar las concepciones de profesionales de un Centro de Referencia para el tratamiento de problemas relacionados con alcohol y otras drogas acerca de la rehabilitacion psicosocial. Fueron entrevistados once profesionales de nivel superior, por medio de entrevistas semi-estructuradas. El analisis de los datos fue norteada por los presupuestos de la hermeneutica dialectica, la cual origino la categoria rehabilitacion psicosocial. Los resultados evidenciaron que en la concepcion de los profesionales, la rehabilitacion psicosocial se da en la realizacion de talleres terapeuticos, actividades externas y en el establecimiento de sociedades con otras instituciones. Se concluye que el concepto de rehabilitacion psicosocial que mas se evidencia en la percepcion de esos sujetos esta asociada al modelo psiquiatrico tradicional, arraigado a la logica de la normalidad social, el problema principal a ser superado en la asistencia a los usuarios de alcohol y otras drogas.Exploratory study with qualitative approach that had as its main objective to identify the conception of the health professionals about Psychosocial Rehabilitation from a reference Center for the treatment of alcohol and other drugs related problems. The sample consisted of eleven health professionals with an academic degree, submitted to semi-structured interviews. The data analysis was made according to the hermeneutic dialectic method which originated the Psychosocial Rehabilitation category. The data demonstrated that in the professionals conception, the Psychosocial Rehabilitation is given in the realization of therapeutic workshops, outdoor activities, and the estabilishment of a partnership with other foundations. It is concluded that the concept of Psychosocial Rehabilitation that was made clear in the conception of these subjects is still associated to the traditional psychiatric model, which is attached to the logic of social normality, the main challenge to the psychosocial model of assistance to the alcohol and other drugs users.Exploratory study with qualitative approach that had as its main objective to identify the conception of the health professionals about Psychosocial Rehabilitation from a reference Center for the treatment of alcohol and other drugs related problems. The sample consisted of eleven health professionals with an academic degree, submitted to semi-structured interviews. The data analysis was made according to the hermeneutic dialectic method which originated the Psychosocial Rehabilitation category. The data demonstrated that in the professionals conception, the Psychosocial Rehabilitation is given in the realization of therapeutic workshops, outdoor activities, and the estabilishment of a partnership with other foundations. It is concluded that the concept of Psychosocial Rehabilitation that was made clear in the conception of these subjects is still associated to the traditional psychiatric model, which is attached to the logic of social normality, the main challenge to the psychosocial model of assistance to the alcohol and other drugs users.


Acta Paulista De Enfermagem | 2010

Atendimento ao alcoolista em serviços de atenção primária à saúde: percepções e condutas do enfermeiro

Divane de Vargas; Márcia Aparecida Ferreira de Oliveira; Margarita Antonia Villar Luis

Objective: To describe the perceptions and actions of registered nurses regarding the care of alcoholic persons in primary care services. Methods: This was a qualitative exploratory study with 10 registered nurses from three primary care services. Data were collected through tape-recordings and categorized through content analysis. Results: The care of alcoholic persons was characterized by fast care and focused on symptoms needing immediate nursing interventions. This type of care generated dissatisfaction of the alcoholic persons, because they should receive more attention in primary care services. Conclusions: Care of alcoholic persons and actions of registered nurses focused on the symptoms of acute intoxication only. There was no focus on early identification and prevention of problems related to the use of alcohol and alcoholism.Objective: To describe the perceptions and actions of registered nurses regarding the care of alcoholic persons in primary care services. Methods: This was a qualitative exploratory study with 10 registered nurses from three primary care services. Data were collected through tape-recordings and categorized through content analysis. Results: The care of alcoholic persons was characterized by fast care and focused on symptoms needing immediate nursing interventions. This type of care generated dissatisfaction of the alcoholic persons, because they should receive more attention in primary care services. Conclusions: Care of alcoholic persons and actions of registered nurses focused on the symptoms of acute intoxication only. There was no focus on early identification and prevention of problems related to the use of alcohol


Acta Paulista De Enfermagem | 2012

Perfil dos usuários de serviços de Saúde Mental do município de Lorena - São Paulo

Maria Odete Pereira; Juliana de Melo Souza; Ângela Maria da Costa; Divane de Vargas; Márcia Aparecida Ferreira de Oliveira; Wagner Nunes de Moura

OBJETIVOS: Identificar o perfil dos usuarios do Ambulatorio de Saude Mental e do Centro de Atencao Psicossocial de Lorena - Sao Paulo. METODOS: Estudo exploratorio descritivo com dados coletados em 5.830 prontuarios dos usuarios desses dois servicos de Saude Mental. RESULTADOS:Foram analisados 5.490 prontuarios no Ambulatorio e 340 no Centro de Atencao Psicossocial. No Ambulatorio 68% dos usuarios eram mulheres e no Centro de Atencao Psicossocial, 61% eram homens. Os diagnosticos que prevaleceram no Ambulatorio foram: transtornos neuroticos, relacionados ao estresse e os somatoformes, e no Centro de Atencao Psicossocial, foram os transtornos decorrentes do uso de substâncias psicoativas. O grupo de medicamentos mais prescritos no Ambulatorio foi o de antidepressivos, e no Centro de Atencao Psicossocial, os antipsicoticos. CONCLUSAO: Verificou-se que os servicos de Saude Mental atuam de forma desarticulada com a Atencao Basica de Saude e faz-se necessario implantar o apoio matricial nesse municipio.


Escola Anna Nery | 2013

Representação social de enfermeiros de centros de atenção psicossocial em álcool e drogas (CAPS AD) sobre o dependente químico

Divane de Vargas; Marina Nolli Bittencourt; Fernanda Mota Rocha; Márcia Aparecida Ferreira de Oliveira

Resumen Qualitative exploratory study aimed to identify the social representations of nurses from specialist services in alcohol and other drugs compared to the addicts. The subjects were 16 nurses from 13 offices located in the city of Sao Paulo-SP. Data were collected through interviews which were recorded and analyzed according to the referential theory of social representations. The results showed that, in the nurses’ representation, addicts are individuals suffering from a disease that has difficulty limits, and handlers are responsible for the development of dependence. We conclude that the representations of these professionals are sidewalks on common sense and point to strategies to face this problem and change these representations.


Revista Da Escola De Enfermagem Da Usp | 2011

Characterization of the physical symptoms of stress in the emergency health care team

Sílvia Maria de Carvalho Farias; Olga Lúcia de Carvalho Teixeira; Walter Moreira; Márcia Aparecida Ferreira de Oliveira; Maria Odete Pereira

Nursing professionals working in Emergency Care suffer from the physical symptoms of stress in their everyday activity. The objective of this study was to characterize these symptoms using the Occupational Stress Indicator, a semi-structured instrument. To do this, the authors created open questions that were applied in interviews that were recorded and analyzed. The researchers listed the following physical symptoms: headache, a sensation of fatigue, leg pain, and tachycardia. According to reports form the workers, pain always resulted from emotional stress or appeared after providing emergency care, which suggests the workers find it very difficult to differentiate physical from mental stress. The investigation found that there is a need for measures to follow workers in their working activity. A manual was created, containing basic suggestions to improve the quality of life of the health team.Nursing professionals working in Emergency Care suffer from the physical symptoms of stress in their everyday activity. The objective of this study was to characterize these symptoms using the Occupational Stress Indicator, a semi-structured instrument. To do this, the authors created open questions that were applied in interviews that were recorded and analyzed. The researchers listed the following physical symptoms: headache, a sensation of fatigue, leg pain, and tachycardia. According to reports form the workers, pain always resulted from emotional stress or appeared after providing emergency care, which suggests the workers find it very difficult to differentiate physical from mental stress. The investigation found that there is a need for measures to follow workers in their working activity. A manual was created, containing basic suggestions to improve the quality of life of the health team.


Revista Da Escola De Enfermagem Da Usp | 2012

Tradução e adaptação cultural do global appraisal of individual needs - initial

Heloísa Garcia Claro; Márcia Aparecida Ferreira de Oliveira; Heloisa Barbosa Paglione; Paula Hayasi Pinho; Maria Odete Pereira; Divane de Vargas

Se objetivo traducir y adaptar culturalmente el instrumento Global Appraisal of Individual Needs - Initial y calcular su Indice de Validad de Contenido. Estudio metodologico, de adaptacion cultural del instrumento. El mismo fue traducido al portugues en dos versiones que originaron la sintesis de las traducciones, sometidas a la evaluacion de cuatro expertos en el area de alcohol y otras drogas. Luego de modificaciones, fue retraducido y re-sometido a los expertos y autores del instrumento original, resultando una version final del instrumento, el Evaluacion Global de las Necesidades Individuales - Inicial. El Indice de Validad de Contenido del instrumento fue de 0,91, considerado valido por la literatura. El instrumento Evaluacion Global de las Necesidades Individuales - Inicial es un instrumento adaptado culturalmente para el portugues brasileno; mientras tanto, el instrumento no fue sometido a tests con la poblacion objeto, lo cual sugiere que sean realizados estudios que prueben su confiabilidad y validad.

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Sônia Barros

University of São Paulo

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