Maria Aparecida Vieira

Criancas e adolescentes com doenca crônica: convivendo com mudancas

This study concerns descriptive and exploratory, with aimed at apprehending by means of interviews the experiences of children and adolescents with a chronic disease, as it is felt by them. The results show that the lives of children and adolescents are changed by frequent hospitalizations and by the limitations imposed by the disease, which causes alterations particularly in their schooling process. Considering that children and adolescents experience complex feelings and situations in the everyday routine of living with a chronic disease, it is important that health care professionals learn about such needs and incorporate them to care planning, aiming at providing effective intervention in order to promote growth and development.Trata-se de um estudo descritivo e exploratorio, com o objetivo de apreender, por meio de entrevista, a experiencia da crianca e do adolescente com doenca cronica, tal como ela e vivenciada por eles. Os resultados revelam que as criancas e os adolescentes tem seu cotidiano modificado pelas frequentes hospitalizacoes, pelos limites ditados pela doenca e tratamento, ocasionando mudancas, especialmente no processo de escolarizacao. Considerando que a crianca e o adolescente vivenciam sentimentos e situacoes complexas, no cotidiano da doenca cronica, e importante que os profissionais de saude conhecam essas demandas e as incorporem ao plano de cuidados, visando a uma intervencao efetiva, para a promocao do crescimento e desenvolvimento.

Produção bibliográfica sobre adesão/não-adesão de pessoas ao tratamento de saúde

Analise critica da producao bibliografica latino-americana dos ultimos dez anos, acerca da adesao/nao-adesao ao tratamento de pessoas portadoras de problemas cronicos de saude: hanseniase, tuberculose, hipertensao, diabetes e aids. Foram analisados 36 artigos, identificando-se as variaveis: ano de publicacao, area de publicacao e tipo de estudo. A maior parte dos artigos (27) foi produzida por profissionais da area de Medicina em estudos epidemiologicos e da area de Enfermagem (7) em estudos qualitativos e quanti-qualitativos. A producao cientifica sobre o assunto cresceu ate 2002, caindo a partir desse ano. Nas definicoes descritas pelos autores, a ideia recorrente foi a de que o papel do paciente e o de ser submisso as recomendacoes dos profissionais de saude e que ele tem autonomia para seguir ou nao o tratamento, mas o profissional exime-se da responsabilidade sobre as consequencias dessa decisao. A maioria dos fatores apontados pelos autores como contribuintes para a nao-adesao esta relacionada ao paciente, mostrando que a maior carga de responsabilidade pela adesao/nao-adesao e conferida a ele. As medidas assinaladas pelos autores para a resolucao do problema permitem a identificacao da responsabilidade dos profissionais, servicos de saude, governos e instituicoes de ensino.

Influência de fatores socioeconômicos na qualidade de vida de idosos hipertensos

This study sought to evaluate the association between socioeconomic variables and the quality of life of elderly hypertensive patients treated under the Family Health Program in the city of Montes Claros, Minas Gerais, Brazil. An analytical cross study was conducted in a representative sample of 294 elderly hypertensive patients. Data were collected using a questionnaire on socioeconomic characteristics and quality of life (MINICHAL). The data were analyzed using the nonparametric Mann-Whitney and Kuskall-Wallis tests. The results showed that marital status, religion and education affect the quality of life of elderly hypertensive patients in a statistically significant way. Elderly hypertensive patients who were single/divorced/widowed, evangelical, spiritualist and belonging to other religious bodies, illiterate achieved lower scores in terms of quality of life. For the remaining variables, there was no statistical association. The conclusion, drawn is that socioeconomic factors such as marital status, education and religion influence the quality of life of elderly hypertensive patients.

As dimensões da satisfação dos usuários do Programa Saúde da Família: confiabilidade e empatia

Objective: Describe users’ perceptions of teams from the Family Health Program (PSF) of the urban area of Montes Claros, Minas Gerais, regarding the dimensions of satisfaction related to trust and empathy; analyze the demographic profile of the population interviewed in relationship to their perceptions of trust and empathy. Methods: Quantitative descriptive survey; using SERVQUAL. 319 users were interviewed and the analysis was performed using descriptive statistics to identify statistically significant associations. Results: Most respondents were: female (80.6%), ages 18 to 30 years (38.2%), had completed high school (32.3%), had a family income of 1 to 3 times the minimum wage (76.8%), lived in the district for over 10 years (52.6%), and had good understanding of services as related to trust and empathy. Conclusion: We describe the aspects involving trust and empathy for users of the PSF, which must be considered when restructuring the processes of health care for the population.OBJETIVO: Describir la percepcion de los usuarios de los equipos del Programa Salud de la Familia (PSF) de la zona urbana de Montes Claros, Minas Gerais, sobre las dimensiones de la satisfaccion relacionadas a la Confiabilidad y la Empatia; analizar el perfil sociodemografico de la poblacion entrevistada frente a la Confiabilidad y a la Empatia. METODOS: Investigacion cuantitativa; descriptiva por medio del SERVQUAL. Fueron entrevistados 319 usuarios y el analisis fue realizado por meio da estadistica descriptiva y las asociaciones estadisticamente significativas. RESULTADOS: La mayoria de los entrevistados es del sexo feminino (80,6%), se encuentra en el grupo etareo de 18 a 30 anos (38,2%), posee secundaria completa (32,3%), ingreso familiar de 1 a 3 salarios minimos (76,8%), reside en los barrios hace mas de 10 anos (52,6%) y tiene buena percepcion de los servicios prestados en cuanto a la Confiabilidad y a la Empatia. CONCLUSION: Fue posible describir los aspectos que involucran a la Confiabilidad y la Empatia de los usuarios del PSF, que merecem ser considerados en la reestructuracion de los procesos de atencion a la salud de la poblacion.

Dificuldades, desafios e superações sobre educação em saúde na visão de enfermeiros de saúde da família

Este estudo apresenta dificuldades, desafios e superacoes dos enfermeiros da Estrategia Saude da Familia na pratica da educacao em saude. Foram entrevistados oito profissionais de equipes de saude da familia do municipio de Montes Claros, Minas Gerais, tendo como instrumento de coleta de dados a entrevista nao estruturada. Os dados coletados foram transcritos e analisados segundo a tecnica da analise do discurso. Os resultados foram agrupados em categorias de analise. Na visao desses sujeitos, existem dificuldades no contexto do processo de trabalho da equipe, barreiras relacionadas a estrutura fisica e insuficiencia de recursos materiais nas unidades de saude. Eles relataram, tambem, os desencontros na relacao com os usuarios no desenvolvimento da educacao em saude. Percebe-se um movimento dialetico da realidade, pois, ao mesmo tempo em que existem dificuldades a serem vencidas, ha substanciais avancos com novas praticas, potencialmente transformadoras da realidade estudada. Considera-se a natureza dinâmica do processo de mudancas, com avancos e retrocessos, traduzindo uma realidade em constante devir.

Reports of violence against women in different life cycles

Objective to analyze the reports and factors associated with violence against women. Method this was a cross-sectional, exploratory and analytical study with information about the cases of reported violence, extracted from the Civil Police Report Bulletin, in a mid-sized city in Minas Gerais, Brazil. Results out of the 7,487 reports of violence against women, it was found that 44.6% of the cases were threats, 28.5% aggression, 25.1% bodily injury, 1.1% rape, and 0.7% some other type of injury. In the bivariate analysis, a higher number of cases (p=0.000) committed by partners was evidenced, for all kinds of violence except for rape. Children, adolescents and adults experienced violence by partners, followed by family members. Regarding older women, violence was committed by family members. Conclusion there is the need for programs to be established to prevent violence against women in various sectors of society, permeating the life cycle.OBJECTIVE: to analyze the reports and factors associated with violence against women. METHOD: this was a cross-sectional, exploratory and analytical study with information about the cases of reported violence, extracted from the Civil Police Report Bulletin, in a mid-sized city in Minas Gerais, Brazil. RESULTS: out of the 7,487 reports of violence against women, it was found that 44.6% of the cases were threats, 28.5% aggression, 25.1% bodily injury, 1.1% rape, and 0.7% some other type of injury. In the bivariate analysis, a higher number of cases (p=0.000) committed by partners was evidenced, for all kinds of violence except for rape. Children, adolescents and adults experienced violence by partners, followed by family members. Regarding older women, violence was committed by family members. CONCLUSION: there is the need for programs to be established to prevent violence against women in various sectors of society, permeating the life cycle.

Grau de dependência de idosos residentes em instituições de longa permanência

This study aimed to identify the degree of dependence of institutionalized older adults in Montes Claros, Minas Gerais, Brazil. It consists of a cross-sectional descriptive study, developed in three non-profit geriatric long-term care facilities in this municipality. The sample was comprised of 125 older adults and data were collected with the use of the Katz Index. Data were presented by descriptive and bivariate analysis. Independence was observed in 41.6% (n = 52), partial dependence in 15.2% (n = 19) and total dependence in 43.2% (n = 54). The elderly have better ability to perform feeding (86.4%, n = 108) and transferring (67.2%, n = 84) activities. Thus, this study suggests the need for continuous monitoring to prevent functional disability in this population group.Este estudo objetivou identificar o grau de dependencia dos idosos institucionalizados no municipio de Montes Claros, Minas Gerais, Brasil. Trata-se de um estudo transversal descritivo, realizado nas tres Instituicoes de Longa Permanencia para Idosos, de carater filantropico, no municipio de Montes Claros, Minas Gerais. Participaram todo o universo de idosos residentes nos locais do estudo, totalizando 125 sujeitos, cujos dados foram coletados por meio do Indice de Katz. Os dados foram apresentados por analise descritiva e bivariada. A independencia foi observada em 41,6% (n=52), a dependencia parcial em 15,2% (n=19) e a dependencia total em 43,2% (n=54), sendo que os idosos apresentam melhor capacidade de execucao das atividades de alimentacao (86,4%; n=108) e transferencia (67,2%; n=84). Assim, o presente estudo sugere a necessidade de acompanhamento continuo na prevencao da incapacidade funcional desse grupo populacional.

Pressão arterial de crianças e adolescentes de escolas públicas de Cuiabá, Mato Grosso

Objective: To describe the prevalence of high blood pressure among students aged 11 to 14 years from public schools in Cuiaba, Mato Grosso, Brazil. Methods: This cross-sectional study was conducted from May to November 2008. Custer sampling technique was used to select clusters of 9 public schools. Results: The sample consisted of 329 students. They had a mean age of 12 years. More than a half of the students were “de cor parda – brown” (55.0%) and males (58.0%). A great number of students (11.2%) had high blood pressure. Conclusion: The prevalence of high blood pressure among the student was 11.2%. The two major risk factors for high blood pressure were body mass index and ethnicity (being “de cor parda – brown”). There is a need for routine monitoring and management of blood pressure in children and teenagers to prevent the development of high blood pressure in adulthood.

High blood pressure in children and teenagers from public schools in Cuiabá, Mato Grosso

Objective: To describe the prevalence of high blood pressure among students aged 11 to 14 years from public schools in Cuiaba, Mato Grosso, Brazil. Methods: This cross-sectional study was conducted from May to November 2008. Custer sampling technique was used to select clusters of 9 public schools. Results: The sample consisted of 329 students. They had a mean age of 12 years. More than a half of the students were “de cor parda – brown” (55.0%) and males (58.0%). A great number of students (11.2%) had high blood pressure. Conclusion: The prevalence of high blood pressure among the student was 11.2%. The two major risk factors for high blood pressure were body mass index and ethnicity (being “de cor parda – brown”). There is a need for routine monitoring and management of blood pressure in children and teenagers to prevent the development of high blood pressure in adulthood.

Children and adolescents with a chronic disease: living with changes

This study concerns descriptive and exploratory, with aimed at apprehending by means of interviews the experiences of children and adolescents with a chronic disease, as it is felt by them. The results show that the lives of children and adolescents are changed by frequent hospitalizations and by the limitations imposed by the disease, which causes alterations particularly in their schooling process. Considering that children and adolescents experience complex feelings and situations in the everyday routine of living with a chronic disease, it is important that health care professionals learn about such needs and incorporate them to care planning, aiming at providing effective intervention in order to promote growth and development.Trata-se de um estudo descritivo e exploratorio, com o objetivo de apreender, por meio de entrevista, a experiencia da crianca e do adolescente com doenca cronica, tal como ela e vivenciada por eles. Os resultados revelam que as criancas e os adolescentes tem seu cotidiano modificado pelas frequentes hospitalizacoes, pelos limites ditados pela doenca e tratamento, ocasionando mudancas, especialmente no processo de escolarizacao. Considerando que a crianca e o adolescente vivenciam sentimentos e situacoes complexas, no cotidiano da doenca cronica, e importante que os profissionais de saude conhecam essas demandas e as incorporem ao plano de cuidados, visando a uma intervencao efetiva, para a promocao do crescimento e desenvolvimento.