Maria Catarina Salvador da Motta

Conhecimentos, atitudes e práticas acerca da detecção do câncer de próstata

PURPOSE: To describe the knowledge, attitudes, and practice regarding the detection of prostate cancer among men aged between 50 and 80 years old attending a PSF of the municipal district of Juiz de Fora, MG. METHODS: This was a cross-sectional home survey with a randomized sample of 160 men residents in the subscript of the program. RESULTS: The majority of participants was married (69.4%), had children (88.8%), used the PSF (86.3%), and had knowledge about detection of prostate cancer. Great number of them had attitudes (40.6%) and engaged in adequate practice for the detection of prostate Participants with adequate attitudes reported almost twice adequate practice for the detection of prostate cancer (RP = 1.8; IC = 1.1 - 3.0). CONCLUSION: The studys findings support that the use of constant, persistent, and dynamic educational activities is a fundamental requisite for the prevention and early detection of prostate cancer.Purpose: To describe the knowledge, attitudes, and practice regarding the detection of prostate cancer among men aged between 50 and 80 years old attending a PSF of the municipal district of Juiz de Fora, MG. Methods: This was a cross-sectional home survey with a randomized sample of 160 men residents in the subscript of the program. Results: The majority of participants was married (69.4%), had children (88.8%), used the PSF (86.3%), and had knowledge about detection of prostate cancer. Great number of them had attitudes (40.6%) and engaged in adequate practice for the detection of prostate Participants with adequate attitudes reported almost twice adequate practice for the detection of prostate cancer (RP = 1.8; IC = 1.1 – 3.0). Conclusion: The study’s findings support that the use of constant, persistent, and dynamic educational activities is a fundamental requisite for the prevention and early detection of prostate cancer.

Barriers related to screening examinations for prostate cancer

With the aim of describing barriers to screening for prostate cancer, a domicile survey was carried out covering 160 men of a Family Health Strategy (FHS) area. Slightly over half had undergone the examination. Regarding beliefs related to the disease, 95% of the men believed there is a cure if detected early, 29.4% mentioned the possibility of a normal life while ill, 56.3% believed it may be asymptomatic, 36.1% agreed/disagreed that the treatment is worse than the disease and 34.4% agreed that the examination affects masculinity and that if you are well it is not necessary to perform it. Regarding barriers, 15% reported that the physician had never requested it, 10.9% did not consider it important and 16.9% were afraid to take the examination. While not the sole determinant, the dissemination of adequate knowledge regarding the examination can constitute a key strategy for the formation of a positive attitude in relation to early detection.Com o objetivo de descrever barreiras sobre rastreamento do câncer de prostata, realizou-se inquerito domiciliar, abrangendo 160 homens, de uma area da Estrategia de Saude da Familia (ESF). Pouco mais da metade ja havia realizado o exame. Em relacao as crencas sobre a doenca, 95% deles acreditam na cura se detectado precocemente, 29,4% referiram possibilidade de vida normal embora doente, 56,3% acreditam que pode ser assintomatico, 36,1% concordam/discordam que o tratamento e pior que a doenca e 34,4% concordam que o exame afeta a masculinidade e, se estiver bem, nao e necessario faze-lo. Quanto as barreiras, 15% informaram que o medico nunca solicitou, 10,9% nao acham importante e 16,9% tem medo de fazer o exame. Embora nao seja o unico determinante, disseminar conhecimentos adequados sobre o exame pode se constituir em estrategia fundamental para a formacao de atitude positiva em relacao a deteccao precoce.

Barreras en relación a los exámenes de rastreo del cáncer de próstata

With the aim of describing barriers to screening for prostate cancer, a domicile survey was carried out covering 160 men of a Family Health Strategy (FHS) area. Slightly over half had undergone the examination. Regarding beliefs related to the disease, 95% of the men believed there is a cure if detected early, 29.4% mentioned the possibility of a normal life while ill, 56.3% believed it may be asymptomatic, 36.1% agreed/disagreed that the treatment is worse than the disease and 34.4% agreed that the examination affects masculinity and that if you are well it is not necessary to perform it. Regarding barriers, 15% reported that the physician had never requested it, 10.9% did not consider it important and 16.9% were afraid to take the examination. While not the sole determinant, the dissemination of adequate knowledge regarding the examination can constitute a key strategy for the formation of a positive attitude in relation to early detection.Com o objetivo de descrever barreiras sobre rastreamento do câncer de prostata, realizou-se inquerito domiciliar, abrangendo 160 homens, de uma area da Estrategia de Saude da Familia (ESF). Pouco mais da metade ja havia realizado o exame. Em relacao as crencas sobre a doenca, 95% deles acreditam na cura se detectado precocemente, 29,4% referiram possibilidade de vida normal embora doente, 56,3% acreditam que pode ser assintomatico, 36,1% concordam/discordam que o tratamento e pior que a doenca e 34,4% concordam que o exame afeta a masculinidade e, se estiver bem, nao e necessario faze-lo. Quanto as barreiras, 15% informaram que o medico nunca solicitou, 10,9% nao acham importante e 16,9% tem medo de fazer o exame. Embora nao seja o unico determinante, disseminar conhecimentos adequados sobre o exame pode se constituir em estrategia fundamental para a formacao de atitude positiva em relacao a deteccao precoce.

User satisfaction in the tuberculosis control program in a city in Rio de Janeiro, Brazil

Uma das formas de se avaliar servicos de saude e atraves da satisfacao dos usuarios. O objetivo do estudo foi avaliar a satisfacao dos usuarios do Programa de Controle da Tuberculose de uma unidade basica de saude, em Itaborai, RJ, ja que usuarios satisfeitos com os servicos tendem a aderir a terapeutica, e, relacionado a tuberculose, a adesao e fundamental para o sucesso do tratamento. Realizou-se estudo descritivo, quantitativo, de dezembro/2008 a fevereiro/2009, com 88 individuos, selecionados de forma nao probabilistica, usando-se questionario validado e adaptado para satisfacao do individuo com tuberculose. O estudo teve como resultados altas taxas de satisfacao. Essas avaliacoes positivas podem ser explicadas pelo doente estar inserido no programa de tuberculose e ser acompanhado por equipe de saude com a qual ele estabelece vinculo e apoio a adesao, durante o tratamento. Estudos com abordagem qualitativa poderiam ampliar a compreensao sobre a satisfacao, complementando a pesquisa realizada.Una de las formas de evaluar los servicios de salud es a traves de la satisfaccion de los usuarios. El objetivo del estudio fue evaluar la satisfaccion de los usuarios del Programa de Control de la Tuberculosis de una Unidad Basica de Salud en Itaborai-RJ, ya que usuarios satisfechos con los servicios tienden a adherir a la terapeutica; relacionado a la tuberculosis, la adherencia es fundamental para el suceso del tratamiento. Se realizo un estudio descriptivo, cuantitativo, de diciembre/2008 a febrero/2009, con 88 individuos, seleccionados de forma no probabilistica, con un cuestionario validado y adaptado para evaluar la satisfaccion del individuo con tuberculosis. El estudio tuvo como resultados altas tasas de satisfaccion. Esas evaluaciones positivas pueden ser explicadas porque el enfermo se encuentra dentro del programa de tuberculosis, siendo acompanado por un equipo de salud que establece un vinculo con el y lo apoya a que adhiera al tratamiento. Otros estudios con abordaje cualitativo podrian ampliar la comprension sobre la satisfaccion complementando la investigacion realizada.Descriptores: Satisfaccion de los Consumidores; Evaluacion de Servicios de Salud; Atencion Primaria de Salud; Tuberculosis.

Representações sociais de enfermeiros sobre o portador de tuberculose

OBJECTIVE: To describe the social representations of nurses about tuberculosis patients. METHODS: A qualitative research was undertaken, based on Social Representations Theory. To produce the data, the individual interview technique was applied, involving 52 nurses, using a script with closed questions about the personal and professional profile and another script with 27 open questions that explored knowledge and action in their daily work with the patients. For analysis, thematic content analysis was applied. RESULTS: The nurses build social representations based on the stereotyped patients, associate them with the idea of receptacles of the disease, besides linking vulnerability with illness and social conditions. CONCLUSION: Social representations about tuberculosis patients are organized based on fear, resting on physical, psychological and social characteristics that help the nurses to outline fhe type-figure of the patient as dangerous.

Investigação sobre o acesso ao tratamento de tuberculose em Itaboraí/RJ

Diante dos problemas apontados na literatura relacionados ao acesso na atencao primaria a saude, o estudo teve como objetivo analisar o acesso ao tratamento do doente com tuberculose em Itaborai.Um estudo exploratorio, quantitativo, com 100 individuos entrevistados em agosto e setembro/2007. Utilizou-se o instrumento Primary Care Assessment Tool validado e adaptado para tuberculose. RESULTADOS: 71% sempre conseguem atendimento medico; 54% disseram que o profissional que acompanha seu tratamento nunca visita em casa; 77% fazem tratamento na unidade mais perto da sua casa; 66% nunca deixam de trabalhar e utilizam transporte motorizado, 62% pagam transporte; 93% relataram que nunca faltou medicamento; 63% relataram que nunca demora mais de 60 minutos para consulta. Aspectos como a visita domiciliar e a distribuicao do auxilio transporte devem ser revistos. O atendimento medico, o tratamento proximo a residencia, a oferta das medicacoes e a espera pelo atendimento foram satisfatorios.

Satisfação dos usuários no programa de controle da tuberculose de um município do Rio de Janeiro, Brasil

Uma das formas de se avaliar servicos de saude e atraves da satisfacao dos usuarios. O objetivo do estudo foi avaliar a satisfacao dos usuarios do Programa de Controle da Tuberculose de uma unidade basica de saude, em Itaborai, RJ, ja que usuarios satisfeitos com os servicos tendem a aderir a terapeutica, e, relacionado a tuberculose, a adesao e fundamental para o sucesso do tratamento. Realizou-se estudo descritivo, quantitativo, de dezembro/2008 a fevereiro/2009, com 88 individuos, selecionados de forma nao probabilistica, usando-se questionario validado e adaptado para satisfacao do individuo com tuberculose. O estudo teve como resultados altas taxas de satisfacao. Essas avaliacoes positivas podem ser explicadas pelo doente estar inserido no programa de tuberculose e ser acompanhado por equipe de saude com a qual ele estabelece vinculo e apoio a adesao, durante o tratamento. Estudos com abordagem qualitativa poderiam ampliar a compreensao sobre a satisfacao, complementando a pesquisa realizada.Una de las formas de evaluar los servicios de salud es a traves de la satisfaccion de los usuarios. El objetivo del estudio fue evaluar la satisfaccion de los usuarios del Programa de Control de la Tuberculosis de una Unidad Basica de Salud en Itaborai-RJ, ya que usuarios satisfechos con los servicios tienden a adherir a la terapeutica; relacionado a la tuberculosis, la adherencia es fundamental para el suceso del tratamiento. Se realizo un estudio descriptivo, cuantitativo, de diciembre/2008 a febrero/2009, con 88 individuos, seleccionados de forma no probabilistica, con un cuestionario validado y adaptado para evaluar la satisfaccion del individuo con tuberculosis. El estudio tuvo como resultados altas tasas de satisfaccion. Esas evaluaciones positivas pueden ser explicadas porque el enfermo se encuentra dentro del programa de tuberculosis, siendo acompanado por un equipo de salud que establece un vinculo con el y lo apoya a que adhiera al tratamiento. Otros estudios con abordaje cualitativo podrian ampliar la comprension sobre la satisfaccion complementando la investigacion realizada.Descriptores: Satisfaccion de los Consumidores; Evaluacion de Servicios de Salud; Atencion Primaria de Salud; Tuberculosis.

Knowledge, attitudes and practices regarding the detection of prostate cancer

PURPOSE: To describe the knowledge, attitudes, and practice regarding the detection of prostate cancer among men aged between 50 and 80 years old attending a PSF of the municipal district of Juiz de Fora, MG. METHODS: This was a cross-sectional home survey with a randomized sample of 160 men residents in the subscript of the program. RESULTS: The majority of participants was married (69.4%), had children (88.8%), used the PSF (86.3%), and had knowledge about detection of prostate cancer. Great number of them had attitudes (40.6%) and engaged in adequate practice for the detection of prostate Participants with adequate attitudes reported almost twice adequate practice for the detection of prostate cancer (RP = 1.8; IC = 1.1 - 3.0). CONCLUSION: The studys findings support that the use of constant, persistent, and dynamic educational activities is a fundamental requisite for the prevention and early detection of prostate cancer.Purpose: To describe the knowledge, attitudes, and practice regarding the detection of prostate cancer among men aged between 50 and 80 years old attending a PSF of the municipal district of Juiz de Fora, MG. Methods: This was a cross-sectional home survey with a randomized sample of 160 men residents in the subscript of the program. Results: The majority of participants was married (69.4%), had children (88.8%), used the PSF (86.3%), and had knowledge about detection of prostate cancer. Great number of them had attitudes (40.6%) and engaged in adequate practice for the detection of prostate Participants with adequate attitudes reported almost twice adequate practice for the detection of prostate cancer (RP = 1.8; IC = 1.1 – 3.0). Conclusion: The study’s findings support that the use of constant, persistent, and dynamic educational activities is a fundamental requisite for the prevention and early detection of prostate cancer.

Assistência à criança com disfunção neuromotora na abordagem da rede social: um estudo de caso

El estudio de caso tuvo como proposito describir la situacion de la salud de una nina con disfuncion neuromotora y su red social, con profundizacion en el contexto socio-economico. Los objetivos fueron: identificar el cuidador de la nina; construir el mapa de la red social de la nina; discutir la importancia del cuidador y del contexto familiar en el desarrollo de la nina con disfuncion neuromotora. Los datos fueron colectados en el registro medico; consulta de enfermeria; abordaje de la madre durante la fisioterapia; visita a la casa de la abuela materna; observacion sistematica de la nina y contactos por telefono. Los resultados mostraron que la nina esta enredada con diversas personas y variados enlaces. Se concluye aunque la red social sea amplia y densa, sus enlaces son fragilizados, lo que torna la relacion intima y directa a la nina restricta a pocas personas, como madre, hermano, abuela materna.Resumen The case study’s intention was to describe the situation regarding the health of a child with neuromotor disorder and their social network, with deepening on socio-economic context. The objectives were: to identify the caretaker of the child; to build the map of the child’s social network; to discuss the importance of the caretaker and family context in the development of the children with neuromotor disorder. The data were collected from the patient’s record; consultation of nursing; approach of the mother during physiotherapy; visitation to the maternal grandmother’s home; systematic observation of the child and contacts by phone. The results showed that the girl is involved with different people and different ties. It follows that despite her extensive and dense social network, her ties are fragile, which makes the direct and intimate relationship to the girl restricted to few people, such as her mother, her brother, her maternal grandmother.

TUBERCULOSE NA ETNIA MUNDURUKU DA AMAZÔNIA BRASILEIRA: UM DESAFIO PARA A SAÚDE PÚBLICA

The objective of this paper was to screen for active tuberculosis (TB), to estimate the prevalence of Mycobacterium tuberculosis (MTB), and to identify factors associated with latent tuberculosis in an indigenous population from the Brazilian Amazon. A cross-sectional study with a convenience sample of 1,213 individuals from the Munduruku indigenous group from the Tapajós River in the Jacareacanga municipality, Pará State was done. Interviews were held and tests were performed on sputum smear microscopy and culture, tuberculin skin tests (TST), and chest X-rays. The software Statistical Package for the Social Sciences was used for statistical procedures; X2 test, univariate and multivariate analyses, p value <0.05, and 95% CI were considered. The Odds Ratio was used as an association measure. Seventy cases of respiratory symptoms were identified (5.8% of study population), of whom one case was confirmed Mycobacterium tuberculosis (MTB) infection, achieving a punctual prevalence of 82.4/100,000. 219 chest x-rays were performed, 40 (18.3%) of which showed abnormalities. The prevalence of TST with reactions ≥10mm was 22.0% and 37.4% for the 5mm cut-off point. The TST reactions ≥10mm were associated with village of residence, age over 40 years, male gender, contact with a TB patient, and the presence of a BCG vaccine scar. The rate of respiratory symptoms was markedly higher when compared to the non-indigenous population. Although some adults could have been infected years previously, the high prevalence of infection and its strong association with ages under 40 years, indicate ongoing contact with TB patients.