Maria Eliete Batista Moura

Profile of motorcycle accident victims treated at a public hospital emergency department

The number of accidents involving motorcycles has increased in Brazil. The objective of this study was to identify the type of victims of these accidents who were treated at an emergency department in Piauí State, Brazil. The sample included 430 such victims in this quantitative study. Most were male, 15-24 years of age, and from the State of Piauí itself. 301 of the victims were drivers of the motorcycles, 81 were passengers, and 48 were struck or run over by the motorcycles. 76.05% of the accidents occurred from Thursday to Sunday. 80.75% had temporary sequelae, and 53.33% of the accidents occurred at night. In 69.3% of the cases, victims suffered lacerations; 51.4% fractures; 27.44% hematomas; and 20.7% head trauma. Among the accident victims, motorcycle drivers, and those suspected of alcohol consumption, 52.07% were not wearing a helmet at the time of the accident. Most of the victims were discharged from hospital, while 14 died. In conclusion, injuries from motorcycle accidents deserve attention, especially to plan preventive measures to help control their occurrence in the State.

Infecção hospitalar: estudo de prevalência em um hospital público de ensino

This study aimed to determine the prevalence of nosocomial infection (NI) and distribution for topography and microorganism and its antimicrobial sensibility. The study was carried out in two Intensive Care Units (ICUs) of a public teaching hospital of Teresina, with sampling of 394 NI cases and processed by the SPSS Software. The respiratory infection was the biggest prevalence (61.26 %) in the General ICU. It was found a bigger bacterial sensibility to amicacine (52.48 %) in the ICU of the ER. The microorganism with bigger prevalence was Klebsiella pneumonia (35.46 %) in the general ICU. In conclusion, the prevalence of NI in the two ICUs was 60.8 %, exceeding 45.3 % of the general rate registered in the Brazilian hospitals that is 15.5 %, contributing to increase the morbi -mortality caused by infections. Descriptors: Nursing; Nosocomial Infection; Prevalence.This study aimed to determine the prevalence of nosocomial infection (NI) and distribution for topography and microorganism and its antimicrobial sensibility. The study was carried out in two Intensive Care Units (ICUs) of a public teaching hospital of Teresina, with sampling of 394 NI cases and processed by the SPSS Software. The respiratory infection was the biggest prevalence (61.26%) in the General ICU. It was found a bigger bacterial sensibility to amicacine (52.48%) in the ICU of the ER. The microorganism with bigger prevalence was Klebsiella pneumonia (35.46%) in the general ICU. In conclusion, the prevalence of NI in the two ICUs was 60.8%, exceeding 45.3% of the general rate registered in the Brazilian hospitals that is 15.5%, contributing to increase the morbi-mortality caused by infections.

Vivências maternas na realidade de ter um filho autista: uma compreensão pela enfermagem

Este estudo objetivou descrever a vivencia de ser-mae de crianca autista. Utilizou-se abordagem qualitativa e referencial fenomenologico com conceitos de Martin Heidegger. Foram entrevistadas 14 maes de criancas autistas, com perguntas abertas, gravadas e transcritas na integra. O cenario foi a AMA-PI e dados produzidos em maio de 2006. A analise revela que as maes vivenciam a facticidade de ter um filho autista permeada por sentimentos de nulidade, fe e solidao. As maes tambem deixam de viver o seu cotidiano para viverem o cotidiano do filho. Ao assumirem sua condicao existencial -estar-no-mundo e ser mae de uma crianca autista, passam a se compreenderem como ser capaz de lutar pelo bem-estar do filho, sem queixas, demonstrando abnegacao, paciencia e preocupacao.This study has as objective to describe the experience of being mother of an autistic child. A qualitative approach was accomplished according to the phenomenological concepts of Martin Heidegger. Fourteen mothers of autistic children had been interviewed, with semi-structured questions, tape-recorded and transcribed integrally. The local of data collection was the AMA-PI with data produced in May, 2006. The analysis revealed that mothers who live the facticity of having an autistic child is permeated by negative feelings, faith and solitudeness. Mothers also leave their daily life to live their childrens daily live. When assuming their existential condition - to be -in the world and to be mother of a autistic child, they begin to understand how to be capable to fight for their childrens well-being, without complaints, demonstrating self-denial, patience and concern.

Representações sociais da infecção comunitária por profissionais da atenção primária

Objetivo Apreender as representacoes sociais elaboradas pelos profissionais da Atencao Primaria sobre infeccao comunitaria e analisar como tais representacoes influenciam no controle da infeccao e na qualidade da assistencia. Metodos Pesquisa exploratoria, qualitativa, realizada com 16 profissionais da saude, selecionados por amostragem simples. Para coleta dos dados, utilizou-se formulario semiestruturado. Os dados foram processados e analisados pela Classificacao Hierarquica Descendente. Resultados Foram obtidas quatro classes: Atencao Primaria em saude na gestao das infeccoes comunitarias; O papel da educacao em saude na prevencao e no controle das infeccoes; O conceito de infeccao comunitaria e fatores de risco; Medidas de prevencao e controle das infeccoes comunitarias. Conclusao As representacoes sociais sobre a infeccao comunitaria se organizam a partir da pratica profissional, na qual os participantes reconhecem as dificuldades em conceituar o termo, elencar fatores de riscos e medidas de prevencao e controle, refletindo na qualidade da assistencia prestada.

Representações sociais da biossegurança por profissionais de enfermagem de um serviço de emergência

ResumenO estudo objetivou apreender as Representacoes Sociais da Biosseguranca elaboradas por profissionais de Enfermagem e analisar como essas representacoes influenciam na pratica e na qualidade da assistencia. Trata-se de uma pesquisa exploratoria, com base na Teoria das Representacoes Sociais, realizada no servico de emergencia de um hospital publico, com 60 profissionais de enfermagem. Os dados foram coletados atraves da tecnica de Associacao Livre de Palavras, utilizando as palavrasestimulos: biosseguranca e infeccao hospitalar, processadas no software Tri Deux Mots, e fazendo Analise Fatorial de Correspondencia. Os resultados mostraram que a biosseguranca foi objetivada atraves das evocacoes descartex, anti-sepsia e imunizacao, enquanto a infeccao hospitalar foi objetivada atraves das evocacoes doenca e sujeira. Considera-se, finalmente, que a biosseguranca ainda nao foi incorporada como um conjunto de medidas necessarias ao controle da infeccao hospitalar, especialmente do ponto de vista social e psicologico, predominando os aspectos epidemiologicos, biologicos e economicos.

Representações Sociais das implicações legais da infecção hospitalar e de seu controle

The study aimed at learning the social representations of the legal implications of hospital infections (HI) and analyze how these representations are articulated with the quality of work developed by the health and law professionals. The data were produced through interviews and processed by software Alceste4.8. The descendant hierarchical analysis showed 04 classes of words, that objected the legal implications of HI, anchored in the ideological, historical and socio-cultural aspects, in the rights that the health user has not run risks, resulting of occurences caused by negligence of involved in the process having to be fiscalized by the competent organs in order the responsibles answer civily and penaltily, miscase or miscare in hospital assistance.El estudio objectivo aprehender las representaciones sociales de las implicaciones legales de la infeccion hospitalaria (IH) y analizar como esas representaciones se articulan con la cualidad de trabajo desarrollado por los profesionales de la salud y de derecho. Los datos fueron producidos a traves de encuestas y procesados por el software Alceste 4.8. El analisis jierarquico decendiente enseno 04 clases de palabras que objectivaron las impliciones legales de IH , atracado en los aspectos ideologicos, historicos y socio-culturales, en el derecho que el usuario de la salud tiene de no correr riesgos, resultantes de ocurrencias causadas por negligencia de los involuncrados en el proceso, debendo ser fiscalizado por los organos competentes para que los responsables contesten civilmente y penalmente, por el descaso y descuido en asistencia hospitalaria.

Qualidade de vida e fatores associados em pessoas vivendo com HIV/AIDS

Objective To evaluate quality of life and the associated factors in people living with HIV/AIDS. Methods A cross-sectional study was performed with 146 people with HIV, receiving outpatient treatment. The instruments used were: a questionnaire for socioeconomic, demographic, epidemiological and clinical evaluation and the WHOQOL-HIV BREF scale for the quality of life evaluation. A descriptive analysis and a stepwise forward multiple linear regression test were performed. Results There was a predominance of male gender, lower educational level, and people who were asymptomatic. The Level of Independence and Environment domains had the worst scores. Having a paid occupation, the income per capita, having a religion, a longer time since diagnosis, and adherence to treatment were positively associated with quality of life. A homo-affective relationship, having been stigmatized or suffered prejudice, the presence of psychosocial symptoms, and having acquired opportunistic infections were predictors associated with a poorer quality of life. Conclusion Quality of life had associated predictors and compromise in two areas of the scale.

Representações sociais da Enfermagem sobre biossegurança: saúde ocupacional e o cuidar prevencionista

Objective: to understand the biosecurity social representations by primary care nursing professionals and analyze how they articulate with quality of care. Methods: exploratory and qualitative research based on social representation theory. The study participants were 36 nursing workers from primary health care in a state capital in the Northeast region of Brazil. The data were analyzed by descending hierarchical classification. Results: five classes were obtained: occupational accidents suffered by professionals; occupational exposure to biological agents; biosecurity management in primary health care; the importance of personal protective equipment; and infection control and biosecurity. Conclusion: the different positions taken by the professionals seem to be based on a field of social representations related to the concept of biosecurity, namely exposure to accidents and risks to which they are exposed. However, occupational accidents are reported as inherent to the practice.Objective: to understand the biosecurity social representations by primary care nursing professionals and analyze how they articulate with quality of care. Methods: exploratory and qualitative research based on social representation theory. The study participants were 36 nursing workers from primary health care in a state capital in the Northeast region of Brazil. The data were analyzed by descending hierarchical classification. Results: five classes were obtained: occupational accidents suffered by professionals; occupational exposure to biological agents; biosecurity management in primary health care; the importance of personal protective equipment; and infection control and biosecurity. Conclusion: the different positions taken by the professionals seem to be based on a field of social representations related to the concept of biosecurity, namely exposure to accidents and risks to which they are exposed. However, occupational accidents are reported as inherent to the practice.

Representações sociais das infecções hospitalares elaboradas pelos profissionais de saúde

This study has the aim to analyze the Social Representation of the Hospital Infections elaborated by health professionals and health students of a public hospital of Teresina-PI. The study has a quantitative and descriptive approach. The data was produced based on the free association of words test and processed by the Tri-Deux Mots software gave origin to 563 words as response to the following stimulus: Hospital infection, invasive procedures, sterilization of materials and standard. The positions of the subjects regarding hospital infection was demonstrated with words such as: paramentation, probing and hands. The results reinforce the emphasis given by the health professionals to the paramentation for his own and the patient protection during invasive procedures, pointing out the importance to the hands hygiene.O estudo objetivou apreender e analisar as Representacoes Sociais das Infeccoes Hospitalares elaboradas pelos profissionais e estudantes de saude de um hospital publico de Teresina-PI. Pesquisa descritiva, com abordagem qualitativa. Os dados foram produzidos a partir do teste de associacao livre de palavras, e processados pelo software Tri-Deux Mots, que deram origem a 563 palavras como respostas para os estimulos: Infeccao hospitalar, procedimentos invasivos, esterilizacao de material, precaucao padrao. O posicionamento dos sujeitos da pesquisa frente a infeccao hospitalar foi evidenciado com evocacoes, tais como: paramentacao, sondagem e maos. O resultado reforca a enfase dada pelos profissionais da saude a paramentacao para sua propria protecao e a do paciente durante procedimentos invasivos, ressaltando a importância do cuidado com as maos.

[Nosocomial infection: study of prevalence at a public teaching hospital].

This study aimed to determine the prevalence of nosocomial infection (NI) and distribution for topography and microorganism and its antimicrobial sensibility. The study was carried out in two Intensive Care Units (ICUs) of a public teaching hospital of Teresina, with sampling of 394 NI cases and processed by the SPSS Software. The respiratory infection was the biggest prevalence (61.26 %) in the General ICU. It was found a bigger bacterial sensibility to amicacine (52.48 %) in the ICU of the ER. The microorganism with bigger prevalence was Klebsiella pneumonia (35.46 %) in the general ICU. In conclusion, the prevalence of NI in the two ICUs was 60.8 %, exceeding 45.3 % of the general rate registered in the Brazilian hospitals that is 15.5 %, contributing to increase the morbi -mortality caused by infections. Descriptors: Nursing; Nosocomial Infection; Prevalence.This study aimed to determine the prevalence of nosocomial infection (NI) and distribution for topography and microorganism and its antimicrobial sensibility. The study was carried out in two Intensive Care Units (ICUs) of a public teaching hospital of Teresina, with sampling of 394 NI cases and processed by the SPSS Software. The respiratory infection was the biggest prevalence (61.26%) in the General ICU. It was found a bigger bacterial sensibility to amicacine (52.48%) in the ICU of the ER. The microorganism with bigger prevalence was Klebsiella pneumonia (35.46%) in the general ICU. In conclusion, the prevalence of NI in the two ICUs was 60.8%, exceeding 45.3% of the general rate registered in the Brazilian hospitals that is 15.5%, contributing to increase the morbi-mortality caused by infections.