Maria Helena Baena de Moraes Lopes

Restrições causadas pela incontinência urinária à vida da mulher

Our purpose with this study was to verify the restriction of the urinary incontinence (UI) in a womans daily life, considering the type of incontinence, and find out how women deal with that. It is a secondary analysis of data taken from a previous study that were obtained using open and closed questions. Interviews were held with 164 incontinent inpatients of gynecological and urological clinics of two hospital schools in the city of Campinas, in the State of Sao Paulo, with ages ranging from 25 to 85 years. Of this universe, 104 (64%) indicated one or more restrictions regarding their daily life activities, such as altered sexual (40.9%), social (33.5%), domestic (18.9%) and occupational activities (15.2%). Mixed urinary incon-tinence and urge incontinence were mentioned as that affected the most womens daily life. The disposable pad system was the most utilized strategy in dealing with UI. It was concluded that UI has a negative impact on the daily life of these women.Our purpose with this study was to verify the restriction of the urinary incontinence (UI) in a womans daily life, considering the type of incontinence, and find out how women deal with that. It is a secondary analysis of data taken from a previous study that were obtained using open and closed questions. Interviews were held with 164 incontinent inpatients of gynecological and urological clinics of two hospital schools in the city of Campinas, in the State of São Paulo, with ages ranging from 25 to 85 years. Of this universe, 104 (64%) indicated one or more restrictions regarding their daily life activities, such as altered sexual (40.9%), social (33.5%), domestic (18.9%) and occupational activities (15.2%). Mixed urinary incontinence and urge incontinence were mentioned as that affected the most womens daily life. The disposable pad system was the most utilized strategy in dealing with UI. It was concluded that UI has a negative impact on the daily life of these women.

Adesão à terapia antiretroviral para HIV/AIDS

The non-adherence to the highly active antiretroviral therapy (HAART) is considered one of the most threatening risks for the effectiveness of the treatment of the person with HIV/AIDS on the individual plan and for the resistance-virus dissemination on the collective plan. The objective of this study was to analyze, through a literature review, the predicting factors of non-adherence to the HAART, as well as to assemble and relate them to the person in treatment, the disease, the treatment and the health and social support service. The literature points to the need for studies that evaluate social-cultural aspects, beliefs, quality of the service and the relationship of the patient with the multi-professional team, as well as others related to race and to the side effects of the antiretroviral agents. These studies aim at favoring the creation of strategies that improve the adherence of patients to the HAART, contributing at the same time for the development and the exercise of citizenship.A nao-adesao a terapeutica antiretroviral altamente eficaz (HAART) e considerada, no plano individual, como um dos mais ameacadores perigos para a efetividade do tratamento da pessoa com HIV/aids e para a disseminacao de virus-resistencia, no plano coletivo. Assim, o objetivo deste estudo foi analisar, mediante revisao de literatura, os fatores de risco para nao-adesao a HAART, alem de agrupa-los e relaciona-los a pessoa em tratamento, a doenca, ao tratamento e ao servico de saude e suporte social. A literatura aponta para a necessidade da realizacao de estudos que avaliem aspectos socioculturais, crencas, qualidade do servico prestado, relacoes do cliente com a equipe multiprofissional e outros referentes a raca e aos efeitos colaterais dos anti-retrovirais. Estes estudos visam a favorecer o estabelecimento de estrategias que melhorem a adesao dos clientes a HAART, ao mesmo tempo em e que contribuem para a construcao e exercicio da cidadania.

Cuidadores de crianças com câncer: aspectos da vida afetados pela atividade de cuidador

Pretendeu-se, neste estudo, descrever como as atividades relacionadas ao cuidar afetam a vida de cuidadores de criancas com câncer, o grau de dependencia da crianca para desempenhar as atividades de vida diaria (AVD), o grau de ajuda recebida de outros e o quanto alguns aspectos da vida do cuidador sao afetados pela atividade de cuidar. O estudo foi descritivo, comparativo e transversal. Foram entrevistados 50 cuidadores de criancas entre tres e dez anos num hospital infantil, referencia no tratamento de doencas onco-hematologicas, em Campinas, SP. As atividades relacionadas ao cuidar ocasionaram serios prejuizos na vida dos cuidadores. Portanto, avaliar estes aspectos pode auxiliar o enfermeiro a evidenciar, amenizar e planejar a assistencia aos cuidadores de criancas com câncer.This study aimed at demonstrating that the caregiving role affected the lives of caregivers of children with cancer the childs degree of dependence regarding the performance of daily life activities (DLA), the degree of help offered by others and the degree to which some aspects of the caregivers life were affected by caregiving activities. Interviews were held with fifty caregivers of children between the ages of three and ten in a childrens hospital, a referral center for cancer and hematological disorders in Campinas, Sao Paulo. These caregiving activities seriously affect the lives of the caregivers and, therefore, an assessment of these aspects may help the nurse detect the problems and plan the healthcare needed by the caregivers of children with cancer.

Incontinência urinária em mulheres: razões da não procura por tratamento

El objetivo principal fue verificar las razones de no buscar tratamiento para la incontinencia urinaria (IU) entre mujeres incontinentes, usuarias de una Unidad Basica de Salud en Campinas, SP. Se trata de un estudio descriptivo y transversal, en el cual fueron abordadas 213 mujeres que comparecieron al servicio para realizar el examen de citologia oncotica, siendo incluidas apenas 35 que eran incontinentes. Se utilizaron tres cuestionarios: el ICIQ-SF, el King´s Health Questionnaire y un instrumento elaborado para este estudio. Gran parte de los sujetos (45,7%) no conocia ninguna forma de tratamiento para la IU y mas de la mitad (65,7%) no busco tratamiento para el problema; siendo las principales razones apuntadas, el hecho de encontrar normal la perdida de orina, no considerarla algo importante y la afirmacion del medico de que no era necesario. Se concluye que el desconocimiento sobre los tipos de tratamiento puede contribuir para no buscar ayuda profesional.The main purpose of this study was to verify why incontinent women, users of a Basic Healthcare Unit in Campinas, SP, do not seek treatment for urinary incontinence (UI). This is a descriptive, cross-section study, where 213 women who attended the service to have their cancer cytology examination were approached, and 35 of them, being incontinent, were included in the study. Three questionnaires were used: ICIQ-SF, Kings Health Questionnaire and a specific instrument elaborated for this study. A large share of the subjects (45.7%) did not know any form of UI treatment, and more than half (65.7%) did not seek treatment for the problem, with the main stated reasons being that they thought that urinary loss was normal, did not consider it important and the physician said that it was not necessary. It is concluded that the lack of knowledge about the types of treatment can contribute for not seeking professional help.

Fatores associados com a incontinência urinária na mulher

The aim of this present study was to assess the urinary incontinence (UI) prevalence, and its associate factors among nurse female staff of a school hospital. Of the 378 questionnaires delivered, 291 (77%) were answered, and 80 (27.5%) employers reported complaint UI. The multivariate analysis had shown that there is a more probability of developing UI after 41 years of age, having changed the weight, having intestinal constipation and having arterial hypertension. It was concluded that preventable educational measures are necessary in order warn same factors that caused UI among nursing female staff. Descriptors: Urinary incontinence; Risk factors; Women’s health.The aim of this present study was to assess the urinary incontinence (UI) prevalence, and its associate factors among nurse female staff of a school hospital. Of the 378 questionnaires delivered, 291 (77%) were answered, and 80 (27.5%) employers reported complaint Ul. The multivariate analysis had shown that there is a more probability of developing Ul after 41 years of age, having changed the weight, having intestinal constipation and having arterial hypertension. It was concluded that preventable educational measures are necessary in order warn same factors that caused UI among nursing female staff.

Sentimentos e experiências na vida das mulheres com câncer de mama

Identificar os sentimentos e as experiencias relacionados ao câncer de mama torna-se importante para que as pessoas de seu convivio social compreendam essa etapa da vida da mulher. Uma revisao da literatura foi realizada buscando identificar quais sao os pensamentos e os sentimentos mais comuns experimentados pelas mulheres depois do diagnostico de câncer de mama. Foi realizada por meio de busca bibliografica no LILACS e MEDLINE, e as palavras-chave utilizadas foram: breast, câncer, feeling, female, representacoes, sentimentos. Conteudos do câncer foram abordados, como o significado da doenca e suas implicacoes para a vida emocional e social da mulher. Concluiu-se que as experiencias relacionadas ao câncer de mama tem um âmbito muito individual, tendo representacoes diferenciadas para cada mulher.Identifying feelings and experiences related to breast cancer becomes important to enable those who are part of a womans social circle to grasp this stage of her life. For this study, a literature review was carried out in order to identify what are the most common thoughts and feelings women experience after a breast cancer diagnosis. The review was conducted through bibliographical research in LILACS and MEDLINE databases using the key words breast, cancer, feeling, female, and representation. Contents related to cancer were searched, such as the meaning of the disease and its implication to the womans emotional and social life. The conclusion was that experiences related to breast cancer have an individual scope, and that their representations are different for each woman.

Uso de métodos anticoncepcionais entre adolescentes universitários

El objetivo de este trabajo es identificar el uso de los metodos anticonceptivos entre adolescentes, alumnos de una universidad paulista, y describir su perfil basados en algunas caracteristicas socio-demograficas. Se utilizo un cuestionario aplicado a 295 adolescentes. El 48,8% relataron haber iniciado actividad sexual. En media, la edad para el inicio son los 17 anos y la mayoria afirma haber usado metodos anticonceptivos. El mas utilizado fue, principalmente, el preservativo combinado con la pildora. Se observo que los adolescentes buscan informacion consultando a profesionales de la salud, profesores o a traves de libros, y sobretodo por los medios de comunicacion. Se concluye que los universitarios inician su actividad sexual mas tarde y buscan conocimiento sobre metodos anticonceptivos.The objective of this study was to identify the use of contraceptive methods among teenagers at a public University in São Paulo, as well as to describe their profile concerning social and demographic characteristics. A questionnaire was used and the sample was composed by 295 teenagers. The initiation of sexual activity was reported by 48.8%. The mean age was seventeen and most of them reported that they used some type of contraceptive method. The method used with highest frequency was the preservative, and this in combination with the pill. It could be observed that teenagers seek information through health professionals, teachers or books, and mainly media. It was concluded that the students had sexual initiation late and seek information about contraception.

Lombalgia na gestação

This research qualitatively analyzed the contents of national and international scientific publications, indexed in the period from 1999 to 2005, about low back pain in gestation. Around 50 % of pregnant women complain about low back pain. The physiologic modifications that occur happen in pregnancy alter the posture of pregnant women and the largest incidence of low back pain usually happens in the last three months. Specific causes remain unknown. However, treatment involves analgesics, antiphlogistics, exercises and physiotherapy. Low back pain during gestation is a symptom that causes great discomfort and, depending on the level of pain, it generates motor disability and impairs daily activities, besides causing problems to take care of the baby after birth. Some discomfort of low back pain can continue for a period of up to three years after childbirth. We see a great need for further research in this subject area, in order to provide a better quality of life for pregnant women.This research qualitatively analyzed the contents of national and international scientific publications, indexed in the period from 1999 to 2005, about low back pain in gestation. Around 50 % of pregnant women complain about low back pain. The physiologic modifications that occur happen in pregnancy alter the posture of pregnant women and the largest incidence of low back pain usually happens in the last three months. Specific causes remain unknown. However, treatment involves analgesics, antiphlogistics, exercises and physiotherapy. Low back pain during gestation is a symptom that causes great discomfort and, depending on the level of pain, it generates motor disability and impairs daily activities, besides causing problems to take care of the baby after birth. Some discomfort of low back pain can continue for a period of up to three years after childbirth. We see a great need for further research in this subject area, in order to provide a better quality of life for pregnant women.

Implementação do processo de enfermagem em uma unidade de radioterapia: elaboração de instrumento para registro

E meta de nosso servico sistematizar a assistencia de enfermagem a clientes portadoras de câncer genital e mamario, submetidas a tratamento ambulatorial em radioterapia, atraves do processo de enfermagem, utilizando-se, na fase diagnostica, a taxionomia da North American Nursing Diagnosis Association (NANDA) e os problemas colaborativos. Foram elaboradas fichas que permitissem o registro de forma sucinta e completa dos dados mais relevantes para a assistencia de enfermagem, contendo: anamnese, orientacoes gerais a respeito do tratamento, principais diagnosticos de enfermagem e problemas colaborativos, intervencoes, resultados esperados e evolucao. Esses impressos foram testados no servico e avaliados pela equipe que os desenvolveu quanto ao conteudo e diagramacao, ate se obterem os modelos atuais que sao apresentados neste artigo.

The impact of urinary incontinence on female nursing personnel

Was assessed the prevalence of urinary incontinence (UI), its interference in the performance of daily occupational activities and its management among the womens nurse staff of a medical school hospital in Campinas, Sao Paulo. Of the 291 employers, 27.5% reported UI complaint at least monthly. The activities that required greater effort increased the urinary loss, what resulted in stress, feeling embarrassed and lack of concentration at work. The use of pad was the most frequent strategy at management of UI and sometimes the task could not be interrupted to use the restroom. In conclusion, the activities that require more effort and the difficulty for an adequate management of the UI in workplace increase the problem and interfere on professional performance.