Maria Wanderleya de Lavor Coriolano-Marinus

Validação de material educativo para alta hospitalar de pacientes com prescrição de oxigenoterapia domiciliar prolongada

Objective: The aim of this study was to validate the content and understandability of the instrument of written communication, complementary educational material to hospital discharge for patients with prolonged home oxygen prescription. Methods: This is a descriptive study, in which a quantitative approach was used. In this study we developed an educational material in the form of folder regarding the use of oxygen, which was analyzed by five nurses, who suggested modifications. After completion of the folder changes, it was given to patients receiving Prolonged Home Oxygentherapy (PHO). Results: The assessment that patients had regarding the educational material was positive, as 100% of respondents rated themselves between good and excellent (or scores between 7 and 10). Conclusion: The role and function of nurses as health educators is confirmed since they need to use verbal and written communication to the healthcare process.

Qualidade de vida na asma brônquica: a concordância das percepções das crianças, adolescentes e seus pais

Objective: To evaluate the perception of the quality of life of asthmatic children and adolescents and their parents, investigating the agreement rates in each domain using the Pediatric Asthma Quality of Life Questionnaire - Adapted (PAQLQ-A). Methods: Cross-sectional study conducted at two outpatient clinics of a university reference center for asthmatic children and adolescents in Recife, Brazil. After meeting the ethical requirements, health-related quality of life data were collected using the version of the PAQLQ adapted and translated into Portuguese. The questionnaire was answered by 126 patients (70 children and 56 adolescents) and their parents. Agreement was analyzed by the Kappa statistic test using the computer program SPSS, version 13.0, software. Results: Agreement between children and parents’ answers varied from “unsatisfactory” to “poor”. The worst agreement rate was found in the domain symptoms, especially regarding the item “wheezing”, and in the domain emotions, regarding the item “feel bothered”. Agreement between adolescents and their parents’ answers varied from “unsatisfactory” to “fair”, with the worst agreement rate in the domain activities, especially in the item “feel bothered by not being able to be with other people”, and the best agreement rate was found in the domain emotions, in the item “feel uncomfortable.” Conclusions: The PAQLQ-A was not well understood by the studied population and agreement regarding the perception of the quality of life of asthmatic children and adolescents between patients and their parents was poor. Appropriate instruments adapted to regional characteristics or even revalidation of international instruments considering regional diversity should be developed.

Comunicación entre trabajadores de la salud y usuarios en el cuidado a niños menores de dos años en el contexto de una unidad de salud de la familia

O estudo teve como objetivo conhecer a concepcao que trabalhadores de saude e usuarios possuem sobre a comunicacao no cuidado a crianca menor de dois anos, adotando a Teoria da Acao Comunicativa de Habermas. Trata-se de estudo qualitativo que teve como tecnica de coleta entrevistas semiestruturadas com trabalhadores de saude e cuidadoras de criancas menores de dois anos, de modo a obter subsidios para o estudo da comunicacao. Os dados foram submetidos a analise de conteudo tematica. Identificaram-se duas categorias tematicas, a partir do referencial teorico proposto: uma instrumental, por suas caracteristicas voltadas ao dominio e repasse de informacoes; e outra, denominada compartilhada, por ser entendida como comunhao de saberes entre o trabalhador de saude e usuario, contendo aproximacoes aos pressupostos da Teoria da Acao Comunicativa. Sugerem-se mudancas no contexto estudado, na perspectiva de construcao de praticas comunicativas dialogicas.

Comunicação nas práticas em saúde: revisão integrativa da literatura

Objetivos este artigo tem por objetivo descrever os principais eixos tematicos explorados no campo da comunicacao nas praticas em saude nos cenarios do Sistema Unico de Saude (SUS). Metodo revisao integrativa da literatura realizada a partir da busca de artigos nas bases de dados Literatura Latino-Americana em Ciencias da Saude (Lilacs), Literatura Internacional em Ciencias da Saude (MedLine) e Science Direct, utilizando os descritores: comunicacao em saude ou comunicacao. Procedeu-se ao cruzamento dos descritores comunicacao e educacao em saude. Resultados foram construidas quatro tematicas: 1) a comunicacao no estabelecimento de relacoes entre profissionais da saude e usuarios; 2) (des)comunicacao: barreiras ao ato comunicativo; 3) comunicacao e formacao do profissional da saude; e 4) modelos comunicativos em saude: a busca pelo modelo dialogico. Conclusao a partir do entendimento da comunicacao dialogica, que deve estar presente na comunicacao, as novas demandas da legalizacao do SUS vem mostrando fragilidades do modelo unilinear e verticalizado de comunicacao e a necessidade de instrumentalizar os profissionais da saude, desde a graduacao, com saberes que proporcionem praticas comunicativas dialogicas. Persiste o desafio de vivencias reflexivas e participativas nos varios cenarios de assistencia a saude, de forma a promover um compartilhamento de saberes que conduza ao entendimento entre os interlocutores envolvidos no ato comunicativo.

Quality of life in asthmatics: concordance among children, adolescents, and their parents

Objective: To evaluate the perception of the quality of life of asthmatic children and adolescents and their parents, investigating the agreement rates in each domain using the Pediatric Asthma Quality of Life Questionnaire - Adapted (PAQLQ-A). Methods: Cross-sectional study conducted at two outpatient clinics of a university reference center for asthmatic children and adolescents in Recife, Brazil. After meeting the ethical requirements, health-related quality of life data were collected using the version of the PAQLQ adapted and translated into Portuguese. The questionnaire was answered by 126 patients (70 children and 56 adolescents) and their parents. Agreement was analyzed by the Kappa statistic test using the computer program SPSS, version 13.0, software. Results: Agreement between children and parents’ answers varied from “unsatisfactory” to “poor”. The worst agreement rate was found in the domain symptoms, especially regarding the item “wheezing”, and in the domain emotions, regarding the item “feel bothered”. Agreement between adolescents and their parents’ answers varied from “unsatisfactory” to “fair”, with the worst agreement rate in the domain activities, especially in the item “feel bothered by not being able to be with other people”, and the best agreement rate was found in the domain emotions, in the item “feel uncomfortable.” Conclusions: The PAQLQ-A was not well understood by the studied population and agreement regarding the perception of the quality of life of asthmatic children and adolescents between patients and their parents was poor. Appropriate instruments adapted to regional characteristics or even revalidation of international instruments considering regional diversity should be developed.

Communication of healthcare workers and users in caring for children under two years old in the context of a family health unit

O estudo teve como objetivo conhecer a concepcao que trabalhadores de saude e usuarios possuem sobre a comunicacao no cuidado a crianca menor de dois anos, adotando a Teoria da Acao Comunicativa de Habermas. Trata-se de estudo qualitativo que teve como tecnica de coleta entrevistas semiestruturadas com trabalhadores de saude e cuidadoras de criancas menores de dois anos, de modo a obter subsidios para o estudo da comunicacao. Os dados foram submetidos a analise de conteudo tematica. Identificaram-se duas categorias tematicas, a partir do referencial teorico proposto: uma instrumental, por suas caracteristicas voltadas ao dominio e repasse de informacoes; e outra, denominada compartilhada, por ser entendida como comunhao de saberes entre o trabalhador de saude e usuario, contendo aproximacoes aos pressupostos da Teoria da Acao Comunicativa. Sugerem-se mudancas no contexto estudado, na perspectiva de construcao de praticas comunicativas dialogicas.

Comunicação entre trabalhadores de saúde e usuários no cuidado à criança menor de dois anos no contexto de uma unidade de saúde da família

O estudo teve como objetivo conhecer a concepcao que trabalhadores de saude e usuarios possuem sobre a comunicacao no cuidado a crianca menor de dois anos, adotando a Teoria da Acao Comunicativa de Habermas. Trata-se de estudo qualitativo que teve como tecnica de coleta entrevistas semiestruturadas com trabalhadores de saude e cuidadoras de criancas menores de dois anos, de modo a obter subsidios para o estudo da comunicacao. Os dados foram submetidos a analise de conteudo tematica. Identificaram-se duas categorias tematicas, a partir do referencial teorico proposto: uma instrumental, por suas caracteristicas voltadas ao dominio e repasse de informacoes; e outra, denominada compartilhada, por ser entendida como comunhao de saberes entre o trabalhador de saude e usuario, contendo aproximacoes aos pressupostos da Teoria da Acao Comunicativa. Sugerem-se mudancas no contexto estudado, na perspectiva de construcao de praticas comunicativas dialogicas.

Validation of educational material for hospital discharge of patients with prolonged domiciliary oxygen prescription

Objective: The aim of this study was to validate the content and understandability of the instrument of written communication, complementary educational material to hospital discharge for patients with prolonged home oxygen prescription. Methods: This is a descriptive study, in which a quantitative approach was used. In this study we developed an educational material in the form of folder regarding the use of oxygen, which was analyzed by five nurses, who suggested modifications. After completion of the folder changes, it was given to patients receiving Prolonged Home Oxygentherapy (PHO). Results: The assessment that patients had regarding the educational material was positive, as 100% of respondents rated themselves between good and excellent (or scores between 7 and 10). Conclusion: The role and function of nurses as health educators is confirmed since they need to use verbal and written communication to the healthcare process.

Validación del material educativo para el alta hospitalaria de pacientes con oxigenoterapia domiciliaria prolongada

Objective: The aim of this study was to validate the content and understandability of the instrument of written communication, complementary educational material to hospital discharge for patients with prolonged home oxygen prescription. Methods: This is a descriptive study, in which a quantitative approach was used. In this study we developed an educational material in the form of folder regarding the use of oxygen, which was analyzed by five nurses, who suggested modifications. After completion of the folder changes, it was given to patients receiving Prolonged Home Oxygentherapy (PHO). Results: The assessment that patients had regarding the educational material was positive, as 100% of respondents rated themselves between good and excellent (or scores between 7 and 10). Conclusion: The role and function of nurses as health educators is confirmed since they need to use verbal and written communication to the healthcare process.

Calidad de vida en el asma brónquico: la concordancia de las percepciones de los niños, adolescentes y sus padres

Objective: To evaluate the perception of the quality of life of asthmatic children and adolescents and their parents, investigating the agreement rates in each domain using the Pediatric Asthma Quality of Life Questionnaire - Adapted (PAQLQ-A). Methods: Cross-sectional study conducted at two outpatient clinics of a university reference center for asthmatic children and adolescents in Recife, Brazil. After meeting the ethical requirements, health-related quality of life data were collected using the version of the PAQLQ adapted and translated into Portuguese. The questionnaire was answered by 126 patients (70 children and 56 adolescents) and their parents. Agreement was analyzed by the Kappa statistic test using the computer program SPSS, version 13.0, software. Results: Agreement between children and parents’ answers varied from “unsatisfactory” to “poor”. The worst agreement rate was found in the domain symptoms, especially regarding the item “wheezing”, and in the domain emotions, regarding the item “feel bothered”. Agreement between adolescents and their parents’ answers varied from “unsatisfactory” to “fair”, with the worst agreement rate in the domain activities, especially in the item “feel bothered by not being able to be with other people”, and the best agreement rate was found in the domain emotions, in the item “feel uncomfortable.” Conclusions: The PAQLQ-A was not well understood by the studied population and agreement regarding the perception of the quality of life of asthmatic children and adolescents between patients and their parents was poor. Appropriate instruments adapted to regional characteristics or even revalidation of international instruments considering regional diversity should be developed.