Meryeli Santos de Araújo Dantas

Impacto do diagnóstico de paralisia cerebral para a família

Pesquisa qualitativa, exploratorio-descritiva, que objetivou compreender a percepcao da familia acerca do impacto do diagnostico de paralisia cerebral e identificar estrategias de enfrentamento. Os dados foram coletados em uma Clinica-Escola de Fisioterapia de Joao Pessoa-PB com sete familias de criancas com paralisia cerebral, entre marco e abril de 2009, por meio de entrevista semiestruturada. A analise seguiu os principios da interpretacao tematica. Os resultados demonstraram que o impacto desse diagnostico e um momento dificil, gerando sentimentos de culpa nos pais. A familia vivencia o medo frente ao desenvolvimento motor do filho e mudancas na dinâmica cotidiana. A fe e o amor ao filho influenciam no modo como as mesmas buscam se adaptar a nova situacao. A familia precisa de uma rede de apoio e atencao especial dos profissionais de saude que devem ser sensiveis para promover escuta atentiva, minimizando o impacto do diagnostico e contribuindo no enfrentamento.

Burn injuries in children and adolescents: clinical and epidemiological characterization

Burns are important causes of morbidity and mortality in children and adolescents whose effects are reflected in significant functional limitations. This is a descriptive, quantitative study aimed to characterize the clinical and epidemiological profile of children and adolescents victims of burns admitted to a referral Hospital of Joao Pessoa, Brazil from January 2007 to December 2009. The majority of victims were infants (87%), preschoolers (88.2%) and boys (54%). The incident mostly occurred at home (85.5%) by accident (90%) and scalding (69.6%). Second-degree burns were predominant in 62.6% of cases and about 24.2% of the sample developed complications and secondary infection was the most common (1.1%). Balneotherapy is one of the most common procedures. We conclude that education programs at schools, community centers and in the media need to be strengthen since most injuries occur in the home environment and could be prevented.As queimaduras constituem importantes causas de morbimortalidade infanto-juvenil, cujas repercussoes refletem em significativas limitacoes funcionais. Trata-se de um estudo descritivo, de natureza quantitativa, que objetivou caracterizar o perfil clinico-epidemiologico de criancas e adolescentes vitimas de queimaduras admitidas em um Hospital de Referencia de Joao Pessoa, Brasil, de janeiro de 2007 a dezembro de 2009. A maioria das vitimas compoe-se de lactentes (37%), pre-escolares (33,2%) e do genero masculino (54%). Os eventos ocorreram, principalmente, no domicilio (85,5%), acidentalmente (90%) e por escaldamento (69,6%). Predominaram as queimaduras de 2o grau, em 62,6% dos casos, e cerca de 24,2% da amostra evoluiram com complicacoes secundarias, sendo a infeccao a mais comum (12,1%). A balneoterapia foi um dos procedimentos mais realizados. Conclui-se a necessidade em intensificar programas educativos nas escolas, nos centros comunitarios e meios de comunicacao, ja que grande parte dos acidentes ocorreu no ambiente domestico, podendo ser evitados.

Facilidades e dificuldades da família no cuidado à criança com paralisia cerebral

This is a qualitative research and exploratory-descriptive study aimed at finding out the familys abilities and difficulties in caring for children with cerebral palsy. Data was collected from seven families, between March and April 2009, through semi-structured interviews. The analysis followed the principles of thematic interpretation. The diffculties are more evident than the abilities and bring repercussions to daily life activities. Dealing with difficulties to control seizures, spasticity, changes in postural tone, occurrence of primitive reflexes, result in the complexity to perform simple tasks like feeding, bathing, locomotion, because children become increasingly dependent on caregivers. Over time, the difficulties give way to the routine and adaptation to the childs daily life. Strengthening relationships with families by improving their bonds and developing quality and comprehensive actions, promotes the welfare of the family/child with cerebral palsy.Pesquisa qualitativa, exploratoria, descritiva, que objetivou apreender as facilidades e as dificuldades da familia no cuidado as criancas com paralisia cerebral. Os dados foram coletados com sete familias, entre marco e abril de 2009, por meio de entrevista semiestruturada. A analise seguiu os principios da interpretacao tematica. As dificuldades sao mais evidenciadas que as facilidades e trazem repercussoes nas atividades de vida diaria. Lidar com convulsoes de dificil controle, espasticidade, alteracoes de tonus postural, presenca de reflexos primitivos implicam na complexidade em tarefas simples, como alimentacao, banho, locomocao, pois as criancas ficam, cada dia, mais dependentes dos cuidadores. Com o tempo, as dificuldades cedem lugar a rotina e a adaptacao a vida diaria da crianca. Estreitar relacoes com a familia, melhorando o vinculo e desenvolvendo acoes de qualidade e integrais, promovem o bemestar da familia/crianca com paralisia cerebral.

Queimaduras em crianças e adolescentes: caracterização clínica e epidemiológica

Burns are important causes of morbidity and mortality in children and adolescents whose effects are reflected in significant functional limitations. This is a descriptive, quantitative study aimed to characterize the clinical and epidemiological profile of children and adolescents victims of burns admitted to a referral Hospital of Joao Pessoa, Brazil from January 2007 to December 2009. The majority of victims were infants (87%), preschoolers (88.2%) and boys (54%). The incident mostly occurred at home (85.5%) by accident (90%) and scalding (69.6%). Second-degree burns were predominant in 62.6% of cases and about 24.2% of the sample developed complications and secondary infection was the most common (1.1%). Balneotherapy is one of the most common procedures. We conclude that education programs at schools, community centers and in the media need to be strengthen since most injuries occur in the home environment and could be prevented.As queimaduras constituem importantes causas de morbimortalidade infanto-juvenil, cujas repercussoes refletem em significativas limitacoes funcionais. Trata-se de um estudo descritivo, de natureza quantitativa, que objetivou caracterizar o perfil clinico-epidemiologico de criancas e adolescentes vitimas de queimaduras admitidas em um Hospital de Referencia de Joao Pessoa, Brasil, de janeiro de 2007 a dezembro de 2009. A maioria das vitimas compoe-se de lactentes (37%), pre-escolares (33,2%) e do genero masculino (54%). Os eventos ocorreram, principalmente, no domicilio (85,5%), acidentalmente (90%) e por escaldamento (69,6%). Predominaram as queimaduras de 2o grau, em 62,6% dos casos, e cerca de 24,2% da amostra evoluiram com complicacoes secundarias, sendo a infeccao a mais comum (12,1%). A balneoterapia foi um dos procedimentos mais realizados. Conclui-se a necessidade em intensificar programas educativos nas escolas, nos centros comunitarios e meios de comunicacao, ja que grande parte dos acidentes ocorreu no ambiente domestico, podendo ser evitados.

Vigilância em saúde em creches: análise do estado nutricional em menores de dois anos

Objective: to evaluate the nutritional status of assisted children in municipal public daycare centers. Methods: This is a cross-sectional study, carried out with 137 children between zero and 24 months old., The anthropometric measures recommended by the Ministry of Health were used for data collection, including height, weight, and body mass index, and, descriptive and inferential statistics were used for analysis. Results: more than half of the children were eutrophic (70.7%), but 24.1% were overweight, most of them were male. Pictures of thinness (5.2%) were also identified in children between six and 24 months old. Conclusion: the results of the nutritional evaluation indicate a trend towards reduction of malnutrition rates and elevation of overweight in childhood, which reinforces the importance of anthropometric evaluation in the identification of nutritional alterations in children using daycare centers.

Difficulties in a Father’s Day-to-Day Care of a Child with A Chronic Illness

Objective: To understand the difficulties experienced by fathers of children with chronic illnesses in terms of day-to-day childcare. Methodology: A descriptive, qualitative study conducted between June and August 2014 by means of semi-structured interviews with 10 participants who were fathers of children with chronic illnesses. The data were subjected to thematic analysis. Results: The fathers experienced many difficulties in terms of day-to-day care: emotional burden, trying to balance work with caring for their child, administering medication, hospitalisation, and sharing the childs care with the mother. Because the fathers assumed financial responsibility for their homes, they lacked time to better serve their children and to foster the emotional structure needed to support the duties and constraints that arise because of their absence. Conclusion: The fathers needed guidance and support from the health team to overcome the difficulties experienced in day-to-day life and become better prepared to understand and fulfill their roles in caring for children with chronic illness effectively.

Dificultades y facilidades de la familia en el cuidado a los niños con parálisis cerebral

This is a qualitative research and exploratory-descriptive study aimed at finding out the familys abilities and difficulties in caring for children with cerebral palsy. Data was collected from seven families, between March and April 2009, through semi-structured interviews. The analysis followed the principles of thematic interpretation. The diffculties are more evident than the abilities and bring repercussions to daily life activities. Dealing with difficulties to control seizures, spasticity, changes in postural tone, occurrence of primitive reflexes, result in the complexity to perform simple tasks like feeding, bathing, locomotion, because children become increasingly dependent on caregivers. Over time, the difficulties give way to the routine and adaptation to the childs daily life. Strengthening relationships with families by improving their bonds and developing quality and comprehensive actions, promotes the welfare of the family/child with cerebral palsy.Pesquisa qualitativa, exploratoria, descritiva, que objetivou apreender as facilidades e as dificuldades da familia no cuidado as criancas com paralisia cerebral. Os dados foram coletados com sete familias, entre marco e abril de 2009, por meio de entrevista semiestruturada. A analise seguiu os principios da interpretacao tematica. As dificuldades sao mais evidenciadas que as facilidades e trazem repercussoes nas atividades de vida diaria. Lidar com convulsoes de dificil controle, espasticidade, alteracoes de tonus postural, presenca de reflexos primitivos implicam na complexidade em tarefas simples, como alimentacao, banho, locomocao, pois as criancas ficam, cada dia, mais dependentes dos cuidadores. Com o tempo, as dificuldades cedem lugar a rotina e a adaptacao a vida diaria da crianca. Estreitar relacoes com a familia, melhorando o vinculo e desenvolvendo acoes de qualidade e integrais, promovem o bemestar da familia/crianca com paralisia cerebral.

Family's abilities and difficulties in caring for children with cerebral palsy

This is a qualitative research and exploratory-descriptive study aimed at finding out the familys abilities and difficulties in caring for children with cerebral palsy. Data was collected from seven families, between March and April 2009, through semi-structured interviews. The analysis followed the principles of thematic interpretation. The diffculties are more evident than the abilities and bring repercussions to daily life activities. Dealing with difficulties to control seizures, spasticity, changes in postural tone, occurrence of primitive reflexes, result in the complexity to perform simple tasks like feeding, bathing, locomotion, because children become increasingly dependent on caregivers. Over time, the difficulties give way to the routine and adaptation to the childs daily life. Strengthening relationships with families by improving their bonds and developing quality and comprehensive actions, promotes the welfare of the family/child with cerebral palsy.Pesquisa qualitativa, exploratoria, descritiva, que objetivou apreender as facilidades e as dificuldades da familia no cuidado as criancas com paralisia cerebral. Os dados foram coletados com sete familias, entre marco e abril de 2009, por meio de entrevista semiestruturada. A analise seguiu os principios da interpretacao tematica. As dificuldades sao mais evidenciadas que as facilidades e trazem repercussoes nas atividades de vida diaria. Lidar com convulsoes de dificil controle, espasticidade, alteracoes de tonus postural, presenca de reflexos primitivos implicam na complexidade em tarefas simples, como alimentacao, banho, locomocao, pois as criancas ficam, cada dia, mais dependentes dos cuidadores. Com o tempo, as dificuldades cedem lugar a rotina e a adaptacao a vida diaria da crianca. Estreitar relacoes com a familia, melhorando o vinculo e desenvolvendo acoes de qualidade e integrais, promovem o bemestar da familia/crianca com paralisia cerebral.

Quemaduras en niños y adolescentes: caracterización clínica y epidemiológica

Burns are important causes of morbidity and mortality in children and adolescents whose effects are reflected in significant functional limitations. This is a descriptive, quantitative study aimed to characterize the clinical and epidemiological profile of children and adolescents victims of burns admitted to a referral Hospital of Joao Pessoa, Brazil from January 2007 to December 2009. The majority of victims were infants (87%), preschoolers (88.2%) and boys (54%). The incident mostly occurred at home (85.5%) by accident (90%) and scalding (69.6%). Second-degree burns were predominant in 62.6% of cases and about 24.2% of the sample developed complications and secondary infection was the most common (1.1%). Balneotherapy is one of the most common procedures. We conclude that education programs at schools, community centers and in the media need to be strengthen since most injuries occur in the home environment and could be prevented.As queimaduras constituem importantes causas de morbimortalidade infanto-juvenil, cujas repercussoes refletem em significativas limitacoes funcionais. Trata-se de um estudo descritivo, de natureza quantitativa, que objetivou caracterizar o perfil clinico-epidemiologico de criancas e adolescentes vitimas de queimaduras admitidas em um Hospital de Referencia de Joao Pessoa, Brasil, de janeiro de 2007 a dezembro de 2009. A maioria das vitimas compoe-se de lactentes (37%), pre-escolares (33,2%) e do genero masculino (54%). Os eventos ocorreram, principalmente, no domicilio (85,5%), acidentalmente (90%) e por escaldamento (69,6%). Predominaram as queimaduras de 2o grau, em 62,6% dos casos, e cerca de 24,2% da amostra evoluiram com complicacoes secundarias, sendo a infeccao a mais comum (12,1%). A balneoterapia foi um dos procedimentos mais realizados. Conclui-se a necessidade em intensificar programas educativos nas escolas, nos centros comunitarios e meios de comunicacao, ja que grande parte dos acidentes ocorreu no ambiente domestico, podendo ser evitados.

Frequency of falls and identification of the risk factors in patients with primary parkinsonism

ABSTRACT Objective : to identify the frequency and the influencing risk factors for the occurrence of falls in patients with Parkinson Disease. Method : it was a transversal research with quantitative nature performed with 70 Parkinsonian assisted in a unit of service to neurologic patients in Joao Pessoa. The instrument of data collection had objective questions about the sociodemographic and clinic aspects of the patient, falls and environmental factors. The Scale of Hoehn and Yahn was used to evaluate the level of evolution of the pathology. The research was submitted and approved by the ethic committee in Research of the Centro Universitario of Joao Pessoa (UNIPE) under protocol no 021/2010 Results : most of the patients were men (80,0%), aged 51-70 (42,8%), married (80,0%) and had secondary school level (48,6%). It was also shown that 40% of the patients are in the stage I of the disease, (67,1%) suffered at least one episode of fall in the last three years, which happened predominantly in the residence and in the morning (63,8%). It was noticed a meaningful statistical relation (p Conclusion : the occurrence of falls in Parkinsonian patients is frequent, being the extrinsic factors and the own clinic progression of the disease related with potential risks for falls in the sample. Descriptors : parkinson’s disease; accidents involving falls; risk factors. RESUMO Objetivo : identificar a frequencia e os fatores de riscos influenciadores para a ocorrencia de quedas em portadores da Doenca de Parkinson. Metodo : pesquisa transversal, de natureza quantitativa, realizado com 70 parkinsonianos assistidos numa unidade de atendimento a pacientes neurologicos em Joao Pessoa/PB. O instrumento de coleta de dados foi elaborado com questoes objetivas sobre aspectos sociodemograficos e clinicos, quedas e fatores ambientais. Utilizou-se a Escala de Hoehn e Yahr para avaliacao do grau de evolucao da Doenca de Alzheimer. O projeto de pesquisa foi submetido e aprovado pelo Comite de Etica em Pesquisa do Centro Universitario de Joao Pessoa (UNIPE) com o protocolo de no 021/2010. Resultados : a maioria dos parkinsonianos era homens (80,0%), faixa etaria entre 51-70 anos (42,8%), casados (80,0%) e escolaridade nivel medio (48,6%). Evidenciou-se que 40,0% deles encontraram-se no estagio I da doenca, 67,1% sofreram pelo menos um episodio de quedas nos ultimos tres anos, que aconteceram no domicilio e no periodo da manha (63,8%%). Percebeu-se uma relacao estatistica significativa (p Freezing; fatores extrinsecos: utilizacao de dispositivos ortopedicos e estrutura fisica ambiental inadequada. Conclusao : a ocorrencia de quedas em parkinsonianos e frequente, estando os fatores extrinsecos e a propria progressao clinica da doenca relacionada como riscos potenciais para quedas nesta amostra. Descritores : Doenca de Parkinson; acidentes por quedas; fatores de risco. RESUMEN Objetivo : identificar la frecuencia y los factores de riesgo que influyen en la aparicion de caidas en pacientes con enfermedad de Parkinson (EP). Metodo : se realizo un estudio cuantitativo de corte transversal realizado con 70 pacientes con EP atendidos en una unidad de atencion al paciente neurologico en Joao Pessoa. El instrumento para La recoleccion de datos contenia preguntas objetivas sobre aspectos sociodemograficos y clinicos del paciente, acerca de las caidas y de los factores ambientales. Utilizamos todavia la escala de Hoehn y Yahr para evaluar el grado de evolucion de la enfermedad. La investigacion fue aprobada por el Comite de Etica en Investigacion del Centro Universitario de Joao Pessoa (UNIPE) bajo el protocolo no 021/2010 Resultados : la mayoria de los pacientes era de sexo masculino (80,0%), con edades entre 51-70 anos (42,8%), casados (80,0%) y educacion secundaria (48,6%). Tambien mostro que 40,0% de los pacientes se encontraban en estadio I de la enfermedad, 67,1% tenia al menos un episodio de caidas en los ultimos tres anos, que ocurrieron sobre todo en el hogar y por la manana (63,8%). Nos dimos cuenta de uma relacion estadisticamente significativa (p Freezing ) hielo, asi como los factores externos, como el uso de dispositivos ortopedicos y la estructura fisica del medio ambiente. Conclusion : la incidencia de caidas en pacientes con EP es frecuente, con los factores extrinsecos y la propia progresion clinica de la enfermedad aparece como riesgos potenciales de caidas en esta muestra. Descriptores : enfermedad de parkinson; caidas accidentales; los factores de riesgo.