Nariman de Felício Bortucan Lenza

Perfil de mulheres de 40 a 49 anos cadastradas em um núcleo de saúde da família, quanto à realização do exame preventivo de Papanicolaou

Trata-se de pesquisa de abordagem descritiva, exploratoria, cujo objetivo e tracar o perfil de mulheres na faixa etaria de 40 a 49 anos, em um Nucleo de Saude da Familia do Municipio de Ribeirao Preto, segundo as variaveis: cadastro no servico, posse de convenio e data de realizacao do preventivo, entre outras. Foram coletados dados dos prontuarios de 213 mulheres. Utilizou-se o programa Epi Info 6.0 para digitacao, analise e criacao do banco de dados. Os resultados revelam que 49% das mulheres realizaram o preventivo de Papanicolaou pelo menos uma vez no periodo de 2000 a 2003, 54,5% nao possuiam convenio de saude e a realizacao do exame e maior entre essas. Concluiu-se que a organizacao da atencao a saude, nos moldes da Saude da Familia, favorece a adesao ao preventivo. Recomenda-se a realizacao de novos estudos para se obter um perfil mais representativo da populacao cadastrada no servico.This descriptive and exploratory research aims to draw the profile of women between 40 and 49 years at a Family Health Center in Ribeirão Preto, Brazil, in view of the following variables: registration at the service, health insurance and smear realization date, among others. Data were collected in the patient records of 213 women. Epi Info 6.0 was used for data input and analysis and database creation. Results display that 49% of the women realized the pap smear at least once in the period from 2000 to 2003. 54.5% of them did not have a health insurance plan and smear realization rates are higher in this group. It was concluded that the organization of health care in accordance with the Family Health model favors adhesion to this preventive test. We recommend that new studies be carried out to obtain a more representative profile of the population that is registered at the service.

Pap smear realization profile of women between 40 and 49 years registered at a family health center

Trata-se de pesquisa de abordagem descritiva, exploratoria, cujo objetivo e tracar o perfil de mulheres na faixa etaria de 40 a 49 anos, em um Nucleo de Saude da Familia do Municipio de Ribeirao Preto, segundo as variaveis: cadastro no servico, posse de convenio e data de realizacao do preventivo, entre outras. Foram coletados dados dos prontuarios de 213 mulheres. Utilizou-se o programa Epi Info 6.0 para digitacao, analise e criacao do banco de dados. Os resultados revelam que 49% das mulheres realizaram o preventivo de Papanicolaou pelo menos uma vez no periodo de 2000 a 2003, 54,5% nao possuiam convenio de saude e a realizacao do exame e maior entre essas. Concluiu-se que a organizacao da atencao a saude, nos moldes da Saude da Familia, favorece a adesao ao preventivo. Recomenda-se a realizacao de novos estudos para se obter um perfil mais representativo da populacao cadastrada no servico.This descriptive and exploratory research aims to draw the profile of women between 40 and 49 years at a Family Health Center in Ribeirão Preto, Brazil, in view of the following variables: registration at the service, health insurance and smear realization date, among others. Data were collected in the patient records of 213 women. Epi Info 6.0 was used for data input and analysis and database creation. Results display that 49% of the women realized the pap smear at least once in the period from 2000 to 2003. 54.5% of them did not have a health insurance plan and smear realization rates are higher in this group. It was concluded that the organization of health care in accordance with the Family Health model favors adhesion to this preventive test. We recommend that new studies be carried out to obtain a more representative profile of the population that is registered at the service.

O ensino do autocuidado aos pacientes estomizados e seus familiares: uma revisão integrativa - doi:10.5020/18061230.2013.p139

Objectives: To characterize the national and international literature on the teaching of selfcare to bowel ostomates and their relatives. Methods: It is an integrative review, in LILACS and MEDLINE electronic databases, in the period from 1996 to 2006, with the keywords ‘teaching’, ‘ostomates’ and ‘nursing’. Results: The sample was composed of eight articles, which reported the importance of teaching strategies applied with patients and their families regarding self-care and management of the stoma and collectors, however, no study has brought specific and systematized teaching strategies. Conclusion: The analyzed literature has demonstrated the importance of teaching strategies addressing the issue of self-care for the ostomates, but expressed the lack of researches and publications on the implementation of contextualized actions and with appropriate language for these patients and their families.

The life on clinical treatment of Cohn’s Disease

ABSTRACT Objective: to describe the clinical and social needs of patients with Crohn´s disease (CD) and identify the experiences of these patients during clinical treatment. Method: this is an exploratory qualitative study with participants with CD, over 18 years, admitted to a public teaching hospital, who agreed to participate signed a consent form after being informed (HCRP. 1149/2009). The interviews were recorded in audio and transcribed to Word for Windows. Data were analyzed following the steps in capturing the sense of data; identification of an initial set of theme or categories; establishment of the main categories and discussion. Results: the theme developed demonstrated the need of the specific tests and the qualification of the health’s professional for care these patients. Conclusion: The nurse must have knowledge about the patient’s reaction to the clinical treatment and realize a following with data collection to contribute with the diagnostic, besides the realize education interventions to contribute the adherence to clinical treatment, to prevent the complications and the possibility to disease’s control. Therefore the knowledge of the patient’s experience is important to better quality of care. Descriptors: Crohn’s disease; patient; nursing. RESUMO Objetivos: descrever as caracteristicas clinicas e sociais dos pacientes com Doenca de Crohn (DC) e identificar as experiencias desses pacientes durante o tratamento clinico. Metodo : estudo exploratorio, de abordagem qualitativa, com 14 pacientes maiores de 18 anos com DC, internados em hospital de ensino publico, que consentiram em participar da pesquisa ao assinarem o Termo de Consentimento pos-informado, apos aprovacao do Comite de Etica em Pesquisa do Hospital das Clinicas da Universidade de Sao Paulo, Ribeirao Preto (SP) sob numero 11495/2009. As entrevistas foram gravadas e transcritas em Programa Word for Windows. Os dados foram analisados seguindo-se as etapas de captacao dos sentidos dos dados; identificacao de um conjunto inicial de temas ou categorias; estabelecimento de categorias-chaves e discussao. Resultados: o tema desenvolvido demonstrou a necessidade de exames especificos e a qualificacao dos profissionais de saude para prestar assistencia a esses pacientes. Conclusao: O enfermeiro deve ter conhecimento sobre as reacoes do paciente ao tratamento clinico e realizar um seguimento com coleta de dados para contribuir no estabelecimento do diagnostico, alem de investir em intervencoes educativas para favorecer a adesao ao tratamento clinico, como forma de prevencao de complicacoes e possibilidade de controle da doenca. Portanto, o conhecimento da experiencia destes pacientes e importante para melhorar a qualidade da assistencia. Descritores: doenca de Crohn; paciente; enfermagem. RESUMEN Objetivo: describir las necesidades clinicas y sociales de los pacientes con enfermedad de Crohn (EC) e identificar las experiencias de estos pacientes durante el tratamiento clinico. Metodo: estudio exploratorio cualitativo con 14 participantes con EC, con mas de 18 anos, admitidos en un hospital escuela, que aceptaron participar con firma del consentimiento informado (HCRP 11495/2009). Las entrevistas fueron grabadas en audio y transcritas en el programa Word for Windos. Los datos fueron analizados siguiendo los pasos para capturar de los sentidos de los datos, la identificacion de un conjunto inicial de temas o categorias, el establecimiento de las categorias principales y el debate. Resultados: el tema desarrollado demuestra la necesidad de pruebas especificas y la cualificacion de los profesionales de la salud para ayudar a estos pacientes. Conclusion: l a enfermera debe tener conocimiento sobre las reacciones del paciente al tratamiento medico y realizar una recoleccion de datos de seguimiento para contribuir en el diagnostico, y la inversion en intervenciones educativas para promover la adhesion al tratamiento medico como medio de precencion de las complicaciones y la posibilidad de control de la enfermedad. Asi, el conocimiento de la experiencia de estos pacientes es importante para mejorar la calidad de la atencion. Descriptores: enfermedad de Crohn; paciente; enfermeria.

Perfil de mujeres de 40 a 49 años registradas en un núcleo de salud de la familia en cuanto a la realización del examen preventivo de Papanicolaou

Trata-se de pesquisa de abordagem descritiva, exploratoria, cujo objetivo e tracar o perfil de mulheres na faixa etaria de 40 a 49 anos, em um Nucleo de Saude da Familia do Municipio de Ribeirao Preto, segundo as variaveis: cadastro no servico, posse de convenio e data de realizacao do preventivo, entre outras. Foram coletados dados dos prontuarios de 213 mulheres. Utilizou-se o programa Epi Info 6.0 para digitacao, analise e criacao do banco de dados. Os resultados revelam que 49% das mulheres realizaram o preventivo de Papanicolaou pelo menos uma vez no periodo de 2000 a 2003, 54,5% nao possuiam convenio de saude e a realizacao do exame e maior entre essas. Concluiu-se que a organizacao da atencao a saude, nos moldes da Saude da Familia, favorece a adesao ao preventivo. Recomenda-se a realizacao de novos estudos para se obter um perfil mais representativo da populacao cadastrada no servico.This descriptive and exploratory research aims to draw the profile of women between 40 and 49 years at a Family Health Center in Ribeirão Preto, Brazil, in view of the following variables: registration at the service, health insurance and smear realization date, among others. Data were collected in the patient records of 213 women. Epi Info 6.0 was used for data input and analysis and database creation. Results display that 49% of the women realized the pap smear at least once in the period from 2000 to 2003. 54.5% of them did not have a health insurance plan and smear realization rates are higher in this group. It was concluded that the organization of health care in accordance with the Family Health model favors adhesion to this preventive test. We recommend that new studies be carried out to obtain a more representative profile of the population that is registered at the service.