Patrícia Aparecida Barbosa Silva

Perfil sociodemográfico de discentes de enfermagem de instituições de ensino superior de Belo Horizonte

Resumen La literatura indica la relación entre el perfil de los estudiantes del oficio de enfermería y su correlación al proceso educacional, donde el abordaje tiene la dimensión de apoyar y aplicar el proyecto de enseñanza, considerando el tema de este proceso. El estudio apuntó evaluar el perfil demográfico social de los estudiantes del oficio de enfermería en Belo Horizonte /MG. Se trata de un estudio descriptivo, desarrollado en cinco universidades privadas. La colección de datos fue hecha por el uso de una entrevista. Los análisis de los datos fueron hechos por estadística simple como frecuencias variables, y los resultados fueron arracimados en tablas. Los datos demostraron que el grupo joven, la edad 20 a 24, mujeres, solas de escuela pública es el grupo principal en el estudio. Una gran cantidad de estudiantes en este grupo ejercen una cierta actividad donde reciben un sueldo. La mitad de ellos trabajan sobre actividades del oficio de enfermería. Palabras clave: Educación en Enfermería. Estudiantes de Enfermería. Distribuciones Estadísticas 1Enfermeira, Professora Titular e Coordenadora do curso de Enfermagem da Universidade José do Rosário Vellano. Mestre em Enfermagem pela Escola de Enfermagem da Universidade Federal de Minas Gerais EEUFMG Belo Horizonte, MG, Brasil. Brasil. E-mail: aneilde.ribeiro@unifenas.br, 2Maria José Menezes Brito Enfermeira, Doutora em Administração, Professora Adjunta e Coordenadora do Colegiado da EEUFMG Belo Horizonte, MG, Brasil. Brasil. E-mail: brito@enf.ufmg.br, 3Enfermeira da Clínica Nefrológica do Hospital Governador Israel Pinheiro vinculado ao Instituto de Previdência dos Servidores Públicos de Minas Gerais HGIP / IPSEMG Belo Horizonte, MG, Brasil. Brasil. E-mail: patriciaaparecidabarbosasilva@yahoo.com.br PESQUISA RESEARCH INVESTIGACIÓN The literature indicates the relation between nursing students profile and its correlation to the educational process, which supports and applies the teaching project, concerning the subject of this process. The study aimed to evaluate the social demographic profile of nursing students in Belo Horizonte/MG. It’s a describing study developed in five private colleges. The data collection was made by the application of an interview. Data analysis was made by simple statistic as variable frequencies, and the results were clustered in tables. Data demonstrated that the young group, from age 20 to 24, women, and single from public school is the major group at the study. A large number of students in this group receives some kind of salary to practice their activities. Half of them work on nursing activities. Aneilde Maria Ribeiro de Brito 1 Sociodemographic profile of nursing students from institutions of superior level education at Belo HorizonteA literatura aponta correlacao entre a caracterizacao do perfil dos discentes de Enfermagem e a adequacao do processo educacional, cuja abordagem tem a dimensao de subsidiar a elaboracao e a aplicacao de um projeto pedagogico coerente com o sujeito desse processo. Objetivou-se neste estudo caracterizar o perfil sociodemografico de discentes dos cursos de Enfermagem de Belo Horizonte, MG. Trata-se de um estudo descritivo, desenvolvido em cinco instituicoes de ensino superior privadas. A coleta de dados ocorreu mediante a aplicacao de um questionario fechado. A analise dos dados pautou-se no metodo estatistico de frequencia simples das variaveis do estudo, com posterior compilacao em forma de tabelas. Os dados demonstraram o predominio de jovens com idade de 20 a 24 anos, do sexo feminino, solteiros, de procedencia escolar publica. Um consideravel numero desses academicos exerce algum tipo de atividade remunerada, e quase metade dos que trabalham ja atua na area de Enfermagem.

A família no contexto do cuidado ao portador de nefropatia diabética: demanda e recursos

A doenca renal cronica e o tratamento dialitico constituem um grande problema para a pessoa doente e sua familia, modificando seus habitos de vida. Essas mudancas exigem da familia esforco, dedicacao e adaptacoes na rotina de vida de seus membros. Objetivou-se neste estudo identificar as principais demandas e recursos da familia no conviver e no cuidar de pessoas com nefropatia diabetica. Trata-se de uma pesquisa qualitativa, conduzida pelos pressupostos do Modelo Calgary de Avaliacao da Familia (MCAF), desenvolvido com sete familias em duas unidades de terapia renal substitutiva em Belo Horizonte/MG. Os resultados da pesquisa foram apresentados sob a forma de demandas e recursos, alicercadas num conjunto de crencas e valores que interferem no enfrentamento da doenca. Os dados obtidos sugerem que cada familia pesquisada possui recursos mesmo em face de demandas de saude, alertando para a necessidade de enxergamos a familia como foco do cuidado de enfermagem.Chronic renal disease and dialytic treatment are a great problem for a sick person and their family, altering their living habits. These changes demand effort, dedication and adaptation in life routine of the family members. It was aimed at in this study to identify the main demands and resources of the family in living and caring for people with diabetic nephropathy. This is a qualitative research, guided by the assumptions of the Calgary Model of Family Evaluation, carried out with seven families in two renal therapy units in Belo Horizonte, Minas Gerais, Brazil. The results of the research were presented as demands and resources, based on sets of beliefs and values that intervene in facing the disease. The data obtained suggest that each researched family has resources, even as they are faced by health demands, which shows the need for looking at the family as a focus of nursing care.

Cut-off point for WHOQOL-bref as a measure of quality of life of older adults

OBJECTIVE To propose a cut-off for the World Health Organization Quality of Life-Bref (WHOQOL-bref) as a predictor of quality of life in older adults. METHODS Cross-sectional study with 391 older adults registered in the Northwest Health District in Belo Horizonte, MG, Southeastern Brazil, between October 8, 2010 and May 23, 2011. The older adults’ quality of life was measured using the WHOQOL-bref. The analysis was rationalized by outlining two extreme and simultaneous groups according to perceived quality of life and satisfaction with health (quality of life good/satisfactory – good or very good self-reported quality of life and being satisfied or very satisfied with health – G5; and poor/very poor quality of life – poor or very poor self-reported quality of life and feeling dissatisfied or very dissatisfied with health – G6). A Receiver-Operating Characteristic curve (ROC) was created to assess the diagnostic ability of different cut-off points of the WHOQOL-bref. RESULTS ROC curve analysis indicated a critical value 60 as the optimal cut-off point for assessing perceived quality of life and satisfaction with health. The area under the curve was 0.758, with a sensitivity of 76.8% and specificity of 63.8% for a cut-off of ≥ 60 for overall quality of life (G5) and sensitivity 95.0% and specificity of 54.4% for a cut-off of < 60 for overall quality of life (G6). CONCLUSIONS Diagnostic interpretation of the ROC curve revealed that cut-off < 60 for overall quality of life obtained excellent sensitivity and negative predictive value for tracking older adults with probable worse quality of life and dissatisfied with health.

OFICINAS SOBRE SEXUALIDADE NA ADOLESCÊNCIA: REVELANDO VOZES, DESVELANDO OLHARES DE ESTUDANTES DO ENSINO MÉDIO

Se trata de investigacion con los adolescentes de una escuela estatal del distrito municipal al Norte de Minas Gerais - Brasil con el objetivo de entender como ellos viven y ellos ejercen su sexualidad. El estudio se desarrollo por los talleres ludico-pedagogicos en el acercamiento cualitativo. El punto de los resultados que el concepto de sexualidad se limita a las relaciones sexuales entre dos personas de sexo opuesto. Los estudiantes dieron enfasis al riesgo de un embarazo no deseado y reconocieron la importancia del uso de metodos anticoncepcionales. Los talleres propiciaron una atmosfera favorable para la discusion de cambios de actitud para los adolescentes por la informacion, reflexion y expresion de ideas y sentimientos, representando un proceso a ser complementado por la familia, escuela y politica sociales locales.

O teatro em foco: estratégia lúdica para o trabalho educativo na saúde da família

Resumen Se informa sobre la experiencia de los estudiantes de enfermería que utilizaron el teatro como estrategia lúdica para el trabajo educativo con equipos de Salud de la Familia. Se realizó el Diagnóstico Situacional de Salud en el interior del Estado de Minas Gerais; las morbidades más prevalentes se emplearon como temás por tratar en las parodias. En tres meses se escribieron nueve parodias para un público diversificado. Se observó una ruptura en el cotidiano de la comunidad porque, en la dimensión lúdica, el personas dejaron fluir el aspecto placentero de la vida, decodificando el mundo a su manera, una mezcla agradable de arte y ciencia. El teatro permitió vislumbrar las distintas aplicaciones en Salud de la Familia: como estrategia lúdica eficaz para adquirir conceptos de salud, como recurso de ocio y como espacio de convivencia. Habría que promover capacitación de multiplicadores en la comunidad para que continúen armando talleres de teatro en prol de la construcción del conocimiento colectivo. Palabras clave: Educación en Salud. Promoción de la Salud. Programa de Salud Familiar. Creatividad. Enfermería. 1Doutora em Saúde Pública. Docente do Departamento de Enfermagem Básica da Escola de Enfermagem da Universidade Federal de Minas Gerais – EEUFMG. Coordenadora do Núcleo de Estudos e Pesquisas em Cuidado e Desenvolvimento Humano da EEUFMG Belo Horizonte-MG. Brasil. Email: smsoares.bhz@terra.com.br; 2Mestre em Enfermagem pela EEUFMG. Servidora pública da Prefeitura Municipal de Betim/MG. Membro do Núcleo de Estudos e Pesquisas em Cuidado e Desenvolvimento Humano da EEUFMG Belo Horizonte-MG. Brasil. Email: ligemeasbh@yahoo.com.br; 3 Enfermeira. Mestranda da EEUFMG. Membro do Núcleo de Estudos e Pesquisas em Cuidado e Desenvolvimento Humano da EEUFMG Belo Horizonte-MG. Brasil. Email: patriciaaparecidabarbosasilva@yahoo.com.br RELATO DE EXPERIÊNCIA EXPERIENCE REPORT EXPERIENCIA DE INFORME It reports on the experience of nursing students who used the theatre as a ludic strategy for the educational work with family healthcare teams. A Situational Health Diagnosis was completed in the State of Minas Gerais inland. Its more frequent illnesses were used then as arguments to be addressed in the scenes. In three months nine acts were written and performed for a varied audience. We observed a rupture in the community daily routine in which, under a ludic dimension , the people allowed the flowing of a more pleasant side of life and interpreted the world their own way in an agreeable combination of art and science. This experience in drama therapy allowed us to witness its many uses in the context of Family Healthcare. It constitutes a valuable ludic strategy for the acquisition of health concepts, an effective leisure alternative and a get together space. It is necessary however to train community agents so they would be able to carry on the organization of theatre workshops towards the construction of a collective knowledge.It reports on the experience of nursing students who used the theatre as a ludic strategy for the educational work with family healthcare teams. A Situational Health Diagnosis was completed in the State of Minas Gerais inland. Its more frequent illnesses were used then as arguments to be addressed in the scenes. In three months nine acts were written and performed for a varied audience. We observed a rupture in the community daily routine in which, under a ludic dimension , the people allowed the flowing of a more pleasant side of life and interpreted the world their own way in an agreeable combination of art and science. This experience in drama therapy allowed us to witness its many uses in the context of Family Healthcare. It constitutes a valuable ludic strategy for the acquisition of health concepts, an effective leisure alternative and a get together space. It is necessary however to train community agents so they would be able to carry on the organization of theatre workshops towards the construction of a collective knowledge.

Qualidade de vida e fatores associados em idosos de um Centro de Referência à Pessoa Idosa

Studies have evaluated the quality of life (QOL) of many groups; however, such studies in relation to Reference Centers for the Elderly are scarce. This research identified factors associated with a good QOL of people using a Reference Center in the city of Belo Horizonte, MG, Brazil. Transversal study of 257 elderly people who used a Reference Center for the Elderly. The short version of the World Health Organization Quality of Life Assessment (WHOQOL-BREF) was used to evaluate the QOL of the elderly people. The analysis was rationalized by defining two groups in relation to perceptions of QOL and satisfaction regarding health. Logistic regression analysis was performed to assess the direction and magnitude of the association of each variable with QOL. The results showed that the majority (63.4%) of the elderly people considered that they had a good QOL and that they were satisfied with their health. The environmental domain received the lowest scores (average = 14.4). The factors of advanced age, being from the interior of the state of Minas Gerais, physical activity, diabetes, musculoskeletal diseases, hypertension and depression remained independently associated with QOL and satisfaction with health after the model was adjusted. The data that was obtained can be used to direct care strategies for the most vulnerable elderly people, with particular attention to issues that affect the environment.Studies have evaluated the quality of life (QOL) of many groups; however, such studies in relation to Reference Centers for the Elderly are scarce. This research identified factors associated with a good QOL of people using a Reference Center in the city of Belo Horizonte, MG, Brazil. Transversal study of 257 elderly people who used a Reference Center for the Elderly. The short version of the World Health Organization Quality of Life Assessment (WHOQOL-BREF) was used to evaluate the QOL of the elderly people. The analysis was rationalized by defining two groups in relation to perceptions of QOL and satisfaction regarding health. Logistic regression analysis was performed to assess the direction and magnitude of the association of each variable with QOL. The results showed that the majority (63.4%) of the elderly people considered that they had a good QOL and that they were satisfied with their health. The environmental domain received the lowest scores (average = 14.4). The factors of advanced age, being from the interior of the state of Minas Gerais, physical activity, diabetes, musculoskeletal diseases, hypertension and depression remained independently associated with QOL and satisfaction with health after the model was adjusted. The data that was obtained can be used to direct care strategies for the most vulnerable elderly people, with particular attention to issues that affect the environment.

The family in the context of the care to the diabetic nephropathy-holder: demands and resources

A doenca renal cronica e o tratamento dialitico constituem um grande problema para a pessoa doente e sua familia, modificando seus habitos de vida. Essas mudancas exigem da familia esforco, dedicacao e adaptacoes na rotina de vida de seus membros. Objetivou-se neste estudo identificar as principais demandas e recursos da familia no conviver e no cuidar de pessoas com nefropatia diabetica. Trata-se de uma pesquisa qualitativa, conduzida pelos pressupostos do Modelo Calgary de Avaliacao da Familia (MCAF), desenvolvido com sete familias em duas unidades de terapia renal substitutiva em Belo Horizonte/MG. Os resultados da pesquisa foram apresentados sob a forma de demandas e recursos, alicercadas num conjunto de crencas e valores que interferem no enfrentamento da doenca. Os dados obtidos sugerem que cada familia pesquisada possui recursos mesmo em face de demandas de saude, alertando para a necessidade de enxergamos a familia como foco do cuidado de enfermagem.Chronic renal disease and dialytic treatment are a great problem for a sick person and their family, altering their living habits. These changes demand effort, dedication and adaptation in life routine of the family members. It was aimed at in this study to identify the main demands and resources of the family in living and caring for people with diabetic nephropathy. This is a qualitative research, guided by the assumptions of the Calgary Model of Family Evaluation, carried out with seven families in two renal therapy units in Belo Horizonte, Minas Gerais, Brazil. The results of the research were presented as demands and resources, based on sets of beliefs and values that intervene in facing the disease. The data obtained suggest that each researched family has resources, even as they are faced by health demands, which shows the need for looking at the family as a focus of nursing care.

Factors associated with the healing of complex surgical wounds in the breast and abdomen: retrospective cohort study

ABSTRACT Objective: to estimate the healing rate of complex surgical wounds and its associated factors. Method: retrospective cohort study from 2003 to 2014 with 160 outpatients of a Brazilian university hospital. Data were obtained through consultation of the medical records. Survival function was estimated using the Kaplan-Meier method and Cox regression model to estimate the likelihood of the occurrence of healing. Results: the complex surgical wound healing rate was 67.8% (95% CI: 60.8-74.9). Factors associated with a higher likelihood of wound healing were segmentectomy/quadrantectomy surgery, consumption of more than 20 grams/day of alcohol, wound extent of less that 17.3 cm2 and the length of existence of the wound prior to outpatient treatment of less than 15 days, while the use of hydrocolloid covering and Marlex mesh were associated with a lower likelihood of healing. Conclusion: the wound healing rate was considered high and was associated with the type of surgical intervention, alcohol consumption, type of covering, extent and length of wound existence. Preventive measures can be implemented during the monitoring of the evolution of the complex surgical wound closure, with possibilities of intervention in the modifiable risk factors.Objetivo: estimar la tasa de cicatrizacion de herida quirurgica compleja y sus factores asociados. Metodo: cohorte retrospectivo de 2003 a 2014 con 160 pacientes de ambulatorio de un hospital universitario brasileno. Los datos fueron obtenidos por medio de consulta a las fichas medicas. La funcion de supervivencia fue estimada por el metodo de Kaplan-Meier y el modelo de regresion de Cox para estimar el riesgo de ocurrencia de cicatrizacion. Resultados: la tasa de cicatrizacion de la herida quirurgica compleja fue 67,8% (IC 95%: 60,8-74,9). Los factores asociados a un mayor riesgo de cicatrizacion de la herida fueron cirugia de sectorectomia / cuadrantectomia, consumo de mas de 20 gramos/dia de etanol, extension de la herida menor que 17,3 cm2 y tiempo de existencia de la herida antes del tratamiento en ambulatorio inferior a 15 dias; en lo que se refiere al uso de cubrimiento hidrocoloide y tela de Marlex estuvieron asociados a un menor riesgo de cicatrizacion. Conclusion: la tasa de cura de la herida fue considerada elevada, y estuvo asociada al tipo de intervencion quirurgica, consumo de etanol, tipo de cubrimiento, extension y tiempo de existencia de la herida. Conductas preventivas pueden ser implementadas durante el acompanamiento de la evolucion del cierre de la herida quirurgica compleja, con posibilidades de intervenir sobre los factores de riesgo modificables.

Sociodemographic profile of nursing students from institutions of superior level education at Belo Horizonte

Resumen La literatura indica la relación entre el perfil de los estudiantes del oficio de enfermería y su correlación al proceso educacional, donde el abordaje tiene la dimensión de apoyar y aplicar el proyecto de enseñanza, considerando el tema de este proceso. El estudio apuntó evaluar el perfil demográfico social de los estudiantes del oficio de enfermería en Belo Horizonte /MG. Se trata de un estudio descriptivo, desarrollado en cinco universidades privadas. La colección de datos fue hecha por el uso de una entrevista. Los análisis de los datos fueron hechos por estadística simple como frecuencias variables, y los resultados fueron arracimados en tablas. Los datos demostraron que el grupo joven, la edad 20 a 24, mujeres, solas de escuela pública es el grupo principal en el estudio. Una gran cantidad de estudiantes en este grupo ejercen una cierta actividad donde reciben un sueldo. La mitad de ellos trabajan sobre actividades del oficio de enfermería. Palabras clave: Educación en Enfermería. Estudiantes de Enfermería. Distribuciones Estadísticas 1Enfermeira, Professora Titular e Coordenadora do curso de Enfermagem da Universidade José do Rosário Vellano. Mestre em Enfermagem pela Escola de Enfermagem da Universidade Federal de Minas Gerais EEUFMG Belo Horizonte, MG, Brasil. Brasil. E-mail: aneilde.ribeiro@unifenas.br, 2Maria José Menezes Brito Enfermeira, Doutora em Administração, Professora Adjunta e Coordenadora do Colegiado da EEUFMG Belo Horizonte, MG, Brasil. Brasil. E-mail: brito@enf.ufmg.br, 3Enfermeira da Clínica Nefrológica do Hospital Governador Israel Pinheiro vinculado ao Instituto de Previdência dos Servidores Públicos de Minas Gerais HGIP / IPSEMG Belo Horizonte, MG, Brasil. Brasil. E-mail: patriciaaparecidabarbosasilva@yahoo.com.br PESQUISA RESEARCH INVESTIGACIÓN The literature indicates the relation between nursing students profile and its correlation to the educational process, which supports and applies the teaching project, concerning the subject of this process. The study aimed to evaluate the social demographic profile of nursing students in Belo Horizonte/MG. It’s a describing study developed in five private colleges. The data collection was made by the application of an interview. Data analysis was made by simple statistic as variable frequencies, and the results were clustered in tables. Data demonstrated that the young group, from age 20 to 24, women, and single from public school is the major group at the study. A large number of students in this group receives some kind of salary to practice their activities. Half of them work on nursing activities. Aneilde Maria Ribeiro de Brito 1 Sociodemographic profile of nursing students from institutions of superior level education at Belo HorizonteA literatura aponta correlacao entre a caracterizacao do perfil dos discentes de Enfermagem e a adequacao do processo educacional, cuja abordagem tem a dimensao de subsidiar a elaboracao e a aplicacao de um projeto pedagogico coerente com o sujeito desse processo. Objetivou-se neste estudo caracterizar o perfil sociodemografico de discentes dos cursos de Enfermagem de Belo Horizonte, MG. Trata-se de um estudo descritivo, desenvolvido em cinco instituicoes de ensino superior privadas. A coleta de dados ocorreu mediante a aplicacao de um questionario fechado. A analise dos dados pautou-se no metodo estatistico de frequencia simples das variaveis do estudo, com posterior compilacao em forma de tabelas. Os dados demonstraram o predominio de jovens com idade de 20 a 24 anos, do sexo feminino, solteiros, de procedencia escolar publica. Um consideravel numero desses academicos exerce algum tipo de atividade remunerada, e quase metade dos que trabalham ja atua na area de Enfermagem.

Workshops on sexuality in adolescence: revealing voices, unveiling views student's of the medium teaching glances

Se trata de investigacion con los adolescentes de una escuela estatal del distrito municipal al Norte de Minas Gerais - Brasil con el objetivo de entender como ellos viven y ellos ejercen su sexualidad. El estudio se desarrollo por los talleres ludico-pedagogicos en el acercamiento cualitativo. El punto de los resultados que el concepto de sexualidad se limita a las relaciones sexuales entre dos personas de sexo opuesto. Los estudiantes dieron enfasis al riesgo de un embarazo no deseado y reconocieron la importancia del uso de metodos anticoncepcionales. Los talleres propiciaron una atmosfera favorable para la discusion de cambios de actitud para los adolescentes por la informacion, reflexion y expresion de ideas y sentimientos, representando un proceso a ser complementado por la familia, escuela y politica sociales locales.