Patrícia Peres de Oliveira

Women victims of domestic violence: a phenomenological approach

The aim of this study was to understand the experiences of women victims of domestic violence. The study entailed phenomenological research based on the theoretical framework of Maurice Merleau-Ponty, developed with ten women who were victims of domestic violence treated at a womens healthcare center in a municipality in the interior of the Brazilian state of Sao Paulo. Nuclei of meanings emerged from the statements, based on the analysis of the phenomenon of violence from the interviews, and led to the following themes: living with fear; living with physical injuries; and the decision to file a report after the violence experienced. The results showed that the experience lived and contained in these womens bodies enabled each one of them to evaluate their own existence, arousing the desire to leave the situation in order to exercise their role in the world. Thus, their bodies instrumentalized their beings, and allowed them to break the cycle of domestic violence. DESCRIPTORS: Domestic violence. Violence against women. Womens health. Qualitative research.Este estudio tuvo como objetivo comprender la experiencia de las mujeres victimas de la violencia domestica. La investigacion fenomenologica, fundamentado en el marco de Maurice Merleau-Ponty, desarrollado con diez mujeres victimas de violencia domestica atendidas en un Centro de Referencia para la Asistencia a la Mujer en la ciudad de Sao Paulo, Brasil. A partir del analisis del fenomeno de la violencia derivada de las entrevistas, surgieron de los relatos nucleos de significados que originaron los siguientes temas: Como vivir con el miedo, la convivencia con lesiones fisicas y la decision de delatar despues de la violencia todo lo que sufren. Los resultados mostraron que la experiencia y el contenido en el cuerpo de estas mujeres les permite una revision de su propia existencia, despertando el deseo de salir de esetormento para desempenar su papel en el mundo. Por lo tanto, su cuerpo y su ser se instrumentalizaron y permitiocon esto romper el ciclo de La violencia domestica experimentada por estas mujeres.

Percepção dos profissionais que atuam numa instituição de longa permanência para idosos sobre a morte e o morrer

Population aging and a shortage of caregivers result in a growing demand for institutionalization, and finitude is one the reflections that permeates aging. Living with death is part of the daily routine of health professionals resulting in emotional overload. This study sought to ascertain the experiences of the process of dying and death of health care professionals in a long-stay institution for the elderly. Methodological and theoretical Grounded Data Theory and Symbolic Interaction were used, respectively. Twenty health professionals from varied backgrounds were interviewed. The core topic of the results was: reconstructing ways to deal with the circumstances of dying and death. This led to the following categories: seeing death as part of human existence; seeking to acquire knowledge to handle cases of death and dying; reflecting on ones own death. Without fertile ground for the systematic examination of the topic, the interaction among workers about the exchange of experiences on death and dying remain restricted to the subjective level. In the conclusion, the importance of a metamorphosis in the institutional context and in health education, with more specific focus on thanatology, is emphasized.

Exames de rastreamento para o câncer de próstata: vivência de homens

Comprender la experiencia de los hombres en la realizacion de los examenes de deteccion del cancer de prostata. Se utilizaron las referencias de la Teoria Fundamentada en los Datos e Interaccion Simbolica, respectivamente, metodologicos y teoricos, con 21 hombres, en Sao Paulo (SP). Del fenomeno central “superar el desafio de realizar los examenes de deteccion”, surgieron las siguientes categorias: experimentando la verguenza, viviendo con el miedo; y reconociendo la importancia de las pruebas de deteccion del cancer. El analisis indico que la experiencia en los examenes clinicos y los conocimientos adquiridos les animo a buscar la prevencion. La influencia del imaginario sobre la enfermedad y el estigma de la deteccion pueden acomodar, inhibir o darle miedo y verguenza al hombre que se somete a los examenes. El primer paso para la definicion de estrategias e intervenciones mas eficaces es entender como la poblacion percibe, se siente y vive la salud.

Utilização de experiências musicais como terapia para sintomas de náusea e vômito em quimioterapia

The study aimed to evaluate the therapeutic effects of musical experiments in nausea and vomiting associated with antineoplastic chemotherapy, and to identify changes in vital parameters of the patients who participated in the experience. This is a descriptive, transversal study, level II, which used a quantitative approach, conducted with thirteen patients from an outpatient chemotherapy unit, of a private hospital in São Paulo City. Two instruments were used, one of them proposed by MASCC (Multinational Association on Supportive Care in Cancer). The participants were predominantly females, aged 40 to 60 years, married and with breast cancer. Heart rate has decreased in 77% of the sample, and the reduction of nausea occurred in 100% of patients after the first musical experience, and in 85% after the second one. Patients reported disbelief in music in relieving nausea and vomiting before the sessions, and relief of nausea after them. It was concluded that there was a statistically significant reduction of the symptoms nausea and vomiting after the musical experiences.Objetivo-se evaluar los efectos terapeuticos de experimentos musicales en las nauseas y los vomitos asociados con la quimioterapia del cancer, e identificar cambios en los parametros vitales de los pacientes sometidos a esa experiencia. Estudio descriptivo, exploratorio, transversal, nivel II, con enfoque cuantitativo, llevado a cabo con 13 pacientes de un ambulatorio de quimioterapia, en un hospital privado en Sao Paulo. En la recopilacion de datos, utilizo-se dos instrumentos, uno que fue propuesto por la MASCC (Multinational Associationon Supportive Care in Cancer). Lla mayoria de los participantes estaba compuesta por pacientes de sexo femenino, con edades entre 40 y 60 anos, casados y con cancer de mama. Con respecto a los signos vitales, hubo reduccion de la frecuencia cardiaca en 77%; e de las nauseas en el 100% de los pacientes despues de la primera experiencia musical, y en el 85% despues de la segunda. Antes de las sesiones, los pacientes reportaron falta de fe en la musica para el alivio de las nauseas y los vomitos; y alivio de las nauseas despues de las sesiones. En conclusion, hubo una reduccion estadisticamente significativa en las puntuaciones de nauseas y vomitos despues de las experiencias musicales.

Qualidade de vida e pessoas em uso de antineoplásicos: estudo descritivo

Aims: To evaluate the quality of life of people presenting nausea and vomiting induced by antineoplastic agents, and to correlate quality of life with the emetogenic potential of chemotherapeutic protocols and with the dimensioning of the antiemetic scheme. Method: This is a descriptive, quantitative study, performed in an onco-hematologic ward of a hospital located in the municipality of Sao Paulo, Brazil. The standard SF-36 questionnaire was used to evaluate the quality of life of the individuals, and another questionnaire was used to characterize the targeted population. Results: The largest number of the participants was female (70%), aged between 60 and 69 years old (33%), diagnosed with gynecological cancer (30%), and were following treatment protocols with moderate emetogenic potential (70%). Discussion: Commitment was observed in all evaluated domains of quality of life. There was no significant difference when compared to emetogenic potentials or antiemetic dimensioning. Conclusion: The most highly affected domains of quality of life for these individuals were physical limitation and vitality. Descriptors: Drug Therapy; Nausea; Vomiting; Quality of Life; Neoplasms.

Mulheres vítimas de violência doméstica: uma abordagem fenomenológica

The aim of this study was to understand the experiences of women victims of domestic violence. The study entailed phenomenological research based on the theoretical framework of Maurice Merleau-Ponty, developed with ten women who were victims of domestic violence treated at a womens healthcare center in a municipality in the interior of the Brazilian state of Sao Paulo. Nuclei of meanings emerged from the statements, based on the analysis of the phenomenon of violence from the interviews, and led to the following themes: living with fear; living with physical injuries; and the decision to file a report after the violence experienced. The results showed that the experience lived and contained in these womens bodies enabled each one of them to evaluate their own existence, arousing the desire to leave the situation in order to exercise their role in the world. Thus, their bodies instrumentalized their beings, and allowed them to break the cycle of domestic violence. DESCRIPTORS: Domestic violence. Violence against women. Womens health. Qualitative research.Este estudio tuvo como objetivo comprender la experiencia de las mujeres victimas de la violencia domestica. La investigacion fenomenologica, fundamentado en el marco de Maurice Merleau-Ponty, desarrollado con diez mujeres victimas de violencia domestica atendidas en un Centro de Referencia para la Asistencia a la Mujer en la ciudad de Sao Paulo, Brasil. A partir del analisis del fenomeno de la violencia derivada de las entrevistas, surgieron de los relatos nucleos de significados que originaron los siguientes temas: Como vivir con el miedo, la convivencia con lesiones fisicas y la decision de delatar despues de la violencia todo lo que sufren. Los resultados mostraron que la experiencia y el contenido en el cuerpo de estas mujeres les permite una revision de su propia existencia, despertando el deseo de salir de esetormento para desempenar su papel en el mundo. Por lo tanto, su cuerpo y su ser se instrumentalizaron y permitiocon esto romper el ciclo de La violencia domestica experimentada por estas mujeres.

Múltiplos sintomas em pessoas com neoplasia de cabeça e pescoço: estudo descritivo

Objetivos: descrever a presenca e intensidade de multiplos sintomas em pessoas com câncer de cabeca e pescoco e o impacto desses sintomas na vida diaria (mediante aplicacao da escala M.D. Anderson Symptom Inventory/Head and Neck Module); comparar com o local anatomico da neoplasia e o tipo de tratamento. Metodo: estudo descritivo, quantitativo, realizado em um ambulatorio de um hospital do estado do Ceara. Utilizou-se a analise de variância ANOVA para avaliar a existencia de diferenca nas pontuacoes das subescalas. Resultados: na escala, os sintomas gerais e especificos apresentaram-se diferentes (frequencia:4,99; p≤0,01). Avaliando separadamente, foram encontradas diferencas na intensidade de sintomas. Discussao: constatou-se que os sintomas por sitio anatomico apresentaram disparidades significativas entre o grupo com câncer na cavidade oral e laringe, e cavidade oral e tireoide. Conclusao: a influencia do tratamento obteve-se nos multiplos sintomas. Houve diferencas estatisticas entre o grupo submetido a cirurgia associada a radioterapia.

Intervención musical sobre la ansiedad y parámetros vitales de pacientes renales crónicos: ensayo clínico aleatorizado

Objetivo: evaluar el efecto de una intervencion musical sobre la ansiedad y parametros vitales en enfermos renales cronicos en comparacion al cuidado convencional de clinicas de hemodialisis. Metodo: ensayo clinico controlado, aleatorizado, realizado en tres clinicas de terapia renal substitutiva. Fueron asignadas aleatoriamente 60 personas con enfermedad renal cronica en hemodialisis (30 en el grupo experimental y 30 en el grupo control). La ansiedad- estado fue evaluada en ambos grupos por el State-Trait Anxiety Inventory. Para verificar el efecto de la manipulacion experimental sobre las variables estudiadas fue utilizado el test t de Student. Resultados: hubo diferencia estadisticamente significativa entre los grupos en lo que dice respecto a la ansiedad durante la sesion de hemodialisis. El grupo experimental presento reduccion estadisticamente significativa del escore de ansiedad despues de audicion musical (p = 0,03), asi como presion arterial sistolica (p < 0,002), presion arterial diastolica (p < 0,002), frecuencia cardiaca (p < 0,01) y frecuencia respiratoria (p < 0,006). Conclusion: la musica se presenta como una potencial intervencion de enfermeria para la reduccion de la ansiedad-estado durante sesiones de hemodialisis. Registro Brasilero de Ensayo Clinico: RBR-64b7x7.ABSTRACT Objective: to evaluate the therapeutic effect of music on anxiety and vital parameters in patients with chronic kidney disease when compared to patients receiving conventional care in hemodialysis clinics. Method: randomized clinical trial conducted in three renal replacement therapy clinics. Sixty people with chronic kidney disease undergoing hemodialysis were randomly allocated to an experimental group and a control group, 30 persons per group). State anxiety was evaluated in both groups by the State-Trait Anxiety Inventory. A t-test was used to verify the effect of the experimental manipulation on the variables. Results: we found a statistically significant difference between the groups regarding the degree of anxiety experienced during hemodialysis sessions. The experimental group presented a statistically significant reduction of anxiety scores (p = 0.03), systolic blood pressure (p < 0.002), diastolic blood pressure (p < 0.002), heart rate (p < 0.01) and respiratory rate (p < 0.006) after listening to music. Conclusion: music represents a potential resource for nursing intervention to reduce state anxiety during hemodialysis sessions. Brazilian Registry of Clinical Trials: RBR-64b7x7.

Musical intervention on anxiety and vital parameters of chronic renal patients: a randomized clinical trial

Objetivo: evaluar el efecto de una intervencion musical sobre la ansiedad y parametros vitales en enfermos renales cronicos en comparacion al cuidado convencional de clinicas de hemodialisis. Metodo: ensayo clinico controlado, aleatorizado, realizado en tres clinicas de terapia renal substitutiva. Fueron asignadas aleatoriamente 60 personas con enfermedad renal cronica en hemodialisis (30 en el grupo experimental y 30 en el grupo control). La ansiedad- estado fue evaluada en ambos grupos por el State-Trait Anxiety Inventory. Para verificar el efecto de la manipulacion experimental sobre las variables estudiadas fue utilizado el test t de Student. Resultados: hubo diferencia estadisticamente significativa entre los grupos en lo que dice respecto a la ansiedad durante la sesion de hemodialisis. El grupo experimental presento reduccion estadisticamente significativa del escore de ansiedad despues de audicion musical (p = 0,03), asi como presion arterial sistolica (p < 0,002), presion arterial diastolica (p < 0,002), frecuencia cardiaca (p < 0,01) y frecuencia respiratoria (p < 0,006). Conclusion: la musica se presenta como una potencial intervencion de enfermeria para la reduccion de la ansiedad-estado durante sesiones de hemodialisis. Registro Brasilero de Ensayo Clinico: RBR-64b7x7.ABSTRACT Objective: to evaluate the therapeutic effect of music on anxiety and vital parameters in patients with chronic kidney disease when compared to patients receiving conventional care in hemodialysis clinics. Method: randomized clinical trial conducted in three renal replacement therapy clinics. Sixty people with chronic kidney disease undergoing hemodialysis were randomly allocated to an experimental group and a control group, 30 persons per group). State anxiety was evaluated in both groups by the State-Trait Anxiety Inventory. A t-test was used to verify the effect of the experimental manipulation on the variables. Results: we found a statistically significant difference between the groups regarding the degree of anxiety experienced during hemodialysis sessions. The experimental group presented a statistically significant reduction of anxiety scores (p = 0.03), systolic blood pressure (p < 0.002), diastolic blood pressure (p < 0.002), heart rate (p < 0.01) and respiratory rate (p < 0.006) after listening to music. Conclusion: music represents a potential resource for nursing intervention to reduce state anxiety during hemodialysis sessions. Brazilian Registry of Clinical Trials: RBR-64b7x7.

Intervenção musical sobre a ansiedade e parâmetros vitais de pacientes renais crônicos: ensaio clínico randomizado

Objetivo: evaluar el efecto de una intervencion musical sobre la ansiedad y parametros vitales en enfermos renales cronicos en comparacion al cuidado convencional de clinicas de hemodialisis. Metodo: ensayo clinico controlado, aleatorizado, realizado en tres clinicas de terapia renal substitutiva. Fueron asignadas aleatoriamente 60 personas con enfermedad renal cronica en hemodialisis (30 en el grupo experimental y 30 en el grupo control). La ansiedad- estado fue evaluada en ambos grupos por el State-Trait Anxiety Inventory. Para verificar el efecto de la manipulacion experimental sobre las variables estudiadas fue utilizado el test t de Student. Resultados: hubo diferencia estadisticamente significativa entre los grupos en lo que dice respecto a la ansiedad durante la sesion de hemodialisis. El grupo experimental presento reduccion estadisticamente significativa del escore de ansiedad despues de audicion musical (p = 0,03), asi como presion arterial sistolica (p < 0,002), presion arterial diastolica (p < 0,002), frecuencia cardiaca (p < 0,01) y frecuencia respiratoria (p < 0,006). Conclusion: la musica se presenta como una potencial intervencion de enfermeria para la reduccion de la ansiedad-estado durante sesiones de hemodialisis. Registro Brasilero de Ensayo Clinico: RBR-64b7x7.ABSTRACT Objective: to evaluate the therapeutic effect of music on anxiety and vital parameters in patients with chronic kidney disease when compared to patients receiving conventional care in hemodialysis clinics. Method: randomized clinical trial conducted in three renal replacement therapy clinics. Sixty people with chronic kidney disease undergoing hemodialysis were randomly allocated to an experimental group and a control group, 30 persons per group). State anxiety was evaluated in both groups by the State-Trait Anxiety Inventory. A t-test was used to verify the effect of the experimental manipulation on the variables. Results: we found a statistically significant difference between the groups regarding the degree of anxiety experienced during hemodialysis sessions. The experimental group presented a statistically significant reduction of anxiety scores (p = 0.03), systolic blood pressure (p < 0.002), diastolic blood pressure (p < 0.002), heart rate (p < 0.01) and respiratory rate (p < 0.006) after listening to music. Conclusion: music represents a potential resource for nursing intervention to reduce state anxiety during hemodialysis sessions. Brazilian Registry of Clinical Trials: RBR-64b7x7.