Robsmeire Calvo Melo Zurita

Overload of caregivers of children or adolescents suffering from mental disorder in the city of Maringá, Paraná

Objective: To identify the burden of caregivers of children and adolescents suffering from mental disorder. Methods: This is a cross-sectional, descriptive, exploratory, and quantitative study, conducted with 82 caregivers/family members of children and adolescents treated at the Children Psychosocial Care Center in the city of Maringa, Parana, Brazil. Data collection was conducted from December 2012 to July 2013, and used the Overload Scale for Family Members of Psychiatric Patients, as well as a socio-demographic questionnaire were used. Results: A high objective overload related to assistance in daily activities such as supervision over the administration of drugs, and high subjective overload resulting from contact with problematic behaviors. Conclusion: In this context it is essential to link the family in care actions provided in health services, requiring that professionals act aiming to enhance the strengths of the family that lives with these children and adolescents, solving doubts and being supportive to the family in terms of the difficulties that arise in the interaction.Objetivo: Identificar la sobrecarga del cuidador de ninos o adolescentes con trastorno mental. Metodos: Estudio transversal, descriptivo, exploratorio, cuantitativo, realizado con 82 cuidadores/familiares de ninos y adolescentes atendidos en el Centro de Atencion Psicosocial infantil del municipio de Maringa, Parana, Brasil. La recoleccion de datos fue hecha de diciembre de 2012 a julio de 2013, utilizandose la Escala de Sobrecarga de los Familiares de Pacientes Psiquiatricos y un cuestionario sociodemografico. Resultados: Se identifico sobrecarga objetiva elevada en cuanto a la asistencia en actividades de la vida cotidiana, como supervision en la toma de medicamentos; y sobrecarga subjetiva alta debido a la convivencia con comportamientos problematicos. Conclusion: En este contexto es imprescindible vincular a la familia en las acciones de cuidado prestadas en los servicios de salud, siendo necesario que los profesionales actuen potencializando puntos positivos de la convivencia de la familia con estos ninos y adolescentes.

Sobrecarga del cuidador de niño o adolescente con trastorno mental en la ciudad de Maringá - Paraná

Objective: To identify the burden of caregivers of children and adolescents suffering from mental disorder. Methods: This is a cross-sectional, descriptive, exploratory, and quantitative study, conducted with 82 caregivers/family members of children and adolescents treated at the Children Psychosocial Care Center in the city of Maringa, Parana, Brazil. Data collection was conducted from December 2012 to July 2013, and used the Overload Scale for Family Members of Psychiatric Patients, as well as a socio-demographic questionnaire were used. Results: A high objective overload related to assistance in daily activities such as supervision over the administration of drugs, and high subjective overload resulting from contact with problematic behaviors. Conclusion: In this context it is essential to link the family in care actions provided in health services, requiring that professionals act aiming to enhance the strengths of the family that lives with these children and adolescents, solving doubts and being supportive to the family in terms of the difficulties that arise in the interaction.Objetivo: Identificar la sobrecarga del cuidador de ninos o adolescentes con trastorno mental. Metodos: Estudio transversal, descriptivo, exploratorio, cuantitativo, realizado con 82 cuidadores/familiares de ninos y adolescentes atendidos en el Centro de Atencion Psicosocial infantil del municipio de Maringa, Parana, Brasil. La recoleccion de datos fue hecha de diciembre de 2012 a julio de 2013, utilizandose la Escala de Sobrecarga de los Familiares de Pacientes Psiquiatricos y un cuestionario sociodemografico. Resultados: Se identifico sobrecarga objetiva elevada en cuanto a la asistencia en actividades de la vida cotidiana, como supervision en la toma de medicamentos; y sobrecarga subjetiva alta debido a la convivencia con comportamientos problematicos. Conclusion: En este contexto es imprescindible vincular a la familia en las acciones de cuidado prestadas en los servicios de salud, siendo necesario que los profesionales actuen potencializando puntos positivos de la convivencia de la familia con estos ninos y adolescentes.

Sobrecarga dos cuidadores de crianças ou adolescentes que sofrem transtorno mental no município de Maringá - Paraná

Objective: To identify the burden of caregivers of children and adolescents suffering from mental disorder. Methods: This is a cross-sectional, descriptive, exploratory, and quantitative study, conducted with 82 caregivers/family members of children and adolescents treated at the Children Psychosocial Care Center in the city of Maringa, Parana, Brazil. Data collection was conducted from December 2012 to July 2013, and used the Overload Scale for Family Members of Psychiatric Patients, as well as a socio-demographic questionnaire were used. Results: A high objective overload related to assistance in daily activities such as supervision over the administration of drugs, and high subjective overload resulting from contact with problematic behaviors. Conclusion: In this context it is essential to link the family in care actions provided in health services, requiring that professionals act aiming to enhance the strengths of the family that lives with these children and adolescents, solving doubts and being supportive to the family in terms of the difficulties that arise in the interaction.Objetivo: Identificar la sobrecarga del cuidador de ninos o adolescentes con trastorno mental. Metodos: Estudio transversal, descriptivo, exploratorio, cuantitativo, realizado con 82 cuidadores/familiares de ninos y adolescentes atendidos en el Centro de Atencion Psicosocial infantil del municipio de Maringa, Parana, Brasil. La recoleccion de datos fue hecha de diciembre de 2012 a julio de 2013, utilizandose la Escala de Sobrecarga de los Familiares de Pacientes Psiquiatricos y un cuestionario sociodemografico. Resultados: Se identifico sobrecarga objetiva elevada en cuanto a la asistencia en actividades de la vida cotidiana, como supervision en la toma de medicamentos; y sobrecarga subjetiva alta debido a la convivencia con comportamientos problematicos. Conclusion: En este contexto es imprescindible vincular a la familia en las acciones de cuidado prestadas en los servicios de salud, siendo necesario que los profesionales actuen potencializando puntos positivos de la convivencia de la familia con estos ninos y adolescentes.

O Transtorno Mental Vivenciado no Dia-A-Dia de Enfermeiros da ESF

According to WHO, mental health does not merely comprise mental disturbances but also defines it as the well-being and potential of individuals in being capable of dealing with normal day-to-day stress and its influence on productivity in themselves and in their community. Current investigation, a transversal analysis with a quantitative-analytic focus, identifies the activities of nurses of the Family Help Strategy (ESF) with people with mental disturbances. Study was undertaken in ten Basic Health Units (UBS) in the municipality of Maringa PR Brazil. A self-applicable questionnaire was undertaken for data collection, with ten closed questioned. Subjects were 33 nurses working at the ESF of whom 31 (94%) were females and 2 (6%) were males, aged between 25 and 54 years old. Service time varied accordingly, or rather, 19 (58%) worked between five and ten years; 9 (27%) worked less than five years; 4 (12%) worked between 10 to 15 years; only 1 (3%) worked for more than 15 years. It should be highlighted than 23 (70%) nurses who worked for ESF did not have any experience in dealing with patients with mental disturbances, while 10 (30%) already had. Data showed that the most frequent activities were home visits and introduction undertaken by 32 (97%) nurses. ESF proposes changes in the links between the current assistance model and the patients coupled to the organization of presentation and realization in health promotion.The quality of inside air in closed places is affected by several conditions such as premise structure, external environment, occupants´ habits and activities developed there. Pollution by micro-organisms, such as bacteria and fungi, may trigger the development of allergies, respiratory problems and other immunological reactions. It may be considered as one of the main environmental and public health problems. The concentration of fungi and bacteria in an agricultural-industrial firm in the central-western region of the state of Parana, Brazil, is quantified to verify internal air pollution through basic parameters established by the National Agency for Sanitary Vigilance (ANVISA). Samples were collected by sedimentation methods in Petri plates during August and September 2012 during working hours, with the air-conditioning running on. Microbiological quality of the external air was also undertaken to compare inside and outside air. Concentrations of fungi and bacteria complied with limits permitted by Brazilian law (I/E < 1.5). It may be said that the internal air was of good quality with regard to concentrations of micro-organisms.

Analysis of Maternal and Child Health Indicators in an Area at Paraná State, Brazil

The aim of this study was to analyze maternal and child health indicators and infant mortality rate (IMR) at the cities located at the 18th Health Division (HD) in Parana State, Brazil. In this ecological study we analyzed all live births and infant deaths which occurred from 2000 to 2009 at the 18th HD, collecting data from the Mortality Information Database and the Live Births Information Database. The variables assessed were grouped into maternal, pregnancy and delivery, and neonatal variables. The analysis was conducted using the mean percentage of each variable and the IMR calculated for both periods: from 2000 to 2004 and from 2005 to 2009. The IMR was reduced considerably, following Brazils and Paraná States trend. Maternal indicators went down regarding the mean percentage of teenage mothers and low education, whereas they went up regarding mother with 35 years old or older and mothers without a partner. Pregnancy indicators showed increased prematurity and cesarean birth. Neonatal indicators raised in black/brown skin color and low birth weights percentages. This study provides a better understanding of maternal and child health in the cities located at the 18th HD, supplying grounds to plan actions regarding the real needs of each specific city.

Correspondence analysis to evaluate information records of the risk newborns

This study aims to analyze in different information systems the quality of the information on infants enrolled in the High-Risk Newborn Vigilance Program. This is a cross-sectional study with quantitative analysis. Data was collected from the following forms and charts: the Newborn Montoring Form; Information System of Primary Care Forms, A and C; and forms of 505 children at risk in 23 Basic Health Units (UBS). Correspondence Analysis and Ascendant Hierarchical Classification were used to analyze data. The positive aspects observed refer to the adequacy of records. The results show that the quality of the activity records was adequate in 30% of UBS (Basic Units of Health), suggesting training and professional development of physicians and nurses referred to services and assistance programs, and complete records of routine home visits.Este estudo teve como objetivo analisar a qualidade das informacoes dos recem nascidos cadastrados no Programa de Vigilância ao Recem Nascido de Risco nos diferentes sistemas de informacao. Estudo transversal, quantitativo, analitico. Utilizou-se como fontes de dados da Ficha de Acompanhamento do Recem Nascido, Ficha A e C do Sistema de Informacao da Atencao Basica e foram avaliados os prontuarios de 505 criancas de risco em 23 Unidades Basicas de Saude (UBS). Os dados foram analisados pela Analise de Correspondencia e Classificacao Hierarquica Ascendente. Os pontos positivos obtidos se referem a adequacao do registro, destacando que a qualidade dos registros das atividades realizadas foi adequada em 30% das UBS, sugerindo treinamento e capacitacao dos profissionais medicos e enfermeiros com encaminhamentos para servicos e programas assistenciais, registros completos e visitas domiciliares de rotina.

Análise de correspondência para avaliação dos registros das informações dos recém nascidos de risco

This study aims to analyze in different information systems the quality of the information on infants enrolled in the High-Risk Newborn Vigilance Program. This is a cross-sectional study with quantitative analysis. Data was collected from the following forms and charts: the Newborn Montoring Form; Information System of Primary Care Forms, A and C; and forms of 505 children at risk in 23 Basic Health Units (UBS). Correspondence Analysis and Ascendant Hierarchical Classification were used to analyze data. The positive aspects observed refer to the adequacy of records. The results show that the quality of the activity records was adequate in 30% of UBS (Basic Units of Health), suggesting training and professional development of physicians and nurses referred to services and assistance programs, and complete records of routine home visits.Este estudo teve como objetivo analisar a qualidade das informacoes dos recem nascidos cadastrados no Programa de Vigilância ao Recem Nascido de Risco nos diferentes sistemas de informacao. Estudo transversal, quantitativo, analitico. Utilizou-se como fontes de dados da Ficha de Acompanhamento do Recem Nascido, Ficha A e C do Sistema de Informacao da Atencao Basica e foram avaliados os prontuarios de 505 criancas de risco em 23 Unidades Basicas de Saude (UBS). Os dados foram analisados pela Analise de Correspondencia e Classificacao Hierarquica Ascendente. Os pontos positivos obtidos se referem a adequacao do registro, destacando que a qualidade dos registros das atividades realizadas foi adequada em 30% das UBS, sugerindo treinamento e capacitacao dos profissionais medicos e enfermeiros com encaminhamentos para servicos e programas assistenciais, registros completos e visitas domiciliares de rotina.

El análisis de correspondencias para evaluar de los registros de los recién nacidos la información de riesgos

This study aims to analyze in different information systems the quality of the information on infants enrolled in the High-Risk Newborn Vigilance Program. This is a cross-sectional study with quantitative analysis. Data was collected from the following forms and charts: the Newborn Montoring Form; Information System of Primary Care Forms, A and C; and forms of 505 children at risk in 23 Basic Health Units (UBS). Correspondence Analysis and Ascendant Hierarchical Classification were used to analyze data. The positive aspects observed refer to the adequacy of records. The results show that the quality of the activity records was adequate in 30% of UBS (Basic Units of Health), suggesting training and professional development of physicians and nurses referred to services and assistance programs, and complete records of routine home visits.Este estudo teve como objetivo analisar a qualidade das informacoes dos recem nascidos cadastrados no Programa de Vigilância ao Recem Nascido de Risco nos diferentes sistemas de informacao. Estudo transversal, quantitativo, analitico. Utilizou-se como fontes de dados da Ficha de Acompanhamento do Recem Nascido, Ficha A e C do Sistema de Informacao da Atencao Basica e foram avaliados os prontuarios de 505 criancas de risco em 23 Unidades Basicas de Saude (UBS). Os dados foram analisados pela Analise de Correspondencia e Classificacao Hierarquica Ascendente. Os pontos positivos obtidos se referem a adequacao do registro, destacando que a qualidade dos registros das atividades realizadas foi adequada em 30% das UBS, sugerindo treinamento e capacitacao dos profissionais medicos e enfermeiros com encaminhamentos para servicos e programas assistenciais, registros completos e visitas domiciliares de rotina.