Samira Rocha Magalhães

Influence of spirituality, religion and beliefs in the quality of life of people with spinal cord injury

El objetivo fue evaluar la influencia de la espiritualidad, la religion y las creencias personales de la calidad de vida de las personas con lesion medular. Se trata de un estudio cuantitativo, exploratorio de corte longitudinal. La recoleccion de datos se dio con 49 personas con lesion medular en dos fases: en el hospital y en el hogar, y se llevo a cabo mediante la aplicacion del instrumento de Calidad de Vida - Espiritualidad, Religion y Creencias personales - WHOQOL-SRPB. Los analisis exploratorios se llevaron a cabo mediante el uso de distribuciones de frecuencia univariadas y medidas descriptivas; validacion de consistencia interna y calculos de las dimensiones de las puntuaciones de la escala. Los resultados mostraron que las dimensiones relacionadas con la espiritualidad, la religion y las creencias personales adoptadas por los pacientes como estrategias para la mejora de su calidad de vida en esta investigacion se confirmaron en las puntuaciones mas altas en las areas de WHOQOL SRPB en dos fases; habia diferencias solo en la dimension sentido de la vida y la fuerza espiritual. Se espera que este estudio pueda resaltar la importancia del cuidado espiritual y emocional.

Influencia de la espiritualidad, religión y creencias en la calidad de vida de las personas con lesión medular

El objetivo fue evaluar la influencia de la espiritualidad, la religion y las creencias personales de la calidad de vida de las personas con lesion medular. Se trata de un estudio cuantitativo, exploratorio de corte longitudinal. La recoleccion de datos se dio con 49 personas con lesion medular en dos fases: en el hospital y en el hogar, y se llevo a cabo mediante la aplicacion del instrumento de Calidad de Vida - Espiritualidad, Religion y Creencias personales - WHOQOL-SRPB. Los analisis exploratorios se llevaron a cabo mediante el uso de distribuciones de frecuencia univariadas y medidas descriptivas; validacion de consistencia interna y calculos de las dimensiones de las puntuaciones de la escala. Los resultados mostraron que las dimensiones relacionadas con la espiritualidad, la religion y las creencias personales adoptadas por los pacientes como estrategias para la mejora de su calidad de vida en esta investigacion se confirmaron en las puntuaciones mas altas en las areas de WHOQOL SRPB en dos fases; habia diferencias solo en la dimension sentido de la vida y la fuerza espiritual. Se espera que este estudio pueda resaltar la importancia del cuidado espiritual y emocional.

Influência da espiritualidade, religião e crenças na qualidade de vida de pessoas com lesão medular

El objetivo fue evaluar la influencia de la espiritualidad, la religion y las creencias personales de la calidad de vida de las personas con lesion medular. Se trata de un estudio cuantitativo, exploratorio de corte longitudinal. La recoleccion de datos se dio con 49 personas con lesion medular en dos fases: en el hospital y en el hogar, y se llevo a cabo mediante la aplicacion del instrumento de Calidad de Vida - Espiritualidad, Religion y Creencias personales - WHOQOL-SRPB. Los analisis exploratorios se llevaron a cabo mediante el uso de distribuciones de frecuencia univariadas y medidas descriptivas; validacion de consistencia interna y calculos de las dimensiones de las puntuaciones de la escala. Los resultados mostraron que las dimensiones relacionadas con la espiritualidad, la religion y las creencias personales adoptadas por los pacientes como estrategias para la mejora de su calidad de vida en esta investigacion se confirmaron en las puntuaciones mas altas en las areas de WHOQOL SRPB en dos fases; habia diferencias solo en la dimension sentido de la vida y la fuerza espiritual. Se espera que este estudio pueda resaltar la importancia del cuidado espiritual y emocional.

Socio-demographic and gynecologic aspects of women with low-grade cervical intraepithelial neoplasia

Objective: to analyze the socio-demographic and gynecological aspects of women with CIN I. Method: descriptive, retrospective and documentary study, with a quantitative approach. The data were obtained through the analysis of medical records of women diagnosed with CIN I, totaling 123 records. The results were presented in tables with absolute and relative frequency and discussed according to the literature. The project was approved by the Research Ethics Committee, Protocol 199/08. Results: most cases of CIN I occurred in women up to 35 years old(71.5%), literate (68.3%), who lived with the partner (52.0%) and with income up to three minimum wages (66.6%). Of these, 61% started sexual life before 17 years old, had reduced variety of partners and only 23.6% used a condom. Conclusion: the results ratified the profile of a population vulnerable to acquisition of CIN I with socioeconomic conditions and sex life some predisposing risk factors. Descriptors: Womens Health; Health profile; Nursing. RESUMO Objetivo: analisar os aspectos sociodemográficos e ginecológicos de mulheres portadoras de NIC I. Método: estudo descritivo, documental e retrospectivo, com abordagem quantitativa. Os dados foram obtidos através da análise de prontuários de mulheres com diagnóstico de NIC I, totalizando 123 prontuários. Os resultados foram apresentados em tabelas com frequência absoluta e relativa e discutidos de acordo com a literatura. O projeto foi aprovado pelo Comitê de Ética em Pesquisa, Protocolo 199/08. Resultados: a maioria dos casos de NIC I ocorreu em mulheres com até 35 anos (71,5%), alfabetizadas (68,3%), que moravam com o companheiro (52,0%) e com renda até três salários mínimos (66,6%). Destas, 61% iniciou a vida sexual antes dos 17 anos, teve reduzida variedade de parceiros e apenas 23,6% utilizava o preservativo. Conclusão: os resultados ratificaram o perfil de uma população vulnerável a aquisição de NIC I com condições socioeconômicas e da vida sexual predisponentes a alguns fatores de risco. Descritores: Saúde da Mulher; Perfil de Saúde; Enfermagem. RESUMEN Objetivo: analizar los aspectos socio-demográficos y ginecológicos de mujeres portadoras de NIC I. Método: estudio descriptivo, documental y retrospectivo, con enfoque cuantitativo. Los datos fueron obtenidos a través del análisis de prontuarios de mujeres con diagnóstico de NIC I, totalizando 123 prontuarios. Los resultados fueron presentados en tablas con frecuencia absoluta y relativa y discutidos de acuerdo con la literatura. El proyecto fue aprobado por el Comité de Ética en Investigación, Protocolo 199/08. Resultados: la mayoría de los casos de NIC I se dieron en mujeres con hasta 35 años (71,5%), alfabetizadas (68,3%), que vivían con el compañero (52,0%) y con renta hasta tres salarios mínimos (66,6%). De estas, 61% inició la vida sexual antes de los 17 años, tuvo reducida variedad de compañeros y apenas 23,6% utilizaba el preservativo. Conclusión: los resultados ratificaron el perfil de una populación vulnerable a adquisición de NIC I con condiciones socioeconómicas y de la vida sexual predisponentes a algunos factores de riesgo. Descriptores: Salud de la Mujer; Perfil de Salud; Enfermería. Nurse, Master degree in Colective Health, University of Fortaleza/UNIFOR. Fortaleza (CE), Brazil. E-mail: roberta_grangeiro@hotmail.com; Nurse, Master degree, Post-graduation program in Nursing, Federal University of Ceará/PPGENF/UFC. Fortaleza (CE), Brazil. E-mail: samira_magalhaes@hotmail.com; Nurse, Specialist in Neonatal Nursing. Fortaleza (CE), Brazil. E-mail: kelcione@yahoo.com.br; Nurse, Master degree in the Post-graduation Program in Nursing, Federal University of Ceará/PPGENF/UFC. Fortaleza (CE), Brazil. E-mail: enfanatashafrota@yahoo.com.br ORIGINAL ARTICLE Oliveira RG de, Magalhães SR, Lima KP et al. Aspectos sociodemográficos e ginecológicos... English/Portuguese J Nurs UFPE on line., Recife, 8(4):1002-10, Apr., 2014 1003 ISSN: 1981-8963 DOI: 10.5205/reuol.5829-50065-1-ED-1.0804201428 Cervical cancer is the second most common in women around the world. More than 500,000 new cases are diagnosed each year, with approximately 274000 deaths, 88% of deaths occurred in developing countries, of which occurred in Africa, 31400 in Latin America and 53000 in the Caribbean, and 159800 in Asia, in East Africa, South-Central, Asia and Melanesia, therefore is the most recurring in women. In Brazil, in 2012, were expected 17,540 new cases of cancer of the cervix (CC), with an estimated risk of 17 cases per 100 000 women. In 2009, this neoplasm represented the third cause of death from cancer in women, with 5,063 deaths, representing the gross mortality rate of 5.18 deaths for each 100 thousand women. With approximately 530 000 new cases per year worldwide, cervical cancer is the third most common cancer among women, being responsible for the death of 275 000 women a year. It is known that the emergence of the CC is related to womens sexual behavior and the transmission of infectious agents. In most cases, the presence of infection by human papilloma virus (HPV) is pointed to as a risk factor triggering the CC. In addition, they can cite other factors such as: smoking, low intake of vitamins, multiple sexual partners, early sexual activity, use of oral contraceptives, genetic predisposition, in addition to the low socioeconomic level. Unlike other human cancers, cervical cancer is in principle, a preventable disease that presents slowly advancing with long period since the development of the precursor lesions to the emergence of cancer. Therefore, its prevention is potentially effective. With regard to strategies of controlling precursor lesions for the CC, it is highlighted the Pap test which consists of analyzing the cellular changes of the cervix and vagina regions, through the collection of cellular material, in search of the presence of any disease that affects the region, such as sexually transmitted diseases (STD), Papillomatosis and HPV, in addition to the amendments tabled in the different phases of the menstrual cycle. It is possible to detect lesions of cervix pre-invasive which are curable in up to 100% of cases. Cervical lesions are precursors in evolutionary degrees, being classified as cervical intraepithelial neoplasia (CIN) grades I (low-grade lesion), II and III (high grade lesions). Therefore the CIN I is a reversible injury. The CIN I is the cellular change that affects the basal layers of stratified epithelium of the cervix (mild dysplasia). About 80% of women with this type of injury will present spontaneous regression. CIN II is the existence of cellular breakdown by up to three-quarters of the thickness of the epithelium, preserving more superficial layers (moderate dysplasia). CIN III is the observation of the breakdown in all layers of the epithelium (severe dysplasia and carcinoma in situ), without the underlying connective tissue invasion. Population studies are indispensable to the nurse who attends in CC prevention service, since helping to check the prevalence of lowgrade lesions (CIN I), the social, cultural and sexual characteristics of the client, in addition to identifying the co-factors for HPV risk more prevalent, as well as guiding and treat the customers at greater risk of acquiring the virus. It is relevant also to contribute to the definition of public health policies suitable for reduction of rates of CIN I, once its morbidity has increased vulnerability. With this research, it is believed to contribute to the improvement of the quality of life of this population, because the reduction of rates of CIN I depends on basic actions for prevention and control of predisposing factors, protection policies to womens health and educational improvement of the population. With that, considering the high rate of incidence of cases of CIN I, the ability of HPV infection lead to the CC and the hard cure of disease when diagnosed late, the present study aims to: ● To analyze socio-demographic and Gynecologic aspects of women with CIN I. Descriptive, retrospective and documentary study, with a quantitative approach, being held at the cancer prevention Institute (CPI), located in the city of Fortaleza, where the clients are women over ten years old that are part of the Unified Health System (SUSSistem Único de Saúde). The universe of study was composed of the medical records of women met in the CPI during the year of 2010 with HPV diagnostic e CIN I. The records of this institution are located in the Medical File and statistical service (SAME), being identified by colored label black-HPV, CC-red, yellow-ASCUS (Atypical squamous cells of Undetermined Significance) and green – HPV + CIN I. Initially, all the medical records of 200 women attended were evaluated, in 2010, with black color labels (HPV) and green (HPV + INTRODUCTION

Oficinas educativas para promoção da saúde de idosas institucionalizadas

Objective: To describe the experience of participation in workshops on health education for institutionalized elderly women. Data Synthesis: Actions of health education were performed through the development of educational workshops on lifestyle for 20 elderly women in a philanthropic institution of a municipality, during the month of October 2011. The workshops were divided into three meetings over 2 days. Empathic communication and interaction among the participants were sought through dynamics, aiming to motivate them to talk about the feelings aroused by figures. The healthy lifestyle was then approached, with explanation on diet and physical activity. Conclusion: The implementation of educational measures is effective for the health promotion, the development of critical thinking and the reduction of risk behaviors doi:http://dx.doi.org/10.5020/18061230.2013.p595