Sandra Luzinete Felix de Freitas

Violência sexual contra adolescentes: notificações nos conselhos tutelares, Campo Grande, Mato Grosso do Sul, Brasil

Estudo com o objetivo de verificar nos Conselhos Tutelares Norte e Sul do municipio de Campo Grande, Mato Grosso do Sul, a ocorrencia de notificacoes de violencia sexual contra adolescentes em 2007 e 2008. Pesquisa descritiva quantitativa retrospectiva baseada em dados dos arquivos de notificacoes de violencia sexual contra adolescentes. A maioria das vitimas era do sexo feminino. Houve prevalencia da faixa etaria de 10 a 14 anos, para ambos os sexos. Predominaram agressores masculinos. A maior parte dos atos de violencia sexual notificados ocorreu em ambiente domestico. A abordagem do profissional de saude frente aos casos de violencia sexual deve ser permeada por respeito para com a vitima e sua familia. Para tanto, requer-se um atendimento acolhedor, que assegure a privacidade necessaria para que o adolescente possa expressar os fatos e manifestar seus sentimentos.

Quality of life in adults with sickle cell disease: an integrative review of the literature

OBJECTIVE To identify the available evidence in the literature on health-related quality of life in adults with sickle cell disease. METHOD integrative review of MEDLINE, CUMED, LILACS and SciELO databases, from articles developed in this area, published between 2005 and 2015, in English, Portuguese or Spanish. RESULTS 22 articles were included, six scales were used to evaluate health-related quality of life scores: three generic and three specific. No specific scale for adults with sickle cell disease has been adapted to Brazilian Portuguese so far. Patients affected by frequent painful crises, with low adherence to treatment, had a compromised quality of life. CONCLUSION Selected studies have shown that patients with sickle cell disease have worse scores than the general population. These indicators should be instrumental to the nurse in the proposal of interventions and strategies of assistance and socio-educational, with a view to improving the quality of life of this clientele.

Atuação da enfermeira obstetra na Comunidade Anhanguera, Campo Grande (MS), na prevenção do câncer cérvico-uterino

Este e um estudo transversal, realizado entre as mulheres da Comunidade Anhanguera, com os objetivos de: conhecer o perfil demografico, socio-cultural, ginecologico e obstetrico, avaliar o comportamento preventivo em saude, e elaborar um plano de assistencia de enfermagem obstetrica. O instrumento de pesquisa foi um formulario aplicado durante visitas domiciliarias a 104 mulheres. Nossos resultados mostraram que 23,08 % desconhecia o exame preventivo de câncer, 50,00 % nunca o realizou, 77,88 % apresentava queixas ginecologicas mas, 62,96% nao procuraram os servicos de saude. Com base nos diagnosticos de enfermagem encontrados foi elaborado um plano de assistencia de enfermagem e educacao em saude as mulheres da comunidade.In the community of Anhanguera a poor neighborhood of the state of Mato Grosso do Sul Brazil a cross-sectional study was carried out in May 1995 dealing with the prevention of cervical cancer. 104 out of 142 women living in the community were enrolled and semistructured questionnaires containing questions concerning demographic sociocultural obstetrical gynecological information and diagnosis were administered. Second-year nursing school students made the home visits and collected the data. A 1995 analysis showed that in the previous 10 years there had been a steady increase of deaths due to cervical cancer in this state especially among women aged 50 years and older owing to difficulty of access to prevention programs or the lack thereof in basic health units and nonutilization of such services by women at risk. Most women studied were in reproductive age with little or no education and a steady partner. There was a high percentage of multiparas (38.46%) 79.25% of deliveries were normal and 20.75% were by cesarean section. 94.66% of newborn infants were breast-fed and 73.39% were breast-fed for 6 months or more. 23.08% of the women did not know about cervical cancer prevention programs and only 50% reported that they had made a visit for preventive examination at least once. 77.88% of the women had gynecological complaints (amount of menstrual flow vaginal discharge dysmenorrhea lower abdominal pain menstrual irregularity and vulvar itching) but only 37.04% obtained medical help.

Interfering factors to the abandonment of smoking cigarettes for the participants of the National Program for Tobacco Control

Introduction: Smoking is considered a chronic and epidemic disease because the nicotine causes, physical, psychological and behavioral addiction as well as with other drugs. Objective: To verify the interfering factors to the abandonment of smoking cigarettes participants of the National Program for Tobacco Control, assisted by Hospital-Dia Professor Esterina Corsini of the Federal University of Mato Grosso do Sul, a central-west region of Brazil. Method: a Cross-sectional study conducted between August 2004 and December 2010, during the evaluation of smokers for admission to the National Program of Tobacco Control attended by Hospital-Dia Professor Esterina Corsini of the Federal University of Mato Grosso do Sul. This is a national program coordinated by the Ministry of Health in Brazil. The study included 370 smokers older than 18 years old who sought the program spontaneously or were referred by health professionals, who agreed to participate. For data collection, a standardized form by the National Cancer Institute was used, administered by a psychologist in the initial interview. Data analysis was performed using the chi-square tests, chi-square trend, Fishers exact and prevalence ratios with 95% confidence interval. Results: Of the 370 smokers, 49.5% were male, and 50.5% were female, with a mean age of 47.47±11.52 years old. As the education, 44.8% had at least nine years of study and 54.9% with up to eight years of study. The age of onset of smoking was reported between 11 and 16 years old (57%). The stomach problems were the most frequently cited comorbidity (52.2%). Nicotine dependence measured by Fargestrom test achieved Average, Low or Very Low score at 44.32%, and High or Very High in 55.68% of cases. Conclusion: It was perceived that the greater the degree of nicotine dependence, the lower the number of smokers who successfully quit smoking.

Actuación de la enfermera obstétra en la comunidad Anhanguera, Campo Grande (MS), en la prevención del cáncer de cuello uterino

Este e um estudo transversal, realizado entre as mulheres da Comunidade Anhanguera, com os objetivos de: conhecer o perfil demografico, socio-cultural, ginecologico e obstetrico, avaliar o comportamento preventivo em saude, e elaborar um plano de assistencia de enfermagem obstetrica. O instrumento de pesquisa foi um formulario aplicado durante visitas domiciliarias a 104 mulheres. Nossos resultados mostraram que 23,08 % desconhecia o exame preventivo de câncer, 50,00 % nunca o realizou, 77,88 % apresentava queixas ginecologicas mas, 62,96% nao procuraram os servicos de saude. Com base nos diagnosticos de enfermagem encontrados foi elaborado um plano de assistencia de enfermagem e educacao em saude as mulheres da comunidade.In the community of Anhanguera a poor neighborhood of the state of Mato Grosso do Sul Brazil a cross-sectional study was carried out in May 1995 dealing with the prevention of cervical cancer. 104 out of 142 women living in the community were enrolled and semistructured questionnaires containing questions concerning demographic sociocultural obstetrical gynecological information and diagnosis were administered. Second-year nursing school students made the home visits and collected the data. A 1995 analysis showed that in the previous 10 years there had been a steady increase of deaths due to cervical cancer in this state especially among women aged 50 years and older owing to difficulty of access to prevention programs or the lack thereof in basic health units and nonutilization of such services by women at risk. Most women studied were in reproductive age with little or no education and a steady partner. There was a high percentage of multiparas (38.46%) 79.25% of deliveries were normal and 20.75% were by cesarean section. 94.66% of newborn infants were breast-fed and 73.39% were breast-fed for 6 months or more. 23.08% of the women did not know about cervical cancer prevention programs and only 50% reported that they had made a visit for preventive examination at least once. 77.88% of the women had gynecological complaints (amount of menstrual flow vaginal discharge dysmenorrhea lower abdominal pain menstrual irregularity and vulvar itching) but only 37.04% obtained medical help.

Role of the obstetric nurse in the Anhanguera community, Campo Grande (MS), for the prevention of cervical uterine cancer

Este e um estudo transversal, realizado entre as mulheres da Comunidade Anhanguera, com os objetivos de: conhecer o perfil demografico, socio-cultural, ginecologico e obstetrico, avaliar o comportamento preventivo em saude, e elaborar um plano de assistencia de enfermagem obstetrica. O instrumento de pesquisa foi um formulario aplicado durante visitas domiciliarias a 104 mulheres. Nossos resultados mostraram que 23,08 % desconhecia o exame preventivo de câncer, 50,00 % nunca o realizou, 77,88 % apresentava queixas ginecologicas mas, 62,96% nao procuraram os servicos de saude. Com base nos diagnosticos de enfermagem encontrados foi elaborado um plano de assistencia de enfermagem e educacao em saude as mulheres da comunidade.In the community of Anhanguera a poor neighborhood of the state of Mato Grosso do Sul Brazil a cross-sectional study was carried out in May 1995 dealing with the prevention of cervical cancer. 104 out of 142 women living in the community were enrolled and semistructured questionnaires containing questions concerning demographic sociocultural obstetrical gynecological information and diagnosis were administered. Second-year nursing school students made the home visits and collected the data. A 1995 analysis showed that in the previous 10 years there had been a steady increase of deaths due to cervical cancer in this state especially among women aged 50 years and older owing to difficulty of access to prevention programs or the lack thereof in basic health units and nonutilization of such services by women at risk. Most women studied were in reproductive age with little or no education and a steady partner. There was a high percentage of multiparas (38.46%) 79.25% of deliveries were normal and 20.75% were by cesarean section. 94.66% of newborn infants were breast-fed and 73.39% were breast-fed for 6 months or more. 23.08% of the women did not know about cervical cancer prevention programs and only 50% reported that they had made a visit for preventive examination at least once. 77.88% of the women had gynecological complaints (amount of menstrual flow vaginal discharge dysmenorrhea lower abdominal pain menstrual irregularity and vulvar itching) but only 37.04% obtained medical help.