Tatiana Ferreira da Costa

Estrutura interna de Unidades de Saúde da Família: acesso para as pessoas com deficiência

This study aimed at evaluating the internal structure of Family Health Units in relation to the access of people with physical and/or sensory disabilities. It is a descriptive, exploratory, population-based research, held in Family Health Units of the municipality of João Pessoa, Paraíba, Brazil. For the collection of data, a checklist based on Technical Standard 9050 was used. For the analysis, the descriptive and exploratory analysis of the data and the Chi-square test were applied. As a result, of the 90 buildings evaluated, only 47.8% have a wheelchair ramp, of these 30.0% have maximum slope and 32.2% have anti-slip flooring. In 28.9% access happens through a staircase without handrail and in 6.7% through a staircase with handrail, 6.7% of these with anti-slip flooring. And only 17.8% of sliding doors have lowered tracks. We concluded that it must be recognized that public policies and institutions do not correspond to the need of these people, and it is necessary to reformulate this form of care and reorganize health services.

Sobrecarga de cuidadores familiares de idosos com acidente vascular encefálico

Objetivo: Investigar a prevalencia e associacao da sobrecarga com caracteristicas do individuo com sequela de acidente vascular encefalico e do cuidador. Metodos: Estudo descritivo, transversal, com abordagem quantitativa, realizado na cidade de Joao Pessoa - PB. Os participantes foram 136 cuidadores familiares. Para a coleta de dados, aplicou-se a escala de Barthel e Zarit Burden Interview. Resultados: Evidencia-se alta prevalencia de sobrecarga entre os cuidadores (77,2%), a qual apresentou associacao estatisticamente significativa com as seguintes caracteristicas: individuos com sequela de acidente vascular encefalico com 65 anos ou mais, com grau de dependencia muito grave, cuidadores do sexo feminino, com faixa etaria adulta e com baixo grau de escolaridade. Conclusao: Destaca-se a importância pratica de intervencoes realizadas por enfermeiros e demais profissionais de saude com relacao as orientacoes e supervisoes referentes ao cuidado dispensado ao cuidador familiar de individuos com sequela de acidente vascular encefalico.

Resilience in Individuals who Suffered from Stroke: Integrative Literature Review

ABSTRACT Introduction: stroke represents a serious public health problem, causing several disabilities. During the process of rehabilitation, family members and health professionals should encourage behaviors that promote resilience. Objectives: to analyze the main data about stroke and resilience available in national and international literature, and to verify if this component is being assessed/worked during the post-stroke process of rehabilitation of the individuals. Method: Portal of Journals of CAPES, BVS, SciELO and BDENF were used as databases, and the descriptors were ‘stroke’ and ‘psychological resilience’, in Portuguese and English. 42 articles were identified, from 2003 until 2015. After inclusion and exclusion criteria, a sample of 7 studies was obtained. Results: there was some difficulty in integrating the data, since articles about resilience with the aforementioned individuals are scarce. Most of the studies addressed other Psychology themes, which are also considered indispensable for the success of rehabilitation. Conclusion: the necessity for more studies regarding the topic resilience in individuals with stroke effects was noticed.

Burden over family caregivers of elderly people with stroke

Objetivo: Investigar a prevalencia e associacao da sobrecarga com caracteristicas do individuo com sequela de acidente vascular encefalico e do cuidador. Metodos: Estudo descritivo, transversal, com abordagem quantitativa, realizado na cidade de Joao Pessoa - PB. Os participantes foram 136 cuidadores familiares. Para a coleta de dados, aplicou-se a escala de Barthel e Zarit Burden Interview. Resultados: Evidencia-se alta prevalencia de sobrecarga entre os cuidadores (77,2%), a qual apresentou associacao estatisticamente significativa com as seguintes caracteristicas: individuos com sequela de acidente vascular encefalico com 65 anos ou mais, com grau de dependencia muito grave, cuidadores do sexo feminino, com faixa etaria adulta e com baixo grau de escolaridade. Conclusao: Destaca-se a importância pratica de intervencoes realizadas por enfermeiros e demais profissionais de saude com relacao as orientacoes e supervisoes referentes ao cuidado dispensado ao cuidador familiar de individuos com sequela de acidente vascular encefalico.

Resiliência e capacidade funcional de pessoas idosas com diabetes mellitus

Objective: to correlate the resilience and functional capacity of the elderly people with diabetes mellitus. Methods: this is an exploratory, descriptive and cross-sectional study, conducted with 96 elderly patients hospitalized for complications of diabetes mellitus in a university hospital. Data collection was performed through an interview, using a semi-structured instrument called the Resilience Scale and the Barthel Index. Results: most of the elderly people had moderate resilience (57.3%) and functional dependence (85.4%), with a mild (30.2%) and moderate (26.0%) prevalence. A positive correlation was observed with statistical significance between resilience and functional capacity, so the increase of one variable is correlated with the elevation of the other. Conclusion: when correlating resilience with the functional capacity of the elderly person, a positive and proportional relationship was observed between these variables highlighting the functional capacity as an important instrument for the development of resilience in the elderly person with diabetes.Objetivo: correlacionar a resiliência e a capacidade funcional de pessoas idosas com diabetes mellitus. Métodos: estudo exploratório, descritivo e transversal, realizado com 96 idosos hospitalizados por complicação do diabetes mellitus em um hospital universitário. A coleta de dados foi realizada por meio de entrevista, utilizando um instrumento semiestruturado, a Escala de Resiliência e o Índice de Barthel. Resultados: a maioria dos idosos apresentou resiliência moderada (57,3%) e dependência funcional (85,4%), com prevalência leve (30,2%) e moderada (26,0%). Foi observada uma correlação positiva com significância estatística entre a resiliência e a capacidade funcional, de modo que o aumento de uma variável está correlacionado à elevação da outra. Conclusão: ao correlacionar a resiliência com a capacidade funcional dos idosos, observou-se relação positiva e proporcional entre essas variáveis, o que ressalta a capacidade funcional como um importante instrumento para o desenvolvimento da resiliência no idoso com diabetes. Descritores: Resiliência Psicológica; Atividades Cotidianas; Idoso; Diabetes Mellitus.

The Applicability of Information Technology and the Communication in Nursing Undergraduate Education

Objective: to understand the use of information and communica tion technology (ICt) as a pedagogical resource for teaching-learning process in nursing through the discourses of professors, and to identify the types of technology used as a tool to strengthen the teachinglearning process. Method: exploratory descriptive and qualitative study, guided by Grounded theory; the sample consisted of twelve professors of nur sing; data collection was conducted between February and May 2013, through the interview technique; the analysis was developed simulta neously with the collection, allowing the formation of categories and subcategories. Results: the nursing faculty expressed the knowledge dimension of ICt experienced in practice, recognizing it as an aid in the theoreticalpractical activities. Conclusion: this technology should be further stu died and explored in healthcare and, more specifically, in the training of nurses.

HIV/AIDS and Seniors: Knowledge of the Elderly about the Disease

Introduction: the spread of HIV/AIDS in the elderly population is already characterized as a serious public health problem, requiring the development of actions and strategies to reduce the vulnerability of these individuals. Objective: identifying the knowledge of older people about HIV/AIDS. Method: this is an exploratory-descriptive study of a qualitative approach, developed with 26 elderly enrolled in three Family Health Strategies of the city of Cajazeiras, Paraiba, Brazil. Data were collected through interviews with a structured questionnaire and analyzed according to the Content Analysis Technique proposed by Bardin. Results: participants were 26 elderly, most of whom were women belonging to the age group of 60-69 years old and married. From the analysis of the speeches of the participants emerged the theme category Knowledge about HIV/AIDS, with the following subcategories: Definition, Sources of Information, Treatment and Prognosis. Conclusion: it showed that many seniors have relevant knowledge about the disease; however, most of this is insufficient or surrounded by the mystification of knowledge rooted in the popular daily life.

Proxemic Assessment of Relations between Nurse and Elderly in Nursing Consultations

Introduction: non-verbal communication is essential in health, because it is a dynamic process that allows accessibility between people, making it easier to obtain valuable information for therapeutic management. Objective : to assess proxemic communication between nurse and elderly in nursing consultation. Methods: descriptive exploratory study with a quantitative approach, performed in basic health units in the city of Joao Pessoa, Paraiba, Brazil. The subjects were 32 nurses and 32 elderly. Data were collected by shooting, evaluated with basis on an instrument built on Proxemics Theory of Hall and analyzed through descriptive and exploratory statistics. Results: evaluations were classified in general as Regular being the worst the evaluation of visual code factor (2.81) and improved voice volume (3.44). Conclusion: these results show that significant barriers have not been overcome, to strengthen the communicative links between nurses and elderly.

Evaluation of Balance and Walk and their Relationship to the Occurrence of Falls in Elderly

Introduction: falls are a geriatric syndrome, and among the risk factors there are the balance and walking problems, becoming necessary the evaluation of these parameters for targeting care to prevent falls. Objective: evaluating the balance and the walk as predictors of the risk of falls in the elderly. Methods: a cross-sectional, exploratory and quantitative study conducted with 130 elderly. There were evaluated the balance and the walking through the Tinetti Scale and the data were analyzed using statistical software. The study was approved by the Ethics Committee under the advice number 963.157. Results: 60% of the sample presented an average risk for falls, and the average test of balance and walking was lower among older people with a history of falls. Conclusion: it is recommended that nurses perform multidimensional geriatric assessment in order to detect changes and minimize the risk of falls in the elderly.

Sobrecarga en los cuidadores familiares de ancianos accidente cerebrovascular

Objetivo: Investigar a prevalencia e associacao da sobrecarga com caracteristicas do individuo com sequela de acidente vascular encefalico e do cuidador. Metodos: Estudo descritivo, transversal, com abordagem quantitativa, realizado na cidade de Joao Pessoa - PB. Os participantes foram 136 cuidadores familiares. Para a coleta de dados, aplicou-se a escala de Barthel e Zarit Burden Interview. Resultados: Evidencia-se alta prevalencia de sobrecarga entre os cuidadores (77,2%), a qual apresentou associacao estatisticamente significativa com as seguintes caracteristicas: individuos com sequela de acidente vascular encefalico com 65 anos ou mais, com grau de dependencia muito grave, cuidadores do sexo feminino, com faixa etaria adulta e com baixo grau de escolaridade. Conclusao: Destaca-se a importância pratica de intervencoes realizadas por enfermeiros e demais profissionais de saude com relacao as orientacoes e supervisoes referentes ao cuidado dispensado ao cuidador familiar de individuos com sequela de acidente vascular encefalico.