Walterlânia Silva Santos

Empowering a group of seniors in a rural community

OBJETIVO Descrever as fases do processo de potencializacao de um grupo de terceira idade de uma comunidade rural. METODO Pesquisa convergente assistencial cujo fundamento e utilizar o espaco da pratica. Conduzida com a proposta de mudar a praxis de 21 idosos e nove profissionais de saude, com vistas a sua potencializacao para a promocao da saude. Os dados foram coletados durante 22 encontros, alem de entrevistas grupais ao final da intervencao. RESULTADOS Mostraram que apesar do impacto inicial da mudanca, o grupo foi capaz de acolher a novidade, aproveitando o espaco para expressar angustias, compartilhar alegrias, construir novos conhecimentos, o que levou a incorporacao de mudancas que refletiram na elaboracao de habitos saudaveis e melhora no relacionamento interpessoal. CONCLUSAO A pesquisa convergente assistencial se constituiu em estrategia que modificou a vida grupal, potencializando as acoes de promocao da saude.OBJECTIVE To describe the stages of the empowerment process of a group of seniors in a rural community. METHOD Convergent care research whose foundation is to use the scope of practice. Conducted with the proposal to change the practice of 21 seniors and nine health professionals, with the aim of health promotion empowerment. Data were collected during 22 meetings, and group interviews at the end of the intervention. RESULTS Showed that despite the initial impact of the change, the group was able to welcome the new change, taking advantage of the space to express anxieties, share joys, and build new knowledge, which led to the incorporation of changes that reflected in the development of healthy habits and improvements in interpersonal relationships. CONCLUSION The convergent care research consisted of strategy that changed the groups lives, empowering them with health promoting actions.

Internações sensíveis à atenção primária à saúde em hospital regional do Distrito Federal

OBJECTIVE to characterize hospitalizations for sensitive conditions to primary care of a regional hospital in the Federal District. METHOD this is a descriptive study, such as case series that considered users admitted between 2008 and 2012 in the Regional Hospital of Ceilândia. The selection of hospitalizations was based on the Brazilian List, and the data were obtained from the Hospital information System. The descriptive statistics was used in the data processing and analysis. RESULTS ACSC (Ambulatory Care Sensitive Conditions) showed a growth tendency, mainly due to cerebrovascular diseases, lung diseases and infections in the kidney and urinary tract. Female and elderly patients showed a higher frequency of hospitalizations. CONCLUSION the results may help managers and health professionals to implement actions that aim higher solvability of primary care, and contribute to the systematization of nursing care and improved health care.

Hospitalizations sensitive to primary health care at a regional hospital in the Federal District

OBJECTIVE to characterize hospitalizations for sensitive conditions to primary care of a regional hospital in the Federal District. METHOD this is a descriptive study, such as case series that considered users admitted between 2008 and 2012 in the Regional Hospital of Ceilândia. The selection of hospitalizations was based on the Brazilian List, and the data were obtained from the Hospital information System. The descriptive statistics was used in the data processing and analysis. RESULTS ACSC (Ambulatory Care Sensitive Conditions) showed a growth tendency, mainly due to cerebrovascular diseases, lung diseases and infections in the kidney and urinary tract. Female and elderly patients showed a higher frequency of hospitalizations. CONCLUSION the results may help managers and health professionals to implement actions that aim higher solvability of primary care, and contribute to the systematization of nursing care and improved health care.

Acolhimento na atenção primária à saúde na ótica de enfermeiros

Objective To understand how the welcoming process occurs in the basic health units from the viewpoint of nurses. Methods An exploratory study with a qualitative approach that used semi-structured interviews, and adopted the content analysis technique proposed by Bardin for data analysis. Results Among the ten interviewed, nine were female. Analysis of the statements led to the emergence of access and the work process as empirical categories. Conclusion Welcoming is performed in the Basic Health Units of a Regional Federal District, but not in a structured manner, nor is it grounded in the recommendations of the Ministry of Health.

Potencializando um grupo de terceira idade de uma comunidade rural

OBJETIVO Descrever as fases do processo de potencializacao de um grupo de terceira idade de uma comunidade rural. METODO Pesquisa convergente assistencial cujo fundamento e utilizar o espaco da pratica. Conduzida com a proposta de mudar a praxis de 21 idosos e nove profissionais de saude, com vistas a sua potencializacao para a promocao da saude. Os dados foram coletados durante 22 encontros, alem de entrevistas grupais ao final da intervencao. RESULTADOS Mostraram que apesar do impacto inicial da mudanca, o grupo foi capaz de acolher a novidade, aproveitando o espaco para expressar angustias, compartilhar alegrias, construir novos conhecimentos, o que levou a incorporacao de mudancas que refletiram na elaboracao de habitos saudaveis e melhora no relacionamento interpessoal. CONCLUSAO A pesquisa convergente assistencial se constituiu em estrategia que modificou a vida grupal, potencializando as acoes de promocao da saude.OBJECTIVE To describe the stages of the empowerment process of a group of seniors in a rural community. METHOD Convergent care research whose foundation is to use the scope of practice. Conducted with the proposal to change the practice of 21 seniors and nine health professionals, with the aim of health promotion empowerment. Data were collected during 22 meetings, and group interviews at the end of the intervention. RESULTS Showed that despite the initial impact of the change, the group was able to welcome the new change, taking advantage of the space to express anxieties, share joys, and build new knowledge, which led to the incorporation of changes that reflected in the development of healthy habits and improvements in interpersonal relationships. CONCLUSION The convergent care research consisted of strategy that changed the groups lives, empowering them with health promoting actions.

Quality of life and time since diagnosis of Diabetes Mellitus among the elderly

Objectives: To evaluate the quality of life of the elderly with Diabetes Mellitus and to relate the time since diagnosis of diabetes with the quality of life of elderly persons receiving care at a basic health unit. Method: A cross-sectional quantitative study carried out in a Basic Health Unit with 196 elderly persons. For data collection, three instruments were used: one structured (sociodemographic and clinical variables) and the Whoqol-bref and Whoqol-old, with scores ranging from 0 to 100. Descriptive statistical analysis, Student’s T-test and Pearson’s correlation were performed. Results: Of the 196 diabetic patients, the majority were male (54.6%) with a mean age of 67.5 (±6.5) years. The mean time since diagnosis of Diabetes Mellitus was 9.1 years. The domains of the Whoqol-bref with the highest scores, indicating better quality of life, were Social Relations and Psychological, while a worse quality of life was observed in Environment. The facets of the Whoqol-old with the best scores were: Intimacy and Past, Present and Future Activities, and the worst was Death and Dying. The domains associated with one another were Physical and Psychological, Physical and Social Relations, and Psychological and Environmental. The associated aspects were Past, Present and Future Activities and Social Participation. Elderly persons with more than ten years of Diabetes Mellitus had worse quality of life scores in Physical (p=0.001), Social relations (p=0.002), and in the Autonomy (p=0.0012), Social Participation (p=0.041) and Death and Dying (p=0.001) facets. Conclusion: The time of diagnosis of Diabetes Mellitus was negatively associated with the quality of life of the elderly, with worse scores in most domains and facets of the Whoqol.

Lower quality of life, lower limb pain with neuropathic characteristics, female sex, and ineffective metabolic control are predictors of depressive symptoms in patients with type 2 diabetes mellitus treated in primary care

The primary objective of this study was to identify if lower limb pain with neuropathic characteristics is predictive of depressive symptoms in patients with type 2 diabetes mellitus (T2DM) treated in primary care in Brazil. It was investigated if diabetic and non-diabetic related variables could influence depressive symptoms. A quantitative and cross-sectional study was carried out in two Basic Health Units with users of the Brazilian Public Healthcare System, who were evaluated for depressive symptoms (BDI), quality of life (QoL, SF6D), pain intensity, neuropathy (loss of plantar sensitivity—LOPPS), body composition (DEXA), biochemical tests, sociodemographic variables, and comorbidities. The patients were stratified into four groups: N+P+, N+P−, N−P+, and N−P− (N = neuropathy and P = pain). One hundred twenty-one diabetics were selected by random sampling between August 2016 and June 2017. Neuropathy affected 53.8% of these individuals, and 59.5% reported intense pain. Overall depressive symptoms scores showed a positive correlation with pain intensity and a negative correlation with QoL. Depressive symptoms were reported by 66.9% of the sample, mostly female, with better levels of cholesterol, HDL and LDL; comorbidities; worse QoL; greater intensity of pain; impaired sleep; and painful neuropathy (N+P+). The predictive factors for depressive symptoms were lower QoL, pain with neuropathic characteristics, female sex, obesity, and ineffective glycemic control. These data may contribute to the understanding of the complexity of patients with T2DM who are treated in primary care and to public policies planning of care directed at the needs of this population.

Mapping the Medication System: Weaknesses and Risk Management

Secure systems aimed at preventing medication error are the essential. Our objective was to describe and map the medication system of a large hospital in Brasilia, DF, Brazil and propose risk management strategies for their principal weaknesses. For this cross-sectional, exploratory, and descriptive study, the data was collected with the support of two nurses trained by the researcher. Direct observations and semi-structured interviews of professionals involved in the medication system covered the processes: prescription, dispensing, preparation, and administration of medications. The data collection period was from May 8 to 22, 2012. Eight nursing technicians from this study site, who are responsible for the preparation and administration of medications, participated in the study. We identified 34 activities, undertaken by different professionals, which show the complexity and greater possibility of error. The weaknesses identified include interruptions, displacement, environmental problems, human resources, lack of patient identification, infrastructure, technical problems during preparation and administration, as well as deficiencies in compliance with rules and security protocols. It was concluded that the more the process is computerized the less weaknesses are present. Therefore, implementation of risk management strategies and the use of technologies are needed to detect and reduce risks to ensure the quality of the executed processes.

Potenciando a un grupo de tercera edad de una comunidad rural

OBJETIVO Descrever as fases do processo de potencializacao de um grupo de terceira idade de uma comunidade rural. METODO Pesquisa convergente assistencial cujo fundamento e utilizar o espaco da pratica. Conduzida com a proposta de mudar a praxis de 21 idosos e nove profissionais de saude, com vistas a sua potencializacao para a promocao da saude. Os dados foram coletados durante 22 encontros, alem de entrevistas grupais ao final da intervencao. RESULTADOS Mostraram que apesar do impacto inicial da mudanca, o grupo foi capaz de acolher a novidade, aproveitando o espaco para expressar angustias, compartilhar alegrias, construir novos conhecimentos, o que levou a incorporacao de mudancas que refletiram na elaboracao de habitos saudaveis e melhora no relacionamento interpessoal. CONCLUSAO A pesquisa convergente assistencial se constituiu em estrategia que modificou a vida grupal, potencializando as acoes de promocao da saude.OBJECTIVE To describe the stages of the empowerment process of a group of seniors in a rural community. METHOD Convergent care research whose foundation is to use the scope of practice. Conducted with the proposal to change the practice of 21 seniors and nine health professionals, with the aim of health promotion empowerment. Data were collected during 22 meetings, and group interviews at the end of the intervention. RESULTS Showed that despite the initial impact of the change, the group was able to welcome the new change, taking advantage of the space to express anxieties, share joys, and build new knowledge, which led to the incorporation of changes that reflected in the development of healthy habits and improvements in interpersonal relationships. CONCLUSION The convergent care research consisted of strategy that changed the groups lives, empowering them with health promoting actions.