Zélia Maria de Sousa Araújo Santos

Quality of life of Brazilian women with urinary incontinence and the impact on their sexual function

INTRODUCTION AND OBJECTIVE Sexual function may be affected in women with urinary incontinence (UI), but data regarding this association are controversial. The aim of this study was to assess the impact of sociodemographic characteristics in the sexual function of Brazilian women with UI. STUDY DESIGN Cross-sectional study with 251 women with UI in the period from April to June 2014. Firstly, sociodemographic and pelvic floor dysfunctions (PFD) characteristics were compared between groups of women with and without sexual activity. Secondly, we compared the variables above with the total score of Pelvic Organ Prolapse and/or Urinary Incontinence Sexual Questionnaire (PISQ-12). For continuous variables, we used the Mann-Whitney or Kruskal-Wallis test; for categorical variables we used the chi-square statistic considering the difference of p<0.05. RESULTS Women with sexual activity tend to be younger, to be premenopausal, have a steady partner and not be hypertensive. The mean total score of PISQ-12 was 27.30. Women who attended elementary school, with coital UI, with moderate constipation and symptomatic prolapse have worse sexual function. Premenopausal women with mixed urinary incontinence have worse sexual function than those with stress urinary incontinence. CONCLUSION The association between sexual dysfunction and UI deserves special attention from health professionals. The care of the maintenance or restoration of sexual well-being should be offered to all women, regardless of age, since UI may affect sexual life and QoL of these women.

Aplicação do modelo de crenças em saúde na adesão do trabalhador hipertenso ao tratamento

Estudo descritivo e qualitativo que objetivou analisar as mudancas comportamentais em trabalhadores hipertensos na adesao ao tratamento, apos aplicacao de uma tecnologia em saude embasada no Modelo de Crenca em Saude. O cenario da pesquisa foi uma instituicao filantropica e, apos a proposta de educacao em saude, os participantes foram entrevistados. Selecionamos as seguintes categorias tematicas: percepcao da severidade da HAS, percepcao dos beneficios da adesao, percepcao dos custos da mudanca, identificacao das mudancas visando a adesao e motivacao para o estabelecimento de metas para a mudanca. Os dados alcancados reforcam a educacao em saude do trabalhador hipertenso como estrategia de mudanca de habitos e valores pela aquisicao de novos conhecimentos e adocao de atitudes favoraveis a saude, atraves de uma educacao critica e transformadora, em que o sujeito assume participacao ativa no processo de aprendizagem.

140 Nurses working process of evaluation and doctors in the prevention of factors hypertension risk pregnancy

The Prenatal Care (APN) appears as an instrument to extend assistance beyond the purely curative question , enabling these pregnant women for self-care and therefore to maintain their health. It is important to point out that prenatal care should not be restricted to the clinical and obstetric actions, but include health education actions in the routine of comprehensive care, as well as anthropological, social, economic and cultural rights, which should be known by professionals who assist pregnant woman, seeking to understand them in the context in which they live and encouraging the pregnant woman globally participate in decisions involving their health. This study aimed to evaluate the prenatal care with a focus on structure and process from the perspective of the Family Health Team (EqSF) and coordinators of primary care units in Health (UAP). Research evaluative type, held on 20 UAP with 14 coordinators of units, 36 nurses and 35 doctors. The UAP presented with an unsatisfactory structure for prenatal care quality. The physical plant, material resources, the system of care and the queues have exposed the need for a more careful look, by the management of the units. According to the criteria established in this study, the UAP are presented with an unsatisfactory structure for prenatal care quality. The physical plant, material resources, the system of care and the queues expose the need for a more careful look, by the management of the units, this first Donabedian assumption. Based on the analysis of the results EqSF lacks a reflection on their work process in promoting women’s health, so that the service can offer a quality APN. As for the process, it was observed that nurses (as) and the doctors had similar attitudes when the approach and the behavior inherent in the physical examination. But nurses (the) were (as) that stood out as health educators.

Repercussões psicossociais do acidente vascular cerebral no contexto da família de baixa renda - doi: 10.5020/18061230.2010.p343

Resumen pt: Objetivo: Compreender as repercussoes psicossociais do Acidente Vascular Cerebral (AVC) no contexto familiar de baixa renda. Metodos: Pesquisa qualitativ...