DISSERTAÇÃO DE MESTRADO - PROGRAMA DE PÓS-GRADUAÇÃO EM ENFERMAGEM

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Navegando DISSERTAÇÃO DE MESTRADO - PROGRAMA DE PÓS-GRADUAÇÃO EM ENFERMAGEM por Autor "COIMBRA, Liberata Campos"

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    AVALIAÇÃO DA ATENÇÃO À PESSOA PORTADORA DE DOENÇA RENAL CRÔNICA NA ATENÇÃO BÁSICA À SAÚDE NA PERSPECTIVA DE USUÁRIOS, FAMILIARES E PROFISSIONAIS DE SAÚDE
    (Universidade Federal do Maranhão, 2017-10-13) FREITAS, Maria de Jesus Rodrigues de; LAMY, Zeni Carvalho; 128326933-34; http://lattes.cnpq.br/9896819318523369; LAMY, Zeni Carvalho; 128326933-34; http://lattes.cnpq.br/9896819318523369; PACHECO, Marcos Antônio Barbosa; http://lattes.cnpq.br/2293822271258933; SERRA, Jacira do Nascimento; http://lattes.cnpq.br/4831631346909667; COUTINHO, Nair Portela Silva; http://lattes.cnpq.br/0041085284657642; COIMBRA, Liberata Campos; http://lattes.cnpq.br/9128715784318958
    Introduction: Chronic Kidney Disease is a serious public health problem. Diabetes Mellitus and Arterial Hypertension are the main causes of the disease, easily diagnosed and treated by programs used in public health. Primary Health Care is the level of preferential attention to promote prevention and early diagnosis of cases of the disease. Objective: To evaluate the attention given to the person with Chronic Renal Disease in Basic Health Care from the perspective of patients, family members and health professionals. Methodology: Qualitative evaluation research performed in households of patients with Chronic Renal Disease, hemodialysis units and Basic Health Units of Belém-Pará. Participants were patients with chronic kidney disease, older than 19 years old, diabetic and hypertensive, living in Belém and who undertook hemodialysis in 2015, through the Unified Health System; family members indicated by the patients; physicians and nurses of Primary Health Care. In the analysis, the technique of Content Analysis in the Thematic modality was used. Results: The first article evaluated the Trajectories of Care of Chronic Renal Disease patients, seeking to identify the functions of Primary Health Care. Three Trajectories were identified: 1) Did not seek the Basic Health Unit; 2) He sought the Basic Health Unit, but did not receive the diagnosis; 3) Received a diagnosis in the Basic Health Unit and was referred to the specialty. The second article evaluated the attention given by the Basic Health Care to people with Chronic Kidney Disease, from the perspective of the interviewees, whose analysis resulted in two categories: 1) Primary Care is the place of people with Chronic Disease? (Distrust in Primary Care, Primary Care does not deal with Chronic Kidney Disease, Indifference of the multiprofessional team, Ineffectiveness in communication in the care network); 2) Basic Health Care loses contact with users on hemodialysis treatment. Conclusion: The care trajectories revealed irregular flows of care in the care network. Patients and their families did not perceive Basic Health Care as a place of care. For most professionals, Basic Health Care did not perform its function as coordinator of care, did not identify Chronic Kidney Disease and did not guarantee the maintenance of the link after starting treatment.
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    A experiência de trabalho das enfermeiras nas ações de atenção primária à saúde no Maranhão na década de 1980: o resgate da memória
    (Universidade Federal do Maranhão, 2018-02-28) RODRIGUES, Kardene Pereira; COIMBRA, Liberata Campos; 271325363-20; http://lattes.cnpq.br/9128715784318958; COIMBRA, Liberata Campos; 271352363-20; http://lattes.cnpq.br/9128715784318958; CABRERA, Isabel Ibarra; http://lattes.cnpq.br/0765622564575420; SILVA, Elza Lima; http://lattes.cnpq.br/6524486747562167; SILVA, Tatiana Raquel Reis; http://lattes.cnpq.br/1154566878083509
    In the 1980s, the sedimentation of the private hospital model of health was being studied, and at the same time the aim was to redesign the function of the state, municipal and outpatient health units of INAMPS, as well as discussions on the participation of health professionals in Integrated Health Actions (AIS), which emphasized Primary Health Care. Nursing work in Primary Care is seen as the effective promotion and protection of the health of the population, making use of knowledge of the nursing sciences as well as the social sciences and public health, this statement was made by the Scope and Standards of Public Health Nursing Practice. The recognition that memory is, above all, a continuous and updated reconstruction of the past is a consensus among scholars. The fact is that memory is more a conjuncture than a content, an always attainable purpose, a composite of strategies. It is a descriptive study, with a qualitative approach, using as methodological instrument Oral History and analyzed by the thematic-categorial content of Bardin. According to DataSus, in the Maranhão of the 1980s the resident population was 3,996,445 distributed among 129 municipalities and in São Luís the resident population was 449,433 inhabitants. In the early 1980s the State of Maranhão had high rates of maternal and infant mortality, with diarrheal diseases, low vaccination coverage, low adherence to breastfeeding, malnutrition and low rates of prenatal follow- factors that generated the high rates. The infant mortality rate was approximately 130 / 1,000NV, the second highest rate in the Northeast. in APS the nurse is a valuable leadership in territories of extreme poverty, they act in the management and assistance with interference in the processes of reflection, actions of health promotion and integrality of care next to this reality. The 1980s are considered as one of the decades that have occurred most changes in the nursing profession, challenging the hegemony of positivism that dominated the health area. In the experiment studied, the nurses involved independently exercised the care mainly to pregnant women and children through the nursing consultation. They performed prenatal and child care in Health Centers and this action may be considered a pioneer in Maranhão.