PROGRAMA DE PÓS-GRADUAÇÃO EM ENFERMAGEM - PPGENF

URI Permanente desta comunidadehttps://tedebc-teste.ufma.br/handle/tede/672

Navegar

Agora exibindo 1 - 11 de 11

Análise espacial dos casos e óbitos da covid-19 e sua relação com indicadores socioeconômicos e de saúde no estado do Maranhão.
(Universidade Federal do Maranhão, 2023-04-12) ALENCAR, Larissa Karla Barros de; SOEIRO, Vanessa Moreira da Silva; http://lattes.cnpq.br/2013273011748287; CALDAS, Arlene de Jesus Mendes; http://lattes.cnpq.br/7214761052240294; CALDAS, Arlene de Jesus Mendes; http://lattes.cnpq.br/7214761052240294; SOEIRO, Vanessa Moreira da Silva; http://lattes.cnpq.br/2013273011748287; FERREIRA, Thaís Furtado; http://lattes.cnpq.br/1542923855954206; COUTINHO, Nair Portela Silva; http://lattes.cnpq.br/0041085284657642
Introduction: COVID-19 is an infectious disease, caused by the SARS-CoV-2 virus, with high transmissibility and global distribution. Since it was first reported in the city of Wuhan, China, in December 2019, the world has been following the exponential growth of cases of the disease. Objective: To analyze the spatial distribution of COVID-19 cases and deaths in Maranhão and its relationship with socioeconomic and health indicators. Methodology: Ecological study of all cases and deaths of COVID-19 in the state of Maranhão notified until August 2022 at the Secretary of State for Health. Socioeconomic and health indicators were collected from the online sites of the Brazilian Institute of Geography and Statistics (IBGE), Institute of Applied Economic Research (IPEA) and e-Gestor Assistência Básica. The dependent variables used were: incidence, mortality and lethality of COVID-19, and the independent ones were: resident population of the municipalities of Maranhão, Gini Index, Municipal Human Development Index (MHDI), Social Vulnerability Index (SVI), income per capita, proportion of poor people, household crowding, illiteracy rate of people aged 15 years or over, proportion of households with a general water network, unemployment rate of the population aged 18 years or over and coverage of Primary Care (AB). The incidence, mortality and lethality rates of the 217 municipalities in Maranhão were estimated. The Global Moran Index (I) was used to assess the existence of spatial autocorrelation with the dependent variables, and the Local Moran Index to identify high and low risk areas (clusters). The maps were made using the QGIS software version 3.12.0. To calculate the global spatial autocorrelation indices, as well as the regression models, the GeoDa software, version 1.14, was used. Result: Until August 31, 2022, 468,943 cases and 11,524 deaths from COVID-19 were reported in Maranhão. The municipality of São Luís registered the highest number of cases and deaths, with 73,218 (15.61%) and 2,873 (24.93%), respectively, and the municipality of Boa Vista do Gurupi registered the lowest number, 16 cases (0.003 %). The municipality of São Francisco do Brejão did not record a death from COVID-19. The highest incidence rate was recorded in the municipality of Lagoa do Mato (25,957.44/100,000 inhab.) and the lowest rate was in Boa Vista do Gurupi (188.36/100,000 inhab.). The highest mortality rate was recorded in Imperatriz (374.25/100,000 inhab.) and the highest lethality rate was in Boa Vista do Gurupi (31.25%). The Moran I Index showed positive spatial autocorrelation for incidence, mortality and lethality in the studied period, making it possible to identify clusters of high and low risk for the dependent variables. The Ordinary Least Squares Estimation (OLS) regression model confirmed spatial autocorrelation with the dependent variables. Incidence showed a positive association with the Gini Index and AB coverage, and a negative association with IVS, MHDI and proportion of poor people. Mortality was positively associated with the Gini Index and illiteracy rate and negatively associated with the proportion of poor people and IVS. Regarding lethality, there was a positive correlation with household crowding and a negative correlation with primary care coverage and illiteracy rate. Conclusion: The spread of COVID-19 occurred heterogeneously, with wide variation between the municipalities of Maranhão, making it possible to identify areas of greater and lesser risk for the disease. Socioeconomic and health indicators influenced the evolution of the pandemic, and that such characteristics should be considered in the formulation of public policies to control the disease, as well as to reduce existing inequalities in the State.
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.
Diagnósticos de Enfermagem de risco para eventos adversos relacionados à instalação do cateter vesical de demora
(Universidade Federal do Maranhão, 2014-08-28) BARROS, Lidiane Andréia Assunção; PAIVA, Sirliane de Souza
Bladder Catheterization Delay (BCD) is considered an important resource in health care with wide use in services. It is estimated that about 10% of hospitalized patients make use of this device and is indicated for: control urinary output during the periods trans and post-operative; treatment of diseases that lead to urinary retention; for monitoring in critically ill patients; Stage III and IV of ulcer for sacral pressure or perineal and for patients in urinary incontinence. Among other complications, can cause trauma, pain and bleeding, as well as being strongly associated with Urinary Tract Infection. Considering that the realization of BCD involves risk to patient security, outlined this search, aiming to construct the Nursing diagnoses that presented a risk for adverse event during the installation of bladder catheter, having specific objectives like: identify Nursing actions that presented noncompliance during the installation of bladder catheter and associate the actions identified to the potential impacts described in the literature. The study is characterized in descriptive and exploratory, developed with 06 nurses who realized the insertion of BCD in 56 patients in the operating room of a University Hospital in São Luís/MA. Three instruments were used, as follows: the Instrument A, form composed of sociodemographic data and profile information and professional expertise applied to nurses; the Instrument B, form containing questions related to sex, age and background data of patients and Instrument C, a check list composed for relevant steps to the procedure, filled during the performance of BCD by nurses in the operating room. The quantitative variables were analyzed using descriptive statistics and nursing diagnoses were identified as the shares that were not in compliance during insertion of BCD. For the construction of diagnostic was used the International Classification for Nursing Practice (ICNP). Among the diagnoses of Nursing risk for adverse events related to the insertion of BCD identified, we include: risk for infection; compromised asepsis technique; risk for injury and risk of cross-infection. The actions of Nursing identified as nonconforming with the technique of BCD were: hand hygiene before and after the procedure; guidance, positioning and privacy neglected; failure to use protective eyewear during BCD; aseptic technique not performed during the handling of materials; intimate hygiene in men not fulfilled in the correct sequence; precept of exchange of gases in each step not obeyed; not achieving of the cuff leak test (CLT) before the procedure; probe connection to catcher after insertion; bladder catheter not fixed as recommended; sterile gloves does not removed after the procedure; disposal of perforating-cutting unrealized; record of the procedure not effected. The relevant findings to the technique of insertion of bladder catheter allow us to infer that: despite being a technique widely in-hospital, it is not uncommon to identify actions not in accordance with the technique of BCD reflecting the lack of standardization of procedures among professionals that perform. Thus, patients become targets of errors due to these unsafe practices.
Distribuição espacial e temporal da tuberculose em povos indígenas no estado do Maranhão.
(Universidade Federal do Maranhão, 2016-08-04) Sá, Karina Vanessa Chagas da Silva; CALDAS, Arlene de Jesus Mendes; 067.220.913-68
Tuberculosis (TB) presents as a serious public health problem in the world, constituting a relevant infectious disease with high morbidity and mortality, particularly in indigenous people, considered a population at risk for having an incidence rate ten times higher if compared to the general population. Maranhão, from the point of view of the ethnic constitution of its population, has 38,831 indigenous people, distributed in 19 regional units of health. It's the objective of this study to analyze the spatial and temporal distribution of new cases of tuberculosis in indigenous in the state of Maranhão. We conducted an ecological study of historical series of new cases of TB in indigenous from 2010 to 2014 reported in the System for Notifiable Diseases Information System (SINAN). The population consisted of all new cases of tuberculosis in indigenous in the State of Maranhão , reported in the System for Notifiable Diseases Information System (SINAN), from January 2010 to December 2014. For mapping TB in indigenous was held the organization of addresses as to type of the public place,street name, house number, neighborhood, zip code, longitude, latitude, city of residence, health regional, state of residence. The results, after georeferencing of cases during the study period, were presented in thematic maps elaborated in the Geographical Information System (GIS), ArcGIS Program, version 10.1. As to the sociodemographic characteristics of the indigenous population, the highest frequency was observed in the age group of 20-39 years (38.8%), males (68.3%), with ≤8 years of study (50.0%) and residents in rural areas (74.2%); and clinical and laboratory aspects, the pulmonary form was the most frequent (94.4%) and the non-performance of the tuberculin skin test (78.7%), the positive Gram stain in the first sample (50.0%), the negativity second sample (32.0%), the non-performance of the culture (90.4%), and the negative result of HIV testing (53.4%). When evaluating TB cases per year of occurrence it was observed that 2012 (58,1 / 100.000 hab.) And 2014 (77,0 / 100,000 hab.) had the lowest incidence rates, and in 2010 (95,2 / 100,000 hab .) the highest. The areas of Regional Units of Health - RUH with the highest incidences were: Bacabal, Codó, Rosário, Pinheiro, São Luís, Itapecuru-Mirim, Balsas, Chapadinha e Presidente Dutra. It is concluded that the number of cases of TB in indigenous in Maranhao is still quite high and is distributed in RUH, especially in those presenting the highest concentration of indigenous areas, requiring the adoption of more effective measures to prevent and control the disease the indigenous population of the state.
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.
Histórico de Enfermagem: Manejo e Percepções de Enfermeiros no Contexto da Terapia Intensiva Pediátrica
(Universidade Federal do Maranhão, 2016-03-28) Pinheiro, Jaynara Menezes Sousa; SOUSA, Francisca Georgina Macedo de; 088.890.233-68
The Nursing Care Systematization is the methodology used to plan, execute and The Nursing Care Systematization is the methodology used to plan, execute and assess the care, having as essence the care as a working organization tool, the Nursing Process. That is operationalized by a team work, articulated and complementary, enabling the care continuity. The Nursing Process first stage was inserted at the Pediatric Intensive Care Unit of Maranhão Federal University Teaching Hospital in 2013. In the last two years this service has been through a plenty of work staff alterations due to retirement, resignation and new workers hiring. This fact, associated to matters of operation and work process, made us question: what conceptions are revealed by the nurses about the Nursing Process and how they deal with the assistance history operationalization? The research had as objectives: comprehend the nurses’ conceptions about the children care Nursing Process in intensive care; assess the registers and characterize the Nursing History handling in this Intensive Care Unit. It was used the research mixed method combining quantitative and qualitative research with statistical and textual analysis. For data obtainment, it was used the participant observation and primary data collection with the 12 nurses, supported by a questionnaire with open questions analyzed with the Content Analysis methodological support. The research second stage was documental and retrospective using as documental support 72 hospitalized children Nursing Histories in the period between January and August, 2015. For the Nursing History analysis it was used a tool made specifically for this goal, from the items of each Human Basic Need on the same mode they are presented on the Nursing History of the research service context. For the analysis of the Nursing History filling it was used scores which vary from 1 to 189 points. It was classified as Terrible (1 to 66 points); Bad (67 to 100 points); Regular (101 to 145 points); Good or Great (145 or more points). On the qualitative approach two thematic categories were built (Nursing History Valorization and Difficulties on the Nursing History Handling) and seven subcategories (First Contact and Bond Mobilizing Opportunity and Interactive Process; Care Planning and Management Instrument; Individualized and Enlarged Care Strategy; Risks Security and Minimization Resource; Nursing Valorization Instrument; Relative to Working Process; Relative to Nursing History Structure). The qualitative results revealed the nurses assign bureaucratic characteristics to the Nursing History, despite of considering it contributes for the integral care, ample and resolutive on an ambivalent construct between what they think and do as a substantial number of the analyzed items were incomplete or blank. Regarding the Nursing History filling 47,2% were classified as regular, 23,7% bad, 22,2% great and 6,9% terrible. The results characterized the Nursing History handling by nurses of the pediatric intensive care from a subjective and objective perspective of the data analysis revealing it as ambivalent, ambiguous and disqualified in terms of its filling during the nurse care practices.
INTERVENÇÕES DE ENFERMAGEM PROPOSTAS PELA NURSING INTERVENTIONS CLASSIFICATION PARA O DIANÓSTICO DE ENFERMAGEM DÉBITO CARDÍACO DIMINUÍDO.
(Universidade Federal do Maranhão, 2018-01-26) SOUSA, Adriana Maria Mendes de; ROLIM, Isaura Letícia Tavares Palmeira; 484.766.253-91; http://lattes.cnpq.br/8994540102582050; ROLIM, Isaura Letícia Tavares Palmeira; 484.766.253-91; http://lattes.cnpq.br/8994540102582050; ROUBERTE, Emília Soares Chaves; http://lattes.cnpq.br/8089145067855057; PASCOAL, Lívia Maia; http://lattes.cnpq.br/7758811580828545; AGUIAR, Maria Ísis Freire de; http://lattes.cnpq.br/0475321891273107; AQUINO, Dorlene Maria Cardoso de; http://lattes.cnpq.br/5825856303844157
The aim of the study was to analyze the use of interventions proposed by Nursing Interventions Classification indicated for Nursing Diagnosis. Cardiac output decreased in Pediatric Intensive Care Unit (UTIP). This is a descriptive and exploratory study carried out with nurses of the Pediatric Intensive Care Unit of a hospital in the city of São Luís – Maranhão, from September 2016 to October 2017. The research followed the established ethical principles, with appreciation and approval of the Committee of Ethics in Research of the University Hospital of the Federal University of Maranhão. Data collection was performed in three moments: survey of nursing activities together with the nurses of the UTIP, cross-mapping to compare non-standardized nursing data with the Nursing Interventions Classification (NIC) language, and analysis and refinement of data by the expert nurses. For quantitative analysis of the interventions, the content validity index was measured by arithmetic measures, determining critical and support interventions. A total of 113 activities were identified, which were mapped to 38 NIC activities, contained in 11 interventions, four of which were priority, five suggested and two optional. The interventions "Cardiac care", "Cardiac care: acute phase" and "Hemodynamic regulation" were the ones that presented the greatest number of reported activities; they are all part of the priority level, considered the most sensitive and likely to solve the problem. Ten expert nurses reorganized and modified some activities; they maintained others according to the language of the participants or according to the language of the taxonomy. After the refinement of the crossed mapping, nine activities remained according to the language described by the UTIP nurses, sixteen remained with the same NIC writing and thirteen were reorganized according to the suggestion of the expert nurses. For critical activities, averages greater than or equal to 0.8 were considered; the ones with the highest mean were: maintaining an accurate record of ingestion and elimination; monitor water balance; monitor respiratory status for symptoms of heart failure; monitor vital signs frequently, and check the prescription or medication request before giving the medicine. The study made it possible to identify that the use of the NIC taxonomy in the UTIP is adequate, with adjustments to the reality of the place. To all the activities reported by the nurses, were found equivalent in Nursing Intervention Classification for the diagnosis Decreased cardiac output.
Perfil epidemiológico, clínico e qualidade de vida de crianças afetadas pela hanseníase em um município hiperendêmico do Maranhão
(Universidade Federal do Maranhão, 2016-09-30) Loiola, Hermaiza Angélica do Bonfim; AQUINO, Dorlene Maria Cardoso de; 209.588.383-72
Leprosy is still a serious public health problem in Brazil, still has high rates of leprosy patients under the age of 15 years. The disease can have an impact on the lives of patients, which may affect the quality of life for them. Descriptive study aimed to analyze the epidemiological, clinical and quality of life of children affected by leprosy in a hyperendemic county of Maranhao. The study population consisted of children 5- 14 years old of both sexes, residents in Sao Luis - MA who were in treatment for the disease. For the analysis of the epidemiological and clinical profile, we used a form, and the quality of life, we used the Quality Score of life of child dermatology. 40 cases were analyzed, showed higher frequencies of males (55.0%), aged 12 to 14 years (45.0%), brown color (48.78%), 1st to 4th of education incomplete series of teaching fundamental (62.50%), residents Cohab district (47.50%) and family income above 01 minimum wage (72.50%). As the clinical features were 37.50% of Borderline way, 55.0% were classified as multibacillary operationally and 55.0% had degree of disability equal to 0. When evaluating the quality of life results were: no commitment (25%), mild (18%), moderate (40%) and severe (17%). And domain, it was observed that there was a higher frequency in mild impairment grade (60%) in symptoms and feelings during sleep and treatment.
PREVALÊNCIA E FATORES ASSOCIADOS À COINFECÇÃO TUBERCULOSE E VÍRUS DA IMUNODEFICIÊNCIA HUMANA (HIV) NO ESTADO DO MARANHÃO, NO PERÍODO DE 2001 A 2011
(Universidade Federal do Maranhão, 2014-04-28) Pereira, Luis Fernando Bogéa; CALDAS, Arlene de Jesus Mendes; CPF:06722091368; http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=N603359
In 2007 were estimated 9.27 million TB cases, 1.4 million of these were also seropositive for HIV. That same year were 456 000 registered cases of deaths from TB who were also infected with HIV. The association between tuberculosis (TB) and HIV infection affects mortality in two ways: TB presents significant lethality for people infected with HIV, and HIV acts as an indirect cause of the increased incidence of TB. Has to analyze the prevalence and factors associated with TB / HIV in patients with tuberculosis in the state of Maranhão. We conducted a cross-sectional analytical study of time series of TB cases notified in the period 2001 to 2011 in the state of Maranhão, totaling 4,553 cases of tuberculosis. Information was collected from the database of State Department of State Health Information Disease Surveillance System (SINAN). To identify associations between outcome (TB / HIV) and the independent variables (age, sex, race / color, education, middle region, place of residence, clinical type, input type, foreclosure situation), we used regression Poisson with robust adjustment of variance. Prevalence ratios (PR) and the ranges of 95 % confidence intervals (95 % CI) were estimated. We found a prevalence of TB / HIV coinfection of 15,1 % in the state. The highest prevalence ranged from 52.9 % in 2001, 11.8% in 2011, and the minimum prevalence ranged of1, 8 % in 2001, 5.9% in 2011. The prevalence of anti - HIV tests ranged from 4.3 % in 2001, 65.9% in 2011. According to the crude analysis, the most significant associations for TB / HIV were males (p ≤ 0.001), age group 20-39 years (p = 0.003) and 40-59 years (p = 0.036) have ≤ 8anos study (p = 0.001), be transferred (p = 0.053), living on the west mesoregion state (p = 0.009) and have closure for oncompliance (p = 0.016) or death (p ≤ 0.001). In the adjusted analysis, both males, age 29-30 years ≤ 8 years, living in the middle region west of the state, like having closure due to death, proved significant for TB / HIV coinfection. On the other hand, the non-white category and Pulmonary TB is presented both as a protective factor in the crude analysis as adjusted, and age ≥ 60 years in only adjusted. High rate of TB / HIV in the state (15,1%), being clear that young males with low education may be contributing to this increase was observed. There needs to adopt specific strategies to monitor this clientele, seeking to reduce the rate of coinfection.
Ser–pessoa–idosa com sequelas da covid-19: um estudo fenomenológico
(Universidade Federal do Maranhão, 2023-02-10) CASTRO, Polyanna Freitas Albuquerque; SILVA, Líscia Divana Carvalho; http://lattes.cnpq.br/8574936257819873; DIAS, Rosilda Silva; http://lattes.cnpq.br/6699170604660310; DIAS, Rosilda Silva; http://lattes.cnpq.br/6699170604660310; SILVA , Líscia Divana Carvalho; http://lattes.cnpq.br/8574936257819873; SILVA, Andrea Cristina Oliveira; http://lattes.cnpq.br/6318715436250827; BORBA, Ana Karla de Oliveira Tito
The Covid-19 pandemic is configured as the biggest public health challenge experienced in recent decades and although it represents an acute disease, most of those infected have experienced persistent symptoms and health consequences due to sequelae and complications. The objective of this research is to understand the meanings of the experience of being an elderly person with a sequel to Covid-19. Methodology: descriptive study with a qualitative approach developed at the Municipal Post-Covid-19 Reference Center in the municipality of São Luís, Maranhão. Elderly people were selected as an eligibility criterion who presented in their medical records a record of care by at least two professionals, among them the nurse, and a Post-Covid-19 Functional Status Scale (PCFS) score with a minimum value of one (1.0). Of the total of twenty-two (22) elderly people with PCFS greater than one (1.0), ten (10) elderly people participated in the phenomenological interview. The interview took place from May to July 2022 . The theoretical-methodological framework used was Martin Heidegger's Phenomenology. There was a predominance of age between 60 and 69 years, female, married/stable union and widows, retired, with income between 0 and 1 minimum wage. The most prevalent comorbidities were Systemic Arterial Hypertension and Diabetes Mellitus. Most were sedentary, few were considered smokers, alcoholics and overweight. The understanding moment made it possible to identify six units of meaning: Being-ill-with Covid-19; The Physical Being with sequel of Covid-19; The Psychological Being with sequel of Covid-19; Being-dependent with Covid-19 sequel; The Being-with with sequel of Covid-19 and The Being-spiritual with sequel of Covid-19. The repercussions on physical and mental health and functionality put the elderly person in front of a new condition, a new Being-there with himself, with the world and with the other. It was understood that the sense of being-elderly-person with a sequel to Covid-19 revealed himself as resigned to the fact of existing, the being-there thrown into a world without choices, led the elderly person to experience the illness of the body by Covid-19, facing existential anguish generated by the pain and suffering of his clinical condition, insecurity and fear in relation to the future and the lives of those he loves. The Being-elderly-person with a sequel to Covid-19 was permeated by transformations in their daily life, awakening disturbing feelings such as insecurity, fear, frustration, sadness, anguish, loneliness. Spirituality and the family and social support network proved to be tools for coping with adversity, enabling resilience, improving well-being and quality of life. The elderly person who experienced, in their own, particular and singular way, the circumstances of the illness, sought in "themselves" possibilities to deal with negative feelings related to the sequelae of their disease, revealing that, even in the face of adverse situations caused by the sequelae of Covid-19, was the bearer of its own care. It is also noted that there are challenges in the complexity of health practices and in the completeness of care, especially in the concrete appreciation of the Being in its entirety .
SISTEMATIZAÇÃO DA ASSISTÊNCIA DE ENFERMAGEM NA UNIDADE DE TERAPIA INTENSIVA PEDIÁTRICA: enfrentando desafios e tecendo novos arranjos
(Universidade Federal do Maranhão, 2014-08-08) Santos, Danilo Marcelo Araujo dos; SOUSA, Francisca Georgina Macedo de; CPF:08889023368; http://lattes.cnpq.br/1722193481431509
The Nursing Care Systematization, through the application of Nursing Process, the nurse practice organizes and promotes their professional autonomy. The Nursing Process is divided into five interrelated and interdependent phases: Nursing History; Nursing Diagnosis; Planning; Implementation and Evaluation. The name and the amount of these phases may vary depending on nursing theory used to guide the practice. However, the meaning and the purpose of this systematic procedure is to take care of human beings. While nursing practice is characterized by legal determination of the Brazilian Nursing Council, the nursing care activities are systematized in all Brazilian institutions, whether public or private. Based on these assertions, the research was guided by the assumption that scientific and technical meetings will provide the search and development of knowledge, skills and competencies necessary for choosing the theoretical framework and the involvement of nurses in the Pediatric ICU of the University Hospital of the Federal University of Maranhão for deployment of Nursing Care Systematization into the unit. The objectives of this research and scientific/meetings or workshops about Nursing Care Systematization were easier with the nurses of the Pediatric Intensive Care Unit; improving knowledge and skills of nurses for deployment of Nursing Process; Nursing History building to support the Nursing Process to children and adolescents hospitalized in intensive care; support and monitor the stages of the construction, validation, testing and deployment process of the Nursing History; Deploy the Nursing History as the first phase of the Pediatric ICU Nursing Process. The methodological approach used was Assistant Convergent Approach (ACRA), since this methodology research is conducted concurrently with the scenario of professional practice in order to introduce changes or innovations. As a methodological resource supports the use of several different methods and techniques for collecting and analyzing data, however, in this investigation, data were obtained from scientific meetings and workshops with nurses and through Literature Review for identifying scientific evidence for construction of the Nursing History. The scientific evidence and the theoretical framework of Basic Human Needs Wanda Horta gave theoretical at this stage of the research support, so that nursing care reach the human being in its entirety. After construction, the History of Nursing underwent validation expertise and tuned to be tested in clinical practice. With the cooperation of the nurses was built the final version of the Nursing History to meet the care needs of children, adolescents and their families during hospitalization; and standardized abbreviations and acronyms to be used in nursing records. The History of Nursing built and deployed in the unit is not intended to generalizations and not terminating the multiple and complex needs that arise in the setting of pediatric intensive care, on the contrary, it should be improved where necessary.

Navegar

Navegando PROGRAMA DE PÓS-GRADUAÇÃO EM ENFERMAGEM - PPGENF por Título