Mestrado

Risco de quedas e fatores associados em idosos comunitários residentes de São Leopoldo/RS

Fri, 29 Aug 2025 00:00:00 GMT

Risco de quedas e fatores associados em idosos comunitários residentes de São Leopoldo/RS Silveira, Eduarda Vitória Fadini This master’s dissertation from the Graduate Program in Public Health at UNISINOS aimed to investigate the prevalence and factors associated with fall risk among community-dwelling older adults in São Leopoldo. This is a cross-sectional analytical observational study, with a sample composed of 136 older adults linked to the municipal Health Care Network. Fall risk was assessed using the Timed Up and Go (TUG) test, being classified as moderate/high in 11% of the participants. Bivariate analysis identified significant associations between fall risk and fear of falling, history of falls, reduced handgrip strength, and higher SARC-F scores. In the multivariable logistic regression, poorer performance in the Five Times Sit-to-Stand Test (FTSST) and shorter distance covered in the Six-Minute Walk Test (6MWT) emerged as independent predictors of increased risk. The distinctive feature of this research lies in the unprecedented integration of multiple functional, muscular, and clinical indicators in a Brazilian community-dwelling older population, demonstrating that low-cost, simple, and applicable instruments in the daily routine of Primary Health Care can enable the early identification of older adults in situations of functional vulnerability. The originality of the study resides in translating physical performance measures into objective and feasible screening tools, providing direct support for clinical practice, intervention planning, and the design of public policies. As outcomes, the study highlights the creation of a pioneering epidemiological and functional database in Southern Brazil, the validation of clinical risk predictors, the production of a scientific article under submission to an international journal, and the training of new researchers integrated into collaborative networks. It is concluded that the findings of this dissertation have immediate practical relevance and transformative potential: by proposing accessible predictors, the study not only contributes to science but also offers concrete solutions to reduce fall risk, prevent disabilities, and promote healthy aging, with a positive impact on both the quality of life of the older population and the sustainability of health systems.

A qualidade da relação líder-membro e a saúde mental de trabalhadores do Rio Grande do Sul

Thu, 27 Mar 2025 00:00:00 GMT

A qualidade da relação líder-membro e a saúde mental de trabalhadores do Rio Grande do Sul Lanzarin, Bruna Santini Within organizations, workers develop interpersonal relationships, especially the leadermember relationship, in which the leader directs and influences the work of his subordinate. This relationship can affect the worker's mental health, producing positive or negative effects for them. Therefore, the present study aims to investigate the association between the quality of the leader-member relationship and the health and mental illness of workers in Rio Grande do Sul. It will be a quantitative study, with a cross-sectional approach and a descriptive correlational design. A sample of 404 workers from the state of Rio Grande do Sul is estimated, led for at least 6 months by the same leader. The following instruments will be used for data collection: 1) Sociodemographic Data Sheet; 2) Multidimensional Leader-Member Exchange; 3) Depression, Anxiety and Stress Scale (DASS-21); and 4) Continuum Mental Health Scale. For data analysis, reliability assessments of the instruments, descriptive analyses, Person or Speman correlations and multiple regression analyzes will be carried out. It is hoped, through this study, to expand knowledge about the leader-member relationship and its effects on workers' mental health, in order to help guide the work of professionals who work in institutional contexts.

Avaliação da atividade antimicrobiana da nanoemulsão do óleo essencial das folhas da Cúrcuma Longa L

Thu, 28 Aug 2025 00:00:00 GMT

Avaliação da atividade antimicrobiana da nanoemulsão do óleo essencial das folhas da Cúrcuma Longa L Kirsten, Camila Nedel

Prática de suplementação de micronutrientes em pacientes com síndrome metabólica e obesidade: análise da ingestão dietética e conduta profissional

Fri, 29 Aug 2025 00:00:00 GMT

Prática de suplementação de micronutrientes em pacientes com síndrome metabólica e obesidade: análise da ingestão dietética e conduta profissional Soyer, Aline de Brito Metabolic Syndrome (MS) is characterized by a cluster of interrelated risk factors, including abdominal obesity, hyperglycemia, hypertension, and dyslipidemia, and is associated with an increased risk of type 2 diabetes (T2DM), cardiovascular events, and mortality. Obesity and T2DM are chronic conditions with high prevalence and significant impact on public health. Despite frequently excessive caloric intake, individuals with these conditions may present deficiencies in essential micronutrients, such as magnesium, zinc, and selenium, which play key roles in metabolic, inflammatory, and antioxidant processes. This study aimed to evaluate micronutrient supplementation practices in patients with obesity and/or metabolic syndrome through the analysis of dietary intake and professional practices. In addition, it discusses the influence of nutritional ecology and the mismatch between modern diets and ancestral human physiology in the rising prevalence of nutritional deficiencies. Among the main methodologies employed, 18 adult patients diagnosed with obesity and/or metabolic syndrome answered the Food Frequency Questionnaire (ELSA-Brazil – reduced version) and another instrument assessing health status. For 17 health professionals (physicians and nutritionists), a structured questionnaire was applied to map clinical practices related to micronutrient screening and supplementation. The main findings revealed dietary intakes below the recommendations for all micronutrients assessed. Principal Component Analysis (PCA) and heatmap visualization indicated heterogeneous dietary patterns among participants. Regarding professional practice, there was wide variability in prescription strategies, administration routes, and criteria for evaluating treatment response, with no standardized protocols in place. Taken together, these findings suggest a high risk of subclinical deficiencies and highlight the need for personalized and standardized nutritional strategies, as well as training of health professionals for the appropriate management of these patients.

O cuidado e a saúde revelados pelas lentes de adolescentes: um olhar necessário à Rede de Atenção à Saúde do Município de São Leopoldo/RS

Tue, 30 Mar 2021 00:00:00 GMT

O cuidado e a saúde revelados pelas lentes de adolescentes: um olhar necessário à Rede de Atenção à Saúde do Município de São Leopoldo/RS Berlitz, Betina

Adaptação e evidências de validade do questionário Children’s Social Behavior Questionnaire - CSBQ

Tue, 29 Aug 2023 00:00:00 GMT

Adaptação e evidências de validade do questionário Children’s Social Behavior Questionnaire - CSBQ Ferreira, Luiza Mattos Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder, whose core symptoms are characterized by changes in social interactions and communication, restricted interests and repetitive behaviors. Despite the high prevalence of this disorder, there is still a lack of instruments available in Brazil, particularly for mild cases, implying a delay in diagnosis. The present dissertation has two studies with the objective of adapting and obtaining evidence of validity of the Children's Social Behavior Questionnaire (CSBQ) instrument for use in the Brazilian context. In Study I, the process of adapting the instrument is described, with stages of translation, back-translation, assessment of the pertinence and clarity of the items by expert judges and the target audience (family members of children and adolescents). In Study II, two collections were carried out, one through an online survey and the other with 20 relatives of children with a clinical diagnosis of ASD, obtaining evidence of instrument validity data through clinical criteria and convergence with other instruments. The internal consistency of the general scale and the factors assessed by the questionnaire were analyzed. Finally, it is expected that the adapted version and evidence of validity of the Brazilian version of the CSBQ instrument can help identify ASD symptoms in individuals at different levels of the disorder, facilitating access to their treatment.

Determinantes da não retenção de usuários de um serviço de HIV e AIDS do Rio Grande do Sul: um estudo de caso-controle

Fri, 19 Mar 2021 00:00:00 GMT

Determinantes da não retenção de usuários de um serviço de HIV e AIDS do Rio Grande do Sul: um estudo de caso-controle Soares, Cassiana Borges OBJECTIVE: To know the determinants of non-retention in health care of people living with HIV and / or AIDS (PLWHA) in a specialized service in Porto Alegre, Rio Grande do Sul. METHODS: Case-control study among PLWHA over 18 years of age retained and not retained in continued health care, in 2018. A total of 344 medical records, 86 cases and 258 matched controls per year of admission to the clinic were analyzed. Variables with p ≤ 0.20 in the bivaried analysis were taken for multivariate analysis, exposures with p ≤ 0.05 were considered associated with the outcome. Poisson regression was used, according to a hierarchical model of analysis. RESULTS: Being unemployed, having a history of homelessness and being an alcohol user were significantly associated with non-retention. Among the clinical factors, having other diseases remained associated with the outcome as a protective factor. CONCLUSION: The findings of this study showed the association of nonretention with factors of social vulnerability and explained that social inequalities implied in reducing the maintenance of these individuals in longitudinal care. Therefore, it is essential that the SDH be taken into account when dealing with the HIV epidemic.

Suporte social e saúde mental em pessoas privadas de liberdade

Thu, 16 Jan 2025 00:00:00 GMT

Suporte social e saúde mental em pessoas privadas de liberdade Georg, Pâmela People deprived of liberty face challenging conditions, such as overcrowding and limited access to fundamental rights provided for in criminal legislation, but not always guaranteed by structural barriers and social stigmas. Social support is essential throughout the prison cycle, functioning as a bridge between the prison environment and the outside world, promoting balance and mental health. Family visits stand out as the main support mechanism. The dissertation covers two studies on social support in the prison context. The first, qualitative, interviewed five men deprived of their liberty, exploring their perceptions about the support they received. The categorical analysis identified three main axes — family, friends and significant others — highlighting the role of visits, emotional support and the fear of being forgotten. Exchanging letters also emerged as a form of support in the context of friendships. The second study, quantitative and descriptive, analyzed 64 participants, comparing the levels of mental suffering (depression, stress and anxiety) between those who received visitors and those who did not. The results showed a weak relationship between social support and mental suffering, but revealed that inmates who received visits perceived a greater support network. The findings reinforce the importance of policies that encourage visits and positive contacts, aiming for well-being and social reintegration.

Primeiros socorros na escola: proposição de uma Unidade Temática para a Educação Física na 1ª fase do Ensino Fundamental em Trindade-GO

Thu, 29 Aug 2024 00:00:00 GMT

Primeiros socorros na escola: proposição de uma Unidade Temática para a Educação Física na 1ª fase do Ensino Fundamental em Trindade-GO Andrade, Hederson Pinheiro de The Physical Education curriculum in basic education is recognized as a privileged space to address health-related issues, emphasizing the need to include First Aid content. In light of the frequent accidents in schools and the insufficient knowledge of society in providing initial care, the proposal of a Thematic Unit on First Aid in the school curriculum emerges as an innovative response to meet educational guidelines and promote a positive impact on the lives of students and the community. This study aims to develop a Thematic Unit on First Aid in the Physical Education Curriculum Matrix for students in the first phase of Elementary School in Trindade-GO; to explore the existing content on First Aid in the Physical Education Curriculum Matrix for these students; to identify in the literature the most frequently taught First Aid topics for schoolchildren; and to formally submit the proposal to the Municipal Education Council of Trindade-GO for its official approval and subsequent incorporation into the school curricula. This methodological study was conducted in four stages: the first stage involved documentary research on the Physical Education Curriculum Matrix adopted in the municipality; the second stage comprised a literature review to identify the most frequent First Aid topics for schoolchildren; the third stage focused on developing the Thematic Unit on First Aid in the Physical Education Curriculum Matrix; and the fourth stage involved submission to the Municipal Education Council of Trindade-GO. Consequently, the study resulted in the creation of a Thematic Unit on First Aid in the Physical Education Curriculum Matrix for students in the first phase of Elementary School in Trindade-GO. According to the Coordination for the Improvement of Higher Education Personnel (CAPES), this work is classified as Stratum T1 under subtypology (4): Process/technology and non-patentable product/material: Technique development. Incorporating these topics into municipal curriculum guidelines is essential to addressing local demands and contributing to the formation of citizens prepared to intervene in emergency situations.

Validação de mercado através da escuta de profissionais quanto a aplicabilidade do teste não treponêmico para sífilis: rapidisifi

Tue, 30 Apr 2024 00:00:00 GMT

Validação de mercado através da escuta de profissionais quanto a aplicabilidade do teste não treponêmico para sífilis: rapidisifi Passos, Bruna Pelegrini dos Abstract: Syphilis is a sexually transmitted infection caused by the bacterium Treponema pallidum, subspecies pallidum. Throughout the course of the disease, distinct characteristics alternate between periods of latency and periods of activity based on the observation of signs and symptoms. Many individuals are asymptomatic, which facilitates transmission. The use of rapid tests has been an important strategy for quick and effective diagnosis. Investigating the perspectives of healthcare professionals working in the field is relevant for market prospecting in the development of new technologies. Objective: to validate the market by listening to healthcare professionals and health managers regarding the applicability of rapid non-treponemal syphilis testing in their professional activities and to generate a technical report based on the study. Method: qualitative, exploratory, and descriptive study conducted with nursing professionals through individual, semi-structured interviews. Data analysis was performed using the content analysis method proposed by Bardin. Results: three categories emerged: 1. Relevance of performing rapid tests for clinical decision-making; 2. Current flow in decision-making; 3. Importance of performing non-treponemal rapid tests for syphilis detection. Final considerations: The study may highlight a clear applicability of the product by the interviewed professionals, based on the interview reports.

Transmissão vertical do HIV em um município da região metropolitana de Porto Alegre/RS: um estudo de caso-controle

Fri, 26 Jul 2024 00:00:00 GMT

Transmissão vertical do HIV em um município da região metropolitana de Porto Alegre/RS: um estudo de caso-controle Teloken, Jéssica da Silva This dissertation aims to evaluate the vertical transmission (MT) of HIV and associated factors in exposed children living in the municipality of Viamão, between 2000 and 2023. We chose to carry out this topic due to the lack of studies that describe the situation of HIV MT in the municipality and the importance of this result for the implementation of contextualized measures that assist in the health care of exposed children. A case and control study was developed with data from the population of pregnant women and children exposed to HIV, using the National Disease Notification System (SINAN) database, HIV Pregnant database, with demographic variables of the pregnant woman, detection of infection of HIV, prenatal care and childbirth and information on the pregnant woman's anti-HIV test, use of antiretroviral therapy (ART) during pregnancy and childbirth, newborn exams and their evolution, including outcome. Missing information was investigated in the database of exposed children (SINAN Aids in children under 13 years of age) based on the variable mother's name, common to both banks as well as among adults reported as cases of HIV/Aids (SINAN HIV) . Information on CD4 and viral load in the pre-delivery period was obtained from the logistical control system for laboratory tests (SISCEL). Missing data on ART initiation were obtained from the Medication Logistics Control System (SICLOM) and number of prenatal consultations in the Live Birth Control System (SINASC). The cases were all pregnant women with children who acquired HIV infection during pregnancy, childbirth or breastfeeding in the municipality and period studied. Four controls were drawn using random numbers for each period, for each case, matched by year of diagnosis. STATA software was used for statistical analysis. A bivariate analysis was performed with the variables using Pearson's chi-square test and variables with p<0.2 in the bivariate analysis were included in the logistic regression model. In Pearson's chi-square test, the variables that showed statistical significance with HIV VT were use of prophylactic ART (p<0.01) and time of use of prophylactic ART (p<0.001). The results of the logistic regression showed that the duration of ART use during pregnancy remained associated with HIV VT, mainly at the expense of the category that did not use ART, where women who did not use ART are 7 times more likely to have HIV. outcome of TV to HIV in relation to those who used it. The age of the pregnant woman was associated in the model and shows that younger pregnant women are less likely to have the outcome of VT and HIV compared to pregnant women aged 40 or over. It was concluded that HIV VT is more likely to occur in pregnant women who did not adhere to ART during pregnancy, even with adherence to prenatal care, and demonstrates that quality prenatal care, with adequate structure and qualified professionals for the companionship and development of pregnancy is an important factor in changing the scenario found and reducing HIV VT rates.

Ocorrência e fatores associados à hipertensão arterial autorreferida em adultos brasileiros: uma coorte prospectiva

Fri, 27 Sep 2024 00:00:00 GMT

Ocorrência e fatores associados à hipertensão arterial autorreferida em adultos brasileiros: uma coorte prospectiva Carvalho, Ana Paula de

Relações entre memória episódica, sintomas depressivos e pensamento negativo repetitivo (PNR) em idosos

Mon, 01 Jul 2024 00:00:00 GMT

Relações entre memória episódica, sintomas depressivos e pensamento negativo repetitivo (PNR) em idosos Fraga, Valéria Figueiredo Population aging is an essential theme to explore in current studies, considering the significant changes we are facing in the global population profile. Additionally, depressive disorders are common among the elderly population. The manifestation of depressive symptoms in the elderly is more heterogeneous and less stereotyped than in younger populations, which can make it more challenging to systematize for professionals treating these patients. Nowadays, there is a concern with understanding the transdiagnostic factors associated with depression, and recent investigations suggest that repetitive negative thinking (RNT) is among these transdiagnostic factors for depression. Therefore, the objective of this dissertation was to assess the relationship between depressive symptoms and elderly individuals' performance in episodic memory tests, as well as to evaluate the associations between subjective cognitive complaints, selfreported depressive symptoms, repetitive negative thinking, and effective performance in episodic memory tasks. To achieve the dissertation's objective, two studies were conducted. Both studies are cross-sectional and quantitative. Data collected through standardized instruments were analyzed using the statistical program SPSS version 25, with the sample consisting of elderly individuals from Rio Grande do Sul. As for each of the studies, in the first study we have the Addenbrooke's Cognitive Examination, the Geriatric Depression Scale, the Free and Cued Selective Test with Immediate Recall, the WAIS-III Scale Digit Test, the Psychological Battery for Attention Assessment and Verbal Fluency Test. The results revealed that depression has a negative, weak to moderate, correlation with free recall from memory, attention and verbal fluency. In the second study, the Perseverative Thinking Questionnaire, the Geriatric Depression Scale, the Free and Cued Selective Reminding Test with Immediate Recall and the Cognitive Function Instrument were used. The results show that Repetitive Negative Thinking has a direct effect on depression, in which turn is associated with an increased perception of cognitive decline. Suggest a possible mechanism by which Repetitive Negative Thinking negatively affect depressive symptoms and increase a perception of cognitive decline.

Síndrome de Burnout e aspectos sociodemográficos, ocupacionais e psicossociais em advogados

Thu, 26 Sep 2024 00:00:00 GMT

Síndrome de Burnout e aspectos sociodemográficos, ocupacionais e psicossociais em advogados Vitola, Marília Santos This research aimed to investigate the association between sociodemographic aspects, occupational stressors, psychosocial aspects, work-family interaction and Burnout Syndrome in male and female lawyers, in two studies. The first study evaluated the predictive role of sociodemographic aspects, work characteristics and occupational stressors in the occurrence of Burnout Syndrome. It was observed that 58.3% of the participants are affected by Burnout Syndrome. Linear regression analysis showed models capable of explaining each of the dimensions of Burnout. The dimension “work illusion” showed job satisfaction as its main predictor. Work-family interference proved to be the predictor with the greatest explanatory contribution to the dimension “psychological exhaustion”. In the dimensions “indolence” and “guilt”, the main predictors identified were the stressors “work environment” and “self-responsibility for negative outcomes”, respectively. The second study identified differences between male and female lawyers in the dimensions of Burnout Syndrome, work-family interaction and occupational stressors related to law. The results show that female lawyers have higher scores in the dimensions of work/family conflict and family/work, as well as in occupational stressors related to expressions of violence, such as “bullying/harassment”, “silencing” and “rejection/exclusion”, indicating that law is experienced differently according to the gender of the professional. This dissertation contributes to the advancement of knowledge regarding the risk factors for the development of Burnout Syndrome in lawyers, as well as identifies gender as an element that can qualify the exposure to occupational stressors among women.

Composição físico-química, perfil de ácidos graxos e compostos bioativos de frutos e estabilidade do óleo de noz-pecã do sul do Brasil

Wed, 28 Aug 2024 00:00:00 GMT

Composição físico-química, perfil de ácidos graxos e compostos bioativos de frutos e estabilidade do óleo de noz-pecã do sul do Brasil Silva, Tamires de Oliveira Duarte da Pecan is an oilseed known for its high content of polyunsaturated fatty acids and vitamin E. In Brazil, the cultivation and processing of this species stands out in Rio Grande do Sul, highlighting the need to improve knowledge about its composition. This study aimed to evaluate the physicochemical characteristics, fatty acid profile and bioactive compounds of different pecan cultivars, in addition to analyzing the extraction of oil by cold pressing and its oxidative stability with and without the addition of antioxidants. Fruit samples from seven cultivars were collected and subjected to analyses of color, centesimal composition, acidity, peroxide value, specific extraction coefficient, as well as the composition of fatty acids, tocopherols and phenolic compounds. The results highlighted the Elliot cultivar for its high lipid content of 74.66%. On the other hand, the Shawnee cultivar was more susceptible to oxidation, presenting high acidity and peroxide values. Elliot also stood out for its highest gammatocopherol content, while the Success cultivar had the highest delta-tocopherol content. The Shawnee, Elliot and Mohawk cultivars exhibited the highest amounts of saturated, monounsaturated and polyunsaturated fatty acids, respectively. Despite variations in the fatty acid profile among the cultivars, unsaturated fatty acids predominated, suggesting better nutritional quality, although with a higher oxidation potential. Oil samples were obtained from a blend of pecan nuts by cold pressing and stored with and without tocopherol. Physicochemical analyses over eight months revealed a predominance of oleic and linoleic fatty acids. These results provide important support for establishing quality standards and improving production processes in the Brazilian agroindustry of this promising product.

Resíduos de agrotóxicos em produtos de origem vegetal in natura comercializados em supermercados de Santa Catarina: um estudo acerca do Programa de Rastreabilidade e Monitoramento de Alimentos – RAMA (2018-2023)

Wed, 24 Jul 2024 00:00:00 GMT

Resíduos de agrotóxicos em produtos de origem vegetal in natura comercializados em supermercados de Santa Catarina: um estudo acerca do Programa de Rastreabilidade e Monitoramento de Alimentos – RAMA (2018-2023) Teodoro, Gledciani Alves The monitoring of pesticide residues in fresh plant products intended for human consumption is regulated by the National Health Surveillance Agency (ANVISA) and the Ministry of Agriculture, Livestock and Supply (MAPA), through Joint Normative Instruction INC 02/2018, which determines the procedures for applying traceability throughout the production chain, in order to guarantee better management and quality of processes and products. The Traceability System for plant products must ensure that food production is completely safe for consumption and easily checked by consumers or inspection bodies. Within a supply chain structure, the supermarket is of fundamental importance in the service and product it offers to the end consumer. The aim of this study was to evaluate the history of pesticide residue results from the RAMA Program sold in supermarkets in Santa Catarina between January 2018 and December 2023. The study covered 25 supermarket chains. The information collected corresponded to 53 types of FLV. Up to 419 active pesticide ingredients were identified, 92 of which were distinct in a total of 3,538 samples, with around 30% being unsatisfactory. The results were classified into 5 categories: (1) Prohibited, (2) Unauthorized (NA) and Maximum Residue Limit (MRL) - Application of unauthorized active ingredient and error in handling authorized pesticides, (3) Maximum Residue Limit (MRL) - Substance with a value higher than the maximum residue limit (4) NA - Unauthorized and (5) No Occurrences. Of the total of 3,538 laboratory reports, an average of 13% of the plant products evaluated had some kind of irregularity, with 4% exceeding the maximum residue limit and 9% using active ingredients not authorized for the crop. These results highlight the ongoing need for rigorous monitoring and control over the use of pesticides in order to guarantee the quality and safety of the food consumed. Through the traceability coordinated by the RAMA Program, retailers are able to provide consumers with the best in horticultural products.

Desenvolvimento de instrumento para passagem de plantão de enfermagem em unidade de terapia intensiva pediátrica

Fri, 22 Mar 2024 00:00:00 GMT

Desenvolvimento de instrumento para passagem de plantão de enfermagem em unidade de terapia intensiva pediátrica Silva, Raelque Sousa e The shift handover must contain all the essential information for continued care. Failures in this process may harm patient safety, leading to inadequate and potentially dangerous treatment. In that regard, this work aims to develop an instrument to assist the nursing shift handover in a pediatric ICU of a hospital in a city in the state of Maranhão. This is a study with a methodological approach, developed in three stages: a) integrative literature review; b) qualitative research (interview with the nursing team); and c) preparation of the product. In the first stage, a research was carried out based on the literature, in order to provide a basis for theoretical content and understanding about the topic. The following databases were consulted: Nursing Database (BDENF), Medical Literature Analysis and Retrieval System Online (MEDLINE) and Latin American and Caribbean Literature in Health Sciences (LILACS). The following descriptors were used for the research: shift handover and intensive care in pediatric ICU; nursing and shift handover; shift handover and intensive care. The inclusion criteria were: articles in Portuguese and English, a research with a qualitative or quantitative focus of primary studies, and systematic reviews available in their full versions and published between 2018 and 2023. In the second stage, field research was carried out, qualitative and exploratory in nature, with a descriptive approach, and interviews were conducted with pediatric ICU nurses. In the third stage, an instrument was developed to assist in the shift handover, based on the findings of the literature review and information collected from the interviews which took place in the second stage. The research project was submitted to the Research Ethics Committee of the University of Vale do Rio dos Sinos. Its approval was under the Opinion n° 6,432,741. The study made it possible to develop an instrument that qualifies and helps standardize shift handovers. It is expected that this instrument can qualify the shift handover process and promote patient safety.

Guia para atendimento de enfermagem às vítimas de acidentes ofídicos no contexto hospitalar

Thu, 04 Apr 2024 00:00:00 GMT

Guia para atendimento de enfermagem às vítimas de acidentes ofídicos no contexto hospitalar Cunha, Naylanny Gonçalves Torres Introduction: snakebites, also known as snakebite, are triggered by snakes that, when biting a victim, inoculate toxins that can cause local and/or systemic changes. These accidents, in Brazil, constitute a public health problem, given the frequency in which they occur, especially in rural areas, and the severity they can produce. Therefore, it is important that nursing professionals are prepared to deal with these situations. Objective: to develop a guide for nursing care for victims of snakebites in the hospital context. Method: methodological study carried out in two stages: 1st) bibliographic study; seeking to support the definition of content to be covered in the nursing guide; 2nd) preparation of the nursing guide. Results: in the bibliographic study, the following were selected for analysis: one book, two guides and six articles. Three chapters were extracted from the guides, originating from the Ministry of Health and the Health Department of the State of Ceará. The selected articles were published in Brazil, in the Virtual Health Library Portal (VHL) and Researchgate Portal databases. Content analysis was used to generate the categories: nursing care for victims of snakebites; care in administering serotherapy to victims of snakebites; flowchart of care for victims of snakebites. These three categories supported the content of the guide, which was composed of twenty-five pages and divided into seven chapters. Conclusion: the guide, as a product generated in this study, according to the Coordination for the Improvement of Higher Education Personnel (CAPES), considering the Technical and Technological production of the Nursing Area, is classified as a Manual or Protocol, has a potential impact, as it may contribute to supporting the standardization of the organization of care and nursing care for victims of snakebites in the hospital context. Furthermore, it can be replicated in other institutions in the region under study, helping to improve care.

Guia de ações de controle da tuberculose na atenção primária à saúde de um município do Médio Mearim - Maranhão

Mon, 27 May 2024 00:00:00 GMT

Guia de ações de controle da tuberculose na atenção primária à saúde de um município do Médio Mearim - Maranhão Santos, Michael Jakson Silva dos Tuberculosis is a global health problem that inspires searches for effective control strategies, given the devastating power it has on society. It is estimated that more than 10 million people fall ill each year, with more than one million deaths worldwide, being the main cause of death among people with HIV. Objective: to develop an action guide for tuberculosis control, for a municipality in the middle Mearim region, aimed at Primary Health Care professionals. Method: a methodological study was carried out in four stages: 1st) documentary study; 2nd) quantitative study – epidemiological data; 3rd) descriptive study – description of the health network, and 4th) preparation of a guide for action guidelines for tuberculosis control, for a municipality in the middle Mearim region, aimed at Primary Health Care professionals. Documentary research was carried out in the five Brazilian regions, North, Northeast, Central-West, South and Southeast, identifying the two capitals in each region of the country with the highest incidence of tuberculosis, using keywords in the search on the websites of the capitals, in order to find guides, manuals and documents related to tuberculosis. The descriptive study was to characterize the local health network. In the quantitative research, indicators related to tuberculosis in the municipality under study were collected. Results: of the ten capitals researched, documents of interest to the research were found on four websites, São Paulo-SP, Rio de Janeiro-RJ, Florianópolis-SC and Porto Alegre-RS. The websites of the Ministry of Health, Notifiable Diseases Information System – Tuberculosis (SINAN/TB), Mortality Information System (SIM), allowed an epidemiological survey of tuberculosis indicators until the year 2022. The Municipal Health Plan, of the municipality under study provided a description of the health network, these results supported the preparation of the Guide. Discussion: the analysis of the capitals' websites revealed that, although visually attractive, many of them do not provide efficient navigation and availability of necessary information. In the epidemiological indicators, it was found that, although the incidence of the disease in the municipality under study is almost double that of the national and state levels, the operational indicators for treatment, cure, directly observed treatment, abandonment, contacts examined, present satisfactory results, very close than recommended. The coverage of the Primary Care Network in the municipality under study reaches close to 95%. It was also found that 96.6% of tuberculosis control actions in Brazil are carried out by nurses. Final considerations: the present study had important implications related to health policies, where evidence was identified that the analysis of indicators, knowledge of the Health Care Network and the existence of documents, collaborate with the preparation of guides, and that nursing has a role essential in the control of tuberculosis. The limitations of the research, including the scarcity of documents on the websites of the capitals researched and outdated information, required additional searches to be carried out on other websites and platforms. However, this limitation did not prevent the execution of the central objective of this work, the development of the product, the guide for tuberculosis control actions in primary health care in Bacabal, which subsidizes tuberculosis control actions, when stated objectively. and aligned with the reality of local Primary Health Care.

Fluxo para encaminhamento inter-hospitalar da gestante na rede de atenção à saúde

Thu, 22 Aug 2024 00:00:00 GMT

Fluxo para encaminhamento inter-hospitalar da gestante na rede de atenção à saúde Gomes, Jakson Ricardo Reigo Introduction: Brazil faces challenges in ensuring quality care for pregnant women and fetuses, and therefore in guaranteeing a healthy delivery and postpartum period. The structuring of healthcare services for maternal and neonatal care remains precarious in small cities, necessitating the implementation of an effective maternal transport system that is well-coordinated across care points. For this reason, it is necessary to create a flow of care, with criteria subsidized by protocols, to guide the referral of obstetric patients, guaranteeing continuity and quality in the care provided. Objective: To develop a flow for the inter-hospital referral of obstetric patients treated in the Health Care Network (RAS) of Santa Inês Regional Office, in the Vale do Pindaré region of Maranhão. Method: This methodological study was conducted in three stages: (1) a documentary study to analyze current Brazilian legislation, guidelines, and care protocols, seeking recommendations to support the development of the flow for obstetric patient referrals; (2) a descriptive study aimed at mapping and describing the RAS services in Santa Inês region that attend obstetric patients, assessing their installed capacity, and identifying available and necessary human resources to ensure appropriate obstetric referrals in the regional health system; 3) construction of the inter-hospital Referral Flow for Obstetric Patients, taking into account the results of the previous stages. Results: Results: It was mapped and described the services and human resources that care for pregnant women in Santa Inês-MA region, highlighting that there are 13 municipalities and that none of them has the appropriate structure for caring for pregnant women. The 13 municipalities have 14 hospitals, two of which are state-run and 12 municipal, most equipped for low-risk care, with only one hospital handling high-risk pregnancies. In terms of professionals, there are 929, the majority of whom are generalist nurses (596). An analysis was made of the active regulations in Brazil in relation to the flow of inter-hospital care, evaluating care for pregnant women, structure and human resources for inter-hospital obstetric referral and risk classification. After these analysis, it is presented: the Description of the factors and criteria for scoring the Pregnant Woman's Risk Classification; the Flow for inter-hospital obstetric referral in Santa Inês Regional Health Care Network, in the Vale do Pindaré region of Maranhão; and the Form for inter-hospital obstetric referral in this RAS. Conclusion: By adopting this referral flow, healthcare institutions can standardize the inter-hospital referral process, ensuring that pregnant women are directed to the most appropriate service according to their risk classification. This contributes to more efficient resource management and improved healthcare system organization, promoting continuous and quality care for all pregnant women.

Construção de fluxograma para gerenciamento de descarte de explantes ortopédicos em um hospital macrorregional no Nordeste do Brasil

Wed, 17 Jan 2024 00:00:00 GMT

Construção de fluxograma para gerenciamento de descarte de explantes ortopédicos em um hospital macrorregional no Nordeste do Brasil Lima, Francisca Pollyanna Sousa Santos Metallic explants resulting from orthopedic surgical therapeutic are classified as Solid Healthcare Waste (SHW). Due to their potential for contamination, they require management for disposal, with a view to controlling and reducing risks to public health, environmental health and worker health. General objective: To build and to validate orthopedic explant disposal management flowchart. Method: methodological study with a qualitative approach, developed with Nurses and Nursing Technicians who work in the Surgical Center and Material and Sterilization Center of a Macroregional Hospital in Maranhão state. Study consisting of four stages: First Stage: carrying out a documentary search on current SHW regulations. Second Stage: holding a focus group to identify and to describe how orthopedic explant waste is segregated in the hospital unit; present the concepts of RDC 15/2012 to support the orthopedic explants management. The meetings with the focus groups were recorded and later transcribed, whose data were analyzed from the perspective proposed by Minayo. Third Stage: development of a flowchart on the orthopedic explants management, following the RDC 15/2012 guidelines and the results obtained from the focus group meetings. Fourth Stage: validation of the flowchart on orthopedic explant management with experts. A Likert scale and the snowball technique were used. Data were analyzed using descriptive statistics. Study approved by the Research Ethics Committee of the University of Vale do Rio dos Sinos under number 6.234.830. Results: The flowchart, validated by judges/experts in this field, obtained a Content Validity Index (CVI) of 96.22%. This research had as results: a) flowchart for orthopedic explants disposal´s managing; b) explant processing and removal form; c) awareness, responsibility and request for orthopedic explant term. Final Considerations: the development of the flowchart for orthopedic explants disposal´s managing was important in order to review and adapt routines regarding the correct waste disposal. It has an environmental impact, as the correct management of SHW contributes to the professional’s health and the environment conservation. The originated product is classified according to the Coordination for the Improvement of Higher Education Personnel (CAPES) as Stratum T1, in sub typology (3): Experimental technological protocol/Application or adaptation of technology.

Proposta de implantação de escala de MEWS para identificação de sepse emergência pelo atendimento pré-hospitalar

Thu, 13 Jul 2023 00:00:00 GMT

Proposta de implantação de escala de MEWS para identificação de sepse emergência pelo atendimento pré-hospitalar Pellicioli, Fernanda Travi

A percepção de profissionais da atenção primária à saúde sobre o risco no uso de medicamentos para segurança do paciente com doença crônica não transmissível

Fri, 08 Mar 2024 00:00:00 GMT

A percepção de profissionais da atenção primária à saúde sobre o risco no uso de medicamentos para segurança do paciente com doença crônica não transmissível Martins, Evânia Lopes The article aimed to understand the perception of primary care professionals regarding the risk of medication use for patient safety with Non-Communicable Chronic Diseases (NCDs). It is a qualitative research with an exploratory design and a critical hermeneutic approach, conducted in 2023 in Sapucaia do Sul/RS municipality. Data collection was done through discussion of focus groups in five primary care units. The collected data were analyzed using thematic analysis and interpreted from a dialectical hermeneutic perspective. The results portrayed three thematic units: "Prescription Errors," "Administration Errors," and "Strategies to minimize medication errors for patient safety." Professionals highlighted issues such as readability errors, duplicate prescriptions, and lack of understanding in the correct use of medications. On the other hand, practices such as professional qualification, qualified listening, and the use of integrated electronic medical records were identified as necessary to reduce medication errors, aiming to promote rational drug use and ensure patient safety with NCDs in primary care. It is concluded that these findings have the potential to stimulate future reflections and the development of new studies, contributing to the visibility of the issue and strengthening strategies aimed at reducing medication errors and improving primary care assistance.

Cartilha para familiares e cuidadores de idosos sobre prevenção e manejo do Delirium

Wed, 10 Jan 2024 00:00:00 GMT

Cartilha para familiares e cuidadores de idosos sobre prevenção e manejo do Delirium Neris, Jessika Cefrin Dantas Introduction: Delirium is a neurobehavioral disorder that commonly occurs in the elderly population, also called “acute confusional state”. It is characterized by acute episodes of impairment of memory, orientation, thinking, communication, sleep-wake dysfunction and variations between states of destruction and lethargy (hypoactive) and hallucinations or hallucinations (hyperactive), its duration is days or hours and includes floating course. Objective: to develop an educational booklet as an information resource for family members and caregivers of elderly people on the prevention and management of Delirium. Method: methodological study carried out in two stages: 1) Narrative review on the prevention of Delirium in the elderly, modifications to support the content of the Booklet; 2) Construction of the Educational Booklet based on the synthesis of knowledge generated in the narrative review. The product generated is classified as “Teaching material” according to the CAPES Classification in the area of nursing. Results: Five international guidelines were selected and categorized, generating content for the booklet, which was composed of twenty-nine pages and divided into eight chapters. Conclusion: consider that the booklet could contribute to subsidizing health education actions to promote the prevention and management of Delirium, becoming a vehicle of information for family members and caregivers of elderly people on the topic.

Desenvolvimento de cartilha com orientações sobre os cuidados com a pele de pessoas com radiodermite

Wed, 01 Nov 2023 00:00:00 GMT

Desenvolvimento de cartilha com orientações sobre os cuidados com a pele de pessoas com radiodermite Scienza, Ana Paula Machado INTRODUCTION: radiodermatitis is a skin lesion resulting from radiotherapy, caused by the action of ionizing radiation on tissues, characterized as a side effect of cancer treatment. OBJECTIVES: to develop and validate a booklet with guidance on skin care for people with radiodermatitis. METHOD: methodological study, developed in three stages: 1) narrative review of the literature on skin care for people with radiodermatitis, aiming to support the development of the booklet content; 2) development of the booklet; 3) validation of the booklet with expert judges. In Stage 1, for the narrative review, the descriptors used: Radiodermatitis AND Guidelines. The searches were carried out on the Virtual Health Library portal, on Business Source Complete, on National Library of Medicine and on Google Scholar, without language limitations. In Stage 2, the construction of the content was supported by the results of the narrative review. In Stage 3, the booklet was validated by expert judges, all of whom were healthcare professionals: a dermatologist and stomal therapist nurses who worked in direct care for patients with radiodermatitis. The recruitment of participants took place using the snowball technique. An online form was used to collect data. Analysis using the Content Validity Index. RESULTS: Stage 1, six studies were analyzed and the categories emerging from the narrative literature review were: skin hygiene in the area receiving treatment; prevention against skin trauma; skin care in day-to-day radiotherapy treatment; and topical treatment. Stage 2 consisted of the development of the booklet, which consisted of 6 chapters in 39 pages. Pastel tones were used for the drawings and graphic art, seeking to give patients peace of mind. Stage 3 consisted of 14 expert judges in the health field, most of them nurses. The Content Validation Index was used to evaluate the educational technology developed. The booklet obtained an overall and satisfactory index of 96.5%. Domain 1 (objectives) obtained a score of 94.68%; domain 2 (structure), 98%; and domain 3 (relevance), 97.1%. CONCLUSION: finally, it is understood that the educational technology developed will contribute to empowering the self-care of patients and their caregivers. In addition to this, it also presents itself as an innovation in pharmaceutical assistance, opening new horizons and possibilities, adding technical knowledge, scientific basis and care provided both to the individual needs of people undergoing cancer treatment and in the area of radiotherapy.

Saúde mental: experiências de estudantes universitários na graduação em psicologia

Wed, 27 Mar 2024 00:00:00 GMT

Saúde mental: experiências de estudantes universitários na graduação em psicologia Silva, Kaell Judá Sesterheim da It is known that the experience during the undergraduate journey results in various changes in individuals' lives, ranging from academic aspects to cognitive, behavioral, and emotional factors. The aim of this dissertation is to understand the experiences of psychology students during their undergraduate studies and how these experiences relate to mental health. This study adopts a qualitative, cross-sectional, exploratory approach using the Multiple Case Study method. Three psychology students, positioned between the seventh and eighth semesters of their course, with an average age of 24 years, were interviewed in person. The research instruments comprised: 1) Sociodemographic Data Sheet, 2) Interactive Narrative, and 3) Supplementary Interview. Data were analyzed through thematic analysis. Results indicate that multiple tasks, overload, (self)medication, high performance and demands, interpersonal relationships, support networks, social support, and satisfaction with the choice of course were the most commonly recounted experiences. Revealed a posteriori three categories: 1) 'From choice to sustaining the choice'; 2) 'The psychology course and psychic implications'; 3) 'Teaching hinders learning'. It is concluded that experiences during the undergraduate psychology course are diverse, impacting mental health by fostering protective factors while potentially exacerbating aspects of psychological distress.

Determinantes da transmissão vertical do HIV em Porto Alegre/RS: um estudo de caso-controle

Fri, 27 Oct 2023 00:00:00 GMT

Determinantes da transmissão vertical do HIV em Porto Alegre/RS: um estudo de caso-controle Fão, Tatiana dos Anjos

Cannabis medicinal no tratamento do transtorno do espectro autista: análise de evidências e suporte para construção de um chatbot para a comunicação da ciência

Tue, 05 Dec 2023 00:00:00 GMT

Cannabis medicinal no tratamento do transtorno do espectro autista: análise de evidências e suporte para construção de um chatbot para a comunicação da ciência Oliveira, Gustavo Rodrigues Autism is a neurodevelopmental disorder that manifests clinically with impairment in social interaction and communication, as well as stereotyped and repetitive behaviors. There is an increase in the incidence of autism cases around the world and its predominance in males can be observed. Autistic people can be diagnosed at three levels depending on the need for support to carry out routine activities. The disorder may have several associated comorbidities, it has no proven cause, nor pharmacological treatment, only behavioral. However, there is a search for alternative treatments to treat the symptoms of autism, such as the medicinal use of cannabis, which has shown to be a possible alternative to treat anxiety, depression, social interaction deficits and other markers that the literature has proven. The limitation of the use of this treatment is the low number of quality experimental studies that attest to long-term safety and efficacy, in addition to the misinformation caused by Fake News on the subject, since the recreational use of cannabis is criminalized in Brazil and its medicinal use is limited. This project seeks to be an ally of health education by developing an artificial conversational agent called a chatbot called CISMA (Informative Chatbot About Marijuana) that provides information about the medicinal use of cannabis in treating the symptoms of autism. The tool had a good evaluation by experts on the subject and good usability attested by potential users. With this, it was possible to conclude that CISMA is a powerful ally of health communication and education, however there is a need for more robust studies with certified quality on the proposed intervention, so that the tool can be updated with quality information.

Entre livros e lutas: saúde mental e comportamentos de risco durante a jornada universitária

Fri, 29 Sep 2023 00:00:00 GMT

Entre livros e lutas: saúde mental e comportamentos de risco durante a jornada universitária Beneton, Emanueli Ribeiro This research investigated psychological distress, the influence of family and university and the use of alcohol, tobacco and marijuana by the university population in two studies. In Study I, it was observed that the group that uses alcohol, tobacco and cannabis, when compared to the group that does not, showed a significant difference in terms of levels of symptoms of depression, anxiety and stress. A binary regression analysis showed that the use of psychiatric medication and high levels of stress predicted substance use. When analyzing the characteristics of the group of users, it was observed that there was no significant association between using alcohol and having symptoms of depression, anxiety and stress; however, the use of tobacco and marijuana showed a significant association with the development of symptoms of anxiety and depression, and the use of marijuana showed a significant association with stress. In order to better understand some of the quantitative data obtained in Study I, a second qualitative study was carried out. Study II explored the influence of family and university on the development and maintenance of psychological distress and the use of alcohol, tobacco and marijuana by university students. It was observed that the use of substances and the development of symptoms of depression, anxiety and stress occurs before entering university, but that when starting academic life there is an increase in both substance use and symptoms. This dissertation corroborates findings in the literature that more and more young people are experiencing early psychological distress and have been using harmful strategies, such as substance use, which were introduced to them in the family context, as a way of soothing their emotions and feelings. In addition, it points out that it is extremely important to think about and develop strategies and interventions that help maintain and promote the mental health of university students, in order to make academia a safe and welcoming space, where they can find a support network whenever necessary, which does not potentiate the emotional symptoms and unhealthy behaviors that already exist, but which promotes a healthy learning environment, helping university students to develop their potential both academically and personally.

Cartilha informativa: cuidado multiprofissional de pacientes com fissuras labiopalatinas

Fri, 27 Oct 2023 00:00:00 GMT

Cartilha informativa: cuidado multiprofissional de pacientes com fissuras labiopalatinas Andrade, Leonardo Araújo de

Construção de um relatório acerca do uso de um chatbot para report de eventos adversos em pesquisas clínicas de vacinas

Fri, 20 Oct 2023 00:00:00 GMT

Construção de um relatório acerca do uso de um chatbot para report de eventos adversos em pesquisas clínicas de vacinas Guasso, Isabelli The advancement of technology, especially after the development of chatbots, has made the clinical research process more accessible and convenient for participants and researchers; by reducing costs. On the basis of this scenario, the study aimed to: build a report on the use of a chatbot to report adverse events in vaccine clinical research. It refers to applied research for the development of technology in health, based on the customer development method proposed by Steve Blank, which consists of four stages that are essential to the development of new products: costumer discovery, costumer validation, costumer creation and company building. In this study, only the first stage was addressed, aiming to determine who is the target audience of the product and whether the problem that the chatbot is intended to solve is important to them. Key physicians in the conduct of clinical studies of vaccines and professionals in the field of technology with experience in the development of chatbots were intentionally invited to participate in the research. Data collection was carried out through interviews, of which two scripts were used, one aimed at medical experts, containing six questions, and another for the IT specialists, containing four questions. The data was analysed by the use of content analysis. 100% of the participants accepted the use of chatbots in the scenario of clinical research in vaccines. It was concluded that the full follow-up of these participants and the timely reporting of events can improve the efficiency of care and reduce risks related to the study data. Finally, from this project, a technical report emerged on the use of a chatbot to report adverse events in clinical vaccine research.

Plano de qualificação das equipes do serviço móvel de urgência no atendimento a pessoas em sofrimento psíquico

Fri, 29 Sep 2023 00:00:00 GMT

Plano de qualificação das equipes do serviço móvel de urgência no atendimento a pessoas em sofrimento psíquico Oliveira, Emilia Regina dos Santos From the beginning, mental health has been shorouded in prejudice, isolation and social exclusion. In antiquity, Society believed that mental ill nesses were caused by magical or demonic actions. The madmen roamed free a formo f exclusion with the developent of cities and indústria lization. The first establishments were created to receive the mentally ill, as well as all kids of mon- productive individuals who did not fit the moral standards of the time. The first asylum institutions had the purpose of withdrawing the mentally ill from their families to minimize the risk of harm to the Community. At the time, madness came to be perceived as na inability to work and is carriers considered incapable. With the advento f psychiatric reform in Brazil, substitute services were created to absorb these patients who were released from psychiatric institutions. The Psychosocial Care Network has difficulty absorbing and providing na excelente service to all users. The emergency care network was then structured and mobile emergency care service includes in its scope of activities the care of people in psychological distress. This work had as its main objective the development of a short-term professional plan focused on pre-hospital emergency management in mental health and as a secondary objective, to carry out na integrative literature review, aiming to assist in the elaboration of this proposal. This is a methodological study that included an integrative review, wich sought to identify the difficulties that the mobile emergency care service teams face in these calls. In a Search in the databases (SCIELO, BVS, LILACS and MEDLINE) 453 text were located dealing with psychic emergencies assisted by the mobile emergency care service. After applying the inclusion and exclusion criteria , 12 articles were selected to composse the presente work. As a result, the lack of training stands out as difficulties in caring for psychic suffering the lack of training and the deficiente knowledge of the teams to develop the service focused on the management of psychic suffering, which indicates the need for improvements aimed at professional training. The product resulting from this study is a plan for an improvement course, especially with regard to the contentes that need to be addressed, to assist mobile emergency service professionals in pre-hospital management of mental health emergencies. It is expected with this work to highlight the need for a space to acquire knowledge and expose fears and doubts regarding emergency care in mental health. There is still a need to intervene not Only in the scope of work, but throughout the training of these professionals, implementing continuing education on this topic.

Relações de trabalho entre médicos e equipe de enfermagem num centro cirúrgico

Mon, 26 Jun 2023 00:00:00 GMT

Relações de trabalho entre médicos e equipe de enfermagem num centro cirúrgico Borsoi, Raqueli

Adaptação e evidências de validade de dois instrumentos baseados na Terapia de aceitação e compromisso : o Chronic Pain Acceptance Questionnaire (CPAQ) e o Commitment Action Questionnaire (CAQ)

Thu, 21 Sep 2023 00:00:00 GMT

Adaptação e evidências de validade de dois instrumentos baseados na Terapia de aceitação e compromisso : o Chronic Pain Acceptance Questionnaire (CPAQ) e o Commitment Action Questionnaire (CAQ) Peloso, Franciele Cristiane The Acceptance and Commitment Therapy (ACT) model is known as psychological flexibility and has been explored for different clinical conditions. In Brazil, there are still few materials and instruments based on ACT. The aim of this dissertation was to adapt for the Brazilian population, examine the reliability and explore evidence of validity of two instruments based on the ACT theory, the Commitment Action Questionnaire (CAQ) and the Chronic Pain Acceptance Questionnaire (CPAQ) in their original and brief versions. This is a psychometric study with 292 participants. The collection took place online through Microsoft Forms. Data were handled using SPSS 22 and JASP 17 using Chronbach's Alpha, Omega Mcdonald’s, Spearman's correlation analysis, Confirmatory Factor Analysis, Multigroup Factor Analysis, Mann-Whitney U test. Both the CAQ-Br and the CPAQ-Br in both versions were adapted and obtained adequate reliability for application in the Brazilian context. The CAQ is an instrument that can help in clinical psychology as it is connected to the ACT values process. The CPAQ, on the other hand, contributed to measuring the result and process in the development of acceptance of chronic pain.

Validação de um teste rápido para tempo de protrombina em pacientes pré-cirúrgicos

Mon, 13 Mar 2023 00:00:00 GMT

Validação de um teste rápido para tempo de protrombina em pacientes pré-cirúrgicos Pinheiro, Janaína de Oliveira Ribeiro Avancini One of the commonly used coagulation laboratory tests is the analysis of the prothrombin time, but its performance in its classic form involves a long response time between requesting the test, collecting the biological material, transporting it to a specialized center, processing and release of the result. Therefore, the use of a point-of-care test for coagulation allows gains in this process. The aim of this study was to validate a rapid test for prothrombin time in pre-surgical patients. The study initially went through the ethics and research committee and after approval, it was developed in two stages, between the months of August and November 2022. The first stage took place in Porto Alegre, in the region of Vale dos Sinos and in the state of Goiás, with 9 medical professionals, through an interview via Google Meet or Teams and the second stage took place by collecting blood samples from 130 adult patients, for diagnostic accuracy. The interviews were transcribed and analyzed qualitatively, with the support of the IRaMuTeQ software, which underwent a qualitative analysis and the diagnostic accuracy underwent statistical analysis with a quantitative approach. It was found that many professionals were not aware of this type of test, but consider that it would help in different situations, facilitating the provision of care. The initial prospect of this test has not yet been reached with the development of the product at this stage, since it was not possible to obtain the classification of patients with normal or altered anticoagulated status considering the INR cutoff point of 1.5.

Jogo em realidade virtual para público leigo: uma tecnologia educacional no atendimento da parada cardíaca

Mon, 26 Jun 2023 00:00:00 GMT

Jogo em realidade virtual para público leigo: uma tecnologia educacional no atendimento da parada cardíaca Attademo, Carolinne Vargas The use of virtual reality games for cardiopulmonary resuscitation (CPR) training has been shown to be relevant in health education. Serious games are an effective way of promoting the exchange of experiences and information. In this sense, a research was carried out in a private health institution in the state of Rio Grande do Sul, with the objective of producing the final version of the educational technology (ET), in a serious game format in virtual reality, called "Socorro: Parada Cardiac!!!''.The methodological study with a qualitative and quantitative approach was carried out in 6 stages. The results indicate that this TE is effective for teaching the technique in an interactive and engaging way, in addition to contributing to the players' learning. Gamification can be a complementary and effective tool for teaching CPR, but it cannot replace the importance of adequate training and constant practice. This study is part of the Project Management of Care and Systematization of Nursing Assistance in the Urgency and Emergency Care Network, of the Public Notice CAPES/COFEN 28/2019, approved by the Ethics and Research Committee (CEP) of the University of Vale dos Sinos under Opinion No. 4.300.05. As a product, the study produced the TE in a serious game format called ''Socorro: Cardiac Arrest!!!'', a mobile version with virtual reality: with the Android operating system available on the google play platform at the link: https://play.google.com/store/apps/details?id=com.AtomicRocket.Enfermagem, with the Health Education Research Line, of an innovative nature, contributing to the technological and social development of the health area and nursing, with impact potential for improving practice in CPR situations.

Construção e validação de conteúdo para portal educativo: prevenção da dermatite associada à incontinência e cuidados de enfermagem ao paciente hospitalizado

Fri, 11 Mar 2022 00:00:00 GMT

Construção e validação de conteúdo para portal educativo: prevenção da dermatite associada à incontinência e cuidados de enfermagem ao paciente hospitalizado Alves, Paulo Renato Vieira Incontinence-associated dermatitis (IA) is defined as inflammation of the skin of the perineal, perigenital region, and adjacent areas due to contact with urine and feces. With the aging of the population and incontinence being a common event in this population, it is up to nursing to establish preventive strategies so that the incontinent patient does not develop AID. The aim of this study is to construct and validate content for an educational portal on the prevention of incontinence-associated dermatitis and nursing care for incontinent patients. This content will be hosted on the Educa-HRES Portal, located at the Restinga and Extremo-Sul Hospital in Greater Porto Alegre. Methodological design developed in three stages: 1st) Exploratory: Integrative Literature Review (RIL), seeking the best evidence for prevention of incontinence-associated dermatitis and nursing care to incontinent patients with the Scientific Electronic Library Online (SciELO), Latin American and Caribbean Literature in Health Sciences (LILACS), National Library Of Medicine-USA (MEDLINE), databases, EBSCO Health, CAPES Portal. In the analysis of the studies included in the RIL emerged two categories that guided and subsidized the production of educational material, which are: a) concept, risk factors and specificities about IDA; b) nursing care for the prevention and treatment of IAD; 2) development of content for the educational portal; 3rd) validation of the content of the portal, through a committee of evaluating judges. For validation, the Content Validation Index (CVI) was used, which was evaluated by a panel of specialists and stomatherapists who have extensive knowledge on the subject. The agreement between the judges reached the score was 87.6%.The product generated, according to the Technical and Technological Production of the Nursing Area, is classified as Development of Instructional Didactic Material. In addition to adherence to the Nursing Area, it constitutes a real impact, considering that it will be housed in the Educa-HRES Portal. The theme prevention of dermatitis associated with incontinence (DAI) and nursing care to the incontinent patient will be included in the Continuing Education and Training Program of the referred institution and may contribute to qualify nursing care in the prevention of DAI and nursing care to patients with the disease.

Desenvolvimento e avaliação da viabilidade de um chatbot para vigilância pós-alta hospitalar de pacientes cirúrgicos

Wed, 20 Apr 2022 00:00:00 GMT

Desenvolvimento e avaliação da viabilidade de um chatbot para vigilância pós-alta hospitalar de pacientes cirúrgicos Araújo, Bruna Letícia Ramos Introduction: Postoperative surgical site infections have significant impacts on morbidity and mortality; they are considered an adverse health care event. The Board of Directors Resolution (Resolução da Diretoria Colegiada - RDC), No. 8, dated February 27, 2009, describes the importance of epidemiological surveillance of health services that perform surgeries. It aims to search for data on patients underwent surgical procedures, in order to investigate possible infections as well as knowing the outcomes of patients regarding the presence or absence of infection, and finally, qualifying the planning of actions for improvements. Conducting an epidemiological search is the responsibility of the infection control service, and an active search using a prospective and continuous method is mandatory. Objectives: To verify the feasibility of a chatbot developed for post-discharge surveillance of surgical patients. Method: Applied research on chatbot viability for infection monitoring after surgical patient discharge. This process was carried out in two stages: 1) Development of a chatbot. In partnership with a information technology company, which works with a focus on the design of mobile technologies to serve the health segment, the chatbot was developed. 2) assessment of chatbot viability. The feasibility assessment was performed with post-discharge surgical patients, interviewed at the hospital where the study was carried out. In step 2 the patients were included undergoing surgical procedures in a large, private hospital in Rio Grande do Sul. Data collection was performed through the chatbot itself, via the Whatsapp application. Data analysis was performed using descriptive statistics. The research project was approved by the Research Ethics Committee of the institutions involved (proponent and co-participant). The study was guided by Resolution 466/12 of the National Health Council and also by the General Personal Data Protection Law (LGPD), No. 13,709 of August 14, 2018. Results: 132 patients included in this study, who had been submitted to different types of surgeries, were contacted with chatbot messages 30 days after hospital discharge. The data confirmed that the tool has resolution and efficiency, due to the feedback of the users referring to the tool. We are aware that epidemiological surveillance of SSIs and their notification, in addition to care during the procedure, can improve the efficiency of care and reduce the burden of surgical infections. Conclusion: The current study made it possible to verify the feasibility of a chatbot developed for postdischarge surveillance of surgical patients, in a sample of postoperative patients in a large, private hospital located in southern Brazil. Final Product: It was constituted the feasibility of a chatbot developed for post-discharge surveillance of surgical patients as well as its assessment, which was made by those patients. Therefore, during the research, we carry out an epidemiological surveillance as recommended by Anvisa, providing from 15 to 21 days after the surgical procedures, in addition to monitoring the surgical patient in real time without the need for a professional with exclusive dedication, contributing to post-operative care after discharge. The impact of this product is related to greater agility in the post-discharge surveillance process of surgical patients, greater safety in the postoperative period, with a reduction in the risk of adverse events, such as surgical site infections and the early identification of postoperative complications. It is important to draw attention to the device, since it can be replicated in any health setting, whether hospital or primary care, regardless of the complexity of the service, and may contribute to better practices, achieving the soughtafter quality of care. The product was not registered as a patent, as the chatbot is a tool already available, but rather a new idea for using it to innovate in the area of epidemiological surveillance.

Desenvolvimento de tecnologia mhealths auxiliar no processo de adaptação em doença renal crônica

Fri, 22 Oct 2021 00:00:00 GMT

Desenvolvimento de tecnologia mhealths auxiliar no processo de adaptação em doença renal crônica Santos, Roberta Portal Brocheir dos The life changes that occur to chronic kidney disease (CKD) patients may cause stress and provoke several lifestyle changes. The purpose of this study was to create a mobile app to facilitate the interaction between the CKD subject and information about the disease, with the aim of simplifying the adaptation process. This was a mixed methods research developed in four phases: First phase: electronic search on LILACS, Medline and BDENF databases, using the keywords “nursing, chronic kidney disease, self-care, life quality” over the period between August 2015 to August 2020. Second phase: situational diagnosis, comprising netnographic research based on the answers to a survey answered by participating members of CKD-related Facebook groups (CKD patients or their carers). Third phase: construction of a mobile app, based on UX design prototyping techniques. Fourth phase: validation and evaluation phase, wherewith the prototype was navigated and assessed, by means of the Validation and Assessment Tool. The data was assessed using the agreement technique, applying the Content Validation Index, resulted in above 80% agreement by the analysis committee. The first and second phases results converge as evidence that the main method of adaptation and promotion of self-care are in the process of health education originated in human relations. Likewise, the interventions are in agreement, verified on Callista Roy Adaptation Model (RAM) theoretical framework applied in nursing diagnosis. It confirmed the importance of social and professional relations in health education. In the third phase, the data was related to RAM, generating the composition of the app prototype, built with FIGMA design tool. The products generated in this research were: Integrative Review, App construction, App validation. It was possible to conclude that the adaptation process occurs through the knowledge acquired by care, family and socially, where an empathic environment favours the motivation to self-care. In the digital era these are viable on mHealths technology, which answers to research questions and reaching its goals. It became evident the importance of interdisciplinarity, which has obtained positive and validated results. This study contributes to nursing, CKD patients and their carers, as it promotes better quality of life and employs digital technology. The prototype could be accessed trought the link https://www.figma.com/proto/yKqVZHSCcKJQUdyHbjnhqj/Amigo-Roy?node-id=3%3A330&scaling=scale-down&page-id=1%3A72&starting-point-node-id=2%3A74

Características de universitários que não consultam com o médico na Região Centro-Oeste: estudo transversal

Mon, 01 Jun 2020 00:00:00 GMT

Características de universitários que não consultam com o médico na Região Centro-Oeste: estudo transversal Ramos, Marcelo Objective: Verify the characteristics of university students who do not consult with the doctor in the Midwest region. Methods: Cross-sectional study including students, aged 18 years or older, enrolled in health courses at the University of Rio Verde, conducted in the municipalities of Rio Verde, Aparecida de Goiânia and Goianésia located in Goiás. Data were collected through self-administered questionnaires applied to university students enrolled in health courses (Nursing, Dentistry, Medicine, Physiotherapy, Pharmacy and Physical Education) during the periods of classes. The dependent variable was the non-use of health services in the last twelve months. Demographic, socioeconomic, student, life habits, some morbidities and self-perceived health variables were included in the analysis, after entering university were analyzed. The adjusted analysis was performed using Poisson Regression. Results: Among 2294 participants, 577 (25.1%; CI95% 23.4 to 26.9) had not consulted with a doctor. Some characteristics such as higher economic class, female gender, medical school, being at the beginning of courses and some morbidities such as the presence of asthma/bronchitis, heart disease, high cholesterol, sexually transmitted infection, depression and anxiety were associated with increased use of medical consultations. Conclusions: The study pointed out low use of medical consultations, differences between the provision of health services, high prevalence of high cholesterol and mental distress and can serve as a basis for the creation of health support and promotion services for university students.