Mestrado em Enfermagem e Saúde (FEN)

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Representações sociais de DST/AIDS para adolescentes de uma instituição abrigo com experiência pregressa de vida nas ruas da cidade de Goiânia
(Universidade Federal de Goiás, 2004-12-13) BORGES, Ida Kuroki; MEDEIROS, Marcelo
Adolescents in street situation likely exposed to STD/AIDS because the street world is favorable for violence use and traffic of drugs sexual exploration and also they had difficulties to assimilate information about this subject and to access health services These aspects had been discussed from the knowledge produced by health and social sciences about the sexuality vulnerability and exposition for the STD/AIDS of sheltered adolescents with previous life experience in the streets In this study we sough to identify and to analyze the social representations of prevention DST/AIDS for a group of adolescents with experience of life in the streets living in a shelter institution in Goiânia Goiás Brazil This inquiry has been based on social approach of qualitative research in health which social representations as methodological principle The data was collected by in-depth interview with a group of sheltered adolescents of both genres and diary-field notes from participant observations and analyzed by thematic modality of the content analysis As results we identified three thematic categories: omnipotence and finite prevention and risks bodies changes the knowledge of STD/AIDS to the adolescents prevention and sexuality in order to we verify that AIDS is better known among them than other STD In their understanding AIDS appears as incurable disease leading to death Although they know about risks they do not adopt a prevention behavior The risk factors are linked to their own powerful beliefs ignorance use of inject able drugs or others and difficulties to get condoms makes that diminishes the risks perceptions threshold and consequently also their protection attitudes The knowledge about sexuality is restricted to the physical and biological modifications not knowing exactly what is happening with their body in each phase of their physical affective sexual and social development Considering the irregularity that initiates their sexual life time some limitations to preventing their selves against STD appears These results allow us to consider about our responsibility to extending our activities beyond the limits of Academy and thus contributing to Public Policy elaboration through accords with governmental and non-governmental organizations by a community effort to propose effective projects of interventions for this population still unknown for great part of the society inside of its historical context
Análise da implementação de uma abordagem de cuidar de enfermagem junto à mulher no ciclo gravídico-puerperal: uma aproximação do Modelo de Orem, sistemas de classificação da prática de enfermagem e diretrizes de humanização do parto
(Universidade Federal de Goiás, 2004-12-14) PEREIRA, Sandra Valeria Martins; BACHION, Maria Marcia; http://lattes.cnpq.br/8503907944360635
Educação para a saúde como estratégia de intervenção de enfermagem junto às pessoas portadoras de diabetes
(Universidade Federal de Goiás, 2004-12-16) RÊGO, Maria Aparecida Barbosa; NAKATANI, Adélia Yaeko Kyosen; http://lattes.cnpq.br/0202706625866781
As a nurse of the Family Health Program we observe that diabetes bearers of the town of Nova Aurora State of Goias did not manage to reduce their glycemic levels even when receiving educational orientation Facing this issue this research was developed with the means of: analyzing an educational process for health along with diabetes bearers applying an approach between the theoretical assumptions of Paulo Freire and the methodological references from the Arch of Maguerez which was adapted by Bordenave e Pereira and analyze the results of the glycated hemoglobin before and after the implementation of the educational plan It is an action research with a quanti qualitative approach This study was approved by the Ethics Research Committee from the Federal University of Goias Nineteen people participated in the educative action and seventeen in the glycated hemoglobin test all diabetes bearers who signed a term of free and clarified assent and were informed concerning the intervention proposal An educative action was accomplished in six meetings The dosage of glycated hemoglobine occurred at the beginning of the educative action and five months after the end of it The results of this examination were analyzed by means of Student s t-Test The speeches of the group during the educative process were recorded and analyzed in accordance with Laurence Bardin In the light of reality the emergent categories related themselves to: feeding confrontation and feelings of success and frustration towards the illness The themes diet hypoglicemia / hyperglicemia and the physiopathology of the Diabetes mellitus were chosen as key points to be theorized In the stage of theorization of the diet categories emerged such as dependency on the health professional and autonomy / independence on the choice of one s food For the themes hypo / hyperglicemia the categories focused on the educational and liberating approach and the cognitive control that they had over these themes From the theorization of the physiopathology of the Diabetes mellitus the exposed categories were: absence of knowledge and knowledge at the common sense Changes of the subjects at the stage of solution hypothesis were observed when they elaborated educational posters which evidenced two categories: preventive measures of specific health promotion for the group and early diagnosis directed towards the community The application to the reality was accomplished through the accounts of the DM bearers as to changes in their abilities and attitudes and the attainment of autonomy and independence conquered through the control of cognitions the resultant actions of the educational practice were: the construction of teaching material which made it possible to share their knowledge with the group and the community; the capacity to establish an association between their previous knowledge to the acquired scientific knowledge during the educational intervention; changes of abilities and in the capacities of confrontation of the illness besides the changes in the alimentary habits As to the referent results of the glycated hemoglobine the t-Test shows an statistically significant difference with the reduction of the plasmatic levels of the dosed element The present research evidenced that educative action was capable to contribute to the construction of significant knowledge and for the attainment of autonomy and independence of the DM bearers facing their health problem and reduction in the index of glycated hemoglobine
O Serviço de Triagem do Hospital das Clínicas da Universidade Federal de Goiás- promotovendo o acolhimento e a reorganização institucional
(Universidade Federal de Goiás, 2004-12-17) AZEVEDO, Jane Mary Rosa; BARBOSA, Maria Alves; http://lattes.cnpq.br/5025797873585225
Análise da produção científica sobre a utilização de atividades grupais no trabalho do enfermeiro no Brasil
(Universidade Federal de Goiás, 2004-12-17) GODOY, Maria Tereza Hagen de; MUNARI, Denize Bouttelet; http://lattes.cnpq.br/8409035360598716
Acidentes ocupacionais com material biológico : a per- cepção do profissional acidentado.
(Universidade Federal de Goiás, 2005-03-21) DAMACENO, Ariadna Pires; PEREIRA, Milca Severino; http://lattes.cnpq.br/9304767101674108
Occupational accidents involving biological materials may bring physical and psychological consequences to the injured professional Many workers commonly give less attention to such events not applying preventive steps as recommended for those procedures which represent risks to their health This paper aims at reporting the workers perception and undertanding on the context involving the accident with biological material including experimented feelings, reactions as well as actions taken The research has been done according to the presumptions of qualitative research and data was analysed in accordance with content analysis technique Data was collected by using questionnaires applied to health-care workers linked with a health care institution and later by an interview with the injured workers from an emergency and urgency reference unit in the city of Goiânia Firstly 382 health-care workers answered a questionnaire in order to identify those who had already suffered an accident 39 of those who had had an accident have participated in the interview concerning aspects related to the accidents The main causes to the accidents mentioned were: unattention non-adoption of preventive steps severity of injured patients hurry due to work overload and appliance structure and material-related deficiencies Among the feelings experimented we could highlight: insecurity fearing infection worries about the family rage and even calmness About half of the workers have reported that the accident had not brought any consequence into their lives The others reported that it had provided them with learning and growth All workers reported awareness of the risks related to the accident however we could note several inadequate conduct in their reports 18 professionals reported all the accidents they had 12 never reported any and 9 reported only those considered most serious Many manifested some difficulty in specifying the protective equipment used on the day of the accident mainly due to the amount of time from the day of the event to the research date The workers perception of such phenomenon is very different from one another regarding the same kind of accident Data shows the need of worker´s health self-valuing as well as programs aimed at improving the occupational safety
Avaliação de ações educativas em saúde com grupos de gestantes: estudo comparativo entre Unidade Saúde da Fa- mília e Unidade Básica de Saúde
(Universidade Federal de Goiás, 2005-03-30) BORGES, Cristiane Jose; SOUSA, Ana Luiza Lima; http://lattes.cnpq.br/6578713509935374
The main goal of this study is to evaluate the implementation of educational activity within a pregnant women group developed at the Family Health Unit and Basic Unit of Health Health education groups such as: pregnant women educators auxiliaries accompanying people were adopted as target population; and the environment where the meetings took place was contextualized as well For data collection were used a spreadsheet forms and a camp diary The methodology was divided into six phases: documental analysis of the programmed context identification of the pregnant women identification of the educators educational technologies record educational-pedagogical methodologies and group dynamics subjects oral evaluations record and results categorization On the results were described: the subjects of study (who are the pregnant women? Who are the educators?) the dynamics of work of the group dynamics of interpersonal relations the team s participation on health education and records of oral evaluations from all subjects involved on the educational activity on group structure. The study made it possible to consider that the educational actions developed in groups of pregnant women at the Family Health Unit and Basic Unit of Health has shown significant differences what drives us to the conclusion that professional specially from the Family Health Unit which is a model of health system reorientation need to review their educational practice developed within groups of pregnant women
Higienização das mãos entre os profissionais de saúde de uma unidade de terapia intensiva neonatal : o impacto de estratégias de incentivo à adesão
(Universidade Federal de Goiás, 2005-03-30) NEVES, Zilah Cândida Pereira das; SOUZA, Adenicia Custodia Silva e; http://lattes.cnpq.br/5966034868102264; TIPPLE, Anaclara Ferreira Veiga; http://lattes.cnpq.br/4288704233343920
Adesão dos enfermeiros às precauções padrão à luz do modelo de crenças em saúde
(Universidade Federal de Goiás, 2005-03-31) MELO, Dulcelene de Sousa; TIPPLE, Anaclara Ferreira Veiga; http://lattes.cnpq.br/4288704233343920; SOUZA, Adenicia Custodia Silva e; http://lattes.cnpq.br/5966034868102264
This was a qualitative study done in a big-sized general public hospital in the city of Goiânia Goiás The aims was to analyze nurses´ adherence to standard precautions according to Rosenstock´s health belief model (HBM) (1974) Data were collected using a semi-structured interview guide based on principles of Critical Incidence Technique (CIT) The instrument was validated by judges and was then pre-tested The ethical-legal research principles were observed Among 90 nurses selected to participate in the study 82 agreed to take part in this study Inclusion criteria were nurses who were either in direct contact with patients or in supervisory positions in the hospital cleaning, laundry or sterilization services Data were analyzed in accordance with CIT The analysis categories were constructed using the dimensions of the HBM A total of 139 critical incidents were identified of which 66 were considered positive and 73 negative HBM dimensions were identified within 131 situations: 74 (56,5%) related to perceived susceptibility; 17 (13,0%) to perceived benefits and 40 (30,5%) to perceived barriers The majority of the reported critical incidents related to situations of occupational exposure to biological materials Among the Standard Precautions (SP) use of protective barriers was most frequently utilized Denial of susceptibility was indicated by the lack of use of protective barriers improper management of sharp objects and non-adherence to SP related to patients with multi-resistant pathogens Moderate perceived susceptibility was associated with partial adherence to SP in cases of patients requiring more complex levels of care; in situations following occupational exposure; and when patients needs took priority over personal protection High perceived susceptibility was observed in situations of caring for patients suspected or diagnosed with infections due to pathogens of epidemiological importance and those related to nurses responsibility Perceived seriousness was evident in behaviors and consequences related to critical incidences after occupational exposure in moments when nurses expressed feelings experienced psychosomatic symptoms and were diagnosed with an infection. Perceived benefits emerged above all from positive critical incidente with focus on protective barriers understood as protection strategies which lead to safety while procedures are executed Perceived barriers were: lack of personnel preparation lack of material resources insufficient personnel improper physical structure patient emergencies psychosocial factors lack of personnel policies for cases of exposure to biological material These barriers contribute to lower adherence of SP but they could be addressed by the Health Care Facilities since nurses have demonstrated adequate perception of susceptibility and benefits HBM dimensions were associated with nurses adherence to SP suggesting that plans should be developed to improve the nurses actions and decision-making in day-to-day nursing cars prioritizing the safety of those individuals involved in this process
Qualidade de vida do auxiliar e técnico de enfermagem em UTIs
(Universidade Federal de Goiás, 2005-04-04) SALLES, Eunice Pereira de; BRASIL, Virginia Visconde; http://lattes.cnpq.br/1940761888797180
The speed of the changes which has occurred in the globalized world has interfered with Quality of Life (QOL) of the majority of people and it tends to influence on their performance as workers People who care of human beings can be affected and have their attending quality compromised The purpose of this research was to assess the QOL of nursing paraprofessionals of Intensive Care Units (ICUs) It is a descriptive and exploratory study developed in ICUs of four public hospitals in Goiânia, Brazil A number of 125 nursing paraprofessionals were submitted to quality of life assessment using the World Health Organization instrument named WHOQOL 100 This specific version covers six domains: physical health psychological level of independence social relations environment spirituality / religion / personal beliefs The statistical analysis used the Kruskal Wallis Jonckhere Terpstra and Median tests The subjects were in the majority female young adults married and with two children catholics They also have more than two jobs and have been working more than five years in ICUs The analysis of each domain score showed that almost all of them had an average score higher than the medium point (12) The mean highest score was the Spirituality/Religiousness/Personal beliefs Domain (17,18) followed by the Level of Independence Domain (16,53) by the Personal Relations Domain (14,85) by the Psychological Domain (14,55) by the Physical Health Domain (13,55) and finally by the Environment Domain (11,95) The answers which evaluated the General Quality of Life got the average score of 14,27 The score of the Environment Domain was influenced by the dissatisfaction with the financial situation and the public transportation system as well as worries concerning to their physical safety They considered themselves satisfied with their home environment and their opportunities to get new skills and information The pain manifestations and the physical discomfort contributed to the reduction of the mean score of the Physical Health Domain but it did not interfere in the amount of energy used to perform everyday activities nor the sleeping quality The catholics considered themselves more worried with pain and physical discomfort than the evangelical ones In the Psychological Domain evaluation the self-esteem and physical appearance were positively determining The women had higher scores than men regarding positive thoughts In the Social Relation Domain the satisfaction with the family support and friends as well as with the sexual activity were evident mainly among the married ones
Avaliação da eficácia da estufa de Pasteur como equipamento esterilizante em consultórios odontológicos do Distrito Central de Goiânia-GO
(Universidade Federal de Goiás, 2005-09-20) TAVARES, Solange do Socorro Fonseca; TIPPLE, Anaclara Ferreira Veiga; http://lattes.cnpq.br/4288704233343920; SOUZA, Joaquim Tomé de; http://lattes.cnpq.br/6215460982392562
The aim of this analytical study was to evaluate the effectiveness of dry heat as a sterilizing equipment in dental offices with regard to: the packing of the load, the time and temperature used, the use of biological and chemical monitoring in the sterilization control as well as the performing of preventive maintenance. The data were obtained from 101 dental offices in the Central District of Goiânia, Goiás, Brazil, through the following procedures: use of check-list and interview; checking the temperature of the dry heat and performing the biological monitoring.The results showed that most of the people in charge of the article sterilization in dry heat performed it without the folowing proceedings proclaimed by Health Ministry: adequate package disposal, monitoring by accessory thermometer, performance of indicated cycles and accomplishment of preventive maintenance. The results also showed that the most significant intervening factors for the quality of sterilization were both the no accomplishment of chamber monitoring by accessory thermometer and time/temperature relationship indicated for sterilization cycle. In addition, dry heat was not effective for 46 (45,5%) dental offfices investigated, confirming other studies which concluded that dry heat is an equipment susceptible to sterilization failure and its effectiveness is close related to the accomplishment of the proclaimed loading and sterilization which depend on human action.
Estudo soroepidemiológico da infecção pelo vírus da hepatite B(HBV) e avaliação da soroconversão à vacina butang em adolescentes da periferia da região metropolitana de Goiânia, Goiás
(Universidade Federal de Goiás, 2005-12-09) OLIVEIRA, Michele Dias da Silva; TELES, Sheila Araújo; http://lattes.cnpq.br/4975298732179917
To evaluate the seroepidemiology profile of the hepatitis B virus infection, and the response to Butang® vaccine in adolescents from a low-income region in the Metropolitan Area of Goiânia city Goiás 664 individuals with 12 to 19 years old were interviewed regarding socio-demographic and HBV risk factors After blood samples were collected and serum samples were tested for HBV markers (HBsAg, anti-HBs and anti-HBc) by enzyme-linked immunosorbent assay (ELISA) HBsAg positive samples were subtyped by ELISA and HBV DNA detected by polymerase chain reaction Positive samples were genotyped by restriction fragment length polymorphism (RFLP) method Three doses of 20μg of the Butang® vaccine were offered to all susceptible adolescents and the vaccine response was evaluated nearly 45 days after A global prevalence of 5.9% (CI 95%: 4.3 8.0) was found ranging from to 2.4% (CI 95%: 0.7 - 6.3) to 17.3% (CI 95%:11.0 - 26.0) All HBsAg positive adolescents were infected with HBV isolates of subtype adw2 and genotype A Age of 16 to 19 years attending in evening classes school B birth in other state and body piercing were independently associated to HBV positivity A total of 304 adolescents were susceptible to hepatitis B virus Of them 182 compliance with the full vaccine scheme and in 170 the vaccine response was evaluated All developed protector anti-HBs titers being the majority with titers higher than 1.000 mUI/mL The anti-HBs geometric means titers (GMT) were equal to 4.344 mUI/mL (CI 95%: 3.492 5.404) These findings ratify the importance of hepatitis B vaccine to adolescents mainly to low income ones whose social conditions should support the viral dissemination The administration of the present scheme of Butang® should guarantee protective anti-HBs levels to individuals at a critical time for hepatitis B acquiring such as latter adolescence and adulthood
Situação vacinal e exposição a material biológico: o papel das instituições de ensino superior na formação de graduandos na área de saúde no estado de Goiás
(Universidade Federal de Goiás, 2005-12-22) SANTOS, Silvana de Lima Vieira dos; TIPPLE, Anaclara Ferreira Veiga; http://lattes.cnpq.br/4288704233343920; SOUZA, Adenicia Custodia Silva e; http://lattes.cnpq.br/5966034868102264
This is a descriptive study carried out in Higher Education Institutions (HEI) at the State of Goiás Andergraduating students from the last term/grade of courses in the health field took part in this study We aimed at characterizing the exposure to biohazards among andergraduating students from courses in the health area within the State of Goiás; identifying the vaccinal profile of the andergraduating students; characterizing HEI performance on orienting students towards vaccination against immune-preventable diseases of major importance to health professionals (HP) and verifying on students who vaccinated against Hepatitis B the procedure of anti-HBs exam and its outcome A sample test was carried out and with the support of the software Epi-info version 2004 we scored n=651 corresponding to 54% of the population with reliability interval of 95% The research ethic-legal aspects were observed Data was collected by questionnaires validated by three jurors Its application ocurred in a classroom setting Database was structured and processed in the program Epi-info version 2004 and data was presented in figures tables and analysed through descriptive statistics 777 (68,5%) graduating students enrolled on the last grade in 2005 participated in this study Aged between 20 and 55 years mean 34,7 years of age and 83,6% between 20 and 30 years of age Females are predominant with 73,8% 25,4% of graduating students had already been exposed to biological material 64,2% were exposed to sharp instruments together with contact with bloody skin and/or body fluids Among those who were involved in accidents only 35,2% reported them Students showed greater adherence to anti-hepatitis B vaccine referied by 84,9% and only 34,0% took the anti-Hbs tests 73,0% of them called themselves respondents and 10,0% of them did not know about it There was also 46,8% adherence to vaccine against diphtheria and tetanus and 25,8% of adherence to anti-yellow-fever vaccine 92,0% of students affirmed having been oriented about immunization 94,8% recognize anti-hepatitis B as recommendable vaccine to HP 77,3% for anti-diphtheria and tetanus and 48,3 % of accounts suggest anti-yellow-fever vaccine Data sources for the graduating students about recommended vaccine to HP were curricular discipline with 32,3% followed by the college direction with 13,6% of accounts Although HEI in the State of Goiás have been addressing this issue they do so in a fragmented and little consistent way We consider it critical for HEI to set urgently a policy of vaccine establishment before clinical practice as well as to reflect about prevention, and control of infection aiming at interdisciplinarity and above all the quality of teaching which will be reflected on the health professionals profile
Compreendendo o Ser da pessoa com câncer: suas posturas e possibilidades existenciais
(Universidade Federal de Goiás, 2006-02-16) SIQUEIRA, Karina Machado; BARBOSA, Maria Alves; http://lattes.cnpq.br/5025797873585225
In despite of important advances that occurred in the last years referring to diagnosis and treatment of cancer this disease has proved to be one of the main causes of death in the world affecting a significant part of the population The expressive number of people in health care institutions for cancer treatment leads us to assume a reflective attitude in relation to the way it is being treated by health care professionals The purpose of the development of this research was to unveil the meaning of being-with-cancer for oncologic patients trying to understand them in this experience and trying to find new ways to take care of these people Based on the insight that only people who have actually gone through the experience of suffering from cancer are able to transmit the meaning and the importance of what they have been experiencing I opted for the methodology of qualitative research phenomenological modality based on the philosophical reference of Edmund Husserl Phenomenology according to Husserl is a tour through the world of experiences having as its objective to unveil the essences inherent to the phenomenon Interviews were conducted with eleven patients interned in a health care institution specialized in cancer treatment located in Goiânia GO All the patients were adults and aware of the diagnosis I adopted some ideas of Martin Heidegger s existencial ontology to better develop data analysis I could learn that cancer shows itself to the Being who lives this situation as a difficult experience saturated with suffering and pain Receiving the diagnosis revealed itself as one of the worst moments for the patient as an experience among other feelings the anguish of the unknown and fear of death Approaching the world of these people s lives I noticed how much cancer as a reality in the being s life can affect both their self-perception and behaviour as well as their social relations From the moment on in which the Being is confronted with the reality of living with a severe disease several existencial projects tend to be cancelled or modified Besides the countless sufferings provoked by the disease the stigma that envolves cancer is responsable for the maintenance of prejudice which increase the suffering and wear out the sick person Being confronted with the necessity of living with a severe health problem people in many cases search ways of facing this which differ from the ways offered by conventional medicine; among these stand out the practices based on popular knowledge and religiosity The trust in divine power emerged in a significant way in the patients discourse as a way of strengthening and overcoming The presence of significant people such as relatives and friends were considered important by those who experienced being sick To unveil the meaning of living with cancer allowed me a comprehension of what the person was experiencing signalling the need for discussing feelings and sharing his/her pains sadness and worries Taking care of these people implies developing the sensibility of seeing the Being as someone given the gift of awareness of the situation he finds himself in and as someone who needs care directed to his singularity
A Empregabilidade de um Grupo de Egressos do Curso de Graduação da Faculdade de Enfermagem da Universidade Federal de Goiás
(Universidade Federal de Goiás, 2006-02-22) CARRIJO, Clarissa Irineu de Sousa; BEZERRA, Ana Lucia Queiroz; http://lattes.cnpq.br/0088227879433410
The growth of Nursing Graduation Courses and consequently of egresses makes the nurses to be experiencing a fully and particularly critical period as much in the field of the professional background as in the working market This study had as aims: to analyze the determining factors on the employability of the egresses group of the Nursing school from the Federal University of Goiás (FEN/UFG) from the year 2002; distinguish these professionals; verify the insertion of the group aforesaid in the working market and identify the search for the permanent education of this group to reach its employability Descriptive Research The data were obtained through a semi-structured questionnaire sent to the 44 egresses who concluded the graduation course in the year 2002 and that disposed themselves to participate by the means of the warranty of the ethic principles by the researches part The sample of the study was composed through the acquisition of 41 (93, 2%) questionnaires The answers were examined with the aid of a software that allowed us to identify frequencies and percentiles of the variables The open questions were categorized as the context of the employability of the egresses from the year 2002 and disposed in: group definition; the professional background procedure; the insertion into the working market; the professional s reality and the working market as well The data allowed us to confirm that: it is a young population in their twenties (68,3%); the majority 40 (97,6%) is of females and 28 (68,3%) are single; had concluded the graduation in five years; 61% consider the good background and 39% consider it pretty good; 85,4% had participated in the researches and in the extension projects besides the extracurricular activities and diverse events 63,4% attended a post-graduation course and the introduction on the market happened one to three months after graduated 79,5% work at a municipal public area, in the Family Health Program through indication or public contest with a predominant base income of nine minimal wages As for the preparation for the working market: 80,5% felt themselves prepared due to their academic background and the opportunities of a permanent education; 19,5% felt themselves unprepared imputing their lack to the conflict of realities between either the school world and the working world in addition to the no updating in specific nursing areas As for the contributions they suggest post-graduation courses opportunities of a lasting upbringing and researches as well It was possible to consider that in the opinion of the egresses from the year 2002 the graduation course offered by FEN/UFG contributed in the professional background of such egresses However it needs to converge a little more towards the reality of the working market The survey presented subsidies about the reality of the employability of the nurses in Goiânia to be discussed among the academician and the excellence of the teaching on FEN/UFG as well as in the other universities
INFECÇÃO PELO Mycobacterium tuberculosis ENTRE OS PROFISSIONAIS DA EQUIPE DE ENFERMAGEM, EM UM HOSPITAL DE DOENÇAS INFECCIOSAS, GOIÂNIA - GO.
(Universidade Federal de Goiás, 2006-02-23) LOPES, Lilian Kelly de Oliveira; TELES, Sheila Araújo; http://lattes.cnpq.br/4975298732179917; TIPPLE, Anaclara Ferreira Veiga; http://lattes.cnpq.br/4288704233343920
According to the World Health Organization (WHO), an hundred million of individuals are infected by M. tuberculosis, annually. Health care workers play an important role to control of tuberculosis, but they are also at high risk for this infection. Then, the objectives of the present study were to evaluate the prevalence of M tuberculosis infection in nursing professionals from the Tropical Diseases Hospital in Goiânia City, State of Goiás, to analyze the factors associated to tuberculin skin test (TST) positivity and to determine the TB infection incidence density in susceptible professionals Initially, the prevalence and factors associated to TST were investigated in 128 eligible individuals. Further, susceptible professionals (n=32) were followed up during three years (2001-2004) to detect TST conversion. Of the total individuals investigated, 69.5% (IC 95%: 60.7-77.2) were positive to TST. Two occupational factors were independently associated to skin test positivity: duration of profissional activity longer than 5 years (Adjustd OR = 6.3; 95% CI: 1.5-26.2) and occupational contact with a person with pulmonary TB ≤ 2 years (Adjusted OR = 12.2; 95% CI: 1.2-106.3). Seven profissionals showed tuberculinic conversion during the three years of follow up, and an incidence density of 11.5 new conversions to 100 persons-year was detected. All of them had taken care of patients during the period of the study. Two individuals developed tuberculosis disease. The data of this study ratify the high risk of tuberculosis in nursing team, and highlight the importance of this infection as an occupational disease to nursing professionals of our region.
Qualidade de vida e tratamento hemodialítico: avali- ação do portador de insuficiência renal crônica
(Universidade Federal de Goiás, 2006-02-24) CORDEIRO, Jacqueline Andréia Bernardes Leão; BRASIL, Virginia Visconde; http://lattes.cnpq.br/1940761888797180
Hemodialysis is the most frequently renal substitutive therapy used by patients with chronic renal failure. However, continuation with this kind of treatment had demonstrated to provoke disarranging and changes on daily routine, affecting patient s quality of life. Present study main objective was evaluate the quality of life in chronic renal failure patients receiving hemodialysis treatment, by means of the instrument called Kidney Disease and Quality of Life Short Form (KDQOL-SF). Were interviewed 72 chronic kidney failure patients under hemodialysis treatment in Goiânia / GO, Brazil. For statistical data analysis, a significance level of 5% and a 95% of confidence interval were used. The majority of patients are male, with mean age of 51.1 ± 16,6 years (20 to 80 yr), catholics, and they just know how to read and write as education level. The time of hemodialysis treatment was 12 - 60 months for most of them, as well as the family income is 01 or 02 salaries. The majority doesn t work and live with their family or spouse. The results evidenced that the quality of life of chronic renal failure patients receiving hemodialysis treatment is impaired in some aspects. The Dimensions Physical Role, Work Status, Burden of Kidney Disease and Emotional Role had the lowest scores (20.49, 22.2, 34.55, 36,57 respectively). The highest values were obtained in the Dimensions Dialysis Staff Encouragement (88.37), Quality of Social Interaction (80.83), Patient Satisfaction (80.09), Sexual Function (73.86) and Cognitive Function (80.74). The individual s perception in each Dimension was significantly interfered by advanced age, gender, time of treatment, family support, religious choices, level of instruction and by work. Present study indicates that quality of life in chronic renal failure patients receiving hemodialysis treatment is affected and justifies a professional involvement to care of these people, just the way they deserve to be cared of.
Revisão sistemática da literatura sobre produtos usados no tratamento de feridas
(Universidade Federal de Goiás, 2006-03-02) PEREIRA, Angela Lima; BACHION, Maria Marcia; http://lattes.cnpq.br/8503907944360635
Every day an increasing volume of publications has been produced being necessary that these information are analyzed in order to make their application useful becoming the produced knowledge more easily used The systematic review of literature answers the necessity to synthesize the produced knowledge and to separate the excellent studies to the determined clinical question A great diversity of products for the treatment of wounds exists During practical ours we live deeply the difficulty of the professionals in deciding which is the best treatment which product will have greater effectiveness and associating the studies developed concerning the treatment of wounds to the practical clinic In order to contribute for the theoretical recital of taking care of nursing in the treatment of wounds we believe to be necessary to investigate in the scientific literature of the health area which are the best evidences gotten concerning the treatment of wounds The results of this research will be able to direct the assistance and education of nursing concerning the thematic one as well as generating new questions of research Thus we consider as objective to identify and to analyze scientific evidences concerning some products used in the treatment of wounds in human beings in published scientific articles in the languages Portuguese English or Spanish the 2004 enter the years of 1995 in the following database of the Virtual Library of Health (VLH): ADOLEC BDENF MEDCARIB MEDLINE This study is about the research of Systematic Revision of Literature Defined the object of the study tests of relevance had been elaborated (TR) After that by means of consultation to the DECs there had been adopted to unitermos and carried through search in literature in VLH The preliminary election of the references and summaries gotten in the search in database was carried through by means of the application of TRI for one of the researches considering criteria of inclusion and exclusion previously determined. Later TRII was applied to the references and summaries of articles and after that to articles in the complete one for two research of independent form To enclosed articles in this phase TRII was applied for two researchers of independent form and requested evaluation of two consultants for analysis of articles in which had disagreement between the researchers The decision of the consultants about the inclusion or exclusion of articles was sovereign Finally the enclosed articles had been submitted to the script of extraction of information of each article was constructed and later the general map of evidences identified for the diverse uses of the studied products was elaborated The total amount of joined article references was of 2906 With the application of the TRI it had a total of 1234 exclusions and 1672 inclusions The application of TRII resulted in a total of 1413 exclusions and 159 inclusions It was note possible to apply TRII in 100 articles for not having been joined in the national territory TR III resulted in 142 exclusions and 17 inclusions The joined evidences denote positive effect of the use of these products; being the majority of them classified them as evidence IB or either strong recommended for implementation in the studied circumstances
RESÍDUOS BIOLÓGICOS NOS INSTITUTOS DE MEDICINA LEGAL DE GOIÁS: IMPLICAÇÕES PARA OS TRABALHADORES
(Universidade Federal de Goiás, 2006-03-03) BARROS, Izildinha Pedreira; SOUZA, Adenicia Custodia Silva e; http://lattes.cnpq.br/5966034868102264; TIPPLE, Anaclara Ferreira Veiga; http://lattes.cnpq.br/4288704233343920
Institutes of Forensic Medicine (IFM) perform exams and forensic studies implying in the generation of biological, chemical, radioactive, and common wastes. Thus, the workers can be exposed to biohazardous materials, mainly, due to the non-adherence to recommended practices in their management. Aiming at decreasing such risks, the Health Ministry has established rules defining guidelines to be undertaken by all institutions which generate Health Hazardous Wastes (HHW), including Institutes of Forensic Medicine. This paper had the following goals: diagnosing the management of biological waste generated by IFMs in Goiás as well as their implications to the workers; identifying them, in accordance with different stages as established in the current national legislation; verifying the situation of occupational biohazards for the workers of such institutions in Goiás. Data was collected through questionnaires, check lists, and interviews. Questionnaires were applied to 10 directors, and 81 workers were interviewed. The observation outcomes were recorded in a check list. Despite the fact that such facilities generate wastes similarly to any other health care facility, the first ones are non-segregated, non-conditioned and disposed in accordance with current legal rules. Sharp instruments management is shown as a main hazard to workers, which can be evidenced by the records of percutaneous injuries, while discarding. However, there is some awareness among workers concerning biohazards involved in the activities they perform. There is low adherence to protective measures. Most workers do not use protective individual barriers as recommended, and do not show a complete vaccination plan against tetanus and Hepatites B virus. The outcomes show the lack of a policy towards biohazards, and the need of continuing education concerning biosafety measures in such facilities.
Historias de vida de meninas com experiência pregressa nas ruas: perspectivas do processo de inclusão social
(Universidade Federal de Goiás, 2006-03-03) OLIVEIRA, Normalene Sena de; MEDEIROS, Marcelo
In this inquiry, we sought for answers to some questions about social adjustment process for children and adolescents in street situation, especially for female adolescents that had found alternatives for a better quality of life out of the treets. The main objective was to analyze the meaning for social adjustment; to identify the institutional pedagogic programs in the social adjustment process; and to analyze the meaning of the social adjustment and the consequences to female adolescents that lived in street situation. The method has qualitative approach by Oral Live History principles. The data was collect by semi structured interview and participant observation with eight adolescents from 16 to 24 years old, with previous history of life in streets, and analyzed by content analysis thematic modality background. The results was organized and presented through the following categories: 1) coming to street; 2) living in street; 3) life beyond the street. In accordance with the subjects, the social adjustment process occurred in pregnancy consequence. However, the awakening of new live perspectives occurred due significant persons in a specific sheltering institution and the pedagogical actions there developed that accompany, motivate and articulate the values of these persons in the whole process. Therefore, by the oral history of life it was possible to identify the subject course of life, its social adjustment in the recuperation process and the Public Health Nursing possibilities for caring in this process of social adjustment

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