Mestrado em Enfermagem e Saúde (FEN)
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Navegando Mestrado em Enfermagem e Saúde (FEN) por Por Orientador "Brasil, Virginia Visconde"
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Item Qualidade de vida e letramento funcional em saúde de portadores de hipertensão arterial residentes na zona rural(Universidade Federal de Goiás, 2016-02-23) Bernardes, Carla de Paula; Brasil, Virginia Visconde; http://lattes.cnpq.br/1940761888797180; Brasil, Virginia Visconde; http://lattes.cnpq.br/1940761888797180; Vila, Vanessa da Silva Carvalho; Oliveira, Lizete Malagoni de Almeida Cavalcante; Barbosa, Maria Alves; Cordeiro, Jacqueline Andréia Bernardes LeãoChronic diseases as hypertension can affect people's health-related quality of life (HRQoL) mainly if associated to inadequate health literacy. Living in a rural area difficult accessing health services. This study aimed to evaluate HRQoL and health literacy of people living with hypertension in rural areas. The descriptive study included 114 hypertensive individuals living in rural areas, who are assisted by Brazil's Family Health Strategy. It was used instruments as SF-36v2, MINICHALBrazil and the Brief Test of Functional Health Literacy in Adults (B-TOFHLA). Data were analyzed descriptively using Anova, Mann-Whitney, Kruskal-Wallis and T-Tests. The individuals were mainly female, mean age 59 years, 8 years or less of schooling. Body Mass Index indicated altered weight (≥ 25 Kg/cm2 ), even they referring daily habits changes after medical diagnose of hypertension. The lower SF-36 scales scores were “general health perceptions” (46,58) and “physical functioning” (51,10); the highest were “social functioning” (76,86) e “mental health” (72,49). MINICHAL domains scores were “mental status” (5,9) and “somatic manifestations” (3,3). There was correlation between SF-36 and MINICHAL scores. The health literacy test pointed to a inadequate health literacy for most of hypertensive individuals. Differences between man and woman were shown in most of SF-36 scales scores. Health literacy level was inadequate between the older and those with less years of schooling. It was concluded that people living with hypertension in rural areas have altered quality of life and limited health literacy. They should have easier access to health programs to receive Family Health Strategy attention, considering their literacy needs. Results suggest health professional strategy changes for hypertensive individuals living in rural areas, to effective health related care, self care and better quality of lifeItem Desempenho dos indicadores de qualidade da assistência na fase aguda do infarto do miocárdio(Universidade Federal de Goiás, 2015-03-23) Boaventura, Rafaela Peres; Brasil, Virginia Visconde; http://lattes.cnpq.br/1940761888797180; Brasil, Virginia Visconde; Mussi, Fernanda Carneiro; Bezerra, Ana Lúcia Queiroz; Mery, Max Weyler; Oliveira, Lizete Malagoni de A. C.This study aimed to analyze the pre-hospital course of patients undergoing percutaneous myocardial reperfusion in acute myocardial infarction and evaluate the performance of health care quality indicators of myocardial infarction in these patients. This is a retrospective cohort study with convenience sample. It was analyzed 39 cases of myocardial infarction with ST segment elevation, with Delta T up to 12 hours without previous administration of fibrinolytic agents, admitted for treatment at the General Hospital of Palmas / TO in 2013. Data were collected in the pre-hospital phase in records and interview and in the in-hospital phase through secondary data. For statistical analysis we used the Shapiro-Wilk test, Student's t test and ANOVA with 5% significance level. Most were male (76.9%), with a stable partner (74.4%), with up to nine years of education (64.1%) and at least three cardiovascular risk factors (79.5%). In the pre-hospital delta T phase was high (06h34min ± 03:14) and 10.2% achieved the recommended metric. The delta T was higher among patients that did not previously recognized symptoms of AMI (mean 07h09min ± 03h12min) and lower among those who were treated during the day (mean 03h 25min ± 05h35min). In-hospital phase, 56% were admitted during the day. In 30.8% of cases the Killip Kimball was > I. Among the other infarcted walls prevailed the bottom wall. Five patients (12.8%) died. Time door-ECG and needle holder did not follow international recommendations for all variables. The early recognition of symptoms and time of care are interfering for prehospital delay. There was no statistical correlation-balloon time and door-ECG door to the profile of patients with clinical variables in the hospitalization phase. The metric assessment of infarct treatment quality indicators in the acute phase was unsatisfactory throughout the study period.Item Conhecimento e letramento funcional em saúde de pacientes em tratamento pré-dialítico de um hospital de ensino(Universidade Federal de Goiás, 2014-09-26) Moraes, Katarinne Lima; Brasil, Virginia Visconde; http://lattes.cnpq.br/1940761888797180; Brasil, Virginia Visconde; Vila, Vanessa da Silva Carvalho; Medeiros, Marcelo; Canhestro, Mônica Ribeiro; Souza, Márcia MariaCaring for those who have chronic kidney disease (CKD) has been limited to the proper handling of the kidney disease symptomatogly, underestimating the attention demands in the initial stages of the illness. Clear, individualized and specific information about the infirmity and prognosis are essential to slow and/or prevent the dialysis treatment. However, people who suffer chronic illnesses have difficulties obtaining information, and also in turning the health information into knowledge, which means they have limited Functional Health Literacy (FHL). There are no evidences about the competence in FHL of the people who have chronic kidney disease regarding predialysis treatment, as well as about the influence of this competence on the knowledge concerning the disease in this stage. This study aimed to analyse the health literacy and the knowledge of the patients in predialysis treatment about the CKD. Transversal study done with 60 people suffering with chronic kidney disease in predialysis situation, treated at a teaching hospital in Goiânia, Brazil, between 2013-2014. To collect data we used the tool of Canhestro (2010) to measure knowledge, the Brazilian version of the Brief Test of Functional Health Literacy in Adults (B-THOFLA) to identify the FHL and a sociodemographic and clinic instrument. The sociodemographic variables were presented through simple descriptive statistics. Tests for correlations of Pearson and Chi-squared and models of linear regression were applied to find the connections among the variables. Most of the interviewed people were female, age average 62,17±14,66 years old, in the third and fourth stages of CKD (67%) and had and average time of treatment in the nephrology ambulatory of 59,55±51,00 months. All the interviewed people presented insufficient health literacy, with an average of right answers of the itens of 30,85±13,01. The majority (57,70%) presented insufficient knowledge about their disease and treatment. Worse levels of education were a predictive factor for worse scores in FHL, and the insufficient knowledge was linked to aging and cognitive compromise. We could not observe association between the worst scores of knowledge and the ones of functional health literacy. The conclusion is that the chronic renal patients presented an inadequate level of functional health literacy and insufficient knowledge concerning the treatment of the CKD and the disease itself. These results may help the creation of educational programs for people with CKD, in order to facilitate the access and the understanding of the information related to health, and therefore make it possible for people to take proper decisions about their wellness.Item Letramento em saúde de cuidadores vinculados ao Serviço de Atenção Domiciliar de Goiânia/GO(Universidade Federal de Goiás, 2020-05-29) Soares, Thales Antônio Martins; Brasil, Virginia Visconde; http://lattes.cnpq.br/1940761888797180; Brasil, Virginia Visconde; Vila, Vanessa da Silva Carvalho; Borges Júnior, Laerte HonoratoINTRODUCTION: Health literacy (LS) refers to the skills and capacity of individuals and populations to access, understand and use health information to promote, maintain and make health decisions. Home caregivers with HL limitations are prone to fail in home care due to problems related to poor communication, incomplete health information, inadequate education, limited access to health services and lack of continuity of care. It is believed that the caregiver's HL can influence the way he cares for the person under his responsibility. There are no studies that investigate the LS of home caregivers linked to home care programs, using a multidimensional instrument. OBJECTIVE: to determine the HL conditions of caregivers of people linked to the Home Care Service of Goiânia / Goiás, Brazil. METHODOLOGY: cross-sectional study carried out between March and June 2019 in Goiânia / Goiás, with 90 caregivers linked to the municipality's Home Care Service, interviewed with a sociodemographic questionnaire and the Brazilian version of the Health Literacy Questionnaire (HLQ-Br). Measures of central tendency and dispersion, HLQ reliability and the Mann Whitney, Kruskal-Wallis tests were used to compare the variables. RESULTS: most caregivers were female (90.0%), had a steady partner (58.89%), lived in the home of those they cared for (75.6%), had a reading habit (57.8% ), was an informal caregiver (91.1%), had parents without schooling (44.2%), studied nine years or more (53.3%) in a public school (84.4%) and had a personal income of up to one minimum wage (72.2%). The type of caregiver, reading habit, living with the patient, having a family income greater than a minimum wage and education of the caregiver and their parents, influenced the HLQ-Br scores. The lowest score in part 1 of the HLQ-Br was found on the “Active health caregiver” scale and the highest on the “Social support for health” scale. In part 2, the lowest score is found on the “Navigating the health system” scale and the highest on the “Understanding health information and knowing what to do” scale. CONCLUSIONS: Income, education and reading habits influenced most HLQ scales. The results can guide the actions of health professionals, who must use the HL construct in their practice. This health indicator helps to improve guidelines for home caregivers, and consequently improve the quality of care. New studies should be carried out to broaden the understanding of HL in this context, to identify how to reduce situational demands, including how services can contribute. LS is broader than the ability to read and understand. It implies the ability to act.