Mestrado em Enfermagem e Saúde (FEN)
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Navegando Mestrado em Enfermagem e Saúde (FEN) por Por Orientador "Guimarães, Janaína Valadares"
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Item Utilização das recomendações para profilaxia de transmissão vertical do HIV(Universidade Federal de Goiás, 2013-04-05) Almeida, Bruna Lígia Ferreira; Salge, Ana Karina Marques; Guimarães, Janaína Valadares; http://lattes.cnpq.br/0986934969522024; Guimarães, Janaína Valadares; Manrique, Edana Joana Claudio; Souza, Sandra Maria Brunini de; Souza, Márcia Maria de; Tavares, Suelene Brito do NascimentoThe feminization of the epidemic have many consequences, among them, the increasing number of HIV-infected children with mother to child transmission as the main route of infection. In 2010, the Ministry of Health created the recommended prophylaxis manual of mother to child HIV transmission and antiretroviral therapy in pregnant women and other behaviors related to prevention of mother to child HIV transmission. The objective of this study was to analyze if the recommendations of the Ministry of Health as control of mother to child HIV transmission are being taken by pregnant women and health professionals of a public maternity hospital in Goiânia. Research conducted between March and May 2012, divided into two stages: cross-sectional study, which consisted in the analysis of medical records of 323 HIV positive pregnant women seen at a public hospital in the State of Goiás between years 2006 to 2011, and second it is cross-sectional study involving 25 professionals working in maternity and obstetric center of this institution. Among the 323 records analyzed, 48.9% of pregnant women were included in the age group between 25 to 34 years old, 68.7% were single, 65.6% brown, 50.5% had study time between 4-7 years and 74.9% were unemployed. We checked the main risks related to mother to child HIV transmission in the 323 analyzed records. Among of the professionals surveyed, 76% have inadequate knowledge about HIV testing in pregnant women, 80% unaware the gestational age in what is realized elective caesarean, 66% do not know the dose to attack AZT and the elapsed time before child-birth, 84% do not know which method is indicated for lactation inhibition. The data observed in our study are alarming and show gaps in care for HIV positive pregnant women and newborns exposed, through information obtained that contradict this practice.Item Disfunção sexual em mulheres com câncer de mama(Universidade Federal de Goiás, 2015-06-29) Lopes, Juliane da Silveira Ortiz de Camargo; Vieira, Flaviana; http://lattes.cnpq.br/5199507174724803; Guimarães, Janaína Valadares; http://lattes.cnpq.br/0986934969522024; Guimarães, Janaína Valadares; Siqueira, Karina Machado; Mota, Dálete Delalibera Corrêa de Faria; Almeida, Nilza Alves Marques; Prado, Marinésia Aparecida doINTRODUCTION: Sexual dysfunctions are changes that often affect women with breast cancer as a result of multiple factors, particularly physical changes, treatment and course of the disease, but they can also be associated with cases of anxiety and depression. PURPOSE: Evaluate sexual dysfunction in women with breast cancer and associated factors. METHODS: Cross-sectional study with 167 women being treated for breast cancer at an oncology reference hospital in Goiânia-GO, from August to November 2014. Factors associated with sexual dysfunction in this group were assessed using a semi-structured script prepared by the researcher, the field of sexuality: desire, arousal, lubrication, orgasm, satisfaction and pain / discomfort were analyzed by applying the "Female Sexual Function Index (IFSF)" and anxiety and depression were checked using the Hospital Anxiety and Depression Scale (HADS ). The project was approved by the ethics committee of Hospital das Clinicas of research at the Federal University of Goiás and the Association Against Cancer in Goiás. Data analysis was performed using the chi-square test, Student's t test and Pearson's correlation considering the significance level of p <0.05. RESULTS: It was found that 79.0% of the sample had sexual dysfunction and of these, 86.8% and 86.3% had anxiety and depression, respectively. There was an association between various treatments for breast cancer as mastectomy, quadrantectomy, chemotherapy, chemo / radiotherapy (p <0.05) and the decline in scores in all areas of sexuality (desire, arousal, lubrication, orgasm, satisfaction and pain / discomfort) in women with sexual dysfunction. Other factors such as comorbidities (p = 0.042) and nonexistent menstrual cycle (p = 0.014) showed a significant association with sexual dysfunction in this group. There was a significant association between the presence of sexual dysfunction and anxiety in women with breast cancer (p = 0.038). Regarding the fields of sexuality it found that women with sexual dysfunction had a positive and significant correlation between anxiety and sexual arousal and a significant correlation, but inversely, between depression and sexual desire. CONCLUSION: Sexual dysfunction has affected 79% of women with breast cancer, causing decline in scores in all areas of sexuality. Factors such as comorbidity, non-existent menstrual cycle and anxiety were significantly associated with sexual dysfunction. Depression has an inverse correlation to the domain desire in this group.Item Mulheres com câncer de mama: aspectos relacionados a recidiva e sobrevida(Universidade Federal de Goiás, 2014-04-11) Peres, Valéria Costa; Salge, Ana Karina Marques; Guimarães, Janaína Valadares; Guimarães, Janaína Valadares; Salge, Ana Karina Marques; Tavares, Suelene Brito do Nascimento; Vieira, FlavianaINTRODUCTION: Breast cancer is the leading cause of women’s death in many countries and the cancer type of highest incidence among Brazilian women. It is important to strengthen public health policies for women's health through multidisciplinary teamwork to identify the best interventions aiming early detection of the disease recurrence and suiting follow-up after the treatment has begun. OBJECTIVE: To evaluate the association between relapse and survival of women with breast cancer staging and follow-up for five years after diagnosis. METHODOLOGY: retrospective cross-sectional study made in a specialized cancer institute in the state of Goiás. The study population consisted of 460 records of women diagnosed with breast cancer in 2008 and treated in this institution. Data collection was conducted in the period of June and October of 2013 through semi-structured script prepared by the researcher and validated by an expertise of the area. The data were transferred to an excel spreadsheet and analyzed in Statistical Package for Social Science (SPSS) 19.0. Categorical variables were presented as absolute value (f) and percentage value (%) and continuous variables were presented as average ± standard deviation. Fisher’s exact test was used to verify the association among categorical variables. It was considered statistically significant if p <0.05. The Kaplan Meier estimator was also used to identify the survival of women in a period of five years. The project was approved by the ethics research committee and complied with the ethical and legal aspects set out in Resolution No. 466 / 012. RESULTS: It was identified a rate of 14% of deaths, 6% of local/regional recurrence and 25% of metastatic within five years. It was pointed that 26% of women missed follow-up, from these, 45% were diagnosed at stage III, 35% had cancer recurrence and 77% of women did not have consultation with the nurse during the period. CONCLUSION: It is noticed an improvement in survival of women with breast cancer in five years, but there are still a significant number of women being diagnosed in advanced stages. Among women who lost follow-up, a considerable number of them were identified as relapsed before leaving the following, which confirms the need for effective strategies to ensure follow-up of these women in the health service during the recommended period.Item Utilização do método hálux-calcâneo na identificação de desvios de crescimento em recém-nascidos(Universidade Federal de Goiás, 2013-05-07) Rocha, Érika Lopes; Salge, Ana Karina Marques; http://lattes.cnpq.br/7766918925030041; Guimarães, Janaína Valadares; http://lattes.cnpq.br/0986934969522024; Salge, Ana Karina Marques; Castral, Thaíla Corrêia; Prado, Marinésia Aparecida; Martins, Cleusa Alves; Silva, Ana Elisa Bauer de CamargoThe HCL used in the GA and BW evaluation of normal NB and stillbirths exists for nearly a century and has been considered as a positive method inthese NBs evalua-tion. However, the results are scarce and inconsistent on studies that tried to clarify the relationship of data measured by the method in groups of NB with DIUG. The aim of this study was to estimate the prevalence of NB / stillbirths with DIUG, according to the HCL method and its relation with high-risk pregnancy. It is a cross-sectional study conducted in a Federal HospitaI Instituiton (maternity sector), integrated to Health Unified System of Goiânia – Goiás, from April 2011 to May 2012. The population consisted of 129 NB, among them 88 NB of high risk pregnancies women and 41NBwith no high-risk pregnancy women. The women clinical and anthropometric data of NB were obtained from the records of each patient, using the appropriate form. The HCL was performed using a rigid and transparent plastic ruler graduated in millimeters. Both feet were measured taking the hallux tip to the tip of the calcaneus-length. All data were typed and stored in an electronic database in Microsoft Office Excel ® 2007. Data were analyzed using the electronic program SigmaStat ® version 3.5. The participants’ rights were preserved according to the196/96 Resolution of the National Health Council. The project was approved by the Ethics in Human Research and Animal Hospital of the Federal University of Goiás, protocol n ° 101 / 2008. A statistically significant relationship was found between the HCL and the BW in NBS-GA, BGA and AGA for all gestational ages. The results showed a strong correlation between HCL and NB preterm and low correlation between HCL and NB post-term. The final average of HCL found in the high risk group is lower than the control group. However, NB with DIUG in the high risk group had lower weight and greater HCL than NB with HCL DIUG in the control group. The CHL was positively correlated with GA determined by both the LMP, as the method of Capurro. In relation to maternal factors, maternal age did not influence the NB birth with DIUG and did not show diffe-rences in HCL measures. Pre-eclampsia and gestational diabetes may be related to the lowest average of HCL among NB in high-risk group. A statistically significant relationship between CHL and CP and TP in the high risk group and between the CHL and the CP in the control group were found. The heterogeneity of results warns that cutoff points to identify LBW NBs and even premature or DIUG should only be used after it is established the HC Laverage considered as normal for the specific population in this research.Item Fatores envolvidos na adesão ao rastreamento do câncer de mama(Universidade Federal de Goiás, 2017-02-07) Sousa, Tanielly Paula; Salge, Ana Karina Marques; http://lattes.cnpq.br/7766918925030041; Guimarães, Janaína Valadares; http://lattes.cnpq.br/0986934969522024; Guimarães, Janaína Valadares; Vieira, Flaviana; Prado, Marinésia Aparecida; Martins, Cleusa Alves; Almeida, Nilza Alves MarquesAmong the types of cancer that affect women, breast cancer is the most common, accounting for nearly 25% of all cases. The increase in mortality from this cancer occurs mainly due to the lack of adherence to the screening tests, which generates late diagnosis and delay in appropriate therapy. This study aimed to identify factors involved in the adherence of women to breast cancer screening tests. It is an study with a cross-sectional design, carried out in five primary health care units/centers, in Goiânia, GO, Brazil. The sample consisted of 320 women, aged 40-69 years, who were not pregnant, who waited for care in these units. For data collection, a semi-structured interview script was used, followed by a pilot study. The Chi-square test or Fisher's exact test were used to verify the association between women's health behavior, use of service and knowledge about breast cancer, and adherence of women to breast cancer screening tests, with significance level of 5%. Have already heard of screening exams (p = 0.001), had an annual gynecological visit (p <0.001), received a professional recommendation (p <0.001, p <0.001 and p = 0.002) and had a gynecological visit to less than 3 years (P <0.001) was associated with the practice of all screening tests, considering the clinical breast examination (ECM), mammography (MMG) and ultrasound (USG). Women in the appropriate weight (p <0.029) and those who received a visit from a health professional and/or community health agent (p <0.009) performed more ECM. Women between 50 and 69 years of age and those with children had more MMG examination (p <0.001). Recognizing the recommended age (p = 0.01) and attending primary health care units for more than one year (p <0.024) favored the performance of USG. Women who had a health insurence performed more ECM (p <0.018) and MMG (p <0.065) and knew the exams (p = 0.020 and p = 0.021) and had a family history of cancer (p <0.007 and p <0.034) favored ECM and USG practice. Therefore, the causes that lead to non-compliance to recommendations on breast cancer screening exams are multifactorial, but the health professional deserves to be highlighted, since he is the main source of information for these women, being fundamental in the deconstruction of sociocultural, knowledge and organizational issues surrounding the screening of breast cancer.Item Exames de rastreamento em mulheres diagnosticadas com câncer de mama(Universidade Federal de Goiás, 2014-04-11) Veloso, Danyelle Lorrane Carneiro; Salge, Ana Karina Marques; Guimarães, Janaína Valadares; http://lattes.cnpq.br/0986934969522024; Guimarães, Janaína Valadares; Mota, Dálete Delalibera Corrêa de Faria; Amaral, Rita Goreti; Martins, Cleusa AlvesBreast cancer is the most incident type among women, representing the fifth cause of death in this group worldwide and the leading cause of death among women in developing countries. Mortality rates from this disease can be reduced when early diagnosis is associated to appropriate treatment. The survival of women diagnosed is also changed when the tumor is found in early stage. The aim of this study was to analyze the prior practice of screening tests for breast cancer as well as the factors that influenced the realization of them among women diagnosed with breast cancer. This is a cross sectional analytical study with quantitative approach. Data collection was made in a High Complexity Oncology Center located in Goiânia-GO. Data were collected from June to August of 2013. The study population consisted of women between 40 and 69 years old, who were undergoing outpatient treatment in the referred hospital. Inclusion criteria were: female patient, aged between 40 and 69 years old, diagnosed with breast cancer and be in outpatient treatment for breast cancer. The sample consisted of 195 women. This study complied with the conditions set by resolution 466/2012 of the National Board of Health. Collection data used interview guideline and analysis of medical records seeking to highlight issues related to identity, socioeconomic and demographic data, knowledge, access to exams of early detection of breast cancer, factors involved in non-realization of exams, as well as information such as location, classification and tumor stage. Data analysis was performed using the electronic program Sigma Stat 3.5. The generated data in this investigation were organized to publish in two academic papers: "Factors related to the non-realization of exams for early detection of breast cancer" and "Relationship between early detection exams for breast cancer and the disease stage at diagnosis." The detection through accidental palpation of the nodule shows flaws in the implementation of strategies for early detection of breast cancer, knowing that when the lump has become palpable, the chances of it to be in advanced stage is big. The found frequencies of accomplishment of Clinical Breast Exam and Mammogram in this study indicate that there has been lack of access from women to these exams.