Mestrado em Ciências da Saúde (FM)
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Navegando Mestrado em Ciências da Saúde (FM) por Por Orientador "Barbosa, Maria Alves"
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Item Qualidade de vida de usuários de drogas ilícitas em atendimento em um centro de atenção psicossocial álcool e drogas(Universidade Federal de Goiás, 2016-09-21) Campêlo, Selva Rios; Barbosa, Maria Alves; http://lattes.cnpq.br/5025797873585225; Barbosa, Maria Alves; Porto, Celmo Celeno; Caixeta, Camila Cardoso; Dias, Danilo Rocha; Oliveira, Lizete Malagoni de Almeida CavalcanteThe aim of this study was to investigate the relationship between illicit drug use and Quality of Life for users treated in a Psychosocial Care Center alcohol and drugs (CAPSad). Methodology: Literature review of Quality of Life instruments and its purpose in research with users in treatment for abuse and substance dependence guided the choice of Quality of Life instrument to be used in this study. To answer the main objective of the study was cross-sectional study with 60 users of illicit drugs in care in a CAPSad. The instruments used were WHOQOL-Bref to measure the Quality of Life in the physical, psychological, social and environmental, ASI-6 to investigate the severity of dependence on the dimensions drugs, family/child, alcohol, psychiatric, medical, legal, employment, family social support, family social problem, and MINI to identify the presence of psychiatric disorders of anxiety, mood, psychotic and anti-social personality. Statistical analysis was performed with Pearson and Spearman correlation tests to verify the association between the severity of dependence and the Quality of Life and Student's T test to compare Quality of Life in user groups with and without psychiatric comorbidities. Results: The literature review showed that the generic Quality of Life instruments SF-36 and WHOQOL Bref are the most used in the field of addiction, and there are still no specific instruments validated in Brazil. The WHOQOL-Bref was chosen to be an instrument that assesses the satisfaction of the subject to life globally, including environmental area, which is more related to treatment proposed by CAPSad, aimed at recovering drug users. There was a significant negative correlation of weak to moderate between the severity of dependence assessed by the ASI-6, dimensions drugs, alcohol, psychiatric, medical, legal, family social support and family social problem, and Quality of Life domains assessed by the WHOQOL bref. The evidence was strongest in psychiatric and medical dimensions and weaker in family social support, family social problem and legal. There was a significant difference in mean qualityof life among those who had psychiatric comorbidities and those who did not, for the psychological domain in anxiety disorder, and for the physical and psychological domains in mood disorder. Conclusion: The Quality of Life worsened as the severity of dependence has increased, with different results in various areas of life of illicit drug users, which underscores the need for training of professionals working in Substance Use Disorders area, to more comprehensive diagnostic evaluations, and more appropriate therapeutic interventions in each area. The results were more evident in the medical and psychiatric fields, which indicates the need for greater attention in relation to medical and psychiatric comorbidities.Item Os reflexos de intervenções de enfermagem sobre a adesão ao tratamento de pacientes hipertensos com pressão arterial não controlada(Universidade Federal de Goiás, 2013-11-08) Chinem, Brunella Mendonça; Sousa, Ana Luiza Lima; http://lattes.cnpq.br/6578713509935374; Barbosa, Maria Alves; http://lattes.cnpq.br/5025797873585225; Barbosa, Maria Alves; Sousa, Ana Luiza Lima; Jardim, Paulo César Brandão Veiga; Pierin, Angela Maria Geraldo; Pereira, Lílian VarandaIntroduction: hypertension is a major public health problem. Among the difficulties of health professionals regarding this issue highlights the lack of patient adherence to treatment. The treatment and control of hypertension remain as challenges for health professionals, because compliance rates are still low. The nurse helps the patient hypertensive plan actions making the patient an active being in their treatment. Objective: to evaluate whether interventions can influence patient adherence to treatment and their perception of the disease and consequently in blood pressure control. Methods: this is a randomized clinical trial, conducted in specialized service. We identified all those who were there more than a year without attending to any query and these were considered in situations of abandonment of service. It was also calculated the rate of blood pressure control. The study variables were: socio-demographic variables, blood pressure values, number of antihypertensive use, lifestyle, risk factors for cardiovascular disease, body mass index, time since diagnosis, treatment time, and treatment time the specialized service, pharmacological treatment and knowledge, beliefs and perceptions of patients about their treatment and their disease. To assess compliance, we applied the Morisky-Green Test for both groups. For the evaluation of the knowledge, beliefs and perceptions was applied Illness Perception Questionnaire. Two groups were randomly. The study group (SG) received interventions with weekly phone calls between queries and also consultations nursing after medical consultation. The control group (CG) remained in routine follow-up. Results: In 2011, the dropout rate in service was 6.4%, and in 2012 this rate was 11.0%. The rate of blood pressure control in 2011 was 73.9% and in 2012 was 61.7%. Those who had uncontrolled pressure had more patients in situations of low adherence (64.5%) than the group of controlled hypertensive (43.3%). After the intervention, a reduction in mean systolic blood pressure was higher in the SG than in the CG. In the end, there was no individual alcoholics in GE. The difference in the reduction of membership fees was 46.6% in the EG and 27.6% GC statistically significant (p < 0.05). Those who had a higher perception of personal control over the disease had greater adherence to pharmacological treatment. Conclusion: we found a low dropout service compared to other centers. This is reflected in the high rate of BP control. Non-adherence to treatment may explain the lack of BP control. The intervention performed by nursing altered rates of adherence to treatment and BP control, and also interfered in decreased intake of alcoholic beverages occasional. The group that participated in the intervention showed better understand about the chronicity of the disease and also about its consequences.Item Artigos, superfícies e equipamentos utilizados em unidades de terapia intensiva neonatal e pediátrica contaminados por Staphylococcus spp. resistentes aos antimicrobianos(Universidade Federal de Goiás, 2013-10-21) Gonçalves, Nádia Ferreira; Prado, Marinésia Aparecida do; http://lattes.cnpq.br/1151975582155991; Barbosa, Maria Alves; Barbosa, Maria Alves; Souza, Adenícia Custódia Silva e; Lima, Ana Beatriz MoriCompliance with preventive measures by health professionals is a large challenge, and it is believed that in the intensive care unit, especially those classified as neonatal and pediatric, contamination of goods, equipment, and environmental surfaces contribute significantly to the increased epidemiology of healthcare associated infections (HAIs). The objective of this study was to analyze the epidemiological and microbiological profiles of tools, equipment, and ambient surfaces contaminated with antimicrobial resistant Staphylococcus spp. in neonatal and pediatric intensive care units. It is a cross-sectional epidemiological study carried out from August 2011 to September 2012, in a neonatal and pediatric intensive care unit specializing in maternal and child health of the public health system in GoiâniaGoiás, Brazil. Samples were collected using sterile swabs moistened with saline solution 0.9%, which were subjected to microbiological processing consisting of isolation, identification and antimicrobial susceptibility testing. Analysis and interpretation of results followed. Of the 137 samples, 1 02 were identified as Staphylococcus spp. and, in six of the 12 incubators, different strains of these microorganisms were isolated, totaling 108 isolates. Among the isolates, only four were identified as Staphylococcus aureus, and the remaining 104 were coagulasenegative Staphylococcus. During the processing of isolates it was revealed that 74.5% of the tools, surfaces and equipment were infected by Staphylococcus spp., and of these, more than 80% were resistant to antimicrobials. In four, MLSB phenotype was detected. As for oxacillin-resistant isolates, 82.3 % had resistance confirmed by Etest®. Upon completion of the analysis, it became clear that the tools, surfaces and equipment used in pediatric neonatal intensive care units are reservoirs of bacteria. This immediately highlights an important contributor to the epidemiology of HAIs: compliance with procedure for the safety of infants and healthcare workers, since these findings signal gaps in the work process and therefore in the processing of these items. Therefore, it is believed that the perception of the professionals who work in health facilities (related to the risks of cross-contamination) is of unique value to understanding the need to adopt safe work practices. It is hoped, that contributing to the development of other studies, with the goal of identifying possible gaps, involving both the management of the service and standard operating procedures for the cleaning and disinfection of ambient surfaces, tools and equipment in compliance with guidelines.Item Sintomas depressivos e desesperança em pessoas em situação de rua atendidas em instituições de apoio em uma capital brasileira(Universidade Federal de Goiás, 2019-01-29) Lopes, Joyce Vânia Rodrigues; Matos, Marcos André de; http://lattes.cnpq.br/1492491906180226; Barbosa, Maria Alves; http://lattes.cnpq.br/5025797873585225; Barbosa, Maria Alves; Pereira, Lilian Varanda; Medeiros, Marcelo; Matos, Marcos André deThe investigation of the mental health in homeless, expands the construction of the knowledge and can contribute, in a significant way, to an effective attention to the health of these individuals. This study aimed to investigate the hopelessness and depressive symptomatology, moderate to severe, in the street population of a Brazilian capital of Central Brazil. A crosssectional, analytical study carried out between July and August of 2017 in two municipal public units that provide specialized services to this population. The depressive symptomatology was investigated through the Beck Depression Inventory (BDI) and hopelessness through the Beck Despair Scale (BHS). Bivariate and multiple analyzes were performed. Variables with p-value less than 0.20 in bivariate analysis and age, as potential confounders, were included in a multivariate Poisson model with robust variance. Spearman correlation analysis was used to verify the relationship between BDI and BHS. A total of 132 people participated in the study, with a mean age of 37.4 years. The majority of the participants were single (57.6%), black (82.6), heterosexual (94.7%), natural of the central-west region, male (78.8%) 12 months or less (70.5%) and with a low level of education, with less than 8 years of formal education (56.8%) predominating. Substance use was manifested by the majority (92.4%). Suicidal ideation (40.9%) and psychological / psychiatric treatment (47%) were present at a significant level. Among the individuals in the street situation investigated, 24.2% (95% CI: 17.7 - 32.2) and 49.2% (95% CI: 30.9-57.7) reported hopelessness and moderate to severe depressive symptomatology, respectively. Moderate to severe depressive symptomatology prevailed in women (PR: 1.42, p = 0.048) and in those with homosexual or bisexual orientation (PR: 1.81; p = 0.001). Homosexual or bisexual sexual orientation and religion were statistically associated with moderate to severe symptomatology. Practicing some religion was considered a protective factor, and decreased by 32% the chance of presenting moderate to severe depressive symptomatology (RPaj: 0.68; 95% CI: 0.47-0.99). On the other hand, homosexual or bisexual orientation increased the probability of presenting moderate to severe depressive symptomatology by 89% (RPaj: 1.89, 95% CI: 1.18-3.04). Moderate to severe despair prevailed in women (PR: 2.54, p = 0.001), in individuals with suicidal ideation (RP: 1.86, p = 0.048), and was lower in those who used alcohol (RP: 0, 49; p-value: 0.019) or tobacco (RP: 0.47, p = 0.018). Sex, schooling, tobacco use and crack use were statistically associated with moderate to severe hopelessness. Being female increased 132% (RPaj: 2.32, 95% CI: 1.24- 4.99) the chance of the individual presenting moderate to severe hopelessness. Being a tobacco user decreased by 52% (RPaj: 0.48, 95% CI: 0.27-0.87) and being a crack or similar user increased by 154% (RPaj: 2.54, 95% CI: 1.25 -5.17) when compared to non-users of this substance. Those with education of 8 to 11 years of study (RPaj: 2.72, 95% CI: 1.20- 6.14) and greater than 12 years of study (RPaj: 2.62, 95% CI: 1.31 -5.25) were more prevalent when compared to individuals with lower education (less than 8 years of schooling). Furthermore, a moderate positive correlation was observed between the two scales (r = 0.525, p <0.001). The high rates of moderate to severe depressive symptomatology and the considerable index of moderate to severe hopelessness point to the need for greater attention to the mental aspect of the street population. More accentuated indexes in women indicate that this is a portion that demands care specific to their particularities.Item Fraturas do quadril no idoso: mortalidade e comprometimento da marcha(Universidade Federal de Goiás, 2013-10-31) Moreira, Tiago Amaral Rebouças; Pécora, José Ricardo; Barbosa, Maria Alves; http://lattes.cnpq.br/5025797873585225; Barbosa, Maria Alves; Pécora, José Ricardo; Pereira, Milca SeverinoIntroduction: Approximately 1.5 million hip fractures ocurr annually worldwide in elderly people, this number is expected to increase to 6.3 million by 2050. Mortality rates within the first year varies from 11.2% to 35%. An estimated 23 – 50% of these patients recover their previous walking ability. Factors involved in the increased mortality of these patients are not completely understood. The objective of the presente study was to evaluate the morbimortality of elderly patients treated surgically for hip fracture. Patients and methods: Medical records of patients ≥60 years of age who underwent surgery for the treatment of hip fracture between 1 January 2010 and 31 December 2011 in a reference hospital of the Central-West region of Brazil were retrospectively analysed. Patients with history of high-energy trauma, pathologic fracture due to bone tumor or unable to walk before the fracture were excluded. The variables under study were: gender, age, comorbidities, previous hip fracture, fracture type, time between admission and surgery, assisted walking before injury, and hospitalization time. The follow-up period was 1 year. Univariate and multivariate (Cox proportional hazards) analyses were performed. The survival curve was estimated by using the Kaplan-Meier method. Results: Of the 835 patients with hip fractures, 427 were included in the study. Of these, 63.5% were women. One hundred and twenty-nine patients died; 38.0% of them were men. Age and length of hospital stay were associated with progression to death (p = 0.000). On Cox analysis, an age ≥ 90 years (hazard ratio [HR], 3.54; 95% confidence interval [CI], 1.46–8.59) and the presence of chronic obstructive pulmonary disease (HR, 2.44; 95%: CI, 1.25–4.74) proved to be predictors of death. Among the survivors, 58.7% exhibited the same walking ability they had before the injury and 14.7% became wheelchair-bound. Conclusions: The mortality rate in the first year was 30.2%. Age ≥90 years and chronic obstructive pulmonary disease were identified as predictors of death. Among those patients who were alive after 1 year, 52.5% maintained the ability to walk without assistance and 14.7% became wheelchair-bound.Item Contaminação ambiental como fator de risco para trabalhador da atenção primária à saúde(Universidade Federal de Goiás, 2015-04-28) Pereira, Mayara Regina; Prado, Marinésia Aparecida do; http://lattes.cnpq.br/1151975582155991; Barbosa, Maria Alves; http://lattes.cnpq.br/5025797873585225; Barbosa, Maria Alves; Vasconcelos, Lara Stefânia Netto de Oliveira Leão; Ribeiro, Evandro Leão; Santos, Silvana de Lima Vieira dosEnvironmental surfaces and items for non-critical health health facilities are in important reservoirs of pathogenic and multiresistant bacteria. This study aimed to analyze the contamination of environmental surfaces and products for non-critical health by gram-negative rods (GNR) as a risk factor for the health of workers in the dressing rooms in básica.Trata is an epidemiological study attention the analytical type, held from May 2013 to June 2014 in five dressing rooms. The collection was through swabs with subsequent microbiological evaluation of the specimens. Of the 61 sites analyzed, 11 (18.0%) had positive culture for BGN with 13 microorganisms isolated. Of these, eight (61.5%) were identified as belonging to the family Enterobacteriaceae: two Serratia ficaria, Serratia odorifera two biogroup II, an Escherichia vulneris, one Enterobacter aerogenes, Citrobacter diversus and one aglomerans Pantoea, which showed resistance, ampicillin (50.0%), cefotaxime (50.0%), cefoxitin (37.5%), carbapenems (37.5%), amoxicillin / clavulanic acid (12.5%). As for the gram-negative non-fermenting rods (GNNFR), we identified five (38.5%) bacteria: Four Stenotrophomonas maltophilia and Pseudomonas stutizeri. All GNNFR were sensitive to carbapenems. It is concluded that the microbiological profile of isolates higher prevalence of Enterobacteriaceae, including emerging species of epidemiological importance to infections. These findings in the ambience after processing represent a risk factor of these agents for health workers. As for the factor of risk for workers against contamination by gram negative environmental surfaces and products for health stands out eventual colonization and infection of workers in the event of imunocomprometimentos future, besides acting as a disseminator of these micro-organisms.Item Pesquisadores em estimulação magnética transcraniana no Brasil(Universidade Federal de Goiás, 2017-12-19) Silva Júnior, Hercílio Barbosa; Barbosa, Maria Alves; http://lattes.cnpq.br/5025797873585225; Barbosa , Maria Alves; Medeiros, Marcelo; Almeida , Fábio Marques deThe research investigate the data related to the researchers work on Transcranial Magnetic Stimulation in Brazil, as well as the groups, lines, research projects and areas of knowledge that are involved with the subject.Item Fatores de risco e acidentes ocupacionais em integrantes da equipe de enfermagem em ambulatório de especialidades de um hospital universitário(Universidade Federal de Goiás, 2013-07-29) Valente, Neide Maria de Lourdes de Morais; Guimarães, Valeriana de Castro; Barbosa, Maria Alves; http://lattes.cnpq.br/5025797873585225; Barbosa, Maria Alves; Brasil, Virginia Visconde; Palos, Marinésia Aparecida Prado; Oliveira, Priscila Valverde Vitorino de; Costa Neto, Sebastião Benício daNursing work exposes workers to risks that can lead to accidents and/or diseases. However, few studies investigate these risks and their consequences for nursing staff in outpatient services. The overall objective was to investigate the risk factors referred to by members of the nursing staff who work in outpatient specialties of a university hospital in the Midwest of Brazil. This cross-sectional, prospective, descriptive study, the data collection was performed using an instrument containing semi - structured questions administered at the time and place of work of the employee. The study included 76 nurses, with a mean age of 50 years, with time working in nursing for 17 years and working in outpatient service nine years. The results consisted of 410 responses concerning the exposure of professionals to risk factors, among which 133 were biological, psychosocial 133, 93 ergonomics, 32 physical and chemical 19. Approximately 90% of professionals reported using some type of Personal Protective Equipment, with gloves and masks the most used. Concern about occupational risks is insufficient to avoid them. New investigations on the subject are essential, as well as investments in preventive measures, such as physical infrastructure and continuing education.Item Fatores associados à qualidade de vida e nível de ansiedade de indivíduos submetidos à angioplastia coronariana(Universidade Federal de Goiás, 2014-12-12) Vieira, Liege Luydimila Silva; Barbosa, Maria Alves; http://lattes.cnpq.br/5025797873585225; Barbosa, Maria Alves; Vitorino, Priscila Valverde de Oliveira; Saddi, Vera Aparecida; Oliveira, Lizete Malagoni de Almeida Cavalcante; Costa, Paulo Sergio Sucasas daObjective: to estimate the Health Related Quality of Life (HRQoL) and the level of Anxiety in individuals that were submitted to percutaneous transluminal coronary angioplasty (PTCA), as well as variables associated with better HRQL and lower anxiety. Method: This was a cross-sectional study with individuals of age 18 to 81 years old who underwent PTCA in 2012 at Goiânia, Goiás. The Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) was used to assess the Health Related Quality of Life (HRQoL), which is composed of a physical (PC) and a mental component (MC), each with four domains. Anxiety symptoms were assessed by the Beck Anxiety Inventory (BAI); other variables obtained through a sociodemographic questionnaire. The association between sociodemographic variables and outcomes (quality of life and level of anxiety) was estimated by univariate analysis using the t test or ANOVA. P values <0.015 were considered statistically significant and included in the multivariate linear regression model. Results: 169 patients were included, the majority was male (61.0%) and the average age was 65.3 years (sd ±10.2). The highest scores of HRQL were observed on the physical domain of SF-36. The following variables were independently associated with better HRQoL on the physical domain: male gender, higher education, elective angioplasty, working and living with partner; mental domain: work, religious practice, private health insurance and living with partner. The lowest anxiety level was independently associated with two variables: male and have private health insurance. Conclusion: The evidences of this study suggest that better HRQoL in adults and elderly that were submitted to PTCA may be associated to professional activity, gender, age, education level type of PTCA realized.