PRPG - Pró-reitoria de Pós-graduação

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Navegando PRPG - Pró-reitoria de Pós-graduação por Por Orientador "Almeida, Nilza Alves Marques"

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    Participação de gestantes em grupos educativos do pré-natal na atenção básica
    (Universidade Federal de Goiás, 2016-12-20) Dornelas, Rodrigo Faria; Almeida, Nilza Alves Marques; http://lattes.cnpq.br/2486258562480055; Almeida, Nilza Alves Marques; Souza, Marta Rovery de; Martins, Cleusa Alves
    The Ministry of Health (MS) recommends quality and humanized prenatal care based on convenient and educative behavior, in addition to the minimum of six visits for a proper follow-up of the pregnant woman. The education group is an interactive space that prepares the pregnant woman for the pregnancy and puerperal period. It enables the exchange of experience and knowledge among pregnant women and health professionals in order to promote health and humanization. The present study aimed to analyze the participation of pregnant women in pre-natal education groups in basic health care units of the Sanitary District Campinas-Centro of Goiânia-Goiás. This is a cross-sectional, exploratory and descriptive study with a quantitative approach which was carried out between 2014 and 2015, with pregnant women over 18 years of age. The pregnant women were enrolled in the prenatal program of four Basic Health Care Units in Goiânia -Goiás. The pregnant women were interviewed about their participation of the prenatal education group before voluntary acceptance through the Informed Consent Form. We performed a descriptive analysis of the data using absolute (n) and relative (%) frequency measurements. The results were categorized and presented in tables and figures. This study was conducted in a population of 90 pregnant women. The majority of the participants were aged between 18 and 28 years, more than nine years of schooling, living with his partner, income of up to two minimum wages and they did not own a property. They had normal pregnancy in the thi rd trimester with an average of five follow-up visits and had been pregnant previously. The subjects of greatest interest to the pregnant women were "Newborn Care" (77.8%) and "Breastfeeding" (55.6%). Regarding other topics, "Indications and types of childbi rth" was pointed out as the most relevant. The facilitating and hindering factors for the participation in the pregnant group were, respectively: meeting schedule (60% and 34.4%), place (78.9% e 14.4%); pe rsonal availability (53.3% e 46.7%), working schedule (27.8% and 34.4%), study schedule (33.3% and 6.7%), having someone to take care of thei r children (22.2%) and not having someone to take care of thei r children (7.8%), not having children (43.3%) and transportation (14.4%). We concluded that the participation of the pregnant women in the prenatal education groups was different among the healthy units and influenced by availability with "meeting schedule", " place" and "not having children". The results reinforce the role of nurses in the planning and management of the group as an important strategy for health promotion and education for pregnant women and their families.
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    Cuidado pré-natal e puerperal na rede atenção básica à saúde do estado de Goiás
    (Universidade Federal de Goiás, 2016-03-31) Fernandes , Bruna de Castro; Souza, Marta Rovery de; http://lattes.cnpq.br/1155042579123151; Almeida, Nilza Alves Marques; http://lattes.cnpq.br/2486258562480055; Almeida, Nilza Alves Marques; Souza, Marta Rovery de; Martins, Cleusa Alves
    Introduction: to overcome the challenges that affect the quality of services offered by Primary Care, the Ministry of Health proposes several initiatives focused on training, among them is the National Programme for Improving Access and Quality of Primary Care - PMAQ-AB. By relating the effectiveness and quality of prenatal and postpartum care to the maternal mortality rate above the overall target and expanding the coverage of prenatal care, delivery and postpartum care, it is observed that the actions taken in those areas of attention still constitute a challenge for health policies for women. Objective: this study aimed to analyze the actions and services of primary care as ordering network of prenatal care and puerperal in the state of Goias. Methodology: This is a cross-sectional, multicenter study, linked to the second evaluation cycle PMAQ-AB to the state of Goias. This was a clipping national database variables related to sociodemographic characteristics of users of services, prenatal care natal to welcoming to pregnant and postpartum care, given the indicators agreed by primary care teams and municipal managers to the strategic area of women's health. The analysis was done by micro health. Results: the survey covered 975 services of Primary Care, with 1180 health teams and 884 users. Most services are Basic Health Units (842; 86.4%) and most health teams proffer prenatal care (1143: 96.9%) and puerperal (1059: 89.7%). As for existence of printed material used in prenatal care, it was found that most health facilities in all the regions, always available to book the pregnant woman. The increased availability has been identified in the micro Northeast I (100%) and the lowest on the Railroad (73.3%). There was the regular supply of prevalence of vaccine in health services in AB, in the regions Serra da Mesa and West II supply happens in all study participants health services (100%), the lowest bid is in the micro Southwest I (58 , 9%). Of female participants, 637 (72.1%) received prenatal consultation in the last pregnancy, and almost all health micro predominated six or more visits. The most common procedures were checking the uterine height (570; 89.5%), and measurement of blood pressure (96.9%). Examination of the mouth and breasts was reported by 252 (39.6%) participants. The procedure was performed less collection preventive screening of cervical cancer (162; 25.4%). group participated and / or educational activities during prenatal only 221 (34.7%) of women. Of the women with children under two years (n = 884), 316 (35.7%) underwent childbirth review consultation (puerperal consultation). Conclusions: care services Basic prenatal and postpartum health of micro-regions of the State of Goiás presented, in most cases, adequate infrastructure as the information management resources, biopharmaceuticals and laboratory support, with the exception of rapid tests. There was uniformity of actions and services that involve prenatal care and postpartum, most of the micro-regions, and access one of the factors favorable to their use. The gaps were highlighted in the participation of women in educational activities during prenatal and conducting puerperal consultation.
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    Qualidade de vida e sobrecarga de trabalho de cuidadores do serviço de atenção domiciliar de Goiânia, Goiás
    (Universidade Federal de Goiás, 2013-11-25) Guerra, Heloísa Silva; Souza, Marta Rovery de; Almeida, Nilza Alves Marques; http://lattes.cnpq.br/2486258562480055; Almeida, Nilza Alves Marques; Souza, Dayse Cristine Dantas Brito Neri de; Brasil, Virginia Visconde; Palos, Marinésia Aparecida Prado
    The increase in life expectancy and the decrease in the mortality rate have resulted in changes in the epidemiological profile with the predominance of chronic noncommunicable diseases and global changes in the health care system. Regarding brazilian reality, due to socioeconomic factors of families the role of the caregiver, in general, is generated in the home environment. The caregiver, to assume a role for which usually is not prepared, may suffer with the workload and compromise the life quality. Thus, the aim of this study was to analyze the life quality related to health and workload of caregivers of the users of the Service Home Care (SAD, in Portuguese) in the city of Goiânia- Goiás.This is an analytical cross-sectional study, conducted with caregivers in the households of SAD’s users in Goiânia-GO. For this study were selected caregivers with age equal or above18 years, literate and performing the function as aleading caregiver for at least two months. The data were collected through interviews with application of the tools for the characterization of the caregiver, burden evaluation (ZBI - Zarit Burden Interview ) and evaluation of quality of life related to health - HRQL ( SF -36 - The Medical Outcomes Study 36 - Item Short - Form Health Survey).In these analyses were calculated averages, standard deviation with their corresponding interval of 95% of confidence, and multiple linear regression by the backward selection method and Pearson correlation. The values of P<0.05 were considered significant for all analyzes. Among the 95 interviewed caregivers, the average age was 49,7 years old (±13,0), most of them were female (97,9%), married (57,9%) first-degree relatives or spouse (74,7%), they devoted more than 12 hours a day to caring activity (69.5%), do not benefit from weekly rest (84,2%), had at least one health problem (86,3%) and informally exerted the activity of care (97,9%). In HRQOL evaluation, caregivers had lower average scores for Vitality (39.2) dimension of the SF-36 and in the burden evaluation the average was 33,8.Themain factors associated with decreased HRQL of caregivers were age, health problems such back pain, anxiety and depression and the time they already had in the function of caring. Higher scores of overload evaluated by ZBI were associated with the fact that the caregiver does not have a weekly rest, and present back pain problems and depression. There was a negative and statistically significant correlation between HRQL and work overload for all dimensions of the SF -36, suggesting that the higher the overload, worse the quality of life of caregivers of SAD. It follows that there is impairment in the quality of life of the caregivers of SAD’s users, due to the level of work overload. Given this, it must be observed the need of a higher performance of home care teams, through integral actions with caregivers, in order to lessen the impact of care giving on their health and quality of life.
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    Atenção básica ao pré-natal e puerpério no estado de Goiás
    (Universidade Federal de Goiás, 2015-02-27) Sodré, Rúbia Lícia Rodrigues; Almeida, Nilza Alves Marques; http://lattes.cnpq.br/2486258562480055; Souza, Marta Rovery de; http://lattes.cnpq.br/1155042579123151; Almeida, Nilza Alves Marques; Martins, Cleusa Alves; Souza, Márcia Maria de
    The Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica- National Programm of Improvement to Acess and Quality of Basic Attention- (PMAQAB), proposed as an evaluation tool of organizational performance by the Ministry of Health (MOH), is nowadays, an evaluation strategy of accessment and usage of these services by the user. The objective of this study is to analyze the actions of Primary Care services to prenatal and postpartum Health in Goiás State. This is a descriptive cross-sectional study, recut of MS´ national research what made the evaluation to Basic Attention to Health in the country, linked to the first cycle of PMAQ-AB/2012 evaluation.The data collection in the national bank of research, referring to Goiás State, was held in 2014, from the selection of plenty prenatal care and postpartum treatment, answered by health professionals and users of these services. The survey covered 1.216 Primary Care services, from the 246 cities in Goiás State, who answered to the Census PMAQ-AB /2012. From these services, 712 has participated in the survey with 677 health teams who went through the external evaluation process. Thus, 677 professionals and 368 users of these services had participated in the analysis of this research. The most part of these services are Health Centers/Basic Health Units (517; 72,7 %) and those offer prenatal and postpartum (562; 83%). The 368 service users had presented the average age of 25,6 years, age group between 18 and 49 years; 98,4 % said to know reading and writing ; 49,7% said be a mixage of race ; 84,5% live with a partner; 53,3% have family income between one to two minimum salaries. In relation to accessment and organization of the services, 87% of users considered satisfactory the opening hours for the service; 90,2% reported that the appointments occurred in order of arrival; 61,2% rated the service as good host; 20,7% managed to immediate care by gynecological problem; 360 (97,8%) women had prenatal care in their last pregnancy, with the majority held in the unit where he was interviewed (234; 63,6%), between six and nine consultations (226; 61,4%) with medical professionals (214; 91,5%) and nurses (151; 64,5%); Most urine tests performed (229; 97,9%), HIV/AIDS (228; 97,4%) Syphilis (221; 94,4%), glucose (195; 83,3%) and ultrasound (218; 93,2%), with a waiting time to seven days (55 to 63%); 147 (62,8%) did not participate in educational activities; 198 (53,8%) underwent outpatient consultation labor review, most (78,8%) with the doctor and small portion in the household (5%) of community-agent business (32,3%). The services of Basic attention to prenatal and postbirth in Goiás State, has presented an adequated infrastructure related to information management resources, drugs, biopharmaceuticals and laboratory support. However, the organizations of the work process raises challenges for health professionals and assume efforts to managers of services to better accommodate the spontaneous demand of scheduling appointments, eliminate institutional barriers to access, promote more inclusive and comprehensive care to pregnant women and puerperty women to guarantee qualified and humanized obstetric care.
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    Diagnósticos de enfermagem no contexto da atenção domiciliar em um município do estado de Goiás
    (Universidade Federal de Goiás, 2017-05-04) Sousa, Ana Claudia Nascimento de; Malaquias, Suelen Gomes; http://lattes.cnpq.br/7700996339438497; Almeida, Nilza Alves Marques; http://lattes.cnpq.br/2486258562480055; Almeida, Nilza Alves Marques; Junqueira, Ana Luisa Neto; Montefusco, Selma Rodrigues Alves
    INTRODUCTION: The Home Care Service (HCS), linked to the Better at Home Program, was created as a strategy to take care of the population with Chronic Noncommunicable Diseases in addition to meet HumanizaSUS’ recommendations. In order to instrumentalize and qualify nursing assistance, there is the Nursing Process, which is guided by the Basic Human Needs Theory (BHNT), developed by Wanda de Aguiar Horta. It enables professionals to fully assist HSC’s users. Due to the scarcity of description about this population in the literature, identifying nursing diagnosis may help directing interventions. OBJECTIVE: Analyze the Home Care Service users’ profile in Aparecida de Goiânia – GO as well as the nursing diagnoses. METHODOLOGY: This is a descriptive, cross-sectional and exploratory study based on a quantitative approach that was developed among HCS’s users in Aparecida de Goiânia – GO. To collect the data it was used the handbook and tools structured according to the Basic Human Needs Theory. The Nursing Diagnosis (ND) Survey was conducted through the Developing Nurse’s Thinking model and through the NANDA-I taxonomy. RESULTS: Most participants were elderly, with an average of 70 years old. From those 35% had previously had a Stroke, 22% presented Chronic Obstructive Pulmonary Disease and 10% showed Head Trauma. Type AD2 clinical method was present in 72,5% of the cases. The nursing diagnoses categories analysis resulted in 120 categories present in the NANDA-I taxonomy (2015). From those, 60.8% were classified under the focusing on the problem diagnosis category, 34.2% were under the nursing risk diagnosis category and only 5% were classified as nursing promotion. These results show that is necessary to invest more in prevention and in methods to promote health. CONCLUSION: The Nursing Diagnoses identified show the complexities involving HSC and its multi-tensional demands. It puts the nurse professional as the main actor in the process and also shows challenges to user assistance, family caregivers or not as well as to the Health Care Network dynamic.