Programa de Pós-graduação em Saúde Coletiva
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Navegando Programa de Pós-graduação em Saúde Coletiva por Por Orientador "Palos, Marinésia Aparecida Prado"
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Item Perfil microbiológico da cavidade nasal de trabalhadores dos setores de emergência e atendimento móvel de urgência do município de Jataí-GO(Universidade Federal de Goiás, 2013-02-28) Paula, Cacia Regia de; Palos, Marinésia Aparecida Prado; http://lattes.cnpq.br/1151975582155991; Palos, Marinésia Aparecida Prado; Barreto, Regiane Aparecida Soares dos Santos; Bezerra, Ana Lúcia Queiroz; Tipple, Anaclara Ferreira Veiga; Sousa, Adenícia Custódia Silva eIntroduction: Interest in the subject worker safety emergency room (IF) and Mobile Emergency Service (SAMU), focused on the eventual colonization and infection related to health care (IRAs), came to fruition during the academic. Acting as nurse of those services, I had the opportunity to observe workers acting in an unsafe manner during work activities, contributing to occupational exposure to biological agents. These observations, coupled with experience in this area, led the study. Despite this problem to be elucidated in the hospital, the same does not occur in the services of SE / SAMU, pay special attention to the safety of workers reason that sparked interest in the subject. This concern is due, among others, to alert the World Health Organization, with the launch of the World Alliance for Patient Safety and greatly not forget the workers. This assumption, some concerns emerged regarding the colonization of workers SE / SAMU, to unveil indicators within the colonization of these micro-organisms resistant to antibiotics which could compromise patient safety and worker himself. Workers SE / SAMU / SMS / Jatai-Goiás are carriers of micro-organisms resistant to antimicrobials in the nasal cavity? Faced with this question outlined the following Objectives: to analyze the microbiological profile of the nasal cavity sector workers and emergency mobile service emergency department Jataí - Goiás; isolate multiresistant micro-organisms in the nasal cavity of these workers; determine the profile Antimicrobial susceptibility of the isolates; estimate the prevalence of workers colonized with resistant microorganisms; verify the compliance of workers with hand hygiene during labor; raise the predictors related to colonization of these workers by resistant microorganisms; draft a care about the safety of the worker of Emergency Services and the Mobile Emergency Care Health System in Goiás, aiming at the prevention of occupational hazards in the workplace. Methods: Cross-sectional study of epidemiological, developed in the emergency services and Mobile Emergency Care Service Jataí-Goiás. We applied an interview form to collect demographic data, knowledge and attitude of the worker in relation to aspects of colonization by multiresistant microorganisms. Then, we collected a sample specimen of the nasal cavity through swab of 51 employees, including 12 doctors, 08 nurses, 01 pharmacists / biochemists, 20 nursing staff, 01 technical radiologist, 01 biomedical, 01 biotechnologist, 01 social workers and 06 firefighters / drivers / paramedics. The tubes of BHI broth containing the swabs were incubated at 35 ° C for 18/24 hours and then the samples were plated on selective culture media and processed by automation. The colonies that developed in any of the culture media were previously identified by their macroscopic characteristics and morphological / staining and subjected to screening for the selection of the identification evidence. Results: It was found that 38 (55.9%) of workers were carriers of S. epidermidis, followed by S. aureus, S. hyicus and Proteus mirabilis, 14 (20.6%) 2 (3.0%) and 3 (4.4%) respectively. As for the resistance profile of 38 isolates, 89.4% of S. epidermidis showed ampicillin resistance, 76.3% clindamycin, erythromycin 86.8%, 86.8% and 2.6% penicillin vancomycin. Proteus Mirabilis had resistance profile of 100% to sulfametazol / trimethoprim, tetracycline 66.6% and 33.3% to ampicillin, piperacillin and gentamicin. Conclusion: The colonization by resistant antimicrobial agents in the nasal cavity of 51 (100%) workers is reality. These results indicate challenges for municipal management, to point out flaws and loopholes in the context of patient safety and worker inherent in the working environment. Therefore, the evidence presented by this research will impact the operation of a project host aimed at quality of life and safety of the worker within the service and emergency.Item Qualidade de vida de cuidadores de paciente com câncer terminal(Universidade Federal de Goiás, 2014-05-30) Teles, Antônio Gomes; Palos, Marinésia Aparecida Prado; Palos , Marinésia Aparecida Prado; Brasil , Virgínia Visconde; Almeida , Nilza Alves MarquesWhen concerning quality of life (QOL), several issues must be considered, due to the complexity of the way people face life, their behave and feelings, including health status.In this scenery the QOL of caregivers should be aimed, specialy of those who give domiciliary assistance to terminal cancer patients. The objective of the presente study was to evaluate the QOL of terminal cancer domiciliary caregivers entitled GAPPO (Support Paliative Oncological Group), in the metropolitan área of Goiania/Goias/Brazil.This was a correlational, descriptive, transversal stydy, developed with patients of the Hospital Araujo Jorge of the Association Agaisnt Cancer of Goias (ACCG). The WHOQOL– BREF (portuguese version) query was applied, individually, during patients domiciliar visits to access each caregiver.Microsoft ® Excel 2007 was used for data tabulation and statistical analysis was developed in SPSS® for Windows®, version 16.0. The social-demographics profile was considered in WHOQOL – BREF query and analised with t-Studenttest, using ANOVA (Tukey test) for normal distribution.Chi-square test was also used for univariate social-demographic analysis. Correlation analysis was performed with Pearson test, considering significance with a p value < 0.05 for all tests. Fourty three domiciliary caregivers were included, all indicated by the patients seen. 79.1 % ofthecaregiverswerewomen, 65.1% married. Around 51% of the sample were over 50’s, 39.5% caucasians, 55.8% completed college and 67.4% were catholics. The time of professional activity may increase psych emotional distress. Around 60% of the caregivers had less than one year of experience, 41.8% with 24h daily duty and almost 98% of all with non-profit activity. The amount of daily working hours has impacted fisical and psychologically the caregivers. The highest negative QOL impact was seen in the psych field, witha mean of 52.8 for those working up to 5 hours a day, although reaching 68.5 for caregivers working 6 to 11 hours a day. The results showed that the patient´s income variable results in worse QOL of the caregivers, once it is associated to a higher risk of severe pain, need of medical assistance, mobility problems, costs with energy and even ability to develop daily activities. The results of correlation of WHOQOL-BREF query variables showed mild to high significance. The work developed by the caregivers with this kind of patients lead to a poor QOL. The conclusions of the present work suggest that caregivers themselves need care in order to preserve their QOL.