Mestrado em Enfermagem e Saúde (FEN)

URI Permanente para esta coleçãohttp://200.137.215.59/tede/handle/tde/256

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Associação entre alterações anatomopatológicas placentárias e síndromes hipertensivas em gestações gemelares
(Universidade Federal de Goiás, 2025-06-18) Figueira, Vandressa Barbosa; Mendonça, Ana Karina Marques Salge; http://lattes.cnpq.br/7766918925030041; Mendonça, Ana Karina Marques Salge; http://lattes.cnpq.br/7766918925030041; Siqueira, Karina Machado; http://lattes.cnpq.br/0644332775668979; Pereira, Gilberto de Araújo; http://lattes.cnpq.br/8876450664255918; Rossi, Renata Calciolari; http://lattes.cnpq.br/9313445810035844; Sousa, Marilia Cordeiro de; http://lattes.cnpq.br/0293373613286443
Embargado
Capacidade Preditiva E Prognóstica Dos Indicadores Clínicos Do Diagnóstico De Enfermagem Desobstrução Ineficaz Das Vias Aéreas Em Adultos Com Covid-19: Um Estudo Longitudinal
(Universidade Federal de Goiás, 2025-12-20) Feliciano, Kennedy; Cavalcante, Agueda Maria Ruiz Zimmer; http://lattes.cnpq.br/2468197020621699; Matos, Marcos André de; http://lattes.cnpq.br/1492491906180226; Matos, Marcos André de; Pereira, Lilian Varanda; Pascoal, Livia Maia
The SARS-CoV-2 pandemic posed a clinical challenge for all healthcare professionals. In this context, nurses, through the Nursing Process, were required to accurately identify and clinically judge human responses to this disease, which presents with diverse manifestations, especially respiratory ones. However, there are no clinical studies specifically addressing respiratory nursing diagnoses, which underscores the relevance and originality of this investigation. OBJECTIVE: To analyze the predictive and prognostic capacity of clinical indicators for the nursing diagnosis "Ineffective Airway Clearance (IAC)" in adults with COVID-19 hospitalized in clinical units. METHODOLOGY: This was a prospective cohort study conducted with 106 hospitalized adults who were followed for five consecutive days through anamnesis and clinical evaluation. The accuracy of the Defining Characteristics (DC) of the "Ineffective Airway Clearance" diagnosis was calculated using a two-latent-class model, with sensitivity and specificity estimates (95% CI). The model fit was assessed using the likelihood ratio test (G2) and the relative entropy test. To calculate the incidence rate per 1,000 patients, diagnostic inference was based on the posterior probabilities from the latent class analysis. Cox univariate regression models and the Wald test were applied to evaluate the influence of DCs on IAC survival time. Univariate Poisson regression with a robust variance estimator was used to identify associations and effect sizes between sociodemographic and clinical variables and the occurrence of IAC. The Wald test was applied to each Poisson model to verify the association of explanatory variables with the diagnosis of interest, estimating relative risks with their respective 95% confidence intervals. Variables with p<0.05 were considered statistically significant. RESULTS: Some DCs showed good diagnostic inference, demonstrating high sensitivity (Se) and specificity (Sp), such as: Ineffective sputum elimination (Se = 87%; Sp = 100%), Ineffective cough (Se = 67%; Sp = 100%), and Tachypnea (Se = 66%; Sp = 59%). Patients identified as white (RR=3.67×1010; 95% CI: 5.63×109 – 2.39×1011), with heart disease (RR = 4.17; 95% CI: 1.03 – 16.90), and those vaccinated with CoronaVac (RR=3.96×1011; 95% CI: 9.53×1010 – 1.65×1012) had a higher risk of developing IAC. The incidence rate for IAC was 31 per 1,000 patients (95% CI: 11.61–66.67). Additionally, the absence of cough increased the risk of developing IAC nearly sevenfold (HR=6.94; 95% CI: 1.18 – 40.74; Wald χ2=4.60); altered respiratory rhythm, nasal flaring, use of accessory muscles for breathing, and psychomotor agitation each increased the risk by 11 times; difficulty verbalizing increased the risk by 38 times. CONCLUSION: This study stands out for its innovative nature in generating results intended to inform future applications of the Nursing Process. It is expected that, beyond its contributions to evidence-based clinical practice, this work will support the consolidation of the Nursing Process and promote greater visibility of nursing as both a science and a profession.
Sintomas depressivos em puérperas afrodescendentes no contexto pandêmico da COVID-19: estudo transversal
(Universidade Federal de Goiás, 2025-02-18) Alves, Guilherme Kelvin Araújo; Cavalcante, Águeda Maria Ruiz Zimmer; Bahia, Julyana Cândido; Guimarães, Janaina Valadares; http://lattes.cnpq.br/0986934969522024; Guimarães, Janaina Valadares; Pereira, Lilian Varanda; Almeida, Nilza Alves Marques
Embargado
Detecção de casos de tuberculose na atenção primária à saúde em duas capitais do Brasil: ações cruciais e perspectivas pós-pandemia da COVID-19
(Universidade Federal de Goiás, 2025-03-07) Oliveira, Johannes Abreu de; Souza, Sabrina da Silva de; https://lattes.cnpq.br/8704537518593762; Gonzales, Roxana Isabel Cardozo; http://lattes.cnpq.br/9433866515781707; Gonzales, Roxana Isabel Cardozo; http://lattes.cnpq.br/9433866515781707; Spagnolo, Lílian Moura de Lima; http://lattes.cnpq.br/0387100953903284; Nunes, Cynthia Assis de Barros; http://lattes.cnpq.br/8960122214003826
Embargada.
Fatores de risco para lesão por pressão em pacientes com Covid-19 internados em UTI durante o período pandêmico: coorte retrospectiva
(Universidade Federal de Goiás, 2025-03-06) Grants, Alessandra Rosas; Pereira, Lilian Varanda; http:// lattes.cnpq.br/6953643275046028; Pereira, Lilian Varanda; Bachion, Maria Márcia; Nunes, Cynthia Assis de Barros
Embargado
Catastrofização da dor em gestantes nulíparas durante o trabalho de parto vaginal: um estudo transversal
(Universidade Federal de Goiás, 2025-04-22) Sambula, Eliana Catalina Lopez; Almeida , Nilza Alves Marques; http://lattes.cnpq.br/2486258562480055; Pereira, Lilian Varanda; http://lattes.cnpq.br/6953643275046028; Pereira, Lilian Varanda; http://lattes.cnpq.br/6953643275046028; Matos, Marcos Andre de; http://lattes.cnpq.br/1492491906180226; Pacheco, Leonora Rezende; http://lattes.cnpq.br/0944928226120836
Embargada.
Prevalência e fatores associados à sífilis gestacional no contexto da pandemia de COVID-19
(Universidade Federal de Goiás, 2025-01-31) Lopes, Wanda Carvalho; Vieira, Flaviana Vely Mendonça; http://lattes.cnpq.br/5199507174724803; Guimarães, Janaina Valadares; http://lattes.cnpq.br/0986934969522024; Guimarães, Janaina Valadares; Mattos, Marcos André de; Freitas, Nara Rúbia de
INTRODUCTION: The COVID-19 pandemic negatively impacted prenatal, childbirth, and postpartum care, resulting in changes in hospital protocols and an increase in gestational syphilis cases due to reduced access to prenatal care. OBJECTIVE: To analyze the prevalence of gestational syphilis and factors associated with it in the context of the COVID-19 pandemic. METHODOLOGY: This cross-sectional study was carried out in a referral hospital in central Brazil, using secondary data from pregnant women’s medical records and systems such as SPDATA, MV, and SINAN NET. Cases of gestational syphilis diagnosed between 2018 and 2022, corresponding to the pre-pandemic and pandemic periods of COVID-19, were analyzed. The dependent variable was the prevalence of gestational syphilis, diagnosed clinically and through treponemal and non-treponemal serological tests. The independent variables included the COVID-19 pandemic, sociodemographic factors, access to healthcare services, and maternal and obstetric factors. RESULTS: The study revealed that 62.2% of the pregnant women did not have a paid job and 55.6% were without a partner. In addition, 16.5% had not undergone prenatal care and 54.8% had six or fewer appointments. HIV coinfection was observed in 3.1% of the pregnant women, and 51% reported previous pregnancies, with an abortion rate of 16.1%. The prevalence of gestational syphilis increased from 0.80% in the pre-pandemic period to 1.67% during the pandemic, representing a 108.75% increase. During the pandemic, there was a significant decrease in the number of normal births (p = 0.035; Exp(B) = 0.8; 95% CI: 0.69 - 0.99). HIV prevalence was higher in the pre-pandemic period, with a 153% higher risk for pregnant women in this period (p = 0.009; Exp(B) = 2.5; 95% CI: 1.26 - 5.00). Pregnant women with syphilis in the pre-pandemic period were significantly less likely to have a paid job (p = 0.038; Exp(B) = 0.83; 95% CI: 0.71 - 0.99). There were significant differences between the groups in terms of mode of delivery (p=0.012) and abortion rate (p=0.016). CONCLUSIONS: The study found a higher prevalence of gestational syphilis during the pandemic, with significant differences between the groups in terms of mode of delivery and abortion rate, highlighting the negative impact of syphilis on obstetric outcomes.
Qualidade do registro de enfermagem em hospital universitário: um estudo transversal
(Universidade Federal de Goiás, 2025-01-23) Araújo, Clarissa Santos de Lima; Cavalcante, Agueda Maria Ruiz Zimmer; http://lattes.cnpq.br/2468197020621699; Cavalcante, Agueda Maria Ruiz Zimmer; Santana , Rosimere Ferreira; Linch, Graciele Fernanda da Costa
Embargada.
Cuidados em saúde mental às puérperas na atenção primária à saúde: revisão de escopo
(Universidade Federal de Goiás, 2024-03-11) Silva, Ana Caroline Mourão; Caixeta, Camila Cardoso; http://lattes.cnpq.br/6328431715794338; Caixeta, Camila Cardoso; Souza, Adrielle Cristina Silva; Guimarães, Janaina Valadares
INTRODUCTION: Studies show that the main mental disorders affecting puerperal women are baby blues, postpartum depression and puerperal psychosis. The provision of health services for puerperal women in Primary Health Care (PHC) should cover the entire pregnancy period until after childbirth, taking into account the woman's biopsychosocial aspects. This level of health care is responsible for carrying out the puerperal consultation and follow-up, one of the main strategies for promoting maternal and child health, and failure to do so can lead to underdiagnosis or a delay in detecting mental disorders. The lack of mental health care for puerperal women is a problem that can have serious consequences for women's health. In view of this, this study aims to examine what has been done in terms of mental health care for puerperal women in PHC. OBJECTIVE: To map the scientific literature on the mental health care provided to puerperal women in Primary Health Care. METHODOLOGY: This is a scoping review, which aims to synthesize evidence and thus determine the main concepts, studies and gaps in a given area of knowledge. The search was carried out in the databases Scopus, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Pubmed, Medline (via PUBMED), LILACS (via BVS), Elsevier, in addition to the databases that index gray literature, which were Catálogo de Teses e Dissertações (CAPES) and Google Scholar. The terms used were "Postpartum Period", "Mental Health", "Primary Health Care", "Mental Health Assistance", "Mental hygiene" and their respective correspondents in Portuguese and Spanish. The searches in the databases generated a total of 1,482 results, 34 of which were considered eligible because they dealt with the three central themes of this review: puerperal women, mental health care and Primary Health Care. RESULTS: The quantitative results were analyzed using quantitative descriptive analysis and organized into graphs and tables. The qualitative data was analyzed using descriptive qualitative content analysis. Among the findings, the most prevalent countries in the studies were the United States, Australia and Canada, and the years with the highest number of publications on the subject were 2015 and 2018. Among the wide range of professionals who provide mental health care in the context of PHC, the studies showed a prevalence of nurses, followed by doctors and psychologists. As for the mental health care offered to puerperal women reported in the studies, 32% was aimed at screening for mental disorders, followed by treatment, with 24%. Referrals accounted for 18% of the actions reported by the professionals, while diagnoses of the disorders accounted for 15% of the care listed. Care aimed at promoting the mental health of puerperal women accounted for only 11% of the strategies reported in the studies. CONCLUSION: The identification of supply deficits and limited mental health care can result in low adherence or inadequate treatments, leading to negative outcomes. To reverse this situation, it is essential to ensure adequate follow-up for comprehensive health care for postpartum women.
Fatores de risco para baixa autoeficácia de mães para amamentar prematuros: estudo de coorte
(Universidade Federal de Goiás, 2025-02-21) Monteiro, Vinícius de Sousa; Castral, Thaíla Corrêa; http://lattes.cnpq.br/8910125241591217; Castral, Thaíla Corrêa; Siqueira, Karina Machado; Rossetto, Edilaine Giovanini
Embargado
Qualidade de vida no trabalho de enfemagem em centro de material e esterilização e em unidades de internação
(Universidade Federal de Goiás, 2024-12-18) Vidal , Fabiana Divina Mendanha de Mattos; Tipple, Anaclara Ferreira Veiga; http://lattes.cnpq.br/4288704233343920; Oliveira, Lizete Malagoni de Almeida Cavalcante; http://lattes.cnpq.br/2680821388094276; Oliveira, Lizete Malagoni de Almeida Cavalcante; Fusco, Suzimar de Fátima Benato; Barbosa, Maria Alves
Embargada.
Responsividade do Sistema de Classificação SINBAD na avaliação de úlcera no pé relacionada ao diabetes
(Universidade Federal de Goiás, 2024-12-11) Barros, Luciana da Silva; Bachion, Maria Márcia; http://lattes.cnpq.br/8503907944360635; Bachion, Maria Márcia; Soriano, José Verdú; Pereira, Lilian Varanda
Embargado.
Autoeficácia materna para a amamentação de prematuros: revisão de escopo
(Universidade Federal de Goiás, 2025-03-12) Sá, Alinne Almeida Sousa de; Castral, Thaíla Corrêa; http://lattes.cnpq.br/8910125241591217; Siqueira, Karina Machado; http://lattes.cnpq.br/0644332775668979; Siqueira, Karina Machado; Mendonça, Ana Karina Marques Salge; Butrico, Gabriela Ferreira de Oliveira
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Prevalência e fatores associados à sífilis em populações vulneráveis em tempos de pandemia Covid-19
(Universidade Federal de Goiás, 2024-03-12) Silva Filho, Gabriel Francisco da; Teles, Sheila Araújo; http://lattes.cnpq.br/4975298732179917; Teles, Sheila Araújo; Cardoso, Juliana Lamaro; Caetano , Karlla Antonieta Amorim
During the COVID-19 pandemic, programs and services for the diagnosis, treatment, and prevention of sexually transmitted infections (STIs) were interrupted or slowed down to redirect material and human resources to control the health crisis, thus compromising the global strategy to eliminate syphilis as a public health problem. Our study addressed this gap during the pandemic and tracked syphilis in vulnerable populations. The aim of this study was to evaluate the prevalence and risk factors associated with syphilis in socially and economically vulnerable population groups in Goiânia, Goiás. The studied population consisted of 635 individuals living in Goiânia, Goiás: LGBTQIAP+ people, immigrants and refugees, homeless people, and recyclable waste collectors. All participants were interviewed about sociodemographic data and risk behaviors for STIs. Subsequently, blood samples were collected and tested for anti-T. pallidum using a rapid test (RT), and positive samples were subjected to the VDRL test, using commercial kits. Syphilis was considered for those who tested positive in the RT and active syphilis for those with VDRL titers ≥ 1/8. Non-parametric tests were used for data analysis, as appropriate. Poisson regression analysis was used to identify variables associated with syphilis. The analysis was conducted by subgroups, specifying the differences existing in each population. P-values < 0.05 were considered statistically significant. Most individuals were male (53.2%), single (58.8%), and black or brown (75.9%). The median age, years of schooling, and monthly income were 33 years, 10 years of study, and R$ 1,200.00, respectively. The overall prevalence of syphilis was 17%, ranging from 7.6% in immigrants/refugees to 36.7% in LGBTQIA+ people. The prevalence of active syphilis was 5%, ranging from 1.8% in recyclable waste collectors to 15.2% in LGBTQIA+ people. The analysis of factors associated with syphilis revealed a higher prevalence of STIs in all studied subgroups. For recyclable waste collectors, older age, female gender, and illicit drug use were variables associated with syphilis, while for homeless people, education was a protective factor and transactional sex was a predictor of syphilis. The results of this study confirm the high prevalence of syphilis in socioeconomically vulnerable populations. However, the specificities of each subgroup should be considered in the planning and implementation of STI prevention strategies.
Competências de enfermeiros recém-graduados para gestão: desafios para a formação profissional
(Universidade Federal de Goiás, 2023-03-17) Almeida, Daniel Ribeiro de; Santos, Patrícia Tavares dos; http://lattes.cnpq.br/8052298165888796; Ribeiro, Luana Cássia Miranda; http://lattes.cnpq.br/1727326201446926; Ribeiro, Luana Cássia Miranda; Medeiros, Marcelo; Pascon, Daniela Miori
Históricamente, las enfermeras han asumido cargos de gestión en las unidades de salud, pues desde su origen, la enfermería, a través de las damas enfermeras de la época de Florence Nightingale, ha tenido la preocupación de asegurar la organización y administración de los servicios de salud. En consonancia con esto, la formación de enfermeros incorpora en su estructura curricular horas específicas para disciplinas relacionadas con la gestión, siendo una de las pocas graduaciones en el área de la salud con esta especificidad. Por lo tanto, existe la necesidad de una mayor inversión en la formación de enfermeras gestoras, respondiendo a las demandas del mercado laboral y evidenciando las lagunas existentes en el desarrollo de habilidades directivas desde la graduación hasta la práctica profesional. OBJETIVO: Describir las percepciones de las enfermeras en sus primeros cuatro años de trabajo sobre las competencias para el ejercicio de la gestión sanitaria. METODOLOGÍA: Estudio descriptivo-exploratorio con abordaje cualitativo, realizado con 14 enfermeros recién graduados de una universidad pública de Goiás. A coleta foi realizada nos meses de agosto e setembro de 2022 utilizando um roteiro semiestruturado composto por sete perguntas abertas para descrição da percepção desses enfermeiros sobre as competências para a gestão. El análisis se realizó mediante el método de análisis de contenido de Bardin y, posteriormente, mediante la clasificación jerárquica descendente, el análisis de similitud, el análisis fatorial de correlación y el muestreo de palabras mediante el software IRaMuTeQ. RESULTADOS: La mayoría de las enfermeras ocupaban puestos asistenciales, con más de dos años de formación y un tiempo de desempeño equivalente al de su formación. Enumeraron las competencias directivas adquiridas durante la graduación: comunicación, gestión de conflictos, liderazgo, trabajo en equipo, relaciones interpersonales, gestión de flujos asistenciales, gestión de recursos humanos, financieros y materiales, toma de decisiones, gestión del tiempo, formación continuada y asistencia, de acuerdo con las Directrices Curriculares Nacionales de Enfermería (DCN/ENF). Durante su desempeño profesional adquirieron las competencias de gestión de conflictos, toma de decisiones, delegación de funciones y negociación, que se sumaron a las adquiridas antes de acceder al mercado laboral. Estas competencias fueron adquiridas durante el curso de graduación, que tuvo como diferencial una estructura curricular con asignaturas específicamente centradas en cuestiones de gestión de enfermería, con una gran carga de trabajo práctico que, según ellas, desencadenó una mayor adquisición de estas competencias, la participación en actividades extracurriculares, además de que la estructura del curso fue percibida como un ejemplo en términos de formación de enfermeras gestoras. Los participantes sugirieron puntos de mejora en la matriz curricular como la inserción de nuevas materias obligatorias como seguridad del paciente, inserción de simulación realista como estrategia para el desarrollo de competencias actitudinales y aproximación con campos de pasantía en el sector privado. CONSIDERACIONES FINALES: Los participantes de este estudio relataron un conjunto de competencias de gestión desarrolladas durante la graduación que van más allá de las exigidas en la ENF-DCN y señalaron contribuciones para la mejora de las matrices curriculares de los cursos de pregrado en enfermería. Se espera que otros estudios puedan ser desarrollados en otros contextos, como instituciones de enseñanza privada.
Análise do aleitamento materno durante a pandemia do SARS-CoV-2: estudo de coorte
(Universidade Federal de Goiás, 2022-06-13) Silva, Aline Gabriele Ribeiro da; Guimarães, Janaína Valadares; http://lattes.cnpq.br/0986934969522024; Vieira, Flaviana Vely Mendonça; http://lattes.cnpq.br/5199507174724803; Vieira, Flaviana Vely Mendonça; Aredes, Natalia Del’ Angelo; Evangelista, Danielle Rosa
INTRODUCTION: COVID-19 is a new disease, and at first there was not much information about its vertical transmission. Subsequently, molecular studies have indicated that breast milk and placenta are not means of transmission of the disease (KARIMI-ZARCHI et al., 2020). Thus, the safety of breastfeeding was confirmed, and its continuity was encouraged (RCOG, 2021). The emergence of this new virus has brought several uncertainties about the repercussions on maternal and child health, as well as challenges for institutions to adapt to new care protocols and health professionals to adapt to new demands. OBJECTIVE: To analyze breastfeeding from birth to hospital discharge of newborns of women exposed to the pandemic by SARSCoV-2. METHODS: This is a prospective cohort study, in a secondary database, patient records and indicator records. The sample consisted of 225 binomials (mother and NB) who had their delivery/birth between April 1, 2020, and August 30, 2021, within the hospital institution. 67 had a delivery under suspicion or confirmation for COVID19 and 158 without suspicion. The continuous variables were described from position and dispersion measurements as mean, standard deviation and quartiles. Categorical variables were described by means of absolute frequencies and percentages. For the analysis of the factors associated with AM in the first hour of life, during hospitalization and hospital discharge, a generalized linear model (Poisson family) was performed. The results of the regression model were presented Adjusted Relative Risk (RRaj), 95% CI. The analyses were performed using the Software SPSS version 28, being considered a significance level of 5%. RESULTS: The participants had a mean age of 25 years (± 6.4), and the mean number of prenatal consultations was 6.5 (±2.9). Referring to neonatal characteristics, 91.6% were born at term. Newborns born to women without suspicion for COVID-19 are twice as likely to breastfeed in the first hour of life (RR: 2.04; CI95%: 1.05 to 3.94; p= 0.035). The NB who made skin-to-skin contact with their mother at birth have twice the opportunity of breastfeeding in the first hour of life (RR: 1.92; CI95%:1.07 to 3.43; p=0.028). From the bivariate regression, we performed multivariate regression for the following variables: full-term gestational age of the NB, women without suspicion or confirmation for COVID-19 at hospitalization, type of vaginal delivery and complications with NB during hospitalization. Newborns who exclusively breastfeed during hospitalization have 1.6 times more opportunity to be exclusively breastfed at hospital discharge (RR: 1.62; CI95%:1.11 to 2.35; p=0.012). CONCLUSION: Women without suspicion for COVID-19 are more likely to breastfeed in the first hour of life and maintain exclusive breastfeeding during hospitalization. Exclusive breastfeeding at hospital discharge is influenced by breastfeeding during hospitalization.
Conchas mamárias e educação em saúde no pré-natal com demonstração clínica para a prevenção da dor e do trauma mamilar em lactantes: estudo quase-experimental
(Universidade Federal de Goiás, 2021-03-04) Cecilio, Jessica Oliveira; Guimarães, Janaina Valadares; http://lattes.cnpq.br/0986934969522024; Vieira, Flaviana Vely Mendonça; http://lattes.cnpq.br/5199507174724803; Vieira, Flaviana Vely Mendonça; Aredes, Natalia Del’ Angelo; Evangelista, Danielle Rosa
INTRODUCTION: Although the benefits of breastfeeding are well documented in the scientific literature, many mothers still discontinue it earlier than recommended, especially due to the occurrence of nipple pain and trauma. There is a gap in clinical studies that compare health education with clinical demonstration, and the use of some ointment or device during prenatal care, to prevent nipple soreness. OBJECTIVE: To analyze the effectiveness of breast shells for the prevention of nipple pain and trauma in lactating women. METHODOLOGY: Quasi-experimental, with 62 pregnant women undergoing prenatal care in Goiânia-GO. The women were divided into a Control Group (n = 33), which received health education with clinical demonstration, and an Experimental Group (n = 29), which received the same education protocol, plus a pair of breast shells for use during prenatal and continued in the postpartum period. The study occurred in three meetings: first meeting was a section of health education during prenatal consultations; the second was a phone call to reinforce the orientation, and the third, was a visit in the first 14 days of postpartum to evaluate the occurrence of nipple pain and trauma. RESULTS: There was nipple trauma (50.0%) and nipple pain (68.0%). Regarding sociodemographic variables, primiparity was associated with nipple pain (p = 0.036), while lower education level was a protective factor for nipple trauma (p = 0.001). In breastfeeding technique observed by the breastfeeding assessment form, the parameter for "unfavorable breast condition" was associated with pain (p <0.001) and nipple trauma (p = 0.006). Furthermore, the presence of pathological breast engorgement was associated with nipple pain (p = 0.019) and started on the third day for the CG and was postponed until the fifth day for the EG, with a significant difference between the groups (p = 0.001). Health education has contributed significantly to the adoption of breast and nipple care and increased the frequency of favorable breastfeeding patterns. The women in the study were satisfied with the use of the breast shell. CONCLUSION: The educational intervention in prenatal care combined with the use of the breast shell was not effective in preventing nipple pain or trauma, although it has delayed the onset of breast engorgement by up to five days.
Análise da acurácia do conjunto de indicadores clínicos do diagnóstico de enfermagem controle ineficaz da saúde em pessoas com hipertensão arterial
(Universidade Federal de Goiás, 2021-03-04) Silva, Ricardo Costa da; Silva, Viviane Martins da; http://lattes.cnpq.br/9132675598786936; Cavalcante, Agueda Maria Ruiz Zimmer; http://lattes.cnpq.br/2468197020621699; Cavalcante, Agueda Maria Ruiz Zimmer; Jensen, Rodrigo; Santos, Vinicius Batista
The advanced nursing process early identifies the behavior of clinical practice phenomena, with self-care practices carried out by people with chronic heart diseases being one of the care pillars, especially for Arterial Hypertension (AH). To analyze the accuracy of the set of clinical indicators (CI) of the nursing diagnosis (DE) Ineffective Health Management (IHM) in people with AH undergoing outpatient treatment. In the first stage, a systematic review with meta-analysis was carried out to identify the clinical - population validity of the DE CIS. The PRISMA and STARD protocols were used to retrieve studies from databases MEDLINE via PubMed, Web of Science, SciELO, CINAHL, SCOPUS and EMBASE. For quality analysis, the modified QUADAS-2 protocol was applied. Statistical analysis was performed using software R to calculate sensitivity, specificity and Odds Ratio Diagnostic (ORD) measures with 95% confidence intervals. Heterogeneity was verified by calculating Higgins' I2 and Cochran's Q, using measures of fixed and random effect according to the obtained value. In the second stage, a clinical study of diagnostic accuracy was conducted at the Hypertension League of HC/UFG with a probabilistic sampling of 120 people by telephone consultation between September and November 2020. Cross mapping was used between the items of the Hipertension Self-Care Scale Brazilian version and the CI of the DE IHM for the definition of conceptual and operational definitions, in addition to clinical and sociodemographic instruments developed by the author. The Rasch model was used to analyze the unidimensionality of the clinical construct and the accuracy measures of the model based on the measures of efficiency, sensitivity, specificity and area under the Operator-Receiver Curve (ORC). Stage I: 11 studies were included. The four CI analyses showed ORD statistically higher than the unit value, with emphasizing on “failure to include treatment regimen in daily life” (ORD = 45). Stage II: median of 60 years of age, more frequent female (70%), brown color (55%), married (60%) and retired (36%). The main source of purchase of medicines was the popular pharmacy (66%) and 83% reported some comorbidity, with dyslipidemia being more frequent (38%). The median time of diagnosis of AH was ten years. The CI “failure to include treatment regimen in daily life” was the most frequent in the sample (70%), being more sensitive. The CI “failure to act to reduce risk factors” presented better levels of specificity. There was a frequency of 45 subjects supposedly identified with CIS in the sample (37,5; IC95%: 29,0 – 46,8). The most sensitive CI results from the incongruity of the lifestyle habits necessary for adequate control of AH. The most specific CI is the result of the initial phase of the chronic condition, being present in situations of greater severity of ND. Sociodemographic and clinical variables were similar to other clinical contexts. Nurses can use the summary measures of diagnostic accuracy obtained for early and valid identification of behaviors that predispose to the occurrence of DE IHM.
Hepatite A em população imigrante e refugiada residente na região do centro goiano, Goiás: conhecer para intervir
(Universidade Federal de Goiás, 2021-03-08) Silva, Grazielle Rosa da Costa e; Teles, Sheila Araujo; http://lattes.cnpq.br/4975298732179917; Teles, Sheila Araujo; Caetano, Karlla Antonieta Amorim; Carneiro, Megmar Aparecida dos Santos
Brazil has become an important destination country for immigrants and refugees. This migrant population represents a group at potential risk group for the acquisition and spread of enteral diseases such as infection with the Hepatitis A virus (HAV), as a consequence of the migratory process. The aim of this study was to investigate the epidemiological profile of Hepatitis A in foreign immigrants and refugees living in the region of Centro Goiano, Goiás. This is a crosssectional, analytical study, carried out from July 2019 to January 2020 in the cities of Goiânia, Aparecida de Goiânia, Senador Canedo and Anápolis, Goiás, Brazil. For this, 383 participants identified themselves as immigrants or refugees. All were interviewed and tested for detection of total anti-HAV antibody (IgM and IgG), as positive in participants under five years of age were retested for anti-HAV IgM and previous history of vaccination for Hepatitis A was investigated. From the total of participants, most were from Haiti (50.1%) and Venezuela (39.4%), male (56.1%), aged 20 years or over (79.9%), self-declared color black (63.0%), single (51.1%), evangelical religion (73.3%), education equal to or greater than 13 years of study (36.9%) and monthly income greater than a minimum wage (61.5%). Of the total owners, 68.7% were immigrants and 30% refugees. The language was the greatest difficulty (63.0%) found in Brazil, although a significant portion already speak (71.4%) and write (53.2%) the Portuguese language. Church related associations (32.9%) were the main support they received. The prevalence of total anti-HAV was estimated of 87.3% (95% CI :83.4-90.4), with 79.1% in South American countries and 93.5% in Central American countries. Regarding vaccination as a preventive measure, only 2.9% of them were a historical source of vaccination against Hepatitis A, and their ages ranged from 2 to 47 years, the majority being female (6/11) and coming from Venezuela (7/11). The total of 21 children were eligible for vaccination against HAV when they arrived in Brazil, but only 7 (33.3%) were immunized. The results of this study confirm the importance for health managers to knowing the state of the migrant population for the development of public policies at national and regional levels that qualify t
Fatores associados à qualidade de vida de idosos com dor crônica atendidos em ambulatórios de especialidades
(Universidade Federal de Goiás, 2020-04-20) Paz, Maressa Gonçalves da; Barbosa, Maria Alves; http://lattes.cnpq.br/5025797873585225; Pereira, Lilian Varanda; http://lattes.cnpq.br/6953643275046028; Barbosa, Maria Alves; Vitorino, Priscila Valverde de Oliveira; Pagotto, Valéria
INTRODUCTION: The quality of life (QOL) of the elderly can be affected by chronic pain. Among the domains of multidimensional instruments that evaluate this construct, the most frequently harmed are the physical and the psychological. However, there is a lack of evidence about the factors associated with domains and facets of QOL in elderly people with conical pain. Research on this topic can assist health professionals and in making decisions that contribute to the QOL of this population. OBJECTIVES: To analyze the quality of life and the associated factors by domains of the World Health Organization Quality of Life - Bref and facets of the World Health Organization Quality of Life - Old in elderly people with chronic pain treated in specialized clinics. METHODOLOGY: Cross-sectional study, conducted with a sample of 239 selected elderly. Participants assessed pain intensity using the Brief Pain Inventory (BPI) and QOL by WHOQOL-Bref and WHOQOL-Old. Sociodemographic (gender, age, education, income, marital status, religion) and clinical variables (time spent with pain, intensity, places of pain and morbidities) were investigated as potential factors associated with the domains / facets. Statistical analysis was performed using simple and multiple linear regression. Values of p <0.05 were considered. RESULTS: The total QOL score by WHOQOL-Old was (66.5 ± 12.0). The Physical (51.3 ± 17.2) and Environmental (57.6 ± 14.4) domains and the Autonomy (61.8 ± 17.8) and Social Participation (63.5 ± 18.4) facets by WHOQOL -Bref and WHOQOL-Old, respectively, had the lowest mean scores. Depression was associated with Physical (β = -8.12), Psychological (β = -10.84) and Environment (β = -6.52) domains and Autonomy (β = -5.99), Past Activities Present and Future (β = -6.94), Social Participation (β = 11.53), Intimacy (β = -5.99), and total QOL score (β = -6.03). Diabetes mellitus was associated with the Physical domain (β = -5.14) and the Social Participation facet (β = -8.15). Pain intensity was associated with the Physical (β = -2.69), Psychological (β = -1.14), Social Relations (β = -1.42) domains and the Sensory Skills facets (β = - 1.70), Social Participation (β = -1.43) and total QOL (β = -0.75). Another factor associated with the Psychological domain (β = -5.12) and with the Social Participation facet (β = -5.94) was pain located in the lower limbs; chest pain was associated with the Autonomy facet (β = -6.12); localized pain in the head with the Intimacy facet (β = -3.19) and with the total QOL score (β = -4.89). Education was associated with the Social Relations domain (β = -0.80) and with the Social Participation facet (β = -0.64). Female gender and family income were associated with the Environment domain (β = 4.71; β = 1.39) respectively. Age and time of living with pain were associated with the Sensory Skills facet (β = -0.52; β = -14.53; β = -17.86; β = -15.53) and Systemic Arterial Hypertension with the Death and Die facet (β = -8.40). CONCLUSION: Intensity and location of chronic pain and symptoms of depression were the factors that were associated with a greater number of domains and facets of the WHOQOL, increasing the chances of elderly people with chronic pain presenting impairment of quality of life. The results of this study can assist in decision-making for the provision of qualified and individualized assistance to elderly people with chronic pain in outpatient care

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