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Depressive symptoms and associated factors in elderly people in the Primary Health Care 初级卫生保健中老年人抑郁症状及其相关因素
Pub Date : 2017-12-21 DOI: 10.15253/2175-6783.2017000600004
R. Hajjar, G. Nardelli, Eliana Maria Gaudenci, Á. Santos
Objective:  to analyze depressive symptoms and its associated factors, the use of antidepressants and the presence of a diagnosis of depression in the elderly.  Methods:  cross-sectional study with 248 elderly people attended in Basic Health Units using the Geriatric Depression Scale - Short Form. A chi-square test, the odds ratio and a binary logistic regression were used to analyze the data.  Results:  depressive symptoms were identified in 32.7% of the elderly, 25.4% with scores indicative of mild depression and 7.3% of severe depression. Physical activity and comorbidities were the factors associated with the presence of depressive symptoms. Among the elderly, 22.2% presented a previous diagnosis of depression and 17.0% of them used antidepressants.  Conclusion:  depressive symptoms were associated with physical inactivity and comorbidities. Fewer than half of the elderly with indicatives of severe depression used antidepressants. The report of a previous diagnosis of depression was more frequent than the indicatives of severe depression.
目的:分析老年人抑郁症状及其相关因素、抗抑郁药物的使用和抑郁症诊断的存在。方法:采用《老年抑郁症简易量表》对248名在基层卫生单位就诊的老年人进行横断面研究。采用卡方检验、优势比和二元logistic回归对数据进行分析。结果:32.7%的老年人存在抑郁症状,25.4%的老年人表现为轻度抑郁,7.3%的老年人表现为重度抑郁。体育活动和合并症是与抑郁症状存在相关的因素。在老年人中,22.2%的人曾被诊断为抑郁症,17.0%的人使用过抗抑郁药物。结论:抑郁症状与缺乏运动和合并症有关。有严重抑郁迹象的老年人中,使用抗抑郁药的不到一半。先前诊断为抑郁症的报告比严重抑郁症的指标更频繁。
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引用次数: 4
Continuing education and its interfaces with ambulatory care sensitive conditions 继续教育及其与门诊护理敏感条件的接口
Pub Date : 2017-12-21 DOI: 10.15253/2175-6783.2017000600013
C. Silva, Denise Barbosa de Castro Friedrich, Beatriz Francisco Farah, K. L. Silva
Objective: to understand the process of continuing education by primary health care nurses and their interfaces with ambulatory care sensitive conditions. Methods: a qualitative study was carried out with 14 nurses from health units. To collect the data, we used semi-structured interviews and the analysis was carried out through dialectical hermeneutics. Results: two categories emerged: Assistance in primary health care and hospital admissions – which pointed out that the major cause of hospitalizations is related to chronic diseases, and that most of them were preventable; Education: a tool to deal with ambulatory care sensitive conditions – where continuing education is recognized as a tool to interfere in the occurrence of these hospitalizations, but the practices carried out are closer to continuing education. Conclusion: nurses have developed educational processes that are closer to continuing education. The relationship between continuing education and ambulatory care sensitive conditions is still incipient.
目的:了解基层卫生保健护士继续教育的过程及其与门诊敏感情况的交互作用。方法:对14名卫生单位护士进行定性研究。为了收集数据,我们使用半结构化访谈,并通过辩证解释学进行分析。结果:出现了两类援助:初级保健援助和住院援助——指出住院的主要原因与慢性病有关,而且其中大多数是可以预防的;教育:处理门诊护理敏感情况的工具——在这些情况下,继续教育被认为是干预这些住院情况的工具,但所开展的实践更接近于继续教育。结论:护士发展了更接近继续教育的教育过程。继续教育与门诊护理敏感条件之间的关系仍处于初级阶段。
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引用次数: 0
Georeferencing of cervical cancer in primary care 宫颈癌在初级保健中的地理参照
Pub Date : 2017-12-21 DOI: 10.15253/2175-6783.2017000600014
J. Ross, Aliny de Oliveira Pedrosa, Nytale Lindsay Cardoso Portela
Objective:  to analyze the area distribution of cervical cancer screening.  Methods:  a cross-sectional study was carried out with 211 women, aged 38-69 years. The georeferencing technique was used to obtain geographic information, with coordinates of Global Positioning System.  Results:  of the 211 women, 93.8% (198) underwent an oncotic cytology examination. Of these, 74.2% (147) were examined at irregular intervals. 16 cases of human papillomavirus with cervical oncotic cytology reports with Cervical Intraepithelial Neoplasia I, II and III were georeferenced.  Conclusion:  the area distribution of cervical cancer screening allowed the identification of coverage above the recommendations of the Brazilian Ministry of Health. In addition, in relation to the intervals between the cervical oncology cytology tests, the majority demonstrated execution at inappropriate intervals.
目的:分析宫颈癌筛查的地区分布。方法:对211名女性进行横断面研究,年龄38 ~ 69岁。采用地理参考技术,利用全球定位系统的坐标获取地理信息。结果:211例女性中,93.8%(198例)接受了肿瘤细胞学检查。其中,74.2%(147例)不定期检查。对16例宫颈上皮内瘤型I、II、III型人乳头瘤病毒伴宫颈肿瘤细胞学报告进行了地理参考。结论:宫颈癌筛查的地区分布使得确定的覆盖率超过了巴西卫生部的建议。此外,关于子宫颈肿瘤细胞学检查之间的间隔,大多数显示执行的间隔不适当。
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引用次数: 1
Mental health nurses: conceptions about professional qualification in a Psychosocial Care Center 心理健康护士:心理社会护理中心职业资格的概念
Pub Date : 2017-12-21 DOI: 10.15253/2175-6783.2017000600009
F. Fortes, M. Peres, T. C. Santos, Gizele da Conceição Soares Martins, Hercília Regina do Amaral Montenegro, Antonio José Almeida Filho
Objective: analyzing the strategies adopted by mental health nurses for professional qualification in a Psychosocial Care Center. Methods: a historical-social study with written documents and interviews with ten health professionals linked to the Psychosocial Care Center. Data analysis followed chronological order of the facts, and the emerging themes were triangulated and based on concepts that support Brazilian psychiatric reforms. Results: for professional qualifications, nurses invested in participating in congresses, seminars and symposiums; conducting study groups in order to develop new practical skills for mental health some nurses participated more frequently in workshops and followed other professionals for better insertion in this new context. Conclusion: the nurses approached interdisciplinary care to reconfigure their practices, investing in intellectual empowerment and faced the challenge of transforming mental health care in a deinstitutionalized practice.
目的:分析某社会心理护理中心心理健康护士职业资格的实施策略。方法:采用书面文件和对与心理社会护理中心有关的10名卫生专业人员的访谈进行历史-社会研究。数据分析遵循事实的时间顺序,新出现的主题是三角化的,并基于支持巴西精神病学改革的概念。结果:在职业资格方面,护士在参加大会、研讨会和专题讨论会方面投入较多;开展研究小组,以发展新的精神卫生实用技能,一些护士更频繁地参加讲习班,并跟随其他专业人员更好地融入这一新环境。结论:护士采用跨学科护理来重新配置他们的实践,投资于智力授权,并面临在去机构化实践中转变精神卫生保健的挑战。
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引用次数: 1
Nursing and midwifery workforce and the new Sustainable Development Goals (2016-2030) 护理和助产人员队伍与新的可持续发展目标(2016-2030年)
Pub Date : 2017-12-21 DOI: 10.15253/2175-6783.2017000600001
M. Mamede
In September 2015, the (United Nations) UN member countries approved the Global Plan for Sustainable Development with the purpose of enhancing economic, social and environmental indicators for the next generations. This plan is the result of a process started in Brazil, in 2012, during the Rio + 20 Conference, which followed a wide consultation system to ensure diversified perspectives and experiences in the composition of the Post-2015 Agenda. The new agenda titled “Transforming Our World: The 2030 Agenda for Sustainable Development” consists of a Declaration with 17 Objectives and 169 goals intended to guide the actions of the international community in the following years (2016-2030), thereby helping countries to achieve sustainable development.
2015年9月,联合国成员国通过了《全球可持续发展计划》,旨在为下一代提高经济、社会和环境指标。该计划是2012年里约+ 20会议期间在巴西启动的一个进程的结果,该进程遵循了广泛的协商制度,以确保在构成2015年后议程时具有多样化的观点和经验。题为“改变我们的世界:2030年可持续发展议程”的新议程包括一份包含17个目标和169个目标的宣言,旨在指导国际社会在未来几年(2016-2030年)的行动,从而帮助各国实现可持续发展。
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引用次数: 2
Micro and macro vascular complications in people with type 2 diabetes mellitus in outpatient care 门诊治疗2型糖尿病患者微、大血管并发症
Pub Date : 2017-12-21 DOI: 10.15253/2175-6783.2017000600012
Valéria Cristina Delfino de Almeida, S. Araújo, Francisca Diana da Silva Negreiros, M. Aguiar, Tatiana Rebouças Moreira, A. P. C. Crispim
Objetivo: analisar os fatores relacionados as complicacoes micro e macrovasculares em pessoas com Diabetes Mellitus tipo 2. Metodos: pesquisa documental, com 134 prontuarios de pessoas com Diabetes Mellitus tipo 2. Realizada analise estatistica bivariada (Qui-quadrado de Pearson e teste de Fisher), com significância estatistica se p<0,05. Resultados: a frequencia de complicacoes microvasculares foi 50,7%, sendo a retinopatia a mais encontrada (61,7%). Houve associacao estatistica entre o grupo com mais de 10 anos de doenca e a presenca de retinopatia. A cardiopatia foi uma das complicacoes macrovasculares mais frequentes (69,0%). Quanto a utilizacao de insulinoterapia em monoterapia, houve significância na presenca de nefropatia e doenca vascular. Conclusao: resultados com significância estatistica relacionaram o surgimento de complicacoes com o tempo de doenca, destacando-se a presenca de retinopatia diabetica. Verificou-se que quanto menor a escolaridade, maior e o surgimento da doenca vascular.
摘要目的:分析2型糖尿病患者微血管和大血管并发症的相关因素。方法:对134例2型糖尿病患者的病历进行文献研究。进行双变量统计分析(Pearson卡方和Fisher检验),p< 0.05有统计学意义。结果:微血管并发症发生率为50.7%,视网膜病变发生率最高(61.7%)。在10年以上的疾病组和视网膜病变组之间有统计学上的关联。心脏病是最常见的大血管并发症之一(69.0%)。在单药胰岛素治疗中,肾病和血管疾病的存在具有显著性。结论:具有统计学意义的结果与并发症的出现与疾病的时间有关,突出糖尿病视网膜病变的存在。研究发现,受教育程度越低,血管疾病的发病率越高。
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引用次数: 6
Epidemiological trends of leprosy in an endemic state 流行国家麻风病的流行病学趋势
Pub Date : 2017-12-21 DOI: 10.15253/2175-6783.2017000600010
Kleane Maria da Fonseca Azevedo Araújo, Heloisy Alves de Medeiros Leano, Rayssa Nogueira Rodrigues, Isabela de Caux Bueno, F. F. Lana
Objective: to analyze the epidemiological trends of leprosy in an endemic state. Methods: ecological study of temporal trends. The data were taken from the National Disease Notification System and analyzed through a generalized linear regression using the Prais Winsten method. Results: a total of 12,134 new cases of leprosy were analyzed. There was a downward trend of -4.8% in the overall detection rate and of -6.7% in the detection rate in children under 15 years of age. The proportion of new cases of leprosy with grade 2 physical disability at diagnosis showed a stationary trend of 2.7%. It is noteworthy that the trends of epidemiological indicators of leprosy are heterogeneous among the macro-regions of the health system. Conclusion: the incidence of leprosy declined in the general population, in children under 15 years of age, and the proportion of grade 2 disability showed stability. Despite the decline, it is evident that diagnoses occur late and the transmission remains active.
目的:分析某地区麻风病流行趋势。方法:对时间趋势进行生态学研究。数据来自国家疾病通报系统,并使用Prais Winsten方法通过广义线性回归进行分析。结果:共分析新增麻风病例12134例。总体检出率下降-4.8%,15岁以下儿童检出率下降-6.7%。诊断时伴有2级肢体残疾的麻风新病例比例呈2.7%的稳定趋势。值得注意的是,在卫生系统的宏观区域中,麻风病流行病学指标的趋势是不同的。结论:麻风病在一般人群、15岁以下儿童中的发病率呈下降趋势,2级残疾比例呈稳定趋势。尽管有所下降,但很明显,诊断较晚,传播仍然活跃。
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引用次数: 7
Sexual partnerships of people living with the Human Immunodeficiency Virus 人类免疫缺陷病毒感染者的性伙伴关系
Pub Date : 2017-12-21 DOI: 10.15253/2175-6783.2017000600017
L. B. Oliveira, Matheus Costa Brandão Matos, Giselle Juliana de Jesus, R. Reis, E. Gir, Telma Maria Evangelista Araújo
Objetivo: caracterizar as parcerias sexuais estabelecidas por pessoas vivendo com o Virus da Imunodeficiencia Humana. Metodos: estudo epidemiologico realizado com 173 participantes em um servico de assistencia medica especializada no tratamento de pessoas com o Virus da Imunodeficiencia Humana. Os dados foram coletados por meio de entrevista individual com questionario especifico para o estudo. Para analise dos dados foram utilizados os testes Qui-quadrado de Pearson. Resultados: a maioria dos participantes era do sexo masculino, adultos-jovens (54/30,9%), solteiros (94/53,7%), com ensino medio completo (72/41,1%) e infectados por relacao sexual (150/85,7%). As variaveis sexo (p<0,001), estado civil (p<0,001), morar com parceiro (p<0,001), forma de exposicao (p=0,040) e sorologia do parceiro (p<0,001) mostraram diferenca estatistica.  Conclusao: as pessoas vivendo com essa infeccao estabelecem diferentes formas de parcerias sexuais, as quais foram influenciadas pelo sexo, estado civil, morar com o parceiro, forma de exposicao e sorologia do parceiro.
目的:描述人类免疫缺陷病毒感染者所建立的性伴侣关系。方法:对173名在专门治疗人类免疫缺陷病毒患者的医疗援助服务机构的参与者进行流行病学研究。数据是通过个人访谈和特定的研究问卷收集的。数据分析采用皮尔逊卡方检验。结果:大多数参与者为男性、青年(54/ 30.9%)、单身(94/ 53.7%)、高中毕业(72/ 41.1%)和性感染(150/ 85.7%)。性别(p< 0.001)、婚姻状况(p< 0.001)、与伴侣生活(p< 0.001)、暴露形式(p= 0.040)和伴侣血清学(p< 0.001)差异有统计学意义。结论:这种感染的人建立了不同形式的性伙伴关系,这些关系受性别、婚姻状况、与伴侣生活、接触形式和伴侣血清学的影响。
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引用次数: 4
Scientific evidence on cultural influence in child care 儿童保育中文化影响的科学证据
Pub Date : 2017-12-21 DOI: 10.15253/2175-6783.2017000600019
Isabella Joyce Silva de Almeida, Bruna de Sousa Buarque, Tatiane Gomes Guedes, G. C. S. Sette, Ana Márcia Tenório de Souza Cavalcanti
Objective:  to analyze the scientific evidence on cultural influence in child care.  Methods: integrative review of the literature with metassynthesis, carried out in six databases, without limits regarding the year of publication, using the descriptors “Culture” and “Child Care”, in the Portuguese, English and Spanish languages. Data evaluated were through content analysis and in light of the constructs of Leininger’s theory.  Results:  seven articles were selected, from which two categories emerged: interface between professional care systems and culture; and interface between generic care systems and culture.  Conclusion:  culture influences the general care given to children, especially related to respiratory problems, malnutrition and burns. The use of medicinal plants, homemade teas and taking to a folk healer are examples of popular practices that permeate the routine of care provided to children.
目的:分析文化影响幼儿保育的科学依据。方法:使用葡萄牙语、英语和西班牙语的描述词“文化”和“儿童护理”,在六个数据库中进行meta综合文献综述,不受出版年份的限制。数据评估是通过内容分析,并根据莱宁格的理论结构。结果:共选择了7篇文章,其中分为两类:专业护理系统与文化的界面;以及通用护理系统和文化之间的接口。结论:文化影响对儿童的一般护理,特别是与呼吸问题、营养不良和烧伤有关的护理。使用药用植物、自制茶和找民间治疗师都是为儿童提供日常护理的流行做法。
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引用次数: 1
Indicadores relacionados a incapacidade física e diagnóstico de hanseníase
Pub Date : 2017-12-21 DOI: 10.15253/2175-6783.2017000600018
Heloisy Alves de Medeiros Leano, Kleane Maria da Fonseca Azevedo Araújo, Rayssa Nogueira Rodrigues, Isabela de Caux Bueno, F. Lana
Objective: to analyze the trend of epidemiological indicators of leprosy related to diagnosis and physical disability. Methods: ecological study of time series. The secondary data were extracted from the Brazilian Notifiable Diseases Information System. Prais-Winsten generalized linear analysis was used for trend analysis. Results: 240,028 new cases of leprosy were analyzed. The Northeast region showed a decreasing annual trend (-2.9%) for general detection. As for disability, there are differences among the states of Bahia (4.9%), Alagoas (4.1%), Piaui (2.5%), Maranhao (2.2%) and Ceara (2.1%), which presented increasing trend to grade 2 ratio in the general population. Bahia (9.5%), Sergipe (6.6%) and Maranhao (4.9%) also presented an increasing trend to grade 2 among children. Conclusion: the Northeast region has remained at a very high endemicity level for leprosy with a difference in the distribution of the disease among the states. It was shown active transmission of the bacillus, late diagnosis and underreporting in the region.
目的:分析麻风病诊断及躯体残疾相关流行病学指标变化趋势。方法:时间序列生态学研究。次要数据来自巴西法定疾病信息系统。趋势分析采用Prais-Winsten广义线性分析。结果:共分析新发麻风病例24028例。东北地区总体检出率呈逐年下降趋势(-2.9%)。在残疾方面,巴伊亚州(4.9%)、阿拉戈斯州(4.1%)、皮奥伊州(2.5%)、马拉尼昂州(2.2%)和塞拉州(2.1%)存在差异,在一般人群中呈上升趋势至2级比率。巴伊亚州(9.5%)、塞尔吉佩州(6.6%)和马拉尼昂州(4.9%)的儿童也有上升趋势。结论:东北地区麻风病的流行程度一直很高,但各州的麻风病分布存在差异。结果表明,该地区杆菌传播活跃,诊断晚,漏报。
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引用次数: 11
期刊
Northeast Network Nursing Journal
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