Pub Date : 2022-09-20DOI: 10.15253/2175-6783.20222378179
Hellen Lívia Oliveira Catunda Ferreira, Cícero Mendes Siqueira, Nicolau da Costa, Edienovi da Costa Pereira, Adine de Andrade Fiúza, S. G. Ribeiro, A. B. Pinheiro
Objective: to analyze factors associated with knowledge, attitude, and practice of schoolgirls about vaccination against Human Papillomavirus in large and medium-sized cities. Methods: cross-sectional analytical study conducted with 210 schoolgirls. The knowledge, attitude and practice survey was applied, and the vaccination scheme was verified. Association tests, prevalence ratio and Poisson regression with robust variance were used. Results: girls from the large metropolitan area had lower knowledge and practice (p=0.000). Adequacy of Knowledge in the big metropolis among white and catholic girls was higher, as well as that of Attitude. Family income of up to two thousand reais revealed lower adequacy of Attitude and Practice, and age below 12 years was lower for Attitude. Conclusion: factors associated with adequate knowledge about the vaccine against Human Papillomavirus were race and religion; to adequate attitude, were age, race, and income; and to adequate practice, was income. Contributions to practice: enable reflection and awareness about the importance of vaccination against Human Papillomavirus among schoolgirls as well as stimulate the planning of more effective strategies, to incite individuals to establish information exchanges on sexual and reproductive health, considering the social space of each municipality.
{"title":"Factors associated with knowledge, attitude, and practice of schoolgirls about vaccination against Human Papillomavirus","authors":"Hellen Lívia Oliveira Catunda Ferreira, Cícero Mendes Siqueira, Nicolau da Costa, Edienovi da Costa Pereira, Adine de Andrade Fiúza, S. G. Ribeiro, A. B. Pinheiro","doi":"10.15253/2175-6783.20222378179","DOIUrl":"https://doi.org/10.15253/2175-6783.20222378179","url":null,"abstract":"Objective: to analyze factors associated with knowledge, attitude, and practice of schoolgirls about vaccination against Human Papillomavirus in large and medium-sized cities. Methods: cross-sectional analytical study conducted with 210 schoolgirls. The knowledge, attitude and practice survey was applied, and the vaccination scheme was verified. Association tests, prevalence ratio and Poisson regression with robust variance were used. Results: girls from the large metropolitan area had lower knowledge and practice (p=0.000). Adequacy of Knowledge in the big metropolis among white and catholic girls was higher, as well as that of Attitude. Family income of up to two thousand reais revealed lower adequacy of Attitude and Practice, and age below 12 years was lower for Attitude. Conclusion: factors associated with adequate knowledge about the vaccine against Human Papillomavirus were race and religion; to adequate attitude, were age, race, and income; and to adequate practice, was income. Contributions to practice: enable reflection and awareness about the importance of vaccination against Human Papillomavirus among schoolgirls as well as stimulate the planning of more effective strategies, to incite individuals to establish information exchanges on sexual and reproductive health, considering the social space of each municipality.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"23 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82756586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-20DOI: 10.15253/2175-6783.20222378620
E. D. F. Corpes, K. M. Leite, Denise Montenegro da Silva, Ana Cínthia Silva Alves, R. B. Castro, Andrea Bezerra Rodrigues
Objective: to analyze the impacts of the COVID-19 pandemic on breast cancer screening and early diagnosis. Methods: an ecological retrospective study of data from the Department of Informatics of the Unified Health System collected between 2016 and 2020 was carried out. The data collection was guided by a semi-structured script, and the impact of the pandemic on breast cancer screen and diagnosis was established by using a formula and comparing the period of interest to 2020. Results: in Brazil, there was a significant drop in mammograms performed during the COVID-19 pandemic, with a decrease of 361,855 exams from 2016 to 2020. Most diagnostic investigations were conducted with patients between 50 and 59 years, and there was a significant drop in mammograms in women aged under 40 years. Conclusion: the COVID-19 pandemic has negatively impacted screening and early diagnosis of breast cancer due to reduced availability. Contributions to practice: the study reinforces the importance of investing in public policies to face the pandemic scenario so that screening and treatment protocols be well targeted to guarantee better care for cancer patients.
{"title":"Impact of the COVID-19 pandemic on breast cancer screening and early diagnosis","authors":"E. D. F. Corpes, K. M. Leite, Denise Montenegro da Silva, Ana Cínthia Silva Alves, R. B. Castro, Andrea Bezerra Rodrigues","doi":"10.15253/2175-6783.20222378620","DOIUrl":"https://doi.org/10.15253/2175-6783.20222378620","url":null,"abstract":"Objective: to analyze the impacts of the COVID-19 pandemic on breast cancer screening and early diagnosis. Methods: an ecological retrospective study of data from the Department of Informatics of the Unified Health System collected between 2016 and 2020 was carried out. The data collection was guided by a semi-structured script, and the impact of the pandemic on breast cancer screen and diagnosis was established by using a formula and comparing the period of interest to 2020. Results: in Brazil, there was a significant drop in mammograms performed during the COVID-19 pandemic, with a decrease of 361,855 exams from 2016 to 2020. Most diagnostic investigations were conducted with patients between 50 and 59 years, and there was a significant drop in mammograms in women aged under 40 years. Conclusion: the COVID-19 pandemic has negatively impacted screening and early diagnosis of breast cancer due to reduced availability. Contributions to practice: the study reinforces the importance of investing in public policies to face the pandemic scenario so that screening and treatment protocols be well targeted to guarantee better care for cancer patients.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"40 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85928067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-20DOI: 10.15253/2175-6783.20222381328
Natália de Luna Leite, Andellyhose Clébia Lima dos Santos, Amanda Carla Borba de Souza Cavalcanti, A. Cavalcanti, E. T. Gomes, V. A. Püschel
Objective: to understand the meanings attributed by nurses to preoperative care provided to terminal disease patients. Methods: qualitative research that used the Grounded Theory as methodological reference and was conducted in the surgical wards of a university hospital. Results: eleven nurses participated in the research. A theory was elaborated for the central phenomenon: Nurses caring for terminal disease patients in the preoperative period in the context of a surgical ward. Conclusion: nurses attribute meanings to this care that has its own particularities, that requires professional preparation and that demands, even more, an effective communication within the multidisciplinary team and in the relationship with the patient and family. Contributions to practice: the theory presented allows professionals to reflect on their praxis, understand the intervening conditions for ethical dilemmas and conflicts involved and consequences, as well as strategies to improve care in this scenario.
{"title":"Preoperative care for patients in terminal stage of disease from the perspective of nurses","authors":"Natália de Luna Leite, Andellyhose Clébia Lima dos Santos, Amanda Carla Borba de Souza Cavalcanti, A. Cavalcanti, E. T. Gomes, V. A. Püschel","doi":"10.15253/2175-6783.20222381328","DOIUrl":"https://doi.org/10.15253/2175-6783.20222381328","url":null,"abstract":"Objective: to understand the meanings attributed by nurses to preoperative care provided to terminal disease patients. Methods: qualitative research that used the Grounded Theory as methodological reference and was conducted in the surgical wards of a university hospital. Results: eleven nurses participated in the research. A theory was elaborated for the central phenomenon: Nurses caring for terminal disease patients in the preoperative period in the context of a surgical ward. Conclusion: nurses attribute meanings to this care that has its own particularities, that requires professional preparation and that demands, even more, an effective communication within the multidisciplinary team and in the relationship with the patient and family. Contributions to practice: the theory presented allows professionals to reflect on their praxis, understand the intervening conditions for ethical dilemmas and conflicts involved and consequences, as well as strategies to improve care in this scenario.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"78 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89267849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-20DOI: 10.15253/2175-6783.20222381354
T. S. Garces, G. J. B. Sousa, V. Cestari, S. M. Mattos, R. Florêncio, M. L. D. Pereira, T. Moreira
Objective: to estimate the prevalence of severity of hospitalized cases of COVID-19 and its association with diabetes mellitus. Methods: a cross-sectional study, which used secondary data from the Influenza Epidemiological Surveillance Information System, totaling 405,294 confirmed cases. To verify the association of diabetes and severity in hospitalized patients with COVID-19, Poisson regression models with robust variance estimator were used. Initially, the association of disease with outcome was verified; next, several adjustments for potential confounders were performed. Results: the prevalence of diabetes in the 405,294 hospitalized and positive cases was 25.7% (Confidence Interval: 25.5% - 25.8%). After adjustments, diabetes was found to increase the severity of COVID-19 by 19% (Confidence Interval: 1.17 - 2.21). Conclusion: a significant association of diabetes mellitus with severe cases of COVID-19 infection has been identified. Contributions to practice: the evidence generated by the study guides the risk stratification of patients and directs clinical management.
{"title":"Diabetes mellitus and severity by COVID-19 in hospitalized Brazilians","authors":"T. S. Garces, G. J. B. Sousa, V. Cestari, S. M. Mattos, R. Florêncio, M. L. D. Pereira, T. Moreira","doi":"10.15253/2175-6783.20222381354","DOIUrl":"https://doi.org/10.15253/2175-6783.20222381354","url":null,"abstract":"Objective: to estimate the prevalence of severity of hospitalized cases of COVID-19 and its association with diabetes mellitus. Methods: a cross-sectional study, which used secondary data from the Influenza Epidemiological Surveillance Information System, totaling 405,294 confirmed cases. To verify the association of diabetes and severity in hospitalized patients with COVID-19, Poisson regression models with robust variance estimator were used. Initially, the association of disease with outcome was verified; next, several adjustments for potential confounders were performed. Results: the prevalence of diabetes in the 405,294 hospitalized and positive cases was 25.7% (Confidence Interval: 25.5% - 25.8%). After adjustments, diabetes was found to increase the severity of COVID-19 by 19% (Confidence Interval: 1.17 - 2.21). Conclusion: a significant association of diabetes mellitus with severe cases of COVID-19 infection has been identified. Contributions to practice: the evidence generated by the study guides the risk stratification of patients and directs clinical management.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"126 12","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72394773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-16DOI: 10.15253/2175-6783.20222380608
Keila Cristina Costa Barros, R. Moreira, Jeane Freitas de Oliveira, Daine Ferreira Brazil do Nascimento, Marília Emanuela Ferreira de Jesus, Ricardo Bruno Santos Ferreira
Objective: to unveil the vulnerabilities of homeless women linked to the social markers of gender and race/color. Methods: qualitative study, developed with ten homeless women through participant observation, field diary, and sociodemographic questionnaire, systematized based on content analysis. Results: it was found that gender identity and race/color act as potentiators of the situation of vulnerability of women. It is believed that structural racism and machismo feed back into the streets and perpetuate themselves in a perverse cycle of denial of women's rights, which is potentiated by the omission of the State and extensive social and economic inequality. Conclusion: gender and race/color potentiate the vulnerabilities of homeless women that intersect precarious social conditions, denial of rights, and favor illness. Contributions to practice: to present information that enables reflections and creation of care strategies for homeless women, understood in their singularities.
{"title":"Vulnerabilities of homeless women: social markers of gender and race/color","authors":"Keila Cristina Costa Barros, R. Moreira, Jeane Freitas de Oliveira, Daine Ferreira Brazil do Nascimento, Marília Emanuela Ferreira de Jesus, Ricardo Bruno Santos Ferreira","doi":"10.15253/2175-6783.20222380608","DOIUrl":"https://doi.org/10.15253/2175-6783.20222380608","url":null,"abstract":"Objective: to unveil the vulnerabilities of homeless women linked to the social markers of gender and race/color. Methods: qualitative study, developed with ten homeless women through participant observation, field diary, and sociodemographic questionnaire, systematized based on content analysis. Results: it was found that gender identity and race/color act as potentiators of the situation of vulnerability of women. It is believed that structural racism and machismo feed back into the streets and perpetuate themselves in a perverse cycle of denial of women's rights, which is potentiated by the omission of the State and extensive social and economic inequality. Conclusion: gender and race/color potentiate the vulnerabilities of homeless women that intersect precarious social conditions, denial of rights, and favor illness. Contributions to practice: to present information that enables reflections and creation of care strategies for homeless women, understood in their singularities.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"44 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87355753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-16DOI: 10.15253/2175-6783.20222380560
A. Magagnin, Ivonete Heidemann, Crhis Netto de Brum
Objective: to analyze, based on scientific evidence, how the transition of care for people with stroke occurs after hospital discharge. Methods: integrative literature review, conducted in the databases Scopus, Web of Science, Pubmed/MEDLINE, Latin American and Caribbean Literature on Health Sciences, Nursing Database and The Cumulative Index to Nursing and Allied Health Literature. A total of 21 articles were included in the final sample, which were then descriptively analyzed. Results: factors related to the adequate transition of care included: organizational barriers of the health services involved in the transition of care, the importance of health information, and the adequate coordination of care. Conclusion: the studies express limits experienced by individuals, family members and health professionals in systems that are fragmented and rule out the possibility of integral care in times of transition. Contributions to practice: the study reveals the necessary articulation of those who provide health care to people with this grievance and their families, to recognize points to be improved in their health practices and minimize complications arising from failures in care transitions.
目的:以科学证据为依据，分析脑卒中患者出院后的护理过渡情况。方法:综合文献综述，检索数据库为Scopus、Web of Science、Pubmed/MEDLINE、Latin American and Caribbean literature on Health Sciences、Nursing Database和the Cumulative Index to Nursing and Allied Health literature。最终样本共纳入21篇文章，然后对其进行描述性分析。结果:影响适当转诊的因素包括:参与转诊的卫生服务机构的组织障碍、卫生信息的重要性和适当的转诊协调。结论:这些研究表达了个人、家庭成员和卫生专业人员在支离破碎的系统中遇到的限制，并排除了在过渡时期提供整体护理的可能性。对实践的贡献:该研究揭示了向有这种不满情绪的人及其家人提供卫生保健的人员的必要联系，以认识到其卫生做法中需要改进的地方，并尽量减少因护理过渡失败而引起的并发症。
{"title":"Transition of care for stroke patients: an integrative review","authors":"A. Magagnin, Ivonete Heidemann, Crhis Netto de Brum","doi":"10.15253/2175-6783.20222380560","DOIUrl":"https://doi.org/10.15253/2175-6783.20222380560","url":null,"abstract":"Objective: to analyze, based on scientific evidence, how the transition of care for people with stroke occurs after hospital discharge. Methods: integrative literature review, conducted in the databases Scopus, Web of Science, Pubmed/MEDLINE, Latin American and Caribbean Literature on Health Sciences, Nursing Database and The Cumulative Index to Nursing and Allied Health Literature. A total of 21 articles were included in the final sample, which were then descriptively analyzed. Results: factors related to the adequate transition of care included: organizational barriers of the health services involved in the transition of care, the importance of health information, and the adequate coordination of care. Conclusion: the studies express limits experienced by individuals, family members and health professionals in systems that are fragmented and rule out the possibility of integral care in times of transition. Contributions to practice: the study reveals the necessary articulation of those who provide health care to people with this grievance and their families, to recognize points to be improved in their health practices and minimize complications arising from failures in care transitions.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"21 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76915003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-16DOI: 10.15253/2175-6783.20222380535
Suellen Cristina Dias Emidio, H. C. Oliveira, S. Moorhead, A. R. D. S. Oliveira-Kumakura, E. V. Carmona
Objective: to analyze clinical changes in the breastfeeding process in the Neonatal Intensive Unit Care using the Nursing Outcomes Classification. Methods: this longitudinal and prospective study was conducted in a public hospital at Neonatal Intensive Unit Care in Brazil. The sample consisted of 61 mother-infant dyads evaluated three times during breastfeeding by trained nurses who applied the Nursing Outcomes Classification scales. Statistical analysis was performed using Generalized Estimating Equation Models. Results: most indicators of the two Nursing Outcomes studied presented a similar frequency of scores of 4 and 5. It was observed that in most indicators, there were clinical changes throughout the evaluations over time; however, the indicators related to the mother presented a higher risk of scoring 4 and 5 on the Likert scale. Conclusion: the Nursing Outcomes Classification outcomes and indicators included successfully evaluated the clinical evolution of mother-infant dyads and proved to be applicable for use in Neonatal Intensive Unit Care. Contributions to practice: nurses can use the indicators to assess the quality and accuracy of the proposed interventions.
{"title":"Clinical applicability of Nursing Outcomes related to breastfeeding establishment in the Neonatal Intensive Care Unit","authors":"Suellen Cristina Dias Emidio, H. C. Oliveira, S. Moorhead, A. R. D. S. Oliveira-Kumakura, E. V. Carmona","doi":"10.15253/2175-6783.20222380535","DOIUrl":"https://doi.org/10.15253/2175-6783.20222380535","url":null,"abstract":"Objective: to analyze clinical changes in the breastfeeding process in the Neonatal Intensive Unit Care using the Nursing Outcomes Classification. Methods: this longitudinal and prospective study was conducted in a public hospital at Neonatal Intensive Unit Care in Brazil. The sample consisted of 61 mother-infant dyads evaluated three times during breastfeeding by trained nurses who applied the Nursing Outcomes Classification scales. Statistical analysis was performed using Generalized Estimating Equation Models. Results: most indicators of the two Nursing Outcomes studied presented a similar frequency of scores of 4 and 5. It was observed that in most indicators, there were clinical changes throughout the evaluations over time; however, the indicators related to the mother presented a higher risk of scoring 4 and 5 on the Likert scale. Conclusion: the Nursing Outcomes Classification outcomes and indicators included successfully evaluated the clinical evolution of mother-infant dyads and proved to be applicable for use in Neonatal Intensive Unit Care. Contributions to practice: nurses can use the indicators to assess the quality and accuracy of the proposed interventions.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"51 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74757279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-16DOI: 10.15253/2175-6783.20222380668
Victor Hugo Martins Santos, Margani Cadore Weis Maia, Larissa de Almeida Rézio, M. N. Bittencourt, Vanessa Ferraz Leite
Objective: to analyze the repercussions experienced by health professionals who were assisted with the use of integrative and complementary practices during the pandemic of COVID-19. Methods: qualitative study whose data were collected through interviews, which were transcribed and submitted to thematic content analysis. Results: 12 female health professionals participated and pointed out the importance of the inclusion of integrative and complementary practices in strengthening the well-being of health professionals in the Unified Health System and the relevance of offering these services in the pandemic scenario, as it helped them face stress, insomnia, mental fatigue, and anxiety. Two categories emerged: Sensation of valorization, welcoming, recognition and care, and Repercussions on the emotional and physical health of the workers. Conclusion: the data showed the positive repercussions of Integrative and Complementary Practices developed by health professionals, demonstrating the potentiality of these practices in promoting mental health. Contributions to practice: the implementation of actions with the use of Integrative and Complementary Practices by managers constitutes a form of care by health professionals in the Unified Health System, as these result in quality of life, promotion, and restoration of physical and mental health of the individuals assisted.
{"title":"Repercussions experienced by health professionals working with Integrative and Complementary Practices during the pandemic","authors":"Victor Hugo Martins Santos, Margani Cadore Weis Maia, Larissa de Almeida Rézio, M. N. Bittencourt, Vanessa Ferraz Leite","doi":"10.15253/2175-6783.20222380668","DOIUrl":"https://doi.org/10.15253/2175-6783.20222380668","url":null,"abstract":"Objective: to analyze the repercussions experienced by health professionals who were assisted with the use of integrative and complementary practices during the pandemic of COVID-19. Methods: qualitative study whose data were collected through interviews, which were transcribed and submitted to thematic content analysis. Results: 12 female health professionals participated and pointed out the importance of the inclusion of integrative and complementary practices in strengthening the well-being of health professionals in the Unified Health System and the relevance of offering these services in the pandemic scenario, as it helped them face stress, insomnia, mental fatigue, and anxiety. Two categories emerged: Sensation of valorization, welcoming, recognition and care, and Repercussions on the emotional and physical health of the workers. Conclusion: the data showed the positive repercussions of Integrative and Complementary Practices developed by health professionals, demonstrating the potentiality of these practices in promoting mental health. Contributions to practice: the implementation of actions with the use of Integrative and Complementary Practices by managers constitutes a form of care by health professionals in the Unified Health System, as these result in quality of life, promotion, and restoration of physical and mental health of the individuals assisted.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"285 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76257502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-16DOI: 10.15253/2175-6783.20222378741
Camila Amthauer, M. L. Cunha
Objective: to analyze the sociodemographic and gestational factors of adolescent mothers associated with prematurity. Methods: quantitative, cross-sectional, retrospective, and analytical study, developed with 488 adolescent mothers and their respective 489 newborns. Data were collected by query and analyzed using the Statistical Package for the Social Sciences. To verify the association between variables, the Chi-square or Fisher's exact test was used. To control for confounding factors, the multivariate Poisson Regression model was used. Results: adolescent mothers were mostly single, with occupation and education inadequate for their age; 76.5% did not have prenatal care appropriate for gestational age. The prevalence of prematurity was 6.6% and was associated with the number of adequate prenatal visits, twin pregnancy, and vaginal delivery. Conclusion: prematurity was associated with the number of prenatal visits, type of delivery and pregnancy. Contributions to practice: the study allows health professionals and managers to have more knowledge about the repercussions of teenage pregnancy, as well as the clinical and social outcomes in maternal and child health, such as prematurity, enabling more precise targeting of actions and programs aimed at this problem.
{"title":"Sociodemographic and gestational factors of adolescent mothers associated with prematurity","authors":"Camila Amthauer, M. L. Cunha","doi":"10.15253/2175-6783.20222378741","DOIUrl":"https://doi.org/10.15253/2175-6783.20222378741","url":null,"abstract":"Objective: to analyze the sociodemographic and gestational factors of adolescent mothers associated with prematurity. Methods: quantitative, cross-sectional, retrospective, and analytical study, developed with 488 adolescent mothers and their respective 489 newborns. Data were collected by query and analyzed using the Statistical Package for the Social Sciences. To verify the association between variables, the Chi-square or Fisher's exact test was used. To control for confounding factors, the multivariate Poisson Regression model was used. Results: adolescent mothers were mostly single, with occupation and education inadequate for their age; 76.5% did not have prenatal care appropriate for gestational age. The prevalence of prematurity was 6.6% and was associated with the number of adequate prenatal visits, twin pregnancy, and vaginal delivery. Conclusion: prematurity was associated with the number of prenatal visits, type of delivery and pregnancy. Contributions to practice: the study allows health professionals and managers to have more knowledge about the repercussions of teenage pregnancy, as well as the clinical and social outcomes in maternal and child health, such as prematurity, enabling more precise targeting of actions and programs aimed at this problem.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"143 5 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80999328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-16DOI: 10.15253/2175-6783.20222380702
Bianca Machado Cruz Shibukawa, Camila Moraes Garollo Piran, Claudiana Ribeiro da Silva Araújo, Marcela Demitto Furtado, Maria de Fátima Garcia Lopes Merino, Ieda Harumi Higarashi
Objective: to understand how the co-tutorship between primary health care and the referral outpatient clinic from the Mother Network from Paraná (Rede Mãe Paranaense) in the follow up of high-risk children. Methods: qualitative study carried out by understanding the process of co-tutorship between primary health care and the referral outpatient clinic of the Stork Network (Rede Cegonha) in the follow up of high-risk children. The study included 28 coordinators of primary health care and two representatives of the high-risk clinic. Data collection was carried out through interviews that were transcribed and underwent thematic category analysis according with Bardin's principles. Results: data analysis led to the creation of the category Communication between primary health care and outpatient clinics: outcomes of the (dis)continuity of care to high-risk children. It became clear that the process of co-tutorship has weaknesses that prevent the provision of integral care. Conclusion: fragmented communication and lack of alignment between the services, in addition to not acting like co-tutors as they provide care to children and their families lead to shortcomings in the attention provided. Contributions to practice: the study allowed for the identification of weaknesses that can be crucial for future interventions in the high risk childcare network.
目的:了解基层卫生保健机构与“帕拉那母亲网络”(Rede m e Paranaense)转诊门诊共同指导高危儿童随访的效果。方法:通过了解初级卫生保健与鹳网转诊门诊在高危儿童随访中的协同辅导过程，进行质性研究。这项研究包括28名初级保健协调员和两名高风险诊所的代表。数据收集通过采访进行转录，并根据巴尔丁的原则进行专题分类分析。结果:数据分析导致创建了“初级保健和门诊诊所之间的交流:对高危儿童(不)持续护理的结果”这一类别。很明显，共同辅导的过程有缺点，妨碍提供全面的照顾。结论:这些服务之间的沟通支离破碎，缺乏一致性，而且在照顾儿童及其家庭时没有发挥共同导师的作用，导致所提供的关注存在缺陷。对实践的贡献:该研究允许识别对高风险儿童保育网络未来干预措施至关重要的弱点。
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