Made available in DSpace on 2014-12-17T14:46:36Z (GMT). No. of bitstreams: 1 SandraMSGSOT.pdf: 796807 bytes, checksum: 1923d4538db7e6ac66bda4a6ad71c6b9 (MD5) Previous issue date: 2008-04-30 / It is a descriptive study with a qualitative approach, and an action-research type, which aimed to analyze the changes of knowledge about contraceptive methods invested to a teenager group attended in Igap? Family Healthcare Unit, in the city of Natal/RN, after consent and institutional assent of Ethics Committee of Rio Grande do Norte Federal University (Protocol No. 131/07). It were researched 16 teenagers of both sexes, with age ranging from 11 to 16 years. We used two structured questionnaires, one in the initial diagnosis and another during the seven meetings of the focus group, in addition to the field notes and the meetings discussions transcriptions. The data-collection was performed in the period of two months by a team composed by a nurse the research coordinator, a dentist, a nursing assistant, a community-based healthcare worker and a nursing academic. The quantitative and qualitative data were organized, tagged and categorized into spreadsheet in Microsoft Excel, being held a thematic analysis of speeches performed by the study participants. The results were presented as tables, graphics, photos, drawings and word clippings. The educational strategy developed in focus group allowed adolescents to discuss, exchange ideas and opinions on several contraceptive methods, providing expansion in knowledge of all contraceptives discussed, especially those natural and surgical, which were less mentioned at the beginning of the study. Among the advantages of the contraceptive methods listed by teenagers, was highlighted avoiding pregnancy and STDs in use of the barrier method of condom. As for the disadvantages more frequently noted by the survey with the misuse of barrier methods, was highlighted get pregnant, acquire STD's and do not prevent STD's in hormonal, natural and surgical methods. Adolescents showed consistency between the advantages and disadvantages and types of contraceptive methods, showing a widening in knowledge among them. It may be said that, in general, those surveyed had a good understanding about the use of the various contraceptive methods. Thus, the study participants had positively evaluated all the criteria used to qualify the meetings in the focus group. The action strategy of the focus group should be encouraged by professionals who work with teenagers, since they prefer to live in groups, one characteristic of adolescence. / Estudo descritivo com abordagem qualitativa, do tipo pesquisa a??o, que objetivou analisar a mudan?a do conhecimento sobre m?todos contraceptivos investidos a um grupo de adolescentes atendidos na Unidade Sa?de da Fam?lia de Igap? no munic?pio de Natal/RN, ap?s consentimento institucional e parecer favor?vel do Comit? de ?tica da Universidade Federal do Rio Grande do Norte (Protocolo n? 131/07). Foram pesquisados 16 adolescentes de ambos os sexos com faixa et?ria variando de 11 a 16 anos. Foram utilizados dois question?rios estruturados, sendo um no diagn?stico inicial e outro durante as sete reuni?es do grupo focal, al?m das anota??es de campo e transcri??es das discuss?es das reuni?es. A coleta de dados foi realizada no per?odo de dois meses por uma equipe composta por uma enfermeira, coordenadora da pesquisa, uma odont?loga, uma auxiliar de enfermagem, uma agente comunit?rio de sa?de e uma acad?mica de enfermagem. Os dados quanti-qualitativos foram organizados, codificados e categorizados em planilha no Excel, sendo realizada an?lise tipo tem?tica das falas dos participantes do estudo. Os resultados foram apresentados na forma de quadros, gr?fico, fotos, desenhos e recortes das falas. A estrat?gia educativa desenvolvida em grupo focal permitiu aos adolescentes, discutir, trocar id?ias e opini?es sobre os diferentes m?todos contraceptivos proporcionando amplia??o no conhecimento de todos contraceptivos discutidos, principalmente, nos naturais e cir?rgicos, que foram menos referidos no in?cio do estudo. Dentre as vantagens dos m?todos contraceptivos elencadas pelos adolescentes destacaram-se evitar DSTs e gravidez no uso do m?todo de barreira camisinha. J? as desvantagens mais freq?entes apontadas pelos pesquisados com o uso incorreto dos m?todos de barreira, destacaram-se engravidar e adquirir DST s, n?o prevenir DST s nos hormonais, naturais e cir?rgicos. Os adolescentes apresentaram coer?ncia entre as vantagens e desvantagens e os tipos de m?todos contraceptivos, demonstrando uma amplia??o no conhecimento entre os pesquisados. Pode-se afirmar que de um modo geral os pesquisados apresentaram um bom entendimento sobre o uso dos diferentes m?todos contraceptivos. No geral os participantes do estudo avaliaram positivamente em todos os crit?rios utilizados para qualificar as reuni?es no grupo focal. A estrat?gia de a??o do grupo focal deve ser incentivada pelos profissionais que atuam junto aos adolescentes, uma vez que estes preferem conviver em grupos, sendo uma caracter?stica da adolesc?ncia.

Made available in DSpace on 2014-12-17T14:46:37Z (GMT). No. of bitstreams: 1 MariaBM.pdf: 641625 bytes, checksum: dec880a40827b655c7e1cac09d32148f (MD5) Previous issue date: 2007-12-18 / This work is an investigation related to issues of those who take home care of people who suffer from Alzheimer disease (AD). Thus, it is justified by the need to acknowledge how these relatives perform this task and in which ways they do this. The study has is analytical and qualitative methodology with the use of a thematic oral history approach. The subjects of the research were nine relatives of those who suffer from AD that participate in the home care group in the Candel?ria neighborhood in the city of Natal in Rio Grande do Norte-Brazil. The data was collected using a semi-structured questionnaire and interview that was booked in advance and had full support from the care takers. After information collection, three thematic axles were defined. After this procedure, three analisys subcategories were also defined. The first thematic axle emphasizes the so called movement of rite of passage, when the relative becomes a care taker of a person with AD. The second category deals with the care takers strategies, either related to their own behalf or on their relative. It is possible to infer that amongst other forms of help, the care taker needs to rely on a support network, such as health services, groups composed by multiprofessionals that enable better articulation between family and collaborators. The dimension related to faith and spirituality was also observed and pointed out as an important aspect in the emotional support process for these relatives. In the third axle the perspectives of struggle, conquests of the right to health and life quality of those who suffer from AD as well as their relatives was observed. These also deal with dreams and hope / O presente trabalho trata-se de uma investiga??o em torno do cuidado vivenciado pelos familiares de portadores de doen?a de Alzheimer no domic?lio. Justifica-se desenvolver este estudo pela necessidade de conhecer como os familiares cuidadores v?m desempenhando o papel de cuidador e quais os caminhos constru?dos por eles para a realiza??o do cuidar de um familiar portador de DA. Trata-se, portanto, de um estudo de natureza anal?tica e abordagem qualitativa, tendo como norteador a hist?ria oral tem?tica. Para sua realiza??o, o trabalho teve como colaboradores nove familiares cuidadores de portadores de doen?a de Alzheimer que participam do grupo de familiares cuidadores de portadores de doen?a de Alzheimer, no bairro de Candel?ria, Natal /RN. Os depoimentos foram obtidos atrav?s da entrevista semi estruturada, as quais foram agendadas previamente e contou com o consentimento dos familiares cuidadores. Nesse sentido, a an?lise foi realizada partindo da literatura existente sobre o assunto. A partir da agrega??o das informa??es, foram definidos tr?s eixos tem?ticos norteadores, e destas, as subcategorias de an?lise. O primeiro eixo tem?tico enfoca o movimento de rito de passagem, quando o familiar torna-se cuidador de um portador de DA. A segunda categoria aborda as formas de ajuda que o familiar cuidador busca, na perspectiva de promover o cuidado do seu ente querido e de si pr?prio. Constatou-se que entre essas formas de ajuda, o familiar portador precisa contar com uma rede de suporte, envolvendo os servi?os de sa?de, com equipes multiprofissionais, bem como com uma melhor articula??o entre os familiares e colaboradores. A dimens?o da f? e da espiritualidade tamb?m foi observada como aspecto importante no processo de suporte emocional para estes familiares. No terceiro eixo tem?tico, foram analisadas as perspectivas de lutas e conquistas na busca pelo direito ? sa?de e qualidade de vida dos portadores de DA e seus familiares cuidadores, contemplando inclusive, seus sonhos e suas esperan?as

Made available in DSpace on 2014-12-17T14:46:37Z (GMT). No. of bitstreams: 1 JammilliCD.pdf: 1430027 bytes, checksum: fdf99e39213187cd63342d6cb1ae9dee (MD5) Previous issue date: 2008-04-17 / The objective of this exploratory descriptive quantitative study was to analyze the behaviors in the detection, treatment and followup of the pregnant woman with syphilis, by health professionals that conduct the pre-natal consultation in the Family Health Strategy, as to the adherence to the recommendations of the Ministry of Health. The study was conducted in nine municipalites of the Trairi region in the state of Rio Grande do Norte. Data were collected during the months of July through September 2007, by means of a questionnaire with a population of 53 health professionals, 30 nurses and 23 physicians. Data were analyzed by descriptive statistics. The results were organized in three major items: knowledge of the health professionals about the symptomatology of syphilis and their actions in the detection of the disease; actions in the treatment of the pregnant woman with syphilis; and the actions of followup of the desease. We identified that 81,2% of the professionals have knowledge about the symptomatology of syphilis in the pregnant woman;79,2% request the VDRL exam in the adequate intervals and approximately 50% conduct the treatment in conformity with the recommendations of the Ministry of Health. For the followup care of the infected woman, 79,2% request a monthly VDRL examination, 69,8% explain the disease to the pregnant woman, and 20,7% affirm that they conduct a proper reception to the woman.We conclude that the majority of the health professionals have knowledge of the detection, treatment and followup of the pregnant woman with syphilis. However, the actions of some professionals diverge from the conduct procedures recommended by the Ministry of Health, as to the requesting of the examinations, medication prescription and notification of the iesease. This indicates the need for improved / Estudo descritivo explorat?rio com abordagem quantitativa, que tem como objetivo de verificar atendimento das recomenda??es do MS para a detec??o, tratamento e acompanhamento da gestante com s?filis nas condutas assistenciais realizadas pelos profissionais que atuam na consulta pr?-natal na ESF nos munic?pios da regi?o Trairi no Estado do Rio Grande do Norte. A pesquisa foi desenvolvida nos nove munic?pios desta regi?o. Os dados foram coletados atrav?s de um question?rio, em uma popula??o de 53 profissionais, sendo 30 enfermeiros e 23 m?dicos. Para a an?lise de dados, utilizamos freq??ncias absolutas e percentuais. Os resultados da an?lise dos dados foram organizados em tr?s grandes itens: conhecimento dos profissionais sobre a intomatologia da s?filis e suas a??es de detec??o, na gestante; a??es dos profissionais no tratamento da s?filis na gestante; a??es dos profissionais no acompanhamento de uma gestante com s?filis. Identificamos, nas afirmativas desses profissionais, que 81,2% t?m conhecimentos sobre a sintomatologia da s?filis na gestante; 79,2% solicitam o VDRL em per?odos adequados e em torno de 50% efetuam o tratamento conforme o orientado pelo Minist?rio da Sa?de; para acompanhamento da gestante infectada,79,2% solicitam o VDRL mensal, 69,8% explicam a doen?a ? gestante e 20,7% garantem a realiza??o do acolhimento a essa mulher. Conclu?mos que as a??es de alguns profissionais divergem do recomendado pelo Minist?rio da Sa?de e que necessitam de um melhor embasamento cient?fico para realizar tais a??es

Made available in DSpace on 2014-12-17T14:46:38Z (GMT). No. of bitstreams: 1 IldoneFM.pdf: 388086 bytes, checksum: c062baf398bccd2e553102291f1ac5dc (MD5) Previous issue date: 2008-11-27 / The purpose of this study is to analyze, from the point of view of nurses, changes that took place in the process of providing health services after the introduction of the Family Health Program (FHP). It is na investigation of qualitative nature that uses semi-structured interviews as a main empirical approach tool. Six nurses from the city of Caic?, Rio Grande do Norte, who were working with basic care before the introduction of the FHP, within basic care, were: adscription and ties with the community; hospitality and the humanizacion of care-giving; decrease in cases of inpatient treatment; strengthening of the prevention of injuries and health promotion; improvemente of health indicatiors, finally, actions that point towads meeting the principles of wholeness, equity and universality as a declaration of the Brazilian National Health Care System (SUS). Nevertheless, in spite of all recognizable positive aspects, the FHP has some weaknesses, such as: the difficulty posed by colletive work; the mismatch between professional education and the demands of the current health standard; a poor physical infrastructure of the Basic Health Units; a high heath staff turnover and precarious work conditions. In addition to this, some strategies that can be used to help improve the process of providing health services have been pointed out, such as, coordination between sectors, continuous education, making work conditions less precarious and improving the means whereby heathy service management is conveyed,Tthus, finally, we understand that the FHP does bring forward meaningful changes to the process of provinding health services to strengthen the Brasilian National Health Care System (SUS), in spite of the fact that it lies within a scenario of adversities that can be overcome through the collective endeavor of the several social actors / O presente estudo tem como objetivo analisar, na vis?o de enfermeiros, as mudan?as no processo de produ??o dos servi?os de sa?de, ap?s a implanta??o do Programa Sa?de da Fam?lia (PSF). Trata-se de uma investiga??o de natureza qualitativa, que utiliza entrevistas semi-estruturadas como principal ferramenta de abordagem emp?rica. Foram entrevistadas seis enfermeiras da cidade de Caic?/RN, que trabalhavam na aten??o b?sica, antes da implanta??o do PSF, e continuam trabalhando. Pela an?lise empreendida, as principais mudan?as verificadas no processo de produ??o dos servi?os de sa?de com a implanta??o do PSF, no contexto da aten??o b?sica, foram: a adscri??o e v?nculos com a comunidade; acolhimento e humaniza??o do atendimento; diminui??o das interna??es hospitalares; fortalecimento da preven??o de agravos e promo??o da sa?de; melhoria dos indicadores de sa?de; enfim, a??es que sinalizam para a realiza??o dos princ?pios da integralidade, eq?idade e universalidade, conforme preconiza o Sistema?nico de Sa?de (SUS). No entanto, apesar dos aspectos positivos identificados, o PSF apresenta algumas fragilidades, tais como: a dificuldade do trabalho coletivo; descompasso entre a forma??o dos profissionais e as exig?ncias do modelo de sa?de atual; alta rotatividade dos profissionais de sa?de e precariza??o do trabalho. Al?m disso, foram apontadas algumas estrat?gias que podem ser utilizadas para melhor orienta??o do processo de produ??o dos servi?os de sa?de, como a intersetorialidade, educa??o permanente, desprecariza??o do trabalho e melhoria na condu??o da gest?o dos servi?os de sa?de. Assim, conclu?mos que o PSF apresenta mudan?as significativas no processo de produ??o dos servi?os de sa?de para a consolida??o do SUS, embora esteja inserido em um contexto de adversidades que podem ser superadas atrav?s da luta coletiva dos distintos atores sociais

Made available in DSpace on 2014-12-17T14:46:39Z (GMT). No. of bitstreams: 1 KatiaRBR.pdf: 328748 bytes, checksum: 9ccb7264eeae450fddca94907e4b0707 (MD5) Previous issue date: 2009-02-19 / In tertiary care, the Intensive Care Unit (ICU) is nowadays one of the most complex settings in providing care to critically ill patients and could make the difference in favor of life. Nevertheless, the stigma of death which pervades the imagination when the ICU is mentioned and the excessive importance placed on machines rather than on the human being end up by causing distress to some extent. As the purpose of this investigation is to understand the distress caused to a patient in an ICU, it has been grounded on the following question: What kind of distress does a patient go through during his/her experience in an ICU? This study has, therefore, an analytical and reflexive character embedded in a qualitative dimension of a phenomenological approach based on narratives. To this purpose, five patients were interviewed from November to December 2008. Out of the empirical material gathered from these narratives we were able to identify several factors that cause distress to ICU patients. Among them were: the certainty that they are critically ill and fear death, a closed room, too much lighting, a typical loneliness arising from being isolated from family members and dear ones, lack of communication with the professional staff, and noise; besides having to undergo therapeutic procedures. In summary, although the ICU is seen as a place of distress, in many aspects and in accord with this research, such distress can and should be relieved. On the other hand, being near to death leads them to a redefinition of life, said the patients. / Na aten??o terci?ria, ? a Unidade de Terapia Intensiva (UTI), na atualidade, um dos cen?rios de maior complexidade no atendimento ao paciente grave, podendo fazer a diferen?a em favor da vida. No entanto, o estigma da morte que permeia o imagin?rio da popula??o - quando se fala em UTI -, a supervaloriza??o da m?quina, em detrimento do ser humano, terminam impondo algum sofrimento. Tendo como objetivo compreender o que sofre o paciente em uma UTI, esta investiga??o pautouse no seguinte questionamento: O que sofre o paciente durante sua experi?ncia na UTI? Trata-se, portanto, de um estudo de car?ter anal?tico e reflexivo, inserido numa dimens?o qualitativa de abordagem fenomenol?gica, com base em narrativas. Com este prop?sito, foram entrevistados cinco pacientes entre os meses de novembro e dezembro de 2008. Do material emp?rico, resultante das referidas narrativas, pudemos identificar v?rios fatores que geram sofrimento em paciente na UTI, dentre os quais destacamos: a certeza da gravidade e o medo da morte, o ambiente fechado, a ilumina??o em excesso, a solid?o caracterizada pelo distanciamento dos familiares e entes queridos, a falta de comunica??o com os pr?prios profissionais, o barulho, al?m da submiss?o aos procedimentos terap?uticos. Em s?ntese, mesmo reconhecendo a UTI como um espa?o que leva ao sofrimento, em muitos aspectos, conforme a pesquisa, esse sofrimento pode e deve ser atenuado. Por outro lado, a proximidade da morte conduz a uma redefini??o da vida, conforme expressaram os pacientes

Made available in DSpace on 2014-12-17T14:46:39Z (GMT). No. of bitstreams: 1 FranciscaPBC_DISSERT.pdf: 423599 bytes, checksum: 3c16ae864ec83e45c0e1ffcc680bdee6 (MD5) Previous issue date: 2009-10-23 / Understanding the meaning of death for student nurses is the subject of this research. The motivation for the meeting place of my difficulties as a person and especially as a teacher in the face of nursing students in dealing with death on a day-to-day hospital during the undergraduate course. Death became known that this evil looms before men and destabilizing, causing often irreversible mental disorders when faced with family loss. Therefore, it is appropriate to study it the possibility of making us reflect on our way of living life and dealing with human beings from the perspective of finitude. Aimed to understand the meaning of death for nursing students. For this purpose, it was based on the following guiding question: What is the meaning of death for you as a nursing student? From this perspective, the study was developed within a qualitative dimension of the phenomenological approach. To perform ten students were interviewed during the month of July 2009. Emerged from these interviews a variety of feelings such as fear, anxiety, insecurity, failure, sadness, as the sensory experience of each. To understand the meaning units that emerged from the empirical data which constitute the essence of this research were fundamental studies dealing with Heidegger about the death in a phenomenological perspective, as well as authors Bicudo, D'Assun??o, Dastur, Morin, Boff, K?bler-Ross, Boemer, among others. From the understanding of the phenomenon, we can say that death produces mixed feelings in these students that lead to selfprotection, understood, often as a departure from the other, at the approach of death. However, it proved to be sensitive and receptive to the approach of death in other dimensions, beyond the highly technical aspects, pointing to a paradigm shift that has the yeast's own willingness to change. In addition, the research highlights the weaknesses in the education of nurses regarding the understanding of the whole human death and the need to overcome them. / Compreender o significado da morte para o estudante de enfermagem constitui o objeto desta pesquisa. A motiva??o para sua realiza??o decorreu de minhas dificuldades como pessoa e, particularmente, como docente, diante de estudantes de enfermagem, em lidar com a morte no diaa- dia do hospital, durante o curso de gradua??o. A morte se tornou este mal desconhecido que se agiganta diante dos homens e os desestabiliza, causando, muitas vezes, transtornos mentais irrevers?veis quando se deparam com perdas familiares. Por isso mesmo, justifica-se estud?-la pela possibilidade de nos fazer refletir sobre o nosso modo de levar a vida e de tratar os seres humanos na perspectiva da finitude. Teve como objetivo compreender o significado da morte para estudantes de enfermagem. Com esse prop?sito, pautou-se na seguinte pergunta norteadora: Qual o significado da morte para voc? como estudante de enfermagem? Nessa perspectiva, o estudo desenvolveu-se dentro de uma dimens?o qualitativa de abordagem fenomenol?gica. Para sua realiza??o foram entrevistados dez estudantes durante m?s de julho de 2009. Emergiram destas entrevistas uma diversidade de sentimentos como medo, ang?stia, inseguran?a, fracasso, tristeza, conforme a experi?ncia sens?vel de cada um. Para compreender as unidades de significado que emergiram do material emp?rico e que constituem a ess?ncia da presente investiga??o, foram fundamentais os estudos de Heidegger que tratam acerca da morte em uma perspectiva fenomenol?gica, al?m de autores como Bicudo, D Assun??o, Dastur, Morin, Boff, K?bler-Ross, Boemer, dentre outros. A partir da compreens?o do fen?meno estudado, podemos afirmar que a morte produz nestes estudantes sentimentos conflitantes que os conduzem ? auto-prote??o, esta compreendida, muitas vezes, como um afastamento do outro, diante da proximidade da morte. No entanto, mostraram-se sens?veis e receptivos ? abordagem da morte dentro de outras dimens?es, para al?m dos aspectos eminentemente t?cnicos, apontando para uma mudan?a de paradigmas que tem como fermento a pr?pria vontade de mudar. Al?m disso, a pesquisa evidencia as fragilidades na forma??o do enfermeiro no que concerne ? compreens?o do ser humano em sua totalidade e finitude e a necessidade de super?-las.

Made available in DSpace on 2014-12-17T14:46:40Z (GMT). No. of bitstreams: 1 WalquiriaGN_DISSERT.pdf: 1866144 bytes, checksum: 27f53dafb0bd014b243a5f2b0a779e90 (MD5) Previous issue date: 2009-10-30 / Descriptive study aimed to analyze the quality of life (QOL) of patients with venous ulcers (UV) outpatient clinic of a university hospital in Natal / RN. The aim of the study population was composed of 50 patients with UV treated at the cardiology clinic of a university teaching hospital at the tertiary level. The study was approved by the Ethics Committee of the Federal University of Rio Grande do Norte (Protocol 279/09). Data collection was performed over a period of two months by the very a masters degree and an academic nursing through the application of a form concerning the socio-demographic, clinical, and health care, and the instruments WHOQOL and WHOQOL - old. The data were analyzed with SPSS 15.0, using descriptive and inferential statistics presented in the form of tables, charts and graphs. Of the surveyed, female predominance, age range 59 years, Catholic, low education, married, with up to 03 children, not working, retired, or with occupations requiring long periods in one position, wage income of up to 02 minimum wages, inadequate sleep, patients with chronic venous insufficiency and other chronic diseases such as diabetes and hypertension, were taking medications for treatment, being a minority to IVC. In patients with predominant only one injury, time of injury up to five years, inadequate rest, pain, edema and lesions colonized. The assistance the UV patients began treatment of the injury until four months after the onset of the ulcer, and services primary health care most wanted, access to angiologist by reference form, commuted by public transportation, received support regarding the treatment of injuries. The topical product most used in the lesion was healing, and few were using compression therapy. respondents suffer discrimination in society, showed changes in quality of life after the occurrence of ulcer in relation to leisure, pain, restriction of social / school / transportation; barring employment / financial / social ladder; Physical appearance / discrimination and restriction of domestic activity. These changes were related to the time of injury and found that the more chronic injury is the most negative changes occur in their QV (ρ = 0.000). Analyzing the characteristics of QV measured by the WHOQOL-bref, we found for the two general questions they are dissatisfied with their health (ρ = 0.023) and all areas have significant difference compared with the worst QV have the injury of more than 5 years (ρ = 0.000). The QV measured by the WHOQOL-old, we found that these patients had no changes from the time of injury. We conclude that the QV of patients with UV was considered unsatisfactory when compared to the time of injury on more than 5 years which shows that the quality of life worsens with time the chronic UV. / Estudo transversal e descritivo que objetivou analisar a qualidade de vida (QV) de pessoas com ?lcera venosa (UV) atendidos no ambulat?rio de um hospital universit?rio em Natal/RN. A popula??o alvo do estudo foi composta por 50 pacientes com UV atendidos no ambulat?rio de angiologia de um hospital universit?rio de ensino no n?vel terci?rio. O estudo obteve parecer favor?vel do Comit? de ?tica da Universidade Federal do Rio Grande do Norte (Protocolo n? 279/09). A coleta de dados foi realizada num per?odo de dois meses pela pr?pria mestranda e uma acad?mica de enfermagem, por meio da aplica??o de um formul?rio referente as caracter?sticas s?cio-demogr?fica, cl?nico, de sa?de e assistencial, e dos instrumentos WHOQOL-bref e WHOQOL-old. Os dados foram analisados no SPSS 15.0, atrav?s de estat?stica descritiva e inferencial apresentados na forma de tabelas, quadros e gr?ficos. Dos pesquisados, predominaram o sexo feminino, faixa et?ria at? 59 anos, religi?o cat?lica, baixa escolaridade, casado, com at? 03 filhos, sem v?nculo empregat?cio, aposentados ou com ocupa??es que exigem longos per?odos numa mesma posi??o, renda salarial de at? 02 sal?rios m?nimos, sono inadequado, portadores de Insufici?ncia Venosa Cr?nica e outras doen?as cr?nicas como DM e HAS, faziam uso de medicamento para tratamento cl?nico, sendo uma minoria para IVC. Nos pesquisados predominaram apenas uma les?o, tempo de les?o de at? cinco anos, repouso inadequado, dor intensa, edema e les?es colonizadas. Quanto ? assist?ncia os pacientes iniciaram o tratamento da les?o at? quatro meses ap?s o surgimento da ?lcera, sendo os servi?os de aten??o b?sica ? sa?de mais procurados, acesso ao angiologista por ficha de refer?ncia, se deslocavam por meio de transporte coletivo, recebiam apoio em rela??o ao tratamento das les?es. No tratamento t?pico o produto mais utilizado na les?o era cicatrizante, e poucos faziam uso de terapia compressiva. No que se refere ? discrimina??o, os pesquisados sofrem discrimina??o da sociedade, apresentaram mudan?as na qualidade de vida ap?s o surgimento da ?lcera em rela??o ao lazer/dor/restri??o social/escolar/locomo??o; Restri??o laboral/financeira/progress?o social; Apar?ncia f?sica/discrimina??o e restri??o de atividade dom?stica. Essas mudan?as foram relacionadas com o tempo de les?o e verificado que quanto mais cr?nica for a les?o mais mudan?as negativas ocorrer?o em sua QV (ρ=0,000). Ao analisarmos as caracter?sticas da QV medidas pelo WHOQOL-bref, verificamos em rela??o ?s duas quest?es gerais eles est?o insatisfeitos com sua sa?de (ρ=0,023) e todos os dom?nios apresentam significativa diferen?a em rela??o ? pior QV com ter a les?o com mais de 5 anos (ρ=0,000). Quanto ? QV medida pelo WHOQOL-old, verificamos que esses pacientes n?o tiveram mudan?as em rela??o ao tempo de les?o. Conclu?mos que a QV de pessoas com UV foi considerada insatisfat?ria quando comparada ao tempo de les?o atual superior a 5 anos que denota que a qualidade de vida piora com o tempo de cronicidade das UV.

Made available in DSpace on 2014-12-17T14:46:40Z (GMT). No. of bitstreams: 1 JohnyCQ_DISSERT.pdf: 1238483 bytes, checksum: 30bbbeb65c05356efe95e365ce5ee27a (MD5) Previous issue date: 2010-04-06 / It is a descriptive study with a qualitative approach aimed at understanding the impact of the teaching / service between the Nursing College of University of Rio Grande do Norte (FAEN / UERN) and health services in the city of Mossor? / RN on student s learning process. Hence, it was inquired to rescue and over-elaborate the trajectories experienced by students who were graduating in the year of 2009 the Nursing graduation course. It was used, as guidance tool a questionary with both open and objective questions to support the data collection. The data analysis was accomplished based on the precepts proposed by Bardin. The research revealed a clear need of bond establishments with the involvement of the students on services as well as professionals inserted on Academy, in a way that knowledge can be built collectively and the difficulties can be eased. / Estudo descritivo com abordagem qualitativa objetivou compreender a repercuss?o da articula??o ensino/servi?o entre a Faculdade de enfermagem da Universidade do Estado do Rio Grande do Norte (FAEN/UERN) e os servi?os de sa?de da cidade de Mossor?/RN na aprendizagem dos discentes. Para tanto, buscou-se resgatar e reelaborar as trajet?rias vivenciadas pelos discentes concluintes do ano de 2009 do curso de gradua??o em enfermagem. Foi utilizado como instrumento norteador question?rio com perguntas abertas e fechadas para subsidiar a coleta. A an?lise dos dados foi realizada ? luz dos preceitos propostos por Bardin. A pesquisa revelou uma vis?vel necessidade da constru??o de v?nculos com o envolvimento dos discentes nos servi?os e dos profissionais inseridos na academia, de modo que o conhecimento possa ser constru?do coletivamente e as dificuldades serem amenizadas.

Made available in DSpace on 2014-12-17T14:46:41Z (GMT). No. of bitstreams: 1 EuridesAB_DISSERT.pdf: 1529063 bytes, checksum: 46f57edf4d0aa894f7c5271dd17b17dd (MD5) Previous issue date: 2009-12-11 / Analytical study of therapeutic nonrandomized intervention type, intra-group controlled, with the aim of analyzing the cost-effectiveness of compression therapy with manipulated Unna boot in relation to conventional therapy in the healing of venous ulcers (VU) of patients treated in ambulatory clinic. The study population was composed by patients with VU treated by angiologists in Surgical Clinic Ambulatory of the Onofre Lopes University Hospital (HUOL) with a sample of 18 patients. It obtained the assent of the HUOL Ethics in Research Committee (Protocol 276/09). Data collection was performed over a period of four months by the own master's student and 34 nursing students, through the application of the research instrument in the admission of patients to the study and in the ten subsequent evaluations, performed at the time of changing Unna boot, weekly, for a maximum period of 10 weeks. The data were analyzed with SPSS 15.0 software, using descriptive and inferential statistics, and presented as tables, charts and graphs. Among those surveyed, prevailed: females, mean age 57.6 years, low education and income levels, most retired, unemployed or off work, with the standing position more than six hours per day and up to eight hours daily of domestic or occupational activities. In health status profile of respondents there were predominantly sleep, rest and inadequate elevation of the lower limbs, no smoking and/or alcohol use, presence of hypertension and no use of drugs. Most presented the first VU for over 10 years, recurrences, present VU for more than five years, involvement of left leg, in malleolar and / or distal leg region, mild edema, hyperpigmentation, lipodermatosclerosis, telangiectasies, reticular and varicose veins, mild pain, serous exudate in moderate quantity, small lesions (up to 50cm2), with predominance of granulation tissue and / or epithelialization and demarcated, elevated and irregular borders, with crusts and macerated. Most patients reported that in the 10 weeks prior to admission, made bandages at home and / or Basic Health Unit and / or ambulatory, with nursing aides or technicians, daily, and on weekends or holidays, performed by patients themselves, using healing ointment on the lesion, being observed granulation / epithelialization and increase in VU prevalent in the 10 weeks of traditional treatment. After follow up with manipulated Unna boot, was observed a decrease of lesions in all study patients, with complete healing in 27.8% of those between 1 and 5 weeks of treatment, with satisfactory evolution of the lesions, pain and ankle and calf circumferences, and unsatisfactory development of the borders of ulcers, edema, sleep, rest and elevation of the lower limbs, especially in more chronic patients. Furthermore, patients who achieved total healing and exhibited the greatest percentage reduction of lesions had a higher number of wound healing factors (ρ = 0.01 and ρ = 0.027, respectively). The manipulated Unna boot showed better results in those patients with shorter duration of injury, leading them to a satisfactory outcome within a short period of treatment. After the cost-effectiveness analysis, we conclude that the manipulated Unna boot is more effective than conventional therapy in the healing process of VU and is more cost-effective in patients with shorter lesions (ρ = 0.001), shorter treatment (ρ = 0.000) and greater number of wound healing factors (ρ = 0.005). / Estudo anal?tico de interven??o do tipo terap?utico n?o randomizado com controle intragrupo, com o objetivo de analisar o custo-efetividade da terapia compressiva com bota de Unna manipulada em rela??o ? terapia convencional, no processo de cicatriza??o de ?lceras venosas (UV) de pacientes atendidos em ambulat?rio. A popula??o alvo do estudo foi composta por portadores de UV atendidos por angiologistas no ambulat?rio de Cl?nica Cir?rgica do Hospital Universit?rio Onofre Lopes (HUOL), com amostra de 18 pacientes. Obteve parecer favor?vel do Comit? de ?tica em Pesquisa do HUOL (Protocolo n? 276/09). A coleta de dados foi realizada num per?odo de quatro meses pela pr?pria mestranda e 34 acad?micos de enfermagem, por meio da aplica??o do instrumento de pesquisa na admiss?o dos pacientes ao estudo e nas dez avalia??es subsequentes, realizadas no momento das trocas da bota de Unna semanais, por um per?odo m?ximo de 10 semanas. Os dados foram analisados no SPSS 15.0, atrav?s de estat?stica descritiva e inferencial, e apresentados na forma de tabelas, quadros e gr?ficos. Entre os pesquisados, predominaram: o sexo feminino, idade m?dia de 57,6 anos, baixo n?vel de escolaridade e de renda, maioria aposentada, desempregada ou afastada do trabalho, com posi??o ortost?tica maior que seis horas por dia e com at? oito horas di?rias de atividades dom?sticas ou ocupacionais. No perfil do estado de sa?de dos pesquisados houve predom?nio de sono, repouso e eleva??o dos membros inferiores inadequados, aus?ncia de tabagismo e/ou etilismo, presen?a de hipertens?o arterial e a n?o utiliza??o de medicamentos. A maioria apresentou a primeira UV h? mais de 10 anos, recidivas, UV atual h? mais de cinco anos, acometimento do MIE, em regi?o maleolar e/ou distal da perna, edema discreto, hiperpigmenta??o, lipodermatoesclerose, telangiectasias, veias reticulares, veias varicosas, dor leve, exsudato seroso, em moderada quantidade, les?es pequenas (at? 50cm2), com predomin?ncia de tecido de granula??o e/ou epiteliza??o e bordas delimitadas, elevadas, irregulares, com crostas e maceradas. A maioria dos pacientes relatou que, nas 10 semanas anteriores ? admiss?o, realizaram curativos em domic?lio e/ou UBS e/ou ambulat?rio, com auxiliares ou t?cnicos de enfermagem, diariamente, sendo nos fins de semana ou feriado executados pelos pr?prios pacientes, com utiliza??o de cicatrizantes na les?o, sendo observada granula??o/epiteliza??o predominantes e aumento das UVs nas 10 semanas de tratamento tradicional. Ap?s o acompanhamento com bota de Unna manipulada, foi observada redu??o das les?es em todos os pacientes do estudo, com cicatriza??o total em 27,8% destes entre 1 e 5 semanas de tratamento, com evolu??o satisfat?ria do leito lesional, da dor e das circunfer?ncias do tornozelo e panturrilha, e evolu??o insatisfat?ria da borda das ?lceras, edema, sono, repouso e eleva??o dos MMII, principalmente nos pacientes mais cr?nicos. Al?m disso, os pacientes que obtiveram cicatriza??o total e os que apresentaram maior percentual de redu??o das les?es tinham maior n?mero de fatores de cicatriza??o (ρ=0,01 e ρ = 0,027, respectivamente). A bota de Unna manipulada apresentou melhores resultados naqueles pacientes com menor tempo de les?o, levando-os a uma evolu??o satisfat?ria num curto per?odo de tratamento. Ap?s as an?lises de custo-efetividade, conclu?mos que a bota de Unna manipulada ? mais efetiva do que a terapia convencional no processo de cicatriza??o de UV, sendo mais custo-efetiva em pacientes com menor tempo de les?o (ρ= 0,001), menor tempo de tratamento (ρ =0,000) e com maior n?mero de fatores de cicatriza??o (ρ= 0,005).

Made available in DSpace on 2014-12-17T14:46:42Z (GMT). No. of bitstreams: 1 HamiltonLPA_DISSERT.pdf: 2325757 bytes, checksum: 4c70eabc46308c4d9bf73b20baa2c003 (MD5) Previous issue date: 2009-10-28 / Universidade Potiguar / Tuberculosis is an ancient disease that remains a serious problem of Public Health, requiring a pressing attention. Advances in the knowledge and technology available to control it has not been sufficient to significantly impact on morbidity and mortality, especially in developing countries. To enable patient compliance with TB treatment, preventing the abandonment of this to ensure the correct use of medicines has been suggested the DOTS (Directly Observed Treatment - Short course) or directly Observable Short Course Treatment. This study focuses on the incorporation of two technical components of the DOTS strategy at the Family Health, namely, active search for respiratoy symptoms and Supervisioned Treatment (ST). The West Sanitary District was considered best suited to be the focus of study because it is assumed that those sites that were better structured would provide better information about the situation of the strategy in the municipality. Its purpose is to analyze the organization of DOTS as the active search for respiratory symptoms and Directly Observed Therapy in Health Teams Family belonging to a Health District in the city of Natal, Brazil. An exploratory descriptive study with a quantitative approach which involved health professionals from 11 units of Family Health, West Sanitary District, Natal, Rio Grande do Norte. We interviewed 62 professionals on the professional category, their involvement in the DOTS strategy, managers' contributions to the sustainability of the strategy, actions Search for symptomatic diagnosis and supervised treatment of TB cases and difficulties and facilities for the sustainability of the DOTS strategy. It is concluded that the actions taken by the professionals of the FHS West Health District are organized in more supervised treatment, a fact noted in their perceptions about DOTS / A Tuberculose ? uma doen?a antiga que persiste como problema s?rio de Sa?de P?blica, necessitando de uma urgente aten??o. Os avan?os no seu conhecimento e na tecnologia dispon?vel para control?-la n?o tem sido suficientes para impactar significativamente em sua morbi-mortalidade, principalmente nos pa?ses em desenvolvimento. Para possibilitar a ades?o dos pacientes com TB ao tratamento, prevenindo o abandono deste por garantir o uso correto dos medicamentos foi sugerido o DOTS (Directly Observed Treatment - Short course) ou Tratamento de Curta Dura??o Diretamente Observ?vel. O presente estudo tem como foco a incorpora??o de dois componentes t?cnicos do DOTS na Estrat?gia de Sa?de da Fam?lia, sendo eles a Busca Ativa de Sintom?ticos Respirat?rios (BSR) e Tratamento Supervisionado (TS). O Distrito Sanit?rio Oeste foi considerado o mais indicado para ser o foco do estudo, pois pressup?e-se que aqueles locais que estiverem melhor estruturados forneceriam melhores informa??es acerca da situa??o da estrat?gia no munic?pio. Tem por objetivo analisar a organiza??o do DOTS quanto ? Busca Ativa dos sintom?ticos respirat?rios e Tratamento Supervisionado em Equipes de Sa?de da Fam?lia pertencentes a um Distrito Sanit?rio localizado na cidade de Natal, RN. Estudo descritivo-explorat?rio com abordagem quantitativa que envolveu profissionais da sa?de de 11 Unidades de Sa?de da Fam?lia, Distrito Sanit?rio Oeste, Natal, Rio Grande do Norte. Foram entrevistados 62 profissionais quanto ? categoria profissional, envolvimento deles na estrat?gia DOTS, contribui??es dos gestores para a sustentabilidade da estrat?gia, A??es de Busca Ativa de Sintom?ticos Respirat?rios, diagn?stico e Tratamento Supervisionado dos casos de TB e Dificuldades e facilidades para a sustentabilidade da Estrat?gia DOTS. Concluise que as a??es realizadas pelos profissionais da ESF do Distrito Sanit?rio Oeste se organizam mais no Tratamento Supervisionado, fato esse observado nas suas percep??es acerca do DOTS