Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-03-20T22:18:32Z No. of bitstreams: 1 ViniciusLinoDeSouzaNeto_DISSERT.pdf: 2625253 bytes, checksum: 51f4dae3b5763e1c40034327d9cec4d2 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-23T22:25:00Z (GMT) No. of bitstreams: 1 ViniciusLinoDeSouzaNeto_DISSERT.pdf: 2625253 bytes, checksum: 51f4dae3b5763e1c40034327d9cec4d2 (MD5) / Made available in DSpace on 2017-03-23T22:25:00Z (GMT). No. of bitstreams: 1 ViniciusLinoDeSouzaNeto_DISSERT.pdf: 2625253 bytes, checksum: 51f4dae3b5763e1c40034327d9cec4d2 (MD5) Previous issue date: 2016-11-30 / A S?ndrome da Imunodefici?ncia Adquirida perfaz um dos grandes desafios ? pesquisa, tratamento e interven??o cl?nica e social. Diante disto, o enfermeiro, enquanto membro da equipe de sa?de pode fazer uso de novas tecnologias e realinhar sua pr?tica, para que possa implementar a??es e interven??es seguras e de qualidade ?s pessoas vivendo com essa doen?a. Desse modo, a Sistematiza??o da Assist?ncia de Enfermagem, por meio de uma linguagem profissional unificada, contribui para a organiza??o do cuidado, direcionando as necessidades priorit?rias das pessoas vivendo com Aids, e respeitando o sistema de valores e cren?as morais do conhecimento t?cnico cientifico. Nesse sentido, o estudo teve como objetivos: identificar os fen?menos da Pr?tica de Enfermagem na avalia??o ? sa?de de pessoas vivendo com Aids; elaborar os Diagn?sticos, Resultados e Interven??es de Enfermagem com base na CIPE? vers?o 2013, direcionado pelos fen?menos da pr?tica; e validar diagn?sticos, resultados e interven??es de Enfermagem da CIPE?, por enfermeiros especialistas. Trata-se de um estudo transversal com abordagem quantitativa, desenvolvido em tr?s etapas: 1?: identifica??o dos fen?menos da pr?tica de enfermagem para pessoas vivendo com Aids; 2?: elabora??o dos diagn?sticos, resultados e interven??es de enfermagem; 3?: valida??o e an?lise estat?stica das afirmativas. O projeto foi submetido ao Comit? de ?tica em Pesquisa da Universidade Federal do Rio Grande do Norte, obtendo-se aprova??o com o Certificado de Apresenta??o para Aprecia??o ?tica (CAAE) 47380915.2.0000.5537. Os dados foram analisados por meio da estat?stica descritiva e inferencial Para analisar o grau de concord?ncia dos enfermeiros especialistas adotou-se o ?ndice de Concord?ncia (IC> 0.80), ?ndice de Valida??o de Concord?ncia (IVC> 0.80) e o Teste Binominal (p<0,005). Como resultados, foram identificados 146 fen?menos da pr?tica de enfermagem para pessoas vivendo com Aids, elaborando-se 96 diagn?sticos e resultados, sem sinon?mia e 210 com grau de repeti??o. As afirmativas foram categorizadas conforme as necessidades humanas b?sicas, sendo 73 estavam ao eixo das necessidades psicobiol?gicas, por?m 35 foram validados IC> 0.80 (68,75%), IVC > 0.80 (55,42%), p<0,005(51,66%). No ?mbito das necessidades psicossociais elaborou-se 20 afirmativas e espirituais apenas tr?s, por?m 11 foram validadas IC> 0.80 (61,33%), IVC > 0.80 (59,37%), p<0,005(64,17%). Em rela??o ?s interven??es de enfermagem foram elaboradas 230 interven??es dos quais 191 obtiveram a valida??o pelos especialistas IC> 0.80 (50,17%), IVC > 0.80 (60,38%), p<0,005(49,35%). Conclui-se que a partir dos fen?menos da pr?tica foi poss?vel elaborar os diagn?sticos, resultados e interven??es de enfermagem da CIPE?. Assim, acredita-se que tais enunciados de diagn?sticos poder? contribuir para o cuidado as pessoas vivendo com Aids, possibilitando a utiliza??o de uma linguagem especial de enfermagem para essa clientela. / The Acquired Immunodeficiency Syndrome represents one of the great challenges to research, treatment and clinical and social intervention. In view of this, the nurse, as a member of the health team can make use of new technologies and realign their practice, so that it can implement actions and interventions safe and of quality to the people living with this disease. Thus, the Systematization of Nursing Care, through a unified professional language, contributes to the organization of care, directing the priority needs of people living with AIDS, and respecting the system of values and moral beliefs of scientific technical knowledge. In this sense, the study had as objectives: to identify the phenomena of Nursing Practice in the evaluation of the health of people living with AIDS; To elaborate the Nursing Diagnoses, Results and Interventions based on the CIPE? version 2013, guided by the phenomena of the practice; And to validate CIPE? Nursing diagnoses, results and interventions, by specialist nurses. This is a cross-sectional study with a quantitative approach, developed in three stages: 1?: identification of the phenomena of nursing practice for people living with AIDS; 2nd: elaboration of nursing diagnoses, results and interventions; 3?: validation and statistical analysis of the statements. The project was submitted to the Research Ethics Committee of the Federal University of Rio Grande do Norte, obtaining approval with the Certificate of Presentation for Ethical Appraisal (CAAE) 47380915.2.0000.5537. Data were analyzed through descriptive and inferential statistics. The concordance index (CI> 0.80), the concordance validation index (IVC> 0.80) and the binomial test were used to analyze the degree of agreement among the specialist nurses (p < 0.005). As a result, 146 phenomena of nursing practice for people living with AIDS were identified, drawing 96 diagnoses and results, with no synonymy and 210 with repetition degree. The assumptions were categorized according to basic human needs, with 73 being at the heart of the psychobiological needs, but 35 were validated CI> 0.80 (68.75%), IVC> 0.80 (55.42%), p <0.005 (51.66 %). In terms of psychosocial needs, 20 affirmations and only three spiritual statements were elaborated, but 11 were validated CI> 0.80 (61.33%), IVC> 0.80 (59.37%), p <0.005 (64.17%). In relation to nursing interventions, 230 interventions were elaborated, of which 191 obtained validation by specialists IC> 0.80 (50.17%), IVC> 0.80 (60.38%), p <0.005 (49.35%). It is concluded that from the practical phenomena it was possible to elaborate the nursing diagnoses, results and interventions of CIPE?. Thus, it is believed that such statements of diagnosis may contribute to the care of people living with AIDS, making possible the use of a special nursing language for this clientele.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-03-20T22:18:32Z No. of bitstreams: 1 YannaGomesDeSousa_DISSERT.pdf: 2198254 bytes, checksum: 4aee3f51410300eecc737623ec339b57 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-23T22:53:20Z (GMT) No. of bitstreams: 1 YannaGomesDeSousa_DISSERT.pdf: 2198254 bytes, checksum: 4aee3f51410300eecc737623ec339b57 (MD5) / Made available in DSpace on 2017-03-23T22:53:20Z (GMT). No. of bitstreams: 1 YannaGomesDeSousa_DISSERT.pdf: 2198254 bytes, checksum: 4aee3f51410300eecc737623ec339b57 (MD5) Previous issue date: 2016-12-02 / Objetivou-se analisar os fatores que contribuem para gera??o das cargas ps?quicas de trabalho e sobrecarga ocupacional dos profissionais de enfermagem inseridos nos CAPS III. Trata-se de estudo explorat?rio e descritivo com abordagem quantitativa. A coleta de dados ocorreu no per?odo compreendido entre os meses de agosto e setembro de 2016, utilizando-se dois instrumentos espec?ficos: (1) Roteiro de entrevista semiestruturada, gravada em dispositivo MP4, que objetivou identificar sentimentos de prazer e sofrimento vivenciados no ambiente de trabalho, as cargas ps?quicas e as estrat?gias defensivas para enfrentamento do sofrimento no trabalho e (2) Escala de Avalia??o do Impacto do Trabalho em Servi?os de Sa?de Mental - IMPACTO-BR com o intuito de avaliar a sobrecarga ocupacional. Entrevistou-se 46 profissionais de enfermagem atuantes nos CAPS III dos munic?pios de Campina Grande e Jo?o Pessoa. O tratamento e an?lise das falas foram realizados por interm?dio do software Interface de R pour Analyses Multidimensionnelles de Textes et de Questionneires (IRAMUTEQ) que realiza a an?lise lexical por CDH. J? os dados da Escala IMPACTO-BR foram organizados e armazenados em um banco de dados constru?do no programa Statistical Package for Social Science (SPSS), vers?o 20.0. Para a an?lise descritiva das subescalas do impacto BR foi realizado o teste de an?lise de vari?ncia (ANOVA) e para compara??o entre as subescalas e as vari?veis sociodemogr?ficas dos participantes aplicou-se o Teste t de Student. Para todos os testes estat?sticos, utilizou-se o n?vel de signific?ncia de 5%. Este estudo obteve licenciamento pelo Comit? de ?tica em Pesquisa da Universidade Federal do Rio Grande do Norte ? UFRN de acordo com o CAAE: 57947916.4.0000.5537, parecer n? 1.675.537. Dos 46 entrevistados, 80,4% eram do sexo feminino, com faixa et?ria de 25-35 anos, correspondendo a 39,1% dos trabalhadores, a maioria era casada (41,3%). Em rela??o ? categoria profissional, 58,7% corresponderam aos t?cnicos de enfermagem e 41,3% ? categoria de enfermeiros. Quanto ao tempo de atua??o nos CAPS III, 67,3% atuam no per?odo entre 1 e 5 anos e 54,3% apresentam regime de trabalho de 30 horas semanais. Da an?lise lexical por CDH do IRAMUTEQ foram desveladas quatro dendogramas com os seguintes temas: o prazer no ambiente de trabalho; o sofrimento no ambiente laboral; as cargas ps?quicas e as estrat?gias defensivas utilizadas pelos profissionais de enfermagem. Os sentimentos de prazer foram identificados como atuar na ?rea de enfermagem em sa?de mental, o resultado do tratamento implementado, o significado do trabalho e o cuidado de enfermagem. O sofrimento relacionou-se ?s condi??es de trabalho, ? precariedade de recursos materiais e financeiros, ? falta de recursos humanos, ? fragilidade na rede de sa?de mental e ? pr?pria natureza do trabalho. As cargas ps?quicas est?o relacionadas ao ritmo de trabalho, estrutura f?sica, trabalho feminino, ao trabalho com usu?rio em sofrimento mental, ? falta de apoio da gest?o, equipe multidisciplinar insuficiente e ? falta de supervis?o cl?nica. As estrat?gias defensivas utilizadas pelos profissionais de enfermagem foram: realizar atividades f?sicas; relacionamento interpessoal; realiza??o de atividade de lazer; uso de psicof?rmacos; buscar apoio na religi?o; e distanciamento cr?tico. Entretanto, o h?bito de fazer uso de psicof?rmacos foi identificado como prejudicial ? sa?de dos profissionais. Da Escala IMPACTO-BR foi registrado escore m?dio global de 2,81 ? 0,67, o que resulta em moderado impacto para o trabalho. A subescala que contribuiu com o maior n?vel de impacto do trabalho foi a referente ?s repercuss?es emocionais do trabalho com 3,00 ? 0,77. Os dados obtidos demonstraram que o mais alto n?vel de impacto foi relacionado ?s repercuss?es emocionais do trabalho. A compara??o das subescalas com as vari?veis demogr?ficas apresentaram evid?ncia de diferen?a estat?stica entre as repercuss?es emocionais do trabalho (3,11 ? 0,67) e sa?de f?sica e mental (2,66 ? 0,77) com o sexo. O sexo feminino foi o que apresentou grau elevado de sobrecarga para o trabalho. Observou-se correla??o negativa nos resultados de sobrecarga ocupacional, com isso conclui-se que h? necessidade de realiza??o de avalia??es cont?nuas e regulares dos servi?os pesquisados a fim de monitorar a sobrecarga de trabalho com intuito de promover qualidade de vida aos profissionais de enfermagem e um melhor atendimento aos usu?rios. Espera-se que os resultados encontrados nesta pesquisa contribuam diretamente para produ??o cient?fica na ?rea de Enfermagem e Sa?de do Trabalhador. / This study aimed to analyze the factors that contribute to generation of psychic workloads and work overload of nurses inserted in CAPS III. It is an exploratory and descriptive study with a quantitative approach. Data collection occurred in the period between August and September 2016, using two specific instruments: (1) semi-structured interview map, recorded in MP4 device that aimed to identify feelings of pleasure and experienced suffering in the workplace the psychic loads and defensive strategies for suffering of coping at work and (2) labor Impact Assessment Scale Mental Health Services - IMPACT-BR in order to evaluate the work overload. We interviewed 46 nursing professionals active in CAPS III of the municipalities of Campina Grande and Joao Pessoa. The treatment and analysis of the speeches was carried out via the R interface software Analyses pour Multidimensionnelles of Textes et Questionneires (IRAMUTEQ) that performs the lexical analysis for CDH. Already the data Scale IMPACT-BR were organized and stored in a database built in the Statistical Package for Social Sciences (SPSS) version 20.0. For the descriptive analysis of the subscales of BR impact it was carried out the analysis of variance (ANOVA) and comparison between the subscales and the socio-demographic variables of the participants applied the Student t test. For all statistical tests were used as 5% significance level. This study was licensing by the Ethics Committee of the Federal University of Rio Grande do Norte - UFRN according to CAAE: 57947916.4.0000.5537, opinion No. 1,675,537. Of the 46 respondents, 80.4% were female, aged 25-35 years representing 39.1% of workers, a majority of 41.3% married. Regarding the professional category 58.7% corresponded to nursing technicians and 41.3% to the category of nurses. The time of work in CAPS III 67.3% work in the period between 1 and 5 years and 54.3% have working arrangements 30 hours per week. Lexical analysis HRC IRAMUTEQ were unveiled four dendograms with the following themes: the pleasure in the work environment; suffering in the work environment; psychic loads and defensive strategies used by nursing professionals. The feelings of pleasure were identified as: work in nursing in mental health, the result of implemented treatment, the meaning of work and nursing care. Suffering related to working conditions, the precariousness of material and financial resources, lack of human resources, the weakness in the mental health system and the very nature of work. Psychic charges are related to the pace of work, physical structure, women's work, work with user mental suffering, lack of management support, insufficient multidisciplinary team and the lack of clinical supervision. Defensive strategies used by nursing professionals were performing physical activities, interpersonal relationships, development of leisure activity, use of psychotropic drugs, seek support in religion and critical distance. However, the habit of making use of psychiatric drugs has been identified as harmful to health professionals. Scale IMPACT-BR was recorded global mean score of 2.81 ? 0.67 which results in moderate impact to the work. The subscale which contributed the highest level of impact of the work was related to the emotional impact of working with 3.00 ? 0.77. The data obtained demonstrated that the highest level of impact was related to the emotional impact of the work. Comparison of the subscales with demographic variables showed evidence of statistical difference between the emotional impact of working 3.11 ? 0.67, and physical and mental health 2.66 ? 0.77 with females which showed higher high degree to work overload. There was a negative correlation in the results of work overload, it concludes by the need to conduct continuous and regular evaluations of the services surveyed in order to monitor the workload in order to promote quality of life of nursing professionals and better calls to users. It is expected that the results found in this research contribute directly to scientific production for the nursing field and Occupational Health because it causes a reflection on the effects that work can trigger health professional and consistent quality of care provided.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-03-28T20:24:15Z No. of bitstreams: 1 CarolineEvelinNascimentoKluczynikVieira_TESE.pdf: 2338388 bytes, checksum: 86094dc260e22f0c7c07db26dfda2ca4 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-29T22:56:55Z (GMT) No. of bitstreams: 1 CarolineEvelinNascimentoKluczynikVieira_TESE.pdf: 2338388 bytes, checksum: 86094dc260e22f0c7c07db26dfda2ca4 (MD5) / Made available in DSpace on 2017-03-29T22:56:55Z (GMT). No. of bitstreams: 1 CarolineEvelinNascimentoKluczynikVieira_TESE.pdf: 2338388 bytes, checksum: 86094dc260e22f0c7c07db26dfda2ca4 (MD5) Previous issue date: 2016-12-16 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES) / A obesidade ? um problema de sa?de p?blica mundial, com preval?ncia crescente nos adolescentes. No Brasil, o Minist?rio da Sa?de direciona a preven??o e o controle deste problema para a Aten??o Prim?ria ? Sa?de, sem, no entanto, oferecer instrumentos ou programas de interven??o que norteiem a pr?tica do enfermeiro com essa popula??o espec?fica. Objetivou-se construir um programa para a assist?ncia de enfermagem na Aten??o Prim?ria ? Sa?de direcionada ? preven??o e controle de sobrepeso ou obesidade em adolescentes. Estudo metodol?gico, desenvolvido em quatro escolas estaduais e quatro Unidades B?sicas de Sa?de do Munic?pio de Natal/RN. Participaram quatro enfermeiras, representantes das zonas geogr?ficas do munic?pio (norte, sul, leste e oeste), 114 adolescentes, e 40 professores. Elaborou-se a interven??o em forma de programa, com base nas seias etapas do Protocolo para Mapeamento de Interven??o de Bartholomew (avalia??o das necessidades, constru??o de matrizes dos objetivos de mudan?a, delineamento de m?todos baseados em teorias e estrat?gias pr?ticas, desenvolvimento do programa, planejamento da ado??o e implementa??o, e planejamento da avalia??o). As necessidades foram identificadas por meio de revis?o da literatura, grupos focais com adolescentes e professores, e entrevistas semiestruturadas com as enfermeiras. Os dados foram sintetizados utilizando o discurso do sujeito coletivo. Realizou-se avalia??o dos participantes Um total de 41 (36%) adolescentes foram identificados com sobrepeso (25/71%) ou obesidade (16/39%), e as principais necessidades foram: abordagem ao bullying, reeduca??o alimentar, disponibilidade de exer?cios f?sicos na escola, aux?lio na cria??o e manuten??o de v?nculo escola-Unidade de Sa?de, e apoio da universidade na implementa??o das interven??es de enfermagem. A partir das necessidades, criaram-se matrizes dos objetivos de desempenho, dos determinantes e dos objetivos de mudan?a. Estes foram discutidos e modificados com as enfermeiras. Selecionaram-se teorias e m?todos para embasar as a??es da interven??o. As estrat?gias emergiram da revis?o integrativa sobre interven??es de enfermagem direcionadas ao adolescente com sobrepeso ou obesidade e da interven??o ?Assist?ncia para reduzir o peso (1280)?, contida na Classifica??o de Interven??es de Enfermagem. Isso resultou na elabora??o do ?Programa de Enfermagem Sa?de na Escola?. Os implementadores e usu?rios aplicaram, testaram e avaliaram as estrat?gias pr?ticas, o que resultou na necessidade de redu??o da hora-aula dos exerc?cios f?sicos, de 60 para 45 minutos. Por fim, criou-se um plano de avalia??o bimestral do Programa a ser posteriomente implementado. Conclui-se que uma interven??o em forma de programa que contemple a participa??o da comunidade, cria??o de v?nculo, utiliza??o de teorias, previs?o de continuidade da assist?ncia, e maximiza??o dos recursos existentes na comunidade, tem potencial para a melhoria da pr?tica de enfermagem na Aten??o Prim?ria ? Sa?de. Como interven??o para preven??o e controle de sobrepeso ou obesidade em adolescentes, o Programa elaborado guia interven??es direcionadas ?s necessidades de sa?de da popula??o nas escolas p?blicas e constitui uma tecnologia que contribui para o avan?o de conhecimento de enfermagem sobre a implementa??o da teoria de promo??o da sa?de. / Obesity is a worldwide public health problem that has increased prevalence among adolescents. In Brazil, the Ministry of Health has designated that the prevention and control of the problem is a function of Primary Health Care. However, no guideline instruments or programs for nursing practice with this population are offered. The objective was to develop a nursing care program for prevention and control of overweight or obesity among adolescents in Primary Health Care. Methodology study conducted in four public schools and four Primary Care Health Units in the city of Natal/RN. The participants were: four nurses, representing the four geographic city zones (north, south, east and west); 114 adolescents; and 40 school teachers. A participative intervention for the prevention and control of overweight and obesity in adolescents was developed, using the six stages of Bartholomew?s Intervention Mapping framework (needs evaluation, construction of objectives for change matrices, definition of theory-based methods and strategies, program development, application planning, implementation, and evaluation). The needs were identified by an integrated review of literature, adolescent and teachers? focal groups, and semi-structured interviews with the nurses. Data were synthesized using the collective subject discourse method. Forty-one (36%) adolescents were identified with overweight (25/71%) or obesity (16/39%); and the main needs that emerged for discussion were: bullying, nutritional re-education, opportunity for physical exercise, help to establish a school-health service link, and university support to establish nursing interventions. Matrices for performance objectives, determinants, and for change objectives were created, discussed and modified with the nurses; and then selected the theories and methods for the intervention activities. The interventions emerged from the integrative review of nursing interventions with overweight and obese adolescents, and from the NIC intervention ?Care for weight reduction (1280)? from the Classification of Nursing Interventions. The result was the development of the ?School Health Nursing Program? that was implemented by the planners for testing and evaluation of the practice strategies. This resulted in the reduction of physical exercise time, from 60 to 45 minutes per class hour. Each target group was encouraged to participate in the adoption and continuation of the Program and a bimonthly evaluation plan was constructed. The conclusion is that a participative theory-based intervention that is procedurally mapped, with community link, that maximizes the existing resources, has implications for nursing practice because of its potential to guide need-focused interventions and enhance the prevention and control of obesity in Primary Health Care. The intervention Program developed represents a scientific and technologic contribution to the advancement of nursing knowledge in health promotion theory.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-03-28T20:24:15Z No. of bitstreams: 1 JoaoEvangelistaDaCosta_TESE.pdf: 2987634 bytes, checksum: 9fdc60282c6e16d97791f481bfe03041 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-29T23:10:32Z (GMT) No. of bitstreams: 1 JoaoEvangelistaDaCosta_TESE.pdf: 2987634 bytes, checksum: 9fdc60282c6e16d97791f481bfe03041 (MD5) / Made available in DSpace on 2017-03-29T23:10:32Z (GMT). No. of bitstreams: 1 JoaoEvangelistaDaCosta_TESE.pdf: 2987634 bytes, checksum: 9fdc60282c6e16d97791f481bfe03041 (MD5) Previous issue date: 2016-12-12 / Introdu??o: O doador de sangue ? um indiv?duo que comparece um servi?o de hemoterapia e doa sangue ap?s aprova??o na triagem cl?nica. Dados da Organiza??o Mundial da Sa?de e do Minist?rio da Sa?de do Brasil mostram uma insufici?ncia de doadores de sangue altru?stas e fidelizados. A complexidade que envolve uma doa??o de sangue inclu? as inaptid?es tempor?rias, destacando-se a anemia; a amplia??o da idade m?xima para uma doa??o de sangue de 67 para 69 anos e as representa??es sociais dos doadores fidelizados ? considerando que a Teoria das Representa??es Sociais diz respeito a transformar algo desconhecido em algo conhecido e familiar. Objetivo Geral: Analisar as representa??es sociais de doadores de sangue de primeira vez em um servi?o de hemoterapia. Objetivos Espec?ficos: Compreender o conceito ?doador de sangue fidelizado? na perspectiva de Walker e Avant; caracterizar o perfil sociodemogr?fico dos doadores de sangue de primeira vez; descrever a anemia como a principal de inaptid?o provis?ria para doa??o de sangue; discutir a doa??o de sangue de pessoas idosas em servi?o de hemoterapia privado. M?todos: Estudo explorat?rio descritivo, de abordagem quanti-qualitativo, utilizando ferramentas da teoria das Representa??es Sociais, caracterizado como m?todos mistos. A pesquisa foi realizada no Servi?o de Hemoterapia Hemovida Ltda, uma institui??o privada localizada em Natal, Estado do Rio Grande do Norte, Brasil. Os dados foram coletados no per?odo julho a dezembro de 2015. Tr?s instrumentos de coleta de dados foram utilizados: revis?o da literatura da ?rea para a an?lise de conceito; planilha de registro para coleta dos dados secund?rios em prontu?rio eletr?nico; question?rio com grava??o de voz dos participantes para coleta dos dados prim?rios a partir de quest?es norteadoras. Partiu-se do entendimento que estes instrumentos s?o complementares entre si, permitindo a triangula??o das informa??es necess?rias para realiza??o do estudo. Os dados coletados pelo question?rio foram submetidos ao ALCESTE e an?lise tem?tica ? luz das representa??es sociais e da teoria do n?cleo central. Resultados: discutiu-se, em fun??o dos objetivos, a partir de quatro artigos: Artigo I ? ?Doador de sangue fidelizado: uma an?lise conceitual?, em que se comprova a inexist?ncia de um conceito consensual sobre o que ? um ?doador de sangue fidelizado?, ou m?tricas para medi-lo e ampli?-lo de maneira consistente, universal, equ?nime e integral; Artigo II ? ?Anemia como fator de inaptid?o provis?ria para doa??o de sangue?, no qual se tem um estudo transversal quantitativo com dados coletados no m?dulo Triagem Cl?nica do software Hemote Plus?, cujos resultados demonstram que a anemia ? a causa mais prevalente de inaptid?o, prejudicando a sa?de da popula??o e os estoques de sangue nos servi?os de hemoterapia; Artigo III ? ?Doador idoso de sangue: contribui??o necess?ria e atual?, diz respeito a um estudo transversal, descritivo, realizado com 86 idosos, os quais doaram para atender ? necessidade de um paciente. Constatou-se que o baixo n?mero dos doadores idosos devem-se muito ? desinforma??o quanto ao limite atual da idade m?xima para doa??o e comorbidades; Artigo IV ? ?Representa??o Social do Doador de Sangue Fidelizado: conceito pol?mico ou transversal em constru??o?, trata-se de estudo explorat?rio-descritivo, com dados quantitativos, qualitativos e representacionais, com 121 indiv?duos que compareceram pela primeira vez para doar sangue em um servi?o de hemoterapia. Os dados sociodemogr?ficos e das entrevistas foram submetidos ao software ALCESTE (Analyse Lexicale par Contexte d'un Ensemble de Segment de Texte) e analisados ? luz da Teoria das Representa??es Sociais e da Teoria do N?cleo Central complementada pela an?lise de conte?do de Bardin. A hip?tese nula foi refutada e a alternativa aceita: h? representa??es sociais do doador de sangue fidelizado do tipo pol?micas. Conclus?es: conclui-se que o formato de coleta e an?lise, quanti e qualitativa, de maneira concomitante, inseridos nos m?todos mistos, ? luz das representa??es sociais postuladas a partir de hip?teses a an?lise dos dados, abrem espa?o para a multidisciplinaridade. Isso ocorre, em particular, quando o conceito de doador de sangue fidelizado de primeira vez se configura como um conceito pol?mico ou transversal em constru??o que remete as representa??es sociais pol?micas. / Introduction: The blood donor is an individual who attends a hemotherapy service and donates blood after approval in clinical screening. World Health Organization data Health and the Ministry of Health of Brazil show a lack of altruistic and loyal blood donors. The complexity surrounding a blood donation includes temporary disabilities, with emphasis on anemia; Increasing the maximum age for a blood donation from 67 to 69 years and the social representations of loyal donors - considering that the Theory of Social Representations is about transforming something unknown into something known and family. General objective: To analyze the social representations of blood donors for the first time in a hemotherapy service. Specific Objectives: To understand the concept of "loyal blood donor" from the perspective of Walker and Avant; Characterize the sociodemographic profile of first-time blood donors; To describe anemia as the primary cause of temporary disability for blood donation; Discuss the blood donation of elderly people in private hemotherapy service. Methods: Descriptive exploratory study, quantitative-qualitative approach, using tools from the theory of Social Representations, characterized as mixed methods. The survey was conducted in the Hematology Service Hemovida Ltda, a private institution located in Natal, State of Rio Grande do Norte, Brazil. Data were collected from July to December 2015. Three instruments were used to collect the data: a review of the area literature for concept analysis; Registration worksheet for collecting secondary data in electronic medical records; Questionnaire with voice recording of the participants to collect the primary data from guiding questions. It was based on the understanding that these instruments are complementary to each other, allowing the triangulation of the information necessary to carry out the study. The data collected by the questionnaire were submitted to ALCESTE and thematic analysis in light of the social representations and the central core theory. Results: They were discussed in four Article: Article I ? ?Loyal blood donor: a conceptual analysis?, which demonstrates the lack of a consensual concept about what is a "loyal blood donor" or metrics to measure and extend it in a consistent, universal, equitable and integral manner; Article II ? ?Anemia as a temporary unfitness factor for blood donation?, in which a quantitative cross-sectional study with data collected in the Clinical Triage module of the Hemote Plus? software is carried out. The results demonstrate that anemia is the most prevalent cause of disability, impairing the health of Population and blood stocks in hemotherapy services; Article III ? ?Elderly blood donor: necessary and current contribution?, refers to a cross-sectional, descriptive study performed with 86 elderly people, who donated to meet the need of a patient. It was found that the low number of elderly donors is due to the disinformation regarding the current limit of the maximum age for donation and comorbidities; Article IV ? ?Social Representation of the Loyal Blood Donor: a controversial or transverse concept under construction?, this is an exploratory-descriptive study, with quantitative, qualitative and representational data, with 121 individuals who attended for the first time to donate blood in a hemotherapy service. The sociodemographic and interview data were submitted to the software ALCESTE (Analyse Lexicale par Contexte d'un Ensemble de Segment de Texte) and analyzed in the light of Social Representation Theory and Central Core Theory complemented by the Bardin content analysis. The null hypothesis has been refuted and the alternative accepted: there are social representations of the loyal blood donor of the controversial type. Conclusions: Conclusions: It is concluded that the format of quantitative and qualitative collection and analysis in a concomitant way, inserted in the mixed methods, in light of the social representations postulated from hypotheses the data analysis, open space for Multidisciplinarity. This is particularly true when the concept of loyal blood donor is a controversial or transverse concept under construction that refers to controversial social representations.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-03-28T20:24:16Z No. of bitstreams: 1 KessyaDantasDiniz_TESE.pdf: 11488560 bytes, checksum: c749f2ac40a688c78b0e6cbe40b8be53 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-29T23:20:22Z (GMT) No. of bitstreams: 1 KessyaDantasDiniz_TESE.pdf: 11488560 bytes, checksum: c749f2ac40a688c78b0e6cbe40b8be53 (MD5) / Made available in DSpace on 2017-03-29T23:20:22Z (GMT). No. of bitstreams: 1 KessyaDantasDiniz_TESE.pdf: 11488560 bytes, checksum: c749f2ac40a688c78b0e6cbe40b8be53 (MD5) Previous issue date: 2016-12-01 / O protocolo assistencial caracteriza-se por ser um conjunto de informa??es apresentado de forma dinamizada, que proporciona o cuidado sistematizado, e tem como intuito avaliar de maneira uniformizada os fatores relacionados aos aspectos cl?nicos, epidemiol?gicos e assistenciais, corroborando para a qualidade de vida e seguran?a do paciente. Diante disso, a elabora??o de um protocolo assistencial multiprofissional no ?mbito do servi?o de tomografia computadorizada poder? contribuir para uma avalia??o cl?nica precisa. Este estudo teve como objetivo elaborar e validar um protocolo assistencial no setor de tomografia computadorizada. Trata-se de uma pesquisa metodol?gica com abordagem quantitativa, realizada em duas etapas: a primeira constou de uma revis?o integrativa de literatura que subsidiou a constru??o do protocolo; a segunda caracterizou-se pela valida??o de conte?do por meio de especialistas de diversas profiss?es utilizando a t?cnica Delphi. A pesquisa foi iniciada ap?s a aprova??o do CEP da Universidade Federal do Rio Grande do Norte com o Certificado de Apresenta??o para Aprecia??o ?tica (CAAE) n?. 41872215.7.0000.5537. A primeira etapa foi operacionalizada entre outubro e novembro de 2015, por meio da revis?o da literatura nas bases de dados MEDLINE, SCOPUS, WEB OF SCIENCE e CINAHL, com o cruzamento dos descritores controlados: Diagn?stico por Imagem; Seguran?a do paciente e Tomografia. A amostra foi constitu?da por 23 artigos. Os resultados foram organizados em tr?s categorias: otimiza??o, monitoramento, qualidade e prote??o em rela??o ?s doses de exposi??o ? radia??o; rea??es adversas e nefropatias relacionadas ao uso do contraste; cuidados de enfermagem, gest?o e casos espec?ficos. Para a segunda etapa, os especialistas foram selecionados por meio da Plataforma Lattes do Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico (CNPQ), para identificar profissionais de sa?de do Brasil que atuassem como especialistas do instrumento. A amostra foi de 54 especialistas tanto no Delphi 1 como para o Delphi 2. A an?lise estat?stica foi realizada utilizando-se ?ndices de alfa Cronbach, ?ndice de Validade de Conte?do (IVC) e o ?ndice Relativo (IRA). Na primeira etapa, Delphi 1 a m?dia do alfa de Cronbach e IRA foram superiores a 0,80, o IVC foi de 0,924. Na fase Delphi 2, o alfa de Cronbach chegou a 0,868, com IVC de 0,934. Realizou-se uma compara??o entre as fases Delphi 1 e 2, e em ambas a confiabilidade foi bastante satisfat?ria. Atrav?s do teste de Mann-Whitney, observaram-se evid?ncias de diferen?a estat?stica da fase Delphi 1 com a fase Delphi 2 nas dimens?es de utilidade/pertin?ncia, consist?ncia, clareza, atualiza??o, precis?o, sequ?ncia instrucional dos t?picos e na avalia??o geral, onde obteve-se melhor avalia??o na fase Delphi 2 nas vari?veis descritas acima. Assim, alcan?ou-se a validade do protocolo em seu conte?do. / The clinical protocol is characterized by being a set of information presented in a streamlined manner, which provides systematic care, and has as aim to evaluate in a standardized manner the factors related to clinical, epidemiological and supportive aspects, corroborating for the patient's quality of life and safety. At that, the preparation of a multi professional assistance protocol under the computed tomography service can contribute to an accurate clinical evaluation. This study aimed to prepare and validate a supportive protocol in the field of computed tomography. This is a methodological research with a quantitative approach, carried out in two stages: the first consisted of an integrative review of literature that subsidized the construction of the protocol; the second was characterized by the content validation through experts of various professions using the Delphi technique. The research was initiated after approval by the Ethics Committee in Research from the Federal University of Rio Grande do Norte, with the Presentation Certificate for Ethics Assessment CAAE N?. 41872215.7.0000.5537. The first phase was implemented between October and November of 2015, through literature review in the MEDLINE, Scopus, Web of Science and CINAHL databases, with a cross-check of the controlled descriptors: Diagnostic Imaging; Patient safety and Tomography. The sample consisted of 23 articles. The results were organized in three categories: optimization, monitoring, quality and protection in relation to radiation exposure doses; adverse reactions and kidney diseases related to the use of contrast; nursing care, management and specific cases. For the second phase, experts were selected through the Lattes platform of the National Scientific and Technological Development Council (CNPQ) to identify health professionals from Brazil who decided to act as experts. The sample was of 54 experts both in Delphi 1 as for Delphi 2. Statistical analysis was performed using Cronbach's alpha index, Content Validity index (CVI) and the Relative Index (ARI). In the first stage, Delphi 1 the average of Cronbach's alpha and IRA were over 0.80, the CVI was 0.924. In Delphi 2 phase, the Cronbach's alpha reached 0.868, with CVI of 0.934. A comparison was made between Delphi phases 1 and 2, and in both cases the reliability was satisfactory. Through the Mann-Whitney test, we observed evidence of statistical differences between Delphi phase 1 and phase 2 in the dimensions of utility/relevance, consistency, clarity, update, precision, instructional sequence of topics and general evaluation, where we obtained a better evaluation in the Delphi phase 2 variables described above. Thus, it was reached the validity of the protocol in this content.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-04-03T22:22:48Z No. of bitstreams: 1 DeboraFeitosaDeFranca_DISSERT.pdf: 1200684 bytes, checksum: 04833e314831a68a3846b63143d49ffa (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-04-10T23:05:57Z (GMT) No. of bitstreams: 1 DeboraFeitosaDeFranca_DISSERT.pdf: 1200684 bytes, checksum: 04833e314831a68a3846b63143d49ffa (MD5) / Made available in DSpace on 2017-04-10T23:05:57Z (GMT). No. of bitstreams: 1 DeboraFeitosaDeFranca_DISSERT.pdf: 1200684 bytes, checksum: 04833e314831a68a3846b63143d49ffa (MD5) Previous issue date: 2016-12-06 / Objetivou-se analisar os eventos adversos relacionados ? terapia respirat?ria em rec?m-nascidos de alto risco de uma unidade neonatal. Trata-se de um estudo observacional, longitudinal e prospectivo, realizado em uma maternidade, unidade de referencia no Estado do Rio Grande do Norte para gravidez e nascimento de alto risco. Os dados foram coletados no per?odo de abril a setembro 2016, ap?s aprova??o do projeto no Comit? de ?tica em Pesquisa da UFRN com CAAE n? 51832415.0.0000.5537. A amostra foi composta por 82 rec?m-nascidos submetidos ? terapia ventilat?ria nas modalidades: ventila??o mec?nica invasiva, ventila??o mec?nica n?o invasiva e press?o positiva cont?nua das vias a?reas por prong nasal. Os resultados apontam que a incid?ncia dos eventos adversos foi de 48,8%, sendo o mais frequente a extuba??o n?o planejada (34%), seguida da les?o de septo nasal (13%), pneumonia associada ? ventila??o mec?nica (7%) e o pneumot?rax (6%). A probabilidade de ocorr?ncia de um evento adverso em rec?m-nascido submetido ? terapia ventilat?ria nos primeiros cinco dias de terapia ultrapassou os 40% (IC 95%). Existe associa??o entre a idade gestacional e a ocorr?ncia de eventos adversos, sendo os rec?m-nascidos com menos de 28 semanas os mais suscept?veis (p-valor 0,024). A raz?o de chance de um rec?m-nascido sofrer um evento adverso em gestacional extrema ? 5,57 vezes maior do que um a termo, IC 95% [1,44;21,60]. H? associa??o entre a modalidade de ventila??o mec?nica n?o invasiva e a ocorr?ncia de les?o de septo nasal (p-valor <0,001), em contra ponto n?o foi apontado associa??o entre a ocorr?ncia do mesmo evento e a modalidade CPAP nasal (p-valor 0,160). Os resultados da regress?o log?stica apontam associa??o entre a malforma??o cong?nita e a ocorr?ncia do evento adverso de uma forma geral (p-valor 0,003) e por tipo especificamente a extuba??o n?o planejada (p-valor 0,039). Portanto conclui-se que os rec?m-nascidos prematuros e portadores de malforma??o cong?nita s?o suscept?veis a ocorr?ncia desses eventos adversos. E como oportunidade de melhoria da assist?ncia recomenda-se a constru??o e valida??o de protocolos de preven??o da extuba??o n?o planejada, que atenda as especificidades dos portadores de malforma??o cong?nita, al?m do protocolo de manuseio m?nimo para prematuros extremos. / The objective was to analyze the adverse events related to respiratory therapy in high-risk newborns of a neonatal unit. It is an observational, longitudinal and prospective study, performed in a maternity unit, a reference unit in the State of Rio Grande do Norte for high-risk pregnancy and birth. The data were collected from April to September 2016, after approval of the project in the Research Ethics Committee of UFRN with CAAE n? 51832415.0.0000.5537. The sample consisted of 82 newborns submitted to ventilatory therapy in the modalities: invasive mechanical ventilation, non-invasive mechanical ventilation and continuous positive airway pressure per prong nasal. Results show that the incidence of adverse events was 48.8%, most frequently unplanned extubation (34%), followed by nasal septum injury (13%), ventilator-associated pneumonia (7%), and Or pneumothorax (6%). The probability of an adverse event occurring in a neonate undergoing ventilatory therapy in the first five days of therapy exceeded 40% (95% CI). There is an association between gestational age and the occurrence of adverse events, with newborn infants less than 28 weeks being the most susceptible (p-value 0.024). The odds ratio for a newborn suffering an adverse event in gestational extreme is 5.57 times greater than one full-term, 95% CI [1.44, 21.60]. There was an association between the non-invasive mechanical ventilation and the occurrence of nasal septum lesion (p-value <0.001). On the contrary, there was no association between the occurrence of the same event and the nasal CPAP modality (p-value 0.160). The results of the logistic regression show an association between the congenital malformation and the occurrence of the general adverse event (p-value 0.003) and by type specifically the unplanned extubation (p-value 0.039). Therefore it is concluded that premature newborns with congenital malformations are susceptible to the occurrence of these adverse events. And as an opportunity to improve care, it is recommended the construction and validation of protocols for prevention of unplanned extubation, which meets the specificities of patients with congenital malformations, in addition to the minimum protocol for the management of extremely premature infants.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-04-03T22:22:48Z No. of bitstreams: 1 GlauberWederDosSantosSilva_DISSERT.pdf: 1380898 bytes, checksum: a7007909c759e518f56eebb06a733ba2 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-04-10T23:16:21Z (GMT) No. of bitstreams: 1 GlauberWederDosSantosSilva_DISSERT.pdf: 1380898 bytes, checksum: a7007909c759e518f56eebb06a733ba2 (MD5) / Made available in DSpace on 2017-04-10T23:16:21Z (GMT). No. of bitstreams: 1 GlauberWederDosSantosSilva_DISSERT.pdf: 1380898 bytes, checksum: a7007909c759e518f56eebb06a733ba2 (MD5) Previous issue date: 2016-12-19 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES) / Introdu??o: No mundo, anualmente, ocorrem milh?es de suic?dios e parassuic?dios, os quais s?o temas reconhecidos como prioridade da Sa?de P?blica. Estudos internacionais realizados nos ?ltimos dez anos evidenciam associa??o de aspectos psicol?gicos e sociais no comportamento suicida de pessoas transg?nero. N?o foram encontrados no Brasil estudos que tenham rastreado e avaliado os aspectos associados ? Idea??o Suicida (IS) nesse p?blico. Objetivo: Analisar a associa??o entre IS e os aspectos sociodemogr?ficos, de sa?de-doen?a, de depress?o, de viol?ncia e comportamento suicida em pessoas transg?nero. M?todo: Trata-se de um estudo com abordagem quantitativa, do tipo descritivo-anal?tico e transversal, desenvolvido junto a quatro Organiza??es N?o Governamentais (ONGs) de Direitos de Pessoas Travestis e Transexuais no Rio Grande do Norte. A popula??o foi constitu?da por 58 sujeitos. A coleta de dados ocorreu no per?odo de novembro de 2015 a junho de 2016, utilizando-se tr?s instrumentos espec?ficos: (1) Escala de Idea??o Suicida de Beck; (2) Invent?rio de Depress?o de Beck; e (3) Question?rio de informa??es sociodemogr?ficas, de sa?de-doen?a, viol?ncia e comportamento suicida. Os dados coletados foram organizados e armazenados em um banco de dados constru?do no software Microsoft Office Excel? vers?o 2016, com dupla digita??o e, posteriormente, importados para o software R vers?o 3.3.1 para realiza??o de testes. Para a an?lise descritiva, consideraram-se as frequ?ncias absolutas e relativas, medidas de tend?ncia central e de dispers?o. Para verificar a associa??o das vari?veis, aplicou-se o Teste Qui-Quadrado de Pearson para Independ?ncia e, quando os pr?-requisitos para o teste n?o foram atendidos, aplicouse o Teste Exato de Fisher. Adotou-se o n?vel de signific?ncia de 5%. O estudo foi autorizado pelas ONGs colaboradoras, aprovado pelo Comit? de ?tica em Pesquisas e todos os participantes assinaram o TCLE. Resultados: IS foi presente em 41,38% dos participantes, entre os quais prevaleceram as seguintes caracter?sticas: identidade de g?nero transexual (62,07%); sujeitos jovens com faixaet?ria de 18 aos 29 anos (68,97%); solteiros (81,03%); escolaridade menor ou igual a ensino m?dio (77,59%); ra?a negra ou parda (68,97%); em atividade de prostitui??o (29,31%) ou sem ocupa??o laboral (17,24%); e com renda mensal de at? um sal?rio m?nimo (44,83%). Verificou-se associa??o estatisticamente significante com a presen?a de IS as seguintes vari?veis: n?veis de depress?o (p=0,002); viol?ncia escolar (p=0,012); expuls?o do n?cleo familiar em raz?o da identidade de g?nero (p=0,020); hist?rico de tentativa de suic?dio (p=0,008); e intensidade da vontade de morrer na ?ltima tentativa de suic?dio (p=0,028). A IS n?o se associou aos aspectos sociodemogr?ficos nem de sa?de-doen?a. Conclus?es: Os resultados alertam para a necessidade da implementa??o, em car?ter de urg?ncia, de interven??es que objetivem o controle da IS, enquanto agravo ? Sa?de P?blica, na popula??o estudada. / Introduction: Millions of suicides and parasuicides occur all over the world, every year, which are issues recognized as a Public Health priority. In the last decade, international researches have been demonstrating associations among psychological and social aspects in the suicidal behavior of transgender people. In Brazil, there are no researches that have tracked and evaluated the aspects associated to the Suicide Ideation (SI) among these people. Objective: To analyze the association among Suicidal Ideation and the aspects related to the issues: sociodemographic; healthillness; depression; violence and suicidal behavior in transgender people Method: This research presents a quantitative approach, descriptive-analytical and transversal type; which was developed with the collaboration of four Non- Governmental Organizations (NGOs) concerning the Civil Rights of Transvestite and Transsexual People in the State of Rio Grande do Norte, Brazil. This population was constituted by 58 individuals. Data collection occurred between November, 2015 and June, 2016. Three specific instruments have been used: (1) Beck?s Suicidal Ideation Scale; (2) Beck Depression Inventory; and (3) a Questionnaire involving sociodemographic, health-illness, violence and suicide information behavior. The collected data were organized and stored in a database built in the software Microsoft Office Excel?version 2016, with double entry; these data were then imported into the software R version 3.3.1 to provide tests realization. Regarding the descriptive analysis, the following criteria were considered: relative and absolute frequency and measures of central and dispersion tendency. In order to verify the association among the variables, Pearson's Chi-Square Test of Independence was used, and when the prerequisites weren?t met, Fisher's Exact Test was applied instead. It was adopted a 5% significance level. The study was authorized by the collaborative NGOs, approved by the Research Ethics Committee, and all participants signed a Free Informed Term of Consent. Results: SI was detected in 41,38% of the participants, among them prevailed the following characteristics: transsexual gender identity (62,07%); young individuals ? age range varying from 18 to 29 years old (68,97%); singles (81,03%); educational level ? high school or lower (77,59%); black or brown race (68,97%); under prostitution activities (29,31%) or without any occupation (17,24%); and with a monthly income up to the Brazilian minimum wage (44,83%).It was verified an association, statistically significant, regarding the presence of SI and the following variables: depression levels (p=0,002); school violence (p=0,012); expulsion from the family environment due to the gender identity (p=0,020); suicide attempts background (p=0,008): and dying wishing intensity during the last suicide attempt (p=0,028). SI was not associated to the sociodemographic aspects, neither to the health-illness ones. Conclusions: The results alert to the need of interventions implementation, under an urgent status, which would aim SI control, as damage to the Public Health, on the researched population.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-04-03T22:22:48Z No. of bitstreams: 1 LarissaMendoncaTorresRosario_DISSERT.pdf: 1321146 bytes, checksum: ce756daf73cfaf93ab72720db6c94ebc (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-04-10T23:29:21Z (GMT) No. of bitstreams: 1 LarissaMendoncaTorresRosario_DISSERT.pdf: 1321146 bytes, checksum: ce756daf73cfaf93ab72720db6c94ebc (MD5) / Made available in DSpace on 2017-04-10T23:29:21Z (GMT). No. of bitstreams: 1 LarissaMendoncaTorresRosario_DISSERT.pdf: 1321146 bytes, checksum: ce756daf73cfaf93ab72720db6c94ebc (MD5) Previous issue date: 2016-12-22 / O c?ncer de mama ? o tipo de c?ncer mais incidente na popula??o feminina do mundo, e ? respons?vel por consequ?ncias f?sicas e emocionais ? vida das mulheres acometidas e de seus companheiros. Objetivou-se com a pesquisa compreender a viv?ncia dos companheiros de mulheres submetidas ? mastectomia. Trata-se de uma pesquisa explorat?ria e descritiva, com abordagem qualitativa, desenvolvida junto a 12 homens companheiros de mulheres submetidas ? mastectomia, no Hospital da Solidariedade e no Centro de Oncologia e Hematologia de Mossor?, na cidade de Mossor?, Rio Grande do Norte, Brasil. Conforme os crit?rios de inclus?o, os participantes deveriam estar com idade igual ou superior a 18 anos; e conviver com sua companheira v?tima de c?ncer de mama, submetida ? mastectomia. A coleta de dados ocorreu nos meses de julho a outubro de 2016, por meio de entrevista semiestruturada. Antecedeu essa etapa a anu?ncia dos hospitais referidos, a aprova??o pelo Comit? de ?tica em Pesquisa da Universidade Federal do Rio Grande do Norte, com Certificado de Apresenta??o e Aprecia??o ?tica n? 55191216.1.0000.5537 e parecer n? 1.618.233 como tamb?m assinatura do Termo de Consentimento Livre e Esclarecido pelos entrevistados. Os dados foram analisados por meio do m?todo de An?lise de Conte?do, na modalidade de an?lise tem?tica, proposta por Bardin. Desse processo emergiram tr?s categorias: Conhecimento do c?ncer de mama e do procedimento de mastectomia da companheira, Sentimentos diante da companheira submetida ? mastectomia e Apoio ? mulher nos momentos dif?ceis, e sete subcategorias, as quais foram analisadas e discutidas com base na literatura sobre a viv?ncia do homem companheiro diante da mulher submetida ? mastectomia. Constatou-se que os entrevistados ao vivenciarem a mastectomia de suas mulheres inseriram-se em um contexto de compreens?o da doen?a, sendo imprescind?vel o fornecimento de apoio ? mulher. Assim, com base no estudo, considerou-se a necessidade da inser??o dos companheiros de mulheres mastectomizadas no cuidado, pois estes s?o personagens fundamentais para auxiliar no tratamento da mulher. Diante disso faz-se relevante que a equipe de Enfermagem considere as situa??es diversas enfrentadas pelo homem durante a mastectomia de sua companheira, tendo como prioridade a inser??o dele no processo de cuidar, na busca por minimizar consequ?ncias psicol?gicas e utilizando-o como instrumento para o cuidado da mulher. / Breast cancer is the most common type of cancer in the world's female population, and is responsible for the physical and emotional consequences to the lives of women and their partners. The objective of the research was to understand the experience of the women?s partner who was underwent mastectomy. This is an exploratory and descriptive research, with a qualitative approach, developed with 12 fellow men of women submitted to mastectomy, developed at the Hospital da Solidariedade and at the Centro de Oncologia e Hematologia de Mossor?, in the city of Mossor?, Rio Grande do Norte, Brasil. According to the inclusion criteria, participants should be 18 years old or be older than this; and live with his breast cancer patient's partner, who underwent mastectomy. The information collection took place from July to October 2016, through a semi-structured interview. This was preceded by the approval of the referred hospitals, approval by the Research Ethics Committee of the Universidade Federal do Rio Grande do Norte, with Certificate of Presentation and Ethical Appreciation n? 55191216.1.0000.5537 and opinion n? 1.618.233 as well as signing the Term of Consent Free and Clarified by the interviewees. The data were analyzed using the Content Analysis method, in the thematic analysis modality proposed by Bardin. Three categories emerged from this process: Knowledge of breast cancer and the mastectomy procedure of his lifemate, Feelings before the companion submitted to the mastectomy and Support to the woman in the difficult moments, and seven sub-categories, which were Analyzed and discussed based on the literature on the experience of the companion man before the woman submitted to the mastectomy. It was found that those interviewed, when experiencing the mastectomy of their lifemates, were inserted in a context of understanding the disease, and it is essential to provide support to the woman. Therefore, based on the study, it was considered the necessity of the insertion of the companions of mastectomized women in the care, because they are fundamental character to assist in the treatment of the woman. Given this, it?s relevant that the nursing team consider the different situations faced by the man during the mastectomy of his partner, having as a priority his insertion in the care process, minimizing psychological consequences and using him as an instrument for the care of the woman.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-04-03T22:22:48Z No. of bitstreams: 1 MarcelaPaulinoMoreiraDaSilva_DISSERT.pdf: 1127946 bytes, checksum: 7ac160fec3ddbe1ac4218097dc417aa6 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-04-11T00:05:58Z (GMT) No. of bitstreams: 1 MarcelaPaulinoMoreiraDaSilva_DISSERT.pdf: 1127946 bytes, checksum: 7ac160fec3ddbe1ac4218097dc417aa6 (MD5) / Made available in DSpace on 2017-04-11T00:05:58Z (GMT). No. of bitstreams: 1 MarcelaPaulinoMoreiraDaSilva_DISSERT.pdf: 1127946 bytes, checksum: 7ac160fec3ddbe1ac4218097dc417aa6 (MD5) Previous issue date: 2016-12-19 / As doen?as cardiovasculares se destacam como as principais causas de morte em todo o mundo, representando o problema de sa?de p?blica mais relevante na atualidade. O estudo e a preven??o dessas doen?as na popula??o s?o de particular interesse da enfermagem, e em especial, para a vigil?ncia da sa?de do trabalhador na medida em que o contexto laboral e os fatores de risco cardiovascular presentes nos enfermeiros podem contribuir para o risco de desenvolvimento dessas doen?as O objetivo deste estudo foi identificar as caracter?sticas de trabalho e os fatores pessoais de risco as doen?as cardiovasculares em enfermeiros hospitalares. Estudo transversal com abordagem quantitativa desenvolvido no Hospital Universit?rio Onofre Lopes. A popula??o do estudo foi de 256 enfermeiros que atuavam na institui??o, com uma amostra dimensionada em 148 enfermeiros, selecionados de forma aleat?ria simples. Utilizou-se um question?rio semi-estruturado para avalia??o das vari?veis s?ciodemogr?ficas, caracter?sticas de trabalho, fatores de risco cardiovascular e risco cardiovascular, al?m da escala de Bianchi de stress. A an?lise dos dados deu-se a partir de an?lises descritivas e bivariadas para associar as vari?veis categ?ricas e cont?nuas. Os enfermeiros eram predominantemente do sexo feminino (85,1%); brancos (52%); com m?dia de idade de 35,2 anos; tempo de forma??o entre 5 a 10 anos (42,6%); trabalhavam nas enfermarias (48,6%); no turno vespertino (36,5%); com carga hor?ria de trabalho semanal de 36 horas (45,9%); a maioria possuia outro vinculo de trabalho (55,4%); com tempo de trabalho na institui??o entre 1 a 3 anos (40,5%) e carga hor?ria di?ria de trabalho m?dia de 8 horas. Quanto a presen?a dos fatores de risco cardiovascular: 51,4% dos enfermeiros tinham sobrepeso e 51,4% eram sedent?rios. O risco cardiovascular pelo ?ndice tornozelo-braquial foi estimado com m?dia de 1,2, configurando-se como baixo. Os participantes com escore de Bianchi de Stress classificado como moderado apresentaram risco cardiovascular 3,27 vezes maior do que aqueles que apresentou escore de Bianchi de stress baixo. Os enfermeiros que trabalhavam mais de 40 horas semanais obtiveram risco cardiovascular maiores que os demais. Conclui-se que a maioria dos enfermeiros do estudo apresentaram risco cardiovascular baixo para as doen?as cardiovasculares pelo ?ndice tornozelo-braquial. A associa??o das caracter?sticas de trabalho e risco cardiovascular pelo ITB n?o obteve signific?ncia estat?stica, entretanto a rela??o foi significativa (p= 0.013) quando analisou-se a associa??o do fator de risco diabetes com o risco cardiovascular. Apesar da baixa associa??o encontrada, sugere-se que pol?ticas a favor da sa?de do trabalhador nos servi?os de sa?de devem ser rotineiramente planejadas e implementadas com vistas a proporcionar melhoria aos sujeitos estudados e demais profissionais de sa?de. / Cardiovascular diseases stand out as the leading causes of death worldwide, representing the most relevant public health problem today. The study and prevention of these diseases in the population are of particular interest to nursing, and especially to the health surveillance of the worker to the extent that the work context and the cardiovascular risk factors present in nurses can contribute to the risk of development Of these diseases The objective of this study was to identify the work characteristics and personal risk factors for cardiovascular diseases in hospital nurses. Cross-sectional study with a quantitative approach developed at the University Hospital Onofre Lopes. The study population consisted of 256 nurses who worked at the institution, with a sample size of 148 nurses, selected in a simple randomized manner. A semi-structured questionnaire was used to evaluate the sociodemographic variables, work characteristics, cardiovascular risk factors and cardiovascular risk, in addition to the Bianchi stress scale. The analysis of the data was based on descriptive and bivariate analyzes to associate the categorical and continuous variables. The nurses were predominantly female (85.1%); Whites (52%); With an average age of 35.2 years; Training time between 5 and 10 years (42.6%); They worked in the wards (48.6%); In the evening shift (36.5%); With a weekly workload of 36 hours (45.9%); The majority had another work link (55.4%); With working time in the institution between 1 and 3 years (40.5%) and average daily workload of 8 hours. Regarding the presence of cardiovascular risk factors: 51.4% of the nurses were overweight and 51.4% were sedentary. The cardiovascular risk for the ankle-brachial index was estimated with an average of 1.2, being set as low. Participants with a Bianchi score for Stress rated as moderate presented a cardiovascular risk 3.27 times higher than those who presented Bianchi low stress score. Nurses who worked more than 40 hours per week had higher cardiovascular risk than the others. It is concluded that the majority of the nurses in the study presented low cardiovascular risk for cardiovascular diseases by the ankle-brachial index. The association of cardiovascular and cardiovascular risk factors with ABI was not statistically significant. However, the relationship was significant (p = 0.013) when the association between risk factor and cardiovascular risk was analyzed. Despite the low association found, it is suggested that policies in favor of worker health in health services should be routinely planned and implemented in order to provide improvement to the subjects studied and other health professionals.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-04-17T23:08:14Z No. of bitstreams: 1 AnaMicheleDeFariasCabral_TESE.pdf: 1224882 bytes, checksum: 9e47507d83a4ac6b6a8e622c7f1c1804 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-04-20T19:42:21Z (GMT) No. of bitstreams: 1 AnaMicheleDeFariasCabral_TESE.pdf: 1224882 bytes, checksum: 9e47507d83a4ac6b6a8e622c7f1c1804 (MD5) / Made available in DSpace on 2017-04-20T19:42:21Z (GMT). No. of bitstreams: 1 AnaMicheleDeFariasCabral_TESE.pdf: 1224882 bytes, checksum: 9e47507d83a4ac6b6a8e622c7f1c1804 (MD5) Previous issue date: 2016-12-22 / A Hansen?ase ? apresentada como uma das doen?as mais antigas da hist?ria da humanidade, marcada pelo estigma, preconceito e exclus?o social, causando no passado o isolamento compuls?rio de seus portadores e afastamento total ou parcial do v?nculo familiar, ficando os filhos privados desse conv?vio, confinados e criados em prevent?rios/educand?rios. O objetivo geral foi avaliar a autoestima e a qualidade de vida dos filhos separados pela hansen?ase no Estado do Rio Grande do Norte. Trata-se de um estudo descritivo, com abordagem quantitativa realizado com 60 sujeitos, localizados a partir do cadastro do Movimento de Reintegra??o das Pessoas Atingidas pela Hansen?ase (MORHAN) Potiguar. Utilizou-se question?rio s?cio demogr?fico, Escala de autoestima de Rosenberg e Medical Outcomes Study 36 ? item Short Form (SF-36). O projeto de pesquisa foi aprovado sob o n?mero 1.047.792 pelo Comit? de ?tica em Pesquisa/UFRN. Os dados obtidos foram analisados no programa SPSS 20.0, com avalia??o consist?ncia interna das escalas e teste de normalidade. Realizaram-se an?lises descritiva e inferencial nos cruzamentos das vari?veis com testes n?o-param?tricos, Qui-quadrado, U de Mann-Whitney, Friedman e correla??o de Spearman e adotado p<0,05. Os resultados foram organizados em dois artigos. No primeiro, destacam-se o perfil sociodemogr?fico por sexo feminino, faixa et?ria de adultos e idosos, ensino fundamental, casados, renda entre 1 a 3 sal?rios m?nimos, casa pr?pria, dona de casa e aposentados. A qualidade de vida foi considerada boa, significando melhor nos dom?nios dos aspectos sociais (71,3), capacidade funcional (69,3), sa?de mental (68,1), vitalidade (58,3), estado geral de sa?de (57,1) e pior na limita??o por aspectos emocionais (49,4), com diferen?a significativa (p= 0,002), entre os dom?nios avaliados. Os pesquisados apresentaram a qualidade de vida est?vel (35,0%) quando comparado com um ano atr?s. No segundo artigo, destacam-se boa qualidade de vida no sexo masculino com diferen?a entre os dom?nios (p-valor < 0,001) e melhores escores nos aspectos sociais, capacidade funcional e sa?de mental e pior na limita??o por aspectos f?sicos. No feminino, boa qualidade de vida (p-valor = 0,063) e com melhores escores nos dom?nios vitalidade, estado geral de sa?de, dor e limita??o por aspectos f?sicos e pior escore na limita??o por aspecto emocional. Apenas o dom?nio no estado geral de sa?de entre os sexos apresentou diferen?a, sendo melhor nas mulheres (p-valor= 0,015). Autoestima foi boa no geral, sendo um pouco melhor no masculino. Verificou-se correla??es positivas e significantes entre os dom?nios da qualidade de vida e autoestima, sendo moderada nos aspectos sociais, capacidade funcional, sa?de mental, vitalidade, limita??o por aspectos f?sicos e emocionais fracas no estado geral de sa?de e dor, denotando-se que quanto melhor a autoestima melhor a qualidade de vida. Conclus?o: Verificou-se a exist?ncia de correla??es positivas e significantes (p<0,05) entre os dom?nios da qualidade de vida e autoestima, refuta-se a hip?tese nula, se aceita a hip?tese alternativa, h? correla??o entre autoestima e a qualidade de vida dos filhos separados pela hansen?ase no Estado Rio Grande do Norte. / Leprosy is one of the oldest diseases in the history of mankind. It is profoundly marked by stigma, prejudice and social exclusion, causing compulsory isolation of its bearers and total or partial withdrawal from family ties. Children were confined and raised in preventorios / education centers. The general objective was to evaluate the self-esteem and quality of life of children separated by leprosy in Rio Grande do Norte. This is a descriptive study with a quantitative approach carried out with 60 subjects, located from the register of the Movement of Reintegration of People Affected by Leprosy (MORHAN) Potiguar. A socio-demographic questionnaire, Rosenberg Self-Esteem Scale and the short-form health survey questionnaire (SF-36) were used. The research project was approved under number 1,047,792 by the Institutional Review Board/UFRN. Data was analyzed in SPSS 20.0 program with internal evaluation of the scales and normality test. Descriptive and inferential analyzes were performed with correlation of variables on non-parametric tests, Chi-square, Mann-Whitney U, Friedman and Spearman. Statistical significance was considering at p <0.05. Results are organized in two manuscripts. The first highlights the socio-demographic profile showing predominance of female sex, age group of adults and elderly, elementary school, married, income between 1 and 3 minimum wages, home, housewife and retirees. The quality of life was good. While it was better in social aspects (71.3), functional capacity (69.3), mental health (68.1), vitality (58.3), general health status (57,1), it was worst in emotional aspects (49.4) with significant difference (p = 0.002) among the evaluated domains. The participants presented stable quality of life (35.0%) when compared to a year ago. The second manuscript indicates a good quality of life in males with difference between domains (p-value <0.001) with better scores on social aspects, functional capacity, and mental health, but worse scores on physical aspects limitation. In females, good quality of life (p-value = 0.063) with better scores in domains of vitality, general health, pain and limitation by physical aspects, but worse scores in the limitation by emotional aspect. Only the general state of health domain presented differencebetween the sexes, being better in the women (p-value = 0,015). Self-esteem was good overall, being slightly better in male. There were positive and significant correlations between the domains of quality of life and self-esteem. Moderate correlations in social aspects, functional capacity, mental health, vitality, limitation by physical and emotional aspects. Poor correlations of poor general health and pain, showing better self-esteem relates to better quality of life. Conclusion: There were positive and significant correlations between the domains of quality of life and self-esteem (p <0.05). The null hypothesis was refuted, accepting the alternative hypothesis which proposes correlation between self-esteem and quality of life of children separated by leprosy in Rio Grande do Norte.