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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Hospitaliza??es pedi?tricas por condi??es sens?veis ? aten??o prim?ria em uma regi?o ampliada de sa?de do sudeste do Brasil

Sousa, Ana Luiza Dayrell Gomes da Costa 09 August 2013 (has links)
Submitted by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-08T15:23:59Z No. of bitstreams: 2 ana_luiza_dayell_gomes_costa_sousa.pdf: 1166379 bytes, checksum: b150c0a2311af380a3baacb0591feb4e (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-08T15:24:28Z (GMT) No. of bitstreams: 2 ana_luiza_dayell_gomes_costa_sousa.pdf: 1166379 bytes, checksum: b150c0a2311af380a3baacb0591feb4e (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-08T15:25:45Z (GMT) No. of bitstreams: 2 ana_luiza_dayell_gomes_costa_sousa.pdf: 1166379 bytes, checksum: b150c0a2311af380a3baacb0591feb4e (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) / Made available in DSpace on 2015-01-08T15:25:45Z (GMT). No. of bitstreams: 2 ana_luiza_dayell_gomes_costa_sousa.pdf: 1166379 bytes, checksum: b150c0a2311af380a3baacb0591feb4e (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) Previous issue date: 2013 / Funda??o de Amparo ? Pesquisa do estado de Minas Gerais (FAPEMIG) / As hospitaliza??es por condi??es sens?veis ? aten??o prim?ria s?o um indicador da capacidade resolutiva do sistema de sa?de, representando problemas que seriam potencialmente evit?veis caso houvesse uma aten??o prim?ria cont?nua, opor?tuna e efetiva. Consistem em doen?as cujo risco de interna??o poderia ser reduzido atrav?s da preven??o, diagn?stico e tratamento precoce de condi??es agudas ou do controle e acompanhamento de afec??es cr?nicas. Este trabalho teve como principal objetivo estudar o perfil regional das hospitaliza??es pedi?tricas por condi??es sens?veis ? aten??o prim?ria ? sa?de. Trata-se de um estudo anal?tico transversal, realizado por meio de inqu?rito de morbidade hospitalar com utiliza??o de dados secund?rios obtidos dos prontu?rios cl?nicos. Foram investigadas todas as interna??es de crian?as abaixo de dez anos de idade ocorridas em 2011. Os dados revelam que as interna??es por condi??es sens?veis ? aten??o prim?ria corresponderam a 31,0% do total e a 40,4% dos casos provenientes do munic?pio de Diamantina. Pneumonias bacterianas e asma foram as principais causas observadas, havendo diverg?ncias entre os diagn?sticos documentados nos prontu?rios e aqueles registrados nos laudos oficiais. Os resultados evidenciaram a import?ncia do monitoramento da aten??o prim?ria quanto ?s a??es direcionadas ? popula??o infantil, visto sua maior vulnerabilidade. Somadas a outros indicadores, as interna??es por condi??es sens?veis ? aten??o prim?ria apresentam-se como uma ferramenta de grande utilidade para a gest?o em sa?de, pois possibilitam uma vis?o mais ampla quanto ? realidade da assist?ncia prestada. / Disserta??o (Mestrado Profissional) ? Programa de P?s-Gradua??o em Sa?de, Sociedade e Ambiente, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2013. / Hospital admissions for reasons related to primary health care are said to be an indirect indicator of how successful a given health system is. They reflect conditions which could be potentially avoided if continuous, effective, adequate primary care were in place. This is mainly because the number of hospitalizations could be reduced by preventive actions and/or early diagnosis and treatment of acute conditions and monitoring of chronic diseases. The primary purpose of the present research was to provide a general overview of pediatric hospitalizations for conditions related to primary health care by examining child morbidity on the basis of secundary data from medical records. Here, we focused on hospital admissions of children under ten years (zero to nine years, 11 months and 29 days) to two hospitals in the town of Diamantina, Southeastern Brazil, in 2011 (from January, 1st to December, 31st). We found that hospitalizations for reasons related to primary health care accounted for 31% of the overall number of child admissions. When considering only the cases from Diamantina specifically, the percentage rose to 40.4%. Bacterial pneumonia and asthma were the main causes of hospitalization, although the diagnoses documented in the medical records were not consistent with official reports. Our findings support the importance of monitoring children?s primary health care given their highly vulnerable nature. We also argue that assessment of hospitalizations for conditions related to children?s primary health care can serve as a valuable tool in health management. Together with other indicators, it provides a broader overview of the assistance that is actually offered.
2

Processo de cuidar de crian?as hospitalizadas com c?ncer

Lima, K?lya Yasmine Nunes de 08 December 2014 (has links)
Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-01-14T19:50:39Z No. of bitstreams: 1 KalyaYasmineNunesDeLima_DISSERT.pdf: 2130555 bytes, checksum: 124af20de7eb7222c89f93757dc5ac4f (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-01-18T18:51:08Z (GMT) No. of bitstreams: 1 KalyaYasmineNunesDeLima_DISSERT.pdf: 2130555 bytes, checksum: 124af20de7eb7222c89f93757dc5ac4f (MD5) / Made available in DSpace on 2016-01-18T18:51:08Z (GMT). No. of bitstreams: 1 KalyaYasmineNunesDeLima_DISSERT.pdf: 2130555 bytes, checksum: 124af20de7eb7222c89f93757dc5ac4f (MD5) Previous issue date: 2014-12-08 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Objetivou-se compreender o processo de cuidar na percep??o da crian?a hospitalizada com c?ncer. Trata-se de um estudo descritivo, de abordagem qualitativa. Os dados foram coletados entre os meses de outubro de 2013 e janeiro de 2014, por meio de registros fotogr?ficos e entrevista semiestruturada, constitu?da por quest?es referentes ? identifica??o da idade, sexo, diagn?stico e tempo de interna??o e um roteiro de perguntas relacionado ?s fotografias registradas. Foram inclu?das oito crian?as com idade entre seis e doze anos que estavam internadas em um setor de oncopediatria, localizado no munic?pio de Natal/RN. Os crit?rios utilizados para inclus?o na amostra foram: estar internada para tratamento do c?ncer; e apresentar condi??es f?sicas favor?veis para realiza??o da coleta de dados. Para o tratamento do material coletado, utilizou-se a An?lise de Conte?do, modalidade tem?tica. A pesquisa seguiu os princ?pios ?ticos e legais que regem a pesquisa cient?fica com seres humanos e realizou-se mediante aprova??o do projeto pelo Comit? de ?tica e Pesquisa da Liga Norte Riograndense contra o C?ncer, com parecer registrado sob o n?mero 329.015 e CAAE 16097613.9.0000.5293. Conforme os resultados verificou-se que, para a crian?a, o cuidar acontece atrav?s de atividades t?cnicas, como a realiza??o de procedimentos e o uso de equipamentos de prote??o individual, como tamb?m por meio do relacionamento dial?gico, que favorece o estabelecimento da confian?a no cuidar profissional. O cuidar, tamb?m, significa desenvolver atividades que promovam o bem-estar, a divers?o e o seu desenvolvimento social e cognitivo, destacando-se, assim, o l?dico, durante a hospitaliza??o, como uma ferramenta auxiliar no processo de cuidar. Durante a interna??o, a crian?a identifica dois sujeitos respons?veis por seu cuidado, o familiar acompanhante e o profissional, sendo os profissionais de enfermagem os mais citados nos momentos de cuidado. Destaca-se, ainda, a promo??o do cuidado, na percep??o da crian?a, relacionada ? infraestrutura da institui??o, a limpeza do ambiente, a higiene corporal, a medicaliza??o e a alimenta??o. Conclui-se que o cuidado compreendido pela crian?a, apesar de ainda manter rela??es com o modelo biom?dico, aponta para uma nova perspectiva em que se devem considerar os 7 aspectos biol?gicos, sociais e psicol?gicos do adoecer de c?ncer, sem desvincul?- los das etapas do desenvolvimento infantil. Ademais, percebe-se a crian?a como um ator social ativo desse processo, e, portanto, precisa ser ouvida e atendida em suas necessidades / The objective was to understand the process of care in the perception of hospitalized children with cancer. This is a descriptive study of qualitative approach. Data were collected between the months of October 2013 and January 2014, through photographic records and semi-structured interview consisting of questions relating to the identification of age, sex, diagnosis and length of stay and a script of questions related to the recorded pictures. Eight children were included aged between six and twelve who were admitted to a pediatric oncology sector, located in the city of Natal / RN. The criteria used in the sample were: being hospitalized for cancer treatment; and present favorable physical conditions for carrying out the data collection. For the treatment of collected material was used content analysis, thematic modality. The study followed the ethical and legal principles governing scientific research with human beings and took place with the approval of the project by the Ethics and Research Committee of the Northern League Riograndense against Cancer, with opinion registered under number 329 015 and CAAE 16097613.9.0000.5293. According to the results it was found that, for the child, the care happens through technical activities, such as making procedures and the use of personal protective equipment, as well as through the dialogic relationship, which favors the establishment of confidence in care professional. Caring also means developing activities that promote well-being, the fun and the social and cognitive development, highlighting thus the playful, during hospitalization, as an auxiliary tool in the care process. During hospitalization, the child identifies two individuals responsible for their care, accompanying family and professional, and nursing professionals the most cited in moments of care. , Also of note, the promotion of care, in the perception of the child related to the infrastructure of the institution, environmental cleaning, personal hygiene, the medicalization and the food. It is concluded that care understood by the child, whilst still maintaining relations with the biomedical model, points to a new perspective that should consider the biological, social and psychological of acquiring cancer without unlink them of the development child. 9 Moreover, we see the child as an active social actor in this process, and therefore needs to be heard and answered their needs
3

Comprometimento, estresse e satisfa??o com a vida de profissionais da sa?de / Commitment, stress and satisfaction with the life of health professionals

Teixeira, Fab?ola Dalprat 20 February 2018 (has links)
Submitted by SBI Biblioteca Digital (sbi.bibliotecadigital@puc-campinas.edu.br) on 2018-04-09T17:42:49Z No. of bitstreams: 1 FABIOLA DALPRAT TEIXEIRA.pdf: 2568414 bytes, checksum: 65a8bd98300ae59e679b19cb75b71822 (MD5) / Made available in DSpace on 2018-04-09T17:42:49Z (GMT). No. of bitstreams: 1 FABIOLA DALPRAT TEIXEIRA.pdf: 2568414 bytes, checksum: 65a8bd98300ae59e679b19cb75b71822 (MD5) Previous issue date: 2018-02-20 / Pontif?cia Universidade Cat?lica de Campinas - PUC - Campinas / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico - CNPq / The work is part of the personal and social identity of the individual, affecting his psychological state and his interaction with people, determining relationships and ties at different emotional levels. Concepts usually associated with the studies in the subject are commitment, stress, and life satisfaction. Organizational commitment is the psychological link between the individual and the organization, composed of three dimensions: affective, calculative and normative. The affective dimension is characterized by psychological attachment and the existence of positive affects. The calculative dimension is associated with the idea of financial and occupational reward. In the normative dimension, occurs the moral bond of the individual with the organization. Stress is perceived individually and stressful factores can be of various natures, such as physical, related to the environment, or psychosocial. Satisfaction with life is the result of judging various domains of life, such as health, work, and social relationships. This study identified, described and analyzed the relationships between Compromising, Stress and Life Satisfaction in health professionals. The participants were 120 health professionals who provide assistance to pediatric post-surgical patients. The instruments were: Sociodemographic Data Sheet, Commitment Scales (ECOA, ECOC and ECON), Perceived Stress Scale (PSS) and Life Satisfaction Scale (SWLS). Data were collected in three sectors of a University Hospital, and analyzed by SPSS software. The average age of participants was 36.6 years old, with 90.8% of female gender, most of whom are married and have worked in the institution for more than 4 years. The participants presented: (a) a high level of general organizational commitment, (b) a high level of affective commitment, (c) a median level of normative commitment, (d) a low level of calculative commitment, (e) a low level of perceived stress, and (f) high satisfaction with life. The impairment presented positive correlation with life satisfaction, negative with perceived stress, and there was a negative correlation between satisfaction with life and perceived stress. Different levels of impairment, perceived stress and life satisfaction among professional classes were identified, and negative correlation between age and calculative impairment. Significant variances were observed regarding the marital status and schooling in normative commitment. The variables schooling, affective, calculative, normative, and perceived stress together explained 33.5% of Satisfaction with Life. The research, unprecedented in the area, provides subsidies for the improvement of the management of people in health organizations with a consequent impact on care practices. / O trabalho faz parte da identidade pessoal e social do indiv?duo, afetando seu estado psicol?gico e sua intera??o com as pessoas, determinando rela??es e v?nculos em diferentes n?veis emocionais. Conceitos normalmente, associados aos estudos da ?rea, s?o o comprometimento, o estresse e a satisfa??o com a vida. O comprometimento organizacional ? o v?nculo psicol?gico entre o indiv?duo e a organiza??o, composto por tr?s dimens?es: afetivo, calculativo e normativo. A dimens?o afetiva ? caracterizada pelo apego psicol?gico e a exist?ncia de afetos positivos. A dimens?o calculativa est? associada ? ideia de recompensa financeira e ocupacional. Na dimens?o normativa, ocorre o v?nculo moral do indiv?duo com a organiza??o. O estresse ? percebido de maneira individual e os fatores estressores podem ser de diversas naturezas, como f?sico, relacionado ao ambiente, ou psicossocial. A satisfa??o com a vida ? fruto do julgamento de v?rios dom?nios da vida, como sa?de, trabalho e rela??es sociais. Este estudo identificou, descreveu e analisou as rela??es entre Comprometimento, Estresse e Satisfa??o com a Vida em profissionais de sa?de. Os participantes foram 120 profissionais da sa?de que prestam assist?ncia a pacientes pedi?tricos p?s cir?rgicos. Foram utilizados os instrumentos: Ficha de Dados Sociodemogr?ficos, Escalas de Comprometimento (ECOA, ECOC e ECON), Escala de Estresse Percebido (PSS) e a Escala de Satisfa??o com a Vida (ESV). Os dados foram coletados em tr?s setores de um Hospital Universit?rio, e analisados pelo software SPSS. A m?dia de idade dos participantes ? 36,6 anos, sendo 90,8% do sexo feminino, a maior parte ? casado e trabalha h? mais de 4 anos na institui??o. Os participantes apresentaram: (a) alto n?vel de comprometimento geral organizacional, (b) alto n?vel de comprometimento afetivo, (c) n?vel mediano de comprometimento normativo, (d) baixo n?vel de comprometimento calculativo, (e) baixo n?vel de estresse percebido, e (f) elevada satisfa??o com a vida. O comprometimento apresentou correla??o positiva com a satisfa??o com a vida, negativa com o estresse percebido, e houve correla??o negativa entre satisfa??o com a vida e estresse percebido. Foram identificados diferentes n?veis de comprometimento, estresse percebido e satisfa??o com a vida entre as classes profissionais, e correla??o negativa entre idade e comprometimento calculativo. Constataram-se vari?ncias significativas quanto ao estado civil e ? escolaridade no comprometimento normativo. As vari?veis escolaridade, comprometimento afetivo, calculativo, normativo, e o estresse percebido juntas explicaram 33,5% da Satisfa??o com a Vida. A pesquisa, in?dita na ?rea, fornece subs?dios para o aprimoramento da gest?o de pessoas nas organiza??es de sa?de com consequente impacto sobre as pr?ticas assistenciais.

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