International Archives of Medicine (E-Journal)
Not a member yet
263 research outputs found
Sort by
Caring of People Affected by Tuberculosis: Grounded Theory
No full textObjective: To understand how nurses in basic health care have dealt with the situations arising from the process of caring for the person affected by tuberculosis.
Method: Qualitative research following the methodological assumptions of the Grounded Theory. Nineteen nurses participated in the study. It was used the in-depth interview. Data analysis was performed using open, axial and selective coding using the Atlas ti software.
Results: It has been shown that in order to be effective in the treatment, the actions of the nurses and the ways of dealing with the circumstances of the care stem from their concern with the person affected by tuberculosis. In addition, it is also considered the situations that permeate the life of this person, so that it can achieve healing and the restoration of their health.
Conclusion: Concerns and ways of dealing with people affected by tuberculosis should be reflected in the planning of care practices for these citizens. With this it is possible to draw confrontations and conduits for successful actions
Time for determining the diagnosis of brain death and its relation to organ donation
No full textThis study aimed to identify the time needed for confirmation of brain death and its relation to organ donation. Quantitative, descriptive and retrospective study with 175 patients who had diagnosis of brain death completed between January and December 2013. The time from 11 to 20 hours (38.9%) prevailed, with average of 17.91 hours (SD 17.53). There was significant association between the finding of brain death diagnosis in less than 20 hours and the number of donated livers (P = 0.041). We stress the importance of speeding up the diagnosis of brain death as an important step of the donation process, in order to contribute to realization of transplants.
Key words: Brain Death; Time; Directed Tissue Donation; Nursing.
 
Characterization Of Obstetric Assistance At Labor And Childbirth In Low-Risk Women On A Maternity Of Reference To Maternal And Child Health
No full textObjectives: To describe the prevalence of the implementation of obstetric interventions for labor and birth in normal-risk women in reference to maternity Stork Network.
Methodology: cross-sectional study was performed from April 2014 to January 2015, with 421 participants in the Maternity School Assis Chateaubriand - UFC, admitted during spontaneous or induced labor with a live fetus and single pregnancy term and their fetuses weighing between 2,500 and 4.499g. The data collection instrument was divided into blocks with sociodemographic and clinical characteristics, obstetric, data care during labor, delivery and birth, maternal morbidity, maternal outcome and obstetric practices in categories A and B from WHO and perinatal outcomes. The values are presented as mean ± standard deviation.
Results: The age ranged from 13 to 44; the average gestational age at admission was 38.9 ± 1.1 weeks; 52.2% with only one child; 8.6% had a previous cesarean section. There was 96.2% of pre-natal coverage with an average of 6.4 consultations. 76.2% had vaginal delivery. Obstetric practices in category A were more prevalent oxytocin in the third stage (97.1%), partograph (95%), non-invasive methods for pain relief (87.2%), companion (84.6%). While in section B were more of a vaginal examination at 2 hours (50.4%) and intravenous infusion (44.9%) and oxytocin in the expansion phase (28.8%). The present study had as limitations the loss of some data, which depended on the filling of third parties, which are characteristic of searches in medical records, or any documentary archive because it is a collection of secondary data.
Conclusions: It was possible to identify that the "Good labor assistance practices" has been developed in a good proportion considered; however some practices that should be discouraged are still performed relatively frequently
Profile of Patients with Penile Neoplasms Who Have Undergone Penectomy
No full textIntroduction: Penile cancer accounts for 10% to 20% of the male urogenital tumors. In Brazil, the North and Northeast regions have the highest rates.
Objective: Analytical, retrospective, and cross-sectional study addressing the profile of individuals with penile neoplasms who have undergone penectomy in Recife, Pernambuco, Brazil.
Methods: The population of this study consisted of 305 men who underwent penectomy at the Pernambuco State Cancer Hospital (HCP), from 2000 to 2009. There was prevalence of elderly, low-schooling and low-income men, as well as individuals from municipalities outside the Metropolitan Region of Recife.
Results: Poor hygiene, smoking, and phimosis were the main risk factors identified. Patients showed epidermoid carcinoma (type I) and metastasis. The early signs and symptoms were tumor and painful ulcer.
Conclusion: Most of the individuals have undergone partial penectomy.
Keywords: Penile Neoplasms; Epidemiology; Hygiene; Phimosis; Brazil
Family Health Medical Practices and Nursing Care: a Bibliometric Approach
Get PDFObjective: to map scientific production on family health and nursing.
Methods: This is a bibliometric study carried out in the ISI Web of Knowledge/Web of ScienceTM in the temporal cut between the years 1957 and 2016, using the following search topics: “family health” and “nursing”. The search results were analyzed according to the temporal evolution of the publications records; The most prominent magazines; The most productive authors; The articles with the highest number of citations and the most productive institutions and citation relations among the most cited groups of articles in global and local relations.
Results: There are 594 papers on Family Health and Nursing, published in 175 journals, written by 1769 authors related to 671 institutions, located in 42 countries, which the University of São Paulo stands out among them for being the most productive with 74 papers. The 19 articles of greatest impact were published from 1991 to 2011.
Conclusion: The Family Health Strategy – FHS stands out as a main activity that promotes family health care in the Brazilian context and the group of most cited paper within the international scenario ensure the relevance of Brazilian studies.
Keywords: Family Health. Nursing. Bibliometrics
Access Of Women In Jail To Cytological Exam: A Quantitative Analysis
Get PDFGoal: to know the access of women prisoners to cytological examination.
Method: exploratory-descriptive quantitative study, carried out at the Maria Júlia Maranhão Female Rehabilitation Center, in the city of João Pessoa/PB. The study population was of all closed regimens, and the minimum sample was 168 (one hundred and sixty-eight). Data collection was formalized through approval by the Research Ethics Committee of the Faculdade de Enfermagem Nova Esperança (FACENE), CAAE: 18363713.8.0000.5179, besides the official referral of the Coordination of the Course to said prison. The present study respected the ethical aspects recommended by Resolution CNS 466/12, in art. III, of the ethical aspects, which deals with the involvement with human beings in research, as well as Resolution COFEN 311/2007, which deals with the code of ethics of nursing professionals.
Results and Discussion: data from the survey show that 33% of study participants were between the ages of 18 and 25; 58% reported being single; 48% have Incomplete Elementary Education; 39% with the profession of domestic; 48% have a family income of one minimum wage; 58% have one to two years imprisonment; 74% inflicted the drug trafficking article; 67% mentioned working in general prison services.
Conclusion: it is concluded that the participants of the research report having knowledge about the exam, but their answers do not correspond to the true meaning of the exam, showing the lack of knowledge, information, assistance and abandonment in which they live.
Descriptors: Women. Papanicolaou Test. Prisoners. Nursing
Relapsed Cases Of Leprosy In A Hyperendemic City In Northeast Brazil
Get PDFLeprosy is a chronic infectious disease enhanced by unfavorable conditions of housing, sanitation and number of cohabitants, especially in cases of relapses.
Objective: To evaluate the relapsed cases of leprosy from 2001 to 2014 in a Brazilian capital.
Methods: This is a cross-sectional study conducted in Teresina, a city considered hyperendemic for leprosy. Association Tests (chi-square test or Fisher's exact test) were carried out.
Results: Three hundred and six cases were reported, of which 42.5% were registered in Basic Health Units (BHUs) and 57.5%, in Reference Units (RUs), with predominance of multibacillary forms. There was an association of clinical form of the disease (p < 0.01) and number of affected nerves (p < 0.05) with health units that reported cases. The number of records where the clinical form was ignored was greater in BHUs than in RUs, and the record of the dimorphic form was more frequent in URs.
Conclusions: There are similarities with other studies, but it is believed that underreporting of cases take place in the studied city. Thus, greater attention to confirm the diagnosis of relapse is necessary. Training health professionals on epidemiological surveillance is essentially important, as well as the approrpiate conduct in relapsed cases of the disease in the context of public health
Gender Category Study: Perspectives Of Nursing Interns In Public Health
Get PDFIntroduction: The dialog with learning process about gender category is one of the ways, in nursing, to recognize needs produced by population through social control. It may be linked by formative mechanisms, aiming the qualification of academic knowledge and practical internship activities.
Objective: We explore the learning experience from the approximation with gender category and its implications to the care provided by nurses in Primary Care.
Methods: This is a descriptive study, critic-reflexive, of experience report type, systematized from the experience with gender category in health, and designed under two reflective axes: 1 – Operationalization of Supervised Curricular Internship; and 2 - Conceptualizing gender: perspectives for nursing care.
Results: There were a theoretical enrichment about gender category in overcoming the biases found during the formation process, demystifying normative patterns built around gender and sexuality, becoming necessary to conceptual comprehension in nursing care context, in nurse’s action in Primary Care, in the current social scenario of health-disease process from identity questions, recognizing subjects’ expression through their subjectivity.
Conclusion: Making the nursing students’ knowledge about the theme possible has demonstrated to be an operationalization of necessary tools to implement a more qualified assistance in Public Health.
Keywords: Gender; Nursing; Public Health
Breastfeeding: Knowledge Degree Of Community Health Agents
Get PDFThe objective was to investigate the Community Health Agents (CHA) knowledge in breastfeeding. An analytical cross-sectional study with ACS of both genders that work in the Family Health Strategy. The data were obtained through a questionnaire, including open and closed questions regarding their socioeconomic, professional and breastfeeding knowledge. A total of 116 ACS patients with an average age of 44.2 ± 8.8 years and 14.7 ± 5.2 years of service time participated. Of these, 69.6% reported having performed some training, and only 24.8% and 6.2% obtained a satisfactory knowledge classification, related to important aspects about the technique and management of intercurrences in breastfeeding, respectively. Regarding the answers of the closed questions, which were about general knowledge about breastfeeding, the average number of correct answers was 15.2 ± 3.2 questions, which was significantly higher (p = 0.019) among professionals working in the urban area in Rural areas. In view of the results, there is a need for greater investments in the training of the ACS in breastfeeding, so that they can acquire the necessary knowledge to effectively work with pregnant women and nursing mothers, especially with regard to adequate breastfeeding techniques and treatment of breast complications
Attending home care patients in primary care using a smartphone application (WhatsICS): A feasibility study
Get PDFBackground: Provision of care to patients with chronic diseases at their homes remains a great challenge for modern health care systems. Smartphone applications are indicated as one of the strategies that could improve care delivery to this group of patients. The aim of this study is to investigate the feasibility and usability of a proprietary application with a messaging service used by a primary care team attending chronic patients mainly at their homes.
Methods: A Cross-sectional pilot study of a smartphone application to communicate amongst clinicians. Primary care practices in Tona, Spain, were recruited during a period from January to December 2016. Clinicians used WhatsICS to communicate during their home visits for 12 months. We studied the patterns of use, response time and types of communication. To explore barriers and enablers, semi-structured interviews were conducted with selected nurses, social worker and general practitioners.
Results: Two nurses, two practitioners and a social worker were recruited and more than 1,000 hours of communication were recorded on 163 patients, generating 5820 communication events. Nurses initiated the majority of communications (59.79%); these communications were mainly for the purpose of receiving instructions from practitioners and for coordination (66.6%). The communications were made on weekdays, from Monday to Friday, and between 7:30 a.m. and 9:30 p.m. (99.73%). Participants felt that WhatsICS helped streamline and improve home-based care.
Conclusions: WhatsICS is safe technologically and accepted as a communication tool for professionals. This study establishes the basis for future implementations of this tool to improve the care of chronic patients at home through smartphones