Consultas de enfermagem com pacientes em tratamento para hepatite C

Infection with hepatitis C virus (HCV) is a worldwide problem of public health and who estimates 2.5% to 4.9% of infection by this virus among the population. This means that there are 3.9 to 7.6 million people at risk of developing cirrhosis or liver cancer. In Brazil, 20% to 58% of patients with chronic liver disease have antibodies to HCV (anti-HCV). To characterize the profile of patients undergoing treatment for hepatitis C in the Ambulatory General HC-FMB/UNESP, identify aspects of the disease and the phases of nursing process addressed during consultation. Transverse and descriptive study involving 38 patients undergoing treatment for Hepatitis C in Ambulatory General Area (Viral Hepatitis) in the period from July to September 2010. The population consisted of 38 patients, most of the males with completed higher education level, Catholic, married and aged predominantly between 41 and 60 years. Among the drugs used, we find the use of antihypertensive, antidepressant / anxiolytic and antidiabetic / hypoglycemic. With respect to specific medications used to treat hepatitis C, we found the use mainly of alfapeguinterferona 2b + ribavirin. The drugs used were complementary erythropoietin and filgastrim. There was a predominance of fibrosis 2 (F2) and genotype 1 (G1). Regarding the means of contamination, it was stressed blood transfusion and injection drug use. The most frequent drug reactions were decreased appetite, weight loss and discouragement. : The Nursing Process is considered a valuable tool in caring for patients with hepatitis C, because it works as identifying aspects of lifestyle, needs and potential of these patients and allows the deployment of humanized care strategies aimed at reduction of health hazards and improving the quality of life of these patients

Compreendendo o acolhimento em uma unidade de saúde da família na perspectiva dos usuários

The present study aimed at understanding humanized reception at a Family Health Unit in a city in São Paulo state according to users’ perspectives. It is a qualitative investigation with a Case Study as its methodological framework and the Theory of Complexity (TC) as its theoretical basis. Data were collected from March to July, 2011 by means of non-directive interviews and participant observation, and the Flowchart that analyzes the care provision model in health care services was used. The discourses were analyzed according to Bardin’s thematic approach, from which two themes emerged: humanized reception as an act that precedes medical consultation and humanized reception as a solution to demands stemming from medical action. The study provided visibility to the forms how humanized reception is understood, that is, the moment that precedes medical consultation, being configured as a pre-consultation instance when punctual actions are performed, such as measuring vital signs, and when users are sure that they will be seen by a doctor, in addition to the perception that humanized reception is not part of the process to solve their need, since such result is achieved by means of medication dispensation permeated by the polite treatment given by professionals. These results show how the fragmented, reductionist and linear approach to caregiving is still present in the words, thoughts and culture of health service users as well as in those of health care team members. TC seems to shed light on these issues, and it may result in important improvement in the understanding of interactional relationships between team members and users concerning the work process in the Family Health model as the main strategy in Primary Care

Morte e morrer: opinião dos profissionais de saúde de uma unidade de terapia intensiva pediátrica

Presently, the dying process and death most often occur in hospitals and, particularly, in Intensive Care Units (ICU), where patients’ lives are prolonged thanks to advanced technological devices and highly efficient medicines. To learn about the opinion of health care professionals working at a Pediatric Intensive Care Unit in relation to the dying process and dying. This is a descriptive quantitative study. A questionnaire was applied to the unit’s staff members from June to August, 2011. Data were statistically analyzed. Twenty-five professionals answered the questionnaire, and 72% faced death as a natural life process. 60% felt compassion, but that feeling did not interfere with how they cared for patients. Concerning their professional training, 52% reported not to have received any concerning patients’ caregivers in the dying process or death; therefore, they experienced such situation when they were already working, and 76% reported to be interested in updating courses on that theme. Further discussion about this topic during academic education is necessary. It is also necessary to provide health care professionals with specialization courses, debates and experience exchange so that they can better understand and deal with their feelings and limitations in face of death and thus give better care to patients and relate to patients’ families during the dying process of a loved one

Percepção de mulheres sobre consulta de enfermagem, exame de papanicolaou e vulvovaginite

The nursing consult (a job exclusive to a nurse), is a great instrument to gynecology, seeing as nurses are of fundamental importance in the prevention of uterine cancer, mostly by the use of the Papanicolau test, the most efficient method in the early detection and prevention of this kind of cancer. In addition to that, this consult includes a breast exam and possibly a vulvovaginitis exam, so that necessary forwardings and exam applications can be done. That being said, the work, in a qualitative analysis has been done in the “Healthcare center and school” in the city of Botucatu – SP, intending to measure the perception of the women in the population, of the Papanicoulau Test, the nursing consults, and their knowledge about vulvovaginitis. Twenty women were interviewed (using semi-structured interviews), and given forms after the nursing consult. The interviews were analysed using Bardin’s content analysis technique. The results show that the women’ reactions to the procedures were positive. Even Though there’s a culture of submission to medicine, and the Papanicolau test is seen by them as a necessary and important (even if unconfortable) procedure in the early prevention and detection of uterine cancer and other diseases, there was little to no knowledge about the signs, symptoms, and transmission methods for those different diseases. It is up to the nurse to facilitate these women’ access to that information, regarding not only the prevention of diseases, but also, and especially, the nursing consult’s relevance on theuterine cancer prevention program

Conhecimento dos profissionais de enfermagem sobre o Projeto Hospitais Sentinela em um hospital do interior paulista

This study aimed to assess knowledge of nursing professionals (nurses, technicians and nursing assistants) on the Project Sentinel Hospitals in a state hospital in the interior of and identify the occurrence of under-reporting of hospital products and the reasons that prevented the team to notify them. This is a study of a descriptive and exploratory, held in a public hospital in the interior of which serves only patients of the Unified Health System (SUS). The study sample consisted of 245 nurses. Data analysis revealed that the majority of nurses and nursing assistants refers knowledge about Project Sentinel Hospitals. In relation to the Practical nurses less than half know Hospitals Project Sentry. Knowledge of the four spheres of Hospitals Project Sentinel is higher among nurses. Among the practical nurses and nursing assistants prevailing knowledge in the area of Pharmacovigilance. The nurses have more knowledge about the process of notification and are major notifiers. Technicians and nursing assistants are those who have greater interest in learning content as a whole Hospitals Project Sentry. The nurses were the professionals who witnessed the most under-and under-reporting associated with the fear, lack of knowledge on the subject, insecurity and lack of time. It can be concluded that the study identified the knowledge of nurses on Project Sentinel Hospitals and the procedure for notification of technical defects and adverse events related to health products as well as identify the presence of under-reporting among professionals. In addition, the study shows the importance and need for greater disclosure of the activities developed by Project Sentinel Hospitals among nursing professionals through meetings, lectures, brochures, among other outlets

Qualidade de vida do trabalhador de enfermagem de um hospital Estadual

The search for quality of life (QOL) is now an ideal among thousands of people worldwide and is currently the subject has been studied in different areas of knowledge. Thus, one can perceive it in different dimensions, each with its due importance to people's lives. The verification of quality indexes of work life (QWL) may provide information on factors that directly interfere with the satisfaction and personal motivation and collective, with reflections on the structure and excellent service. To this end, we carried out a study to know the characacteristics of quality of life of nursing professionals in a state hospital in São Paulo State, based on short range of quality of life of the World Health Organization (WHOQOL-BREF). This work is a study with a quantitative approach, cross-sectional descriptive and exploratory data analysis using descriptive statistics, involving a sample of 281 nurses who answered the scale for measuring quality of life, composed of four areas: physical, psychological, social relationships and environment. In the study, these areas were related to the professional position, and shift work. There was a satisfactory quality of life in the study population in different areas of WHOQOL-BREF. There was no statistically significant changes in quality of life among the variables. It follows that the population presented data consistent with an adequate quality of life, thus making relevant to addressing the quality of life of nursing in a healthcare organization which has as fundamental to the pursuit of quality through the accreditation process second hospital established by the National Accreditation Organization (ONA) that aims at establishing and implementing a process of improving health care, thereby stimulating the services to achieve higher standards of quality

Saúde mental do idoso: percepções relacionadas com o envelhecimento em interface com o atendimento de saúde na atenção básica

Worldwide, growth is seen in the elderly population, which has prompted the use oftechnologies of care that include all stages of life and for that use, it is necessary toprepare professionals to meet this growing demand population. This work aims to understand how old people feel by their condition and identify how old people perceive this treatment in the Family Health Unit. The research is characterized asqualitative and Minayo second analysis was used Bardin. After, thematicinterviews, it was possible to appreciate the topics: Good, dissatisfaction through the life and likes / dislikes of the service unit. This work can be seen that the elderlywho were well, allied to good living with this family, with spouses, autonomy, respect they encounter in society. And when compared with those who have a complaint, we find that lack of family and age restrictions and diseases are the main complaints

Vigilância à saúde da criança na perspectiva dos enfermeiros da estratégia saúde da família

This qualitative study aimed at apprehending conceptualizations and at describing experiences of nurses working in the Family Health Strategy in a medium-sized city in São Paulo state in relation to Children’s Health Surveillance, with a special focus on nursing consultation. Data were collected from 12 nurses by means of recorded semi-structured interviews that were analyzed according to the Thematic Content Analysis Method. Results were systematized into four themes: Conceptualizations about Children’s Health Surveillance; Children’s Health Surveillance in the practice of the Family Health Strategy; Nursing consultation and Children’s Health Surveillance; Proposals to qualify Children’s Health Surveillance in the realm of the Family Health Strategy. It was possible to apprehend amplified and actual conceptualizations of Children’s Health Surveillance as well as to describe experiences surrounded by difficulties to incorporate the premises of this form of Children’s Health Care in the Family Health Strategy. Nursing consultation was noteworthy as a privileged moment, but not unique, to develop such practice. Finally, based on nurses’ proposals, the importance of triggering permanent education processes targeted at these themes in family-health services was considered

A problematização em educação em saúde: percepções dos professores tutores e alunos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Conhecimento e atitudes da área da saúde frente ao risco de contaminação por hepatites ao fazer as unhas

Pós-graduação em Saúde Coletiva - FMB

A NR-32 para os profissionais da estratégia saúde da família

Pós-graduação em Saúde Coletiva - FMB

Planejamento, implantação e gestão de um curso a distância a partir da percepção dos enfermeiros da atenção básica sobre a integralidade na saúde

Pós-graduação em Enfermagem (mestrado profissional) - FMB

Eventos adversos relacionados à gravidade e carga de trabalho de enfermagem em Unidade de Terapia Intensiva

Pós-graduação em Enfermagem - FMB

Avaliação do conhecimento de enfermeiros da rede de atenção à saúde no município de Bauru (SP) sobre cuidado aos pacientes com feridas: um estudo transversal

Pós-graduação em Enfermagem - FMB

Aspectos das Condições e Organização do Trabalho na Ocorrência de Acidentes entre Profissionais da Enfermagem

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)