Enfermagem - Mestrado Profissional

URI Permanente desta comunidade

http://repositorio.ufes.br/handle/10/17580

Programa de Pós-Graduação em Enfermagem

Centro: CCS
Telefone: (27) 3335 7280
URL do programa: http://www.enfermagem.vitoria.ufes.br/pt-br/pos-graduacao/PENF

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A flexibilização das relações de trabalho da enfermagem no Hospital Universitário da Universidade Federal do Espírito Santo (1988-1998)
(Universidade Federal do Espírito Santo, 2013-10-25) Alves, Sheila Maria Parreira; Coelho, Maria Carlota Rezende; Cruz, César Albenes de Mendonça; Massaroni, Leila; Borges, Luiz Henrique; Maciel, Paulete Maria Ambrósio
A study on the flexibilisation of labour relationships in Health, and its consequences on the nursing work in a university hospital between the years of 1988 and 1998. Describing labour in the dynamics of capitalism, it contextualises the flexibilisation of labour relationships and its repercussions on the public service since the 1990 State Reform, concentrating on the university hospitals. The methodology of thematic oral history is adopted, resulting in a social historical study, with the analysis of oral testimonials being used to comprehend the perception by the social body of the nurse staff of a university hospital, of the meaning of the flexibilisation of labour relationships; the conclusion is that this process, embodied mainly by the outsourcing used for replacement of workers, has resulted in disruption and discontinuity of the services held by the hospital, in staff turnover, and in difficulties of administration due to the coexistence within the same organisational environment of different bonds, wages and advantages, causing losses to the institution’s functions of assistance, teaching, and mostly to the workers which are affected by social insecurity and the deterioration of the working conditions. The Brazilian Company for Healthcare Services, which assumes administration of the university hospitals with a new proposal of management, is identified as a still unknown alternative for the institution’s workforce, thus providing motivation for new studies.
Efeitos da intervenção da enfermagem-relaxamento nos níveis de ansiedade e de depressão em gestantes de alto risco
(Universidade Federal do Espírito Santo, 2013-10-29) Araújo, Wanda Scherrer; Romero, Walckiria Garcia; Amorim, Maria Helena Costa; Souza, Ivis Emília de Oliveira; Zandonade, Eliana
High-risk pregnancy is that in which the pregnant's and/or fetus' health has higher chance to experience complications than the average in pregnancies. The whole context of the risk pregnancy and treatment may causes stress, bringing signs and prognostics as: apathy, depression, discouragement, dismay, emotional hypersensibility, anger, anxiety and irritability, and require more specialized technics of hospital care. Objective: To evaluate the effects of nursing interventionsrelaxation on anxiety levels and depression symptoms in pregnant women at high risk hospitalized. Methodology: This was a randomized clinical trial. The sample consisted of 25 pregnant women in the control group and 25 pregnant women in the experimental group that were hospitalized at the Hospital Universitario Cassiano Antonio de Moraes, Vitória-ES, with diagnosis of high-risk pregnancy at any gestational age, hospitalized for more than 24 hours. The technic of relaxation proposed by Benson and adapted by Amorim was applied. For data collection we used interview with record form, Inventory State-Trait Anxiety (STAI), Depression Scale Puerperal Edinburgh (EPDS). Blood pressure, heart rate and respiratory rate in the experimental group were measured before and after the intervention of NursingRelaxation. For statistical treatment of the data were used the Statistical Package for Social Sciences - SPSS, version 20.0. Results: The statistical tests Mann-Whytney, Wilcoxon test and t-test, showed a significant decrease in levels of state anxiety in the experimental group (p=0.001), from medium to low anxiety, and significant decrease in the levels of depression in the experimental group (p=0.000) after relaxation practice. Conclusion: The nursing intervention-relaxation should be incorporated into daily practice nurse in the care of women in the pregnancy.
Avaliação de risco e de fatores preditores para desenvolvimento de úlcera por pressão em pacientes críticos
(Universidade Federal do Espírito Santo, 2013-11-25) Borghardt, Andressa Tomazini; Prado, Thiago Nascimento do; Bringuente, Maria Edla de Oliveira; Araújo, Thiago Moura de; Rogenski, Noemi Marisa Brunet; Castro, Denise Silveira de
Introduction: Pressure ulcers in critically ill patients have been constituted as a serious management and care, creating major challenges to nursing. Objectives: Estimate the incidence of pressure ulcers in critically ill patients, identify factors associated with its development and. evaluate the accuracy of risk assessment scales of Braden and Waterlow Method: This is a cohort study conducted from March to June 2013, with 77 patients admitted to the intensive care units, which consisted of an initial assessment of variables associated with intrinsic and extrinsic factors, among which: the metabolic profile of patients, daily application of risk assessment scales (Braden and Waterlow) on admission and every 48 hours, and assessment and classification of ulcers into categories Results: The incidence was found to be 22 %, 17 patients developed 32 pressure ulcers, predominantly located in the sacral region (47%) and in class I (72%). Regarding the metabolic profile, the bearer of ulcer, showed albumin, transferrin and low lymphocyte count. In bivariate analysis the variables found were: hospitalization for longer than 10 days (71%), type of surgical hospitalization (53%), congestive heart failure (24%), norepinephrine (29%) and high risk Scale Braden. Braden and Waterlow Scale, presented, respectively, high sensibility (41% and 71%) and low specificity (21% and 47%) in the three assessments. The cutoff scores found in the first, second and third evaluation were 12, 12 and 11 for the Braden Scale and 16, 15 and 14 for the Waterlow scale. Conclusion: The study showed a high incidence of pressure ulcers, identified associated factors with it and evaluated the Braden Scale to be a good screening tool and the Waterlow a better predictive power tool and emphasizing the importance of the systematization of nursing actions and the use of appropriate technology in the prevention of injury.
Diagnósticos e intervenções de enfermagem para a pessoa com colostomia : uma tecnologia do cuidado
(Universidade Federal do Espírito Santo, 2013-11-25) Silva, Elaine Soares da; Primo, Cândida Caniçali; Castro, Denise Silveira; Romero, Walckiria Garcia; Bicudo, Sheilla Diniz; Garcia, Telma Ribeiro
The study addresses the elaboration of Nursing Diagnoses and Interventions for a person with colostomy, using the International Classification for Nursing Practice (ICNP®) 7-Axis Model, version 2011. Colostomy is the exteriorization of the colon through the abdominal wall, providing a new route for the elimination of feces. The procedure is part of the therapeutic practices in physical traumas, generally resulting from external causes, intestinal diseases, and from the failure of the anus, as in colorectal cancer. A colostomized person demands specific nursing care, due to one’s afflictions, fears and changes of lifestyle. Objective: To build diagnosis assertions for a colostomized person, and to elaborate Nursing Interventions for this clientele. Methodology: This study is of exploratory descriptive nature, in which a revision of the scientific literature was done through these databases: LILACS, MEDLINE and BDENF Database, with the following descriptors: “Nursing care”, “Nursing diagnoses”, “classification” and “colostomy”, in these languages; Portuguese, English and Spanish, which were published in the period from 2000 to 2011. Through that review, the Nursing diagnoses were elaborated using the terms of the ICNP® 7-Axis Model, 2011. Results: There were 123 Nursing diagnoses, constructed for the colostomized persons, and 231 nursing interventions related to the diagnoses that were listed, grouped by basic human needs. The aim of this study is to promote the use of the Nursing process, and to systematize the individualized care given to this clientele; to contribute with the development of new technology in the area of healthcare information; and to strengthen the use of the ICNP® , because of its simple and easy-to-use language.
Protocolo de atendimento para pacientes em tratamento quimioterápico
(Universidade Federal do Espírito Santo, 2013-11-26) Fonseca, Vivian Moro; Leite, Franciéle Marabotti Costa; Ramos, Maria Cristina; Amorim, Maria Helena Costa; Garcia, Telma Ribeiro
Introduction: an antineoplastic chemotherapy has become one of de most important and a promising way to combat the cancer however can cause several adverse effects. The knowledge of these effects subsidizes tools for planning nursing care to the patient’s necessity and can help on the control of symptoms. Objective: to draw up a treatment protocol to the person undergoing chemotherapy in order to adverse effects of medication; to elaborate affirmative of nursing diagnosis based on adverse effects and developing interventions for patients who undergo chemotherapy. Methodology: an exploratory-descriptive study. A literature review was conducted to identify adverse effects related to chemotherapy. On the basis of adverse effects identified were chosen focus axis in terms of the International Classification for Nursing Practice (ICNP® ) version 2011. The chosen terms guided the construction of affirmative nursing diagnosis and the development of interventions. Those were based on the Supportive-educative System Theory of Dorothea Orem. Results: 20 adverse events in chemotherapy have been indentified by reviewing the literature and the most common being: oral mucositis, infections, nausea, bleeding, vomiting, neutropenia and alopecia respectively. Based on 20 adverse effects identified were chosen 25 terms from focus axis in ICNP® that were the basis for the construction of 99 statements of nursing diagnoses/results and 175 interventions for those patients. Conclusion: the application of the nursing process facilitates the development of a care plan and systematize nursing care. The nursing diagnoses built and their respect interventions favors an improved assessment and the care for patients undergoing chemotherapy. The interventions based on educational process can be tools for patients and family become subjects of care with actions aimed at facing with problems resulted from the treatment.
Violência contra a pessoa idosa : o olhar dos profissionais de saúde de um hospital universitário
(Universidade Federal do Espírito Santo, 2013-11-28) Raposo, Maria Aparecida Moreira; Leite, Franciéle Marabotti Costa; Maciel, Paulete Maria Ambrósio; Carvalho, Maria Tereza Coimbra de; Bicudo, Sheilla Diniz Silveira
The violence against the elderly becomes a concern to the society from the time that increases the awareness that in the coming decades there will be a considerable increase in the elderly population. The appropriation of this theme, by health professionals, it is important for preventing and treating cases of violence against this population segment. The aim of this study is to analyze the conception of health professionals from the Medical Clinic Unit of a University Hospital on violence against the elderly. This is an exploratory, descriptive, qualitative approach. Data collection was developed in two phases through questionnaires and 91 subjects as health professionals. The results were analyzed using content analysis proposed by Bardin and Minayo. In the first phase participants were 64 where he discussed the concept of old age professionals. Data were collected in the period March to April 2013. Analysis of these data allowed the construction of four categories of old age at the dimensions: biological, chronological, psychological and social. It was found that the concept of old age health professionals independent of chronological age and is guided by factors such as dependency and functional capacity. In the second phase of the study addressed the concept of violence, with 53 professionals as subjects. Data were collected in the period August to September 2013. Data analysis allowed constructed three categories: the perceived violence against the elderly, violence within hospital care and strategies in situations of violence against the elderly. It was found that violence within the space of hospital care may be possible, even though this place considered as care and protection. The complaint to the competent judicial authorities appeared as the most used form of routing, however the reporting of cases of violence to the health authority and case discussion in staff were underused. The study showed the limitations that health professionals have in identifying and driving situations of violence against the elderly person being relevant as the product of this research proposal for training in violence against the elderly for health professionals working in the hospital.
Práticas de enfermagem na inserção, manutenção e remoção do cateter central de inserção periférica em neonatos
(Universidade Federal do Espírito Santo, 2013-12-05) Rangel, Regiane Josy Mediote; Primo, Cândida Caniçali; Castro, Denise Silveira; Christoffel, Marialda Moreira; Zandonade, Eliana
A stable and efficient venous access alternative for clinically ill newborns at the Neonatal Intensive Care Unit (NICU) that is frequently used it the Peripherally Inserted Central Catheter (PICC). This is a long and flexible catheter, which is inserted through a peripheral vein progressing to the distal third of the superior cava vein, or the inferior cava vein, acquiring central venous access propertie. Objective: To evaluate the Nursing practices at the insertion, maintenance and removal of the PICC in NBs. Methodology: This is a retrospective transversal descriptive correlational study. Data was collected from the charts and follow-up cards for the PICC in NBs, at the NICU of a University Hospital in the years of 2009, 2011, and 2012. The exclusion criteria were: NBs admited after referral from another institution, with the catheter already inserted; NBs transferred to another institution with catheter already inserted; NBs who have died while using the catheter; NBs who have had the insertion of the PICC done by another professional, and not the Nurse. Descriptive analyses were done, using t Student test, Qui-square test and ANOVA. The significance level adopted was that of 5%. Results: The population of the study was constituted by 137 NB, mainly premature (67.9%), with very low weight (35%), and extreme low weight (32.1%). For the insertion of the PICC, 1.9 Fr silicon monolumen catheters (88.3%) were used, in the cephalic (41.6%) and the basilic (32.1%) veins. The initial positioning of the catheter's tip was central in 60.6% of the cases, most frequently in the superior cava vein (34.3%). There were complications in 53.3% of the PICCs, and the most common of those were; obstruction (13.1%), infiltration and/or overflow (12.4%), and the accidental exteriorization (8.8%). The average permanence of the PICC was of 10.5 days, most commonly removed because of the end of therapy (60.3%), and infiltration or overflow (12.5%). The catheter's permanece time was influenced by the non-central positioning of the tip (p=0.001), complications (p=0.014), and the non-elective removal (p=0.005). Conclusion: This study offered knowledge about the state of the use of the PICC and the population that has received it in the healthcare unit studied. The characteristics found are similar to the ones described in the literature, although the initial malpositioning of the tip of the catheter, as well as the number of complications that determined the non-elective removal of the PICC, were highlighted, showing the need for the creation of protocols and routines, as well as educative intervention programs, in order to guarantee the patient's safety, and the quality of the assistance in NB Nursing care.
Conhecimento e autocuidado em mulheres com diabetes mellitus gestacional
(Universidade Federal do Espírito Santo, 2013-12-06) Nascimento, Soneide Pereira do; Bicudo, Sheilla Diniz Silveira; Zanetti, Maria Lúcia; Castro, Denise Silveira de; Alves, Rosana; Amorim, Maria Helena Costa
Introduction: Early diagnosis and gestational diabetes treatment aim to reduce maternal and fetal morbidity and mortality. Knowledge of the therapeutic measures enables achieving normoglycemia, reducing the incidence of complications. Objectives: To evaluate the knowledge of the health condition and self-care actions in women with gestational diabetes followed at Hospital Universitario Cassiano Antonio de Moraes in Vitória - ES. Methodology: Exploratory and descriptive study, conducted with women who met the inclusion criteria: 18 years and recording of gestational diabetes in the medical record health. We used forms containing demographic and clinical data and script with two open questions. The interviews were recorded and deleted after transcription. The analysis is based on the Collective Subject Discourse technique. Results: Participants were 36 women of mixed race mixed predominance and age between 29-39 years old, married, housewife, education level between complete and incomplete secondary education and family income one to less than three minimum wages. From the discourses related to knowledge about gestational diabetes were obtained eight categories: inadequate diet, GDM background, the newborn´s complication, mother´s gestational effects, altered glucose, medication need, DMG lack and remain with DM. Five categories emerged on the question of self-care: changing diet, monitoring glucose´s blood, medication and coping with diabetes and myths related to glucose´s blood control. The interviewees showed that they have gaps in relation to knowledge about gestational diabetes, but recognize the complications for mother and child, reported difficulty following the diet plan proposed, but it still tried to adopt it, despite resistance to change lifestyle habits. Final Thoughts: It is necessary to implement educational strategies and tools to support self-care in this specific population. The results of this study provided the elaboration of an educational booklet targeted to customers accompanied on the research scenario.
O trabalho dos auxiliares de enfermagem em uma unidade de saúde da família : experimentações em clínica da atividade
(Universidade Federal do Espírito Santo, 2013-12-09) Silva, Fernanda Poleze da; Figueiredo, Túlio Alberto Martins de; Bonaldi, Cristiana Mara; Castro, Denise Silveira de
This study aims to provide a basic knowledge to a co-production with the nursing assistants Health Unit Thomaz Tommasi (USFTT) to create and recreate new ways of living and working in the Family Health Strategy, identifying through photographic records considered pleasurable situations and situations of suffering considered in this work professionally. This is a qualitative study ,that use the methological proposal as an inspiration in the Clinical of the Activity of Yves Clot . The survey was conducted in USFTT using nursing assistants as the actors of the study. This paper is related to a researchintervention measure that empowers the creation of gaps in the realization of differents ways. As the toolbox we used the photography taken by the nursing assistant. We conducted a workshop with the group Photos of nursing. The analyse departed of that experience, were knowledge and share do not differentiate, where the subjects also become co - authors of the study. These analyzes allowed intervention that focuses on the production of subjectivity, and, differentiate the actual activity of the prescribed activity, expanding the resources for the nursing assistant be able to face your work through differentes experiences creating new alliances.
Significados da morte e do morrer para a equipe multiprofissional de uma unidade de terapia intensiva adulto
(Universidade Federal do Espírito Santo, 2013-12-12) Barbosa, Alessandra Monteiro Guimarães Carvalho; Massaroni, Leila; Batista, Karla de Melo; Castro, Denise Silveira; Carvalho, Maria Tereza Coimbra de; Costa Neto, Sebastião Benício da
Death is an event that, to be respected, no need to cover the historical dimensions and socio-cultural context and personal experiences, which can affect the individual and group behavior. With social changes in the process of dying, death moved to within healthcare institutions, causing health professionals who work in intensive care units coexist daily with death and dying. It is important to know the meanings that caregivers attach to death and dying, as well as the factors affecting this interaction, for discussions and reflections both in work practice, as in academic life, to assist the health care team the best live with the phenomenon studied. This research aimed to: identify and describe the meanings that members of the multidisciplinary team of Adult Intensive Care Unit of a University Hospital have about the process of dying and death and analyze the factors affecting the coexistence of these health professionals Adult Intensive Care Unit with death and dying. A descriptive qualitative study, using the technique of semi-structured interviews with a sample of 21 health professionals that Unit was conducted. For data analysis, we used the method of thematic content analysis. Trying to identify the meanings given by health professionals to death and dying, fell into two categories: non-scientific view of death and dying and scientific view of death and dying, and found the following meanings about death: a natural process, a step to fulfill a physiological event and the total extinction of human beings. This variability is explained in the definitions of addiction knowledge and personal experience to elaborate a concept of death. Analyzing the factors that interfere with the interaction of health professionals with death and the dying process the following categories were found: Temporality of death; Ways of coping; Technologies that prolong life; and Education. The results point to a better acceptance of death when it occurs with the elderly; failure points in academic education with regard to discussing the subject of death and dying; spirituality and detachment, being used as a way of coping; technology and prolonging the process of dying. The deployment of aid groups to professional, proposed by the interviewees as a space for expression of feelings arising from work as well as work on personal and professional experiences, and the process of dying and death in its different looks (physiological, ethical, social , psychological and spiritual), may be the triggering of improving the quality of personal and professional lives of these workers.
Influência do processo educativo de enfermagem no pré e pós-operatório de paciente de cirurgia cardíaca
(Universidade Federal do Espírito Santo, 2013-12-13) Rosseto, Kassia Regina de Castro; Massaroni, Leila; Fioresi, Mirian; Sipolatti, Walckiria Garcia Romero; Silva, Rafael Celestino
This study addresses the patient’s evaluation about the contribution of the nurse orientation program conducted in the preoperative on cardiology patients in the Hospital Universitário Cassiano Antônio Moraes. The orientation presurgical aims to reduce patient anxiety and enable to detect as well as solve nurses the problems faced by the patients. Objective: To analyze the contributions of a nursing education program applied during the preoperative phase. Methodology: This is a descriptive research both qualitative and quantitative approach. The sample consisted of 51 patients older than 18 years, inserted in the preoperative program, who underwent heart surgery via sternotomy. Results: Most patients demonstrated knowledge of perioperative behaviors in accordance with the guidelines. The research showed patients low understanding with regarding to admission into the intensive care unit, the need of urinary catheter and limited adherence to breathing exercises. Results related to intubation (p = 0.017) and the use of urinary catheter (p = 0.037) were related to low level of education. There was moderate negative correlation (p = 0.314) between the consistency of answers and the time between explanation and surgery. The results show that the patients identify the nurses as educators suggesting that preoperative orientation lead to the recovery of patients undergoing cardiac surgery. However there was evidence of need for an suitable educational practice applied. Conclusion: These findings confirm the nurses duties, as health educator, who must encourages the maintenance of routine preoperative guidelines and providing feedback to adapt the educational program implemented.
Estresse e hardiness entre equipe multiprofissional do centro cirúrgico de um hospital universitário
(Universidade Federal do Espírito Santo, 2014-01-23) Silva, Rosana de Oliveira Carvalho; Batista, Karla de Melo; Guido, Laura de Azevedo; Castro, Denise Silveira de
Introduction: The occupational stress has received special attention from researcher, due to its influence on satisfaction, productivity, health and worker’s performance. In order to provide better stress confrontation at work, the hardiness personality comes out, improving coping faced to stress situations at work. It is associated to three personality’s dimensions: commitment, control and challenge. Objectives: identify the relationship between the stress intensity and hardiness among the surgery center’s multiprofessional team of a university hospital, in the city of Vitória, ES. Method: Cross-sectional and analytical study, which used quantitative approach and was carried out with 58 participants, all member of the surgery center’s multi professiona consisted on a questionnaire, containing socio-demographic characterization items, Workplace Stress Scale (WSS) and Hardiness Scale (HS). To analyze the data normality, the Shapiro-Wilk Test was used. To verify the association between the variables, parametric and non-parametric tests and the Spearman’s correlation coefficient was used. The significance level was 5% (0,050). The instruments internal consistency was analyzed using Conbrach’s alpha coefficient. Results: The results indicated moderate stress intensity in 55% of population and hardiness personality in 12% of participants. It was no statistically significant correlation found between the WSS and the HS, as well as in the tested variables. With regard of hardiness, 60,3% of professionals showed high level on HC, 62,1% low level on HCT and 58,6% high level on HD. HC showed significant correlation with the variables religion and work. HD showed statistically significant correlation with job, kids, age and length of service at the surgery center. HCT had statistically significant relationship with work shift. Conclusion: The team has a moderate intensity of stress. Socio- demographic characteristics and hardiness personality didn’t influence the stress’ perception in the surgery center’s multi professional team.
A acupuntura enquanto prática complementar na atenção à saúde do trabalhador
(Universidade Federal do Espírito Santo, 2015-03-16) Teixeira, Renata Frossard; Figueiredo, Túlio Alberto Martins de; Amorim, Maria Helena Costa; Luciano, Luzimar dos Santos
In 2006, the National Policy of Integrative and Complementary Practices has been published and contributed strongly to the growth of practices until then named “alternatives”, for instance: Homeopathy, Acupuncture, Phytotherapy and others. However, when it comes to workers’ health, the offer of this service within SUS is still scarce, mainly Acupuncture, the object of this study which was divided into the following two productions presented: As a first desiring production, developed a article to create a printed information technology, commonly known as Manual, to provide scientific background information in relation to the practice of acupuncture, as being a therapeutic interventions system of a university hospital in the state of Espirito Santo. As a second production desiring drew up a proposal for intervention through which lists the subsidies necessary to implement a complementary service of nursing care as having acupuncture device in attention to workers' health. The purpose of this study is to provide a contribution to the spread of acupuncture focused on workers' health.
Avaliação do diagnóstico de enfermagem : amamentação ineficaz
(Universidade Federal do Espírito Santo, 2015-04-10) Alvarenga, Sandra Cristina de; Primo, Cândida Caniçali; Castro, Denise Silveira de; Brandão, Marcos Antônio Gomes; Leite, Franciele Marabotti Costa; Zandonade, Eliana
This study has the aim of describing the characteristics that define the Nursing diagnosis “ineffective breastfeeding” and the factors related to it; to examine the association between the socio-demographic, clinical and obstetric profile of the recently given birth mothers with the diagnosis in study. This is a descriptive study of the transversal type. The study was developed at the Maternity of a University Hospital. Seventy-three mother-baby binomials were hospitalized in the joint accommodation system, in the period from July to August, 2014. For data collection, an instrument was developed based on the defining characteristics of the “ineffective breastfeeding” diagnosis, and the factors related to it, and also patient's sociodemographic, clinical and obstetric data. The data was analyzed by the statistics package SPSS version 19.0 for Windows®. Results: The inefficient breastfeeding diagnosis was present in 58.9% of the binomials. The recently given birth mothers were 27 years old in mean, didn't have a partner (63%), had more than eight years of schooling (71,2%), were employed (52,1%), did pre-natal visits (97,3%), and were multiparous (64,4%). As for the newborns, 58,9% were female, to term (90,4%), didn't breastfeed in the first hour after birth (87,7%). The mother's schooling was the only socio-demographic variable that had a meaningful association to the “ineffective breastfeeding” diagnosis. The defining characteristics with meaningful association to the “ineffective breastfeeding” diagnosis were: breast suction discontinuity; insufficient breast emptying; perceived inadequate milk supply; breast feeder resistance in apprehending the areola-nipple region with the mouth; absence of observable signs of ocitocin liberation; and breast feeder cries when put on breast. The related factors were: unsatisfactory suction reflex of the breast feeder, and mother anxiety. Conclusion: The study is relevant for the improvement of the components of the “ineffective breastfeeding” diagnosis, as helping Nurses in the clinical practice, hence it will contribute to the planning of Nursing actions at the joint accommodation, and for the mother-son binomial, and also in partially reducing the gap that presently exists in the literature about Nursing diagnosis on breastfeeding
Conhecimento e prática dos enfermeiros sobre o cuidado com feridas
(Universidade Federal do Espírito Santo, 2015-06-26) Gonzaga, Gabrielle Begido; Prado, Thiago Nascimento do; Massaroni, Leila; Lima, Eliane de Fátima Almeida; Rogenski, Noemi Marisa Brunet
abstract
Proposta educativa de enfermagem na síndrome de apneia e hipopneia obstrutiva do sono
(Universidade Federal do Espírito Santo, 2015-07-16) Caniçali, Renato Alves; Amorim, Maria Helena Costa; Sipolatti, Walckiria Garcia Romero; Araújo, Maria Teresa Martins de; Castro, Denise Silveira de
Introduction: The obstructive sleep apnoea syndrome (OSAS) is a chronic disease characterized by recurrent episodes of partial or total obstruction of the upper airway during sleep, despite continued respiratory efforts. Objectives: To describe the sociodemographic and clinical profile, assess gender differences and correlate body mass index (BMI) and apneas and hypopneas index (AHI) in patients with OSA. Methodology: Descriptive study carried out through consultation with records of OSA patients treated in a CPAP/BiPAP Program, in the Vitória’s Regional specialties center. Statistical analysis was performed using ANOVA one way to compare the means. After we used the Tukey test (post-hoc). The degree of correlation between variables was calculated using Pearson's correlation coefficient (r). The test Square, the Z test and Fisher's exact test were required to evaluate the relationship and the differences between the proportions of genres with the variables. To evaluate the relationship of cause and effect of variables with the genres, the simple logistic regression was used. Results: We found a predominance of OSA in men (63%), married (83.3%), aged between 51-60 years (30%), hypertension (59%), from the city of Vila Velha (24 %). The mean AHI and BMI in men and women was 48.3 ± 12.1 versus 44.97 ± 10 events / hour and 31.7 ± 5.7 versus 32.97 ± 5.9 kg / m², respectively. Women with OSA in the above 41 groups are at increased risk for OSA than men when comparing the range 21-40 years. In addition, women with grade III obesity have 4.3 times more risk to have OSA than those of normal weight. There was strong correlation between BMI and AHI in men (r=0.71) and moderate correlation in women (r=0.67). Conclusion: Patients treated at the program CPAP/BiPAP, mostly, have a similar profile to the global carrier OSAS population: predominantly men aged 51 and 60, hypertensive and with increased BMI. We also note that BMI is an important risk factor for worsening of OSA, especially in males.
Ansiedade e estratégias de enfrentamento adotadas pelas mulheres com diagnóstico de câncer de mama em tratamento quimioterápico
(Universidade Federal do Espírito Santo, 2015-07-29) Silva, Araceli Vicente da; Amorim, Maria Helena Costa; Zandonade, Eliana; Miotto, Maria Helena Monteiro Barros
Objectives: To identify the trait and state anxiety and psychological coping strategies for patients with breast cancer, and to examine its relationship with sociodemographic and clinical variables, and to correlate the coping strategies adopted with the trait and state anxiety. Methodology: This is a descriptive crosssectional study, developed in the chemotherapy Ylza Bianco outpatient sector of the Hospital Santa Rita, located in Vitória / ES. The sample was randomly taken, and was composed by 307 women with prior breast cancer intravenous chemotherapy, either adjuvant or palliative. Data was collected through interviews, and the Confront Problems Mode Scale (EMEP) and the Anxiety Inventory (A-Trait) and State (State B) – IDATE scales were used. For statistical analysis, the SPSS program, version 19.0, was used. Results: 60.9% of patients were found to have low levels of trait anxiety, and 91.5% low level of the state of anxiety. The coping strategy most used by patients was coping focused on the problem, followed by focus on religion, and the coping strategies focused on social support and emotion were the least used. A significant correlation of trait anxiety and coping strategies focused on the problem (p<0,000); with focus on emotion (p<0,000); state of anxiety with coping focused on the problem (p=0,001 ); and with focus on emotion (p=0,004) was proved. Conclusion: The socio-demographic and clinical variables influence in a direct way in the level of anxiety and choice of coping strategy to be adopted by patients. It was found that the coping strategy chosen by women is directly related to their state and trait anxiety. Providers should know the correlation between coping and anxiety to develop measures to implement and help patients to choose efficient strategies for coping and, as a consequence, reducing the level of anxiety.
Efeito do relaxamento muscular progressivo como intervenção de enfermagem na qualidade do sono, depressão e estresse em pessoas com esclerose múltipla
(Universidade Federal do Espírito Santo, 2015-07-31) Novais, Paolla Gabrielle Nascimento; Batista, Karla de Melo; Castro, Denise Silveira de; Amorim, Maria Helena Costa
Introduction: Multiple sclerosis is a chronic, autoimmune disease, characterized by demyelination and neurodegeneration of the central nervous system. The progressive course of this disease may cause individuals to develop extreme dependency and create serious difficulties both to the individuals themselves and family members and caregivers, since the disease brings a number of physical, emotional, psychological and social symptoms. Therefore, it is essential to offer healthcare practices that go beyond the usually fragmenting, dehumanized care services that focus on the disease bodily processes. Objective: Evaluate the effects of Progressive Muscle Relaxation on sleep quality and on stress and depression levels of individuals with multiple sclerosis.
O processo de trabalho em um ambulatório de oncologia na percepção dos técnicos de enfermagem
(Universidade Federal do Espírito Santo, 2015-09-23) Aguiar, Ana Maria Zanotti de; Massaroni, Leila; Lima, Eliane de Fátima Almeida; Coelho, Maria Carlota de Rezende; Luciano, Luzimar dos Santos; Bicudo, Scheila Diniz Silveira
The need for reflection on the process of work by health professionals must be constant and permanent since it is this broad, complex, dynamic and with specific characteristics. The team inserted nursing technicians in this context has knowledge about health work in that they are present in full-time in the process. Thus, this study aims to describe the perception of nursing technicians about the work process in an Oncology Clinic. The theoretical framework is supported on the concepts of work process in Health Care and existing networks of micropolitics inside, comprising the embedded technologies there. We used a qualitative approach, and the production of data was achieved through focus group. The examination of the empirical material was made according to Bardin content analysis, bringing the testimonies of the subjects for a dialogued reflection with the authors that support the theme. Following this analysis, emerged to category: (re) organization of work. Subcategories were highlighted that helped organize and sequence the discussion: Barriers in Health Care Network; Work organization focused on professional; Assistance provided to the patient as the central character; Difficulty in linking the micro processes carried out at the Clinic. We conclude that nursing, by the very characteristics of the profession, realizes the work on Health as a dynamic and articulated process, but despite advances in public policies that favor integral care, capitalism's strength and heritage of the Taylor model make the work is fragmented and assistance also focused on professionals. We also conclude that there are barriers in the health care network that transcend the discussion about work process in this area, as evidenced by the difficulty of access to health.
Adolescente com doença falciforme : conhecimento da doença e adesão ao tratamento
(Universidade Federal do Espírito Santo, 2015-09-28) Martins, Gisely Vieira Ramos; Furieri, Lorena Barros; Luciano, Luzimar dos Santos; Bringuente, Maria Edla de Oliveira
Sickle cell disease (SCD) is a very common genetic disease in Brazil, mainly in brown and black ethnic groups. Every year, more than 300,000 babies are born with severe form of sickle cell disease in the world. In Brazil, about 50 thousand people are carriers of the SCD. Such harm is characterized by genetic changes and the prevalence of hemoglobin S (HbS) rather than hemoglobin A, considered the regular one. Studies show that almost 80% of deaths from this disease occur in subjects under 30 years old. Thus, the aim of this study was to describe the knowledge of adolescents with SCD about the disease and its treatment adherence. It is a descriptive and crosssectional research with qualitative approach. The method consisted in recording twenty individual interviews using a semi-structured form, targeting adolescents with sickle cell disease treated between March and May of 2015 at the hematology ambulatory of a federal public educational and research institution in Vitoria - ES.

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