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ORIGINAL ARTICLE
Social support among older adults understood through structural equation modeling
- Débora Aparecida Silva de Jesus
,
- Nayara Gomes Nunes Oliveira
,
- Neilzo Nunes Oliveira
,
- Alisson Fernandes Bolina
,
- Gianna Fiori Marchiori
,
[ ... ], - Darlene Mara dos Santos Tavares
10-24-2022
Resumo
ORIGINAL ARTICLESocial support among older adults understood through structural equation modeling
Revista Brasileira de Enfermagem. 2022;75(Suppl 4):e20220188
10-24-2022DOI 10.1590/0034-7167-2022-0188
- Débora Aparecida Silva de Jesus
,
- Nayara Gomes Nunes Oliveira
,
- Neilzo Nunes Oliveira
,
- Alisson Fernandes Bolina
,
- Gianna Fiori Marchiori
,
- Darlene Mara dos Santos Tavares
Visualizações0Ver maisABSTRACT
Objectives:
to analyze factors associated, directly and indirectly, with lower social support of older adults, according to sex.
Methods:
a cross-sectional study, with 941 older adults from a health micro-region in Minas Gerais. Descriptive and trajectory analyzes were carried out (p<0.05).
Results:
in groups of women and men, direct and significant associations were observed between a smaller social network (p<0.001;p<0.001), single-person housing (p=0.046;p<0.001), greater number of depressive symptoms (p<0.001;p=0.010) and lower participation in advanced activities (p<0.001;p=0.005) with lower social support. In women, younger age was directly and significantly associated with outcome (p<0.001). In men, older age, mediated by lower participation in advanced activities, was indirectly associated with outcome.
Conclusions:
men and women showed less social support associated with social network, housing arrangement, depressive symptoms and participation in advanced activities. Understanding the context of social support among older adults makes it possible to establish more effective measures to improve care.
Visualizações0Resumo
ORIGINAL ARTICLESocial support among older adults understood through structural equation modeling
Revista Brasileira de Enfermagem. 2022;75(Suppl 4):e20220188
10-24-2022DOI 10.1590/0034-7167-2022-0188
- Débora Aparecida Silva de Jesus
,
- Nayara Gomes Nunes Oliveira
,
- Neilzo Nunes Oliveira
,
- Alisson Fernandes Bolina
,
- Gianna Fiori Marchiori
,
- Darlene Mara dos Santos Tavares
Visualizações0Ver maisABSTRACT
Objectives:
to analyze factors associated, directly and indirectly, with lower social support of older adults, according to sex.
Methods:
a cross-sectional study, with 941 older adults from a health micro-region in Minas Gerais. Descriptive and trajectory analyzes were carried out (p<0.05).
Results:
in groups of women and men, direct and significant associations were observed between a smaller social network (p<0.001;p<0.001), single-person housing (p=0.046;p<0.001), greater number of depressive symptoms (p<0.001;p=0.010) and lower participation in advanced activities (p<0.001;p=0.005) with lower social support. In women, younger age was directly and significantly associated with outcome (p<0.001). In men, older age, mediated by lower participation in advanced activities, was indirectly associated with outcome.
Conclusions:
men and women showed less social support associated with social network, housing arrangement, depressive symptoms and participation in advanced activities. Understanding the context of social support among older adults makes it possible to establish more effective measures to improve care.
- Débora Aparecida Silva de Jesus
-
ORIGINAL ARTICLE
Social support networks for women in situation of intimate partner violence
- Clenilda Aparecida dos Santos
,
- Maria Aparecida Vasconcelos Moura
,
- Ivis Emília de Oliveira Souza
,
- Ana Beatriz Azevedo Queiroz
,
- Maria Helena do Nascimento Souza
,
[ ... ], - Diana da Silva Gonçalves
06-03-2022
Resumo
ORIGINAL ARTICLESocial support networks for women in situation of intimate partner violence
Revista Brasileira de Enfermagem. 2022;75(Suppl 2):e20210830
06-03-2022DOI 10.1590/0034-7167-2021-0830
- Clenilda Aparecida dos Santos
,
- Maria Aparecida Vasconcelos Moura
,
- Ivis Emília de Oliveira Souza
,
- Ana Beatriz Azevedo Queiroz
,
- Maria Helena do Nascimento Souza
,
- Lucia Helena Garcia Penna
,
- Edilene Macedo Cordeiro Figueiredo
,
- Diana da Silva Gonçalves
Visualizações0Ver maisABSTRACT
Objectives:
to analyze the possibilities of support that the social support network offers to women in situations of intimate partner violence.
Methods:
qualitative research anchored in Sanicola’s social network framework. A total of 21 women attended at a specialized social assistance service in Porto Velho-Rondônia, Brazil, participated in a semi-structured interview.
Results:
the analysis of network maps showed that the secondary social support network mobilized had a central character in the lives of women in situations of violence. These women sought the third sector’s secondary network, the churches, from which they received emotional-affective and spiritual support.
Final Considerations:
understanding the social network setting and the type of support offered can contribute to improving care for women and strengthening interpersonal and institutional ties that help in the search for breaking the situation of violence.
Visualizações0Resumo
ORIGINAL ARTICLESocial support networks for women in situation of intimate partner violence
Revista Brasileira de Enfermagem. 2022;75(Suppl 2):e20210830
06-03-2022DOI 10.1590/0034-7167-2021-0830
- Clenilda Aparecida dos Santos
,
- Maria Aparecida Vasconcelos Moura
,
- Ivis Emília de Oliveira Souza
,
- Ana Beatriz Azevedo Queiroz
,
- Maria Helena do Nascimento Souza
,
- Lucia Helena Garcia Penna
,
- Edilene Macedo Cordeiro Figueiredo
,
- Diana da Silva Gonçalves
Visualizações0Ver maisABSTRACT
Objectives:
to analyze the possibilities of support that the social support network offers to women in situations of intimate partner violence.
Methods:
qualitative research anchored in Sanicola’s social network framework. A total of 21 women attended at a specialized social assistance service in Porto Velho-Rondônia, Brazil, participated in a semi-structured interview.
Results:
the analysis of network maps showed that the secondary social support network mobilized had a central character in the lives of women in situations of violence. These women sought the third sector’s secondary network, the churches, from which they received emotional-affective and spiritual support.
Final Considerations:
understanding the social network setting and the type of support offered can contribute to improving care for women and strengthening interpersonal and institutional ties that help in the search for breaking the situation of violence.
- Clenilda Aparecida dos Santos
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ORIGINAL ARTICLE
The family of the child with special health care needs and their social relationships
- Rayssa Nascimento Vasconcellos
,
- Maria Helena do Nascimento Souza
,
- Vanessa Medeiros da Nóbrega
,
- Neusa Collet
03-07-2022
Resumo
ORIGINAL ARTICLEThe family of the child with special health care needs and their social relationships
Revista Brasileira de Enfermagem. 2022;75(Suppl 2):e20210031
03-07-2022DOI 10.1590/0034-7167-2021-0031
- Rayssa Nascimento Vasconcellos
,
- Maria Helena do Nascimento Souza
,
- Vanessa Medeiros da Nóbrega
,
- Neusa Collet
Visualizações0Ver maisABSTRACT
Objectives:
to identify aspects that can influence the types of bonds developed in the social support network of family members of children with special health care needs.
Methods:
qualitative research conducted through interviews with 15 family members/guardians in the city of Rio de Janeiro, from January to February 2020. Sanicola’s theoretical-methodological framework and Bardin’s thematic analysis technique were used.
Results:
social distancing, lack of responsibility for coordinating care, lack of supplies and lack of individualized care were weaknesses found in the families’ social relationships. However, the bonds were strengthened by the relationship of familiarity and availability of professionals in the care of children with special health needs.
Final Considerations:
understanding the configuration of primary and secondary social networks and the types of support offered can improve the care of children and strengthen bonds that provide security for families.
Visualizações0Resumo
ORIGINAL ARTICLEThe family of the child with special health care needs and their social relationships
Revista Brasileira de Enfermagem. 2022;75(Suppl 2):e20210031
03-07-2022DOI 10.1590/0034-7167-2021-0031
- Rayssa Nascimento Vasconcellos
,
- Maria Helena do Nascimento Souza
,
- Vanessa Medeiros da Nóbrega
,
- Neusa Collet
Visualizações0Ver maisABSTRACT
Objectives:
to identify aspects that can influence the types of bonds developed in the social support network of family members of children with special health care needs.
Methods:
qualitative research conducted through interviews with 15 family members/guardians in the city of Rio de Janeiro, from January to February 2020. Sanicola’s theoretical-methodological framework and Bardin’s thematic analysis technique were used.
Results:
social distancing, lack of responsibility for coordinating care, lack of supplies and lack of individualized care were weaknesses found in the families’ social relationships. However, the bonds were strengthened by the relationship of familiarity and availability of professionals in the care of children with special health needs.
Final Considerations:
understanding the configuration of primary and secondary social networks and the types of support offered can improve the care of children and strengthen bonds that provide security for families.
- Rayssa Nascimento Vasconcellos
-
ORIGINAL ARTICLE
Adherence to antiretroviral therapy by adults living with HIV/aids: a cross-sectional study
- Mariana de Morais Fortunato Miranda
,
- Dayanne Rakelly de Oliveira
,
- Glauberto da Silva Quirino
,
- Célida Juliana de Oliveira
,
- Maria Lúcia Duarte Pereira
,
[ ... ], - Edilma Gomes Rocha Cavalcante
10-18-2022
Resumo
ORIGINAL ARTICLEAdherence to antiretroviral therapy by adults living with HIV/aids: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75(2):e20210019
10-18-2022DOI 10.1590/0034-7167-2021-0019
- Mariana de Morais Fortunato Miranda
,
- Dayanne Rakelly de Oliveira
,
- Glauberto da Silva Quirino
,
- Célida Juliana de Oliveira
,
- Maria Lúcia Duarte Pereira
,
- Edilma Gomes Rocha Cavalcante
Visualizações0ABSTRACT
Objective:
To verify the association between adherence to antiretroviral treatment by adults with HIV/AIDS and sociodemographic factors, social and clinical support.
Methods:
Cross-sectional study, with a quantitative approach. Participation of 230 patients. Questionnaires of sociodemographic characterization, social and clinical support, and assessment of adherence to antiretroviral treatment were used. Descriptive and inferential statistics were performed.
Results:
Adherence was classified as good/adequate. An association with sex, income, employment, and level of education was noted. In social support: having access to health services; communication with health professionals; health education; having support to allow venting/talking about issues; information on HIV/AIDS; and company for leisure. In the clinical profile: non-interruption of the drug treatment due to absence from the service or due to changes in the medical prescription.
Conclusion:
Adherence was classified as good/adequate and especially associated with social support factors, which should be enhanced in clinical practice.
Palavras-chave: Acquired Immunodeficiency SyndromeAdherence to MedicationHighly Active Antiretroviral TherapyHIVSocial SupportVer maisVisualizações0Resumo
ORIGINAL ARTICLEAdherence to antiretroviral therapy by adults living with HIV/aids: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75(2):e20210019
10-18-2022DOI 10.1590/0034-7167-2021-0019
- Mariana de Morais Fortunato Miranda
,
- Dayanne Rakelly de Oliveira
,
- Glauberto da Silva Quirino
,
- Célida Juliana de Oliveira
,
- Maria Lúcia Duarte Pereira
,
- Edilma Gomes Rocha Cavalcante
Visualizações0ABSTRACT
Objective:
To verify the association between adherence to antiretroviral treatment by adults with HIV/AIDS and sociodemographic factors, social and clinical support.
Methods:
Cross-sectional study, with a quantitative approach. Participation of 230 patients. Questionnaires of sociodemographic characterization, social and clinical support, and assessment of adherence to antiretroviral treatment were used. Descriptive and inferential statistics were performed.
Results:
Adherence was classified as good/adequate. An association with sex, income, employment, and level of education was noted. In social support: having access to health services; communication with health professionals; health education; having support to allow venting/talking about issues; information on HIV/AIDS; and company for leisure. In the clinical profile: non-interruption of the drug treatment due to absence from the service or due to changes in the medical prescription.
Conclusion:
Adherence was classified as good/adequate and especially associated with social support factors, which should be enhanced in clinical practice.
Palavras-chave: Acquired Immunodeficiency SyndromeAdherence to MedicationHighly Active Antiretroviral TherapyHIVSocial SupportVer mais - Mariana de Morais Fortunato Miranda
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ARTIGO ORIGINAL
[RETRACTED ARTICLE] Burden and social support in informal caregivers of people undergoing kidney dialysis: a mixed study
- Ingrid Fernanda de Oliveira Vieira
,
- Ana Cláudia Mesquita Garcia
,
- Tábatta Renata Pereira Brito
,
- Rogério Silva Lima
,
- Denismar Alves Nogueira
,
[ ... ], - Silvana Maria Coelho Leite Fava
08-20-2021
Resumo
ARTIGO ORIGINAL[RETRACTED ARTICLE] Burden and social support in informal caregivers of people undergoing kidney dialysis: a mixed study
Revista Brasileira de Enfermagem. 2021;74(6):e20201266
08-20-2021DOI 10.1590/0034-7167-2020-1266
- Ingrid Fernanda de Oliveira Vieira
,
- Ana Cláudia Mesquita Garcia
,
- Tábatta Renata Pereira Brito
,
- Rogério Silva Lima
,
- Denismar Alves Nogueira
,
- Eliane Garcia Rezende
,
- Silvana Maria Coelho Leite Fava
Visualizações0Ver maisABSTRACT
Objectives:
to analyze the burden and the social support of the informal caregivers of people undergoing kidney dialysis.
Methods:
mixed study, based on the Theory of Stress and Overload, using instruments of sociodemographic characterization, the Social Support Survey from the Medical Outcomes Study, Zarit’s Burden Scale, and guiding questions. Analysis of data used statistical and thematic inferences.
Results:
55 caregivers were evaluated, most were women, from 31 to 50 years old, married, and having worked in care for more than three years. A high level of affective and material support was observed, with a light overload on the caregiver. The central theme of the discourses was: “Experiences of the caregiver: between the burden of responsibility and the search for meaning”.
Conclusions:
a small overload was found in the participants, with a high median in the dimensions of affective and emotional support, in the relations between positive social interactions and the burden of the caregivers, in addition to the duality or responsibility and the meaning of care.
Visualizações0Resumo
ARTIGO ORIGINAL[RETRACTED ARTICLE] Burden and social support in informal caregivers of people undergoing kidney dialysis: a mixed study
Revista Brasileira de Enfermagem. 2021;74(6):e20201266
08-20-2021DOI 10.1590/0034-7167-2020-1266
- Ingrid Fernanda de Oliveira Vieira
,
- Ana Cláudia Mesquita Garcia
,
- Tábatta Renata Pereira Brito
,
- Rogério Silva Lima
,
- Denismar Alves Nogueira
,
- Eliane Garcia Rezende
,
- Silvana Maria Coelho Leite Fava
Visualizações0Ver maisABSTRACT
Objectives:
to analyze the burden and the social support of the informal caregivers of people undergoing kidney dialysis.
Methods:
mixed study, based on the Theory of Stress and Overload, using instruments of sociodemographic characterization, the Social Support Survey from the Medical Outcomes Study, Zarit’s Burden Scale, and guiding questions. Analysis of data used statistical and thematic inferences.
Results:
55 caregivers were evaluated, most were women, from 31 to 50 years old, married, and having worked in care for more than three years. A high level of affective and material support was observed, with a light overload on the caregiver. The central theme of the discourses was: “Experiences of the caregiver: between the burden of responsibility and the search for meaning”.
Conclusions:
a small overload was found in the participants, with a high median in the dimensions of affective and emotional support, in the relations between positive social interactions and the burden of the caregivers, in addition to the duality or responsibility and the meaning of care.
- Ingrid Fernanda de Oliveira Vieira
-
ORIGINAL ARTICLE
Self-management support of adolescents with type 1 Diabetes Mellitus in the light of healthcare management
- Annanda Fernandes Moura Bezerra Batista
,
- Vanessa Medeiros Nóbrega
,
- Leiliane Teixeira Bento Fernandes
,
- Elenice Maria Cecchetti Vaz
,
- Gabriela Lisieux Lima Gomes
,
[ ... ], - Neusa Collet
07-09-2021
Resumo
ORIGINAL ARTICLESelf-management support of adolescents with type 1 Diabetes Mellitus in the light of healthcare management
Revista Brasileira de Enfermagem. 2021;74(3):e20201252
07-09-2021DOI 10.1590/0034-7167-2020-1252
- Annanda Fernandes Moura Bezerra Batista
,
- Vanessa Medeiros Nóbrega
,
- Leiliane Teixeira Bento Fernandes
,
- Elenice Maria Cecchetti Vaz
,
- Gabriela Lisieux Lima Gomes
,
- Neusa Collet
Visualizações0Ver maisABSTRACT
Objectives:
to analyze the self-management support needs of adolescents with type 1 diabetes mellitus.
Methods:
this qualitative research was carried out between September and December 2017 with nine adolescents in the pediatric outpatient clinic of a university hospital and in their homes. The material collected through semi-structured interviews was interpreted by thematic inductive analysis in the light of the healthcare management concept.
Results:
adolescents’ self-management support needs include longitudinal monitoring by health teams; family support in their training; support from the social network; and a careful look by government officials in the construction of guidelines for dispensing the essential inputs for treatment. However, these needs are not always met satisfactorily, resulting in gaps in this support.
Final Considerations:
these gaps interfere in resolving health demands. Self-care with fragmented support affects the healthcare management dimensions, making it impossible to meet the uniqueness of adolescents in a comprehensive, expanded and ethical way.
Visualizações0Resumo
ORIGINAL ARTICLESelf-management support of adolescents with type 1 Diabetes Mellitus in the light of healthcare management
Revista Brasileira de Enfermagem. 2021;74(3):e20201252
07-09-2021DOI 10.1590/0034-7167-2020-1252
- Annanda Fernandes Moura Bezerra Batista
,
- Vanessa Medeiros Nóbrega
,
- Leiliane Teixeira Bento Fernandes
,
- Elenice Maria Cecchetti Vaz
,
- Gabriela Lisieux Lima Gomes
,
- Neusa Collet
Visualizações0Ver maisABSTRACT
Objectives:
to analyze the self-management support needs of adolescents with type 1 diabetes mellitus.
Methods:
this qualitative research was carried out between September and December 2017 with nine adolescents in the pediatric outpatient clinic of a university hospital and in their homes. The material collected through semi-structured interviews was interpreted by thematic inductive analysis in the light of the healthcare management concept.
Results:
adolescents’ self-management support needs include longitudinal monitoring by health teams; family support in their training; support from the social network; and a careful look by government officials in the construction of guidelines for dispensing the essential inputs for treatment. However, these needs are not always met satisfactorily, resulting in gaps in this support.
Final Considerations:
these gaps interfere in resolving health demands. Self-care with fragmented support affects the healthcare management dimensions, making it impossible to meet the uniqueness of adolescents in a comprehensive, expanded and ethical way.
- Annanda Fernandes Moura Bezerra Batista
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ORIGINAL ARTICLE
Association between social network and functional disability in brazilian elderly
- Danielle Samara Tavares de Oliveira-Figueiredo
,
- Mariana Santos Felisbino-Mendes
,
- Gustavo Velasquez-Melendez
06-18-2021
Resumo
ORIGINAL ARTICLEAssociation between social network and functional disability in brazilian elderly
Revista Brasileira de Enfermagem. 2021;74(3):e20200770
06-18-2021DOI 10.1590/0034-7167-2020-0770
- Danielle Samara Tavares de Oliveira-Figueiredo
,
- Mariana Santos Felisbino-Mendes
,
- Gustavo Velasquez-Melendez
Visualizações0ABSTRACT
Objective:
to verify the association between social network and functional disability in elderly Brazilians.
Methods:
a cross-sectional study with secondary data of 11,177 elderly people, available on Brazilian Institute of Geography and Statistics’ website. Social network components were having trusted friends/relative, living with their spouse, practicing social activity, performing voluntary or paid work. The outcome was functional disability, measured by the difficulty in performing instrumental and basic activities of daily living. Logistic regression models were used.
Results:
disability prevalence for instrumental activities was 28.0% (95%CI: 26.7-29.4), and for basic activities, 15.5% (95%CI: 14.4-16.6). Not having components social network components was associated with greater chances of functional disability, especially among women.
Conclusion:
there was an association between not having social network components with functional disability. There are differences in this association according to sex. Strengthening actions that expand social network can reduce the chance of this outcome in elderly people.
Palavras-chave: Activities of Daily LivingAgedPhysical Functional PerformanceSocial NetworkingSocial SupportVer maisVisualizações0Resumo
ORIGINAL ARTICLEAssociation between social network and functional disability in brazilian elderly
Revista Brasileira de Enfermagem. 2021;74(3):e20200770
06-18-2021DOI 10.1590/0034-7167-2020-0770
- Danielle Samara Tavares de Oliveira-Figueiredo
,
- Mariana Santos Felisbino-Mendes
,
- Gustavo Velasquez-Melendez
Visualizações0ABSTRACT
Objective:
to verify the association between social network and functional disability in elderly Brazilians.
Methods:
a cross-sectional study with secondary data of 11,177 elderly people, available on Brazilian Institute of Geography and Statistics’ website. Social network components were having trusted friends/relative, living with their spouse, practicing social activity, performing voluntary or paid work. The outcome was functional disability, measured by the difficulty in performing instrumental and basic activities of daily living. Logistic regression models were used.
Results:
disability prevalence for instrumental activities was 28.0% (95%CI: 26.7-29.4), and for basic activities, 15.5% (95%CI: 14.4-16.6). Not having components social network components was associated with greater chances of functional disability, especially among women.
Conclusion:
there was an association between not having social network components with functional disability. There are differences in this association according to sex. Strengthening actions that expand social network can reduce the chance of this outcome in elderly people.
Palavras-chave: Activities of Daily LivingAgedPhysical Functional PerformanceSocial NetworkingSocial SupportVer mais - Danielle Samara Tavares de Oliveira-Figueiredo
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ORIGINAL ARTICLE
Information demands from families of children with Autism Spectrum Disorder
- Gisele Weissheimer
,
- Verônica de Azevedo Mazza
,
- Julia Mazul Santana
,
- Victoria Beatriz Trevisan Nobrega Martins Ruthes
,
- Cibelly Aliny Siqueira Lima Freitas
06-04-2021
Resumo
ORIGINAL ARTICLEInformation demands from families of children with Autism Spectrum Disorder
Revista Brasileira de Enfermagem. 2021;74(5):e20200642
06-04-2021DOI 10.1590/0034-7167-2020-0642
- Gisele Weissheimer
,
- Verônica de Azevedo Mazza
,
- Julia Mazul Santana
,
- Victoria Beatriz Trevisan Nobrega Martins Ruthes
,
- Cibelly Aliny Siqueira Lima Freitas
Visualizações0Ver maisABSTRACT
Objective:
to identify the information demands of families of children with Autism Spectrum Disorder.
Method:
this is a qualitative study conducted through semi-structured and audio-recorded interviews with 55 family members, in the states of Paraná, Ceará, and Macapá, between September 2018 and September 2019. Thematic category analysis and Qualitative Data Analysis Software resources were used for data organization.
Results:
it was identified that families need information regarding the characteristics of Autism Spectrum Disorder (definition, cause, possibility of cure, prognosis and the probability of having another child with Autism Spectrum Disorder); child’s routine and behavior; future rights and expectations.
Final considerations:
information demands are relevant to support professionals, health managers and other services in health care organization to support families of children with autism.
Visualizações0Resumo
ORIGINAL ARTICLEInformation demands from families of children with Autism Spectrum Disorder
Revista Brasileira de Enfermagem. 2021;74(5):e20200642
06-04-2021DOI 10.1590/0034-7167-2020-0642
- Gisele Weissheimer
,
- Verônica de Azevedo Mazza
,
- Julia Mazul Santana
,
- Victoria Beatriz Trevisan Nobrega Martins Ruthes
,
- Cibelly Aliny Siqueira Lima Freitas
Visualizações0Ver maisABSTRACT
Objective:
to identify the information demands of families of children with Autism Spectrum Disorder.
Method:
this is a qualitative study conducted through semi-structured and audio-recorded interviews with 55 family members, in the states of Paraná, Ceará, and Macapá, between September 2018 and September 2019. Thematic category analysis and Qualitative Data Analysis Software resources were used for data organization.
Results:
it was identified that families need information regarding the characteristics of Autism Spectrum Disorder (definition, cause, possibility of cure, prognosis and the probability of having another child with Autism Spectrum Disorder); child’s routine and behavior; future rights and expectations.
Final considerations:
information demands are relevant to support professionals, health managers and other services in health care organization to support families of children with autism.
- Gisele Weissheimer
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Aged Atenção Primária à Saúde COVID-19 Cuidados de Enfermagem Educação em Enfermagem Educação em Saúde Enfermagem Estudos de Validação Health Education Idoso Mental Health Nursing Nursing Care Patient Safety Primary Health Care Qualidade de Vida Quality of Life Saúde Mental Segurança do Paciente Validation Studies