Articles - Revista Brasileira de Enfermagem

  • 01-01-2018

    El cuidado en la Atención Primaria de Salud: vivencia de las enfermeras

    Revista Brasileira de Enfermagem. 2018;71:531-537

    Abstract

    El cuidado en la Atención Primaria de Salud: vivencia de las enfermeras

    Revista Brasileira de Enfermagem. 2018;71:531-537

    DOI 10.1590/0034-7167-2016-0244

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    RESUMEN

    Objetivo:

    comprender el significado de realizar cuidados de enfermería en la Atención Primaria de Salud desde la perspectiva de las enfermeras chilenas.

    Método:

    investigación cualitativa con enfoque desde la fenomenología social de Alfred Schütz. La recolección de datos fue realizada entre enero y abril del 2013, a través de entrevista con 13 enfermeras de Atención Primaria en Chile.

    Resultados:

    las enfermeras perciben el cuidado como una experiencia gratificante considerando un encuentro de subjetividades. Sin embargo, se sienten sobrecargadas por múltiples funciones a realizar y por presiones jerárquicas en el logro de las metas. Aspiran implementar cuidados innovadores manifiestados por el deseo de superar el cuidado tradicional y la eficiencia de la gestión de los diversos niveles de atención de la salud.

    Conclusión:

    es importante discutir estos resultados en el contexto de la asistencia y especialmente en la formación, con el fin de preparar mejor a las enfermeras que brindarán cuidados en este nivel de atención.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • RESEARCH01-01-2018

    Obstacles in the detection and reporting of tuberculosis cases: a discursive analysis

    Revista Brasileira de Enfermagem. 2018;71:523-530

    Abstract

    RESEARCH

    Obstacles in the detection and reporting of tuberculosis cases: a discursive analysis

    Revista Brasileira de Enfermagem. 2018;71:523-530

    DOI 10.1590/0034-7167-2016-0673

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    ABSTRACT

    Objective:

    To analyze the discourses of health professionals about the obstacles in the process of detection and reporting of tuberculosis cases in Mozambique.

    Method:

    Qualitative exploratory study with a theoretical-methodological approach of Discourse Analysis of French matrix. The study was conducted in Mozambique in 2014 at three levels: central, provincial and district. The study included 15 health professionals, 4 physicians, 6 technicians and 5 nursing professionals, who worked in the National Tuberculosis Control Program, with more than 1 year of experience.

    Result:

    The following discursive blocks emerged: Detection of tuberculosis cases in laboratories; Underreporting of tuberculosis cases; Obstacles to detect cases of tuberculosis: long distances and lack of transport; and Reporting of cases for decision making.

    Final considerations:

    The discourses analyzed point to the ideological affiliation that includes the lack of investment policies in the health sector and the political commitment as basic obstacles in the detection and reporting of tuberculosis cases.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • RESEARCH01-01-2018

    Quality of life of elderly people living with HIV/AIDS in outpatient follow-up

    Revista Brasileira de Enfermagem. 2018;71:513-522

    Abstract

    RESEARCH

    Quality of life of elderly people living with HIV/AIDS in outpatient follow-up

    Revista Brasileira de Enfermagem. 2018;71:513-522

    DOI 10.1590/0034-7167-2017-0127

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    ABSTRACT

    Objective:

    To analyze factors related to the quality of life of elderly people living with HIV/AIDS.

    Method:

    A cross-sectional study was carried out with people aged 50 years or more in a specialized outpatient clinic. The data collection was by means of an interview. For the analysis of data and characterization of the sample, descriptive statistics and comparison tests were used. The project met the ethical requirements.

    Results:

    Participants were 81 users aged 50 to 75 years, mean age was 57.8 (± 6.1) years, 71.6% of whom were men. There was a statistically significant relationship with the quality of life, the following variables: gender, children, occupation, religion, diagnosis time, HIV exposure, adverse effects, treatment interruption, viral load counts, hospitalization, dependence for daily activities and use of drugs.

    Conclusion:

    The results suggest that the quality of life deficit is related not only to physical changes, but to the anguish and stigma related to HIV/AIDS.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • RESEARCH01-01-2018

    Alcohol consumption, Quality of Life and Brief Intervention among Nursing university students

    Revista Brasileira de Enfermagem. 2018;71:505-512

    Abstract

    RESEARCH

    Alcohol consumption, Quality of Life and Brief Intervention among Nursing university students

    Revista Brasileira de Enfermagem. 2018;71:505-512

    DOI 10.1590/0034-7167-2017-0692

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    ABSTRACT

    Objective:

    To evaluate nursing university students’ alcohol consumption patterns, Brief Intervention and Quality of Life (QoL).

    Method:

    This is a prospective and longitudinal study containing sociodemographic, economic information concerning alcoholic beverages, BI and QoL evaluation among 281 nursing university students. Since surveys have been applied, seminars have been given and consumption patterns have been discussed, an educational material was delivered after university students’ revaluation and BI reinforcement. Descriptive and analytical statistics have been conducted.

    Results:

    90% of the students have already consumed alcohol and 20.6% that consumed for the first time and abused alcohol were minors. After the implementation of BI, the alcohol consumption has decreased among university students. Besides the vitality, generate state of health, and emotional aspects have decreased, mental health was substantially low among the students that used to drink.

    Conclusion:

    BI contributes to decrease alcoholic beverages consumption and promotes health.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • RESEARCH01-01-2018

    Reflections and collective production about being a municipal health counselor

    Revista Brasileira de Enfermagem. 2018;71:496-504

    Abstract

    RESEARCH

    Reflections and collective production about being a municipal health counselor

    Revista Brasileira de Enfermagem. 2018;71:496-504

    DOI 10.1590/0034-7167-2017-0369

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    ABSTRACT

    Objective:

    to identify the participation dynamics of a municipal council and to develop a critical-reflexive process on “being a counselor”, identifying weaknesses and possibilities of this council, in addition to collectively generating new knowledge and (re)elaborating the MHC Ordinary Law.

    Method:

    Convergent care research, including documentary analysis, non-participant observation and thematic workshops. The research was carried out in 2016, with municipal health counselors from a city in the Western Region of Santa Catarina.

    Results:

    this study made it possible to identify forms of social participation that should be strengthened in the performance of social power, to reflect and share individual experiences, to anchor them in the current legislation, and to build knowledge that enabled the elaboration/organization of a product – a new text for the Ordinary Law of the Council, adjusted to current legislation.

    Final considerations:

    There is a need to increase participation, considering the presence of the counselors in the meetings, the effective representation and a greater interaction in the discussions and deliberations of the council.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Reflections and collective production about being a municipal health counselor
  • RESEARCH01-01-2018

    Social network: evaluation of the support or containment contexts of lesbian mothers

    Revista Brasileira de Enfermagem. 2018;71:490-495

    Abstract

    RESEARCH

    Social network: evaluation of the support or containment contexts of lesbian mothers

    Revista Brasileira de Enfermagem. 2018;71:490-495

    DOI 10.1590/0034-7167-2017-0419

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    ABSTRACT

    Objective:

    To evaluate the social network of lesbian mothers, from the social contexts of support or restraint.

    Method:

    Descriptive, exploratory study, of qualitative approach, based on the theoretical reference of Social Network, with eight lesbian mothers selected through Snowball technique, using semi-structured interview. Data analysis was performed with IRAMUTEQ software, through Similarity Analysis.

    Results:

    The social network is configured as: 1) Emotional distance and non-acceptance of motherhood by the family members – primary network elements; 2) Interference in the socio-cultural medium for the effectiveness of the mother-child bond – secondary network elements.

    Final considerations:

    Social network is grounded on trivialized and negative conceptions that highlight prejudice and disrespect. The discussion of this theme contributes to a greater visibility of those new family arrangements as well as to reduce stigmas e prejudices that pervade the social network components of these women.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Social network: evaluation of the support or containment contexts of lesbian mothers
  • RESEARCH01-01-2018

    Wellness room as a strategy to reduce occupational stress: quasi-experimental study

    Revista Brasileira de Enfermagem. 2018;71:483-489

    Abstract

    RESEARCH

    Wellness room as a strategy to reduce occupational stress: quasi-experimental study

    Revista Brasileira de Enfermagem. 2018;71:483-489

    DOI 10.1590/0034-7167-2017-0572

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    ABSTRACT

    Objective:

    To compare occupational stress levels of nurse staff working in the surgical unit before and after the intervention “wellness room”.

    Method:

    Quasi-experimental study with a sample of 60 nurse staff working in a surgical unit of a teaching hospital in the Southern Region of Brazil. The intervention was conducted in a room in the workplace for six months and consisted of sections of aesthetic care, relaxation, lectures and workshops to reduce occupational stress. Data were collected through the Demand-Control-Support Questionnaire before and after the intervention, and the comparative analysis was performed by the Wilcoxon test.

    Results:

    After the intervention, there was a decrease in demand and an increase in control and in the social support received at work in all professional categories, but the differences were not statistically significant.

    Conclusion:

    The intervention “wellness room” reduced occupational stress levels in the sample studied; however, it was not a significant decrease.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Wellness room as a strategy to reduce occupational stress: quasi-experimental study
  • RESEARCH01-01-2018

    Characterization of users at risk of developing diabetes: a cross-sectional study

    Revista Brasileira de Enfermagem. 2018;71:475-482

    Abstract

    RESEARCH

    Characterization of users at risk of developing diabetes: a cross-sectional study

    Revista Brasileira de Enfermagem. 2018;71:475-482

    DOI 10.1590/0034-7167-2017-0776

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    ABSTRACT

    Objective:

    To characterize the profile of users at risk of developing diabetes mellitus type 2 according to sociodemographic and clinical variables.

    Method:

    Cross-sectional study, descriptive, quantitative approach conducted with 266 users of Basic Care. Inferential statistics analysis, calculating the crude prevalence ratio with confidence interval of 95% and Kruskal-Wallis test, and application of the multivariate technique simple Correspondence Analysis.

    Results:

    It was noted that 83.1% were women and 36.4% frequented the Family Health Unit from 1 to 5 years. Regarding the factors associated with diabetes mellitus type 2, 66.5% of the users were overweight and 77.9% were rated with central obesity. The great majority, 77.4%, did not practice physical activities and 21.1% had altered glycemia.

    Conclusion:

    The results showed that many risk factors for developing diabetes mellitus type 2 were among the population of the study.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Characterization of users at risk of developing diabetes: a cross-sectional study

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