Diagnósticos de enfermagem na saúde da mulher

O estudo tem como objetivo identificar os diagnósticos de enfermagem em mulheres na oportunidade do exame de citologia oncótica atendidas em uma Estratégia de Saúde da Família, com base na Taxonomia II da NANDA-I. Estudo de abordagem quantitativa, do tipo transversal e descritivo foi desenvolvido com uma amostra censitária de 183 mulheres. Os diagnósticos de enfermagem foram extraídos das consultas de enfermagem realizadas pelo método OTDPIA e fundamentadas na teoria do autocuidado de Dorothea Orem. Identificou-se 48 diagnósticos de enfermagem, destacando 6 que apresentaram frequência maior que 50,0%: Disposição para tomada de decisão melhorada, Risco de volume de líquidos deficientes, Estilo de vida sedentário, Conhecimento deficiente, Disfunção sexual e Conforto prejudicado. O estudo evidenciou comportamentos de risco devido ao conhecimento precário das mulheres. Conclui-se que ao compreender as demandas terapêuticas na saúde da mulher, o enfermeiro poderá subsidiar intervenções no contexto da atenção primária à saúde a partir das necessidades da mesma, numa perspectiva integral e resolutiva.Palavras-chave: Diagnóstico de enfermagem. Autocuidado. Saúde da mulher. Atenção primária à saúde

INTERNAÇÕES HOSPITALARES DE ADULTOS POR CONDIÇÕES SENSÍVEIS A ATENÇÃO PRIMÁRIA EM SANTA CATARINA NO PERÍODO DE 2010 A 2014

O indicador Condições Sensíveis à Atenção Primária (CSAP) é utilizado desde 1990, advindo dos Estados Unidos, para avaliar a efetividade da atenção primária. Seu pressuposto é o de que a Atenção Primária de Saúde (APS) de qualidade pode reduzir, ou mesmo evitar hospitalizações por determinadas condições mórbidas. O estudo teve como objetivo analisar as internações por condições sensíveis à atenção primária (ICSAP), no estado de Santa Catarina no período de 2010 a 2014

As contradições dentro da inclusão no Brasil.

This article presents data from a formative intervention conducted with Brazilian regular school teachers to develop strategies for their work with students with disabilities. The analysis was oriented by two questions: 1) How did the concept of inclusion of children with disabilities evolve during the intervention? and 2) What contradictions related to inclusion were manifested in the teacher's discourse and how might these contradictions explain the evolution of the teachers' concepts? Answering the first question, data were organized in two categories: inclusion as learning and inclusion as fallacy, with a higher incidence of the latter. The second question helped to understand the former, data showed discursive manifestations of contradictions of four types: dilemmas, conflicts, critical conflicts and double binds. Contradictions were also analyzed by content: 1) evaluation based on tests and reports versus evaluation based on students' learning; 2) teaching students with disabilities versus teaching non-disabled students; 3) current conditions versus possibilities versus needs. Throughout the intervention, especially towards its end, discursive manifestations of contradictions increased, showing teachers did not find themselves supported for undertaking such a task. The intervention process was not enough to overcome the contradictions, as they are deeply rooted in the historical conception of inclusion

Resumos em andamento - Saúde Coletiva

Resumos em andamento - Saúde Coletiv

Resumos em andamento - Saúde Coletiva

Resumos em andamento - Saúde Coletiv

Resumos concluídos - Saúde Coletiva

Resumos concluídos - Saúde Coletiv

Implementation of a Brazilian Cardioprotective Nutritional (BALANCE) Program for improvement on quality of diet and secondary prevention of cardiovascular events: A randomized, multicenter trial

Background: Appropriate dietary recommendations represent a key part of secondary prevention in cardiovascular disease (CVD). We evaluated the effectiveness of the implementation of a nutritional program on quality of diet, cardiovascular events, and death in patients with established CVD. Methods: In this open-label, multicenter trial conducted in 35 sites in Brazil, we randomly assigned (1:1) patients aged 45 years or older to receive either the BALANCE Program (experimental group) or conventional nutrition advice (control group). The BALANCE Program included a unique nutritional education strategy to implement recommendations from guidelines, adapted to the use of affordable and regional foods. Adherence to diet was evaluated by the modified Alternative Healthy Eating Index. The primary end point was a composite of all-cause mortality, cardiovascular death, cardiac arrest, myocardial infarction, stroke, myocardial revascularization, amputation, or hospitalization for unstable angina. Secondary end points included biochemical and anthropometric data, and blood pressure levels. Results: From March 5, 2013, to Abril 7, 2015, a total of 2534 eligible patients were randomly assigned to either the BALANCE Program group (n = 1,266) or the control group (n = 1,268) and were followed up for a median of 3.5 years. In total, 235 (9.3%) participants had been lost to follow-up. After 3 years of follow-up, mean modified Alternative Healthy Eating Index (scale 0-70) was only slightly higher in the BALANCE group versus the control group (26.2 ± 8.4 vs 24.7 ± 8.6, P <.01), mainly due to a 0.5-serving/d greater intake of fruits and of vegetables in the BALANCE group. Primary end point events occurred in 236 participants (18.8%) in the BALANCE group and in 207 participants (16.4%) in the control group (hazard ratio, 1.15; 95% CI 0.95-1.38; P =.15). Secondary end points did not differ between groups after follow-up. Conclusions: The BALANCE Program only slightly improved adherence to a healthy diet in patients with established CVD and had no significant effect on the incidence of cardiovascular events or death. © 2019 The Author