Meanings attributed by migrant women to nursing care during pregnancy to postpartum

Maternal health care for migrant women poses new challenges to countries in the WHO European Region. Migrant women tend to have worse perinatal health outcomes as a result of migration conditions, socioeconomic needs, health status, language or health literacy. These women may manifest different representations and cultural practices associated with motherhood that need to be understood and respected during nursing care in the host country. The aim was to explore the meanings attributed by migrant women to nursing interventions implemented during prenatal care to postpartum period. Qualitative study using Grounded Theory. Thirty interviews were conducted with pregnant migrant women and mothers from various countries, between February 2015 to December 2016, in Primary Health Care. Emerging coding of data determined the central category BUILDING TRUST, representative of the use of professional skills and competencies to help migrant women gain confidence and expose emotions, insecurities and needs: “Feeling recognized” highlights sensitivity to cultural differences and transition experiences; “Explaining with simplicity” by the clarity, simplicity, practical and grounded meaning, contributing to the acquisition of skills in the exercise of motherhood and a quality of intercultural communication; “Getting answer”, nurse acting in accordance with the needs exposed by the Other, promoting autonomy, confidence and satisfaction. The development of a trusting relationship has emerged as an essential component of maternal care. The study results may contribute to knowledge and quality of care indicators by showing the migrant client’s perspective on the care received.info:eu-repo/semantics/publishedVersio

Quality of life of nurses in work context: a scoping review.

Scientific evidence emphasizes that the quality of care provided by nurses is influenced by several factors, such as interaction in the professional environment, remuneration, recognition, and appreciation of the function performed, in addition to factors such as health, leisure and affection that are directly related to the quality of life. The professional practice of nurses requires highly complex interventions and close human relationships, dealing with all types of emotions, including death. Considering nurses as a fundamental element in health organisations, there is a need to analyze their quality of life and challenge managers' reflection on the importance of nursing to develop strategies that favour quality of life. Objective: to map the scientific evidence on the quality of life of nurses in the work context. Methods: A Scoping Review based on the Joanna Briggs Institute (2020) with the question: What is the quality of life of nurses in the work context? The MeSH (2023) descriptors combined the search strategy: Quality of life AND Nurses* AND Work, according to Participants, Concept, and Context. Em-base data sources: EBSCOhost platform: CINAHL®, MedicLatina and MEDLINE, with defined limits: Full text and abstract available; Any type of study: (quantitative, qualitative, mixed); Language: English, Spanish and Portuguese. Results: In the eight articles selected, nurses have a lower quality of life due to a moderate level of happiness and negative feelings in providing care, high workload, ineffective management policies, unfair remuneration, scarcity of equipment and few opportunities for career development. After Covid-19, high levels of compassion satisfaction and moderate levels of burnout were found. Nurses who work rotating shifts are more likely to be overweight and have total and abdominal fat. Organizations can promote nurses' health by ensuring their participation in decision-making and promoting positive strategies to improve teamwork and establishing a support system for these professionals.info:eu-repo/semantics/draf

Evaluation of serum concentrations of total cholesterol in Pharmacy students of Instituto Politécnico de Bragança

Hypercholesterolemia is a factor involved in the development of atherosclerosis, which is related to cardiovascular and cerebrovascular diseases, the two main causes of death in the world. The aim of the study was determined the prevalence of hypercholesterolemia in Pharmacy students from the Instituto Politécnico de Bragança (IPB) and described and analyze the risk factors associated. From a random sample of four classes of the course of Pharmacy from IPB, were selected for this study two years (1º and 4º years), with 32 students in each class. The descriptive, cross-sectional and quantitative study was carried out by application of a screening of cholesterol levels, and with a self-completion questionnaire. The data were subjected to statistical treatment through the program SPSS 16.0. This study found that the average of total cholesterol (TC) was 197.06 ± 43.542 mg/ dL. The men had lower levels of cholesterol (174.33 mg/ dL) than females (200.78 mg/ dL) indicating the sex has influence on the levels of cholesterol. Hypercholesterolemia was more prevalent at ages ≥ 20 years, with higher average for students attending the 4th year (203.53 mg/ dL) than those attending the 1st year (190.59 mg/ dL). Concerning food, only the consumption of sausages showed association with serum concentrations of TC. Aditionally, students who make meals at home have higher CT than those who make their meals elsewhere (200.49 and 183.62 mg/ dL, respectively), allowing to conclude that the lack of time for meals provides a power based on fast food, rich in cholesterol. The high levels of TC obtained in young students alert the need for control the cholesterol levels and also take action with regard to food and physical exercise

Fatores da sexualidade que influenciam a satisfação conjugal: uma scoping review

Background: sexuality is a central characteristic of the individual and essential for the couple\u27s intimate relationship, functioning as an attribute of marital satisfaction, an area of attention of family health nursing. The perception of marital satisfaction by the members of the couple seems to be influenced by satisfaction with the pattern of sexuality. Objective: to identify the sexuality factors that influence the marital satisfaction of couples without sexual dysfunctions and whose members are healthy. Methodology: Scoping review, following the mnemonic P (participants), C (concept) and C (context) recommended by the Joanna Briggs Institute. It was considering the temporal space between 2017 and 2021 and the Portuguese, English and Spanish languages. Results:  fourteen articles were analyzed and the following factors were identified: sexual self-disclosure, sexual communication, attachment, cohabitation, dating time, watching explicit content of sexual activity, sexual desire discrepancy, intrinsic and extrinsic sexual motivation, motivation to meet needs of the partner and sensitivity to sexual aversion. Conclusion: The identification of factors related to sexuality that influence marital satisfaction allowed cataloging essential domains that promote marital satisfaction. New reviews for each domain of factors will make it possible to deepen the theme, aiming to contribute to the development of family health nursing.Marco contextual: a sexualidad es una característica central del individuo y esencial para la relación íntima de la pareja, funcionando como un atributo de la satisfacción conyugal, área de atención de la enfermería en salud de la familia. La percepción de satisfacción conyugal por parte de los miembros de la pareja parece estar influenciada por la satisfacción con el patrón de sexualidad. Objetivo: identificar los factores de la sexualidad que influyen en la satisfacción conyugal de parejas sin disfunciones sexuales y cuyos miembros son sanos. Metodología: Scoping review, siguiendo los nemotécnicos P (participantes), C (concepto) y C (contexto) recomendados por el Instituto Joanna Briggs. Se consideró el espacio temporal entre 2017 y 2021 y los idiomas portugués, inglés y español. Resultados: se analizaron catorce artículos y se identificaron los siguientes factores: autorrevelación sexual, comunicación sexual, apego, convivencia, tiempo de noviazgo, ver contenido explícito de actividad sexual, discrepancia de deseo sexual, motivación sexual intrínseca y extrínseca, motivación para satisfacer necesidades de la pareja y la sensibilidad a la aversión sexual. Conclusión: La identificación de factores relacionados con la sexualidad que influyen en la satisfacción conyugal permitió catalogar dominios esenciales que promueven la satisfacción conyugal. Nuevas revisiones para cada dominio de los factores permitirán profundizar el tema, con el objetivo de contribuir al desarrollo de la enfermería en salud de la familia.Enquadramento: a sexualidade é uma característica central do indivíduo e essencial para a relação íntima do casal, funcionando como um atributo da satisfação conjugal, uma área de atenção da enfermagem de saúde familiar. A perceção da satisfação conjugal pelos membros do casal parece ser influenciada pela satisfação com o padrão de sexualidade. Objetivo: identificar os fatores da sexualidade que influenciam a satisfação conjugal dos casais sem disfunções sexuais e cujos membros sejam saudáveis. Metodologia: Scoping review, seguindo a mnemónica P (participantes), C (conceito) e C (contexto) recomendada pelo Joanna Briggs Institute. Foi considerando o espaço temporal entre 2017 e 2021 e os idiomas português, inglês e espanhol. Resultados: foram analisados catorze artigos e identificados os seguintes fatores: auto revelação sexual, apego, assistir a conteúdo explícito de atividade sexual, discrepância de desejo sexual, motivação sexual intrínseca e extrínseca, motivação para atender as necessidades do parceiro e sensibilidade à aversão sexual. Conclusão: a identificação de fatores relacionados com a sexualidade que influenciam a satisfação conjugal permitiu catalogar domínios essenciais promotores da satisfação conjugal. Novas revisões por cada domínio de fatores irão possibilitar o aprofundamento da temática, visando contribuir para o desenvolvimento da enfermagem de saúde familiar

o caso de enfermeiros portugueses que trabalham por turnos

Alguns cronobiologistas argumentam que a mais importante contribuição da cronobiologia para o estudo da atividade humana no trabalho é a noção de variabilidade das funções biológicas ao longo das 24 horas do dia. Isso faz com que os trabalhadores tendam a responder diferentemente a uma mesma situação de trabalho, conforme o momento do dia em que ela ocorra. Com referência às repercussões sobre o impacto da inversão do ciclo vigília sono tais como fragmentação de sono diurno, De Martino e Cipolla-Neto (1999) relatam que, em ocupações como a enfermagem, em que o trabalho noturno exige estar vigilante neste período, nem sempre o sono diurno é reparador. A presente pesquisa teve como objectivo analisar a variabilidade da função biológica (sono) e comportamental ao longo do dia em enfermeiros que trabalham por turnos. O estudo teve como participantes enfermeiros portugueses a trabalhar num hospital público de Lisboa, com base numa amostra intencional (72). Foram utilizados 5 questionários: para levantamento de dados sóciodemograficos; Avaliação do Ciclo Vigília-Sono (Diário de Sono); Questionário de Horne & Östberg (1976) para o cronotipo; Lista de Estados Emocionais Presentes (LEP) e Questionário Índice de Qualidade do Sono de Pittsburgh (PSQI). Os principais resultados mostraram cronotipos de vários tipos, sendo o mais frequente o tipo indiferente (64.62%). A analise da LEP indicou que a maioria dos enfermeiros tinha um estado emocional estável. A qualidade do sono foi de melhor qualidade (PSQI) para o grupo com idade abaixo de 30 anos do que no grupo acima dos 30 anos. O grupo de sujeitos com 30. Concluiu-se que as variáveis idade e rotação de turnos podem ter interferência no bem estar do enfermeiro, sendo necessários mais estudos nesta área.info:eu-repo/semantics/publishedVersio

Mental health of nursing students at the Polytechnic Institute of Santarem during the COVID-19 pandemic

13th International Congress of ASPESM . Funchal, Madeira, PortugalIntroduction: The coronavirus pandemic (COVID-19) was considered a public health emergency of international concern, which revealed a significant challenge for mental health, because of its impact, in this 21st century. The context of the coronavirus in higher education has caused disturbing consequences in the lives of students. The pandemic reduced social mobility and, consequently, social interactions in periods of confinement, leading to stressful situations, with feelings of anxiety and depression, anguish, and sleep problems. Objectives: To evaluate the levels of anxiety, depression and stress of nursing students and their relationship with sociodemographic characteristics, from the Instituto Polytechnic of Santarem, aged between 18 and 55 years. Methodology: Quantitative, correlational, descriptive cross-sectional study. Participants: 183 students, selected by convenience sampling (boys = 19.1% and girls = 80.9%), meeting some criteria: being of Portuguese nationality; being 18 years of age or older; attending the 2nd, 3rd or 4th year of the degree course; agree to participate in the study by signing the informed consent online. Measurement instrument: Anxiety, Depression and Stress Scale - DASS-21 in the Portuguese version EADS, by Pais-Ribeiro et al., (2004), composed of three subscales, consisting of seven items evaluated by a four-point Likert scale, that reflect the severity and frequency of the feelings experienced. The survey was conducted between November 19 and December 4, 2020, via Microsoft Forms, using a link on the school's page, anonymity being guaranteed. This study was approved by the Ethics Committee of the Research Unit of IPSantarem (112020Saúde), The collected data were analysed with IBM SPSS Statistics for Windows Software, Version 27.0. Results and discussion: The instrument showed strong internal consistency in the subscales, with high Cronbach's alpha coefficients: anxiety (α = 0.877); depression (α = 0.921) and stress (α = 0.920). Proceeding with the Pearson's correlation coefficient calculation, strong, positive, and significant correlations were found (p<0.001). According to the DASS-21 scoring instructions, the results showed that most participants had a normal level of depression (82.5%), anxiety (88.0%) and stress (94.0%). About 1.6% of the participants reported a moderate level of stress; 5.5% and 1.6% a moderate and severe level, respectively, of anxiety and 6% and 0.5% depression a moderate and severe level, respectively. These data are like those presented by Son et al., (2020), as 138 (71%) showed stress and anxiety due to COVID-19. Sun et al (2020) revealed that students had significant depressive feelings (56.9%). Another study by Chaudhary et al., (2021) showed that 68.8% had a high fear of COVID-19; 28.7% had moderate to severe depression and 51.5% had mild to severe anxiety. Significant differences were found between means (student's t-test) in the comparison between gender (p < 0.001), with the highest scores, in the three dimensions, in girls who present more stress (M = 7.59 + 4.728), depression (M =5.83 + 4.503) and anxiety (M =3.87 + 3.869), that is, the affective states of these students were more negative. No differences were found as a function of age, marital status, year of course and district of residence. Conclusions: The results suggest that the Institute Polytechnic develop strategies to reduce vulnerability, promote emotional stability and influence the positive mental health of students, through awareness to dissipate inappropriate perceptions; psychosocial and other support through digital platforms; development of a mental health program that promotes positive coping measures in the face of similar situations. References Chaudhary, A., Sonar, N., Jamuna, T., Banerjee, M., & Yadav, S. (2021). Impact of the COVID-19 pandemic on the mental health of college students in India: a cross-sectional web-based study. JMIR Medical Education,2(3), e28158, 1-10. https://doi.org/10.2196/28158 Pais-Ribeiro, J. L., Honrado, A., & Leal, I. (2004). Contribuição para o estudo da adaptação portuguesa das Escalas de Ansiedade, Depressão e Stress (EADS) de 21 itens de Lovibond e Lovibond. Psicologia, Saúde & Doenças, 5(2), 229-239. http://www.scielo.mec.pt/pdf/ psd/v5n2/v5n2a07.pdf Son, C., Hegde, S., Smith, A., Wang, X., Sasangohar, F. (2020). Effects of COVID-19 on college students' mental health in the United States: An interview survey study. Journal of Medical Internet Research, 22(9), e21279, 1-15. https://doi.org/10.2196/21279 Sun, Y., Lin, S., Chung, K. (2020). University Students’ Perceived Peer Support and Experienced Depressive Symptoms during the COVID-19 Pandemic: The Mediating Role of Emotional Well-Being. International Journal of Environmental Research and Public Health, 17(24), 9308, 1-13. https://doi.org/10.3390/ijerph17249308. Teixeira, S., Ferré-Grau, C., Sequeira, C., Pires, R., Carvalho, J., Ribeiro, I., Sequeira, C., Rodrigues, Sampaio, F., Costa, T., & Canut, M. (2022). Positive Mental Health in University Students and its Relations with Psychological Vulnerability, Mental Health Literacy, and Sociodemographic Characteristics: A Descriptive Correlational Study. International Journal of Environmental Research and Public Health, 19 (6), 3185 https://doi.org/10.3390/ijerph19063185info:eu-repo/semantics/draf

Um projeto de intervenção – “Diabetes no Saka”

O termo “diabetes” designa um distúrbio metabólico, crónico, que se caracteriza por níveis elevados de glucose no sangue, levando a lesões sérias no coração, vasos sanguíneos, olhos, rins e nervos. O tipo mais comum de diabetes é o tipo II, mais frequente em adultos e idosos, e ocorre quando o corpo se torna resistente à insulina ou o pâncreas não produz insulina em quantidades suficientes (WHO, 2018), sendo necessário a literacia em saúde para o empowerment destes grupos. Entre 2009 e 2019 o envelhecimento demográfico, tornou-se mais acentuado sendo que o número de idosos (pessoas com 65 ou mais anos) aumentou em 350.028 pessoas Em 2019, os valores do indicador: anos de vida saudável aos 65 anos em Portugal foi de 6,9 anos no sexo feminino e 7,9 anos no sexo masculino, valores inferiores aos registados na média da União Europeia (10,4 anos e 10,2 anos, respetivamente (PORDATA, 2021). De acordo com o Departamento de Epidemiologia do Instituto Nacional de Saúde Doutor Ricardo Jorge (2016), a prevalência da diabetes mellitus na população residente em Portugal, com idade entre os 25 e os 74 anos, em 2015, segundo os resultados do Inquérito Nacional de Saúde com Exame Físico foi de 9,8 %, valor este praticamente sobreponível ao observado em 2019 (9,9 %), sendo que as mulheres correspondem a 7,7% e os homens 12,1%. De entre os determinantes de saúde demográficos importa salientar, para Portugal, o envelhecimento, que, de acordo com as projeções demográficas efetuadas pelo Instituto Nacional de Estatística, continuará a aumentar nas próximas décadas. Apesar da redução da mortalidade por diabetes mellitus observada principalmente na última década, esta doença e suas complicações, incluindo a morte prematura, continuam a ser uma prioridade em Portugal. Projeta-se para 2030 uma taxa de mortalidade padronizada por diabetes mellitus de 25,6 óbitos por 100.000 habitantes (Direção Geral da Saúde, Os determinantes de saúde demográficos (sobretudo o envelhecimento), os biológicos, sobretudo, estado nutricional; peso; glicémia; perfil lipídico; os comportamentais (atividade física diminuída; consumo de álcool e tabaco; padrão alimentar) e os relacionados com o Sistema de Saúde e a Prestação de Cuidados de Saúde (cobertura universal de cuidados de saúde; acessibilidade a cuidados de vigilância em saúde ao longo do ciclo da vida; entre outros) acentuam o aumento da prevalência das doenças crónicas como a diabetes mellitus. Dois dos Objetivos de saúde relativos às necessidades de saúde por problemas de elevada magnitude fixados para 2 030, em Portugal são: Reduzir a taxa de mortalidade padronizada por diabetes mellitus para 25,6 por 100.000 habitantes em todas as idades e ambos os sexos e reduzir a taxa de mortalidade padronizada prematura (inferior a 75 anos) por diabetes mellitus em todas as idades e ambos os sexos para 4,7 por 100.000 habitantes. De acordo com o Departamento de Epidemiologia do Instituto Nacional de Saúde Doutor Ricardo Jorge (2016), a prevalência da diabetes mellitus na população residente em Portugal, com idade entre os 25 e os 74 anos, em 2015, segundo os resultados do Inquérito Nacional de Saúde com Exame Físico foi de 9,8 %, valor este praticamente sobreponível ao observado em 2019 (9,9 %), sendo que as mulheres correspondem a 7,7% e os homens 12,1%. O enfermeiro especialista em enfermagem de saúde comunitária e de saúde pública, tem grande responsabilidade na promoção e educação para a saúde (EpS) com os idosos e cuidadores para a obtenção de conhecimentos e aptidões para cuidar de si mesmo e dos outros. Os enfermeiros intervêm no sentido da PrS, com uma ação educativa, sistemática e integradora ao longo do processo de adaptação do cuidador/família, proporcionando conhecimento e empowerment, para incentivar respostas saudáveis às mudanças (Calado et al., 2020).info:eu-repo/semantics/draf

Avaliação dos níveis de ferritina e vitamina B12 em pacientes submetidos à cirurgia bariátrica suplementados com polivitamínico

The nutritional deficiencies of iron and vitamin B12 are the major changes that endanger the success of bariatric surgery. The objective of this study was to evaluate ferritin and vitamin B12 levels in patients with Grade III obesity of the Brazilian Unified Health System (SUS), who underwent Roux-en-Y gastrojejunal shunting (BPGYR) supplemented free of charge with the Materna® product his multivitamin was distributed to 40 patients free of charge for 24 months and 23 patients, the control group, did not receive the drug. The comparison of ferritin and vitamin B12 in patients submitted to BPGYR, with free supplementation were superior to those observed for the control group. It is concluded that the free supply of Materna® by SUS to patients submitted to BPGYR is a recommended measure for adequate control and adherence of the patient to the treatment