Conhecimento dos adolescentes sobre métodos contraceptivos: pesquisa-ação em uma unidade do programa saúde da família de Natal

It is a descriptive study with a qualitative approach, and an action-research type, which aimed to analyze the changes of knowledge about contraceptive methods invested to a teenager group attended in Igapó Family Healthcare Unit, in the city of Natal/RN, after consent and institutional assent of Ethics Committee of Rio Grande do Norte Federal University (Protocol No. 131/07). It were researched 16 teenagers of both sexes, with age ranging from 11 to 16 years. We used two structured questionnaires, one in the initial diagnosis and another during the seven meetings of the focus group, in addition to the field notes and the meetings discussions transcriptions. The data-collection was performed in the period of two months by a team composed by a nurse the research coordinator, a dentist, a nursing assistant, a community-based healthcare worker and a nursing academic. The quantitative and qualitative data were organized, tagged and categorized into spreadsheet in Microsoft Excel, being held a thematic analysis of speeches performed by the study participants. The results were presented as tables, graphics, photos, drawings and word clippings. The educational strategy developed in focus group allowed adolescents to discuss, exchange ideas and opinions on several contraceptive methods, providing expansion in knowledge of all contraceptives discussed, especially those natural and surgical, which were less mentioned at the beginning of the study. Among the advantages of the contraceptive methods listed by teenagers, was highlighted avoiding pregnancy and STDs in use of the barrier method of condom. As for the disadvantages more frequently noted by the survey with the misuse of barrier methods, was highlighted get pregnant, acquire STD's and do not prevent STD's in hormonal, natural and surgical methods. Adolescents showed consistency between the advantages and disadvantages and types of contraceptive methods, showing a widening in knowledge among them. It may be said that, in general, those surveyed had a good understanding about the use of the various contraceptive methods. Thus, the study participants had positively evaluated all the criteria used to qualify the meetings in the focus group. The action strategy of the focus group should be encouraged by professionals who work with teenagers, since they prefer to live in groups, one characteristic of adolescence.Estudo descritivo com abordagem qualitativa, do tipo pesquisa ação, que objetivou analisar a mudança do conhecimento sobre métodos contraceptivos investidos a um grupo de adolescentes atendidos na Unidade Saúde da Família de Igapó no município de Natal/RN, após consentimento institucional e parecer favorável do Comitê de Ética da Universidade Federal do Rio Grande do Norte (Protocolo nº 131/07). Foram pesquisados 16 adolescentes de ambos os sexos com faixa etária variando de 11 a 16 anos. Foram utilizados dois questionários estruturados, sendo um no diagnóstico inicial e outro durante as sete reuniões do grupo focal, além das anotações de campo e transcrições das discussões das reuniões. A coleta de dados foi realizada no período de dois meses por uma equipe composta por uma enfermeira, coordenadora da pesquisa, uma odontóloga, uma auxiliar de enfermagem, uma agente comunitário de saúde e uma acadêmica de enfermagem. Os dados quanti-qualitativos foram organizados, codificados e categorizados em planilha no Excel, sendo realizada análise tipo temática das falas dos participantes do estudo. Os resultados foram apresentados na forma de quadros, gráfico, fotos, desenhos e recortes das falas. A estratégia educativa desenvolvida em grupo focal permitiu aos adolescentes, discutir, trocar idéias e opiniões sobre os diferentes métodos contraceptivos proporcionando ampliação no conhecimento de todos contraceptivos discutidos, principalmente, nos naturais e cirúrgicos, que foram menos referidos no início do estudo. Dentre as vantagens dos métodos contraceptivos elencadas pelos adolescentes destacaram-se evitar DSTs e gravidez no uso do método de barreira camisinha. Já as desvantagens mais freqüentes apontadas pelos pesquisados com o uso incorreto dos métodos de barreira, destacaram-se engravidar e adquirir DST s, não prevenir DST s nos hormonais, naturais e cirúrgicos. Os adolescentes apresentaram coerência entre as vantagens e desvantagens e os tipos de métodos contraceptivos, demonstrando uma ampliação no conhecimento entre os pesquisados. Pode-se afirmar que de um modo geral os pesquisados apresentaram um bom entendimento sobre o uso dos diferentes métodos contraceptivos. No geral os participantes do estudo avaliaram positivamente em todos os critérios utilizados para qualificar as reuniões no grupo focal. A estratégia de ação do grupo focal deve ser incentivada pelos profissionais que atuam junto aos adolescentes, uma vez que estes preferem conviver em grupos, sendo uma característica da adolescência

Associação dos aspectos sociodemográficos, clínicos e assistenciais na qualidade de vida das pessoas com úlcera venosa na atenção primária

Objective: To analyze the association of sociodemographic, clinical and care aspects of quality of life of people with venous ulcers (VU) in primary care. Method: Analytical and cross-sectional study conducted in primary health care with 101 people with VU. Data were collected by structured form of sociodemographic and bio-physiological measures and the Medical Outcomes Short-Form Health Survey (SF-36). Applied the chi-square test, Friedman, Mann-Whitney U test and Binary Logistic Regression. That was approved by the Research Ethics Committee (RECs No 07556312.0.0000.5537). Results: The study population consisted mostly of women, older, married or in a stable relationship, with low income and education level. Among the elderly, predominated females (p = 0.011), with a partner (p = 0.025), education to primary education (p = 0.016), unemployed (p <0.001), non-alcoholic (p = 0.029), diabetes mellitus ( p = 0.002) and hypertension (p = 0.001). About the health and welfare aspects, there was a tendency of worse outcomes among the elderly, with a prevalence of individuals with inadequate care. The variables age, sleepiness, intensity and presence of pain, injury time, guidance for exercise, guidelines for compression therapy, treatment time and reference and counter-reference contributed to the worse quality of life. Moreover, the variables sleepiness, intensity and presence pain, and guidance for exercise, all together, explain the worst quality of life. Conclusion: The surveyed were mostly elderly, unemployed, with a partner, low income, comorbidity, the injury time was more than one year, recurrence and with presence of pain. It was evident the need for comprehensive care to people with venous ulcers, especially the elderly. The sociodemographic, clinical and care aspects, isolated and together, were associated with the worse quality of life, in particular, sleepiness, pain, guidance for exercise, and reference and counter-reference in the elderly, should be reconsidered in the comprehensive and multidisciplinary care.Objetivo: Analisar a associação dos aspectos sociodemográficos, clínicos e assistenciais na qualidade de vida das pessoas com úlcera venosa (UV) na atenção primária. Método: Estudo analítico e transversal conduzido na atenção primária à saúde com 101 pessoas com UV. Os dados foram coletados por formulário estruturado de medidas sociodemográficas e biofisiológicas e o Medical Outcomes Short-Form Health Survey (SF-36). Aplicados os testes Qui-quadrado, Friedman, U de Mann-Whitney e Regressão Logística Binária. Obteve aprovação por Comitê de Ética em Pesquisa (CAAE nº 07556312.0.0000.5537). Resultados: A população estudada era composta em sua maioria por mulheres, idosos, casados ou com união estável, com baixa renda e nível de escolaridade. Entre os idosos, predominaram pessoas do sexo feminino (p=0,011), com companheiro(a) (p=0,025), escolaridade até ensino fundamental (p=0,016), sem profissão (p<0,001), não etilistas (p=0,029), com diabetes mellitus (p=0,002) e hipertensão arterial sistêmica (p=0,001). Quanto aos aspectos de saúde e assistenciais, houve tendência de piores resultados entre os idosos, com predomínio de indivíduos com assistência inadequada. As variáveis faixa etária, sono, intensidade e presença da dor, tempo de lesão, orientação de exercícios regulares, orientações para terapia compressiva, tempo de tratamento e referência e contrareferência colaboraram para pior QV, juntas, as variáveis sono, presença e intensidade da dor e orientação para exercícios físicos explicam pior qualidade de vida. Conclusão: os pesquisados em sua maioria eram idosas, sem ocupação, com companheiro, baixa renda, comorbidades, tempo de lesão superior a um ano, recidivas e dor presente. Evidenciou-se necessidade de cuidado integral às pessoas com úlcera venosa, em especial aos idosos. Os aspectos sociodemográficos, clínicos e assistenciais, isolados e em conjunto, estiveram associados a pior qualidade de vida, em especial, sono, dor, orientação de exercícios e referência e contrarreferência nos idosos, que devem ser reconsiderados na assistência integral e multidisciplinar

Sociodemographic, clinic and health characterization of people with venous ulcers attended at the family health strategy

Objective: characterizing the sociodemographic, health and assistential aspects of people with venous ulcers treated at the Family Health Strategy (FHS) in Maceió-Alagoas and analyzing the quality of care provided. Method: a cross-sectional study with a quantitative approach conducted in 36 FHS units with 59 people with venous ulcers through a structured form. Results: people with venous ulcers treated > 1 year (69,5%), female (71,2%) and ≥ 60 years old (67,8%). Most were nonsmoker and nonalcoholic and 100,0% had two or more risk factors and pathological personal antecedents each. Had time of injury > 6 months (64,4%), pain in the ulcer / member (86,4%) and rocker ≤ 30% granulation/epithelialization (78,0%). The quality of care was poor in 57,6% and the aspects that mostly affected were the inadequacy of: professional that was accompanying/performing curative, products in the past 30 days and access to consultation with angiologist. Conclusions: the people with venous ulcers had low socioeconomic status, chronic diseases and unfavorable lesion characteristics contributing to chronicity of the lesions

Health Demands Characteristics and Quality of Life in the Elderly Monitored in the Primary Care

Background: To characterize the demands of health and quality of elderly peoplemonitored in the primary care of Rio Grande do Norte/Brazil. Methods and Findings:&nbsp;This is a descriptive, cross-sectional study of a quantitative approach with elderly patients monitored by the primary care. The sample was given for convenience, obtaining 120 participants. The research was conducted through an interview with theapplication of the following questionnaires: Mini Mental State Examination, Socio-demographic Data and Pain Characteristics, Short-Form-36, Mini Nutritional Assessment, the primary activities of daily living, the instrumental activities of daily living, Prism 7 and the Geriatric Depression Scale. Data analysis was performed using the SPSS statistical program, in which descriptive and association tests were used.The main demands were related to functionality, followed by nutritional and geriatric depression. The quality of life presented worse results in the domain of general health status and better scores in the emotional and mental health aspects. Regarding the dimensions, the physical health obtained aworse score. Conclusion:&nbsp;Based on the characterization of the health demands found, it is suggested to perform other studies with the same population, enabling to plan and implementing a multidimensional intervention and improving the quality of life of the elderly people. Keywords:&nbsp;Elderly; Quality of Life; Aging; Elderly Health; Nursing

Quality of life assessment of patients with and without venous ulcer

OBJECTIVES: to compare the quality of life of patients with chronic venous disease with and without ulcer and to identify the most affected aspects.METHOD: cross-sectional study with a sample of 204 patients with chronic venous disease. The quality of life was assessed with the help of the SF-36 questionnaire. To compare the scores between the groups, the Mann-Whitney test was used, considering a statistically significant difference when p<0.05.RESULTS: the quality of life score of patients with ulcer was lower when compared to that of patients without ulcer, in all domains and dimensions of the SF-36, particularly in the domains physical aspect and functional capacity, with very low scores.CONCLUSION: all aspects of quality of life were more compromised in people with ulcers. These findings can contribute towards a better understanding of the effects of chronic venous disease on the quality of life and towards a better orientation of therapeutic interventions in this population

Distribution of sociodemographic and health characteristics of people treated in primary care in Brazil/Portugal.

<p>Distribution of sociodemographic and health characteristics of people treated in primary care in Brazil/Portugal.</p

Differences in the domains and dimensions of the SF-36 between people in Brazil and Portugal.

<p>Differences in the domains and dimensions of the SF-36 between people in Brazil and Portugal.</p