Hipertensão arterial e a estratégia em saúde da família: o manejo das principais dificuldades apontadas por pacientes hipertensos para o controle da pressão arterial no interior do Maranhão

TCC(especialização) - Universidade Federal de Santa Catarina. Centro de Ciências da Saúde. Programa de Pós-graduação em Enfermagem. Linhas de Cuidado em Doenças Crônicas Não TransmissíveisO estudo descritivo em questão é um plano de ação como foco na educação em saúde.Busca identificar os pacientes hipertensos e conhecer suas principais dificuldades para aderir ao tratamento proposto pela equipe de saúde na tentativa da adequação terapêutica com a necessidade dos sujeitos. O perfil dos entrevistados será caracterizado a partir de variáveis sobre seus conhecimentos, questionamentos e suas dificuldades para o controle da Hipertensão Arterial Sistêmica. Os dados serão coletados durante as consultas de enfermagem e visitas domiciliares por meio de entrevistas semi estruturadas e individuais com 41 pacientes hipertensos cadastrados e acompanhados na Unidade Básica de Saúde da Família do Barro Branco em um município maranhense. Após interpretação destes dados será elaborado junto a Equipe de Saúde da Família um plano de cuidados na garantia de que a abordagem multiprofissional junto à participação e conscientização do hipertenso proporcionará a redução das complicações pela Hipertensão e a conquista da qualidade de vida dos pacientes

Self-efficacy and social support of mothers of preterms in neonatal unit

Abstract Objectives: to analyze a correlation between self-efficacy and social support of mothers of preterms in early postpartum. Methods: cross-sectional study, carried out with 120 mothers of preterm infants from a Maternity School, from June to September 2018. Sociodemographic, reproductive and scales were used to assess the Maternal Self-Efficacy and Social Support. A descriptive analysis was carried out and the MannWhitney Test, Kruskal Wallis Test and Spearman correlation were applied. Results: there was a positive correlation between self-efficacy, parity (p=0.017), years of schooling (p=0.017) and Social Support (p=0.002). An unexpected finding was a high self-efficacy among mothers up to eight years of schooling, in the countryside of the State and with low income. Conclusion: social support, in all dimensions: material, affective, emotional, information and social interaction, proven to be a predictor of maternal self-efficacy

Primary Health Care Follow-Up Visits: Investigation Of Care Continuity Of Preterm Newborns From A Kangaroo-Mother Care Unit

INTRODUCTION: The kangaroo-mother care method is an approach adopted in Brazil as a public police, which has helped in the reduction of neonatal mortality rate. Premature birth and its vulnerabilities can trigger, especially in mothers, feelings of fear and insecurity related to taking care of newborns. OBJECTIVE: Investigate care continuity of preterm newborns from a kangaroo-mother care method unit in primary health care facilities. METHODS: It was a transversal study performed with 43 mothers of preterm newborns who were hospitalized in the rooming-in care unit of a kangaroo-mother care method unit of a Brazilian public maternity school. Data collection was carried out through a questionnaire, which was used to interview mothers between September 2015 and February 2016. RESULTS: It was found a relationship between sociodemographic status and risk of premature birth, and the following variables: age, education, marital status, and family income. Regarding findings from the follow-up home visits in primary health care, most of the participants were still breastfeeding and using the kangaroo position. However, 60.5% of the interviewed mothers reported not receiving home visits from health professionals of primary health care facilities. CONCLUSION: It is essential the support of health professionals and the participation of mothers and families to improve, through health education, quality of life promotion for newborns from kangaroo care approach