Qualidade de vida relacionada à saúde de adultos após cirurgia defêmur ou quadril / Quality of life related to adults health after hip or femur surgery

Objetivo: identificar mudanças ocorridas na avaliação da qualidade de vida relacionada à saúde(QVRS) de adultos entre o terceiro e sexto mês após cirurgia de fêmur ou quadril. Métodos: abordagemquantitativa, de delineamento longitudinal realizado de junho a novembro de 2013. Aplicadoquestionário de caracterização e o Short Form Health Survey (SF-36). Realizadas análises descritivas,teste de Mann-Whitney e Wilcoxon. Adotado p=0,05, como nível de significância. Resultados:participaram 24 adultos. Houve redução das médias de pontuação em cinco dos oito domínios do SF-36, representando piora da QVRS no sexto mês. O domínio Aspecto físico foi o mais afetado. As médiasdo domínio Dor foram maiores e estatisticamente significantes para as mulheres (p=0,04), houvemelhora nas médias de Estado geral de saúde (p=0,01) e Aspecto emocional (p=0,05) no sexto mês.Conclusão: há piora da QVRS nos adultos submetidos a cirurgia de fêmur ou quadril nos seis primeirosmeses após cirurgia.

Objective: identifying changes occurred during the evaluation of health-related quality of life(HRQOL) of adults between the third and the sixth month after surgery. Methods: quantitativeapproach, longitudinal design, conducted from June to November 2013. A characterizationquestionnaire and the Short Form Health Survey (SF-36) were applied. Descriptive analyses, MannWhitneyand Wilcoxon test were carried out. Significance level p=0.05. Results: 24 adults participated. There was a reduction of average scores in five of the eight domains of the SF-36,representing worsening of HRQOL in the sixth month. The domain Physical aspect was the mostaffected. The averages of Pain domain were higher and statistically significant for women (p=0.04),there was improvement in the general health status (p=0.01) and Emotional aspect (p=0,05) in thesixth month. Conclusion: there is worsening of HRQOL between adults undergoing surgery of hip orfemur during the first six months after discharge the day of surgery.

A percepção de mulheres sobre o exame preventivo de câncer uterino e os seus resultados / The perception of women about the preventive examination of uterine cancer and its results

Objetivo: analisar a compreensão das mulheres ao receberem o resultado do exame orientado pela enfermeira. Métodos: pesquisa de abordagem qualitativa, Convergente Assistencial. Foi desenvolvida com 14 mulheres, usuárias da Estratégia Saúde da Família, de um município de Santa Catarina, Brasil, em outubro de 2011. Utilizou-se entrevista semiestruturada e a análise de conteúdo Resultados: as mulheres que não realizavam o exame preventivo com periodicidade tinham menos compreensão dos resultados que daquelas que realizavam o exame anualmente. A atuação do enfermeiro nas ações educativas é de extrema importância, orientando sobre prevenção, esclarecendo dúvidas e divulgando informações adequadas. Considerações finais: as mulheres que adquirem confiança no profissional enfermeiro entendem que esse é qualificado para realizar a coleta e a entrega do resultado do exame.

Objective: to analyze the understanding of women to receive the test results driven by the nurse.Methods: quantitative and Convergent Care Research, developed with 14 women, users of the FamilyHealth Strategy, in a city of Santa Catarina in October 2011. A semistructured interview and contentanalysis were used. Results: the women who did not perform the screening test at intervals had lessunderstanding of the results of those who underwent the test annually. The acting of the nurse ineducational activities is extremely important, advising on prevention, answering questions anddisseminating appropriate information. Final Considerations: women who gain confidence in thenurse understands that it is qualified to carry out the collection from start to delivery of results.

The life impact of burns: the perspective from burn persons in Brazil during their rehabilitation phase.

PURPOSE: By using a combination of qualitative and quantitative methods, the focus of this study was to describe the changes associated with burns on the lives of Brazilian burn victims during the rehabilitation phase, and to investigate possible associations between the changes in work reported by the participants and the percentage of total body surface area burnt, and the body areas affected by the injury. METHOD: Participants were 18 years of age or older, who had been discharged from hospitalisation between 6 months and 1 year before the interview, or who underwent reconstructive surgery during the previous year, or who were under outpatient follow-up awaiting reconstructive surgery. Data were collected by means of semi-structured interviews. RESULTS: Thirty-eight of the 44 participants (86.4%) reported some type of changes associated with the burn injury, the treatment, or both, regarding the following aspects: work, leisure, relationships, religious ties, educational activities and habits (smoking, using alcohol and drugs and dressing style). The data showed a statistically significant association between burns on at least one of the upper limbs (with or without hands) and changes in work. CONCLUSIONS: Some of the aspects mentioned by the participants, such as work and leisure activities, need to be further researched in order to improve our understanding of the impact that these changes causes in the person's life.