ABSTRACT
OBJECTIVE: Several studies point to antibacterial properties and beneficial effects of honey on scar tissue formation, which is a low-cost and easy-to-use option. This study aimed to compare honey versus a placebo for cicatrization and pain control of obstetric wounds, and determine if one is superior to the other, in terms of efficacy, through a meta-analysis. METHODS: We searched PubMed, Scopus, Cochrane Central Register of Controlled Trials, and Web of Science. Two independent investigators identified randomized controlled trials (RCTs) comparing honey and a placebo for obstetric wounds. The primary outcomes were wound healing and pain control. RESULTS: Five randomized controlled trials and 353 patients were included, of whom, 177 (50.1%) were treated with honey. Differences were not found in the final wound healing between the honey and placebo groups (MD -0.34; 95% CI -1.13, 0.44; p = 0.39); however, there was a decrease in pain levels in the middle of the treatment (SMD -0.54; 95% CI 0.83 to 0.25, p = 0.03), reduction in the use of pain medication (ORR 0.26; 95% CI 0.08, 0.86; p = 0.03), increase in personal satisfaction in women who underwent the intervention (ORR 0.81; 95% CI 0.65, 0.98), and reduction in complications. CONCLUSION: According to the study results, honey treatments showed greater efficiency and provided benefits to the patients by accelerating wound healing and decreasing reported pain.
Subject(s)
Cicatrix , Honey , Female , Pregnancy , Humans , Randomized Controlled Trials as Topic , Pain Management , Pain/etiologyABSTRACT
ABSTRACT This study aimed to evaluate the social and professional profile and knowledge of Primary Care professionals on maternal and child health. Cross-sectional descriptive study, from May to July 2018. It included 30 nurses and 73 Community Health Workers (CHW) from the municipality of Bragança, Pará. The form had three phases: participants' profile; close-ended questions on their profile, knowledge and resourcefulness on the First Week of Integral Care guideline; and four open-ended questions. Quantitative data was analyzed through Microsoft Office ExcelTM 2016, as qualitative data was arranged through word clouds and similarity trees in IRaMuTeQTM. The majority of nurses and CHW were female (70.9%) and worked in urban areas (60.2%), as 40% of nurses were graduated recently, with an 80% specialization courses, and 83.6% CHW had completed high school. On both categories, 82.5% did not know the First Week of Integral Health guideline, although the word clouds and similarity trees had shown that several national standardized orientations were provided. First Week of Integral Care guidelines' insufficient knowledge by nurses and CHW in the municipality points to fragility in Primary Care on maternal and child health. Although basic orientations are provided, improvement is necessary.
RESUMO Este estudo buscou avaliar o perfil socioprofissional e o conhecimento de profissionais da atenção primária sobre saúde materno-infantil. É um estudo transversal descritivo, realizado de maio a julho de 2018. Incluiu 30 enfermeiros e 73 Agentes Comunitários de Saúde (ACS) do município de Bragança, Pará. O formulário possuiu três fases: perfil dos participantes; perguntas fechadas sobre perfil, conhecimento e habilidade sobre a diretriz Primeira Semana de Saúde Integral; e quatro perguntas abertas. Os dados quantitativos foram analisados por meio do Microsoft Office ExcelTM 2016, enquanto os dados qualitativos foram organizados por meio de nuvens de palavras e árvores de similaridades no IRaMuTeQTM. A maioria dos enfermeiros e ACS eram mulheres (70.9%) e trabalhavam em áreas urbanas, enquanto 40% dos enfermeiros formaram-se recentemente, sendo 80% por cursos de especialização; 83% dos ACS possuíam ensino médio completo. Em ambas as categorias, 82.5% não conheciam a diretriz da Primeira Semana de Saúde Integral, embora as nuvens de palavras e as árvores de similaridade tenham mostrado que várias orientações padronizadas nacionalmente eram fornecidas. O conhecimento insuficiente da diretriz Primeira Semana de Saúde Integral por parte dos ACS e enfermeiros do município indica a fragilidade da atenção básica na saúde materno-infantil. Ainda que sejam fornecidas orientações básicas, há necessidade de melhora na qualidade do serviço.