Strategies of care for adolescent users of crack undergoing treatment.

OBJECTIVES: To analyze the care strategies of the adolescent crack user under treatment. METHODS: Study of qualitative approach of descriptive type. The participants were 20 professionals from the Centro de Atenção Psicossocial Álcool e Drogas (Center for Psychosocial Care Alcohol and Drugs) and 10 professionals from the Centro de Atenção Psicossocial Infanto-juvenil (Center for Child Psychosocial Care) in a municipality in the interior of Rio Grande do Sul (Brazil). Data collection occurred through semi-structured interviews and the data were submitted to Thematic Analysis. RESULTS: It was identified the development of strategies in four scopes: attractive activities in specialized services, the building of bonds between the team and the adolescent, the inclusion of family in the care and the intersectoral work. CONCLUSIONS: Care strategies, directed to and that address the needs of adolescents, contribute to better adherence to treatment and social reintegration.

Strategies of care for adolescent users of crack undergoing treatment

Objective. To analyze the care strategies of the adolescent crack user under treatment. Methods. Study of qualitative approach of descriptive type. The participants were 20 professionals from the Centro de Atenção Psicossocial Álcool e Drogas (Center for Psychosocial Care Alcohol and Drugs) and 10 professionals from the Centro de Atenção Psicossocial Infanto-juvenil (Center for Child Psychosocial Care) in a municipality in the interior of Rio Grande do Sul (Brazil). Data collection occurred through semi-structured interviews and the data were submitted to Thematic Analysis. Results. It was identified the development of strategies in four scopes: attractive activities in specialized services, the building of bonds between the team and the adolescent, the inclusion of family in the care and the intersectoral work. Conclusion. Care strategies, directed to and that address the needs of adolescents, contribute to better adherence to treatment and social reintegration.

Objetivo. Analizar las estrategias de cuidado del adolescente usuario de crack en tratamiento. Métodos. Estudio con abordaje cualitativo de tipo descriptivo. Los participantes fueron 20 profesionales de un Centro de Atención Psicosocial Alcohol y Drogas y 10 profesionales de un Centro de Atención Psicosocial Infanto-Juvenil de un municipio del interior de Rio Grande do Sul (Brasil). La recolección de la información se realizó mediante entrevistas semiestructuradas y los datos se sometieron a análisis temático. Resultados. Se identificó el desarrollo de estrategias en cuatro ámbitos: actividades atractivas en los servicios especializados, la construcción de vínculos entre el equipo de salud y el adolescente, la inclusión de la familia en el cuidado, y el trabajo intersectorial. Conclusión. Las estrategias de cuidado, direccionadas a cubrir las necesidades de los adolescentes, contribuyeron a una mejor adhesión al tratamiento y a la reinserción social.

Objetivo. Analisar as estratégias de cuidado do adolescente usuário de crack em tratamento. Métodos. Estudo com abordagem qualitativo de tipo descritivo. Os participantes foram 20 profissionais de um Centro de Atenção Psicossocial Álcool e Drogas e 10 profissionais de um Centro de Atenção Psicossocial Infanto-Juvenil de um município do interior do Rio Grande do Sul (Brasil). A recolecção da informação se realizou por meio de entrevistas semiestruturadas e os dados se submeteram a análise temática. Resultados. Se identificou o desenvolvimento de estratégias em quatro aspectos: atividades atrativas nos serviços especializados, a construção de vínculos entre a equipe de saúde e o adolescente, a inclusão da família no cuidado, e o trabalho inter-setorial. Conclusão. As estratégias de cuidado, direcionadas a cobrir as necessidades dos adolescentes, contribuíram a uma melhor adesão ao tratamento e à reinserção social.

Use of crack in pregnancy: repercussions for the newborn.

OBJECTIVES: To know the effects for the newborn of the use of crack in pregnancy. METHODS: This is a qualitative study conducted in a university hospital in southern Brazil, in the first half of 2014. Fifteen mothers crack users and five grandparents participated. The data were produced through semi-structured interviews and later submitted to content analysis. RESULTS: It was found that the use of crack in pregnancy leads to repercussions related to the health of the newborn and repercussions related to family restructuring. In relation to the newborn, prematurity, congenital malformation, hospitalization in an intensive care unit, use of care and feeding technologies through artificial milk formulas were mentioned. In the family context, it was evidenced the occurrence of abandonment of the child by the mother, causing the adoption of the newborn by relatives of the family nucleus or their institutionalization due to lack of family structure. CONCLUSIONS: It was found that the use of crack in pregnancy leads to repercussions related to the health of the newborn and repercussions related to family restructuring. In this sense, the recruitment of pregnant users of crack by health/nursing professionals and referral for high-risk prenatal care, as well as early identification of the peculiarities of the newborns of these women, and the development of actions that minimize the repercussions of crack are imperative.

Autocuidado: uma estratégia para a qualidade de vida da pessoa com estomia / Self-care: A Strategy for the Quality of Life of People with Stomata / Autocuidado: una estrategia para la calidad de vida de la persona con estomas

A cirurgia de construção de uma estomia pode modificar o viver de seu portador, podendo reduzir a qualidade de vida deste. Método: a presente pesquisa, descritiva com abordagem qualitativa. Objetivo: conhecer como o autocuidado con - lidade de vida da pessoa com estomia. Participaram doze pessoas com estomia ca - dastradas no Serviço de Estomaterapia de um Hospital Universitário no extremo sul do Brasil. Os dados foram colhidos por meio de entrevistas, realizadas entre os meses de julho de 2011 a julho de 2012, analisadas pela técnica de Análise Temática. Resultados: a análise dos dados gerou três categorias: Enfermagem promovendo o autocuidado; Mobilizando forças para o autocuidado; e Qualidade de vida a partir do autocuidado. Conclusão: os dados mostraram que o autocuidado apresenta-se como propulsor da qualidade de vida de pessoas com estomias, possibilitando que sejam autônomos, ativos e participativos na sociedade.

A surgery to create a stoma changes the life of the patient and may reduce his quality of life. Thus the purpose of this descriptive research with a qualitative focus was to know how self-care contributes to promote the quality of life in patients with stomata. Twelve patients with stomata, registered in the Stoma Therapy Service of a university hospital in South Brazil, took part of the study. Data was collected through individual interviews carried out between July 2011 and July 2012, analyzed by means of the thematic analysis technique. The data analysis generated three categories: nursing promoting self-care, moving forces for self-control, and quality of life from self-control. Data shows that self-care is the driving force behind quality of life in patients with stomata, which allows them to be autonomous, active, and participative in society

La cirugía de construcción de un estoma cambia el vivir de su portador y puede reducir la calidad de su vida. Método: investigación descriptiva con enfoque cualitativo. Objetivo: conocer cómo el autocuidado contribuye a la promoción dela calidad de vida en pacientes con estomas. Participaron doce pacientes con estoma registrados en el Servicio de Estomaterapia de un hospital universitario en el sur de Brasil. Los datos fueron recolectados a través de entrevistas individuales llevadas a cabo entre julio de 2011 y julio de 2012, analizados mediante la técnica de análisis temático. Resultados: análisis de los datos generó tres categorías: enfermería que promueve el autocuidado, movilización de fuerzas para el autocontrol y calidad de vida a partir del autocontrol. Conclusion: los datos muestran que el autocuidado se presenta como motor de la calidad de vida en pacientes con estomas, lo que les permite ser autónomos, activos y participativos en la sociedad.