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2.
Univ. salud ; 21(2): 132-140, mayo-ago. 2019. tab, graf
Artigo em Espanhol | LILACS, COLNAL | ID: biblio-1004851

RESUMO

Resumen Introducción: Alfabetización en Salud (AS) es un término que proviene del inglés health literacy, se refiere al conjunto de habilidades sociales y cognitivas que determinan la capacidad de una persona para acceder, entender y utilizar la información de forma que le permita mantener un buen estado de salud. Objetivo: Determinar la asociación entre AS y las conductas de autocuidado en personas con diabetes mellitus tipo 2. Materiales y métodos: Estudio cuantitativo, transversal y analítico llevado a cabo en dos centros de salud de atención primaria de la ciudad de Xalapa, Veracruz, México entre agosto-noviembre de 2016. La AS se midió con el European Health Literacy Survey (HLS-EU-Q47) y las conductas de autocuidado con el Summary of Diabetes Self-care Activities (SDSCA) de Toobert y Glasgow. Se eligieron 90 personas con diabetes mellitus tipo 2 que acudían a consulta. La participación fue voluntaria y previa firma de consentimiento informado. Resultados: El autocuidado de la dieta mostró asociación con la AS en su dimensión de promoción de la salud (p=0,018). Conclusiones: La AS se relaciona con las conductas de autocuidado, en específico de la dieta; a medida que aumenta la AS mejora el autocuidado.


Abstract Introduction: Health literacy refers to the set of social and cognitive skills that define the person's ability to access, understand and utilize information in such a way that a healthy condition can be maintained. Objective: To determine the association between AS and self-care behaviors in patients with type 2 diabetes mellitus. Materials and methods: A quantitative, cross-sectional and analytical study carried out in two primary health care centers in the city of Xalapa, Veracruz-Mexico, from August to November 2016. The AS was measured through the European Health Literacy Survey (HLS-EU-Q47) and the self-care behaviors were assessed using the Summary of Diabetes Self-care Activities (SDSCA) by Toobert and Glasgow. We chose 90 people with type 2 diabetes mellitus who attended consultation at the health care centers. Although their participation was voluntary, participants were required to sign the informed consent form. Results: Diet self-care was associated with AS, in a health promotion context (p=0.018). Conclusions: AS is directly related to self-care behaviors, specifically to diet.


Assuntos
Humanos , Diabetes Mellitus Tipo 2 , Autocuidado , Educação em Saúde , Alfabetização em Saúde
3.
Arq Bras Cir Dig ; 32(2): e1437, 2019 Aug 26.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31460597

RESUMO

BACKGROUND: The bariatric surgery may have negative repercussions on oral conditions. AIM: To evaluate the impact of oral health educational/preventive program developed with patients submitted to gastroplasties. METHOD: The sample consisted of 109 patients randomly allocated to two groups: intervention group (IG), where they participated in the oral health promotion program that include multiple educational-preventive approaches; control group (CG), where they received usual care from the bariatric clinic staff, without participation in the program. The oral conditions investigated in the pre-operative and postoperative periods of one month (1M) and six months (6M) were: dental caries, periodontal disease, tooth wear, dental plaque and salivary flow. RESULTS: After bariatric surgery, patients in IG presented: fewer changes in enamel (6M: p=0.004), dentin (6M: p=0.005) and gingival bleeding (6M: p<0.0001), reduction in plaque index (1M, 6M: p<0.0001) and increased salivary flow (6M: p=0.039), when compared with CG. Incipient tooth wear was recorded in both groups (6M: p=0.713). CONCLUSION: There was a positive impact of the implemented program in the prevention of the main oral health problems in patients who underwent gastroplasties, contributing to their quality of life.


Assuntos
Cárie Dentária/prevenção & controle , Placa Dentária/prevenção & controle , Educação em Saúde/métodos , Obesidade Mórbida/cirurgia , Saúde Bucal/educação , Higiene Bucal/educação , Adolescente , Adulto , Feminino , Gastroplastia , Humanos , Masculino , Pessoa de Meia-Idade , Índice Periodontal , Fatores Socioeconômicos , Adulto Jovem
4.
Stud Health Technol Inform ; 264: 1534-1535, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438218

RESUMO

As translated education resource plays an important role in healthcare providers' training and medical knowledge dissemination, we proposed a method to manage cross-lingual education resources with the goal of facilitating the medical education and physician training. We created an English-Chinese cancer knowledge base including bilingual description on cancer diagnosis, prevention, screening, treatments, etc. We developed a workflow to create the bilingual corpus, and applied it to six cancer monographs in PDQ (Physician Data Query).


Assuntos
Educação em Enfermagem , Neoplasias , Grupo com Ancestrais do Continente Asiático , Educação em Saúde , Recursos em Saúde , Humanos
5.
S D Med ; 72(6): 267-271, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31461232

RESUMO

INTRODUCTION: Due to an increase in the incidence of skin cancer and a shortage of primary care and specialty physicians in rural areas, creative public health strategies must be employed to address disparities in skin cancer education, prevention, and detection. METHODS: Hair salons in eastern South Dakota communities with populations less than 15,000 were visited in-person by medical student facilitators. Hair professionals at these locations completed pre-survey assessments for baseline self-assessed comfort with detecting suspicious skin lesions and with educating patrons on skin cancer prevention strategies. Their likelihood to both alert patrons of suspicious skin lesions and encourage them to have their lesion evaluated by a physician was also assessed. A 20-minute educational PowerPoint presentation was given. Final assessment was evaluated with a post-presentation survey. RESULTS: Self-assessed hair professional comfort with identifying suspicious skin lesions was higher in post-survey results, in addition, the educational presentation increased comfort with sharing skin cancer prevention information with patrons. Hair professionals also reported increased likelihood that they would alert patrons to suspect skin lesions. Also, hair professionals reported increased likelihood that they would encourage patrons to seek medical care for their concerning lesions. CONCLUSIONS: Hair professionals may act as lay skin cancer educators in rural salons. Educational programs for hair professionals can increase their comfort with detecting lesions suspicious for skin cancer, increase their comfort with sharing skin protection information with patrons, and increase their likelihood of both alerting their patrons about suspicious skin lesions and encouraging their patrons to have their suspicious lesions evaluated.


Assuntos
Educação em Saúde/organização & administração , Serviços de Saúde Rural/organização & administração , Neoplasias Cutâneas , Educação em Saúde/métodos , Humanos , Pele , Neoplasias Cutâneas/prevenção & controle , South Dakota , Inquéritos e Questionários
6.
Rev. pesqui. cuid. fundam. (Online) ; 11(4): 968-975, jul.-set. 2019. il
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1005817

RESUMO

Objetivo: Descrever o desenvolvimento de estratégias educativas utilizadas em um grupo educativo para gestantes. Métodos: Estudo descritivo, desenvolvido em Acarape/CE, no qual foram realizados oito encontros semanais no período de janeiro a março de 2015. Em cada encontro, foram realizadas dinâmicas de apresentação, exposição do tema proposto em forma de diálogo e atividades para fixação do conhecimento. Resultados: As mulheres foram muito receptivas demonstrando interesse e satisfação com as atividades. Algumas informações já eram de conhecimento das participantes e outras precisaram ser mais detalhadas, no intuito de fornecer subsídios para que elas pudessem se auto cuidar e cuidar de seus filhos com mais propriedade. Conclusão: A atividade oportunizou a reunião de primíparas e multíparas, sendo esta vivência recomendada e considerada muito apropriada ao compartilhamento de experiências, ao aprendizado e à promoção do cuidado na gestação e no puerpério


Objective: The study's purpose has been to describe the development of educational strategies used in an educational group for pregnant women. Methods: It is a descriptive study that was carried out during eight weekly meetings over the period from January to March 2015, in Acarape city, Ceará State. At each meeting, were performed dynamics of presentation; exhibition of the proposed theme in dialogues and activities towards the knowledge capturing process. Results: The women were very receptive showing both interest and satisfaction concerning the activities. The women were already aware of some information, nonetheless, other kinds of information needed to be more detailed in order to provide subsidies, so that women could self-care and care for their children in a better way. Conclusion: The activity provided an opportunity to meeting primiparous and multiparous women, and this experience was considered very appropriate to share experiences, and also to learn and promote the care during pregnancy and postpartum period


Objetivo: Describir el desarrollo de estratégias educativas utilizadas en um grupo educativo para mujeres embarazadas. Métodos: Estudio descriptivo, desarrollo en Acarape-Ce, donde se realizaron ocho reuniones semanales en el período de enero a marzo de 2015. En cada encuentro, se realizaron dinámicas de presentación, exposición del tema propuesto en diálogo y actividades para fijación del conocimiento. Resultados: Las mujeres fueran muy receptivas demonstrando interés y satisfacción con las actividades. Algunas informaciones ya eran conocidas por las mujeres y otras necesitaron ser más detalladas, con el fin de proporcionar subsidios para que las mujeres pudieran autocuidarse y cuidar de sus hijos con más propiedad. Conclusión: La actividad oportunizó la reunión de primíparas y multíparas, siendo esta vivencia recomendada y considerada muy apropriada al compartir experiências, al aprendizaje y la promoción del cuidado durante el embarazo y el puerpério


Assuntos
Humanos , Feminino , Gravidez , Cuidado Pré-Natal/métodos , Educação em Saúde/métodos , Serviços de Saúde Materno-Infantil , Cuidado Pré-Natal/tendências , Grupos de Autoajuda , Educação em Saúde/tendências , Promoção da Saúde
7.
JAMA ; 322(3): 216-228, 2019 07 16.
Artigo em Inglês | MEDLINE | ID: mdl-31310297

RESUMO

Importance: The effects of intensive care unit (ICU) visiting hours remain uncertain. Objective: To determine whether a flexible family visitation policy in the ICU reduces the incidence of delirium. Design, Setting and Participants: Cluster-crossover randomized clinical trial involving patients, family members, and clinicians from 36 adult ICUs with restricted visiting hours (<4.5 hours per day) in Brazil. Participants were recruited from April 2017 to June 2018, with follow-up until July 2018. Interventions: Flexible visitation (up to 12 hours per day) supported by family education (n = 837 patients, 652 family members, and 435 clinicians) or usual restricted visitation (median, 1.5 hours per day; n = 848 patients, 643 family members, and 391 clinicians). Nineteen ICUs started with flexible visitation, and 17 started with restricted visitation. Main Outcomes and Measures: Primary outcome was incidence of delirium during ICU stay, assessed using the CAM-ICU. Secondary outcomes included ICU-acquired infections for patients; symptoms of anxiety and depression assessed using the HADS (range, 0 [best] to 21 [worst]) for family members; and burnout for ICU staff (Maslach Burnout Inventory). Results: Among 1685 patients, 1295 family members, and 826 clinicians enrolled, 1685 patients (100%) (mean age, 58.5 years; 47.2% women), 1060 family members (81.8%) (mean age, 45.2 years; 70.3% women), and 737 clinicians (89.2%) (mean age, 35.5 years; 72.9% women) completed the trial. The mean daily duration of visits was significantly higher with flexible visitation (4.8 vs 1.4 hours; adjusted difference, 3.4 hours [95% CI, 2.8 to 3.9]; P < .001). The incidence of delirium during ICU stay was not significantly different between flexible and restricted visitation (18.9% vs 20.1%; adjusted difference, -1.7% [95% CI, -6.1% to 2.7%]; P = .44). Among 9 prespecified secondary outcomes, 6 did not differ significantly between flexible and restricted visitation, including ICU-acquired infections (3.7% vs 4.5%; adjusted difference, -0.8% [95% CI, -2.1% to 1.0%]; P = .38) and staff burnout (22.0% vs 24.8%; adjusted difference, -3.8% [95% CI, -4.8% to 12.5%]; P = .36). For family members, median anxiety (6.0 vs 7.0; adjusted difference, -1.6 [95% CI, -2.3 to -0.9]; P < .001) and depression scores (4.0 vs 5.0; adjusted difference, -1.2 [95% CI, -2.0 to -0.4]; P = .003) were significantly better with flexible visitation. Conclusions and Relevance: Among patients in the ICU, a flexible family visitation policy, vs standard restricted visiting hours, did not significantly reduce the incidence of delirium. Trial Registration: ClinicalTrials.gov Identifier: NCT02932358.


Assuntos
Delírio/prevenção & controle , Família/psicologia , Unidades de Terapia Intensiva/organização & administração , Visitas a Pacientes , Ansiedade , Brasil , Esgotamento Profissional , Cuidados Críticos/psicologia , Estudos Cross-Over , Depressão , Feminino , Educação em Saúde , Hospitalização , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Fatores de Tempo
8.
Medicine (Baltimore) ; 98(26): e16174, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31261550

RESUMO

BACKGROUND: Health education during pregnancy is important to improve maternal and children outcomes. However, the strategies must be specifically designed for each context and demographic characteristics. Our objective was identify health education strategies targeting pregnant women with the intention of improving results of pregnancy at an urban level. METHODS: We conducted a scoping review of the literature to answer the question: "what health education strategies targeting pregnant women were reported by primary healthcare teams or the community promoting health in pregnancy, childbirth, postpartum and childhood?" Potential eligible studies were selected using PubMed, Web of Science, LILACS and SciELO by 2 reviewers. RESULTS: From a total of 3105 articles, 23 were deemed eligible. We identified 9 educational methodologies focusing on different outcomes of pregnancy, birth or maternal wellbeing. CONCLUSIONS: It is important that health education strategies continue after childbirth, independent of the strategy. All the strategies presented in this review are suitable for transfer with a moderate chance of success of implementation or improvement of current education methodologies. Further research is required on health education, including a higher number of patients.


Assuntos
Saúde da Criança , Educação em Saúde , Saúde Materna , Criança , Feminino , Educação em Saúde/métodos , Humanos , Gravidez
9.
Rev Lat Am Enfermagem ; 27: e3163, 2019 Jul 18.
Artigo em Português, Inglês, Espanhol | MEDLINE | ID: mdl-31340347

RESUMO

OBJECTIVE: to evaluate knowledge about sexual health, with blind people, before and after educational intervention. METHOD: action research conducted with 58 blind people enrolled in a philanthropic educational institution. A form with sociodemographic and knowledge variables about Sexually Transmitted Infections was used. The Chi-square and Fisher tests were performed. RESULTS: men presented higher frequency of alcoholism (p <0.001) and illicit drugs (p = 0.006). It was found that they used a male condom more frequently than women using a female condom (p = 0.003), although they had more knowledge about the prevention of Sexually Transmitted Infections (p = 0.006). Among these infections, Trichomonas vaginalis (52.4%) was more frequent. Knowledge gaps on risk factors and safe sex were identified. After the intervention, an increase in the knowledge about sexual health was detected. CONCLUSION: the educational intervention, in the light of problematizing pedagogy, (re) constructed the knowledge on sexual health, empowering the participants regarding the prevention of Sexually Transmitted Infections. Therefore, it is necessary that nurses carry out educational interventions with this clientele, aiming to soften deficits of knowledge about the thematic in screen.


Assuntos
Educação de Pessoas com Deficiência Visual , Educação em Saúde , Conhecimentos, Atitudes e Prática em Saúde , Doenças Sexualmente Transmissíveis/prevenção & controle , Adulto , Preservativos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Assunção de Riscos , Comportamento Sexual , Saúde Sexual , Doenças Sexualmente Transmissíveis/classificação , Fatores Socioeconômicos , Pessoas com Deficiência Visual
10.
Artigo em Alemão | MEDLINE | ID: mdl-31263914

RESUMO

Too often, diagnosis of maltreatment is missed by healthcare professionals - thus denying children in danger from necessary protection. Insufficient knowledge and insecurities towards professional confidentiality and how to approach child protection services may be the reasons for the failure to protect children effectively.In this article, we present how a comprehensive concept by the competence center of child protection in medicine of the state of Baden-Wurttemberg consisting of peer counseling, peer education, and research can add to the prevention of maltreatment. One component is peer counseling through a telephone helpline that is accessible 24/7, the medical child protection hotline. The requests to the helpline are analyzed and add to the generation of tailored content for the education of doctors, psychotherapists, nurses, and other healthcare professionals. As an example, we present the online course "Child protection in medicine - a basic course for all health professionals" (so far available only in German). One common issue when the child protection hotline is called for counseling is abusive head trauma. Research shows that sometimes a diagnosis of abusive head trauma might be missed. This condition is most prevalent in children under the age of 2 and represents one of the most severe forms of physical abuse with high mortality.Inquiries to the medical child protection hotline are constantly increasing, but making the service known nationwide to all healthcare professionals still poses a challenge. The online course is widely used and being constantly improved. The comprehensive concept of peer counseling, education, and research is an important contribution to the improvement of the prevention of child maltreatment.


Assuntos
Maus-Tratos Infantis/prevenção & controle , Traumatismos Craniocerebrais/prevenção & controle , Educação em Saúde , Pais/educação , Síndrome do Bebê Sacudido/prevenção & controle , Criança , Serviços de Proteção Infantil , Aconselhamento , Alemanha , Humanos
11.
J. Health Biol. Sci. (Online) ; 7(3): 265-270, jul.-set. 2019.
Artigo em Português | LILACS | ID: biblio-1005643

RESUMO

Objetivos: Neste trabalho, foram verificados os aspectos socioeconômicos, o conhecimento das principais doenças parasitárias, os fatores associados na transmissão e a profilaxia das principais verminoses humanas entre os estudantes de uma escola privada do município de Maceió-AL. Métodos: Para avaliar o conhecimento dos alunos, foi aplicado um questionário estruturado. Resultados: Participaram da pesquisa 100 adolescentes. 76% deles tinham o hábito de comer frutas, verduras e legumes crus; 52% não lavavam as mãos antes das refeições, e todos os alunos apontaram a presença de vetores, como baratas e moscas em suas residências. Com relação ao conhecimento das verminoses humanas, 63% afirmam não saber o que são parasitos intestinais; 78% informaram que já ouviram falar de algum tipo de verminoses (35% a esquistossomose, 78% ascaridíase, esquistossomose, ancilostomíase, enterobíase e teníase, e 63% responderam que a dificuldade em ganhar peso é uma suspeita de que esteja com verminoses). Conclusão: Concluiu-se, então, que é necessária a utilização de atividades educacionais quanto à higiene e as medidas profiláticas de educação em saúde.


Objectives: In this work, checked the socioeconomic aspects, knowledge of the major parasitic diseases, the associated factors in the transmission and prevention of the main human parasites among students at a private school in the city of Maceió-AL. Methods: To evaluate students' knowledge was applied a structured questionnaire. Results: 100 adolescentes participated in the research. 76% had a habit of eating fruits, vegetables and raw vegetables, 52% washed their hands before eating, and all students pointed to the presence of vectors like cockroaches and flies in their residences. With respect to knowledge of human parasites, 63% claim not to know what are intestinal parasites, 78% reported to have heard of some kind of worms (35% as to schistosomiasis, 78% to ascariasis, hookworm, schistosomiasis, enterobiasis, and taeniasis and 63% responded that difficulty in gaining weight is a suspect is with worms). Conclusion: It was concluded that there is a need for the use of educational activities with regard to hygiene, and its prophylactic measures of health education.


Assuntos
Helmintos , Educação em Saúde
12.
Rev. Bras. Saúde Mater. Infant. (Online) ; 19(2): 447-458, Apr.-June 2019. tab
Artigo em Inglês | LILACS | ID: biblio-1013137

RESUMO

Abstract Objectives: to evaluate prenatal care in Primary Care by identifying the aspects that influence structural and operational adequacy. Methods: evaluation research with analysis of 4,059 municipalities that joined the 2nd cycle of the Program for Improving Access and Quality in Primary Care in 2013-2014. The evaluative model composed of 19 indicators grouped in structural aspects and operational aspects dimensions was validated in a consensus conference. Data analysis was descriptive, with the issuance of value judgment. Results: in structural aspects, 32.6% of the municipalities presented adequacy, whilst in operational ones, only 24.1%. In the general prenatal evaluation, less than a quarter (24.6%) of the municipalities was adequate, those with up to 10 thousand inhabitants had a higher percentage of adequacy (41.6%). The South region presented adequacy of 33.8%, considering all sizes. Conclusions: most municipalities presented low adequacy in prenatal care, with better performance of structural aspects. Smaller municipalities presented better results in all analyzed items. Structural aspects and general evaluation of prenatal care are highlighted in the South region. Adequate attention to prenatal care needs to be comprehensive and equitable, with the strengthening of regional networks geared towards social inclusion.


Resumo Objetivos: avaliar a atenção ao pré-natal na Atenção Básica identificando os aspectos que influenciam a adequação estrutural e operacional. Métodos: pesquisa avaliativa com análise de 4.059 municípios que aderiram ao 2° ciclo do Programa de Melhoria do Acesso e da Qualidade na Atenção Básica em 2013-2014. O modelo avaliativo composto por 19 indicadores agrupados nas dimensões aspectos estruturais e aspectos operacionais foi validado em conferência de consenso. A análise de dados foi descritiva, com emissão de juízo de valor. Resultados: nos aspectos estruturais 32,6% dos municípios apresentaram adequação e nos operacionais, apenas 24,1%. Na avaliação geral do pré-natal menos de um quarto (24,6%) dos municípios ficaram adequados, àqueles com até 10 mil habitantes apresentaram maior percentual de adequação (41,6%). A região Sul apresentou adequação de 33,8%, considerando todos os portes. Conclusões: a maior parte dos municípios apresentou baixa adequação na atenção ao pré-natal, com melhor desempenho dos aspectos estruturais. Municípios de menor porte apresentaram melhores resultados em todos os itens analisados. Destaque para a região Sul nos aspectos estruturais e na avaliação geral do pré-natal. Uma adequada atenção ao pré-natal precisa ser integral e equânime, com fortalecimento das redes regionais voltadas para a inclusão social.


Assuntos
Humanos , Feminino , Gravidez , Cuidado Pré-Natal , Atenção Primária à Saúde , Garantia da Qualidade dos Cuidados de Saúde , Avaliação em Saúde , Administração Municipal , Qualidade da Assistência à Saúde , Brasil , Indicadores de Morbimortalidade , Educação em Saúde , Saúde da Mulher , Serviços de Saúde Materno-Infantil
13.
Rev. Bras. Saúde Mater. Infant. (Online) ; 19(2): 335-341, Apr.-June 2019. tab
Artigo em Inglês | LILACS | ID: biblio-1013140

RESUMO

Abstract Objectives: ididentify the scores on the pregnant women's knowledge on the signs of alert and labor and correlate the scores with the maternal age, number of children and the guidance they received during pregnancy. Methods: this is a descriptive, cross-sectional study with a quantitative approach on pregnant women's previous knowledge of the signs of alert and labor performed with 100 pregnant women on their 30th week of gestation at the Hospital de Clínicas da UFTM (Clinical Hospital). The data collection was carried out from April to June 2016, using a semi-structured instrument tested as a pilot study. Results: only 21% of the pregnant women reported taking part in the pregnant women's group; 61% of them referred to not receiving any information on the signs of alert and labor. A statistically significant association was verified between the number of correct answers and the guidance they received during prenatal consultations. However, there was no correlation between the correct scores on maternal age and the number of children. Conclusions: the pregnant women who did not receive any kind of guidance, they had lower scores on the correct answers, which shows the importance of guiding them about Health Education during their prenatal consultations.


Resumo Objetivos: identificar escores de conhecimento de gestantes sobre os sinais de alerta e de trabalho de parto e correlacionar escores de acerto com a idade materna, o número de filhos e o recebimento de orientações durante a gestação. Métodos: trata-se de um estudo de abordagem quantitativa, transversal, sobre o conhecimento prévio acerca dos sinais de alerta e de trabalho de parto realizado com 100 gestantes, a partir da 30ª semana gestacional, no Hospital de Clínicas da UFTM. A coleta de dados foi realizada no período de abril a junho de 2016 por meio de instrumento semiestruturado, testado mediante estudo piloto. Resultados: apenas 21% das gestantes relataram a participação em grupo de gestantes e 61% referiram não ter recebido nenhum tipo de informação sobre os sinais de alerta e de trabalho de parto. Verificou-se uma associação estatisticamente significante entre o número de acertos e as orientações recebidas durante o pré-natal. Entretanto, não houve correlação entre escores de acerto e a idade materna e o número de filhos. Conclusões: gestantes que não receberam orientações tiveram escores de acertos mais baixos o que demonstra a importância da Educação em Saúde durante o pré-natal.


Assuntos
Humanos , Feminino , Gravidez , Cuidado Pré-Natal , Trabalho de Parto , Serviços de Saúde Materno-Infantil , Tocologia/educação , Gravidez , Educação em Saúde , Idade Materna , Dor do Parto
15.
Nihon Koshu Eisei Zasshi ; 66(6): 295-305, 2019.
Artigo em Japonês | MEDLINE | ID: mdl-31231099

RESUMO

Objectives The goal of this study was to determine whether experiencing Japan's specific medical checkup is associated with a health promotion lifestyle, health literacy (HL), and social capital (SC) by type of healthcare coverage.Methods The subjects were 1,048 residents of A City aged 40 through 74 years. Individuals who had experienced more than one medical checkup during the past two years were categorized as "Consultation." Individuals without that experience were categorized as "No consultation." Data were collected via an anonymous self-administered mail questionnaire survey. Health promotion lifestyles were assessed using a Japanese version of the Health-Promoting Lifestyle Profile (HPLP II). HL was measured with the 14-item Health Literacy Scale. The SC was measured following Hanibuchi's six-item scale.Results The response rates were 34.4% for males and 39.6% for females. Of the males covered by National Health Insurance (NHI), 68.8% were Consultation. Of the females covered by NHI, 79.4% were Consultation. Of the males covered by social insurance, 91.7% were Consultation, and 72.6% of the females covered by social insurance were Consultation. The consultation ratio of males covered by NHI was significantly lower among those without a co-residential spouse than among those living with a spouse. The physical activity score (a HPLP II subscale) of the females covered by NHI was significantly lower among those without compared to those with consultation. Among the males covered by social insurance, the nutrition score (a HPLP II subscale) was significantly higher among those without compared to those with consultation, and the number of neighbors providing companionship (an item in the SC scale) was larger. Among the females covered by social insurance, the health responsibility score (a HPLP II subscale) was significantly lower among those without than among those with consultation.Conclusion There were significant relationships between experiencing more than one medical checkup during the past two years and health promotion lifestyles and between that experience and social capital, except for males covered by NHI. Policies based on these results are encouraged to increase participation in medical checkups. Regarding males covered by NHI, support of their participation in medical checkups by people close to them would be an effective way to increase participation.


Assuntos
Alfabetização em Saúde/estatística & dados numéricos , Promoção da Saúde/estatística & dados numéricos , Estilo de Vida Saudável , Seguro Saúde , Exame Físico/estatística & dados numéricos , Capital Social , Adulto , Idoso , Conscientização , Feminino , Comportamentos Relacionados com a Saúde , Educação em Saúde , Humanos , Seguro Saúde/classificação , Japão/epidemiologia , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários
16.
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi ; 31(2): 155-159, 2019 May 16.
Artigo em Chinês | MEDLINE | ID: mdl-31184046

RESUMO

OBJECTIVE: To understand the current situation of soil-transmitted nematode infections and influencing factors of pupils in rural areas of Yi Ethnicity in Butuo County, Sichuan Province, so as to provide the evidence for the prevention and control of soil-transmitted nematode infections. METHODS: In 2016, the pupils of 2 villages in Butuo County were selected by the multi-stage random sampling method, and the relevant information was obtained by questionnaires, including social demographic information, diet and hygiene habits and acknowledge of parasitic disease prevention. The soil-transmitted nematode infections were examined by Kato-Katz technique. The results were statistically analyzed by the single factor analysis and multivariate logistic regression methods. RESULTS: A total of 160 pupils were investigated in this survey. The soil-transmitted nematodes included Ascaris lumbricoides, Trichuris trichiura and hookworm. The overall infection rate was 89.38%, and the multi-infection rate was 54.55%. The infection rates of A. lumbricoides and T. trichiura were higher. The infection densities were mild (75.68%) or moderate (22.97%). The logistic regression analysis showed that the protective factor of soil-transmitted nematode infections was the knowledge about correct diet and health habits notified by teachers (OR = 0.67), but the risk factor was drinking unboiled water (OR = 19.26). CONCLUSIONS: The infection rate of nematodes is still high in the pupils in rural areas of Yi Ethnicity in Butuo County, Sichuan Province. Therefore, we should strengthen the prevention and control of soil-transmitted nematode infections, especially A. lumbricoides and T. trichiura infections, and mostly develop the teachers'function in health education.


Assuntos
Infecções por Nematoides , Solo , Animais , Criança , China , Educação em Saúde , Humanos , Nematoides , Infecções por Nematoides/epidemiologia , Infecções por Nematoides/etnologia , Infecções por Nematoides/parasitologia , Prevalência , Fatores de Risco , Solo/parasitologia , Inquéritos e Questionários
17.
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi ; 31(2): 171-174, 2019 May 05.
Artigo em Chinês | MEDLINE | ID: mdl-31184050

RESUMO

OBJECTIVE: To evaluate the health education effect of schistosomiasis in Hubei Province after implementing of the Outline of National Mid-Long-Term Plan for Schistosomiasis Prevention and Control (2004-2015). METHODS: Based on questionnaires and datum review, the data of health education for integrated prevention and control of schistosomiasis in Hubei Province from 2004 to 2015 were collected to evaluate the effect of health education. RESULTS: A total of 16 662 499 schistosomiasis health education publicity materials were distributed, 28 712 times of media propaganda were conducted, 174 506 warning signs were established, 185 985 promotional slogans were issued, 1 212 810 pieces of personal protective equipment were distributed, 9 248 village officer training courses were organized, and 5 569 school teacher training courses in primary and secondary schools were conducted in 63 counties (cities, districts) of 13 cities in Hubei Province from 2004 to 2015. A total of 4 815 people were surveyed in 3 counties in 2015. The awareness rate of schistosomiasis control knowledge was 91.62%, and the correct rates of beliefs and attitudes were 89.54% and 96.91% respectively. The overall rate of correct behavior of the population was 91.91%. The related indicators, such as schistosomiasis infection rate, acute infection cases, and others, declined year by year over the same period. CONCLUSIONS: The schistosomiasis health education in Hubei Province has obvious effects on enhancing the knowledge and attitudes of schistosomiasis control in populations and promoting the formation of correct schistosomiasis control behavior among residents. It has played an active role and is an important mean in comprehensive prevention and control of schistosomiasis.


Assuntos
Educação em Saúde , Conhecimentos, Atitudes e Prática em Saúde , Esquistossomose , China , Educação em Saúde/normas , Humanos , Esquistossomose/prevenção & controle , Inquéritos e Questionários
18.
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi ; 31(2): 175-177, 2019 May 07.
Artigo em Chinês | MEDLINE | ID: mdl-31184051

RESUMO

OBJECTIVE: To explore the working mode of continuous malaria elimination. METHODS: Judong Village in Congjiang County, Guizhou Province, which had the highest record of malaria incidence in the history of Guizhou Province, was selected as a pilot, a comprehensive prevention and control intervention was carried out aiming at the malaria epidemic, transmission and influencing factors, and the effect was evaluated after the intervention. RESULTS: From 2015 to 2016, through those intensive measures of constructing system, improving environment and health education, the people's awareness of malaria prevention was increased, the people's enthusiasm and initiatives to participate in the prevention and control of malaria were improved in Judong Village. Meanwhile, the roads were hardened and beautified, the dispose of sewage, feces and garbage was centralized. The awareness rate of malaria prevention knowledge of residents increased to 85% to 95%, and the formation rate of anti-mosquito behavior increased to 89.66%. The density of media Anopheles reduced from 0.56 to 0.07 mosquitoes per hour each mosquito catching platform. CONCLUSIONS: A long-term mechanism for malaria prevention and control has been almost constructed in Judong Village, which facilitates the consolidation of malaria control achievements, and the progress towards malaria elimination.


Assuntos
Anopheles , Erradicação de Doenças , Malária , Animais , China/epidemiologia , Educação em Saúde/estatística & dados numéricos , Incidência , Conhecimento , Malária/epidemiologia , Malária/prevenção & controle , Controle de Mosquitos , Projetos Piloto , Densidade Demográfica
19.
Anticancer Res ; 39(6): 2969-2973, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31177137

RESUMO

BACKGROUND/AIM: The aim of this study was to analyze how race, income, insurance, and education, affect breast reconstruction rates. MATERIALS AND METHODS: We reviewed the National Cancer Database. χ2 test and binary logistic regression were used to analyze the association between demographic characteristics and reconstruction rate. RESULTS: White race and private insurance were associated with a higher risk of getting reconstruction when compared to black race (odd ratio [OR]=0.939; 95%CI=0.909-0.970) and government insurance (OR=0.459; 95%CI=0.447-0.471). Patients with an estimated income >$63,000 were found to have higher odds of receiving breast reconstruction than patients with income less than $38,000 (OR=1.868; 95%CI=1.792-1.948). Patients who live in a zip code area with a higher education average have higher odds of receiving postmastectomy breast reconstruction than patients living in a zip code with a lower education average (OR=1.152, 95%CI=1.104-1.203). CONCLUSION: Differences in reconstruction rates exist based on race, income, insurance, and education level.


Assuntos
Neoplasias da Mama/etnologia , Neoplasias da Mama/cirurgia , Mamoplastia/estatística & dados numéricos , Idoso , Grupos Étnicos/estatística & dados numéricos , Feminino , Educação em Saúde , Humanos , Modelos Logísticos , Mastectomia , Pessoa de Meia-Idade , Razão de Chances , Fatores Socioeconômicos
20.
Nihon Koshu Eisei Zasshi ; 66(5): 252-266, 2019.
Artigo em Japonês | MEDLINE | ID: mdl-31189787

RESUMO

Objective Since 2006, Sakado city in Saitama prefecture, Japan, has been implementing the Sakado "Shokuiku (food and nutrition education)" Program in collaboration with Kagawa Nutrition University. The present study aimed to evaluate the program, and to discuss its achievements and future challenges.Methods This program targeted all students from the 5th through the 8th grade. Data from surveys conducted with students and teachers during the school year from 2006 through 2014 were to analyze the program's implementation process and to evaluate its impact. For process evaluation, two surveys conducted with teachers were used. Survey A pertained to the status of program implementation and students' reaction towards each lesson conducted at schools. Survey B pertained to school teachers' involvement in the program and changes of teaching content and interest in food and nutrition education after its implementation, to assess their reaction towards the program. For impact evaluation, three surveys conducted with students were used. Specifically, Survey C aimed to confirm the effectiveness of the 4-year program, Survey D assessed the same in each grade, and Survey E examined the attitudes and behaviors of students who completed the 4-year program.Results More than 70% of the classes were able to implement the program successfully in the fourth year of elementary school and the second year of middle school. Further, 80% of the classes utilized all the educational materials, and more than 50% of the students understood almost all the contents of the program. Teachers in elementary school and male teachers in middle school, who had attended the teacher training program and/or had implemented the program, were more likely to interest in nutrition education. The impact evaluation did not reveal any significant long-term effects on students; however, their dietary attitudes related to Educational Goal 2 ("eat a well-balanced diet considering its health benefits") improved after each year of participation in the program. More than 90% of the 8th grade students answered that they were happy to have participated in this program.Conclusion The continual implementation of this nutrition program increased teachers' interest in food and nutrition education and improved some dietary attitudes of students. Future challenges include improving program content, promoting continued implementation, and identifying broader approaches to include students' family and significant others from different generations.


Assuntos
Dieta/psicologia , Ingestão de Alimentos/psicologia , Alimentos , Comportamentos Relacionados com a Saúde , Educação em Saúde , Política Nutricional , Avaliação de Programas e Projetos de Saúde , Instituições Acadêmicas , Estudantes/psicologia , Adolescente , Criança , Feminino , Humanos , Japão , Masculino
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