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1.
Texto & contexto enferm ; 29: e20180517, Jan.-Dec. 2020.
Artigo em Inglês | LILACS, BDENF - Enfermagem | ID: biblio-1094554

RESUMO

ABSTRACT Objective: to know how mothers affected by the Zika virus during pregnancy became aware on the diagnosis of Congenital Zika Virus Syndrome in their child and to understand the way in which the communication of the diagnosis was transmitted. Method: a qualitative approach study, with interpretative research, based on the Resilience, Stress, Adjustment and Family Adaptation Model. The research was conducted in a Specialized Rehabilitation Center in a city of Paraíba (Brazil), from June to November 2017, with 40 mothers of children with congenital Zika virus syndrome. The empirical material was produced from a semi-structured script developed by the researcher, related to the different phases and components of the adaptation and resilience process. The findings were submitted to content analysis. Results: two thematic categories were unveiled: The discovery of Congenital Zika Virus Syndrome: period of diagnosis and maternal expectations, and How to communicate the diagnosis: implications for the discovery of Congenital Zika Virus Syndrome. Conclusion: Communication of the diagnosis and professional conduct at the time of information play important roles in re-signifying the meaning of congenital malformation. The interaction established by the health professional and their posture are directly related to the satisfaction about the information received.


RESUMEN Objetivos: conocer de qué manera las madres afectadas por el virus del Zika se enteraron del diagnóstico del Síndrome Congénito del Virus del Zika en sus hijos, y determinar cómo se comunicó el diagnóstico. Método: estudio de enfoque cualitativo, con investigación interpretativa, fundamentado en el Modelo de Resiliencia, Estrés, Ajustes y Adaptación Familiar. La investigación se realizó en un Centro Especializado en Rehabilitación de un municipio da Paraíba (Brasil) entre junio y noviembre de 2017 con 40 madres de niños con el Síndrome Congénito del Virus del Zika. El material empírico se produjo a partir de un guión con carácter semiestructurado desarrollado por la investigadora, relacionado con las diferentes fases y componentes del proceso de adaptación y resiliencia. Los hallazgos se sometieron a análisis de contenido. Resultados: surgieron dos categorías temáticas: La detección del Síndrome Congénito del Virus del Zika: período del diagnóstico y expectativas maternas, y Cómo comunicar el diagnóstico: implicancias al momento de detectar el Síndrome Congénito del Virus del Zika. Conclusión: comunicar el diagnóstico y la conducta profesional al momento de dar la noticia tienen un peso importante en la resignificación del sentido de la malformación congénita. La interacción que establece el profesional de la salud y su postura están directamente relacionadas con el nivel de satisfacción con respecto a la información recibida.


RESUMO Objetivo: conhecer como as mães acometidas pelo Zika vírus na gestação souberam do diagnóstico da Síndrome Congênita do Zika vírus em seu(sua) filho(a) e apreender a forma com que a comunicação do diagnóstico foi transmitida. Método: estudo de abordagem qualitativa, com investigação interpretativa, fundamentado no Modelo de Resiliência, Estresse, Ajustamento e Adaptação Familiar. A pesquisa foi realizada em um Centro Especializado em Reabilitação de um município da Paraíba (Brasil), no período de junho a novembro de 2017, com 40 mães de crianças com a Síndrome Congênita do Zika vírus. O material empírico foi produzido a partir de um roteiro com caráter semiestruturado desenvolvido pela pesquisadora, relacionado com as diferentes fases e componentes do processo de adaptação e resiliência. Os achados foram submetidos à analise de conteúdo. Resultados: foram desveladas duas categorias temáticas: A descoberta da Síndrome Congênita do Zika vírus: período do diagnóstico e expectativas maternas, e A forma da comunicação do diagnóstico: implicações diante da descoberta da Síndrome Congênita do Zika vírus. Conclusão: a comunicação do diagnóstico e a conduta profissional no momento da informação possuem papéis importantes na ressignificação do sentido da malformação congênita. A interação estabelecida pelo profissional de saúde e sua postura estão diretamente relacionadas com a satisfação sobre a informação recebida.


Assuntos
Humanos , Feminino , Saúde da Mulher , Zika virus , Microcefalia , Mães , Sistema Único de Saúde , Diagnóstico
2.
Rev. enferm. UERJ ; 28: e49514, jan.-dez. 2020.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1118069

RESUMO

Objetivo: desvelar a percepção das mulheres sobre o acesso aos serviços de saúde como ferramenta do processo de ressocialização. Método: trata-se de um estudo fenomenológico-sociológico, qualitativo, realizado entre novembro de 2018 e novembro de 2019, com 10 mulheres de um estabelecimento prisional feminino de Maceió, Alagoas. Resultados: as participantes possuíam de 22 a 54 anos, ensino fundamental incompleto, pardas, solteiras, já haviam vivenciado a maternidade. Emergiram duas categorias temáticas: percepções do acesso aos serviços de saúde: a invisibilidade das mulheres e acesso aos serviços de saúde como uma ferramenta de ressocialização: elos dilacerados e Trabalho e Educação como alternativa de Fuga do esquecimento, ociosidade e solidão. Conclusão: evidenciou-se a percepção de invisibilidade das mulheres privadas de liberdade e desvinculação do acesso aos serviços de saúde como ferramenta do processo de ressocialização.


Objective: to unveil women's perceptions of access to health services as a tool in the re-socialization process. Method: this qualitative, phenomenological-sociological study was conducted between November 2018 and November 2019 with 10 women at a women's prison in Maceió, Alagoas, Brazil. Results: the participants were 22 to 54 years old, of mixed race, single, had not completed lower secondary school, and had already experienced motherhood. Two thematic categories emerged: "Perceptions of access to health services: women's invisibility" and "Access to health services as a resocialization tool: ties in shreds and Work and Education as an alternative escape route from oblivion, idleness and loneliness. Conclusion: the women deprived of their freedom were found to perceive themselves to be invisible and disconnected from access to health services as a tool in the resocialization process.


Objetivo: revelar las percepciones de las mujeres sobre el acceso a los servicios de salud como herramienta en el proceso de resocialización. Método: este estudio cualitativo, fenomenológico-sociológico se realizó entre noviembre de 2018 y noviembre de 2019 con 10 mujeres en una cárcel de mujeres en Maceió, Alagoas, Brasil. Resultados: las participantes tenían entre 22 y 54 años, mestizas, solteras, no habían completado el primer ciclo de secundaria y ya habían experimentado la maternidad. Surgieron dos categorías temáticas: "Percepciones del acceso a los servicios de salud: invisibilidad de las mujeres" y "Acceso a los servicios de salud como herramienta de resocialización: lazos en jirones y Trabajo y Educación como vía alternativa de escape al olvido, la ociosidad y la soledad. Conclusión: las mujeres privadas de libertad se percibieron a sí mismas invisibles y desconectadas del acceso a los servicios de salud como herramienta en el proceso de resocialización.


Assuntos
Humanos , Feminino , Adulto , Pessoa de Meia-Idade , Adulto Jovem , Prisões , Socialização , Saúde da Mulher , Acesso aos Serviços de Saúde , Brasil , Pesquisa Qualitativa , Iniquidade de Gênero , Liberdade , Solidão
3.
Estima (Online) ; 18(1): e0820, jan.-dez. 2020.
Artigo em Português | BDENF - Enfermagem | ID: biblio-1119351

RESUMO

Objetivo: Investigar o perfil de eliminações intestinais em mulheres. Método: Estudo transversal, realizado com 41 mulheres atendidas em um centro de saúde da mulher no estado do Piauí no Brasil. Para coleta de dados foi utilizado um formulário contendo os dados sociodemográficos e questionários que avaliaram os dados do padrão de eliminação intestinal com perguntas fundamentadas nos critérios de Roma IV e escala de Bristol. Resultados: Das 41 participantes, 56,1% relataram consumir de uma a duas porções de frutas ou verduras por dia e 51,2% consumiam mais de dois litros de água por dia. Com relação aos padrões de eliminação intestinal, 39% apresentavam fezes na categoria Bristol 3. Quanto aos critérios de Roma IV, 21 (51,2%) mulheres foram consideradas constipadas e a frequência de evacuação teve significância estatística com a presença de constipação. Conclusão: Houve um número expressivo de mulheres com constipação intestinal. Observou-se a necessidade de desenvolver ações que auxiliem no enfrentamento do problema e melhore a qualidade de vida dessa população.


Assuntos
Perfil de Saúde , Saúde da Mulher , Constipação Intestinal
4.
Washington, D.C.; OPS; 2020-10-21. (OPS/FPL/CLP/20-0017).
Não convencional em Espanhol | PAHO-IRIS | ID: phr3-52903

RESUMO

En esta versión abreviada de las Directrices de práctica clínica basadas en la evidencia para el seguimiento de recién nacidos en riesgo se brindan recomendaciones para la atención de recién nacidos hasta los 2 años y corresponden a la primera fase de su seguimiento. Las recomendaciones están dirigidas a todos los funcionarios del sector de la salud responsables de la atención primaria de estos recién nacidos: médicos generales, médicos de familia, pediatras, neonatólogos, oftalmólogos pediatras, otorrinolaringólogos pediatras, profesionales de enfermería, especialistas en otros campos y personal multidisciplinario que interviene en el proceso de atención. Asimismo, las directrices tienen por objeto facilitar los procesos de implementación de políticas que llevan a cabo los tomadores de decisiones y los miembros de entidades gubernamentales, y también serán de utilidad para padres, madres y cuidadores. Entre los temas que abarca el documento destacan los siguientes: criterios de egreso hospitalario, incluidas pruebas de tamizaje; información y apoyo a padres, madres y cuidadores; tamizaje durante la consulta de seguimiento, y frecuencia del seguimiento hasta los 2 años. No se incluyen en estas directrices aspectos relacionados con la enfermería ni las comorbilidades.


Assuntos
Recém-Nascido , Saúde da Criança Institucionalizada , Saúde Sexual e Reprodutiva , Saúde da Mulher , Saúde do Adolescente
5.
J Public Health Manag Pract ; 26(6): 534-538, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32890254

RESUMO

Women face unprecedented challenges imposed by the COVID-19 pandemic. Emerging evidence suggests that women are unduly burdened by inequitable access to economic, health, and social resources during the pandemic. For many women, COVID-19 has presented new urgency to challenges and illuminates unique issues long encountered. Gendered roles such as family caregiving and frontline occupations increase women's exposure to COVID-19 infections and critical outcomes. To increase dialogue around COVID-19's impact on women, the University of Alabama at Birmingham School of Public Health convened a moderated virtual town hall on April 25, 2020, with 2 sexual and reproductive health experts. The town hall was the second in a series to increase public awareness of COVID-19's impact on vulnerable populations. This report highlights policy and practice implications that are particularly relevant for engaging key populations and delivering information to increase public awareness of COVID-19.


Assuntos
Infecções por Coronavirus/epidemiologia , Educação em Saúde/métodos , Pneumonia Viral/epidemiologia , Saúde Reprodutiva/educação , Saúde da Mulher , Adulto , Alabama , Betacoronavirus , Feminino , Acesso aos Serviços de Saúde , Humanos , Pandemias , Gravidez , Autocuidado
7.
BMC Public Health ; 20(1): 1467, 2020 Sep 29.
Artigo em Inglês | MEDLINE | ID: mdl-32993596

RESUMO

BACKGROUND: Breast cancer is one of the leading public health problem globally, especially in low-resource countries (LRCs). Breast cancer screening (BCS) services are an effective strategy for early determining of breast cancer. Hence, it is imperative to understand the utilisation of BCS services and their correlated predictors in LRCs. This study aims to determine the distribution of predictors that significantly influence the utilisation of BCS services among women in LRCs. METHODS: The present study used data on 140,974 women aged 40 years or over from 14 LRCs. The data came from country Demographic and Health Surveys (DHS) between 2008 and 2016. Multivariate logistic regression analysis was employed to investigate the significant predictors that influence the use of BCS services. RESULTS: The utilisation of BCS services was 15.41%, varying from 81.10% (95% CI: 76.85-84.73%) in one European country, to 18.61% (95% CI: 18.16 to 19.06%) in Asian countries, 14.30% (95% CI: 13.67-14.96%) in American countries, and 14.29% (95% CI: 13.87-14.74%). Factors that were significantly associated to increase the use of BCS services include a higher level of education (OR = 2.48), advanced age at first birth (> 25 years) (OR = 1.65), female-headed households (OR = 1.65), access to mass media communication (OR = 1.84), health insurance coverage (OR = 1.09), urban residence (OR = 1.20) and highest socio-economic status (OR = 2.01). However, obese women shown a significantly 11% (OR = 0.89) lower use of BSC services compared to health weight women. CONCLUSION: The utilisation of BCS services is low in many LRCs. The findings of this study will assist policymakers in identifying the factors that influence the use of BCS services. To increase the national BCS rate, more attention should be essential to under-represented clusters; in particular women who have a poor socioeconomic clusters, live in a rural community, have limited access to mass media communication, and are have a low level educational background. These factors highlight the necessity for a new country-specific emphasis of promotional campaigns, health education, and policy targeting these underrepresented groups in LRCs.


Assuntos
Neoplasias da Mama/diagnóstico , Detecção Precoce de Câncer/estatística & dados numéricos , Acesso aos Serviços de Saúde/estatística & dados numéricos , Serviços de Saúde da Mulher/estatística & dados numéricos , Saúde da Mulher/estatística & dados numéricos , Adulto , Idoso , Ásia , Neoplasias da Mama/epidemiologia , Europa (Continente) , Feminino , Educação em Saúde/estatística & dados numéricos , Humanos , Pessoa de Meia-Idade , Estados Unidos
8.
J Nepal Health Res Counc ; 18(2): 313-315, 2020 Sep 08.
Artigo em Inglês | MEDLINE | ID: mdl-32969400

RESUMO

The national lockdown imposed in Nepal as a response to the COVID-19 pandemic is having indirect consequences on sexual and reproductive (SRH) in Nepal. Although the Government of Nepal and partners have committed to ensuring the continuity of SRH services during the pandemic, this comment aims to illustrate the potential impacts to SRH if these commitments are not met. Keywords: COVID-19; Nepal; reproductive health; sexual health.


Assuntos
Infecções por Coronavirus/epidemiologia , Acesso aos Serviços de Saúde , Pneumonia Viral/epidemiologia , Serviços de Saúde Reprodutiva/provisão & distribução , Saúde da Mulher , Adolescente , Adulto , Betacoronavirus , Feminino , Humanos , Masculino , Nepal/epidemiologia , Pandemias
9.
Int J Gynaecol Obstet ; 151(2): 180-187, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32880941

RESUMO

BACKGROUND: During the COVID-19 pandemic, incipient data have revealed an increase in violence against women (VAW). OBJECTIVE: To analyze the existing scientific literature on strategies and recommendations to respond to VAW during the implementation of social distancing measures in response to the COVID-19 pandemic. SEARCH STRATEGY: An integrative review was conducted based on articles published between December 2019 and June 2020. Suitable articles were identified from the PubMed, SciELO, and LILACS databases, using relevant terms. SELECTION CRITERIA: Eligible studies included opinion and primary research articles describing the dynamics of VAW during quarantine and in the context of the restrictive measures taken during the COVID-19 pandemic and proposing recommendations to respond to this issue. DATA COLLECTION AND ANALYSIS: Data were extracted from eligible publications and qualitative synthesis was used. MAIN RESULTS: The 38 articles included in the study showed that some factors increasing women's vulnerabilities to violence were exacerbated during the social distancing and lockdown period. Health professionals are essential for screening and responding to VAW during the pandemic. CONCLUSIONS: Strategies must include integrated actions aiming to prevent and respond to violence during and after the COVID-19 pandemic. These must be designed based on lessons learned from previous public health emergencies.


Assuntos
Infecções por Coronavirus , Violência por Parceiro Íntimo/prevenção & controle , Pandemias , Pneumonia Viral , Isolamento Social/psicologia , Saúde da Mulher , Mulheres Maltratadas/psicologia , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/psicologia , Feminino , Humanos , Determinação de Necessidades de Cuidados de Saúde , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Pneumonia Viral/psicologia
10.
Rev Assoc Med Bras (1992) ; 66(8): 1036-1042, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32935795

RESUMO

OBJECTIVE: The association between gynecological diagnoses and their distribution across healthcare sectors benefits health promotion and the identification of topics for continued education of gynecological care. This study aimed to identify healthcare diagnoses and referral flow in climacteric women. METHODS: This is a cross-sectional study conducted at the Women's Health Clinic of the University Hospital, University of São Paulo, with a reference to gynecology and training for Residents of Family and Community Medicine, between 2017 and 2018. The medical records of 242 women whose sociodemographic and clinical information, gynecological diagnoses, and distribution of healthcare services (primary, secondary, and tertiary) had been processed were collected. Statistical analysis included the chi-square test and odds ratio. RESULTS: Smoking (OR = 2.27, 95% CI 1.05-4.89; p = 0.035) was associated with the referral of climacteric women to higher complexity services. Considering the distribution of non-oncological diagnoses in climacteric patients, the chance of women being referred to medium- and high-complexity health services presented a 2-fold increase in cases of breast diseases, a 2.35-fold increase in cases of noninflammatory disorders of the female genital tract, and a 3-fold increase in cases of inflammatory diseases of the pelvic organs. CONCLUSION: Climacteric women aged over 55 years, postmenopausal women, and smoking women were most frequently referred to medium- and high-complexity outpatient surgery.


Assuntos
Climatério , Estudos Transversais , Feminino , Humanos , Encaminhamento e Consulta , Saúde da Mulher
11.
Maturitas ; 140: 1-7, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32972629

RESUMO

The "social gradient of health" refers to the steep inverse associations between socioeconomic position (SEP) and the risk of premature mortality and morbidity. In many societies, due to cultural and structural factors, women and girls have reduced access to the socioeconomic resources that ensure good health and wellbeing when compared with their male counterparts. Thus, the objective of this paper is to review how SEP - a construct at the heart of the Social Determinants of Health (SDoH) theory - shapes the health and longevity of women and girls at all stages of the lifespan. Using literature identified from PubMed, Cochrane, CINAHL and EMBASE databases, we first describe the SDoH theory. We then use examples from each stage of the life course to demonstrate how SEP can differentially shape girls' and women's health outcomes compared with boys' and men's, as well as between sub-groups of girls and women when other axes of inequalities are considered, including ethnicity, race and residential setting. We also explore the key consideration of whether conventional SEP markers are appropriate for understanding the social determinants of women's health. We conclude by making key recommendations in the context of clinical, research and policy development.


Assuntos
Saúde da Mulher , Feminino , Humanos , Fatores Socioeconômicos , Saúde da Mulher/economia
12.
Rev Lat Am Enfermagem ; 28: e3350, 2020 Sep 07.
Artigo em Inglês, Português, Espanhol | MEDLINE | ID: mdl-32901768

RESUMO

OBJECTIVE: to examine personal and contextual protective and risk factors associated with women's mental health after a spontaneous abortion. METHOD: a cross-sectional study was carried out where 231 women who had experienced spontaneous abortions in the past 4 years answered a self-reporting online questionnaire to assess their mental health (symptoms of depression, anxiety, perinatal grief) and to collect personal as well as contextual characteristics. RESULTS: women who had experienced spontaneous abortions within the past 6 months had higher scores for depressive symptoms than those who had experienced spontaneous abortions between 7 and 12 months ago, while anxiety level and perinatal grief did not vary according to the time since the loss. Moreover, low socioeconomic status, immigrant status, and childlessness were associated with worse mental health after a spontaneous abortion. In contrast, the quality of the conjugal relationship and the level of satisfaction with health care were positively associated with women's mental health. CONCLUSION: women in vulnerable situations, such as immigrants, women with a low socioeconomic status, or childless women are particularly vulnerable to mental health problems after a spontaneous abortion. However, beyond those personal and contextual factors, the quality of the conjugal relationship and the level of satisfaction with health care could be important protective factors.


Assuntos
Aborto Espontâneo/epidemiologia , Estudos Transversais , Feminino , Humanos , Saúde Mental , Gravidez , Fatores de Risco , Saúde da Mulher
17.
Can Bull Med Hist ; 37(2): 427-460, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32822554

RESUMO

As new government health policy was created and implemented in the late 1910s and the late 1960s, women patients and health practitioners recognized gaps in the new health services and worked together to create better programs. This article brings the histories of the district nursing program (1919-43) and local birth control centres (1970-79) together to recognize women's health provision (as trained nurses or lay practitioners) as community-based and collaborative endeavours in the province of Alberta. The district nursing and birth control centre programs operated under different health policies, were influenced by different feminisms, and were situated in different Indigenous-settler relations. But the two programs, occurring half a century apart, provided space for health workers and their patients to implement change at a community level. Health practitioners in the early and late twentieth century took women's experiential knowledge seriously, and, therefore, these communities formed a new field of women's health expertise.


Assuntos
Instituições de Assistência Ambulatorial/história , Enfermagem em Saúde Comunitária/história , Anticoncepção/história , Pessoal de Saúde/história , Serviços de Saúde do Indígena/história , Saúde da Mulher/história , Alberta , Feminino , Feminismo/história , Política de Saúde/história , História do Século XX , Humanos , Saúde da População Rural/história
18.
Value Health ; 23(8): 1012-1019, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32828212

RESUMO

OBJECTIVE: Patient-centered care (PCC) could reduce gender inequities in quality of care. Little is known about how to implement patient-centered care for women (PCCW). We aimed to generate consensus recommendations for achieving PCCW. METHODS: We used a 2-round Delphi technique. Panelists included 21 women of varied age, ethnicity, education, and urban/rural residence; and 21 health professionals with PCC or women's health expertise. Panelists rated recommendations, derived from prior research and organized by a 6-domain PCC framework, on a 7-point Likert scale in an online survey. We used summary statistics to report response frequencies and defined consensus as when ≥85% panelists chose 5 to 7. RESULTS: The response rate was 100%. In round 1, women and professionals retained 46 (97.9%) and 42 (89.4%) of 47 initial recommendations, respectively. The round 2 survey included 6 recommendations for women and 5 recommendations for professionals (did not achieve consensus in round 1 or were newly suggested). In round 2, women retained 2 of 6 recommendations and professionals retained 3 of 5 recommendations. Overall, 49 recommendations were generated. Both groups agreed on 44 (94.0%) recommendations (13 retained by 100% of both women and clinicians): fostering patient-physician relationship (n = 11), exchanging information (n = 10), responding to emotions (n = 4), managing uncertainty (n = 5), making decisions (n = 8), and enabling patient self-management (n = 6). CONCLUSION: The recommendations represent the range of PCC domains, are based on evidence from primary research, and reflect high concordance between women and professional panelists. They can inform the development of policies, guidelines, programs, and performance measures that foster PCCW.


Assuntos
Assistência Centrada no Paciente/organização & administração , Qualidade da Assistência à Saúde/organização & administração , Saúde da Mulher , Adulto , Fatores Etários , Comunicação , Técnica Delfos , Emoções , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Participação do Paciente/métodos , Relações Médico-Paciente , Autogestão/métodos , Fatores Socioeconômicos
19.
Lima; Perú. Ministerio de Salud; 20200800. 70 p. ilus, tab.
Monografia em Espanhol | LILACS, MINSAPERU | ID: biblio-1117944

RESUMO

El documento contiene el marco normativo en los servicios de salud que permita brindar el cuidado integral de la salud de las mujeres e integrantes del grupo familiar afectados por violencia sexual.


Assuntos
Delitos Sexuais , Mulheres , Saúde da Mulher , Violência Doméstica , Serviços de Saúde , Normas Técnicas
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