RESUMO
OBJECTIVE: To evaluate the effects of acupuncture in the treatment of low back pain in pregnant women in the second and third trimesters of pregnancy. METHOD: A quasi-experimental pre-post design was applied to pregnant women at a gestational age between 14 and 37 weeks, who had complaints of low back pain. Acupuncture sessions were performed, working systemic and auricular points. The McGill questionnaire was used to assess pain, as well as the instrument for identifying the sociodemographic, clinical and obstetric profile. RESULTS: The acupuncture technique performed in up to six sessions in 56 pregnant women with low back pain had positive effects on the participants' health. According to the pain assessment, there was a statistically significant reduction in the low back pain among the pregnant women as early as in the second session, with a gradual improvement with the advancement of the number of sessions. There were no serious adverse events related to acupuncture. CONCLUSION: Acupuncture offered significant effects for reducing or relieving pain in pregnant women. The participants expressed satisfaction and well-being as they left each session.
Assuntos
Terapia por Acupuntura/métodos , Dor Lombar/terapia , Satisfação do Paciente , Complicações na Gravidez/terapia , Terapia por Acupuntura/efeitos adversos , Adulto , Feminino , Humanos , Medição da Dor , Gravidez , Segundo Trimestre da Gravidez , Terceiro Trimestre da Gravidez , Inquéritos e Questionários , Resultado do Tratamento , Adulto JovemRESUMO
OBJECTIVE: to associate the social determinants of health and quality of life of caregivers of children with cancer. METHODS: a cross-sectional study conducted in a paediatric cancer centre in Fortaleza, Brazil, with 176 participants in November and December 2013. Data were collected using a questionnaire with social determinants of health, and quality of life was assessed using the World Health Organization Quality of Life-Bref. The determinants were correlated with the averages of the quality of life domains using analysis of variance (ANOVA). RESULTS: there was a statistically significant association between the domains of social relations and education (p = 0.01792) and between the psychosocial domain and the gender of the caregiver (p = 0.01901). The male caregivers that were highly educated, younger, married, stay-at-home dads from the interior had a better quality of life. CONCLUSION: the study sheds light on the influence of social determinants of health in the quality of life of caregivers of children with cancer.
Assuntos
Cuidadores , Neoplasias , Qualidade de Vida , Determinantes Sociais da Saúde , Adolescente , Adulto , Brasil , Criança , Estudos Transversais , Feminino , Humanos , Masculino , Neoplasias/enfermagem , Adulto JovemRESUMO
OBJECTIVE: To analyze strategies for self-management support by patients with stroke in the light of the methodology of the five A's (ask, advice, assess, assist and arrange). METHODS: Integrative review conducted at the following databases CINAHL, SCOPUS, PubMed, Cochrane and LILACS. RESULTS: A total of 43 studies published between 2000 and 2013 comprised the study sample. All proposed actions in the five A's methodology and others were included. We highlight the Assist and Arrange, in which we added actions, especially with regard to the use of technological resources and joint monitoring between patients, families and professionals. No study included all five A's, which suggests that the actions of supported self-management are developed in a fragmented way. CONCLUSION: The use of five A's strategy provides guidelines for better management of patients with stroke with lower cost and higher effectiveness.
Assuntos
Autocuidado , Acidente Vascular Cerebral/terapia , HumanosRESUMO
OBJECTIVE: To identify the risk factors for STD among female sex workers and the characteristics of this population, and to verify the association between condom use by their male partners and clients. METHOD: Cross-sectional and correlational study conducted with 73 sex workers registered at the Sex Workers´ Association of the municipality of Picos -PI, Brazil. Data were collected in September and October 2010 using a questionnaire to obtain sociodemographic information and the participants´ background in the sex industry. Ethical aspects were observed. RESULTS: There was no significant association between most of the sociodemographic variables and background in the sex industry and condom use by male partners or clients. However, there was a significant association with years in the sex industry (p = 0.029). Sex workers who had been in the industry for the longest used condoms for protection against sexually transmitted diseases. CONCLUSION: It is essential to create health promotion strategies that observe the real-life experiences of sex workers.
Assuntos
Doenças Profissionais/epidemiologia , Profissionais do Sexo , Infecções Sexualmente Transmissíveis/epidemiologia , Adulto , Consumo de Bebidas Alcoólicas/epidemiologia , Brasil/epidemiologia , Preservativos/estatística & dados numéricos , Estudos Transversais , Feminino , Promoção da Saúde , Humanos , Renda , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/prevenção & controle , Fatores de Risco , Assunção de Riscos , Infecções Sexualmente Transmissíveis/prevenção & controle , Fumar/epidemiologia , Fatores Socioeconômicos , Sexo sem Proteção , Adulto JovemRESUMO
OBJECTIVE: To map and analyze scientific evidence on care provided to women deprived of liberty during labor and childbirth. METHOD: A scoping review, developed in accordance with JBI methodology, whose information sources were accessed in databases and gray literature. Selection was carried out between October and December 2023, based on reading titles, abstracts and descriptors, considering the following eligibility criteria: articles, dissertations and theses with different methodological designs available in full, without language and time limitations. Analysis was conducted by two independent reviewers, using inductive content analysis. RESULTS: Fifteen studies were included. From the synthesis of results, two categories emerged: From the cell to the delivery room: care for women deprived of liberty; Experiences of women deprived of liberty during labor and childbirth. CONCLUSION: This study highlights the fragility of care practices during labor and childbirth, imposing significant challenges and resulting in adverse experiences that compromise the quality of motherhood and violate women's fundamental rights.
Assuntos
Parto Obstétrico , Trabalho de Parto , Humanos , Feminino , Gravidez , Direitos da Mulher , Parto/psicologia , LiberdadeRESUMO
OBJECTIVE: To estimate the prevalence of depressive symptoms in the population aged 18 to 24, according to socioeconomic and demographic aspects in Brazil, comparing its evolution between 2013 and 2019. METHODS: Cross-sectional study carried out with secondary data obtained from National Health Survey 2013 and 2019. It were included 7,823 young adulthood (aged 18 to 24) from 2013 and 8,047 from 2019. The instrument used to assess depression was the Patient Health Questionnaire-9 (PHQ-9). All estimates included population weights and complex sampling. RESULTS: The prevalence of depression almost doubled: 10.9% (95%CI 9.6-12.2) in 2019, compared to 5.6% (95%CI 4.8-6.4) in 2013, an absolute difference of 5.3% (4.5-6.0) greater. Women were the most affected in both surveys, with an increase between 2013 (8.3%; 95%CI 6.9-9.6) and 2019 (15.6%; 95%CI 13.5-17.6) higher than that of men (2013: 2.9%; 95%CI 2.0-3.8 and 2019: 6.2%; 95%CI 4.7-7.7). In both sexes, the pattern of increase was greater for the groups aged 18 to 20, not participating in religious activities, who were at the lowest levels of education and income, who lived with two or three or more people, who lived in the Northeast, Southeast, capitals and metropolitan areas of the country. CONCLUSION: There was a significant increase in the prevalence of depressive symptoms over the six years between the two surveys. However, this increase did not occur homogeneously among the characteristics analyzed, indicating population groups and locations in Brazil where the presence of these symptoms increased most in the period.
Assuntos
Depressão , Inquéritos Epidemiológicos , Fatores Socioeconômicos , Humanos , Brasil/epidemiologia , Feminino , Masculino , Adulto Jovem , Estudos Transversais , Prevalência , Adolescente , Depressão/epidemiologia , Distribuição por Sexo , Distribuição por Idade , Fatores SociodemográficosRESUMO
OBJECTIVE: To verify the association between prenatal care quality indicators and neonatal outcomes in maternity hospitals. METHOD: Hospital-based cross-sectional study in four high-risk referral maternity hospitals in the five health macro-regions enabled by the Stork Network in Ceará-Brazil. Between April 2017 and July 2018, 440 puerperal women were interviewed using simple probabilistic sampling and a formula with finite populations and stratification of each maternity hospital. The analysis involved Pearson's Chi-Square, Adjusted Residuals Analysis and Fisher's Exact. RESULTS: There was an association between fewer consultations with prematurity and low birth weight. Delivery in the maternity hospital where the woman lived was associated with low birth weight and the need for ventilatory support. CONCLUSION: Prenatal care quality indicators influenced neonatal outcomes, which underlines the importance of ensuring access and quality of care as ways of reducing infant morbidity and mortality.
Assuntos
Maternidades , Cuidado Pré-Natal , Recém-Nascido , Gravidez , Feminino , Humanos , Estudos Transversais , Período Pós-Parto , Recém-Nascido Prematuro , BrasilRESUMO
BACKGROUND: Pregnancy induces physiological changes, commonly marked by nausea and vomiting in the first trimester, posing risks for both mother and baby. This study evaluates the effects of auriculotherapy on nausea and vomiting during the first trimester of pregnancy. MATERIALS AND METHODS: A randomized clinical trial was conducted in two primary health care centers with 56 Brazilian pregnant women who reported nausea or vomiting in the first trimester. The participants were divided into an intervention group (auriculotherapy with seeds) and a placebo group (sham auriculotherapy). The intervention was divided into three moments: pre-intervention with assessment of nausea and vomiting and application of questionnaires, and two follow-ups conducted on the fourth and seventh day of the intervention, with reassessment of nausea and vomiting. RESULTS: Both groups experienced a decrease in nausea and vomiting over time, with no statistically significant differences between groups in the within-group analyses at various time points. The intervention group had a greater reduction in symptoms. Within the intervention group, symptoms were more common among ferrous sulfate users and those without reported dietary disturbances. In addition, a higher incidence of nausea and vomiting was associated with the use of analgesics, morning snacks, and low intake of protein, vegetables, and fruits. CONCLUSIONS: The intervention did not affect the between-group differences in the incidence of nausea and vomiting and vomiting effort in the first trimester of pregnancy. However, a greater reduction was observed in the intervention group.
Assuntos
Auriculoterapia , Complicações na Gravidez , Feminino , Gravidez , Humanos , Gestantes , Resultado do Tratamento , Vômito/terapia , Náusea/terapia , Complicações na Gravidez/terapiaRESUMO
OBJECTIVE: To identify factors associated with antepartum pilgrimage in pregnant women in Fortaleza, Ceará, Brazil. METHOD: A cross-sectional study with 300 postpartum women from a state reference maternity hospital, carried out from March 2020 to January 2021. The frequency of pilgrimage was estimated according to socioeconomic characteristics and prenatal care. Analysis with Pearson's chi-square test selected variables for adjusted Poisson regression. RESULTS: The frequency of antepartum pilgrimage to more than one health service was 34.3%. Not knowing the reference maternity hospital (1.16; 95%CI: 1.04-1.30) and not living close to the reference maternity hospital (1.16; 95%CI: 1.03-1.31) were associated with the occurrence of pilgrimage among women. Personal characteristics and prenatal care were not associated. CONCLUSION: There was an association between antepartum pilgrimage and lack of knowledge of the reference maternity hospital and residence far from that maternity hospital, which requires better team communication and the guarantee of easier access to obstetric care services, through effective implementation of regionalization of maternal care.
Assuntos
Maternidades , Serviços de Saúde Materna , Gravidez , Feminino , Humanos , Brasil , Estudos Transversais , Cuidado Pré-NatalRESUMO
OBJECTIVE: The objective was to identify validated instruments from the literature that assess the mental health of police officers. METHODS: This is a systematic review of validated instruments used to assess the mental health of police officers. Searches were conducted in the MEDLINE, Web of Science, Scopus, Embase, CINAHL/EBSCO, and Virtual Health Library databases. This review follows the JBI Manual for Systematic Reviews and the PRISMA statement. The methodological quality of the articles and the risk of bias were assessed. RESULTS: A total of 1530 studies were identified across the six databases, with 158 studies read in full by the authors after excluding duplicates and those that did not meet the inclusion criteria. The final 29 studies were analyzed for methodological quality and risk of bias using the AXIS and SFS-D tools. CONCLUSION: This review identified 27 self-administered validated instruments useful for assessing various mental health outcomes in police officers, with the most frequently used being the Police Stress Questionnaire. These findings may help guide security force administration, occupational health professionals, and mental health researchers in selecting and implementing psychometrically reliable instruments for screening the mental health of police officers.
Assuntos
Saúde Mental , Polícia , Humanos , Inquéritos e Questionários , Psicometria/instrumentaçãoRESUMO
OBJECTIVE: The aim of the current study was to associate sociodemographic characteristics and satisfaction with the support received from companions during labor and delivery. METHOD: An analytical cross-sectional study was performed in a maternity hospital in Fortaleza, Brazil, from March to August 2019, with 320 postpartum women. A form containing sociodemographic and obstetric questions, companion-related information, type of support provided, and the Birth Companion Support Questionnaire (BCSQ) were used to assess the frequency of social support behaviors. χ2 and Fisher exact tests were used for statistical analyses. RESULTS: Nonpharmacological methods were associated with an unsatisfactory perception of support, but the emotional support provided by companions was positively associated with women's satisfaction. CONCLUSION: The findings of the current study concerning women's perceptions of the support received from their companions may allow improvements in the delivery of care to women in labor toward the humanization of obstetric practices.
Assuntos
Amigos , Trabalho de Parto , Gravidez , Feminino , Humanos , Estudos Transversais , Satisfação do Paciente , Trabalho de Parto/psicologia , Parto/psicologia , Período Pós-Parto , Percepção , Parto Obstétrico/psicologiaRESUMO
OBJECTIVE: To analyze, in the light of the Social Ecological Theory, the progression of reported cases of HIV during pregnancy in a Brazilian state and their relationship with the onset of the COVID-19 pandemic. METHOD: Retrospective study, with a sample consisting of all reports of gestational HIV in the state of Ceará - Brazil from 2017 to 2021, on the IntegraSUS platform. Data collection was carried out in January 2022. The analyzed variables were organized according to the theoretical levels: macrosystem, exosystem, mesosystem, and microsystem. RESULTS: A total of 1,173 cases of HIV in pregnant women were recorded. When comparing the pre- and post-pandemic period, a reduction in the disease detection rate (from 231 to 122.67 pregnant women) was observed, as well as 1.82 times more chances of women not using antiretrovirals during childbirth after the start of the pandemic. There was a 55% reduction in vaginal births and 39% in cesarean sections among women diagnosed with HIV after the start of the pandemic. CONCLUSION: The COVID-19 pandemic had an epidemiological and care impact, leading to a reduction in the number of notifications and in the detection rate of pregnant women living with HIV in the state of Ceará. Therefore, the need to ensure health care coverage is emphasized, with early diagnosis actions, guaranteed treatment, and quality prenatal care.
Assuntos
COVID-19 , Infecções por HIV , Complicações Infecciosas na Gravidez , Feminino , Gravidez , Humanos , Gestantes , Complicações Infecciosas na Gravidez/epidemiologia , Complicações Infecciosas na Gravidez/diagnóstico , Pandemias , Estudos Retrospectivos , COVID-19/epidemiologia , Infecções por HIV/epidemiologia , Infecções por HIV/diagnóstico , PartoRESUMO
OBJECTIVE: To evaluate the knowledge, attitude, and practice (KAP) of pelvic floor muscle (PFM) preparation for birth among postpartum women, and its related factors. METHODS: Cross-sectional study conducted in a maternity unit among Brazilian women aged 14 years or older during the first 72 h postpartum, who desired and had vaginal birth. Sociodemographic, clinical, and obstetric data were collected using a standardized form from medical charts. A 15-question questionnaire was used to measure the KAP of PFM preparation for birth. Knowledge was categorized as: poor, average, and good. RESULTS: In all, 326 women completed the survey (mean age 24.3 ± 6.2 years) and 167 (51.2%) women had poor knowledge. The attitude of searching for information on how to prevent perineal trauma was reported by 14 (4.3%) women. Only 13 (4.0%) participants reported that they had practiced at least one session of PFM preparation during pregnancy (PFM training, perineal massage, etc.) Multivariate analysis showed that lower educational level was associated with poor knowledge (P < 0.05). CONCLUSION: The KAP of PFM preparation for birth is inadequate among postpartum women. Health education regarding PFM care during pregnancy and postpartum should be addressed among pregnant women, specifically younger women with lower levels of education and income.
Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Diafragma da Pelve , Gravidez , Feminino , Humanos , Adolescente , Adulto Jovem , Adulto , Masculino , Estudos Transversais , Diafragma da Pelve/fisiologia , Parto , Período Pós-Parto/fisiologia , Períneo/lesõesRESUMO
OBJECTIVE: to assess the effects of "Piss off, HPV!", an educational intervention to increase adolescents' knowledge, attitude and compliance with human papillomavirus vaccination. METHOD: a randomized clinical trial by cluster, carried out in six schools in two municipalities in Ceará, with 238 girls. The control group (n = 120) received routine instructions, and the intervention group (n = 118), printed message cards about the quadrivalent HPV vaccine. A pre- and post-intervention knowledge, attitude and practice survey was applied to both groups. The McNemar test, to analyze knowledge, attitude and pre- and post-intervention practice, the chi-square test, to compare compliance in relation to knowledge and attitude, and a logistic regression model, to assess vaccine compliance, were carried out. A significance level of 5% was adopted. RESULTS: pre-intervention, knowledge was inadequate and attitude was adequate in both groups. Post-intervention, adequate knowledge and practices became greater in the intervention group. Adequate post-intervention knowledge and attitude, in addition to being 12 years of age or older, increase the chance for vaccination, explaining 70% of the practice. CONCLUSION: the educational intervention was effective for adolescents' knowledge and compliance with the quadrivalent HPV vaccine. UTN: U1111-1254-5546; ReBEC: RBR-107hzdqt.
Assuntos
Infecções por Papillomavirus , Vacinas contra Papillomavirus , Adolescente , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Infecções por Papillomavirus/prevenção & controle , Aceitação pelo Paciente de Cuidados de Saúde , Inquéritos e Questionários , VacinaçãoRESUMO
OBJECTIVES: to verify sociodemographic, academic and health risk factors for Central Nervous System drug use among nursing students. METHODS: a cross-sectional study with 199 public undergraduate students from Ceará, using Characterization Instrument, Antonovsky's Sense of Coherence Questionnaire, Beck Depression Inventory and Beck Anxiety Inventory. Fischer's exact test and Pearson's chi-square test were performed, verifying an association between variables. Prevalence ratio was used. RESULTS: a total of 34 used such drugs, with predominance of use of anxiolytics, associated with age (p=0.026), dissatisfaction with the relationship between classmates (p=0.003), insomnia (p=0.009), chronic disease (p=0.001), depression (p=0.035), and severe anxiety (p=0.023). CONCLUSIONS: using Central Nervous System drugs among students was associated with sociodemographic, academic and health factors, evidencing the need for actions promoting undergraduate students' mental health.
Assuntos
Estudantes de Enfermagem , Ansiedade/epidemiologia , Fármacos do Sistema Nervoso Central , Estudos Transversais , Depressão/epidemiologia , Humanos , Escalas de Graduação Psiquiátrica , Fatores de Risco , Estudantes de Enfermagem/psicologiaRESUMO
OBJECTIVES: to identify the effectiveness of auriculotherapy in the treatment of nausea and vomiting through a systematic review of the scientific literature. METHODS: it was performed a systematic review of the literature making use of the following data basis: The Scopus, PubMed, CINAHL (Cumulative Index to Nursing and Allied Health Literature), Web of Science, LILACS and Cochrane databases were used. Articles from complete research from randomized controlled clinical trials that describe using auriculotherapy in nausea and vomiting treatment were selected, without restriction of date or language. RESULTS: eleven articles were selected for analysis. The majority approached the population in surgical situations, followed by patients undergoing chemotherapy and pregnant women. As for results, 81% (n=8) of the articles reported that nausea and vomiting were lower in incidence and/or intensity in the intervention group. CONCLUSIONS: the review provided relevant data on the effects of auriculotherapy in nausea and vomiting treatment, with a decrease in the intensity and frequency of these symptoms in different populations.
Assuntos
Auriculoterapia , Náusea , Feminino , Humanos , Náusea/terapia , Gravidez , Vômito/terapiaRESUMO
OBJECTIVES: to analyze the impact of the Colombian Peace Agreement on the structural social determinants of health. METHODS: a descriptive, ecological study, based on documentary data from 2008 to 2018. The records of victims, epidemiological indicators, and structural social determinants of health in Colombia were analyzed. RESULTS: there was a correlation between the period in which the Peace Agreement process was developed and the indicators of structural determinants in health with p<0.05. With the Poisson regression analysis, the favorable correlations between the peace process and the determinants were confirmed, besides allowing the understanding of the changes in these indicators before the Peace Agreement. CONCLUSIONS: the implementation of the peace process has a positive impact on structural social determinants of health, which is observed by the beginning of the decrease of economic, educational, health, and social inequalities and inequities, a fact that offers the possibility of living in peace.
Assuntos
Condições Sociais , Determinantes Sociais da Saúde , Colômbia , Escolaridade , Humanos , Fatores SocioeconômicosRESUMO
OBJECTIVE: Identify factors associated with the knowledge and attitude regarding male condom use in school adolescents. METHODS: Cross-sectional, quantitative, Knowledge, Attitude, and Practice survey, conducted with 114 adolescents from a public state high school from August to October 2017, in Fortaleza, Ceará, Brazil. RESULTS: The assumption of having sufficient knowledge regarding safe sex, not having a casual/dating partner, and having had three or more sexual partners in the last three months affected adequate knowledge. Higher education of the mother and not talking to the mother about sex were factors that influenced the inappropriate attitude of the participants. CONCLUSION: The knowledge and attitude of adolescents are influenced both by their previous sexual relations and by their relationship with their mother and the level of her schooling. Thus, it is essential that health institutions promote actions aimed at sex education, with support from schools and health professionals in general.
Assuntos
Preservativos , Conhecimentos, Atitudes e Prática em Saúde , Sexo Seguro , Adolescente , Brasil , Estudos Transversais , Feminino , Humanos , Masculino , Comportamento Sexual , Parceiros SexuaisRESUMO
OBJECTIVE: To stablish a middle range theory for the understanding of the causal mechanisms and clinical consequentes of the nursing diagnosis Excess Fluid Volume (00026) among pregnant women. METHOD: The Middle Range Theory was constructed in five stages: defining of construction approach, establishing main concepts, elaborating propositions, developing a pictorial diagram, and establishing the causal relationships and evidence for practice of the Middle Range Theory. RESULTS: We identified 14 clinical indicators and 6 causal factors of Excess Fluid Volume. A pictorial diagram was developed and relationships between Excess Fluid Volume elements were established with 6 propositions for them. CONCLUSION: The Middle Range Theory included both physiological and pathological conditions to explain Excess Fluid Volume. This Middle Range Theory might help in the better understanding of interactions between causal factors and clinical indicators of Excess Fluid Volume.
Assuntos
Insuficiência Cardíaca , Diagnóstico de Enfermagem , Feminino , Humanos , Teoria de Enfermagem , Gravidez , GestantesRESUMO
OBJECTIVE: to analyze the quality of life of high-risk pregnant women. METHODS: an observational and cross-sectional study, carried out in a tertiary maternity hospital located in Fortaleza, with 276 high-risk pregnant women. A questionnaire was applied containing socioddemographic, clinical and obstetric data and The Mother-Generated Index. Descriptive analyzes were performed using the Jamovi statistical program®, version 0.9. RESULTS: most areas were negatively influenced by pregnancy. "Satisfaction with pregnancy", "family relationship" and "relationship with the partner" obtained the highest means of primary score, while "physical condition/disposition" and "financing" obtained the lowest means. The highest secondary scores were in "satisfaction with pregnancy", "family relationship" and "relationship with the partner", while the lowest were in "financing" and "psychological/emotional". CONCLUSION: the total primary score mean was 6.03, suggesting a good quality of life. The Mother Generated Index made it possible to identify aspects of life that go beyond pre-formulated assessments of the construct.