Introduction: The burden of care in family refers to the weight caused by the primary caregiver role to psychiatric patients and the difficulties encountered in performing this function in daily life.Objectives: Assessing the objective and subjective overload of family members who live with the reality of psychiatric disorder in a child day-care psychosocial care center. Methods:Cross-sectional study, descriptive-exploratory, of quantitative approach, with non-probabilistic samples of accidental type with 80 families of psychiatric patients held in a Psychosocial Care Center. For overload evaluation, the subscales "B" and "D" of the Family Overload Rating Scale (FBIS-BR) were used. Results:The study was conducted with 80 families of psychiatric patients. The average age of female caregivers was 39.6 years old, and IntroductionUntil the mid-twentieth century, psychiatry offered the people suffering from mental disorders inhuman and inefficient care, which caused more damage than healing to mental health. Admissions were held for long periods with treatment similar to torture methods. In this context, the psychiatric patients could spend the rest of their lives in treatment in mental institutions [1].The mental health care in these asylums was focused on practice and medical knowledge, whose assistance was restricted to admission and medication to combat the symptoms evidenced by psychiatric patients, excluding them of the bond, interactions and all that configured it as part and product of their knowledge [2].The reality of asylums lasted until the process of deinstitutionalization of mental health, which took place in Brazil through the Psychiatric Reform which was characterized as a historical movement of political, social and economic character, which involved since breaking the practiced model to the nursing care excluding the model based on admission of psychiatric patients in mental hospitals [3].In the current model of mental health assistance, the family is entered as partner in the psychosocial rehabilitation process of person with psychiatric disorder, and can contribute to the effectiveness and efficaciousness of substitute services as also responsible for the treatment [4].The process of change in the manner of treating the psychiatric patient, keeping the person with disorder within the family, is accompanied by the emergence of family burden factors, as we note that the family would not be prepared to accept mental disorders affected people [5]. Overloading of the family is defined as the feeling of weight caused by the constant provision of care to psychiatric patients and the difficulties encountered in the role of caregiver's performance in everyday [6].Family members of mentally ill need care or assistance in relation to their own health and that of their hospitalized family member. This fact causes concern to the extent that the health system in 40.7 years old for male caregivers, with female predominance (87.5%) compared to men (12.5%), with low education for both genres. Family careg...
Analisar o perfil sociodemográfico e clínico-obstétrico de mulheres das quais os conceptos evoluíram a óbito, consoante dados de Fichas e Declarações de Óbito Fetal e Infantil com ocorrência em um município maranhense. Trata-se de um estudo descritivo-exploratório, retrospectivo e de cunho documental, com abordagem quantitativa. As fontes de dados foram Fichas de Investigação e Declarações de Óbitos Fetais e Neonatais de mulheres residentes em Caxias-MA. 74,3% das mulheres tinham entre 20 e 39 anos; 61,5% completaram o esquema vacinal; 41% realizaram 6 ou mais consultas; 54% mantiveram a bolsa íntegra, 76,9% residiam na Zona Urbana. É preciso lembrar das atribuições do Estado em proporcionar as condições necessárias ao nascimento saudável e à continuidade da vida. Assim, desenvolver um cuidado integral, por parte de profissionais qualificados, sobretudo de Enfermagem, que mais próximo permanecem junto ao binômio mãe/filho, é essencial para que o direito à vida seja efetivado.Descritores: Óbito Fetal, Mortalidade, Maternidade. Fetal and neonatal deaths: analysis of the sociodemographic and obstetric clinical profile of the mothersAbstract: To analyze the socio-demographic and clinical-obstetric profile of women whose conceptions evolved to death, according to data from Fetal and Infant Deaths and Fecal Cases with occurrence in a municipality of Maranhão. This is a descriptive-exploratory, retrospective and documental study, with a quantitative approach. The data sources were Fiches of Investigation and Declarations of Fetal and Neonatal Deaths of women residing in Caxias-MA. 74.3% of the women were between 20 and 39 years old; 61.5% completed the vaccination schedule; 41% had 6 or more consultations; 54% kept the scholarship in full, 76.9% lived in the Urban Zone. It is necessary to remember the attributions of the State in providing the necessary conditions for a healthy birth and the continuity of life. Thus, developing integral care by qualified professionals, especially nursing professionals, who are closest to the mother/child binomial, is essential for the realization of the right to life.Descriptors: Fetal death, Mortality, Maternity. Óbitos fetales y neonatales: análisis del perfil sociodemográfico y clínico obstétrico de genitorasResumen: Analizar el perfil sociodemográfico y clínico-obstétrico de mujeres cuyos nacimientos evolucionaron hasta la muerte, de acuerdo con los datos de los registros y declaraciones de defunciones fetales e infantiles que ocurrieron en un municipio de Maranhão. Se trata de un estudio exploratorio descriptivo, retrospectivo y documental, con enfoque cuantitativo. Las fuentes de datos fueron hojas de investigación y declaraciones de muerte fetal y neonatal de mujeres que viven en Caxias-MA. El 74,3% de las mujeres tenían entre 20 y 39 años; 61.5% completaron el calendario de vacunación; El 41% tuvo 6 o más consultas; El 54% mantuvo intacta su beca, el 76,9% vivía en la zona urbana. Es necesario recordar las atribuciones del Estado al proporcionar las condiciones necesarias para un parto saludable y la continuidad de la vida. Por lo tanto, el desarrollo de una atención integral por parte de profesionales calificados, especialmente Enfermería, más cercanos al binomio madre / hijo, es esencial para hacer realidad el derecho a la vida.Descriptores: Muerte Fetal, Mortalidad, Maternidad.
O processo de inclusão de pessoas com necessidades especiais, sobretudo, no ensino superior, ainda se encontra marcado por indefinições, apesar de muitas instituições se mostrarem receptivas à chegada dessas pessoas. O objetivo deste estudo foi analisar os desafios e perspectivas na inclusão de pessoas com necessidades educacionais especiais em Instituições de Ensino Superior. Tratou-se de um estudo bibliográfico do tipo revisão integrativa da literatura, com levantamento na Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Sistema Online de Busca e Análise de Literatura Médica (Medline)/PubMed e Base de Dados de Enfermagem (BDEnf).
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