This cross-sectional study identified, through home interviews, the pharmacotherapeutic profile of pregnant women attended at the Unified Health System (SUS) during the prenatal care. The drugs were classified according to the Food and Drug Administration (FDA) pregnancy risk categories. From the 104 respondents, 94.2% reported to use at least one drug during pregnancy, and were identified 53 different drugs, totalizing 316. The frequency of drugs from category A (n = 115, 36.4%) was closely related to B (n = 121, 38.3%) and 3 times higher than C (n = 36, 11.4%) and 4 than D (n = 29, 9.2%). 22.1% (CI(95%) 14.4 -29.8) of the respondents used drugs from category D and 1.9% from X. There was a significant association between gestational age and drug use, so that 61.7% of the drugs were consumed in the third trimester of gestation, and 56.7% of the respondents consumed drugs at this period. The most commonly consumed therapeutic classes were vitamins/supplements/antianemics (35.33% from the 316; consumed by 72.97% of the interviewed), painkillers (14.6%; 44%), and antimicrobials (10.1%; 19.2%). The most frequently consumed drugs were folic acid (17.72% CI(95%) 13.67 -22.39), ferrous sulfate (15.82% CI(95%) 11.98 -20.32%), and paracetamol (12.97% CI(95%) 9. 47 -17.19). From the 104 respondents, 22% related smoking before pregnancy and 12.5% did not interrupt the habit during pregnancy, whereas 21 pregnant women related alcohol consumption before pregnancy and, 4 them, did interrupt the consumption during the gestational period. Therefore, this study reported a great number of prescribed drugs to pregnant women, from all FDA pregnancy risk categories, including an outstanding use of drugs with a high teratogenic potential (D and X categories), and a considerable proportion of pregnant women using more than one drug. The control and supervision during the use of drugs at the prenatal care must be taken into account, since the use of certain drugs during gestational period may lead to teratogenic damage and/or complications that cause abort and impair the pregnant woman's health. RESUMONeste estudo transversal, por meio de entrevistas domiciliares, foi mostrado o perfil farmacoterapêutico de gestantes atendidas pelo Sistema Único de Saúde (SUS) durante o pré-natal, sendo que os medicamentos utilizados foram classificados segundo critérios de risco do Food and Drug Administration (FDA). Entre as 104 gestantes entrevistadas, 94,2% utilizavam medicamento e foram identificadas 53 especialidades farmacêuticas no total de 316 medicamentos (média de 3 medicamentos por gestante). A frequência de medicamentos do grupo A (n = 115, 36,4%) foi próxima ao B (n = 121, 38,3%), 3 vezes maior que o C (n = 36, 11,4%) e 4 que o D (n = 29, 9,2%). 22,1% (IC(95%) 14,4 -29,8) das entrevistadas utilizavam medicações da classe D e 1,9% da X. Houve uma positiva e significativa correlação entre a
RESUMOObjetivos. conhecer os riscos que caracterizam as detentas como um grupo susceptível a infecções sexualmente transmissíveis (IST); revelar as reações frente ao diagnóstico; e discutir a importância do aconselhamento em saúde. Método: pesquisa descritiva com abordagem qualitativa, realizada em uma penitenciária feminina de Teresina/Piauí, com nove presidiárias portadoras de IST/ Síndrome da Imunodeficiência Adquirida (AIDS). A coleta de dados, realizada com entrevista semiestruturada, ocorreu entre agosto e setembro de 2010. Os depoimentos foram gravados, transcritos e realizada análise de conteúdo. Estudo aprovado pelo Comitê de Ética da Universidade Federal do Piauí, CAEE: 4891.0.000.044-10. Resultados: o uso de drogas ilícitas, múltiplos parceiros sexuais e sexo desprotegido foram os comportamentos de risco mais frequentes para IST/AIDS. Diante do diagnóstico, as reações foram marcadas por tristeza, medo, receio do julgamento/rejeição familiar, raiva e barganha. Além disso, o aconselhamento em saúde é indispensável ao enfrentamento destas infecções. Conclusão: aconselhamento de enfermagem e suporte emocional são ferramentas decisivas na ocasião do diagnóstico de uma IST/AIDS. Palavras-chave: Doenças sexualmente transmissíveis; prisioneiros; intervenção na crise; enfermagem.ABSTRACT Objective: to know the risks that characterize women prisoners as a susceptible group to sexually transmitted infections-(STI), to reveal the reactions to the diagnosis and to discuss the importance of health counselling. Method: descriptive research with qualitative approach. It occured in a feminine prison-Teresina/Piauí, with nine women prisoners living with STI/AIDS. The data collection, with a semi-structured form, was carried out between August-September of 2010. The interviews were recorded, transcripted and the content analysis was made. This study was approved by the Research Ethics Committee of the Federal University of Piauí, (CAAE No 4891.0.000.044-10). Results: use of illicit drugs, multiple sexual partners and unprotected sex were the most frequent risk behaviours. Facing the diagnosis, the reactions were sadness, scare, fear of family judgment/rejection, anger and bargain. Moreover, the health counselling is indispensable to cope with these infections. Conclusion: nursing counselling and emotional support are decisive tools when there is a STI/AIDS diagnmosis. Keywords: Sexually transmitted diseases; prisoners; crisis interventions; nursing. RESUMENObjetivo: conocer los riesgos que caracterizan a las reclusas como un grupo susceptible a infecciones de transmisión sexual (ITS), revelar acciones frente a el diagnóstico y discutir la importancia de la asesoría en salud. Método: investigación descriptiva con enfoque cualitativo. Se llevó a cabo en un centro penitenciario femenino -Teresina/Piauí, con nueve presidiarias con diagnóstico de IST/AIDS. La recogida de datos fué realizada con formulario semi-estructurado, entre agosto y septiembre de 2010. Las entrevistas fueron grabadas, despues se realizó transcripción y...
O abortamento é um problema de saúde pública resultado da inter-relação de fatores socioeconômicos, culturais, entre outros. O estudo objetivou identificar o perfil de mulheres em situação de abortamento atendidas em uma maternidade pública de Teresina – PI – Brasil. Pesquisa de natureza quantitativa. A coleta de dados foi realizada pelas autoras através da técnica de entrevista com preenchimento do formulário junto a 70 mulheres. Os resultados evidenciaram que: 42,9% das entrevistadas tinham idade de 20 a 28 anos; 35,7% ensino fundamental incompleto; 61,4% não exerciam atividade remunerada; 50,0% possuíam renda familiar de até um salário mínimo; 34,3% tinham relacionamento estável; 67,1% tiveram menarca entre 12 e 14 anos e 74,2% tiveram coitarca entre 15 e 19 anos. Assim, percebeu-se a importância da criação de espaços de diálogo no ambiente doméstico, bem como, devido apoio e acompanhamento por parte do profissional de saúde, em especial da enfermeira, à mulher vítima de abortamento.
Objective: reporting the experience of nursing academics as the assistance provided in the area of reproductive and sexual health to prisoner women. Methodology: this is a descriptive study of type case studies about the experience of nursing students in extension project "Nursing care: contributions on reproductive health of inmate women of a penitentiary in Teresina", in the months from march to december 2013. Results: health assistance in Brazilian prisons is still deficient, however, despite the limitations, it can be performed activities aiming at an effective nursing care, because despite the obstacles, it is due to the nurse and to the health team working on the development of strategies for coping with difficulties, by optimizing available resources. Conclusion: experience has shown that the full nursing care to prisoner women’s health, in the context of sexual and reproductive health is essential, mainly because these women constitute a vulnerable population to the development of various diseases. Descriptors: Nursing Care. Women. Prisons.
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