Este estudo visa descrever as experiências extensionistas de acadêmicos de Enfermagem na promoção do autocuidado e prevenção de agravos em usuários diabéticos insulinodependentes, através da utilização de estratégias educativas em saúde em grupo e individuais, visando a realização da técnica correta de auto-aplicação da insulina e o controle glicêmico adequado. Dessa maneira, as estratégias metodológicas utilizadas foram: ações de cuidado educativo em grupo, através da abordagem de temáticas voltadas para o autocuidado em diabetes, em especial autoadministração de insulina, realizadas com o auxílio de tecnologias leve-duras em saúde; e consultas de enfermagem individuais para educação em saúde dos usuários, com o enfoque em enfrentamento das principais dificuldades na aderência à terapia insulínica e capacitação para autoadministração da insulina subcutânea. O desenvolvimento das atividades proporcionou maiores conhecimentos sobre a realidade dos usuários insulinodependentes, a percepção das dificuldades frente à terapêutica, bem como reafirmou a importância da assistência de enfermagem, com ênfase no autocuidado, como uma alternativa encontrada para viabilizar a adesão ao tratamento, melhorar a qualidade de vida e reduzir os elevados encargos à família, à sociedade e ao sistema público de saúde. A vivência destacou ainda a educação terapêutica como sendo essencial na atenção primária para informar, motivar e fortalecer a pessoa e a família, cabendo aos profissionais de saúde, especialmente os enfermeiros, a adoção de atividades educativas como reforço os programas de atenção integral em saúde.

<p>Objetivo: analisar a relação entre as intervenções realizadas durante o trabalho de parto e a duração da fase ativa em parturientes internadas. Método: estudo documental, tipo levantamento de dados, com abordagem quantitativa, realizado em uma maternidade no Pará, Brasil. A análise dos dados ocorreu por meio de estatística descritiva. Resultados: identificadas as intervenções: amniotomia (6,1%), ocitocina (64,2%) e episiotomia (16,7%). A relação das intervenções com a duração da fase ativa do trabalho de parto ocorreu com maior frequência em mulheres com menos de 5 horas na fase ativa. Conclusão: as intervenções realizadas em partos de risco habitual e no período de fase ativa menor que 5 horas não encontraram sustentação teórica e remeteram ao modelo biomédico.</p><p><br />Descritores: Enfermagem Obstétrica. Parto Normal. Trabalho de Parto. Obstetrícia.</p>

Study question What degree of reproductive health knowledge have oocyte donors? Summary answer The results of this study reveal that although oocyte donors are aware of the risks of possible fertility disorders, reproductive health knowledge is insufficient What is known already Sterility affects approximately 15% of the population of reproductive age, that is, young people. However, the information that young people have about fertility is scarce. Gamete donors are a group especially involved in reproductive issues since they help many people to solve their fertility problems and must undergo numerous tests before being accepted as such. However, there are no studies in Spain that deal with the knowledge that young people and, more specifically, donors, have about reproductive health and fertility Study design, size, duration A prospective, cross-sectional multicenter study including oocyte donors at ten fertility clinics performing gamete donation treatment in Spain. During a 2-month period (September-October 2020), 63 donors aged between 19 and 35 years old were recruited consecutively and a total of 63 oocyte donors were included as sample population. Most of them (78%) had not donated before Participants/materials, setting, methods 54% oocyte donors had secondary education and 43% have achieved university studies. Participants anonymously completed a questionnaire containing 41 questions divided into three sections: sociodemographic characteristics (11 items), knowledge on fertility and reproduction (22 items) and with a Likert scale, response to determine general reproductive health information as well as known risks for fertility disorders (8 items). Besides descriptive statistics, statistical analysis was performed with Chi square test. p &lt; 0.05 was considered significant Main results and the role of chance In the survey 96.8% of the participants reported that they had already known the tests for fertility disorders. The increasing age of the women was correctly assessed by the participants of the study as a decisive risk factor for fertility, but it was found that exact knowledge was lacking: the decrease of a woman’s fertility by 39.7% was stated to occur on average at the age of 35–40 and by 30% at 40–45. Nevertheless, 66% of donors considered that fertility preservation should be carried out before the age of 35. 61.1% of the non-university donors reported that fertility can drop as a woman ages due to the decreasing number and quality of the remaining eggs. Among university donors, this percentage increases to 92,6% (p:0,034). Merely 47% of the participants informed what they understood that ovarian reserve is and 47.6% of donors believed that women create new eggs every month. Regarding the known risk factors for fertility, lifestyle was mentioned most frequently by all participants (91,2%), followed by chemo/radiotherapy (83,8%) and smoking, alcohol, and drugs (82,4%). Concerning the influence of the body mass index on fertility, differences were found between non-university (61%) and university donors (88,9%) (p:0,012). Limitations, reasons for caution Financial compensation has been found to be a motivating factor for oocyte donors and therefore one could question the representativeness of the participating oocyte donors. It would be of great interest to explore the significance of the financial compensation further. Wider implications of the findings: The present study reveals an existing requirement for information among oocyte donors, which is not only important for the success of prevention plans but also provides a foundation for possible strategies for the prevention of fertility disorder. Trial registration number Not applicable