OBJECTIVE To verify the frequency and factors associated with complications during pregnancy and the association between complications with premature birth and type of delivery in pregnant women aged 35 years or older. METHODS This is a cross-sectional study based on the records of pregnant women admitted between January and July 2012, totalling 430 pregnant women. To identify possible factors associated with complications during pregnancy, data were subjected to univariate analysis using the Poisson regression model. The chi-squared test was used to study the association of complications with premature birth ad type of delivery. RESULTS Complications occurred in 77.7% of the cases. Complications in pregnancy as an explanatory variable for premature birth (p < 0.001) and C-section (p = 0.002) was statistically significant. CONCLUSION The factors younger age, the absence of prenatal care, and the non-occurrence of morbidity prior to gestation were associated with complications in pregnancy.
RESUMO Objetivo Descrever as características sociodemográficas, clínicas e relacionadas à vida sexual e identificar a disfunção sexual em mulheres após o tratamento do câncer do colo do útero. Método Estudo transversal que incluiu mulheres com idade ≥18 anos e conclusão do tratamento de três meses. Foram utilizados dois instrumentos: formulário com informações sociodemográficas, clínicas e relacionadas à vida sexual; e o Índice da Função Sexual Feminina para avaliar a função sexual das participantes sexualmente ativas, sendo valores do escore ≤26 classificados como disfunção sexual. A estatística descritiva foi utilizada para verificar associações através do teste de Mann-Whitney e qui-quadrado de Pearson ou exato de Fisher. Resultados Do total de 46 mulheres, 15 (32,61%) mantiveram relações sexuais após o tratamento e oito tiveram indicativo de disfunção sexual (escore de 21,66; desvio padrão=7,06). Os tipos de tratamento (p=0,03) e de radioterapia (p=0,01), e o estadiamento da doença (p=0,02) interferiram na função sexual. Os domínios do Índice da Função Sexual Feminina mais afetados foram lubrificação (p=0,03) e dor (p=0,04). Conclusão A disfunção sexual esteve presente nas mulheres estudadas com impacto negativo na qualidade de vida.
Objective: Identify the quality of life of women treated for cervical cancer according to their clinical and socioeconomic characteristics. Methods: This was a analytical study on women who were treated for cervical cancer by means of surgery, radiotherapy and chemotherapy. To evaluate their quality of life, the WHOQOL-bref questionnaire was applied. The Mann-Whitney test was used to investigate associations between domains and variables. Results: There were associations (p < 0.05) between the WHOQOL-bref domains and the variables of income, conjugal situation, leisure activities and treatment undergone. The physical and psychological domains were associated with overall quality of life (R = 0.54 and R = 0.63, respectively). Conclusions: Socioeconomic conditions and the type of treatment undergone influenced the quality of life of these women after their treatment. There is a need to increase the reach of cervical cancer screening among women who are less economically favored; and, after treatment, to offer alternative measures that soften the secondary effects.
Objective: to evaluate the perception of obstetric nurses about the interdisciplinary role in natural childbirth care. Method: this is a qualitative, descriptive, exploratory study conducted with six obstetric nurses from a maternity school. Data was collected by applying a form for the semi-structured interview submitted to Bardin Content Analysis. Results: the following themes were identified: interdisciplinary practice in vocational training; Nursing care in the context of interdisciplinarity and interdisciplinary delivery care: an experience within reach. Conclusion: the deficiency of the interdisciplinary approach in the academic formation of all interviewees was observed, which has caused damage to the interpersonal relationship and the process of humanization at childbirth. Nurses were identified who find it difficult to face teamwork, in particular in relation to newborn care in the delivery room. Descriptors: Nursing; Obstetric Nursing; Interdisciplinary Health Team; Multiprofessional Team; Childbirth; Natural Childbirth. RESUMOObjetivo: avaliar a percepção dos enfermeiros obstetras sobre a atuação interdisciplinar na assistência ao parto natural. Método: trata-se de um estudo qualitativo, descritivo, exploratório, realizado com seis enfermeiros obstetras de uma maternidade escola. Coletaram-se os dados aplicando-se um formulário para a entrevista semiestruturada submetido à Análise de Conteúdo de Bardin. Resultados: identificaram-se as seguintes temáticas: a prática interdisciplinar na formação profissional; a assistência de Enfermagem no contexto da interdisciplinaridade e o atendimento interdisciplinar ao parto: uma experiência ao alcance. Conclusão: observou-se a deficiência da abordagem interdisciplinar na formação acadêmica de todos os entrevistados, o que tem causado prejuízos na relação interpessoal e no processo de humanização ao parto. Identificaram-se enfermeiros que encontram dificuldades diante da atuação em equipe, em particular, em relação à assistência ao recém-nascido na sala de parto. Descritores: Enfermagem; Enfermagem Obstétrica; Equipe Interdisciplinar de Saúde; Equipe Multiprofissional; Parto; Parto Natural. RESUMENObjetivo: evaluar la percepción de los enfermeros obstétricos sobre el papel interdisciplinario en la atención natural del parto. Método: este es un estudio cualitativo, descriptivo, exploratorio realizado con seis enfermeros obstétricos de una escuela de maternidad. Los datos se recopilaron mediante la aplicación de un formulario para la entrevista semiestructurada sometido al Análisis de Contenido de Bardin. Resultados: se identificaron los siguientes temas: la práctica interdisciplinaria en la formación profesional; la atención de Enfermería en el contexto de la interdisciplinariedad y la atención interdisciplinaria del parto: una experiencia al alcance. Conclusión: se observó la deficiencia del enfoque interdisciplinario en la formación académica de todos los entrevistados, lo que ha causado daños a la relación interpersonal y al proceso de humanización en el parto. S...
Móvel (APHM), representa um grande desafio. Fundamentos da Enfermagem 2 Capítulo 1 2 version 2013, mainly in the area of Emergency and specifically those directed to the trauma care. Conclusion: The Nursing Interventions identified can collaborate with more directed and systematized care towards nursing care in APHM, and they can contribute to the approximation of ICNP ® in this area.
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