Resumo: Este estudo objetivou conhecer experiências de enfermeiros em Unidades Básicas de Saúde – UBS - no município de Uberlândia, quanto aos seus modos de ver o atendimento às crianças vítimas de violência doméstica, através da pesquisa qualitativa. Foram realizadas entrevistas semi-estruturadas com enfermeiros de nove UBS e analisadas através da técnica de Análise de Conteúdo, usando o recurso de Análise Temática. Nos resultados, verificamos que os enfermeiros apresentam uma visão tímida de atendimento de casos de violência doméstica infantil, seja por falta de preparo, seja pela dificuldade de reconhecer um caso, ou pela falta de um trabalho em equipe. Concluímos que a presença ou suspeita de violência nos casos atendidos e sua percepção, que oscila entre os aspectos visíveis e invisíveis da violência, o que acaba por originar dúvidas em sua identificação e atendimento, depende de uma melhor formação e do uso de melhores referências sobre o assunto no ambiente de trabalho.Palavras – chave: Atenção Primária à Saúde; Enfermagem; Instituições de Saúde, Maus-tratos infantis; Violência Doméstica.
ABSTRACT:Education is a social and universal phenomenon, being essential to the workplace and in a continuing regime. The pursuance of continuing education is common in the Nursing practice. Therefore, this study has the objective of describing the attendance indicators obtained by a Continuing Education Nursing Program at a University Hospital in 2012, in relation to the attendance of the students in long-term courses (greater than 20 hours). These courses are offered to the nursing staff under the pretext of understanding and supporting new health care strategies, which aim at improving the workforce of participants. The work herein is a descriptive, exploratory and retrospective study. During 2012 only three long-term courses were offered, all focused upon the specific needs of the hospital. In order to carry out the attendance evaluation a series of indicators were considered; daily presence percentage, general attendance percentage per student, attendance percentage of approved student, attendance percentage of reproved student, course abandonment percentage and approval percentage. The results showed differences in the attendance rates across all courses, both for those students who were approved as for those who were reproved, although the approval rate did not differ between the courses (40-50%). In the case of the course offered only to nurses, there were no abandonments registered. A noted phenomenon is that over the period the course runs, there also occurs a decrease in the daily attendance percentage on the part of students, thus demonstrating the need to implement new methodologies concerning this problem. Additionally, there occurred an attendance percentage and an approved and reproved percentage differential in results among the three nursing work categories, where nurses presented the highest rates of attendance and approbation. These results can be associated to the workplace position, voluntary participation and absence of liberation criteria for participation, all of which should be investigated in a future scenario. The results demonstrate the need for a methodology that maintains attendance levels across the whole duration of the long-term course, and deals with the presence of different professional categories and functions in the same course, under the intention of improving attendance and results of the long-term courses in continuing education programs.
Introdução: A anticoagulação oral (ACO) é comumente indicada no tratamento de patologias cardiovasculares. Acredita-se que um dos maiores problemas relacionados ao insucesso terapêutico está relacionado com a não adesão ao tratamento, colaborando para o aumento da morbimortalidade. Objetivos: Descrever o perfil clínico, os níveis de adesão e satisfação terapêutica de pacientes valvulopatas em uso de anticoagulantes orais. Métodos: Estudo transversal, quantitativo e descritivo, realizado no Ambulatório de Anticoagulação Oral da Universidade Federal de Uberlândia. Após o consentimento dos participantes, foram realizadas entrevistas clínicas e aplicação dos instrumentos de avaliação de adesão ao tratamento (MAT) e de satisfação com a terapia anticoagulante (DASS). O estudo foi aprovado pelo comitê de ética local nº 82152/2012. Análise estatística descritiva e correlações foram realizadas. Resultados: Um total de 39 pacientes participou do estudo, dos quais 59% eram do sexo masculino. Em relação ao MAT, 74,36% dos pacientes mostraram-se aderente ao tratamento (MAT), e a média de satisfação terapêutica foi de 110,67 pontos (DASS). A principal indicação para o uso de ACO foi fibrilação atrial (38,46%), e a varfarina foi o ACO de escolha (84,61%). O MAT foi relacionado ao domínio limitação do DASS (r=-0,2583; p=0,0556), assim como a sobrecarga (r=-0,5398; p=0,0004) e aspectos psicológicos positivos (r=0,3641; p=0,0124). O MAT em relação ao DASS total apresentou correlação negativa e fraca, porém significante (r=-0,3543; p=0,0145). Conclusão: Necessita-se prestar atenção nos indivíduos não aderentes, para aumentar a qualidade de vida relacionada à saúde e reduzir as complicações referentes à terapia.Palavras-chave: Doenças cardiovasculares; anticoagulantes; cardiologia. Introduction: Oral anticoagulation (OAC) is commonly used in the treatment of cardiovascular diseases. Non-adherence to treatment is believed to be one of the major issues relating to therapeutic failure, increasing the rates of morbidity and mortality. Objectives: To describe the clinical profile, adhesion levels, and therapeutic satisfaction of valvulopathy patients using oral anticoagulants. Methods: Cross-sectional, quantitative, and descriptive study conducted in the Oral Anticoagulation Outpatient Service of the Federal University of Uberlândia. After the consent of the participants, clinical interviews were conducted and the tools of assessament of treatment adherence (MAT) and satisfaction with anticoagulant therapy (DASS) were implemented. The study was approved by the local ethics committee -82152/2012. Descriptive statistics and correlation analysis were performed. Results: A total of 39 patients participated in the study, of which 59% were male. Regarding MAT, 74.36% of patients proved to be adherent to treatment (MAT), and the average therapeutic satisfaction was 110.67 points (DASS). The main indication for the use of OAC was atrial fibrillation (38.46%) and warfarin was the OAC of choice (84.61%). The MAT was related to the limited area of ...
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