Brazilian Nursing Journal (Revista Brasileira de Enfermagem - REBEn)

339-46

Authors: Fernanda Moura Lanza, Nayara Figueiredo Vieira, Mônica Maria Celestina de Oliveira, Francisco Carlos Félix Lana

The study aimed to construct and validate an instrument to assess the leprosy actions control in primary care from the perspective of community health agents (CHA). This is a methodological study to validate instruments, based on the Classical Test Theory. The instrument was administered to 380 CHA of three municipalities in the state of Minas Gerais, in the period from July to December 2012. In the stage of face and content validity 17 items of the instrument were reduced. The factor analysis extracted eight factors that accounted for a percentage of 35.7% of the total variance. The principal components analysis allowed the elimination of eight items that showed no adaptation to the factors defined. The overall Cronbach alpha for the 57 items was 0.858. We conclude that the instrument is valid to evaluate the performance of primary care in leprosy control in the experience of ACS. Key words: Leprosy; Primary Health Care; Health Services Evaluation; Questionnaires.

354-9

Authors: Rosângela Aparecida Pimenta Ferrari, Maria Rita Bertolozzi, José Carlos Dalmas, Edmarlon Girotto

The study aimed to analyze the prenatal care for mothers of infants who died in the neonatal period, in Londrina-PR, through a quantitative retrospective cohort study, between 2000 and 2009. Almost all women held the prenatal care (91.4 %), with 55.1 % up to six consultations. In ten years, the low number of visits (≤ 6) predominated. There was a statistically significant relationship between the number of prenatal visits and maternal sociodemographic variables (p < 0.004) and characteristics of the labor and the newborn (p < 0.001). The surgical delivery was predominant among women with ≥ 7 queries (71.3 %). Among women with ≤ 6 prenatal visits, 65.9 % of births occurred before 32 weeks of gestation, 79.8 % of the newborns had Apgar scores ≤ 6 at 1 minute and 51.7 % weight ≤ 1000 grams. Most deaths occurred in the early neonatal period (72.6 %). We highlight the necessity of qualitative and integrative prenatal care in this city, considering beyond biological conditions but also maternal socio-economic conditions in order to reduce neonatal deaths. Key words: Pregnancy; Prenatal Care; Neonatal Mortality; Social Conditions.

366-72

Authors: Letícia Becker Vieira, Laura Ferreira Cortes, Stela Maris de Mello Padoin, Ivis Emília de Oliveira Souza, Cristiane Cardoso de Paula, Marlene Gomes Terra

This study aimed to analyze the interface between the abuse of alcohol and other drugs by companions and the experience of women who has denounced violence situations. It is a qualitative research guided by the thematic content analysis, with interviews conducted in March and April 2010, with thirteen women who underwent the record of violence in a Police Station for Women and Police Emergency Department of a city in the interior of Rio Grande do Sul, Brazil. It was observed that, in a world surrounded by fights, humiliation, aggression, submission and suffering, the companion’s abuse of alcohol and drugs enhanced the violence experienced by the interviewed women. Besides seeking to qualify the mental health care of women in the context of violence, since this condition substantially affects their health, as well as all other dimensions, it appears to be essential to articulate attention to women in situations of violence with actions of prevention of alcohol and / or other drugs by their companions. Key words: Nursing; Women’s Health; Mental Health; Violence Against Women.

381-5

Authors: Renata Marques de Oliveira, Jair Lício Ferreira Santos, Antonia Regina Ferreira Furegato

From the interest of health professionals in tobacco control, stood out its high frequency in psychiatric population. This paper aimed to identify the socio-demographic profile of psychiatric patients who are also smokers, comparing with former smokers and non smokers. Exploratory survey, conducted from August 2010 to February 2012, involving psychiatric patients hospitalized in a general hospital, through interviews using a structured questionnaire. Out of the 433 persons hospitalized, 270 took part of this study; 83.7% are carriers of severe mental disorders; 35.6% are smokers, 14.1% former smokers and 50.4% non smokers. Higher proportion of smokers was found among male, 30-49 years old, junior high schooling, rural area, separated/divorced, without occupation, income and religion practice. This profile is similar to smokers of other groups of population. There was difference in the profile of psychiatric patients according to smoking. This knowledge may help nurse to plan interventions, according the needs and possibilities of the subjects. Key words: Mental Disorders; Smoking; Psychiatric Nursing.

394-400

Authors: Fernanda Jorge Magalhães, Larissa Bento de Araújo Mendonça, Cristiana Brasil de Almeida Rebouças, Francisca Elisângela Teixeira Lima, Ires Lopes Custódio, Samya Coutinho de Oliveira

The objectives of this study are to identify modifiable and non-modifiable risk factors to cardiovascular diseases present in professional nursing and to describe strategies for health promotion to control and prevent these factors. It is a documentary and quantitative study, conducted with 165 professional nursing records of a public hospital in Fortaleza-CE. The analysis was made using descriptive statistics, with data presented in charts and tables. As a result it was found risk factors such as family history of arterial hypertension (72.9%), sedentary people (64.9%), overweight (56.4%), and high waist circumference (49.7%), among others. Regarding health promotion strategies, it can be mentioned: educational guidance, referrals and follow-up clinical data. It is believed in the need for special attention to such professionals, since they experience a stressful profession, facing problems such as job dissatisfaction, lack of financial recognition and some occupational diseases, which may impair their quality of life and hinder self-care. Key words: Cardiovascular Diseases; Nursing, Health Promotion.

408-14

Authors: Vladimir Araujo da Silva, Sonia Silva Marcon, Catarina Aparecida Sales

Current research is a qualitative phenomenological analysis, structured on Heidegger’s existential analysis, whose aim was the perception of cancer patients’ relatives who live with subjects with cancer and with anticancer treatment, about the musical encounters. Five subjects living at the clinic run by the Maringá Female Network against Cancer participated at eight musical encounters during January and February 2011. The meeting mediated by the music can provide the relatives with a moment of existential introspection which lead them to a transcendental experience in coping with their existential condition. It inspired the expression of subjectivity and the revealing of their existential / spiritual needs. Within the context of cancer palliative care, the encounters may broaden the integration and humanization possibilities of nursing care to the family, providing comfort, reflection and motivation in the wake of emergent adversities within the clinic’s temporal term. Key words: Nursing Cancer; Music; Palliative Care; Music Therapy.

422-9

Authors: Josefine Busanello, Wilson Danilo Lunardi Filho, Nalú Pereira da Costa Kerber, Valéria Lerch Lunardi

This study aimed to analyze the nurse’s ways of production of subjectivity in decision-making processes that involve nursing care. We adopted qualitative research design. The investigative scenario was a philanthropic hospital in the State of Rio Grande do Sul. The study participants were twelve nurses working in this institution. For data collection, it was used the technique of focus group, with three focal meetings conducted in December 2011. From discussions among nurses, it was found that the nurse’s ways of production of subjectivity oscillate between two extremes: a relationship of alienation and oppression, resulting in a self-protection, redundancy and domination behavior, or an expression and creation ratio, resulting in proactive behavior of nurses. Nurse’s ways of production of subjectivity can condition and define behaviors that prevail in the decision making in care practice. Key words: Nursing; Nursing Care; Decision Making; Focus Groups.

438-42

Authors: Manuela de Mendonça Figueirêdo Coelho, Karla Corrêa Lima Miranda, Maria Vilaní Cavalcante Guedes, Ana Ruth Macêdo Monteiro, Lúcia de Fátima da Silva, Ana Claúdia de Souza Leite

This study aimed to analyze the proposal of educational plan organized through the Nursing Process, using the International Classification for Nursing Practice (ICNP®), based on the Theory of Modeling and Role Modeling, to one group of women in Maracanaú-CE, Brazil. A case study was carried out in an educational group of women. A qualitative approach conducted the data production guided by the Creative and Sensitive Method. Two main diagnoses emerged from the needs presented by the group: compromised health and adequate knowledge, as well as formulation of results and nursing interventions. This study indicates the possibility of Nursing Process supported by INCP® and educational activities based on the Theory of Modeling and Role Modeling. Key words: Nursing; Health Education; Nursing Theory; Nursing Process.

450-6

Authors: Elen Ferraz Teston, Ligia Carreira, Sonia Silva Marcon

This study aimed to compare the symptoms of depression among elderly living in a Condo for elderly and in the community. A quantitative study was conducted with 210 elderly in the city of Maringá-PR. Data were collected between November 2011 and February 2012, using the instrument BOAS, and subjected to statistical analysis. Among the subjects studied, 23.3% had depression, with an odds ratio of greater occurrence for residents of the Condominium. Despite the range of activities the organization of this housing type, it was observed that the elderly with depression are precisely those which by itself does not participate in the activities. It is therefore important that professionals identify early these elderly, to develop strategies to strengthen the bond in order to prevent the evolution of the situation and to contribute to the promotion of mental health and quality of life. Key words: Aging; Depression; Elderly; Nursing.

462-7

Authors: Angélica Mosqueda-Díaz, Sara Mendoza-Parra, Viviane Jofré-Aravena

Decision making in health is a frequent situation, although potentially difficult, depending on atient/user characteristics and the context or the situation of health. This causes decisional conflicts in patients/users. The present study proposes to analyze the decision making process in health, conceptually, and nurses’ contributions to understand and confront the phenomenon. The Ottawa the Model of Decisions Making in Health, proposed by Annette O`Connor, arises as a useful tool that enables nurses to carry out effective interventions with persons who face decision problems. Patients/users can assume a more active participation in the decisions on their own health. Key words: Decision Making; Nursing; Nursing Models.