Vivência de adolescentes com diabetes mellitus na perspectiva da ética da alteridade

Resumo Objetivo Conhecer a vivência de adolescentes com diabetes mellitus tipo 1 na perspectiva da Ética da Alteridade. Métodos Estudo exploratório-descritivo com abordagem qualitativa realizado de fevereiro a outubro de 2016, com nove adolescentes por meio de grupos focais e entrevistas semiestruturadas. Os dados foram submetidos à análise temática, e as reflexões norteadas na perspectiva da Ética da Alteridade. Resultados Foram construídas as seguintes categorias: A descoberta do diagnóstico e convivendo com o diabetes. Desde o diagnóstico, os pais assumiram a responsabilidade pelo cuidado aos filhos, e, na perspectiva da Ética da Alteridade, estiveram presentes e abertos para acolhê-los enquanto Outro. Os adolescentes demonstraram ser pessoas confiantes com autoestima preservada, mesmo diante do enfrentamento de situações adversas que interferem no manejo da doença, dentre elas a restrição da dieta e a falta de insumos. A condição da hipoglicemia e hiperglicemia foram eventos comuns entre eles, e o método de contagem de carboidratos foi apontado como ótimo recurso na aceitabilidade da doença. A independência tão almejada pelos adolescentes esteve condicionada à capacidade de autocuidado. Os adolescentes referiram manter um ótimo relacionamento com a família, amigos e equipe multiprofissional, o que tem favorecido a aceitação da doença. Conclusão O respeito à Alteridade do Outro pelo Eu é imperativo nas relações de cuidar implementadas pela família; pelos amigos, pela equipe multiprofissional e pelo Estado, como forma de resgatar a dignidade de adolescentes com diabetes.

Meleis' Nursing Theories Evaluation: integrative review

OBJECTIVE

to analyze the application of the theory evaluation model proposed by Meleis in Brazilian studies.

METHOD

integrative review of online articles published from 2002 to 2012 in the databases LILACS and BDENF.

RESULTS

the 16 selected studies confirmed the use of only three of the five stages proposed for Meleis' theories analysis: Description of the Theory, Criticism of the Theory and Analysis of the Theory, with a predominance of a single unit of analysis in each.

CONCLUSION

the analysis of nursing theories provides support to nurses in the practice, research, education and administration of the different dimensions of care. Meleis' model figures as very important by contributing to the development of knowledge of nursing discipline, considering that its use as a method allows several reflections on theories in order that they be revalidated to support a more theoretical and practical applicability.

Hospitalized school children: proposition of a data collection instrument in light of Horta's theory

Objetivo

To build a data collection tool for hospitalized schoolchildren in light of the Theory of Basic Human Needs.

Method

Methodological research developed in a a Teaching Hospital in João Pessoa, with the participation of eight teachers and assistant nurses, from July 2014 to March 2015. Statistical analysis was used to validate the empirical indicators.

Resultados

The indicators were identified from the instrument analysis validated for children, considering the International Nursing Minimum Data Set, which resulted in version 1 of the instrument with 301 indicators. The instrument validation resulted in 288 indicators, which were later revalidated and formatted once the instrument's final version was reached.

Conclusion

The instrument has contributed to data collection in teaching hospitals and has guided the other phases of the nursing process, considering the specific needs of these children, collaborating with the nursing care, education and research.

The Family Health Support Core (NASF) And Health Practices: Are There Many Challenges To Be Overcome?

Objective: Describe and characterize NASF health practices. Method: It is a review of current literature carried out by consulting the database Lilacs and Virtual Library of SciELO in the period from December 2016 to January 2017. Conclusion: It is concluded that, although the NASF is recognized as a support to the Family Health Strategy (FHS), still does not act in an articulated way, being fundamental that changes take place in the organization of the services and in the conduct of the health professionals who contemplate it. Descriptors: Primary Health Care. Family Health; Public Health Policies. Nursing.

Difficulties Found By Persons Living With Diabetes Mellitus: A Quantitative Analysis

Goal: to know the main difficulties faced by DM patients, characterizing the socioeconomic situation of the interviewees, identifying the type of care received by DM patients. Method: It was a research of the descriptive exploratory type with quantitative approach that was carried out in the Basic Health Care of the city of Camutanga/PE. The population was formed by one hundred (100) diabetic patients enrolled at the FHS of said municipality, the sample will be formed by one hundred (100) of diabetics from UBS Mini Posto. The instrument for data collection was a form. The data collection took place in September and October 2016 after approval by the Research Ethics Committee of the Faculdade de Enfermagem Nova Esperança (FACENE). CAAE: 59111616.1.0000.517 Results and Discussion: the data obtained in the research show that 65% of the study participants are between the age group over 65 years; 67% have primary education; 53% are retired; 62% reported receiving a minimum wage. About the data related to the issue 31% report that they have diabetes between 05 to 10 years; 79% prevail with type 2; 100% make use of medication; 43% use glibenclamide and metformin. Conclusion: in view of the foregoing, it is concluded that this municipality presents several positive points in caring for the patients, but there are still gaps to provide adequate care to the carriers.              Descriptors: Diabetes Mellitus. Primary Health Care. Nursing.

Occurrence Of Osteomuscular Symptoms In Teachers Of A Higher Education Institution

The objective of this study was to investigate the occurrence of musculoskeletal symptoms in teachers of a Higher Education Institution (HEI) located in João Pessoa – PB. This is a descriptive research with a quantitative approach, held at the Faculties of Nursing and Medicine (FACENE/FAMENE), in the city of João Pessoa-PB. The instrument for data collection consisted of a form with objective questions and divided into two parts, the first with data characterizing the sample and the second with the Nordic Musculoskeletal Symptoms Questionnaire. The data were analyzed quantitatively in percentage numbers and distributed in graphs. The results indicated that 30 teachers accepted to participate in the study with female predominance (67%). The regions most affected in the last 12 months were: dorsal (60%), lumbar (53%), neck, shoulders, wrists and hands (47%). Of the teachers interviewed, 20% reported having had difficulties in routine activities due to discomfort in the cervical region and 27% reported having sought medical or physiotherapeutic care due to neck pain, while 20% due to pain in the shoulders, dorsal, wrist/hands and hip/thighs. As for the occurrence of symptoms in the last week, the regions with the highest frequency of pain were shoulders (40%), neck and dorsal (27%). The significant percentage in the regions cited certifies that they are the regions most burdened in the professors and, therefore, deserve special attention in possible projects of occupational preventive action. This research evidences the necessity of new approaches and deepening on the subject, including the formulation of intervention strategies in the process of sickness of teachers. Descriptors: Work-Related Musculoskeletal Disorders. University Teachers. Worker's Health.

Access Of Women In Jail To Cytological Exam: A Quantitative Analysis

Goal: to know the access of women prisoners to cytological examination. Method: exploratory-descriptive quantitative study, carried out at the Maria Júlia Maranhão Female Rehabilitation Center, in the city of João Pessoa/PB. The study population was of all closed regimens, and the minimum sample was 168 (one hundred and sixty-eight). Data collection was formalized through approval by the Research Ethics Committee of the Faculdade de Enfermagem Nova Esperança (FACENE), CAAE: 18363713.8.0000.5179, besides the official referral of the Coordination of the Course to said prison. The present study respected the ethical aspects recommended by Resolution CNS 466/12, in art. III, of the ethical aspects, which deals with the involvement with human beings in research, as well as Resolution COFEN 311/2007, which deals with the code of ethics of nursing professionals.   Results and Discussion: data from the survey show that 33% of study participants were between the ages of 18 and 25; 58% reported being single; 48% have Incomplete Elementary Education; 39% with the profession of domestic; 48% have a family income of one minimum wage; 58% have one to two years imprisonment; 74% inflicted the drug trafficking article; 67% mentioned working in general prison services.   Conclusion: it is concluded that the participants of the research report having knowledge about the exam, but their answers do not correspond to the true meaning of the exam, showing the lack of knowledge, information, assistance and abandonment in which they live.   Descriptors: Women. Papanicolaou Test. Prisoners. Nursing.

Conjunto Internacional de Dados Mínimos de Enfermagem: estudo comparativo com instrumentos de uma clínica pediátrica

Estudo descritivo e comparativo, desenvolvido a partir de dois históricos utilizados para a implementação da Sistematização da Assistência de Enfermagem em uma Clínica Pediátrica de um hospital escola. Objetivou-se comparar o Conjunto Internacional de Dados Mínimos de Enfermagem (i-NMDS) com os dados contidos em históricos de enfermagem utilizados para aplicação do Processo de Enfermagem na área de Saúde da Criança e do Adolescente. Dos dezesseis elementos avaliados pertencentes à proposta do i-NMDS, o instrumento para adolescentes hospitalizados contemplou doze e o instrumento para crianças de 0 a 5 anos apresentou sete. Conclui-se que os históricos de enfermagem analisados não contemplam, na sua totalidade, os dados do i-NMDS. Sugere-se a necessidade de um aprimoramento de históricos, utilizando a linguagem padronizada de enfermagem para planejar a assistência, documentar as atividades, identificar e mensurar os resultados da prática.

PERCEPÇÃO DA FIGURA PATERNA FRENTE AO ALEITAMENTO MATERNO

Considerando a importância do Aleitamento Materno surgiu a necessidade de investigar a participação e a percepção dos pais diante da prática do Aleitamento Materno. Pesquisa do tipo exploratório- descritiva com abordagem qualitativa, realizada na Maternidade Frei Damião, no município de João Pessoa-PB com 10 pais em abril de 2011. Observou-se que a maioria dos pais se mostraram bastante interessados e empenhados em efetuar essa nova tarefa de auxiliar as esposas, pois conheciam as vantagens do aleitamento materno, porém, alguns deles não tinham tal conhecimento, e também não se incluíam nesta prática, referindo ser um momento apenas da mãe e do bebê. Existe a necessidade de inserir a figura paterna nas atividades de educação em saúde desenvolvidas durante o pré-natal e o puerpério, e as que se seguem na puericultura, uma vez que os cuidados com o bebê são de responsabilidade do casal.

PERCEPÇÃO DAS MÃES FRENTE AO DIAGNÓSTICO DO FILHO COM DIABETES MELLITUS TIPO 1

A criança/adolesce com Diabetes Mellitus requer apoio, compreensão, confiança e proteção da mãe, o que facilita a adesão ao tratamento, contribuindo para a qualidade de vida durante a evolução da doença. Este estudo teve como objetivo verificar a percepção das mães frente ao diagnóstico de diabetes do filho. A metodologia utilizada foi exploratória, descritiva e qualitativa, empregando a técnica do Discurso do Sujeito Coletivo. A análise evidenciou que as mães apresentam sentimentos oscilantes de luto durante as crises e, no momento da descoberta do diagnóstico, entram em desespero. A preocupação das mães refere-se às ocorrências constantes de descompensação, que traduzem a falta de equilíbrio da situação metabólica, gerando maior possibilidade do filho desenvolver complicações. A busca de informações e adaptação da rotina familiar visam proporcionar melhor qualidade de vida à criança/adolescente.