TEDE Communidade:https://tedebc.ufma.br/jspui/handle/tede/tede/6722024-03-28T18:36:41Z2024-03-28T18:36:41ZHora dourada: avaliação das boas práticas na assistência ao parto e nascimentoGALVÃO, Kayo Elmano Costa da Pontehttps://tedebc.ufma.br/jspui/handle/tede/tede/51892024-03-12T15:57:55Z2024-01-25T00:00:00ZTítulo: Hora dourada: avaliação das boas práticas na assistência ao parto e nascimento
Autor: GALVÃO, Kayo Elmano Costa da Ponte
Primeiro orientador: CORRÊA, Rita da Graça Carvalhal Frazão
Abstract: The Golden Hour consists of effective and beneficial newborn care measures that
significantly reduce negative consequences in the short and long term, and that require
in-depth involvement of professionals. However, some factors end up harming the
quality and execution of the golden hour in healthcare institutions. Furthermore,
professional interventionist practice also becomes an obstacle in providing care, as
many professionals are used to separating mother and baby for routine procedures. It
is necessary to strengthen public policies aimed at childbirth and childbirth, with a view
to greater qualifications of professionals who are in charge of this process, with the
aim of increasingly bringing good practices to maternity wards. The objective of this
study was to analyze the good practices associated with the golden hour in labor and
birth care. The methodology used was a mixed approach, with quantitative and
qualitative elements, with the aim of allowing a more comprehensive and holistic
description of phenomena in the social and health fields. In the quantitative approach,
data from maternal and neonatal records were collected to identify golden hour
achievement rates. To deepen the gaps observed in the quantitative study,
phenomenology was used in the qualitative approach, with the purpose of
understanding the experiences of health professionals when carrying out the practice.
The study was carried out in a public maternity hospital in the state of Maranhão. 180
medical records took part in the study, in addition to an interview with 17 health
professionals. It was possible to observe that the golden hour achievement rates
differed between the vaginal and cesarean birth scenarios, showing the latter as
complicating the practice. Routine separation for initial care, lack of professional
encouragement, and neonatal instability were some of the factors affecting care.
Health professionals understand the importance of the golden hour, but experience the
daily routine and lack of dialogue in care, in order to prioritize medical attitudes to the
detriment of female protagonism in the labor and birth process. Thus, it was observed
that the implementation of the golden hour proved to be deficient, and that the lack of
dialogue and the medicalization of assistance justify this deficiency.
Instituição: Universidade Federal do Maranhão
Tipo do documento: Dissertação2024-01-25T00:00:00ZDistribuição espaço-temporal da Hanseníase em menores de 15 anos, na Amazônia Legal maranhense no período de 2011 – 2021PEREIRA, Débora Lorena Melohttps://tedebc.ufma.br/jspui/handle/tede/tede/51202024-02-01T15:03:19Z2023-07-28T00:00:00ZTítulo: Distribuição espaço-temporal da Hanseníase em menores de 15 anos, na Amazônia Legal maranhense no período de 2011 – 2021
Autor: PEREIRA, Débora Lorena Melo
Primeiro orientador: CORRÊA, Rita da Graça Carvalhal Frazão
Abstract: Introduction: Leprosy, also known in antiquity as leprosy, is an infectious, chronic,
slow and insidious disease, caused by the intracellular microorganism Mycobacterium
leprae. Illness in childhood is less frequent, due to the long incubation period of the
disease, the occurrence of leprosy in children under 15 years of age suggests the
existence of bacilliferous household/family index cases, with strong indications of
continuous and active transmission of the bacillus at home and in the community.
Objective: to analyze the space-time distribution of leprosy cases in children under 15
years old in the municipalities of the Legal Amazon in Maranhão, from 2011 to 2021.
Methods: an ecological study with a quantitative approach and the spatial pattern of
leprosy cases in children under 15 years old years belonging to the municipalities of
the Maranhão Legal Amazon during the period from 2011 to 2021. The municipalities
of the Maranhão Amazon region were used as a unit of spatial analysis. Results: It was
noted that in the period from 2011 to 2021, 3,236 cases were reported, the distribution
of new cases in children under 15 years of age was considered high. The detection
rate ranged from 9.24 to 23.60 with an average of 18.85/100 inhabitants being marked
by oscillations in the years 2011, 2015 and 2017. male, brown, 10 to 14 years old, with
incomplete primary education, multibacillary operational classification, borderline
clinical form, and detection of degrees of disability. The thematic maps of the detection
rate revealed the maintenance of high rates in most of the municipalities studied.
Conclusion: the municipalities of Maranhão, belonging to the Legal Amazon, present,
in a time frame from 2011 to 2021, an increase in the high rates of detection of leprosy
in children under 15 years of age, with a prevalence of male, brown, 10 to 14-year-old
cases, with incomplete primary education. The clinical forms that stood out were the
borderline and tuberculoid and the multibacillary operational classification.
Instituição: Universidade Federal do Maranhão
Tipo do documento: Dissertação; Trabalho sob sigilo.Motivo: Artigo ainda em fase de avaliação pela revista. Data provável de liberação: Até que o artigo seja aceito pela
revista e publicado.2023-07-28T00:00:00ZHanseníase em idosos: Aspectos clínicos, epidemiológicos e operacionais dos casos notificados em São Luís- MaOLIVEIRA, Eudijessica Melo dehttps://tedebc.ufma.br/jspui/handle/tede/tede/51192024-02-01T14:23:00Z2023-07-28T00:00:00ZTítulo: Hanseníase em idosos: Aspectos clínicos, epidemiológicos e operacionais dos casos notificados em São Luís- Ma
Autor: OLIVEIRA, Eudijessica Melo de
Primeiro orientador: AQUINO, Dorlene Maria Cardoso de
Abstract: Introduction: leprosy is a chronic disease caused by the bacillus Mycobacterium
leprae, which can affect people of both sexes and of any age. However, by affecting
the elderly population that is already naturally affected by the physiological changes
of aging, leprosy has a direct influence on the functional decline of these people due
to its disabling character. Objective: To analyze clinical, epidemiological and
operational aspects of leprosy cases in the elderly. Methodology: descriptive,
retrospective and evaluative study, carried out in São Luís, Maranhão, with cases
of leprosy in the elderly notified in the National System of Notifiable Diseases
SINAN- by the municipality, from 2015 to 2019. The population consisted of all
cases of leprosy in elderly. Data collection was carried out between March and April
2023 with analysis in the Epi InfoTM software, version 7.2, based on descriptive
statistics, and calculation of indicators for monitoring the progress of eliminating
leprosy as a public health problem, and for assessing the quality of leprosy services:
annual detection rate of new leprosy cases per 100,000 inhabitants; proportion of
leprosy cases with grade 2 physical disability at diagnosis among new cases
detected and assessed in the year, and proportion of new leprosy cases with grade
of physical disability assessed at diagnosis. Results: from 2015 to 2019, 904 cases
of leprosy in the elderly were reported. Most were male (54.65%), aged between 60
and 69 years (59.51%), brown (67.37%) and with 1st to 4th elementary school
education (26.04%). The multibacillary operational classification was the most
prevalent (90.27%), and the borderline clinical form (69.14%). Regarding the mode
of entry, the highest frequency was new cases (82.08%). As for the degree of
physical disability (GIF) at the time of diagnosis, 381(42.29%) had GIF1. The
detection rate of new cases was high in 2017 (11.1%) and 2018 (10.0%) and in the
indicator proportion of new cases with GIF2 at the time of diagnosis, the result was
high in 2017 and medium in the other years evaluated. As for the proportion of new
cases with GIF at the time of diagnosis, the result was good, with a proportion of
evaluations above 90% in all years. Conclusion: the higher frequency of
multibacillary leprosy cases in the elderly and the high percentage of cases with
physical disabilities at the time of diagnosis suggests late diagnosis of the disease
in the elderly. Indicators for monitoring the progress of eliminating leprosy as a
public health problem revealed that there is a significant number of elderly people
falling ill with leprosy and difficulty in early detection of cases, although the indicator
that evaluates the quality of services has shown improvement in the provision of
actions and services provided.; Introducción: la lepra es una enfermedad crónica causada por el Bacillus Mycobacterium leprae, que puede afectar a las personas de los sexos y de cualquier edad. Sin embargo, al afectar a la población de edad avanzada que ya se ve afectada naturalmente por los cambios fisiológicos del envejecimiento, la lepra tiene una influencia directa en la disminución funcional de estas personas debido a su carácter incapacitante. Objetivo: analizar aspectos clínicos, epidemiológicos y operativos de los casos de lepra en los ancianos. Metodología: estudio descriptivo, retrospectivo y evaluativo, realizado en São Luís, Maranhão, con casos de lepra en los ancianos notificados en el sistema nacional de enfermedades notificables sinanán Lepra en ancianos. La recopilación de datos se llevó a cabo entre marzo y abril de 2023 con análisis en el software EPI Infotm, la versión 7.2, basado en estadísticas descriptivas y el cálculo de los indicadores para monitorear el progreso de la eliminación de la lepra como un problema de salud pública y para evaluar la calidad de la lepra Servicios: tasa de detección anual de nuevos casos de lepra por cada 100,000 habitantes; La proporción de casos de lepra con discapacidad física de grado 2 en el diagnóstico entre los nuevos casos detectados y evaluados en el año, y la proporción de nuevos casos de lepra con el grado de discapacidad física evaluada en el diagnóstico. Resultados: de 2015 a 2019, se informaron 904 casos de lepra en los ancianos. La mayoría eran hombres (54,65%), con edad de entre 60 y 69 años (59,51%), marrón (67,37%) y con educación primaria de primera a 4 ° (26,04%). La clasificación operacional multibacilar fue la más frecuente (90.27%) y la forma clínica límite (69.14%). Con respecto al modo de entrada, la frecuencia más alta fue casos nuevos (82.08%). En cuanto al grado de discapacidad física (GIF) en el momento del diagnóstico, 381 (42.29%) tenían GIF1. La tasa de detección de casos nuevos fue alta en 2017 (11.1%) y 2018 (10.0%) y en la proporción indicadora de nuevos casos con GIF2 al momento del diagnóstico, el resultado fue alto en 2017 y mediano en los otros años evaluado. En cuanto a la proporción de nuevos casos con GIF en el momento del diagnóstico, el resultado fue bueno, con una proporción de evaluaciones superiores al 90% en todos los años. Conclusión: la mayor frecuencia de casos de lepra multibacilar en ancianos y el alto porcentaje de casos con discapacidad física al momento del diagnóstico sugieren un diagnóstico tardío de la enfermedad en ancianos. Los indicadores para monitorear el avance de la eliminación de la lepra como problema de salud pública revelaron que existe un número importante de personas mayores que enferman de lepra y dificultad en la detección temprana de los casos, aunque el indicador que evalúa la calidad de los servicios ha mostrado una mejora en la prestación. de actuaciones y servicios prestados.
Instituição: Universidade Federal do Maranhão
Tipo do documento: Dissertação; Trabalho sob sigilo. Motivo: Artigo ainda em fase de avaliação pela revista. Provável data de liberação: Até que o artigo seja aceito pela
revista e publicado. Solicito inicialmente, um período de 12 meses.2023-07-28T00:00:00ZExperiências relacionadas à ideação suicida em mães adolescentes: estudo clínico-qualitativoLAGES, Laíse de Souzahttps://tedebc.ufma.br/jspui/handle/tede/tede/50552023-11-21T04:32:37Z2021-05-31T00:00:00ZTítulo: Experiências relacionadas à ideação suicida em mães adolescentes: estudo clínico-qualitativo
Autor: LAGES, Laíse de Souza
Primeiro orientador: SILVA, Elza Lima da
Abstract: Introduction: It started from the need to understand the existing relationships between
suicidal ideation in puerperal women and the influence of the environment in which it
is inserted, based on the Theory of Interpersonal Relationships of approach.
Objective: To know the experience and feelings of suicidal ideation of teenage
mothers during pregnancy and the puerperium. Methodology: Clinical-qualitative
research, carried out in two maternity hospitals in the Northeast of Brazil as a natural
setting for the research. Developed in Accomodation with 11 teenagers between 17
and 19 years old, through the recording of the reports Then there was the complete
transcription of the reports. After the floating reading of the corpus of the study, the
data collected in the interviews were treated, advancing to the categorization in topics
and leading to the discussion of the results, correlating the meaning of the reports with
the theoretical foundation. The technique of clinical-qualitative analysis of the content
comprised seven steps: 1) Editing of material for analysis; 2) Floating reading; 3)
Construction of the analysis units; 4) Construction of meaning codes; 5) General
refining of codes and construction of categories; 6) Discussion and; 7) Validity. The
external validation of the results occurred at a later time with people with expertise in
the theoretical and methodological framework. Results: The adolescents interviewed
were aged between 17 and 19 years old and were accompanied during hospitalization.
Of the 11, eight live in a stable relationship and three are single, living in the home of
their parents or guardians. As for education, four finished high school, four dropped
out of school due to lack of interest and three remained with their studies temporarily
paralyzed due to the Covid-19 pandemic. In terms of income, two adolescents work
informally and nine do not. Three categories emerged: 1) Causes of suicidal ideation;
2) From suicidal ideation to suicide attempts, which depicts the ways used to carry out
the suicide attempt; 3) Life after suicide attempts. Final Considerations: By
understanding the situations experienced by adolescent mothers, the following
categories were identified: the adolescents' opinion on the reasons for suicidal
ideation, addressing unstable, distant and absent parental relationships and marital
relationships based on physical and psychological violence and marked for infidelity
and abandonment; the experiences of suicidal ideation and suicide attempts during life
through exogenous intoxication, self-mutilation behavior and hanging attempts; and
following episodes of suicidal ideation through feelings of overcoming by maternal and
religious support and maternal feeling and not overcoming.
Instituição: Universidade Federal do Maranhão
Tipo do documento: Dissertação; disponibilização parcial do conteúdo até 31/12/2025 em virtude de publicação em revista cientifica2021-05-31T00:00:00Z