ESA - Escola Superior de Ciências da Saúde
URI permanente desta comunidadehttps://ri.uea.edu.br/handle/riuea/2711
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Resultados da Pesquisa
Item Análise das ações de Vigilância em Saúde na Atenção Primária à Saúde no enfrentamento da COVID-19 em Manaus(Universidade do Estado do Amazonas, 2024-09-27) Brasil, Vivianne Brandt Pereira; Gonçalves, Isabela Cristina de Miranda; http://lattes.cnpq.br/3121722625288047; http://lattes.cnpq.br/6283348920616127; Gonçalves, Isabela Cristina de Miranda; http://lattes.cnpq.br/3121722625288047; Reis, Leonardo Naves dos; http://lattes.cnpq.br/3465295062173197; Becker, Jaidson Nandi; http://lattes.cnpq.br/1619155267346329COVID-19 is an infectious disease responsible for the pandemic since 2020, where the health systems adopted by each country have sought in different ways, although with the same objective, to block or minimize the effects caused by the pandemic. In Brazil, countless organizational strategies and the use of new technologies for the health care of the population were necessary to adapt the services aiming at the development of surveillance and health care actions for the population. Within the scope of Primary Health Care (PHC), the main gateway for the population to health services, the actions sought to align the monitoring of data related to COVID-19 and the control of determinants, risks and damage to health in the specific territory of their action, so that they could guarantee the permanence of health care for the individual and the community even in a pandemic moment. The objective of the study is to analyze the integration of Health Surveillance actions and Primary Health Care in coping with COVID-19 in Manaus, to reduce the exposure to the risk of contamination in the population and in health care workers, identifying difficulties and potentialities. This study will be part of a macro research project, entitled “Analysis of health surveillance models and strategies in the COVID-19 pandemic”, it is a study classified as descriptive and exploratory, of a quantitative approach, through the collection of primary data so that it is possible to investigate health surveillance actions in Primary Health Care in the city of Manaus.Item Álbum seriado como ferramenta de prevenção e promoção da saúde bucal infantil(Universidade do Estado do Amazonas, 2024-09-24) Rocha, Ketley Larissa Cabral Silva da; Lemos, Sônia Maria; http://lattes.cnpq.br/1061333513067009; http://lattes.cnpq.br/5941960317625965; Martins, Fabiana Mônica; Honorato, Eduardo Jorge Sant'ana; Lemos, Sônia Maria; http://lattes.cnpq.br/1061333513067009Promoting oral health is crucial for encouraging healthy habits from the perspective of quality of life. In this sense, practices aimed at preventing tooth decay in childhood, which is one of the main oral diseases, need to be encouraged with the monitoring of the child's family and the care of health services. Children tend to imitate their family members in their oral and behavioral hygiene habits at home, which is why their guardians must be instructed by health professionals in order to avoid childhood oral diseases. Given the lack of physical material on children's oral health in the basic health unit, this work aims to create a tool to equip health professionals in guiding those responsible for children's oral health care in the age group of 0 to 6 years. A qualitative methodological study was carried out in two phases. The first was the integrative literature review according to Whittemore and Knafl, which after combining the descriptors located 495 works, and after applying the inclusion and exclusion criteria, 21 studies were added to the review, producing content for the Technical-Technological Product (PTT) , the prototype of a serial album, which has 30 pages and addresses topics such as the importance of breastfeeding and baby teeth, baby's oral health, dental chronology, consequences of harmful habits, child hygiene techniques and parental motivation. This master's degree work is the result of the stricto sensu postgraduate program Professional Master's in Family Health (PROFSAÚDE)Item O abuso sexual como uma experiência adversa na adolescência: Um inquérito de base escolar em Manaus, Amazonas(Universidade do Estado do Amazonas, 2024-07-22) Cristiany Monserra Barata da Costa Freitas; Oliveira, Nathalia França de; http://lattes.cnpq.br/5200583009486219; Oliveira, Nathalia França de; Reis, Leonardo Naves dos; Sá, Emerson Victor Hugo Costa deTo investigate the occurrence of sexual abuse as an adverse experience in adolescent students in Manaus, Amazonas, Brazil. Methods: This is a school-based cross-sectional study with adolescents between 12 and 17 years old, composed of public schools in the urban region of Manaus. The population came from 141 elementary II (6th to 9th grade) and secondary schools, with a total of 145.650 students. Based on the sample size, the number of students to be selected per administrative zone is calculated to ensure the weight of the strata. The number of students interviewed per school, is verified from the proportion between students and schools. After calculating the sample size, considering a prevalence of around 0.5%, a sample of 384 students was examined, with a confidence level of 95%. This research was prepared with preliminary data, with a confidence level of 80% and an N of 238. Results: Of the 238 students participating in the research so far, the majority identified themselves as cis women (62.6%), aged between 16 and 17 years old (average of 15; SD±1.58), self-declared mixed race (66.8% ), attending high school (54.6%), never repeated a year (84.5%), never were expelled from school (99.2%). According by the International Questionnaire on Adverse Childhood Experiences, (34.5%) were victims of sexual abuse. (47.6%) who suffered sexual abuse at least once in their lives were mostly over 16 years of age, self-declared cis women (78.0%) and mixed race (67.1%), attending high school (57. 3%), had not repeated a year (85.4%), had not been expelled from school (98.8%), had their own residence (36.6%). In the bivariate analysis, sexual abuse was associated with the variables: gender identity and alcohol use. As for the family structure (51.3%) lived with up to 4 people, with parents and stepfathers (78.0%) as the main breadwinners, these have occupations (85.4%). The age group of those responsible are over 41 years old (49.3%), with high school education (40.2%), do not receive scholarships or assistance from the government (59.8%). Regarding the factors to family structure that are associated with the occurrence of sexual abuse, only the variable living with someone who has been or is in prison was found (p=0.043). Other adverse experiences revealed that in addition to sexual violence, victims had also been involved in situations of child labor (48.8%), domestic child labor (61.0%), emotional abuse (47.6%), emotional neglect (9.8%), physical abuse (37.8%), bullying (75.6%) and urban violence (92.7%). Discussion: Proper identification of sexual abuse against children and adolescents requires, among many other conditions, experience and sensitivity. Therefore, it is important to develop studies and research that characterize the profile of victims of sexual abuse, the aggressor and its associated factors. Final considerations: Although the study deals with preliminary data, it was important to reveal data on sexual abuse in the context of adolescent students in the capital of Manaus and to elucidate specificities surrounding this phenomenon, revealing data about the outcome for use in the multiplication of teachings both for the health area and for education, seeking incentive for improvement in the form of recognition of sexual abuse and support for reporting cases to increase the visibility of sexual abuse as a health problem and consequently improve case reporting.Item Acesso à Rede de Atendimento às mulheres vítimas de violência por parceiro íntimo: uma análise multifacetada(Universidade do Estado do Amazonas, 2024-07-09) Débora Oliveira Marques; Reis, Leonardo Naves dos; http://lattes.cnpq.br/3465295062173197; http://lattes.cnpq.br/9108219664174536; Reis, Leonardo Naves dos; http://lattes.cnpq.br/3465295062173197; Salino, Alessandra Valle; http://lattes.cnpq.br/1138717856859261; Scherer, Zeyne Alves Pires; http://lattes.cnpq.br/0261961257446579This study comprises 4 objectives. To identify variables related to the functioning of the intersectoral network of assistance to women victims of intimate partner violence (IPV). To describe the role of Primary Health Care (PHC) in addressing IPV against women. To identify the profile of IPV against women registered in the Surveillance System of Notifiable Diseases (SINAN) and Police Reports provided by the Public Security Secretariat, from 2018 to 2022, in Manaus/AM. And, to propose a map of the intersectoral assistance network for women victims of IPV with entry point in primary health care in Manaus/AM. It was divided into two Integrative Literature Reviews (ILRs), developed in 6 phases: Formulation of the guiding question; Literature search; Data collection; Critical analysis of the included studies; Discussion of results; and Presentation of the integrative review. A descriptive, cross-sectional, epidemiological study using secondary data sources of IPV against women from SINAN and police reports SISP/AM. And, a PM, constructed from studies 1, 2, and 3. Regarding study 1, variables such as network disarticulation points were identified: Fear, shame, or distrust on the part of the victims; Influence of support networks; Professional unpreparedness for care; Lack of resources and adequate physical structure; among others. Study 2 was divided into 3 paired dimensions: Professional unpreparedness in PHC and Woman-centered care; (Dis)organization structure of PHC and Organizational structure of PHC; Access of women victims of IPV in PHC and The hurdles on the path of women to care in PHC. Study 3 identified that sexual violence is more reported by health services, while psychological and physical violence women are more likely to resort to police records, in SINAN registration it was verified that perpetrators of physical and psychological IPV occur more frequently by spouses and sexual by boyfriends. Study 4 refers to the stages of construction of the assistance network map, consisting of four main services: Health; Public Security; Justice; and Social Assistance. It is concluded that ILRs reveal the complexity of professionals' approach and the importance of the assistance network. It is evident that socio-environmental and cultural characteristics influence victims' adherence to services, highlighting the need for improvements in the quality of care and professional training. Additionally, the differentiation in violence records between health and public security sectors underscores the importance of strengthening the linkage between these services. Study 4, based on integrative reviews and secondary data, aimed at creating a map of the assistance network in Manaus, seeking to provide useful information to the population, especially considering the geographical and social peculiarities of the region. The dissemination of these services, preferably by PHC, should be accompanied by an adequate offer of primary care services to meet the demands of women victims of violenceItem Evidências científicas acerca da participação do parceiro no pré-natal: revisão integrativa de literatura(Universidade do Estado do Amazonas, 2024-02-27) Ferreira, Grace Andry Baraúna; Prata, Maria do Livramento Coelho; http://lattes.cnpq.br/9426994314419344; Prata, Maria do Livramento Coelho; Santos, Renata Ferreira dos; Oliveira, Ester Alves deIdentify in scientific evidence the participation of men in prenatal consultations. Method: This is an integrative review, which used the descriptors: Pre-Natal Care; Paternity; Men's Health; Primary Health Care, to search the Nursing Database (BDENF), the Health Sciences Literature of Latin American and Caribbean Countries (LILACS) and Pubmed/Medline (Medical Literature Analysis and Retrievel System Online), using the Boolean operator AND. Results: 12 scientific articles were included, seven (59%) from BDENF, four (33%) from LILACS and one (8%) from Pubmed/Medline. The articles were published in the following languages: English, Portuguese and Spanish; occurred in four regions of the country, with the Northeast region having the highest production, totaling six (50%). The study revealed the reasons that contribute to the low adherence of the pregnant woman's partner in prenatal consultations, as well as the benefits of his presence, obstacles and alternatives that the nursing professional can implement with the aim of encouraging greater paternal participation. Conclusion: The study showed that the partner's participation in prenatal care occurs in an incipient form, however this participation has been undergoing transformations in the national territory, revealing new commitments made, reflecting the interest in the participation of the male figure in the family care process , but still far from the best prospects, considering that many men are unaware of the inclusion policy in prenatal consultationsItem Desafios de acesso aos serviços de saúde para indígenas em contexto urbano: um relato de experiência(Universidade do Estado do Amazonas, 2024-02-28) Aurimar Carneiro Felix; Farias, Altair Seabra de; http://lattes.cnpq.br/3468198446540783; Farias, Altair Seabra de; Andrade, Vinícius; Freitas, Raquel Nascimento deThe study aims to highlight the challenges faced by indigenous people in urban areas when accessing health services, as well as establishing a dialog with academic literature to contribute to understanding these difficulties and proposing solutions. Method: This is an experience report, which is a study that reports on an academic experience, producing knowledge and adding reflections in the field of practice. Data collection techniques were used, such as: an internship diary, consultation of clinical care records, observation and documentary analysis highlighting the obstacles faced by indigenous people. Results: Conclusion: In view of the barriers identified, it is essential that public authorities take into account the cultural, linguistic and geographical particularities of indigenous communities, seeking to promote more inclusive and respectful careItem Consumo de álcool e povos indígenas: revisão integrativa da literatura(Universidade do Estado do Amazonas, 2024-01-30) Thiago Ferreira Fragata; Farias, Altair Seabra de; http://lattes.cnpq.br/6727455929415664; Farias, Altair Seabra de; Machado, Vinícius; Freitas, Raquel Nascimento deTo identify and synthesize the evidence found in national and international databases on the implications of alcohol consumption in indigenous communities in Brazil. Method: This is an integrative literature review using the PubMed, Scopus and LILACS databases with articles found in Portuguese, English and Spanish available in full from november 2023 to january 2024. The descriptors used were: álcool/alcohol; indígenas/indigenous; Brasil/Brazil. Results: 21 articles were selected for analysis, 57.1% of which were published in LILACS (n=12), 28.6% in Scopus (n=6) and 14.3% in PubMed (n=3). Among the study scenarios, 52.4% were carried out in the North and journals based in Brazil predominated with 76.1% of the publications (n=16). After careful analysis, 4 categories emerged: alcoholization process; consumption, factors and outcomes; indigenous and professional perception; applicability of instruments in the indigenous context. Conclusion: Given the diversity of ethnic groups in Brazil, there is a lack of exploration for a more comprehensive perception of the subject, the adequacy of questionnaires for a better analysis of the context in this population and the consequent acculturation of these peoplesItem Tecnologias educacionais e sociais no combate às infecções sexualmente transmissíveis para as mulheres em situação de rua: revisão de literatura(Universidade do Estado do Amazonas, 2024-02-22) Machado, Ana Paula Lima; Souza, Cássia Rozária da Silva; http://lattes.cnpq.br/0400183588370676; Souza, Cássia Rozária da Silva; Ribeiro, Maria de Nazaré de Souza; Rocha, Yone Almeida daTo verify the educational and social strategies related to exposure to sexually transmitted infections among homeless women. Methodology: This is a literature review, developed according to GIL (2008). The LILACS and PUBMED databases and the Periódicos Capes database were used, with the following descriptors: public health, health care, health education, homeless, educational, sexually transmitted diseases and Ill-housed persons, covering the period from 2007 to 2022, with the period of publication not being an excluding factor for the articles. Results: This review includes 09 articles published in Portuguese and English, one in the Lilacs database, two in the Pubmed database, two in the Periódicos Capes database and two in the Google Scholar virtual library. After analysis, four thematic groups were created: Vulnerability and Territoriality of homeless women; Knowledge about STIs and the experience of homeless women; Scope of the activities of the Street Clinic and Educational approach of professionals to homeless women. Conclusion: It can be seen that there are shortcomings in the implementation of the actions planned to assist these women, including in primary care units, making it difficult for them to access the services available there. The Street Clinic plays an important role in offering programmed approaches and humanized services and is the closest to this public, but it is not enough to meet the demands, requiring a review of approach strategies and actionsItem Motivos pelos quais a população de Mulheres Trans e Travestis não procuram atendimento na Unidade Saúde da Família(Universidade do Estado do Amazonas, 2024-09-03) Domingos Sávio Nascimento de Albuquerque; Honorato, Eduardo Jorge Sant'Ana; http://lattes.cnpq.br/6575940108373792; Honorato, Eduardo Jorge Sant'Ana; Souza, Daniel Cerdeira de; Lemos, Sônia MariaThis research aimed to discover the “Reasons why the population of transsexual and transvestite women do not seek care at the Family Health Unit (USF)” based on a historical-cultural context. Following this discovery, possible reasons were discovered, the perception of these women was extracted from the elaboration of public policies aimed at this community, in addition to proposing possibilities of reception and equity for this population. In this sense, this is a qualitative research that was carried out in a participatory manner through a field investigation and used as an instrument interviews based on a semi- structured questionnaire directed at the research objectives and following the “snowball” principle, also known as chain sampling, and thus, the perceptions of 10 transsexual and transvestite women about health care were recorded. The elements found in the interviews were grouped into three large categories (USF, Transsexual and Transvestite Women and Other subjects) and discussed in the results of this research. Although disrespect for the social name prevents the full recognition of a transsexual or transvestite woman, this disrespect perpetuates a cycle of exclusion that also encompasses the health service, where it was concluded that the need for robust and empathetic professional training becomes fundamental to transform the reality experienced by these women.Item Adesão ao pré-natal odontológico no município de Tapauá-Amazonas(Universidade do Estado do Amazonas, 2024-09-18) Edsandra Rocha dos Santos; Aranha, Lauramaris de Arruda Regis; http://lattes.cnpq.br/4005815771745479; Aranha, Lauramaris de Arruda Regis; Rebelo, Maria Augusta Bessa; Monteiro, Angela XavierPrenatal dental care (PNO) is important for assessing the risk and presence of oral diseases that could compromise the health and well-being of the pregnant woman and her baby. It is the opportune moment to identify possible risks to the pregnant woman's oral health, carry out timely treatment and promote educational-preventive actions. Objective: To identify adherence to dental prenatal care in the city of Tapauá, Amazonas, with the purpose of contributing to the planning of actions and strategies that strengthen the PNO within the scope of Primary Care. Methods: Cross-sectional study of a quantitative nature involving pregnant women in primary care in Tapauá, Amazonas. A questionnaire was applied covering questions related to the oral health of pregnant women and prenatal dental care (PNO). It also consists of questions for demographic, socioeconomic characterization, access and use of dental services, reported oral morbidity and perception of the pregnant woman. For correlation analysis, the Spearman test was used (p<0.05). Results: 132 pregnant women participated in the study, in which the average age was 24.1 years (SD = 6.8), in which 55.3% had not completed high school, 68.9% were mixed race, 62. 9% have a family income of less than 2 minimum wages and 65.9% live with four or more people in the household. Regarding adherence to the PNO, the majority of pregnant women - 78.0% - perform the PNO. Regarding how pregnant women see the importance of PNO and oral health self-care, 76.5% reported that it is important or very important to have a dental appointment during pregnancy (p=0.017) and 70.5% consider that the oral health can be influenced by pregnancy (p=0.013). It was observed that the use of medication (p=0.005) and not being afraid of going to the dentist during pregnancy (p=0.015) are factors that interfere with adherence to the PNO. Furthermore, age group, benefit from the Bolsa Família, considering good oral health, not noticing gingival bleeding and periodontal changes during pregnancy and the need for cleaning, prevention or review as the reason for the last dental appointment, present a correlation with the completion of the PNO (p<0.05). Conclusion: The data reveal good adherence of pregnant women to the PNO, reasonable knowledge in oral health and few barriers were found for not carrying out the PNO. However, it is necessary to intensify oral health education actions to raise awareness among pregnant women about the importance of appropriate use of dental services, thus contributing to an increase in the number of consultations with the dental surgeon and ensuring monitoring of PNO in an affective way. It is hoped that this study can promote education and prevention actions in the municipality's UBS and strengthen integration between health teams, thus offering pregnant women comprehensive, quality and humanized health care