Dissertation/Thèse
2024
Thèses
1
  • Thays Cristina Pereira Barbosa
  • Spatial Distribution of Notifications of Events Supposedly Attributable to COVID-19 Vaccination or Immunization in the State of Minas Gerais.
  • Leader : ELIETE ALBANO DE AZEVEDO GUIMARAES
  • MEMBRES DE LA BANQUE :
  • ELIETE ALBANO DE AZEVEDO GUIMARAES
  • LUIZ HENRIQUE ARROYO
  • RICARDO ALEXANDRE ARCENCIO
  • VALERIA CONCEICAO DE OLIVEIRA
  • Data: 2 févr. 2024


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  • ABSTRACT
    Introduction: With the introduction of covid-19 vaccines into Immunization Programs, the
    reporting of events supposedly attributable to vaccination or immunization (ESAVI) has
    become crucial for pharmacovigilance of adverse events. The ESAVI reporting rate is a
    performance indicator to assess the progress of passive ESAVI surveillance, adapted to the
    specificities of each locality. Objective: To analyze the spatial distribution of ESAVI
    notifications resulting from the Covid-19 vaccine in the state of Minas Gerais. Methods:
    Initially, ESAVI notification rates were calculated for all municipalities and then for health
    macroregions. Spatial scan statistics and geographically weighted regression (GWR) were
    performed to identify spatial clusters, compliance with ESAVI surveillance goals, and factors
    associated with the spatial distribution of ESAVI notification rates. Results: In Minas Gerais,
    clusters with low notification rates or even no notifications regarding ESAVI surveillance for
    covid-19 vaccines were observed. Additionally, it was noted that despite all health
    macroregions meeting the notification rate goal, 20.3% (n=173) of their municipalities did not
    reach this goal. Two major clusters with low notification rates, identified as cold spots, were
    highlighted in the Northern macroregion. Clusters with high notification rates, considered hot
    spots, included the Northwest, Central, and Northern Triangle macroregions. Two factors were
    associated with notification rates: the number of nursing professionals per inhabitant and the
    percentage of families residing in rural areas. The distribution of these variables associated with
    the ESAVI notification rate appeared heterogeneous throughout the state. Conclusion: The
    analysis of the spatial distribution of ESAVI notifications in the state identified silent regions
    that did not meet the minimum ESAVI notification value. The presence of clusters with low
    notifications indicates the need to implement integrated strategies adapted to the specificities
    of each health macroregion to enhance ESAVI surveillance in Minas Gerais. Investments in a
    sufficient and qualified nursing professional capacity per inhabitant are essential to increase
    ESAVI reporting and, moreover, to implement greater surveillance of these events in families
    residing in rural áreas.
2
  • Amanda Tainara Souza Freitas
  • Dimensions of professional safety and experiences in urgency and emergency: the legacy of a pandemic.
  • Leader : SELMA MARIA DA FONSECA VIEGAS
  • MEMBRES DE LA BANQUE :
  • DANIELA PRISCILA OLIVEIRA DO VALE TAFNER
  • HANDERSON SILVA SANTOS
  • SELMA MARIA DA FONSECA VIEGAS
  • Data: 8 févr. 2024


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  • Introduction: one of the biggest challenges in the COVID-19 pandemic was to efficiently
    guarantee the safety and protection of healthcare professionals. Objective: to understand
    professional safety when facing the COVID-19 pandemic in the daily routine of urgent and
    emergency services. Methods: this is a qualitative study anchored in Grounded Theory and the
    theoretical framework of Symbolic Interactionism. Its settings are the Emergency Care Units
    and the Mobile Emergency Care Service in the municipalities of Divinópolis and Nova Serrana,
    belonging to the Western Health Macroregion of Minas Gerais, Brazil. 44 professionals
    participated in the study: 20 working at UPA and 13 at SAMU in Divinópolis-MG; nine
    professionals from UPA and two from SAMU in Nova Serrana. The sources of evidence were
    the individual open interview and memos. Results: the professional's safety context in facing
    the COVID-19 pandemic, in the daily routine of urgency and emergencies, was represented in
    39 in vivo codes. From the axial coding, nine subcategories emerged from these three
    categories, namely: “The daily routine of urgency and emergency in a pandemic: Welcoming
    in the SUS”; “Dimensions of health professional safety in times of pandemic”; and
    “Experiences in COVID-19 in urgency and emergency and its legacy”. Professional safety is
    multidimensional, characterized by protective and risk factors that present themselves in the
    daily routine of urgency and emergencies in a Unified Health System full of weaknesses and
    potential, even more evident in the COVID-19 pandemic. We lived in a context marked by fear,
    unpredictability and insecurity. There were many changes that occurred in the work process
    with repercussions on the safety of professionals and, concomitantly, that of patients. The
    scarcity of consumable and permanent inputs, qualified human resources and physical
    infrastructure resulted in professional insecurity and moral suffering, with implications for the
    biopsychosocial, emotional and moral dimensions of front-line professionals. The advancement
    of science with the availability of vaccines and the construction of knowledge about COVID-
    19 has brought greater security to health professionals. Therefore, investments are necessary to
    implement policies for the safety of healthcare professionals, given that patient safety has
    received a clear and necessary appreciation and both are interdependent, as well as for necessary
    improvements in urgent and emergency services. Final considerations: daily experiences in
    different scenarios showed evidence of similarities regarding the (in)security of healthcare professionals when facing the COVID-19 pandemic in urgent and emergency services. The
    pandemic left as a legacy the importance of valuing life and health, individual and collective
    protection, emphasizing the appropriate use of safe PPE, empathy and welcoming others,
    respecting singularity, self-care and self-protection, ensuring effective of the right to health in
    a System whose principles are equity, universality and comprehensive care. Furthermore,
    taking care of those you care for is essential to guarantee quality care, minimize harm to patients
    and reflects on the efficiency of organizational aspects and people and health management. SUS
    urgent and emergency services were identified as an open door of relevance in the COVID-19
    pandemic and professionals who worked on the front line were often applauded and recognized
    in the media, but more is needed for safety of the health professional is implemented in the
    daily services and of each person, as a person who dedicates themselves to their dignified work.
    Work funded by the Coordination for the Improvement of Higher Education Personnel
    (CAPES), Master's scholarship. Also funded by Public Notice No. 004/2020 and No.
    002/2022/Pro-Rectory of Research of the Federal University of São João Del Rei, Scientific
    Initiation scholarship.
3
  • SELMILÉIA FRANCIANE DE ANDRADE DUTRA
  • Functionality of families of children on the autism spectrum in the pre- and trans-pandemic of Covid-19.
  • Leader : PATRICIA PINTO BRAGA
  • MEMBRES DE LA BANQUE :
  • ELAINE CRISTINA RODRIGUES GESTEIRA
  • JÉSSICA BRUNA SANTANA SILVA
  • PATRICIA PINTO BRAGA
  • Data: 16 févr. 2024


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  • ABSTRACT
    Introduction: Families of children with Autism Spectrum Disorder (ASD) experience greater
    burdens, challenges and stress when compared to families of children with typical development.
    In addition to this, we assume that these families were exposed, during the COVID-19
    pandemic, to additional demands that required adjustments and reorganizations in search of the
    functionality of this system. Objective: To analyze the repercussions of the COVID-19
    pandemic on the functionality of families of children with ASD. Method: Qualitative research,
    guided by the Model of Resilience, Stress, Adjustment and Family Adaptation. The study was
    carried out with families who have children diagnosed with Autism Spectrum Disorder and are
    attended by a Special Education School of the State education network in the city of
    Divinópolis-Minas Gerais (MG). Using a semi-structured interview script, 22 family members
    (including mother, father, grandparents, brothers and sister) from 13 families of children with
    ASD participated. The interviews were organized with the support of the MAXQDA 2022
    software. Genograms and ecomaps were prepared to schematic representation of families and
    their relationship with the community. The data was subjected to inductive thematic analysis,
    based on the theoretical framework. The data coding process was carried out independently by
    two researchers. The intercoder validation strategy was adopted to verify the congruence system
    and validate the process. Results: The analysis highlighted five empirical categories (1) Family
    functionality in caring for children with ASD during the COVID-19 pandemic restriction
    period; (2) Negative repercussions of the COVID-19 pandemic on family functionality in the
    care of children with ASD; (3) Daily family care for the child; (4) Family appreciation: from
    diagnosis to coexistence and future perspectives; (5) Family management of stressors in the
    context of caring for children with ASD. The results of these are presented in the format of a
    scientific article throughout this work, based on 3 categories that relate especially to the context
    of the period before and after the Covid 19 pandemic. Preliminary considerations: The
    functionality of families of children on the spectrum autistic during the pre-pandemic period
    was due to the presence of a social support network and extended family; offering care through
    health, education and assistance equipment, with support provided by professionals to families
    during the child's care journey. The isolation imposed by the Covid-19 pandemic generated
    several factors that impacted the functionality of families.
4
  • LILIANE PENA
  • Management graphic protocol for evaluating safe nursing care for people with mental disorders in mobile pre-hospital care.
  • Leader : PATRICIA PERES DE OLIVEIRA
  • MEMBRES DE LA BANQUE :
  • DEBORAH FRANSCIELLE DA FONSECA
  • ELIZABETH BARICHELLO
  • PATRICIA PERES DE OLIVEIRA
  • RICHARDSON MIRANDA MACHADO
  • Data: 23 févr. 2024


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  • Safety in assisting people with mental disorders has been neglected for many years.
    After the achievements arising from the social and political movements of the Brazilian
    Psychiatric Reform, psychological crises gained visibility in the community and posed
    challenges regarding care practices. In this sense, the mobile pre-hospital care
    service, which values agility, shorter response times and values the techniques
    incorporated into sophisticated equipment, is encouraged when it comes to providing
    care to people with mental disorders. That said, nursing has a relevant role in
    developing safer actions, as it has a direct role in caring for this clientele. When
    considering the identification and minimization of risks, as well as the prevention of
    incidents and the improvement of patient safety, the importance of carrying out periodic
    assessments in health services is highlighted to identify weaknesses and potential in
    order to promote the adequacy of all components (structure, process and result).
    Therefore, the objective of the present study was to build and validate the content and
    appearance of a graphic management protocol for evaluating safe nursing care for
    people with mental disorders in mobile pre-hospital care. For this, a methodological
    study was developed, with a quantitative approach, structured in the triad proposed by
    Donabedian, based on Pasquali's psychometrics and organized into three procedures:
    theoretical, in which a Scoping Review was carried out on safe nursing care for people
    with a disorder mental to define the contents that make up the protocol; empirical
    procedures, for construction of the graphic protocol and validation of content and
    appearance using the Delphi technique, which occurred in two rounds, with the
    collaboration of twenty-three judges/experts in the first round and eighteen
    judges/experts in the second round; and analytical procedures, intended for analyzing
    the data on which the Content Validation Coefficient was calculated. After completing
    the two Delphi rounds, the graphic protocol was considered valid in content
    (CVC>80%) and appearance (CVC>80%). Thus, it was possible to build and validate
    in content and appearance a management graphic protocol for the evaluation of safe
    nursing care for people with mental disorders in mobile pre-hospital care and it is hoped
    that this tool can contribute to improving the management of Services of Mobile
    Emergency Care and patient safety.
5
  • Laila Vanessa Gonçalves Rabelo
  • Nutritional therapy in admitted children and adolescents: The perception of family caregivers.
  • Leader : ALISSON ARAUJO
  • MEMBRES DE LA BANQUE :
  • ALISSON ARAUJO
  • MARIA CAROLINA ORTIZ WHITAKER
  • VIRGINIA JUNQUEIRA OLIVEIRA
  • Data: 27 févr. 2024


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  • ABSTRACT
    Introduction: Children and adolescents’ hospitalization represents one of the first stressful
    experiences in life, triggering fear and anxiety feelings, which can bring significant effects on
    development. In this context, the presence of a family member during hospitalization plays a
    crucial role in promoting and maintaining the bond between patient and family, mitigating the
    factors that lead to separation and contributing effectively to comprehensive care.
    Understanding the motivations and perceptions of care by their family caregivers plays a
    prominent role in health assessment, as deeper understanding of these points of view makes it
    possible to adapt and improve approaches according to the patients’ particular needs and their
    families. Nutritional therapy (NT), performed by the MNTT (Multidisciplinary Nutritional
    Therapy Team), aims to improve admitted patients’ health outcomes with standard definitions
    and make the nutritional support one of the priorities of care, through prevention and
    treatment of malnourishment and other grievances. Furthermore, the team supports family
    members to face the challenges of their caregiving role, which has been consistently identified
    as a concern in maintaining and improving health levels. Aims: To understand the perception
    of family caregivers regarding nutritional therapy offered to admitted children and adolescents
    assisted by MNTT. Method: This was a qualitative study based on Martin Heidegger's
    Phenomenology. 14 family caregivers of children and adolescents who were admitted in a
    hospital in the state of Minas Gerais were interviewed. The semi-structured interview was
    used as a data collection technique, which took place from March to April 2023. Data analysis
    was carried out using the comprehensive phenomenological analysis technique. Results:
    Despite insecurity and fear feelings from part of family caregivers of admitted children and
    adolescents, and who used medical devices, the perception of the ones who joined the study
    about understanding nutritional therapy was favorable, taking into account the nutritional
    status improvement. From the speeches, 15 thematic axes emerged, three of which were
    selected because they were considered to be those that best responded to the research
    objective: 1- Understanding of the contributions of NT, 2- Feelings related to NT, 3-
    Challenges in NT. Through these axes, we will look for a way to structure the discussion and
    understanding of the phenomenon, considering the theoretical assumptions of phenomenology
    about what Care is and the experience of this nutritional assistance. Conclusion: This study
    aims to contribute to a deep reflection on the care process and hopes that the reached results
    have a positive influence on the creation of strategies that optimize nutritional assistance for
    admitted children and adolescents, considering the emotional and crucial bond with those who
    "take care". The findings from this study should serve as a starting point for further reflection
    by the multidisciplinary team, recognizing that each individual sees the world through
    different lenses. Ultimately, it is hoped that the findings presented here will transcend the
    limits of research and inspire humanization in hospital environments.
6
  • CLARA JÉSSICA SILVA FERREIRA
  • Cartilha para educação em saúde de pessoas com diabetes mellitus sobre o uso de insulina
  • Leader : DANILO DONIZETTI TREVISAN
  • MEMBRES DE LA BANQUE :
  • DANILO DONIZETTI TREVISAN
  • LILIANE DE LOURDES TEIXEIRA SILVA
  • NELSON MIGUEL GALINDO NETO
  • PRISCILA PERUZZO APOLINÁRIO
  • Data: 28 févr. 2024


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  • RESUMO

    Introduction: The correct use of insulin by people with type 2 Diabetes Mellitus is still a
    challenge. Discontinuity of treatment may be associated with difficulties linked to the stages
    of storage, transportation, preparation, administration and disposal of the materials used. The
    incipience of studies involving the development of booklets for the use of insulin reinforces
    the importance of creating printed instruments for people with DM2. In this sense, the present
    study resulted in the availability of educational technology, built and validated in a way that
    can be used as an object of health education. Objective: Develop a booklet for health
    education for people with type 2 Diabetes Mellitus on the use of insulin. Methods:
    Methodological study conducted in three stages: 1) construction of the educational booklet, 2)
    content and appearance validation by a committee of experts and 3) appearance validation
    with the target audience. The study involved people with type 2 Diabetes Mellitus, their
    family members and caregivers, living in the city of Dores de Campos - MG. It was approved
    by the Research Ethics Committee and met the requirements of Resolution 466/2012 of the
    National Health Council, obtaining opinions numbers 5,743,576 and 5,881,111. Results: The
    final version of the booklet “Use of insulin by people with type 2 Diabetes mellitus” was
    formulated, prepared in a 24-page version. 20 insulin users and 12 family members/caregivers
    participated in the appearance validation. The majority of users were women with an average
    age of 68.5 years. All users used NPH insulin and only 10% used regular insulin. Regarding
    family members/caregivers, the majority were women with an average age of 58.3 years.
    Conclusion: The educational booklet was created to promote understanding of insulin use by
    people with DM2 and presents evidence of superior content validity. It can be used by health
    professionals working in primary care in order to contribute to promoting adherence, safe use,
    satisfaction with treatment and, thus, reducing acute and chronic complications and increasing
    quality of life.
7
  • ANA PAULA FARIA CORTES
  • Comportamento de prevenção à COVID-19 de graduandos de enfermagem pós-emergência de saúde pública.
  • Leader : MARCIA CHRISTINA CAETANO ROMANO
  • MEMBRES DE LA BANQUE :
  • THALYTA CRISTINA MANSANO SCHLOSSER
  • MARCIA CHRISTINA CAETANO ROMANO
  • ALBA OTONI COLLARES
  • CEZENARIO GONCALVES CAMPOS
  • Data: 28 févr. 2024


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  • ABSTRACT
     
    Introduction: The coronavirus, initially named new coronavirus (2019-nCoV), was discovered
    in 2019, subsequent to the emergence in cases in pneumonia in origin unknown in Wuhan,in
    China. It was later named SARS-CoV-2, the causal agent of the coronavirus pandemic. COVID-
    19. Health students constitute an important social group from the perspective of the COVID-19
    pandemic, as although they are directly involved with the problems may not behave
    appropriately to prevent COVID-19. There are few investigations that analyze the behavior of
    university students regarding the prevention of COVID-19. Objective: The objective of this
    study consists to evaluate the preventive behavior of nursing students regarding COVID-19 and
    associated factors. Methods : Cross-sectional study, carried out in Divinópolis, MG, with a
    sample of 126 graduating students in nursing enrolled in the year 2022, from the Federal
    University of São João del Rei. A sociodemographic and clinical form, containing questions
    about knowledge, behavior, symptoms and situation vaccination against COVID-19 for data
    collection. He was accomplished test molecular qRT-PCR It is O test serological for COVID-19
    to identify active or past infection, respectively. Multivariate logistic regression analysis was
    performed to identify factors associated with preventive behavior regarding COVID-19.
    Results: From one total in 126 participants, with average in age in 22 years, 87.7% they were of
    female, 27% were in the third period, 92.9% were single, 55.6% declared themselves white,
    96% did not report a job, 65.9% of family heads had incomplete secondary/higher education
    and 28.6% of participants had a family income between one to five minimum wages. In relation
    to behaviors in the face of COVID-19, 51.6% responded that they were not worried about
    becoming infected, 61.9% would adopt isolation and social distancing, if they have a new
    obligation, 41.3% use a mask in locations closed with crowd, 76.2% use mask surgical, 46.8%
    wash to the hands more five times a day, 54.8% declared that they eventually complied with the
    protection guidelines of spreading the virus. Regarding COVID-19 infection, 56.1% had a
    history of infection with the virus, 48.4% did not know or want to answer how long ago the
    infection occurred infection. All participants tested reagent for the presence of antibodies
    against COVID-19 and none of them had active COVID-19 infection at the time of the study,
    being The majority,82.5% without reports in symptoms at the time from the collect. All you
    participants of the study reported having been vaccinated against COVID-19, with 49.2% taking
    four doses from the vaccine, with The last dose there is six months or more in 42.9% of the
    participants.96% of respondents reported being aware of the procedures in case of COVID-19.
    total sample, with the majority of them (55.6%) considering themselves to have a low risk of
    contract COVID-19 and 61.9% seek information about COVID-19 from healthcare
    professionals health. The multivariate analysis showed that participants who declared
    themselves black were 0.26 times less likely to show inadequate preventive behavior regarding
    COVID-19 when compared to those who reported being white. Students who reported wearing
    a mask whenever there is a crowd were 0.10 times less likely to have inadequate preventive
    behavior regarding COVID-19. Individuals who mentioned wearing a mask whenever there is
    a crowd of people in a closed place were 0.33 times less likely to show inadequate preventive
    behavior regarding COVID-19. Conclusion: Students who declared themselves black, who
    wore a mask whenever there is crowding and in a closed space showed better preventive
    behavior regarding COVID-19.
8
  • THAMARA LESSE FERREIRA TELES CARVALHO
  • Telephone triage performed by nurses in mobile pre-hospital care: scoping review
  • Leader : PATRICIA PERES DE OLIVEIRA
  • MEMBRES DE LA BANQUE :
  • DANIEL NOGUEIRA CORTEZ
  • FÁBIO DA COSTA CARBOGIM
  • HEBER PAULINO PENA
  • PATRICIA PERES DE OLIVEIRA
  • Data: 28 févr. 2024


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  • Introduction: In recent years, healthcare systems have been overburdened by
    increasing patient volumes, staff shortages, poor access to primary care and a reduced
    number of emergency services. These challenges contribute, in part, to a dramatic
    increase in the volume of calls to mobile emergency services, resulting in major
    operational tensions; which has induced a growing interest in developing alternative
    solutions for patients after telephone contacts to Emergency Medical Services, both in
    the world and in Brazil. In order to match resources with patient needs, some mobile
    emergency medical services have integrated clinical functions into their medical
    communications centers/emergency regulation centers. Several countries around the
    world have incorporated nurses into the Emergency Dispatch Center, as they are
    considered a key component, offering responsibility, experience, safety and active
    listening to patient care. In Brazil, this role is rarely seen in practice, although there are
    policies that regulate the role of nursing professionals in Pre-Hospital Care (APH), both
    outside and inside the Regulation Center. Objective: The aim of this study was to
    identify relevant data in the literature on telephone triage carried out by nurses in
    mobile emergency services and to map the evidence on the characteristics of the
    strategies employed and the behaviors that make this triage effective. Methods: This
    study is a scoping review that aims to identify evidence about how telephone triage is
    carried out by nurses in the pre-hospital mobile emergency service and the role of
    nurses within this service. The purpose of this review is to identify the key concepts
    associated with a field of study, as well as to elucidate the operational definitions and/or
    conceptual restrictions of a topic based on the information currently available.
    Conclusion: There are wide-ranging benefits to be gained from having experienced
    APH nurses working in the Emergency Regulation Center, including greater patient
    safety and better use of health resources. It is suggested that protocols be built and
    validated to support the work of nurse regulators in Brazil, as well as care bundles.
9
  • CLAUDIA MARTINS DA COSTA
  • FUNCTIONAL VULNERABILITY OF THE ELDERLY PERSON AND ASSOCIATED SOCIAL AND HEALTH CONDITIONS

  • Leader : THALYTA CRISTINA MANSANO SCHLOSSER
  • MEMBRES DE LA BANQUE :
  • GILSON DE VASCONCELOS TORRES
  • KELLEN ROSA COELHO SBAMPATO
  • PATRICIA PERES DE OLIVEIRA
  • THALYTA CRISTINA MANSANO SCHLOSSER
  • Data: 29 févr. 2024


  • Afficher le Résumé
  • ABSTRACT
     
    Introduction: Aging is characterized as a process that occurs gradually and causes
    physiological changes at the molecular level, behavioral and social changes. These changes
    are intensified when the elderly person is exposed to vulnerability factors that precede the
    frailty syndrome. Objective: To analyze the association between vulnerability and the social
    and health conditions of the elderly in the context of primary care in the central-west region of
    Minas Gerais. Method: This is a cross-sectional, analytical study with a quantitative
    approach. Performed steps: sample calculation; Training of researchers for data collection and
    approval by the Research Ethics Committee (CEP) of the Federal University of São João Del
    Rei. CAAE: 36278120.0.2013.5545. Data collection took place from July to December 2022,
    in the city of Divinópolis-MG, in the Primary Health Care (PHC) care units, upon signing the
    Free and Informed Consent Form (TCLE). Inclusion criteria were: being 60 years old or
    older, being a user of APS units and scoring 17 on the Mini Mental State Examination
    (MMSE). Elderly people with a medical diagnosis of mental or physical disability, which
    made it impossible to carry out the proposed tests, were excluded. Data were recorded in an
    Excel table, organized and analyzed using the Statistical Software Statistical Package for the
    Social Sciences (SPSS) version 23.0. A significance level of 5% and confidence intervals of
    95% were considered for all analyses. Results: 150 elderly people participated in the study,
    the majority 62.67% female, in a stable relationship (57.33%), retired (66.00%) and with
    incomplete primary education (66.67%). A strong association was identified between
    vulnerability and the increased prevalence of comorbidities and frailty syndrome.
    Conclusion: The study made it possible to analyze the association between vulnerability and
    the social health conditions of the elderly in primary care in the central-west region of Minas
    Gerais. Strengthening evidence to aid in the assessment of multifunctional elderly people in
    primary health care.
10
  • LUCIANA HELENA DA SILVA NICOLI
  • Early detection and management of malignant spinal cord compression: nursing bundle.
  • Leader : PATRICIA PERES DE OLIVEIRA
  • MEMBRES DE LA BANQUE :
  • ANDREA BEZERRA RODRIGUES
  • DEBORAH FRANSCIELLE DA FONSECA
  • PATRICIA PERES DE OLIVEIRA
  • THALYTA CRISTINA MANSANO SCHLOSSER
  • Data: 29 févr. 2024


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  • Introduction: Malignant spinal cord compression is a serious clinical condition in which an
    abnormal structure, usually a malignant tumor, compresses the spinal cord, resulting in
    debilitating neurological symptoms. Diagnosis involves a detailed clinical assessment, imaging
    tests such as MRI and, in some cases, a biopsy. Treatment is an emergency and can include
    surgery to relieve compression, radiotherapy to control tumor growth and, occasionally,
    chemotherapy. Bundle implementation is essential to ensure that patients with this serious
    condition receive appropriate and timely care. Objective: To build the content of a bundle for
    the early detection and management of malignant spinal cord compression. Method: scoping
    review based on Joanna Briggs Institute and the construction of a nursing bundle for the early
    detection of malignant spinal cord compression. Results: In the first stage, scoping review, 15
    studies were found which formed the basis for the content to be developed in the protocol.
    Conclusions: Immediate diagnosis and treatment of malignant spinal cord compression can
    reduce pain and prevent irreversible functional loss.
11
  • Wiara Viana Ferreira
  • Spatial analysis of notifications of Immunization Errors in the state of Minas Gerais
  • Leader : VALERIA CONCEICAO DE OLIVEIRA
  • MEMBRES DE LA BANQUE :
  • ELIETE ALBANO DE AZEVEDO GUIMARAES
  • LUIZ HENRIQUE ARROYO
  • RICARDO ALEXANDRE ARCENCIO
  • VALERIA CONCEICAO DE OLIVEIRA
  • Data: 7 mars 2024


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  • ABSTRACT
     
    Introduction: Vaccination is one of the most effective measures in the prevention of vaccine
    preventable diseases. Although it is referenced as one of the safest and most effective health
    interventions, vaccination is not without errors. In this sense, the notification of immunization
    errors emerges as a fundamental element to ensure safety during vaccination. Objective: To
    analyze the spatial pattern of immunization error notifications in the state of Minas Gerais and
    associated factors. Methods: This is an ecological study, carried out in the 853 municipalities
    of the state of Minas Gerais, based on the notifications of immunization errors recorded in the
    database of Adverse Events After Vaccination, of the Information System of the National
    Immunization Program (SI-EAFI), in the period from 2015 to 2019. For this study, the
    municipalities of the 14 macro-regions of the state of Minas Gerais were established as
    territorial units of analysis. Spatial scan statistics were performed to identify spatial clusters and
    the generalized model for locating factors associated with immunization error notifications.
    Results: The spatial analysis revealed purely spatial clusters with low notification of
    immunization error in all macro-regions. The clusters with a high notification rate include the
    Northwest, North, Center, Southern Triangle and Northern Triangle macro-regions. A positive
    association was identified between the notification of immunization error and the population
    under one year of age, regression coefficient (0.003665). A five-fold increase in vaccinated
    children resulted in 2% more likely to report an immunization error. Conclusion: This study
    made it possible to identify silent areas with a low notification rate. This makes it possible to
    subsidize priority measures for the implementation of integrated strategies adapted to the
    particularities of each macro-region, providing more efficient and punctual surveillance in these
    locations.
12
  • LORENA QUEIROZ RACHID
  • Sarcopenia in patients with  diabetes mellitus in primary health care

  • Leader : DANIEL NOGUEIRA CORTEZ
  • MEMBRES DE LA BANQUE :
  • ANDREZA DE OLIVEIRA HENRIQUES CORTEZ
  • DANIEL NOGUEIRA CORTEZ
  • JULIANA MARA FLORES BICALHO
  • VIVIANE SAHADE SOUZA
  • Data: 23 avr. 2024


  • Afficher le Résumé
  • ABSTRACT

     

     

    Introduction: Sarcopenia is characterized by decreased strength and loss of muscle mass and is associated with frailty. Nutritional, physical and hormonal factors are interconnected in the development of sarcopenia and also diabetes. Diabetes is a syndrome characterized by chronic hyperglycemia and metabolic disorders that, when associated with sarcopenia, can lead the elderly to serious complications. Objective: To analyze the prevalence of sarcopenia in individuals with type 2 diabetes, users of primary care in the city of Divinópolis - Minas Gerais. Method: Cross-sectional study carried out with patients with DM2 registered in the Family Health Strategy. Questionnaires were administered containing information on physical, sociodemographic, clinical examination, physical activity and risk of falling. The questionnaire recommended by the European Working Group on Sarcopenia in Older People 2 (EWGSOP2) was used to diagnose sarcopenia, consisting of four stages. To associate the risk of falling with the risk of sarcopenia, binomial regression was used. All analyzes were performed using Stata 14.0 software. Results: 214 individuals were analyzed, with an average age of 63 years (10), the majority of whom were female (58%), with incomplete primary education (59%), sedentary (64%), and diagnosed with diabetes for a long time. less than 10 years (51%). Obesity was predominant among adults (61%) and the elderly (64%). The prevalence of sarcopenia risk was 15%, with 2% of confirmed cases and 1% of severe cases. Among adults, this prevalence was 4% (n=8) and among the elderly, 11% (n=25). The risk of sporadic and recurrent falls was 31% and 12%, respectively. Conclusion: The prevalence of sarcopenia and falls risk in the population, especially among the elderly, highlights the need for interventions. Early identification of these problems and application of preventive measures can significantly improve quality of life and reduce the negative effects of muscle mass loss.

13
  • LARISSA MARTINS SANTOS
  • ATUAÇÃO DO ENFERMEIRO NO SUPORTE INTERMEDIÁRIO DE VIDA: REVISÃO DE ESCOPO
  • Leader : DANIEL NOGUEIRA CORTEZ
  • MEMBRES DE LA BANQUE :
  • DANIEL NOGUEIRA CORTEZ
  • HEBER PAULINO PENA
  • HUMBERTO FERREIRA DE OLIVEIRA QUITES
  • Data: 27 août 2024


  • Afficher le Résumé
  • Objetivo: o objetivo deste estudo foi identificar e sintetizar as evidências científicas da
    assistência prestada do profissional enfermeiro na unidade de Suporte Intermediário de Vida no
    pré-hospitalar móvel (APHmóvel) Método: Trata-se de um estudo de scoping review,
    delineado a partir da pergunta envolvendo P (participantes) – Enfermeiros do Atendimento Pré-
    hospitalar, C (conceito) – Ações/intervenções no Suporte Intermediário e C (contexto) –
    Atendimento Pré-hospitalar conforme Joanna Briggs Institute e o PRISMA-ScR. A pesquisa
    foi realizada em bases de dados eletrônicas e em catálogos de teses e dissertações. A coleta de
    dados ocorreu de maio de 2023 a julho de 2024, sem limite temporal. Os dados extraídos foram
    analisados e sintetizados de forma narrativa. Resultados: A primeira busca realizada nas bases
    de dados gerou um total de 2794 estudos que passaram por a análise de título e resumo, sempre
    que necessário. Após esta análise, foram excluídos em uma primeira triagem 46 registros
    duplicados e 2697 registros que não se encaixavam no tema da pesquisa. Foram selecionados,
    portanto, 51 estudos. Excluíram-se destes, 16 estudos que foram publicados antes do ano de
    2011, 16 estudos que não responderam à questão de pesquisa e 1 estudo que não possuía texto
    completo disponível, sobrando então 13 estudos. Além disso, foram incluídos na amostra mais
    dois trabalhos identificados através de outros métodos de pesquisa. Por fim, a amostra deste
    estudo foi constituída por 15 trabalhos. Conclusão: Nesta scoping review ao sintetizar as
    evidências disponíveis constatou-se que a assistência do enfermeiro na unidade de suporte
    intermediário de vida no pré-hospitalar móvel não foi descrita em nenhuma publicação
    envolvendo o Brasil. A presença do enfermeiro neste atendimento amplia a capacidade de
    avaliação do paciente, com assistência segura pelo serviço do atendimento de urgência e
    emergência.
2023
Thèses
1
  • LUCIENE APARECIDA MUNIZ
  • CLINICAL, EPIDEMIOLOGICAL AND DEMOGRAPHIC PROFILE OF TEENAGERS WITH COVID-19

  • Leader : MARCIA CHRISTINA CAETANO ROMANO
  • MEMBRES DE LA BANQUE :
  • MARCIA CHRISTINA CAETANO ROMANO
  • PATRICIA PINTO BRAGA
  • WENDELL COSTA BILA
  • Data: 23 févr. 2023


  • Afficher le Résumé
  • In December 2019, in China, in the city of Wuhan, the occurrence of several simultaneous cases
    of pneumonia caused by the new coronavirus, called SARS-CoV-2, which causes COVID-19,
    was identified. The virus was highly contagious, spreading rapidly to other countries,
    configuring a pandemic. Teenagers are just as likely to be infected as adults and the elderly.
    And eventually they can progress to more serious situations with the need for hospitalization or
    progress to death. Despite the rapid national and international scientific production on COVID-
    19, several questions remain, with no effective consensus in the literature regarding the clinical,
    epidemiological and demographic profile of infected adolescents. The proportion of
    asymptomatic and symptomatic cases and prevalent symptoms are unclear, as are the
    epidemiological indicators of health, prevalence and mortality, and severity factors. In this
    context, it is imperative to analyze the occurrence of COVID-19 in adolescents, to better
    understand how the disease affects this age group, with a view to bringing indicators to favor
    the elaboration of public policies and interventions to cope with the new coronavirus in this
    public, in addition to contributing to the current literature in the field of adolescent health. The
    objective of this research is to analyze the clinical, epidemiological and demographic profile of
    adolescents with COVID-19. This is an observational, cross-sectional, population-based
    epidemiological study. Demographic and clinical data were collected regarding the notified
    confirmed cases of COVID-19 and the unconfirmed cases in the e-SUS Notifica system from
    March 15, 2020 to March 31, 2022. Municipal Health Department of a municipality in the
    central-west region of Minas Gerais, being extracted and stored in Microsoft Excel 2016
    spreadsheets. Subsequently, they were exported to the Statistical Package for Social Sciences
    (SPSS) version 20. the Kolmogorov-Smirnov normality test. Descriptive and analytical
    statistical techniques were used. To compare proportions, Pearson's chi-square test or Fisher's
    exact test were used. Bivariate analysis was performed and all variables with p value ≤ 0.20
    were used in the final model. Logistic regression analysis was performed, with the model's
    goodness of fit being verified by Hosmer-Lemeshow tests and residual analysis. The
    significance level adopted was p<0.05%. Results: The prevalence of COVID-19 among
    adolescents was 14.4 per 100 reported cases. Adolescents who had symptoms of headache
    (OR=1.4; 95%CI=1.2-1.6), fever (OR=1.2; 95%CI=1.1-1.4) and olfactory disturbances
    (OR=2.3; 95%CI=1.9-2.7), had a greater chance of being diagnosed with COVID-19. As for
    sore throat (OR=0.7; 95%CI=0.67-0.8) and runny nose (OR=0.8; 95%CI=0.7-0.9), there was a
    lower chance of diagnosis of COVID-19. Conclusion: This investigation has the potential to
    bring indicators to favor the elaboration of public policies and interventions to face the new
    coronavirus, in addition to contributing to the current literature in the field of adolescent health.
2
  • Cássia Cristina Costa
  •  Clinical and demographic profile of children with respiratory syndrome admitted to the Intensive Care Unit dur
    ing the COVID-19 pandemic.
  • Leader : MARCIA CHRISTINA CAETANO ROMANO
  • MEMBRES DE LA BANQUE :
  • ELAINE CRISTINA RODRIGUES GESTEIRA
  • MARCIA CHRISTINA CAETANO ROMANO
  • WENDELL COSTA BILA
  • Data: 28 févr. 2023


  • Afficher le Résumé
  • Introduction: In children, respiratory diseases are the main cause of hospitalization in the
    Pediatric Intensive Care Unit (PICU), favoring an increase in morbidity and mortality in this
    population. With the advent of the COVID-19 pandemic, a new scenario is proposed, which
    may change the profile of children admitted to the P-ICU. There are few studies that evaluate
    the profile of children admitted to the P-ICU during the COVID-19 pandemic. Objective: To
    identify the clinical and demographic profile of children admitted to the P-ICU during the
    COVID-19 pandemic. Methods: This is an epidemiological, observational, cross-sectional
    study, with analysis of secondary data, in medical records of children hospitalized in the P-ICU,
    from December 2019 to December 2021, in a Philanthropic Institution in the municipality of
    the Midwest of Minas Gerais. Information on the child's demographic and clinical profile was
    collected. Data were tabulated in Excel 2010 and analysis performed in the Statistical Package
    for Social Sciences (SPSS) version 21.0. Descriptive data analysis was performed. Categorical
    variables were described using absolute frequencies and percentages. Comparison of
    categorical variables between males and females and between age groups was performed using
    the asymptotic Pearson's chi-square test and the exact Pearson's chi-square test. Quantitative
    variables were expressed as median (Q1; Q3), as they did not have a normal distribution, as
    verified by the Shapiro Wilk test. Comparison of quantitative variables between age groups was
    performed using the Kruskal-Wallis test. The Bonferroni Correction was implemented.
    Multivariate analysis was performed using the gamma model and the logistic model. Results:
    Data were collected from 169 children, 70 (41.4%) infants, 85 (50.3%) female, with a median
    hospital stay of eight days. Most of the children, 114 (67.5%), used medication prior to
    admission to the P-ICU, the vast majority 135 (79.9%) used antibiotic therapy, 34 (20.1%) were
    medicated with amines and 74 ( 43.8%) with corticosteroids. Most of the children 104 (61.5%)
    used a nasal catheter, 40 (23.7%) used a face mask and 42 (24.9%) used CPAP. All children
    were monitored by a nurse, physician and physiotherapist, 83 (49.1%) were assisted by a speech
    therapist and 156 (93%) were assisted by a psychologist. Regarding the outcome of
    hospitalization, 10 children (6%) died. The most frequent comorbidity was asthma, especially
    in preschool children, and school age was the one with the highest number of deaths. Among
    the participants, 10 (13.6%) had SARsCoV-2 infection. There was no association between the
    presence of COVID-19 and deaths. Conclusion: This investigation contributes to the
    identification of indicators that impact children's health, pointing to the need for actions aimed
    at the treatment and prevention of respiratory syndromes, towards the improvement of public
    policies aimed at this age group.
3
  • Christian Nelson Schlosser
  • TEACHING THE INITIAL USE OF INSULIN TO PEOPLE WITH TYPE 2 DIABETES MELLITUS: DEVELOPMENT OF A SIMULATED SCENARIO

  • Leader : DANILO DONIZETTI TREVISAN
  • MEMBRES DE LA BANQUE :
  • DANILO DONIZETTI TREVISAN
  • FLAVIA DE OLIVEIRA
  • PATRICIA PERES DE OLIVEIRA
  • SILMARA NUNES ANDRADE
  • Data: 14 avr. 2023


  • Afficher le Résumé
  • Clinical simulation presents itself as a viable teaching strategy to prepare students and professionals in the context of care practice. To conduct this strategy, the good practices of the International Nursing Association for Clinical Simulation and Learning (INACSL) INACSL Standards Committee. INACSL Standards of Best Practice: SimulationSM Simulation Design. Clinical Simulation in Nursing. 2016;12 (suppl.):S5-S12. recommend the use of real-life clinical scenarios, as they allow the reproduction of common everyday events in a systematized and assistance way; for example, nursing consultations for people with type 2 diabetes mellitus (DM2) using insulin. Objective: This study has the general objective of building and validating a simulated scenario for carrying out the nursing consultation to people with type 2 diabetes mellitus who started drug treatment with insulin by nursing students. Methods: It will be a methodological study, which refers to investigations of methods of obtaining, organizing and analyzing data, dealing with the elaboration, adaptation, validation and evaluation of instruments and research techniques. The study will take place in the skills and simulation laboratory of the Federal University of São João del Rei, Dona Lindu campus.

4
  • Bruna Camargos de Lima
  • FAMILY NARRATIVES OF (DES)HOPE IN THE CONTEXT OF PREGNANCY AND CARE FOR AT-RISK NEWBORN

  • Leader : PATRICIA PINTO BRAGA
  • MEMBRES DE LA BANQUE :
  • LUCILA CASTANHEIRA NASCIMENTO
  • PATRICIA PINTO BRAGA
  • SELMA MARIA DA FONSECA VIEGAS
  • Data: 26 avr. 2023


  • Afficher le Résumé
  • A realização do estudo partiu da premissa de que durante a atenção à gestante de alto risco e, consequentemente, sua família, cuidados promotores de esperança podem contribuir com o preparo familiar para o manejo do neonato e seus cuidados. O objetivo do estudo foi compreender como se configura a esperança familiar, em situações envolvendo a chegada de um recém-nascido de risco. Optou-se por um estudo do tipo qualitativo por permitir capturar e revelar os processos de subjetivação relacionados à temática em análise. Esta pesquisa adotou como referencial teórico metodológico a Theoretical Model for understanding the complex nature of hope (Modelo Teórico de entendimento da natureza complexa da esperança), proposto por DUFAULT & MARTOCCHIO (1985). O cenário do estudo foi o domicílio das famílias de crianças acompanhadas pelo Programa de Intervenção Precoce Avançado (PIPA), e também o ambulatório multiprofissional de atenção ao neonato de risco, localizado na cidade de Divinópolis, Minas Gerais. Os participantes do presente estudo foram 28 familiares (incluindo mãe, pai, avó, tia e irmã), totalizando 14 famílias de neonatos de risco, cujas mães tiveram suas gestações avaliadas em situação de alto risco. Este estudo foi desenvolvido em três etapas. A primeira consistiu na realização de uma revisão de escopo (AROMATARIS; MUNN, 2020) para contribuir com a definição do referencial teórico-metodológico e elaboração dos instrumentos de coleta. Na segunda etapa foi realizada a construção do genograma e ecomapa da esperança de forma conjunta com os participantes seguindo as orientações de Charepe et al (2011). A terceira etapa consistiu na realização das entrevistas em história oral temática e construção das narrativas (MEIHY; HOLANDA, 2014). A estratégia adotada para definição do limite de participantes foi a análise do conteúdo das entrevistas de forma concomitante com a coleta, o que premitiu identificar resultados para cada um dos códigos correspondentes ao referencial teórico adotado (FONTANELLA et al, 2011; NASCIMENTO et al, 2018). Os dados foram submetidos ao processo de análise dedutiva temática (BRAUN, 2021). Os resultados foram apresentados em 3 capítulos, sendo o primeiro: uma revisão de escopo sobre “A esperança familiar nos cuidados de enfermagem direcionados à criança de risco: scoping review”; o segundo mostrou a “Apresentação das famílias participantes do estudo” e no terceiro capítulo apresentamos uma análise preliminar da “Experiência de Esperança familiar em situações envolvendo neonatos de risco: narrativas analisadas a partir do Modelo Teórico de Dufault & Martocchio”. 

5
  • Marina Diva de Oliveira
  • Construction of a Bundle on Patient Safety with Mental Disorders in Hospitalization
  • Leader : JULIANO TEIXEIRA MORAES
  • MEMBRES DE LA BANQUE :
  • JULIANO TEIXEIRA MORAES
  • RICHARDSON MIRANDA MACHADO
  • HELEN CRISTINY TEODORO COUTO RIBEIRO
  • CAMILA SOUZA DE ALMEIDA
  • Data: 27 avr. 2023


  • Afficher le Résumé
  • Introduction: The culture of patient safety is a fundamental structural component to improve
    care, with a focus on recovery, for psychiatric patients in hospital services. Therefore, the use
    of a bundle makes it possible to systematize actions for safe handling. The present study aimed
    to build a bundle on the safety of psychiatric patients in hospitalization. As a methodological
    study, it was carried out in two stages. In step 1, the Scoping Review was used to examine the
    reality of the evidence on psychiatric patient safety in hospitalization and in step 2, a bundle
    was developed based on the recommended evidence.Goal:build a bundle on psychiatric patient
    safety in hospitalization through the identification and synthesis of scientific evidence related
    to the topic. Method: this is a methodological study carried out in two stages. Step 1: Scoping
    Reviewdeveloped according to the method proposed by the Joanna Briggs Institute.To form the
    guiding question, the PCC strategy was adopted: P (Population) - patients with mental
    disorders; C (Concept)- safety of patients with mental disorders; C (Context)- Hospital
    Admission. The established question was: what scientific evidence is available in the context
    of hospitalization on the safety of patients with mental disorders?The searches were carried out
    in the databasesPubMed/MEDLINE, LILACS, Embase, COCHRANE, CINAHL, Web of
    Science, Scopus. Step 2: Bundle construction from the identified categories. Results:
    Construction of an instrument through recommendations extracted from 26 articles, published
    between 2012 and 2022. Conclusion: Based on the evidence, it was possible to categorize
    recommendations and build a budlein patient safety with mental disorders during
    hospitalization through four axes: Safety Culture, Clinical Decision Making, Intervention
    Planning and Interpersonal Violence. All in line with international standards of recovery
    approach through safety and quality as human rights. Although there are challenges, the
    evidence shows concretely what can be done and also the research gaps.
     
6
  • ÉRIKA SABRINA ROCHA
  • Prevalence of depressive, anxiety and stress disorders in the preoperative period of bariatric surgery.
  • Leader : RICHARDSON MIRANDA MACHADO
  • MEMBRES DE LA BANQUE :
  • RICHARDSON MIRANDA MACHADO
  • WENDELL COSTA BILA
  • CAMILA SOUZA DE ALMEIDA
  • Data: 28 avr. 2023


  • Afficher le Résumé
  • Introduction: Obesity is a complex condition, with serious social and psychological
    dimensions, which affects various age and socioeconomic groups. Bariatric surgery is currently
    the most sought after treatment alternative, mainly due to the failure of traditional methods.
    Depressive, anxiety and stress disorders may be present in the preoperative period of bariatric
    surgery may compromise the success of the surgery. Objective: to analyze the prevalence of
    symptoms of depressive, anxiety and stress disorders in patients in the preoperative period of
    bariatric surgery. Methods: cross-sectional, exploratory-analytical study, with a quantitative
    approach and non-probabilistic sample, developed in a medium-sized clinic, a reference in the
    performance of bariatric surgeries in the Midwest region of Minas Gerais, Brazil. Data
    collection was carried out from March 2020 to September 2022, with 154 patients in the
    bariatric preoperative period, using the Beck Depression Inventory II; of the Perceived Stress
    Scale (PSS-10) and the Hamilton Anxiety Rating Scale, complying with the norms and
    safeguards established by the Research Ethics Committee of the Federal University of São João
    del-Rei, Campus Centro-Oeste Dona Lindu (UFSJ) /BCC). The study included patients of both
    sexes, 18 years of age or older and literate. Any conditions that interfered with the collection
    and measurement of data and/or incomplete information were used as exclusion criteria.
    Descriptive and data association analysis were performed. Results: the study identified that
    there is no statistically significant correlation between nutritional status, depression, anxiety
    and stress. But there was a significant association between female gender, anxiety and
    depression in the studied sample. Conclusion: given these findings, it can be concluded that
    the most current lines of research point to the non-existence of a direct correlation between
    obesity and the development of mental disorders, but the presence of these leading to a greater
    probability of developing obesity.
7
  • Tailane da Silva Barcelos
  • COVID 19 Infodemia: impacts on the mental health of the elderly
  • Leader : RICHARDSON MIRANDA MACHADO
  • MEMBRES DE LA BANQUE :
  • GYLCE ELOISA CABREIRA PANITZ CRUZ
  • HUMBERTO FERREIRA DE OLIVEIRA QUITES
  • RICARDO BEZERRA CAVALCANTE
  • RICHARDSON MIRANDA MACHADO
  • Data: 28 avr. 2023


  • Afficher le Résumé
  • Introduction: With the increasing spread of the new COVID-19 virus and the strategies to
    contain it, there has also been an exponential spread of news, making it difficult for people to
    find credible evidence and reliable information, as well as verify the veracity of the
    information disclosed. The world, then, was facing not only a COVID-19 pandemic, but also
    a global pandemic of misinformation, called the COVID-19 infodemic. The situation is
    worrying, especially with the elderly population, a group that has been considered to be more
    physically and emotionally vulnerable, associated with excessive exposure to information and
    misinformation, disseminated through communication channels. In short, it is necessary to
    deepen the knowledge about how this population translates information into the conditions of
    the aging process and old age. Objective: To describe the sociodemographic profile and the
    repercussions of the COVID-19 infodemic on the mental health of the elderly in Divinópolis -
    MG. Method: Descriptive cross-sectional study using the web-based-survey interview
    technique, with residents aged ≥60 years, living in the city of Divinópolis, who had access to
    information about COVID-19 through digital media. The data were treated with the JMP®
    PRO VERSION 13 Software and the test resources, Fisher's Exact, Wilcoxon's non-
    parametric test and Pearson's linear correlation index.Results: 381 elderly people participated
    in the study, 191 (50.1%) males, and 7 (1.89%) people preferred not to declare their gender,
    with an age group concentrated between 60-69 (69.3%) years, 99 (28.6%) with higher
    education and specialization, married 201 (52.8%), with their own residence 292 (76.7%)
    retired 273 (71.7%) and of these 64 (54.9%) have other type of income in addition to
    retirement, did not undergo changes in income 273 (71.7%), use private health services 238
    (62.5%). television 332 (87.1%), social media 226 (59.3%) and radio 185 (48.6%). It was
    possible to observe a significant difference (p-value < 0.05) in the prevalence of stress
    symptoms in female groups (p-value = 0.0029), without access to health services (p-value = 0,
    0405). When evaluating the prevalence of depressive symptoms, it was possible to observe a
    significant difference in elderly females (p-value = 0.0072), aged between 60-69 years (p-
    value = 0.002), with less education ( p-value = 0.0005), who have no income (p-value =
    0.0043) and with longer exposure to television (p-value = 0.0264). The prevalence of anxiety
    was observed in female elderly (p-value = 0.0011) who live with more than 3 residents (p-
    value = (0.0079). Conclusion: Findings in this study revealed associations between
    psychopathological alterations related to exposure to information and news about COVID-19
    through television and reinforce the need for measures and public policies that demonstrate
    strategies to boost access and digital literacy of the elderly.
8
  • Lucas Alves Gontijo
  • ATTENTION TO HOMELESS PEOPLE IN MUNICIPALITIES WITHOUT STREET OFFICE: FROM ACCESS TO ADDRESSING INIQUITIES

  • Leader : SELMA MARIA DA FONSECA VIEGAS
  • MEMBRES DE LA BANQUE :
  • DANIELA PRISCILA OLIVEIRA DO VALE TAFNER
  • EDILENE APARECIDA ARAUJO DA SILVEIRA
  • MARCELO PEDRA MARTINS MACHADO
  • SELMA MARIA DA FONSECA VIEGAS
  • Data: 28 avr. 2023


  • Afficher le Résumé
  • Introduction: the guarantee of access, attention and health care for people in homelessness is an emerging challenge in the field of public health, being essential to overcome vulnerabilities and identify the factors that corroborate for institutional exclusion, in order to strengthen and ensure the effectiveness of public policies aimed at homeless people. In this perspective, in order to provide access universal, integral and equitable, in 2011, the revision of the National Policy for Care Basic, which determined the creation and operation of the Street Consultancy Team, which works with strategic potential for articulating and providing comprehensive health care to these people. Thus, places that do not have such a team, these people need to be assisted by the Primary Health Care teams in the area where they are concentrated, with a view to guarantee universal access, an attentive look at their needs and unique care. Objective: understand access and equity in health care for homeless people in municipalities medium and large population in the center-west of Minas Gerais. Methods: for design of this study was used the qualitative approach conducted by the Theory Grounded in Data and Symbolic Interactionism. The scenario of this study is constituted by two municipalities in the center-west of the state of Minas Gerais, medium-sized Nova Serrana population and large population Divinópolis, which still do not have Street Office. The participants of the research were the professionals of Primary Care to Health/Family Health Strategy in both municipalities. The sources of evidence were individual interview and recording in memos. Data collection has already been completed in the municipality of Nova Serrana and started in the municipality of Divinópolis. So far, they have participated in the study 16 health professionals from Nova Serrana, who make up four teams of Primary Health Care/Family Health Strategy and three key informants who are professionals of the Specialized Service for Homeless People. Results: the results preliminaries check 31 codes in vivo. Completion of data collection and analysis is expected to October 2022. Preliminary results show that health care for people in a street situation in the municipality of Nova Serrana is carried out by reference teams of the Primary Health/Family Health Strategy, as well as intersectoral actions together with the Street Population Assistance Center (POP Center). There is mention of institutional exclusion and prejudice, determining factors for restricting access to homeless people to the health system; declare the difficulty of building strategies to care for these people, so most care actions are by spontaneous demand, although there is an intention to plan for improvements in care of these people. It is evident that it is necessary to discuss about equity in health. Considerations conclusions: Primary Health Care becomes indispensable in overcoming inequities in health, as it enables the attention and care of vulnerable groups such as people in street situation. It is noted that, even with sectoral and intersectoral policies, these people still face barriers in accessing health care and other fundamental rights.

9
  • Flaviane de Moura Carlos
  • The inclusion of the family in the support institution for people with disabilities: the perspectives of mothers of assisted children.
  • Leader : ALISSON ARAUJO
  • MEMBRES DE LA BANQUE :
  • ALISSON ARAUJO
  • LILIANE DA CONSOLAÇÃO CAMPOS RIBEIRO
  • PATRICIA PINTO BRAGA
  • Data: 26 juin 2023


  • Afficher le Résumé
  • ABSTRACT
    Introduction: Currently, the care and education of children and with disabilities, in Brazil
    and in the world, is a matter of extreme priority. Epidemiological information on this
    population contingent with disabilities is still scarce worldwide. In this context of education
    and care for children and with disabilities, family inclusion in the monitoring of educational
    and health institutions is essential. This demonstrates, in practice, the importance of this
    understanding for a better development of the teams' work with these families, as an
    understanding and awareness is necessary for the permanence and effective participation of
    this family in this follow-up. In this way, understanding the overloads that the family has can
    contribute to having the presence and more active participation of the family member in the
    follow-up and in the institution. Objective: to understand, from the maternal perspective, the
    inclusion of the family in a philanthropic institution that serves children and with intellectual
    and multiple disabilities and autism spectrum disorders in the city of Divinópolis/Minas
    Gerais. Method: This is a qualitative study, based on phenomenology and some philosophical
    conceptions of Martin Heidegger. Data were collected by the main author of the study from
    June to September 2023 through individual interviews with five mothers who agreed to
    participate in the study. A semi-structured script authored by the researchers themselves was
    used. Results: The obtained data were organized and allowed the construction of three
    categories: 1) The inclusion of the family in the institution; 2) The relationship between
    mothers and professionals; and 3) Challenge of the caring and working mother. For mothers,
    the institution is considered important because it already includes families in the specialized
    services offered, thus allowing them to help them in the long term, in a joint work between
    family and institution professionals (in which the care oriented in the institution is developed
    at home), aiming at find out what are the real potentials and limitations of children and . In the
    relationship with professionals, mothers emphasize the importance of this contact to improve
    the neuropsychomotor development of those assisted and thus their clinical condition,
    promote continuity of stimuli and care at home, better understand the diagnosis, know how to
    deal with the child and motivate the involvement of the family with the treatment. Finally,
    from the maternal perspective, there is the challenge of being a caregiver and worker, about
    her repressed feelings in relation to her professional fulfillment and having her financial
    autonomy. For these mothers, this is difficult, and can often lead to the appearance of
    symptoms of emotional distress and moments of reflection that culminate in doubts and
    questions. Conclusion: The unveiling of the phenomenon indicates an essential revision
    regarding the meaning of the institution's activities. Much more than guiding, encouraging
    and caring for these children and , the focus must also be on women-mothers. In order for the
    inclusion of this family to occur in the treatment, it is fundamental to discuss gender and
    shared care with other potential family members/caregivers, these are central points to face
    the reduction of the singular space as a subject of these women-mothers.
10
  • BRUNA TEIXEIRA COSTA
  • Perceptions and Beliefs About Acupuncture: A Patients' View

  • Leader : EDILENE APARECIDA ARAUJO DA SILVEIRA
  • MEMBRES DE LA BANQUE :
  • AROLDO DOS SANTOS AGUIAR
  • EDILENE APARECIDA ARAUJO DA SILVEIRA
  • ELAINE CRISTINA RODRIGUES GESTEIRA
  • Data: 28 juin 2023


  • Afficher le Résumé
  • Introduction: The analysis of subjectivity is present in the theoretical bases of acupuncture
    treatment that consider the patient as a holistic being and have the treatment plan based on the
    emotions and psycho-emotional reactions presented by the patient. Objective: To know and
    understand the users' perception and beliefs about the health outcomes of acupuncture.
    Methods: This is a qualitative study guided by the methodological framework of Grounded
    Theory (GT) and Symbolic Interactionism (SI) as a theoretical framework. Data were collected
    through semi-structured interviews conducted in a private acupuncture clinic. Preliminary
    Results: Up to the present moment, four interviews were analyzed, resulting in a quantity of
    thirty in vivo codes. The meanings constructed in the experience of acupuncture were related
    to the impact of acupuncture on symptoms, the concept of acupuncture and association with
    other treatments. Preliminary Considerations: Considering that we are at the beginning of
    data collection, Symbolic Interactionism and GT has helped us to understand the meanings that
    people who have received acupuncture build when undergoing this treatment. We understand
    that we have not yet reached the theoretical saturation point and that other meanings can be
    reported, thus contributing to the formulation of theoretical concepts anchored in everyday life.
11
  • AMANDA MARIA BATISTA MENEGHINI
  • CONSTRUCTION AND VALIDATION OF TECHNOLOGY EDUCATIONAL FOR THE PROMOTION OF ADEQUATE AND HEALTHY FOOD IN ADOLESCENTS WITH SICKLE DISEASE

  • Leader : PATRICIA PERES DE OLIVEIRA
  • MEMBRES DE LA BANQUE :
  • ANDREA BEZERRA RODRIGUES
  • ELAINE CRISTINA RODRIGUES GESTEIRA
  • MARCIA CHRISTINA CAETANO ROMANO
  • PATRICIA PERES DE OLIVEIRA
  • Data: 12 juil. 2023


  • Afficher le Résumé
  • ABSTRACT
    Introduction: Sickle cell disease (SCD) is an inherited genetic condition that impacts red blood
    cells, resulting in serious complications and affecting the quality of life of affected individuals.
    During adolescence, a crucial phase of growth and development, challenges related to sickle cell
    disease can intensify, encompassing aspects of health, education and psychosocial well-being. In
    this context, the adoption of healthy eating habits and adequate nutrition become crucial to face
    the effects of the disease and promote healthy growth. Objective: This study aims to develop and
    validate an educational technology (ET), materialized in the form of a booklet with guidance on
    adequate and healthy eating for self-care for adolescents with sickle cell disease. Method: In the
    first stage, a comprehensive literature review (scoping review) was carried out following a protocol
    registered in the Open Science Framework (DOI: 10.17605/OSF.IO/56RWU). The development
    followed the recommendations of the Joanna Briggs Institute (JBI) Manual 2020, based on the
    international guide PRISMA-ScR (2021), with the research question: "What scientific evidence is
    available for self-care in adequate nutrition in sickle cell disease?" The eligibility criteria were
    online surveys, published in English, Spanish and Portuguese, with no time limit. The booklet was
    developed based on the theoretical framework of Doak, Doak and Root (1996), using the Canva®
    software. In validation, judges (experts) evaluated the booklet following Fehring's criteria (1987)
    using a Likert-type scale, addressing content and appearance. Statistical procedures included
    Delphi and calculation of the content validity index (CVI). Results: The scoping review included
    47 studies that supported the creation of the booklet. The evidence was summarized based on the
    main approach of nutritional measures or practices, related to food, supplements, nutritional
    education and biochemical analysis of nutrients. The final booklet, in PDF, with 23 pages, was
    sized for A3 paper. In validation, 12 experts participated in the Delphi method, without comments
    in the first round. The accumulated CVI exceeded 0.90 for "adequate" and "totally adequate",
    without the need for modifications. Conclusion: The results of this study showed that educational
    technology related to the promotion of adequate and healthy eating in adolescents with sickle cell
    disease has properties that meet acceptable standards for its application to this community. The
    experts' analysis supports the reliability of the booklet, suggesting subsequent studies to clinically
    validate its effectiveness in nutritional self-care for adolescents with sickle cell disease.
12
  • Gabriela dos Santos Albuquerque
  • Será traduzido após a defesa

  • Leader : DANILO DONIZETTI TREVISAN
  • MEMBRES DE LA BANQUE :
  • DANILO DONIZETTI TREVISAN
  • NELSON MIGUEL GALINDO NETO
  • ROBERTA CUNHA MATHEUS RODRIGUES
  • Data: 18 août 2023


  • Afficher le Résumé
  • Será traduzido após a defesa

13
  • Henrique de Faria Carvalho
  • Analysis of the Implementation of the Electronic Citizen Record of the e-SUS Primary Care Strategy.
  • Leader : TARCISIO LAERTE GONTIJO
  • MEMBRES DE LA BANQUE :
  • FÁBIO DA COSTA CARBOGIM
  • PATRICIA PERES DE OLIVEIRA
  • RICHARDSON MIRANDA MACHADO
  • Data: 23 août 2023


  • Afficher le Résumé
  • Não há resumo na dissertação encaminhada ao PGENF.

14
  • Karyna Reis do Valle
  • Association between Health Literacy and SARS-CoV-2 Infection
  • Leader : VANESSA FARIA CORTES
  • MEMBRES DE LA BANQUE :
  • ANDREA BEZERRA RODRIGUES
  • MARCIA CHRISTINA CAETANO ROMANO
  • VANESSA FARIA CORTES
  • Data: 28 août 2023


  • Afficher le Résumé
  • ABSTRACT
    Introduction: A coronavirus, initially named novel coronavirus (2019-nCoV), was discovered
    in 2019, after cases of pneumonia with unknown cause in Wuhan, China. It was later named
    SARS-CoV-2, which caused the COVID-19 pandemic. The behavior of the population
    regarding the adoption of non-pharmacological measures to prevent contamination by COVID-
    19 was one of the greatest public health challenges to prevent the spread of the disease and the
    exhaustion of health services. Objective: Herein, to know the level of Health Literacy (HL)
    and investigate the association with SARS-CoV-2 infection is a fundamental condition to define
    strategies to face the COVID-19 pandemic and also future pandemics. Méthod: For this
    evaluation, a clinical exam to identify preventive behavior for COVID19, the SAHLPA-18 (The
    Short Assessment of Health Literacy for Portuguese-speaking Adults) and RT-PCR and the
    serological test to detect the active or past COVID-19 infection. Results: The preliminary data
    analysis showed that of a total of 359 participants the median age was 41 years, 53.8% were
    female and 57.1% were non-white people. Of these, 69.9% reported that they partially met the
    recommendation of social distancing and isolation and 93.6% responded that they considered
    the use of masks important, however 45.2% did not know about the correct type of mask was
    reccomended to use. Among the total population studied, 17.8% were infected with SARS
    CoV-2 and 53.2% had inadequate HL. There was no significant association between HL and
    COVID-19 infection, but we identified an association between inadequate HL and low
    education, male gender and skin color (non-white) (p⋜ 0.05). Conclusion: It is concluded that
    although the association between HL and COVID- 19 has not been identified, the analysis of
    this health determinant is essential for the definition of strategies to face pandemics. In addition,
    it should be considered that it is possible that the HL assessment instrument used in this study
    is not the most appropriate, alerting to the need to build a specific instrument for the analysis
    of literacy in infectious diseases and with pandemic potential.
15
  • Letícia Maria de Oliveira
  • Construction and validation of Choosing Wisely statements for the treatment of difficult to heal infections.
  • Leader : JULIANO TEIXEIRA MORAES
  • MEMBRES DE LA BANQUE :
  • JULIANA BALBINOT REIS GIRONDI
  • JULIANO TEIXEIRA MORAES
  • PATRICIA PERES DE OLIVEIRA
  • SONIA REGINA PÉRES EVANGELISTA DANTAS
  • Data: 18 oct. 2023


  • Afficher le Résumé
  • OLIVEIRA, L.M. Construction and validation of Choosing Wisely statements for
    the treatment of difficult to heal infections. 2023. 91 p.Dissertação (Mestrado em
    Ciências) – Programa de Pós-Graduação em Enfermagem, Universidade Federal de São
    João Del-Rei, Divinópolis, 2023.
    ABSTRACT
    Introduction: Choosing Wisely is an international initiative dedicated to promoting the
    careful choice of medical and health interventions in order to reduce the use of unnecessary
    and excessive practices that lack solid evidence of clinical benefit. Objective: To construct
    and validate Choosing Wisely statements for the treatment of infected chronic wounds.
    Method: This is a methodological study, carried out in three stages: I-development of an
    Integrative Review; II-construction of non-recommended statements for the treatment of
    difficult-to-heal infected wounds in accordance with the Choosing Wisely initiative, and III
    content validation of the items, using the Delphi technique. The judges' agreement was
    calculated by the Content Validation Coefficient, considering items with a coefficient ≥0.80
    valid.The Kappa test was carried out for reliability of responses. Results: In the integrative
    review, 1,997 studies were identified, after analysis the final sample consisted of nineteen
    articles. The Choosing Wisely framework included five non-recommended practices. Two
    rounds of evaluation were carried out and the total Content Validity Index of the instrument
    was 0.84. Conclusion: This study allowed us to construct and validate Choosing Wisely
    statements for the treatment of difficult-to-heal infected wounds.
     
16
  • Jaqueline Risolêta de Gois Carvalho
  • Quality of life at work: reality for nurses in the mobile emergency care service
  • Leader : PATRICIA PERES DE OLIVEIRA
  • MEMBRES DE LA BANQUE :
  • EDILENE APARECIDA ARAUJO DA SILVEIRA
  • JULIANA GIMENEZ AMARAL
  • PATRICIA PERES DE OLIVEIRA
  • RICHARDSON MIRANDA MACHADO
  • Data: 30 oct. 2023


  • Afficher le Résumé
  • CARVALHO, J. R. G. Quality of life at work: reality for nurses in the mobile emergency
    care service. 2023. 100 p. Thesis (Master of Science) – Postgraduate Program Master's Degree
    in Nursing, Universidade Federal de São João del-Rei, São João del-Rei, Divinópolis, Minas
    Gerais, Brazil, 2018.
     
    ABSTRACT
    Introduction: Quality of Life at Work is an increasingly relevant issue in the current context
    of organizations and interpersonal relationships, as understanding the importance of this aspect
    and its impact on the health and satisfaction of professionals has become essential to promoting
    a healthy working environment. Organizations need to recognize that productivity and business
    success cannot be achieved at the expense of professional well-being, and this is no different in
    nursing work. In view of this, it is important to know how work and nurses relate to each other
    in their day-to-day experience in the context of their work in the Mobile Emergency Care
    Service. Through this analysis, it is hoped that readers will understand the relevance of quality
    of life at work and subsidize the practice of actions to promote workers' health, promote quality
    of life at work, and also contribute to future research and the expansion of scientific production
    in the area. Objective: The aim of this study was to analyze the Quality of Life at Work of
    nursing workers in the Mobile Emergency Care Service (SAMU). Method: A scoping review
    was carried out based on the methodology proposed by the Joanna Briggs Institute and in
    accordance with the PRISMA extension for scoping reviews protocol, which was registered
    with the Open Science Framework (https://osf.io/dzvby/). It was a quantitative and descriptive
    study using a sociodemographic questionnaire and a QWL protocol. It was carried out in the
    West Region of Minas Gerais, located in the Southeast region of Brazil, made up of the group
    of municipalities in the West Mesoregion of Minas Gerais, made up of 56 municipalities, which
    are covered by the SAMU, which has bases in 22 municipalities in the region, managed by the
    Intermunicipal Emergency Health Consortium of the Expanded West Region. The study
    population was the nurses working in the SAMU of the Western macro-region of Minas Gerais,
    Brazil. Results: The results of the QWL Protocol applied in this study identified greater
    dissatisfaction among nurses regarding the salary/compensation domain and the following
    items: salary/remuneration; salary compared to the salary of colleagues; rewards and the
    participation in results that they receive from the company; extra benefits (food, transportation,
    doctor, dentist, etc.) that the company offers; salubrity (working conditions) of the workplace;
    fatigue that work causes; and the incentive that the company offers for study. Evidence was
    found of the majority being female, married, with children, with less than 5 years' service,
    working double shifts and a total monthly income of between 3 and 6 thousand reais.
    Conclusions: This research reveals the need to reflect on the meaning and dynamics of work
    in the everyday world, so that we can understand the different needs of the interlocutors who
    experience health practices. It is essential to draw up and maintain programs aimed at
    maintaining and promoting the mental and physical health of workers, with active occupational
    health and safety actions, the recording, monitoring and surveillance of health problems that
    support agreements between politicians, health managers, health professionals, academic
    institutions and the community.
17
  • FERNANDA APARECIDA SANTOS MARTINS APIPE
  • Factors associated with vaccine delay in children under five years of age

  • Leader : VALERIA CONCEICAO DE OLIVEIRA
  • MEMBRES DE LA BANQUE :
  • LUCIANA APARECIDA FABRIZ
  • ELIETE ALBANO DE AZEVEDO GUIMARAES
  • VALERIA CONCEICAO DE OLIVEIRA
  • Data: 16 nov. 2023


  • Afficher le Résumé
  • Introduction: In the current public health landscape, vaccination delays have emerged as a
    topic of growing concern. Multiple studies have been conducted with the aim of understanding
    the fundamental factors that result in delays or even non-adherence to vaccination by certain
    population segments. This research seeks to deepen this understanding and contribute to the
    field of study on the subject. Objective: To analyze the proportion of vaccination delays in
    children under five years of age and the associated factors. Method: An analytical cross
    sectional study conducted from June to November 2021, carried out in three municipalities of
    Minas Gerais, using 456 vaccination cards through a household-based vaccination survey. The
    software Statistical Package for the Social Sciences (IBM® SPSS®) Statistics was used for data
    tabulation and analysis. Descriptive analysis was conducted, covering absolute (n) and relative
    (%) frequencies, as well as central tendency measures such as mean and standard deviation, to
    describe the profile of the guardians and the children involved in the study. Results: Indicated
    that 61% of these children received at least one vaccine dose with a delay of more than 30 days.
    Notably, it was observed that the child age and the presence of more siblings in the family were
    related to these delays. Conclusion: The study highlights a worrying proportion of vaccine
    delays among children evaluated in three municipalities, with emphasis on the largest
    municipality. Demographic factors, such as the child's age and the presence of siblings, were
    significantly associated with vaccination delay. The predominant profile of those responsible
    for children - mostly women, with an average age of 33.6 years and beneficiaries of government
    programs - provides insight into target groups for future educational interventions. It is crucial
    to develop focused strategies to improve adherence to the vaccination schedule, ensuring child
    health and strengthening the effectiveness of vaccination coverage.
18
  • Matheus Antônio Guimarães
  • The family's perception of the vulnerability of the elderly: scoping review.
  • Leader : THALYTA CRISTINA MANSANO SCHLOSSER
  • MEMBRES DE LA BANQUE :
  • EDILENE APARECIDA ARAUJO DA SILVEIRA
  • MÁRCIO EDUARDO SENRA NOGUEIRA PEDROSA MORAIS
  • PATRICIA PERES DE OLIVEIRA
  • THALYTA CRISTINA MANSANO SCHLOSSER
  • Data: 4 déc. 2023


  • Afficher le Résumé
  • ABSTRACT
    Introduction: The Brazilian legal system deals with various matters with the stipulation of
    rights, duties and obligations. Individual and collective rights and duties are directly linked to
    the right and protection of life, with emphasis on the universalization of human dignity through
    moral standards and new and traditional political, economic and social dynamics. In this
    context, there is a need to highlight the importance of the rights, duties and obligations of the
    elderly and their family in their vulnerability, as well as the need for appropriate measures.
    Objective: The objective of this study is to identify and map available scientific evidence on
    the social vulnerability of the elderly. Method: Scoping review, according to Joanna Briggs
    Institute and PRISMA-ScR. A search was carried out in the National Library of Medicine and
    National Institutes of Health, Cummulative Index to Nursing and Allied Health Literature, Web
    of Science, SCOPUS, Latin American and Caribbean Literature in Health Sciences, Embase,
    and Cochrane Library databases, in addition to four catalogs of theses and dissertations, with
    no time limit. Data collection took place from April 2022 to May 2022. The extracted data were
    analyzed and synthesized in a narrative way. Result: The initial search in the databases
    generated a total of 1461 studies, and the study sample consisted of 14 works. Thus, in the
    sample, all include production in the American continent and show scientific evidence of the
    care and vulnerability of the elderly, with a focus on family. Conclusion: The study highlighted
    the role of the family for the elderly in a vulnerable state, with emphasis and the constitutional
    right to a dignified life, with evidence-based protocols, in order to provide greater safety and
    quality.
19
  • Carolina Aparecida Alves Bueno
  • Association of the use of psychoactive substances and quality of life of patients in the preoperative period of bariatric surgery.
  • Leader : RICHARDSON MIRANDA MACHADO
  • MEMBRES DE LA BANQUE :
  • RICHARDSON MIRANDA MACHADO
  • SEBASTIÃO JÚNIOR HENRIQUE DUARTE
  • CAMILA SOUZA DE ALMEIDA
  • Data: 12 déc. 2023


  • Afficher le Résumé
  • ABSTRACT
    Introduction: Obesity is characterized by the excessive accumulation of body fat that is
    harmful to health and has grown significantly in recent years. Bariatric surgery should be
    recommended for obese individuals who are unsuccessful in clinical treatment and evaluation
    by a multidisciplinary team. The use of psychoactive substances and quality of life may be
    present in the preoperative process of bariatric surgery, compromising the surgical process.
    Objective: to analyze the association between the use of psychoactive substances and quality
    of life in individuals in the preoperative period of bariatric surgery. Methods: cross-sectional,
    exploratory-analytical study, developed in a reference clinic for obesity treatment in the
    Central-West region of Minas Gerais, Brazil. Data were collected from March 2020 to
    September 2022, with 150 patients in the preoperative period of bariatric surgery, using the
    quality of life assessment instrument (WHOQOL) and the alcohol involvement screening
    instrument, tobacco and other substances (ASSIST), complying with the standards and
    safeguards established by the Research Ethics Committee of the Federal University of São João
    del-Rei, Campus Centro-Oeste Dona Lindu (UFSJ/CCO). The study included patients of both
    sexes, aged eighteen years or over and literate. Any conditions that interfered with data
    collection and measurement and/or incomplete information were used as exclusion criteria.
    Descriptive and data association analysis was carried out.
20
  • Kailon Willian Alves
  • Não consta o nome em inglês.

  • Leader : RICHARDSON MIRANDA MACHADO
  • MEMBRES DE LA BANQUE :
  • RICHARDSON MIRANDA MACHADO
  • SELMA MARIA DA FONSECA VIEGAS
  • RICARDO BEZERRA CAVALCANTE
  • Data: 12 déc. 2023


  • Afficher le Résumé
  • Introduction: Obesity is considered a public health problem and has reached proportions of a
    global pandemic due to its prevalence worldwide. Its treatment involves various approaches,
    including bariatric surgery. Objective: To analyze the prevalence of eating disorders in patients
    who will undergo bariatric surgery. Methods: This is a cross-sectional, quantitative,
    exploratory-analytical study. Two questionnaires, already validated and freely available for use
    by healthcare professionals, not exclusive to psychologists and/or psychiatrists, will be
    administered to 150 candidates for bariatric surgery at a reference clinic in the city of
    Divinópolis. Two semi-structured questionnaires will be used to assess the occurrence of eating
    disorders such as bulimia, anorexia, and binge eating. Data collection: Data will be collected in
    person at the clinic, and the questionnaire will be completed with the researcher's assistance.
    Data analysis: The data analysis will be stored and processed using the Statistical Package for
    the Social Sciences (SPSS) 20.0 software.
21
  • Bianca Sarah Barros Nascimento
  • Affective disorders and drug use among adolescents in public schools during the COVID-19 pandemic.
  • Leader : RICHARDSON MIRANDA MACHADO
  • MEMBRES DE LA BANQUE :
  • RICARDO BEZERRA CAVALCANTE
  • RICHARDSON MIRANDA MACHADO
  • SELMA MARIA DA FONSECA VIEGAS
  • Data: 12 déc. 2023


  • Afficher le Résumé
  • ABSTRACT
    Introduction: Adolescence is a transitional stage marked by biological, psychological, and
    social changes. This period is prone to mental disorders development, making it crucial to
    investigate the mental health of young individuals. They are often exposed to risky behaviors,
    such as psychoactive substance use. The vulnerability faced by adolescents, both in terms of
    physical and mental health, requires specific attention and efforts to assist them in their daily
    lives. Objective: To assess the occurrence of anxiety, depression, stress, and the use of alcohol
    and other drugs in adolescents during the COVID-19 pandemic. Methods: A cross-sectional,
    exploratory-analytical study with a quantitative approach was conducted with ninth-grade
    students from public schools in Divinópolis, located in the Midwest of Minas Gerais, Brazil.
    Data were collected between 2020 and 2021, with 226 adolescents, using the Sociodemographic
    Questionnaire, Drug Use Screening Inventory (DUSI), and Depression Anxiety and Stress
    Scale (DASS-21). The study followed the guidelines and safeguards established by Resolution
    466/2012 for research involving human subjects. Results: The findings indicate that 16-year
    olds have the highest rate of alcohol consumption, reaching 62.5% of the sample, while 25% of
    these youths report tobacco use. Regarding gender, women have a higher proportion of alcohol
    consumption, reaching 37.6%, and medication use, at 32.1%. Conclusion: The dissertation
    addresses disorders in adolescents during the pandemic, emphasizing anxiety, depression,
    stress, alcohol, and drug use. Health promotion requires educational and multiprofessional
    interventions, with a focus on Cognitive-Behavioral Therapy. Specific policies are essential for
    the well-being of this significant population. The research is crucial to understand and address
    the demands of adolescents, preventing potential emotional disorders throughout life.
2022
Thèses
1
  • ADRIANA GUIMARÃES RODRIGUES
  • A NÃO ADESÃO À ASSISTÊNCIA ODONTOLÓGICA POR ADOLESCENTES NA ATENÇÃO PRIMÁRIA À SAÚDE: A PERSPECTIVA DOS FAMILIARES

  • Leader : ALISSON ARAUJO
  • MEMBRES DE LA BANQUE :
  • ALISSON ARAUJO
  • JOAO LUIZ DE MIRANDA
  • LUCIANA DE LOURDES QUEIROGA GONTIJO NETTO MAIA
  • VIRGINIA JUNQUEIRA OLIVEIRA
  • Data: 7 févr. 2022


  • Afficher le Résumé
  • A NÃO ADESÃO À ASSISTÊNCIA ODONTOLÓGICA POR ADOLESCENTES NA ATENÇÃO PRIMÁRIA À SAÚDE: A PERSPECTIVA DOS FAMILIARES

2
  • Irislaine Duarte Lopes Aquino
  • Clinical and Sociodemographic Profile of Adolescent Mothers with Premature Children.

  • Leader : ALISSON ARAUJO
  • MEMBRES DE LA BANQUE :
  • ALISSON ARAUJO
  • LILIANE DA CONSOLAÇÃO CAMPOS RIBEIRO
  • MARCIA CHRISTINA CAETANO ROMANO
  • Data: 9 févr. 2022


  • Afficher le Résumé
  • Introduction: Brazil is among the ten countries in the world with the highest number of prema-
    ture births. Teenage pregnancy is one of the situations that has contributed to this condition. The

    study points out that teenage pregnancy occurs more frequently among girls with less education,

    low income, less access to public services and in situations of greater social vulnerability. Objec-
    tive: to analyze the clinical and sociodemographic profile of teenage mothers living in the munic-
    ipality of Divinópolis/MG who had premature children between 2009 and 2019. Methods: This

    is a descriptive and ecological study that covers a historical period where secondary data was

    used. of records available in the Information Technology Department of the Unified Health Sys-
    tem (DATASUS) based on information from the Information System on Live Births (SINASC),

    which has as its source the Declaration of Live Births (DNV) regarding the characteristics and
    epidemiological profile and clinical analysis of 361 pregnant teenagers who had premature babies
    in the period from 2009 to 2019. Results: In the period evaluated, it was observed that of the 361
    pregnant teenagers who had premature babies, 81.4% of the babies were born between 32 and 36
    weeks. 41.1% of pregnant women had more than seven prenatal consultations. When declaring
    their level of education, 72.5% of mothers declared that they had 8 to 11 years of education.
    89.1% declared to be single. The rate of vaginal births was 72.4%, and cesarean births were
    52.1%. As for race, 42.2% declared themselves brown and 41.2% declared themselves white.
    Conclusion: It is very important to know the clinical and sociodemographic profile of pregnant

    adolescents who had premature babies as it allows the manager to plan and promote targeted ac-
    tions to provide continuity of care, avoiding obstetric complications and premature birth.

3
  • JOICE CRISTINA DE PAULA
  • ESTATUTO DO DESARMAMENTO TORNA-SE DE ARMAMENTO: DIREITO À VIDA, VIOLÊNCIA, SEGURANÇA PÚBLICA E PAPEL DO ESTADO

  • Leader : EDILENE APARECIDA ARAUJO DA SILVEIRA
  • MEMBRES DE LA BANQUE :
  • EDILENE APARECIDA ARAUJO DA SILVEIRA
  • MÁRCIO EDUARDO SENRA NOGUEIRA PEDROSA MORAIS
  • PATRICIA PERES DE OLIVEIRA
  • SELMA MARIA DA FONSECA VIEGAS
  • Data: 18 févr. 2022


  • Afficher le Résumé
  • ESTATUTO DO DESARMAMENTO TORNA-SE DE ARMAMENTO: DIREITO À VIDA, VIOLÊNCIA, SEGURANÇA PÚBLICA E PAPEL DO ESTADO

4
  • MICHELLE DINIZ DA MATA
  • Bariatric surgery: behavioral patterns and preoperative personality disorders.
  • Leader : RICHARDSON MIRANDA MACHADO
  • MEMBRES DE LA BANQUE :
  • RICHARDSON MIRANDA MACHADO
  • SEBASTIÃO JÚNIOR HENRIQUE DUARTE
  • CAMILA SOUZA DE ALMEIDA
  • Data: 22 févr. 2022


  • Afficher le Résumé
  • MATA, M.D. Bariatric surgery: behavioral patterns and preoperative personality
    disorders. [Dissertation]. Divinópolis: Graduate Program in Nursing - Academic
    Master's Degree from the Federal University of São João del-Rei - 2022.
    ABSTRACT
    Introduction: obesity is a rapidly growing disease worldwide. Bariatric surgery is one
    of the most sought-after procedures for the treatment of obesity, especially when
    conventional treatments fail. Behavioral patterns and personality disorders can be
    identified in candidates for bariatric surgery and can contribute to undesired results,
    both preoperatively and postoperatively. Objective: to examine the occurrence of
    behavioral patterns and personality disorders in patients in the preoperative period of
    bariatric surgery. Methods: cross-sectional quantitative exploratory and analytical
    study developed in a medium-sized clinic, which is a referral center for the performance
    of bariatric surgery in the Midwest region of Minas Gerais, Brazil. Data about 146
    patients in the bariatric preoperative period were collected from March 2020 to
    December 2021, using the "Personality Factorial Battery" (PFB) and in compliance with
    the rules and safeguards established by the Research Ethics Committee of
    Universidade Federal de São João del-Rei, Campus Centro-Oeste Dona Lindu
    (UFSJ/CCO). The study included literate male and female patients aged 18 years or
    older. Any conditions that could possibly interfere with data collection and
    measurement, as well as incomplete information were used as exclusion criteria.
    Descriptive and association analyses were performed. Results: the research detected
    a predominance of women aged between 30 and 39 years old undergoing bariatric
    surgery. Behavioral patterns were identified in all groups studied, the most prevalent
    of which were associated with the existence of more intense emotional suffering, with
    a tendency to emphasize the negative aspects of events over more positive ones.
    Personality disorders were identified in 9% of all patients. Conclusion: in the light of
    the results found in this study, we suggest a longer period of psychological follow-up
    of pre- and post-bariatric surgery patients, aiming at changes in dysfunctional
    behavioral patterns. We emphasize the need for increasingly in-depth work on tracking
    behavioral patterns and personality disorders, thus contributing to a better follow-up of
    patients in both preoperative and post-bariatric phases, and consequent success of
    the procedure.
5
  • TAMIRES CAROLINA SILVA
  • A TECNOSSOCIALIDADE NO QUOTIDIANO DE PROFISSIONAIS DA ATENÇÃO PRIMÁRIA E A PROMOÇÃO DA SAÚDE ÀS FAMÍLIAS NA PANDEMIA DE COVID-19

  • Leader : SELMA MARIA DA FONSECA VIEGAS
  • MEMBRES DE LA BANQUE :
  • ADRIANA DUTRA THOLL
  • FERNANDA MOURA LANZA
  • SELMA MARIA DA FONSECA VIEGAS
  • Data: 22 févr. 2022


  • Afficher le Résumé
  • A TECNOSSOCIALIDADE NO QUOTIDIANO DE PROFISSIONAIS DA ATENÇÃO PRIMÁRIA E A PROMOÇÃO DA SAÚDE ÀS FAMÍLIAS NA PANDEMIA DE COVID-19

6
  • LEILA CRISTINE DO NASCIMENTO MELO
  • TECNOSSOCIALIDADE E PROMOÇÃO DA SAÚDE NO QUOTIDIANO DE USUÁRIOS DA ATENÇÃO PRIMÁRIA NA PANDEMIA DE COVID-19

  • Leader : SELMA MARIA DA FONSECA VIEGAS
  • MEMBRES DE LA BANQUE :
  • ROSANE GONÇALVES NITSCHKE
  • SELMA MARIA DA FONSECA VIEGAS
  • VIRGINIA JUNQUEIRA OLIVEIRA
  • Data: 24 févr. 2022


  • Afficher le Résumé
  • TECNOSSOCIALIDADE E PROMOÇÃO DA SAÚDE NO QUOTIDIANO DE USUÁRIOS DA ATENÇÃO PRIMÁRIA NA PANDEMIA DE COVID-19

7
  • ELISÂNGELA LOPES DE FARIA
  • VIVÊNCIAS NO COTIDIANO DA GRADUAÇÃO E DA VIDA E O CUIDADO COM A SAÚDE MENTAL: DAS SINGULARIDADES AO PROCESSO DE ENSINAR E APRENDER

  • Leader : SELMA MARIA DA FONSECA VIEGAS
  • MEMBRES DE LA BANQUE :
  • ANTÔNIO MOACIR DE JESUS LIMA
  • EDILENE APARECIDA ARAUJO DA SILVEIRA
  • PATRICIA PERES DE OLIVEIRA
  • SELMA MARIA DA FONSECA VIEGAS
  • Data: 25 févr. 2022


  • Afficher le Résumé
  • VIVÊNCIAS NO COTIDIANO DA GRADUAÇÃO E DA VIDA E O CUIDADO COM A SAÚDE MENTAL: DAS SINGULARIDADES AO PROCESSO DE ENSINAR E APRENDER

8
  • GABRIELA CUNHA CORRÊA FREITAS DE OLIVEIRA
  • Vaccine coverage of Hepatitis A, Viral Triple and Varicella in Minas Gerais: Spatial and temporal analysis.
  • Leader : ELIETE ALBANO DE AZEVEDO GUIMARAES
  • MEMBRES DE LA BANQUE :
  • ELIETE ALBANO DE AZEVEDO GUIMARAES
  • LUIZ HENRIQUE ARROYO
  • VALERIA CONCEICAO DE OLIVEIRA
  • Data: 7 mars 2022


  • Afficher le Résumé
  • OLIVEIRA, GCCF. Vaccine coverage of Hepatitis A, Viral Triple and Varicella in Minas
    Gerais: Spatial and temporal analysis. 2022. 119p. Dissertation (Master in Nursing) - Federal
    University of São João del-Rei, Divinópolis, 2022.
    ABSTRACT
    The decline in vaccination is heterogeneous among Brazilian municipalities and may reflect
    socioeconomic inequalities and access/performance of health services. The decline in childhood
    coverage and its consequences justify investigations to identify the determinants and thereby
    implement assertive vaccination strategies. This is an ecological study that analyzed the spatial
    and temporal distribution of hepatitis A, viral triple and varicella vaccination coverage in
    children and its relationship to socioeconomic conditions in Minas Gerais. Records of doses
    applied of hepatitis A, viral triplex and varicella vaccines from 2014 to 2020, extracted from
    the base of the National Immunization Program Information System of the 853 municipalities,
    which make up the 14 macro-regions of the State, were used, these being the territorial units of
    analysis. To analyze the trend in vaccination coverage, the Prais-Winsten linear regression
    model was used. For the spatial analysis, we used the sweep statistics to locate and evaluate
    clusters of vaccinees in space; the Moran index to analyze the spatial distribution of vaccination
    and the similarity between municipalities in relation to coverage; and the bivariate Moran index
    to identify factors correlated with the spatial distribution of vaccination in the state. We used
    the cartographic base of MG and its municipalities and the software ArcGIS 10.8 and SPSS
    version 21.0 for data tabulation and analysis. We identified low vaccination coverage for
    hepatitis A, viral triple and varicella. A decreasing trend was observed in hepatitis A vaccination
    coverage in the Southern (p=0.041), Eastern (p=0.030), and Northern (p=0.045) regions; and
    for triple viral hepatitis in the Jequitinhonha (p=0.002), Eastern (p=0.004), and Northern
    (p=0.024) regions. Increasing coverage was observed only for varicella in eight regions of the
    state. Significant clusters were identified for all three vaccines analyzed. The clusters of higher
    propensity to vaccinate, were mostly allocated in the Central, Midwest, South Central and
    Northwest regions(s). The socioeconomic determinants of health demonstrated their spatial
    dependence on vaccination coverage, highlighting the variables Municipal Human
    Development Index, gross domestic product, per capita income, urbanization rate, number of
    families with per capita income up to 1/2 minimum wage, percentage of the population with
    primary education, percentage of spending on health in relation to tax revenues and transfers. The data show heterogeneity in the temporal behavior of vaccination coverage in Minas Gerais
    and spatial correlation of vaccination coverage in relation to socioeconomic factors. The
    decreasing trend in some regions raises concern for the possibility of the recrudescence of
    diseases, such as measles, until then controlled.
9
  • STÊNIO HENRIQUE OLIVEIRA
  • Analysis of immunization errors in vaccination records of children under five years of age.
  • Leader : VALERIA CONCEICAO DE OLIVEIRA
  • MEMBRES DE LA BANQUE :
  • FABIANA COSTA MACHADO AZARIAS
  • TARCISIO LAERTE GONTIJO
  • VALERIA CONCEICAO DE OLIVEIRA
  • Data: 16 mars 2022


  • Afficher le Résumé
  • OLIVEIRA, SH. Analysis of immunization errors in vaccination records of children
    under five years of age. 2022. 86p. Dissertation (Master of Science) – Postgraduate Program
    in Nursing, Federal University of São João del-Rei, Divinópolis, 2022.
    ABSTRACT
    Introduction: The complexity of the vaccination schedule, the diversity of vaccines offered,
    the constant changes and the inclusion of new immunobiologicals predispose to the risk of
    errors in the vaccination process, which may reduce or cancel the expected effect of vaccines.
    Worldwide, studies show that the occurrence of immunization errors has increased significantly
    in recent years. Although almost never reported by vaccinators, errors can cause serious
    consequences for those vaccinated, such as hospitalization and the need to carry out
    revaccination, in addition to reducing the trust and credibility of health care provided by
    immunization programs. Objective: To analyze the prevalence of immunization errors in the
    vaccination records of children under five years of age. Methods: Analytical cross-sectional
    study carried out through a household-based epidemiological survey to identify immunization
    errors, taking as a source of information the vaccination booklet of children aged between 6
    months and 4 years 11 months and 29 days, residing in three municipalities in the state. state of
    Minas Gerais, between June and November 2021. A probability sample of 396 children was
    calculated. The errors that could be identified were inadequate interval between doses,
    inadequate interval between vaccines and vaccines administered outside the recommended age.
    A descriptive analysis of the data and calculation of the prevalence of immunization error were
    performed, per 100,000 doses applied. The magnitude of the association between the presence
    of the immunization error and the covariates was estimated by the odds ratio (OR: odds ratio)
    and 95% confidence intervals (95%CI). The Statistical Package for the Social Sciences (IBM
    SPSS®) Statitiscs 10 software was used for data tabulation and analysis. Results: 453
    vaccination records were evaluated, and 55 immunization errors were found with the highest
    proportion of errors between the years 2020 and 2021. The prevalence was 41.9/100,000 doses
    applied and the most frequent error was inadequate interval between vaccines (47.2%), with the
    triple bacterial vaccine being the most responsible for errors (32.7%). Vaccination delay was
    related to the chance of immunization error occurring (7.55 [2.30 – 24.80]). The prevalence
    found was more expressive when compared to studies with secondary databases, confirming
    the presence of underreporting. Conclusion: The errors found reaffirm problems related to
    professional practice in the vaccination room, demanding the adoption of effective measures to prevent immunization errors. It reinforces the importance of the nursing team with up-to-date
    knowledge about the vaccination schedule, recommended vaccination schedule for each age,
    number of doses and intervals between doses, in addition to the constant supervision of the
    nurse in carrying out routines in the vaccination room. It is necessary to carry out more in-depth
    studies on the subject so that the factors that influence the occurrence of immunization errors
    and their underreporting are understood.
10
  • LÍDIA CHRISTINA VASCONCELOS BORGES
  • ADOLESCENTES DE ESCOLAS PÚBLICAS: USO DE DROGAS, DETERMINANTES SOCIAIS DE SAÚDE E DISTRIBUIÇÃO ESPACIAL

  • Leader : RICHARDSON MIRANDA MACHADO
  • MEMBRES DE LA BANQUE :
  • CAMILA SOUZA DE ALMEIDA
  • RICHARDSON MIRANDA MACHADO
  • SAMUEL BARROS RODRIGUES
  • SEBASTIÃO JÚNIOR HENRIQUE DUARTE
  • Data: 31 mars 2022


  • Afficher le Résumé
  • ADOLESCENTES DE ESCOLAS PÚBLICAS: USO DE DROGAS, DETERMINANTES SOCIAIS DE SAÚDE E DISTRIBUIÇÃO ESPACIAL

11
  • JULIANA ALMEIDA MENEZES MOREIRA
  • Construction and validation of a clinical scenario for teaching the active search for leprosy to community health workers

  • Leader : FERNANDA MOURA LANZA
  • MEMBRES DE LA BANQUE :
  • ANA ANGELICA LIMA DIAS
  • FERNANDA MOURA LANZA
  • GERSON ALVES PEREIRA JÚNIOR
  • RAISSA SILVA SOUZA KORINMAN
  • Data: 29 avr. 2022


  • Afficher le Résumé
  • MOREIRA, J. A. M. Construction and validation of a clinical scenario for teaching the active search for leprosy to community health workers. 2022. Dissertation (Master in Nursing) - Postgraduate Program in Nursing, Federal University of São João Del-Rei, Divinópolis, Minas Gerais, 2022.

     

    ABSTRACT

     

    Introduction: leprosy remains an important public health problem in Brazil. In primary health care services, especially in the Family Health Strategy (FHS), community health agent (CHA) are professionals who can actively contribute to the development of disease control actions due to their proximity to the population. Meanwhile, clinical simulation presents itself as a relevant teaching tool, as it provides the learner with the opportunity to experience a clinical situation, reflect and refine knowledge in a safe and controlled environment, and enables the development of technical, cognitive, and clinical reasoning skills. This explains why it is widely used both in theoretical and practical teaching in the health field and in continuing education activities for professionals. Objective: to construct and validate a clinical scenario for teaching the active search for leprosy to Community Health Agents. Method: this is a methodological study conducted in two stages: (i) construction of a clinical simulation scenario; and (ii) content validation by a committee of experts in the leprosy and simulation areas. The validation process took place through the Google Forms® platform in September and October 2021. Only nurses were invited for this stage, and the selection of participants was intentional by consulting the curricula available on the Lattes Platform of the National Council for Scientific and Technological Development (CNPq). The inclusion criteria were based on the parameters adapted from Fehring, and the specialists who reached the minimum score of five points in the stipulated requisites were invited to take part in the research. The clinical scenario was subdivided into five sections, and each section was analyzed according to Pasquali's 12 criteria using a Likert-type scale with four alternative answers. The Content Validity Index was used to determine the degree of agreement among the judges for each Pasquali criterion and descriptive analysis of the recommendations. The study was approved by the Ethics in Human Research Committee under opinion number 4.538.380 and CAAE no 40480220.0.0000.5545. Results: the clinical scenario was prepared according to the references of clinical simulation, according to the National League Nursing Jeffries Simulation Theory (NLN/JST) model, the standards of the International Nursing Association for Clinical Simulation and Learning (INACSL) and the leprosy manual. In the content validation stage of this scenario, 14 experts participated, of whom 8 (57%) were in the leprosy field and 6 (43%) in clinical simulation. The five sections of the clinical scenario "Leprosy prevention and control actions: active search for dermatoneurological symptomatic patients" reached agreement higher than 80% in all Pasquali's criteria. Textual changes, exclusion and insertion of elements were recommended in order to refine the scenario. Conclusion: the constructed clinical scenario is suitable for use according to the target audience and learning objectives. It is a simple, easily replicable, low-cost, and flexible to the necessary contextual adjustments. Therefore, this study may encourage the use of clinical simulation as a strategy for continuing education in health in the Brazilian Unified Health System (UHS).

12
  • ARIANA LUIZA RABELO
  •  Bundle construction and validation for the prevention of skin lesions related to medical adhesives in adults in intensive care
  • Leader : JULIANO TEIXEIRA MORAES
  • MEMBRES DE LA BANQUE :
  • DANIEL NOGUEIRA CORTEZ
  • JULIANO TEIXEIRA MORAES
  • PAULA CRISTINA NOGUEIRA
  • THALYTA CRISTINA MANSANO SCHLOSSER
  • Data: 23 mai 2022


  • Afficher le Résumé
  • RABELO, A. L. Bundle construction and validation for the prevention of skin lesions
    related to medical adhesives in adults in intensive care [Thesis]. Divinópolis: Programa de
    Pós- graduação em Enfermagem da Universidade Federal de São João Del Rei, 2022.
    ABSTRACT
    Introduction: medical adhesive skin injuries is a recurrent and preventable complication, it can
    occur in health care settings and in all age groups and is still poorly recognized in clinical
    practice. Objective: to build and validate a bundle for the prevention of medical adhesive
    related skin injuries in adults in care units. Method: this is a methodological study, carried out
    in three stages: I-development of a Scoping Review, developed according to the PRISMA-ScR
    recommendations and in the method proposed by the Joanna Briggs Institute, with a research
    protocol registered in the Open Science Framework (DOI 10.17605/OSF.IO/6QKAV); II
    construction of the bundle for the prevention of skin lesions related to medical adhesives in
    adults in intensive care, based on the evidence listed in the Scoping Review and III- validation
    of the bundle's content, using the Delphi technique. The agreement of the judges was calculated
    using the Content Validation Coefficient, considering as valid the items that reached a
    coefficient ≥0.80. Data were analyzed using the binomial test. The ρ-value ≤ 0.05 was adopted
    for statistical significance. This study was guided by Resolution n. 510/2016 of the National
    Health Council and approved by the Research Ethics Committee of the Federal University of
    São João Del-Rei, opinion number: 4.804.917. Results: In the Scoping Review, 1329 studies
    were identified, after analysis, the final sample consisted of nine articles. The bundle structure
    had 21 recommendations, grouped into seven categories. All items reached statistically
    significant assessment levels (ρ-value ≤ 0.05). In Delphi II, the Content Validation Coefficient
    achieved by criterion was ≥0.97 and the total Content Validation Coefficient of the instrument
    was 0.99. Conclusion: This study allowed the construction and validation of a bundle for the
    prevention of skin lesions related to medical adhesives in adult intensive care.
13
  • JULIO CESAR VELOSO
  • Epidemiological and Clinical Profile of drug-dependent pregnant women of abuse and their Newborns, before and during the COVID-19 pandemic.

  • Leader : MARCIA CHRISTINA CAETANO ROMANO
  • MEMBRES DE LA BANQUE :
  • ALBA OTONI COLLARES
  • FARAH MARIA DRUMOND CHEQUER BALDONI
  • MARCIA CHRISTINA CAETANO ROMANO
  • SAYONARAH MARIA LIA FOOK
  • Data: 15 août 2022


  • Afficher le Résumé
  • Introduction: Dependence on drugs of abuse is an important public health problem,
    with implications for the morbidity and mortality of the world and Brazilian population.
    There is an increase in the number of pregnant women dependent on drugs of abuse,
    especially alcohol, tobacco and cocaine/crack. Studies on the clinical and
    epidemiological profile of drug abuse in pregnant women are scarce and of great
    importance, since the exposure of these patients to drugs can lead to irreversible
    compromise of the integrity of the mother-fetus binomial and serious harmful
    consequences for the newborn. Objective: To analyze the epidemiological and clinical
    profile of pregnant women dependent on drugs of abuse and their newborns, before
    and during the COVID-19 pandemic. Methods: This is a cross-sectional descriptive
    epidemiological study. It was carried out in a highly complex Health Complex in the
    Midwest region of Minas Gerais from March 2019 to March 2021. Data were collected
    regarding the epidemiological and clinical profile of pregnant drug addicts, including
    demographic data and drugs of abuse, obtained from puerperal records. Furthermore,
    the medical records of newborns were analyzed in terms of clinical characteristics. The
    data obtained were tabulated with double entry in the Microsoft Excel® Program, 2013.
    After consistency analysis, the statistical analysis was performed in the Statistical
    Package for Social Science (SPSS), version 21.0. Initially, a descriptive analysis of the
    study population was performed. Study patients were allocated according to the period
    of hospital admission, being divided into groups “before the pandemic” and “during the
    pandemic”. Both groups were compared for all variables of interest in the study. The
    Chi-Square test was considered for categorical variables, and adjustment was
    performed for Fisher's exact test when the expected value in at least one cell was less
    than five. The Mann-Whitney test was used for numerical variables with non-normal
    distribution and the independent Student's T test was used for numerical variables with
    normal distribution. Data normality was verified using the Kolmogorov-Smirnov test.
    Results: We analyzed the medical records of 52 postpartum women hospitalized in the
    maternity ward of the hospital where the study was conducted. The demographic
    information obtained indicated that 52% of the participants declared themselves to be
    brown, 100% of them residing in urban areas and 91% having marital status as
    married, under 30 years of age. Regarding the distribution of drugs of abuse among
    pregnant drug addicts, tobacco was one of the most prevalent drugs, with 69.3% of
    use, followed by alcohol (43.1%), marijuana (40.8%) and cocaine. (35.4%). There was
    the simultaneous use of one or more drugs, mainly alcohol and tobacco, which were
    used together by 21% of the participants. Conclusion: The identification and delineation
    of the epidemiology of newborns of drug-addicted mothers and the pregnant women
    themselves add, in a necessary way, a greater characterization of this population,
    which remains under great losses related to underreporting and social stigmatization.
    It is necessary to establish protocols and guidelines that cover such complex clinical
    scenarios and such peculiar management in order to corroborate the establishment of
    a comprehensive and increasingly effective therapeutic plan.
14
  • Ana Cristina Diniz Garcia Leão
  • Safe Dental Care for People Undergoing Antineoplastic and/or Radiation Therapy: Scoping Review.

  • Leader : PATRICIA PERES DE OLIVEIRA
  • MEMBRES DE LA BANQUE :
  • ANDREA BEZERRA RODRIGUES
  • PATRICIA PERES DE OLIVEIRA
  • THALYTA CRISTINA MANSANO SCHLOSSER
  • Data: 18 août 2022


  • Afficher le Résumé
  • Introduction: Cancer is the main public health problem in the world and is already among the four leading causes of premature death (before age 70) in most countries countries. The importance of the role of the dentist in the team multiprofessional health care is essential, from prevention to diagnosis of lesions of the oral cavity, to the follow-up of the patient during and after the treatment oncology (chemotherapy and radiotherapy). Therefore, the relevance of this study is to provide a mapping of the main measures for the safe dental care of patients undergoing radiotherapy and/or chemotherapy, as well as providing subsidies for the care practice in the services of oncology. Objective: to identify and synthesize the scientific evidence on safe dental care for patients undergoing anticancer treatment and/or radiotherapy. Method: Scoping review, according to Joanna Briggs Institute and PRISMA-ScR. A search was carried out in the National Library of Medicine and National Institutes databases. of Health, Cumulative Index to Nursing and Allied Health Literature, Web of Science, SCOPUS, Latin American and Caribbean Literature in Health Sciences, Embase and, Cochrane Library, in addition to four theses and dissertations catalogs, with no limit application temporal. Data collection took place from June 2021 to March 2022. The extracted data were analyzed and synthesized in a narrative way. Result: a total of 891 records and included 28 studies for the review. Most were produced on the mainland American (53.6%) and pointed to scientific evidence on dental care general to cancer patients, the types of mouthwashes/mouthwashes used in cancer patients, the use of oral cryotherapy in câncer patients, the management of mucositis oral care in cancer patients, the use of photobiomodulation and dental care to cancer patients in times of viral pandemic. Conclusion: there was an emphasis on both prevention as well as treatment, due to global efforts in the safety of care in health for all patients. Other highlights were the implementation of protocols based on evidence and on the primordial inclusion of the dentist in the team multiprofessional team in the oncology area, in order to provide greater safety and quality of services provided.

15
  • Pedro Víctor de Carvalho Silva
  • Family caregivers of elderly people with Alzheimer's conditions: elaboration and validation for a digital booklet

  • Leader : EDILENE APARECIDA ARAUJO DA SILVEIRA
  • MEMBRES DE LA BANQUE :
  • EDILENE APARECIDA ARAUJO DA SILVEIRA
  • PATRICIA PINTO BRAGA
  • SIMONE ALBINO DA SILVA
  • Data: 18 août 2022


  • Afficher le Résumé
  • Introduction: Aging is a continuous and constant process that affects all organisms. It results in changes in physiological patterns that vary from individual to individual, and may present with physiological changes as happens in senescence or present pathological changes, which occurs in senility. The increase in the elderly population brings several challenges to public health, since it requires strategies to control diseases, prevent risks and diseases and promote active and healthy aging from services. At this age, there is an increase in cases of chronic non-communicable diseases (NCDs), an increase in the number of hospitalizations and institutionalizations that can result in a decrease in functional capacity. Among the NCDs related to aging are dementias, which stand out as the main causes of functional impairment and quality of life in the elderly. Alzheimer's disease (AD), considered the most common among dementias, is a progressive neurodegenerative disorder that is manifested by cognitive and memory deterioration, behavioral changes and a variety of neuropsychiatric symptoms. By affecting memory and cognitive functions, this neurodegenerative disease implies the need to include a caregiver, who is often a family member. Thus, AD determines impacts on the family. Objective: to build and validate the content of a light educational technology in the format of a digital booklet on home care related to the mental health of people living with Alzheimer's. Methods: the present study has a quantitative approach aimed at the construction and validation of the content of a light educational technology in the form of a booklet aimed at caregivers of elderly people with Alzheimer's disease. Three steps were followed to build the booklet: Step 1 - Scoping review; Step 2 - Construction of the booklet; Step 3 - Content validation using the Delphi technique and analytical procedures. Results: The results of the dissertation will be presented in the form of two articles: Article 1. Family care for the elderly with Alzheimer's: Scoping Review and Article 2. Construction and validation of a booklet on care for the elderly with Alzheimer's Disease. Conclusion: At the time of science identification, mainly in the identification, in the recognition of reality learning, mainly in learning, in the relationship with the reality of education and knowledge. Through the construction process and after evaluating the scientific appearance and content of the booklet by the judges, it was possible to develop an educational material based on the literature, translated into a literature accessible to the target public disclosed.

16
  • Rafaela das Graças Santiago Faria
  •  Evaluation of health care services for people with stomations in the state of Minas Gerais

  • Leader : JULIANO TEIXEIRA MORAES
  • MEMBRES DE LA BANQUE :
  • JULIANO TEIXEIRA MORAES
  • SANDRA MARINA GONÇALVES BEZERRA
  • VALERIA CONCEICAO DE OLIVEIRA
  • Data: 18 août 2022


  • Afficher le Résumé
  • Introduction: As ostomy has become, nowadays, the focus of the main public health care policies, a fact that has attracted the attention of professionals and health authorities in the country. With the implementation of these policies, questions arise, therefore, in relation to network assistance for the health care of the person with an ostomy provided by health services, advances and difficulties in the operationalization of the implementation of these services. Objective: To assess the Degree of Implementation of Health Care Services for Persons with Ostomy in the Unified Health System in the State of Minas Gerais. Method: This is a descriptive and analytical cross-sectional study, which evaluated the Degree of Implementation of Health Care Services for People with Ostomy in the State of Minas Gerais, in the year 2021. Indicator criteria and criteria were related to the dimensions of structure (resources employed and their organization) and process (form of production of goods or services). The Degree of implementation was defined by evaluating the components of Service Management, Clinical Assistance and Educational Assistance, using a validated instrument, where services were classified in the scoring system as full implementation, satisfactory, incipient, not implemented. Results: The 53 SASPO from Minas Gerais are included. It was found that only 1 service had a greater number of services in compliance, and the incipient degree of compliance was obtained (50.9%). The development and process tools of professional support services and the need for training resources. Conclusion: It was concluded that, although active, most of the services proposed in relation to structural and process contexts do not comply with the requirements of the guidelines.

17
  • FABIANA DE ARAUJO SANTOS ROCHA
  • Mapping overweight in pregnant women and prematurity: a scope review.
  • Leader : MARCIA CHRISTINA CAETANO ROMANO
  • MEMBRES DE LA BANQUE :
  • EUNICE FRANCICA MARTINS
  • MARCIA CHRISTINA CAETANO ROMANO
  • VIRGINIA JUNQUEIRA OLIVEIRA
  • WALQUIRIA JESUSMARA DOS SANTOS
  • Data: 19 août 2022


  • Afficher le Résumé
  • Introduction: Excess weight is a worldwide problem, also affecting women of childbearing
    age and pregnant women, both due to pre-gestational overweight and/or obesity and
    exacerbated weight gain during pregnancy. This situation can generate unfavorable results for
    the mpor, fetus or newborn, throughout the perinatal period. Narrative literature review
    pointed out the existence of investigations on the topic. It is mportante to synthesize their
    results in a systematic way, with a view to further elucidation of the problem. Objective: The
    objective of this research is to synthesize evidence in the literature on the association between
    mporta gestational weight and prematurity. Method: This is a scoping review, with a
    research protocol registered in the Open Science Framework, developed based on the
    recommendations of the PRISMA-ScR international guide mport the method proposed by
    Joanna Briggs Institute, Reviewers, Manual 2017. The mport was performed between
    September and October 2020. The mport was carried out in the following databases:
    PubMed Central, Web of Science, Scopus and Science Direct and those that make up the
    Virtual Health Library Portal. The synthesis of the results was presented in a descriptive way,
    using tables. Results: A total of 5140 records were retrieved, and 42 studies were selected. Of
    these, 27 (65.85%) showed a statistically significant association between overweight and
    prematurity. Low weight of pregnant women was also associated with prematurity in 27% of
    investigations. Conclusion: Nutritional changes in pregnancy, especially obesity, and also low
    weight are mportante elements in determining preterm birth and should be considered in
    prenatal care.
18
  • Laís Oliveira de Moraes Tavares
  • Prevalence immunization errors with post-vaccination adverse events: a systematic review
  • Leader : VALERIA CONCEICAO DE OLIVEIRA
  • MEMBRES DE LA BANQUE :
  • DANIEL NOGUEIRA CORTEZ
  • LUIZ HENRIQUE ARROYO
  • RENE OLIVEIRA DO COUTO
  • VALERIA CONCEICAO DE OLIVEIRA
  • Data: 19 août 2022


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  • Introduction: Due to the increase in the number of immunobiologicals offered in the world,
    an increase in the number of errors made during the vaccination process was observed,
    becoming a worrying factor. These errors, in turn, can trigger AEFI and negatively impact the
    population's trust in immunization programs and compromise vaccine coverage. Objective: To
    analyze the prevalence of immunization errors with post-vaccination adverse events. Methods:
    This is a systematic literature review, with the following study question: What is the prevalence
    of immunization errors with post-vaccination adverse events? To retrieve the articles, searches
    were performed in ten databases and a manual search that covered the literature available until
    July 1, 2021. Subsequently, the Rayyan application was used for analysis, which was performed
    using the double blind method. Study data were independently extracted using Microsoft
    Excel®. Regarding the risk of bias assessment, all included studies were evaluated using the
    tool (AXIS). Finally, the calculation of the prevalence of immunization error with post
    vaccination adverse events was performed. Results: A total of 1676 studies were retrieved and
    611 duplicates were removed. After reading the title and abstract of 1,065 studies, 43 potentially
    eligible articles were selected. After reading the full text of the 43 pre-selected studies, 13
    studies were included in the final sample. Conclusion: The review identified a low prevalence
    of immunization errors with adverse events in all age groups, but with emphasis on children.
    Most of the adverse events triggered in the vaccinated were considered mild, however, to a
    lesser extent, fatal adverse events occurred. It is necessary to implement actions that can be
    used to prevent the occurrence of immunization errors, and consequently, to strengthen national
    immunization programs in the world.
19
  • ISABELA RODRIGUES FERREIRA
  • Incidence of first diabetic foot ulcer: Systematic review and meta-analysis

  • Leader : DANIEL NOGUEIRA CORTEZ
  • MEMBRES DE LA BANQUE :
  • DANIEL NOGUEIRA CORTEZ
  • LIDIANY GALDINO FELIX
  • RENE OLIVEIRA DO COUTO
  • Data: 19 août 2022


  • Afficher le Résumé
  • ABSTRACT

    Introduction: Diabetes Mellitus (DM) is a metabolic disorder of different etiologies, characterized by sustained hyperglycemia resulting from changes in insulin action and secretion, or both (SOCIEDADE BRASILEIRA DE DIABETES, 2020). One of the main complications of DM is the diabetic foot (PD), defined as “infection, ulceration and/or destruction of soft tissues” (SCHAPER et al., 2020). PD is related to prolonged treatment ulcerations and even lower limb amputations, which substantially affects the quality of life of patients and generates a financial burden on the health system. Objective: To investigate the incidence of people with the first UPD. Methods: This is a systematic review with a meta-analysis of the scientific literature of cohort studies following the recommendations of the PRISMA 2020 checklist (PreferredReportingItems for Systematic Reviews and Meta-Analyses) and employing the PECOS strategy for study eligibility. A systematic search was carried out in Medline databases and virtual libraries via PubMed, Embase, VHL, Scopus and Web of Science from August 2020 to July 2021. In addition to these, gray literature searches were carried out in manuals and guidelines of scientific societies on the topic and other information that could be added as a source of the first UPD incidence. The Newcastle-Ottawa scale was used to assess the quality of articles and inclusion in the meta-analysis. For the reading and analysis of duplicates, the RayyanQCRI application was used and for the analysis of incidence rates and possible associations of the data, the R software in the Metaprop data package. Results: From the search in the databases, a total of 9.772 articles were found. For full reading, 87 articles were selected and 12 composed the systematic review and meta-analysis. The meta-analyzed incidence was 5.65% (95% CI: 4.20; 7.57). Conclusion: Considered as the main complication of DM, PD presented a considerable estimate of incidence, but the number of articles located for analysis was small, which reinforces the need for new primary studies to assess the incidence of the pathology.

20
  • THAíS FONSECA GONTIJO
  • Risk factors, management, prevention of antineoplastic chemotherapy-induced nausea and vomiting.
  • Leader : PATRICIA PERES DE OLIVEIRA
  • MEMBRES DE LA BANQUE :
  • ANDREA BEZERRA RODRIGUES
  • EDILENE APARECIDA ARAUJO DA SILVEIRA
  • PATRICIA PERES DE OLIVEIRA
  • THALYTA CRISTINA MANSANO SCHLOSSER
  • Data: 30 août 2022


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  • Introduction: Nursing plays an important role in monitoring cancer patients; is the
    professional capable of providing support for coping with adverse effects related to the
    disease and treatment, which directly interfere with the patient's quality of life, and
    corroborates so that treatment abandonment does not occur in the presence of limiting
    factors and adverse events characteristic of the therapy. Side effects are considered the
    main reason for abandoning antineoplastic treatment through chemotherapy, we can
    mention nausea and vomiting as the most prevalent in relation to gastrointestinal toxicity
    resulting from antineoplastic chemotherapy, which can affect nutritional status,
    hydroelectrolyte balance and quality. of the patient's life, facilitating the decision to
    abandon the treatment if there is no adequate management. Objective: to identify and
    synthesize scientific evidence on risk factors, prevention and management of nausea and
    vomiting induced by antineoplastic chemotherapy by nursing. Method: scoping review,
    according to Joanna Briggs Institute and PRISMA-ScR. A search was carried out in the
    databases National Library of Medicine and National Institutes of Health, Cummulative
    Index to Nursing and Allied Health Literature, Web of Science, SCOPUS, Latin American
    and Caribbean Literature in Health Sciences, Embase and, Cochrane Library in addition to
    four catalogs of theses and dissertations. Data collection took place from June 2021 to
    March 2022. The extracted data were analyzed and synthesized in a narrative way. Result:
    a total of 678 records were retrieved and 25 studies were included for the review. Most
    were produced in the American continent (60.0). This review covers a broad review of
    newer immunotherapies, behavioral therapies, and complementary medicine. Conclusion:
    there was an emphasis on both prevention and treatment, due to global efforts in the safety
    of health care for all patients.
21
  • Amanda Alves dos Rêis
  • Evaluation of the e-SUS application territory of the e-SUS Primary Health Care strategy

  • Leader : TARCISIO LAERTE GONTIJO
  • MEMBRES DE LA BANQUE :
  • DARLINTON BARBOSA FERES CARVALHO
  • PATRICIA PERES DE OLIVEIRA
  • RICARDO BEZERRA CAVALCANTE
  • TARCISIO LAERTE GONTIJO
  • Data: 1 sept. 2022


  • Afficher le Résumé
  • Introduction: The use of information in the field of health becomes increasingly essential in care and administrative practice. As a way of optimizing the use of this information in health, several countries have been investing in the development and improvement of digital strategies in search of health information systems (SIS) with greater connectivity and interoperability. Following this line, Brazil has adopted and implemented a series of actions in order to establish a Digital Health strategy. Among the innovations of the e-SUS APS strategy, the implementation of the e-SUS Território application, which aims to computerize the work of Community Health Agents (CHAs), stands out. It is believed that knowledge of the usability and intended use of the e-SUS Territory application by ACS is necessary for the success of this new technology. Objective: This study aimed to evaluate the behavioral intention to use the e-SUS Território application of the e-SUS APS strategy by Community Health Agents (CHA). Method: Method: This is an analytical cross-sectional study that used the System Usability Scale (SUS) and the Unified Theory of Acceptance and Use of Technology (UTAUT2). The population of this study consisted of a probabilistic sample of CHAs from a health macro-region. Data collection took place online (web based-survey), due to the Covid-19 pandemic, and the validated instruments referring to the two models were adopted. Stata software version 14 was used to aid in the analyses. Initially, a descriptive analysis was performed and then a Confirmatory Factor Analysis (CFA). Results: The SUS score obtained was 55.3 points, evidencing the marginal usability of the e-SUS Territory application. In the analysis of the structural equation of the UTAUT2 model, the behavioral intention to use was positively influenced by the habit construct, which is directly influenced by age. Conclusion: The e-SUS Territory application has average usability, thus ensuring a minimum of success and effort in its use.

22
  • RAQUEL BASSALO NEVES VILELA
  • Analysis of the acceptance of the e-SUS Territory application of the e-SUS APS strategy.

  • Leader : TARCISIO LAERTE GONTIJO
  • MEMBRES DE LA BANQUE :
  • RICARDO BEZERRA CAVALCANTE
  • SEBASTIÃO JÚNIOR HENRIQUE DUARTE
  • TARCISIO LAERTE GONTIJO
  • Data: 9 sept. 2022


  • Afficher le Résumé
  • VILELA, R. B. N. Analysis of the acceptance of the e-SUS Territory application of the e-SUS APS strategy. 2022. 84p. Dissertation (Masters in Science) - Postgraduate Program in Nursing, Federal University of São João del-Rei, Divinópolis, 2022.

     

    ABSTRACT

     

    Introduction: The e-SUS Território is part of the Electronic Citizen's Medical System (PEC) and was developed to be used via mobile devices, computerizing the work process of the ACS. It is a pioneering initiative at the national level and, therefore, brings significant changes in their daily work. In this sense, it is important to analyze factors that enable the acceptance or rejection of this technological innovation by these professionals. Objective: To analyze the acceptance of the e-SUS Territory e-SUS APS application by the ACS. Method: This is a qualitative study with a case study design. The analytical body consisted of comments from users of the application registered in the Play Store platform and laws, ordinances and official documents of the Ministry of Health on the e-SUS Territory. Data analysis was performed through Thematic Analysis, systematized through the Open Logos program. The Technology Acceptance Model (TAM) was adopted as a theoretical model. Two analytical categories were previously defined: perceived ease of use and perceived utility. Results: The analyzed data allow us to infer that facilities and utilities were identified in the use of e-SUS Território. It is considered as a good app with great layout, easy handling, contributing to improve performance in everyday work. However, it has some difficulties in synchronization, in the update causing errors in registrations and duplication of citizens and losses of records of visits thus leading to a rework for the ACS. Other difficulties are pointed out as the disorganization of registrations and access to unifications only by nurses and mandatory of some fields. App is also considered a useful, practical and fast, because it speeds up the execution of activities, reduces the use of paper and is useful in places difficult to access the internet. Some suggestions are reported. Conclusion: The study identified by these professionals that the e-SUS Territory application has been characterized as a good application, being identified by the ACS that facilities and utilities directly contribute to the good intention of behavior of the use of the application in daily work. It is worth noting that adjustments are needed in it to correct problems.

23
  • ALINE MEDEIROS
  • Evaluation of the Degree of Implementation of Integrative and Complementary Health Practices in Primary Health Care in Minas Gerais.
  • Leader : FERNANDA MOURA LANZA
  • MEMBRES DE LA BANQUE :
  • CECÍLIA GODOI CAMPOS
  • FERNANDA MOURA LANZA
  • NAYARA FIGUEIREDO VIEIRA
  • Data: 9 sept. 2022


  • Afficher le Résumé
  • ABSTRACT
    Introduction: Integrative and Complementary Health Practices (ICSP) are
    characterized as a set of therapeutic practices and actions that advocate integral
    patient care. They contemplate therapeutic methods involving approaches that seek to
    stimulate the natural mechanisms of disease prevention and health recovery. In Brazil,
    its implementation in the Unified Health System (UHS) was instituted by the National
    Policy of Integrative and Complementary Practices (NPICP), which currently lists 29
    practices. Objective: to evaluate the degree of implementation of ICSP in Primary
    Health Care (PHC) in Minas Gerais. Method: evaluative research, type 1-b
    implementation analysis. The study was divided into three stages:(i) elaboration of the
    logic model and multidimensional evaluation matrix (structure and process
    dimensions) to evaluate the implementation of the ICSP, (ii) validation of the logic
    model and evaluation matrix and judgment by experts, and (iii) evaluation of the
    implementation of the ICSP in PHC in Minas Gerais through a cross-sectional study
    using secondary data from the National Program for Improvement of Access and
    Quality of Primary Care (NPIAQ-PC). The degree of implementation was evaluated by
    Σ of observed points / Σ of maximum expected points X 100. Five strata were used to
    classify the degree of implementation as adequate (80-100%); partially adequate (60-
    79.9%); not adequate (40-59.9%); critical (0.1-39.9%) and not implemented (0%).
    Descriptive statistical analysis was performed according to the nature of the variables
    and Pearson's Chi-square test was used for association analysis. Results: Seven
    judges participated in the validation stage. The analysis and judgment matrix was
    composed of ten indicators, of which four from the structure dimension (75 points) and
    six from the process dimension (115 points), totaling 190 points. The average degree
    of implementation of the ICSP in Minas Gerais was 19.1% (classified as critical), and
    the process dimension (23.8%) was better evaluated than the structure dimension
    (11.8%). Of the 846 municipalities in Minas Gerais that participated in the 3rd cycle of
    NPIAQ-PC, most do not have implemented ICSP(59.5%), and only two municipalities
    reached the adequate implementation. An association was observed between the
    external context variables: PHC coverage (p=0.014), Municipal Human Development
    Index (p=0.000) and number of inhabitants (p=0.000) with the degree of ICSP
    implementation. Conclusion: the evaluation model demonstrated viability for the
    proposed study. The degree of implementation observed denotes the need for
    professional qualification, availability of supplies and materials, offer of ICSP, health
    education and promotion actions, structuring of services and management support as
    a way to contribute to the implementation in the municipalities. In view of the above,
    the results contribute to collective health, especially to the importance of evaluation,
    supervision, and planning of the ICSP in PHC services in order to improve activities of
    disease prevention and health recovery in the individual and collective spheres.
24
  • Kelly Aline Rodrigues Costa
  • USE AND ADHESION OF INDIVIDUAL PROTECTION EQUIPMENT BY HEALTHCARE PROFESSIONALS IN THE FACE OF COVID-19: ARE THERE ASSOCIATION WITH TRAINING ACTIVITIES?

  • Leader : FERNANDA MOURA LANZA
  • MEMBRES DE LA BANQUE :
  • ANA VALESCA FERNANDES GILSON SILVA
  • ANGÉLICA DA CONCEIÇÃO OLIVEIRA COELHO
  • FERNANDA MOURA LANZA
  • SILMARA ELAINE MALAGUTI TOFFANO
  • Data: 12 déc. 2022


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  • Introduction: The Covid-19 pandemic has impacted the lives of all individuals, especially health workers. Primary Health Care (PHC) workers and professionals linked to Health Residency Programs are part of the risk group for dealing with directly with suspected or confirmed cases of Covid-19, in addition to being fundamental in facing the pandemic. Personal Protective Equipment (PPE) is the main security measure by creating a protective physical barrier. However, for protection offered is achieved, practitioners must be able to select and handle them properly. For this, it is recommended to carry out training activities aimed at stimulation of use, guidelines on the handling of devices and, thus, measures effective and safe preventive measures for professionals and patients.

25
  • Marla Ariana Silva
  • THE USABILITY OF THE CITIZEN'S ELECTRONIC RECORD AND ITS ASSOCIATION WITH THE DIMENSIONS OF THE BURNOUT SYNDROME

  • Leader : ELIETE ALBANO DE AZEVEDO GUIMARAES
  • MEMBRES DE LA BANQUE :
  • DARLINTON BARBOSA FERES CARVALHO
  • ELIETE ALBANO DE AZEVEDO GUIMARAES
  • IONE CARVALHO PINTO
  • RICHARDSON MIRANDA MACHADO
  • Data: 16 déc. 2022


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  • Introduction: The Burnout Syndrome (BS) is characterized as a psychosocial phenomenon,
    resulting from the inability to adapt and cope with the stressors to which the professional is
    exposed. The use of technological innovations such as the Citizen's Electronic Record (PEC) has
    been associated as one of the potential factors for BS. Objective: To analyze the usability of the
    PEC and its association with the SB dimensions. Methods: Descriptive and analytical cross
    sectional epidemiological study, developed in the Family Health (eSF) and Oral Health (eSB)
    teams of Primary Health Care (PHC) with implanted PEC. The survey was carried out in 29
    municipalities in the Western Macroregion of Minas Gerais, between 2020 and 2021. Participants
    included medical professionals, nurses, nursing technicians/assistants, dentists and dental
    assistants. The System Usability Scale (SUS) and Maslach Burnout Inventory (MBI) instruments
    were used for data collection and analysis. Descriptive analyzes were presented in the form of
    median and quartiles and the Chi-square, Shapiro Wilk, Mann Whitney and Kruskal Wallis tests
    were used to measure associations between the dimensions of the BS and the degree of usability
    of the PEC. Results: 139 health professionals participated in the survey, more than half of which
    were professionals from the nursing team (59.7%); the majority were female (85%) and the age
    group ranged from 23 to 68 years. The average SUS score indicated marginal usability of the PEC
    (60.1±13.8). The best evaluated quality attributes were: ease of learning, efficiency and
    satisfaction. There was a statistically significant association between the degree of usability of the
    PEC and the training variable (p=0.005). The SB depersonalization dimension was associated with
    the professional category (p=0.027). There was no difference in the three dimensions of the BS
    when comparing the different levels of acceptance of the SUS score (p>0.05). Conclusion: The
    usability of the PEC demonstrated advances in the quality of the software's functionalities and it
    was found that it has not generated signs and symptoms of exhaustion in health professionals in
    the West Macroregion of MG. This is the first Brazilian study on the association between PEC and
    BS dimensions. Thus, the need for further studies in other regions of Brazil is highlighted, in order
    to generate more scientific evidence aimed at enhancing the usability of this Brazilian Primary
    Care information system and helping to reduce the physical and mental strain of professionals as a
    result of this software.
2021
Thèses
1
  • ÉRICA DOMINGUES DE SOUZA
  • SUICIDE, OTHER DEATHS AND HOPE AMONG ADOLESCENTS

  • Leader : NADJA CRISTIANE LAPPANN BOTTI
  • MEMBRES DE LA BANQUE :
  • DENISE ALVES GUIMARAES
  • NADJA CRISTIANE LAPPANN BOTTI
  • RONALDO SANTHIAGO BONFIM DE SOUZA
  • Data: 19 févr. 2021


  • Afficher le Résumé
  • Souza ED. Suicide, other deaths and hopelessness among adolescents [Dissertation]. Divinópolis: Programa de Pós-Graduação em Enfermagem da Universidade Federal de São João Del Rei; 2021.

    ABSTRACT

    Suicide is identified as a serious public health problem, resulting from the interaction of social, psychological and cultural factors. Representing the second leading cause of death among young people between 15 and 29 years old. This study aimed to understand the relationship between hopelessness levels and representations of suicide and other deaths of adolescent students from two public schools in Divinopolis - MG. This is an explanatory study, with a descriptive, cross-sectional design, with a qualitative approach. Adolescents between 15 and 19 years of age regularly enrolled in public schools participated in the research. Data collection took place through semi-structured interviews, with 40 adolescents who were subdivided into two groups: low and high hopelessness. For data analysis, Bardin Content Analysis was used. It was observed the idea of suicide that reverberates with a moral, simplistic and cause / effect judgment, and the idea of death as an enigma, something incognito and inexplicable and that is not thought out. In addition, death by suicide as unthinkable and death as a positive expectation was more found among adolescents with high hopelessness, whereas death by suicide as a negative idea, which reverberates availability of help, and death as an inevitable and life event, an ambiguous expectation was present among adolescents with low hopelessness. The participants' social representations and hopelessness can be related, as well as the life stage, personal and social experiences.

2
  • FABIANGELO DE MOURA CARLOS
  • ASSOCIATION BETWEEN SEDENTARISM AND SOCIOECONOMIC LEVEL IN ADOLESCENTS FROM PUBLIC

    SCHOOLS IN HIGH SCHOOL OF DIVINÓPOLIS

  • Leader : MARCIA CHRISTINA CAETANO ROMANO
  • MEMBRES DE LA BANQUE :
  • JOSÉ VÍTOR VIEIRA SALGADO
  • ALBA OTONI COLLARES
  • MARCIA CHRISTINA CAETANO ROMANO
  • Data: 23 févr. 2021


  • Afficher le Résumé
  • CARLOS, F. M.Association between physical inactivity and socioeconomic status in adolescents from public schools in high school in Divinópolis. 2021. 148 p. Dissertation (Master of Science) - Programa de Pós-graduação Mestrado Acadêmico em Enfermagem da Universidade Federal de São João del-Rei, 2021.
    Introduction: The term sedentary lifestyle is used to describe inactive behaviors, absence or decrease in physical activity associated with low levels of metabolic energy expenditure and comfortable situations in modern life. Evidence points to a higher probability of sedentary adolescents becoming overweight adults, developing cardiovascular diseases and diabetes mellitus. Researchers believe that socioeconomic status is one of the factors that may be related to physical inactivity, however, there is no consensus in the literature about this association and the mechanisms involved during adolescence. Objective: To analyze the association between physical inactivity and socioeconomic status in adolescents aged 15 to 19 years. Methods: This is a cross-sectional study carried out with 347 adolescents aged 15 to 19 years, of both sexes, regularly enrolled in eighteen state public high schools in the municipality of Divinópolis, located in the Central West of Minas Gerais . Sedentary lifestyle was assessed using the International Physical Activity Questionnaire and socioeconomic level using the criteria of the Brazilian Association of Research Companies. Demographic and anthropometric data were also collected. To investigate the association between the socioeconomic level and the level of physical inactivity, descriptive and analytical statistics were performed using a multivariate logistic regression model. Results: The results of the present proposal are presented through two articles, one being a systematic review and one original. Conclusion: The systematic review article aimed to identify in the literature the association between socioeconomic level and physical activity among adolescents and concluded that the highest level of physical activity was observed in adolescents with higher socioeconomic level. The study found that class B1 adolescents are less likely to be sedentary compared to socioeconomic class A and that male adolescents are more likely to be active when compared to women. Thus, the findings of our study and our systematic review did not show consensus on the association between physical inactivity and socioeconomic status. The possible association requires further research. New knowledge in the area is important to enable professionals involved in adolescent health to act effectively to combat physical inactivity.

3
  • CÁSSIA MARIA DIAS
  • PROTOCOL FOR FOLLOW-UP BY PHONE OF PEOPLE WITH GASTROINTESTINAL MALIGNANT NEOPLASMS IN ANTINEOPLASTIC TREATMENT

  • Leader : PATRICIA PERES DE OLIVEIRA
  • MEMBRES DE LA BANQUE :
  • PATRICIA PERES DE OLIVEIRA
  • QUENIA CAMILLE SOARES MARTINS
  • THALYTA CRISTINA MANSANO SCHLOSSER
  • Data: 26 févr. 2021


  • Afficher le Résumé
  • DIAS, C. M. Protocol for telephone follow-up of people with gastrointestinal
    malignancies undergoing antineoplastic treatment. 2021. 123 p. Thesis (Master of
    Science) – Postgraduate Program Master's Degree in Nursing, Universidade Federal
    de São João del-Rei, São João del-Rei, Divinópolis, Minas Gerais, Brazil, 2018.
    ABSTRACT
    Introduction: In the oncological situation, there has been an increase in the use of
    outpatient treatments, which represent a different context from hospitalization.
    Compared to the hospital environment, outpatient antineoplastic chemotherapy (QT)
    results in a better quality of life and lower treatment costs for patients. However,
    administering outpatient QT is challenging due to high demand, time pressures and
    low level of control. In addition, patients may need to receive essential drugs and side
    effects usually occur at home. Treatment toxicities due to systemic QT are prevalent
    and often little recognized, resulting in high rates of uncomfortable symptoms and,
    consequently, avoidable visits to the emergency room, in addition to hospitalizations.
    Patients undergoing QT have an average of eight different symptoms and side effects.
    Objective: The general objective of this work was to: Build and validate construction
    and content evaluation of protocols for telephone follow-up in reducing side effects
    (inappetence, nausea and vomiting, diarrhea and constipation) associated with
    outpatient antineoplastic chemotherapy for people with malignant neoplasia
    gastrointestinal. Method: This is a methodological study, with a quantitative approach.
    Held in the period from September to November 2020. They were developed according
    to Pasquali's psychometric methodological framework. The methodological path of this
    study was carried out in the following stages: Stage 1 - Scoping review, in search of
    the level of scientific evidence; Step 2 - Construction of the protocols; Step 3 - Content
    and appearance validation using the Delphi technique. For content evaluation, the
    Delphi technique was used in two rounds (Delphi I [16 judges] and Delphi II [12 judges])
    and those items with Content Validation Coefficient (CVC) greater than 0 were
    considered valid, 80 and a consensus of more than 80.0% on the Delphi technique.
    The data were analyzed using descriptive and inferential statistics (Binominal test).
    The study was submitted to the Research Ethics Committee of the Federal University
    of São João del-Rei and approved under Opinion No. 2,010,532. Results: All the
    requirements of the protocols reached agreement between the judges above 80.0%,
    as well as all items reached statistically significant levels of evaluation. At the end of
    Delphi II, the four protocols were expressively valid (inappetence [CVC = 0.98]; nausea
    and vomiting [CVC = 0.99]; diarrhea [CVC = 0.99]; and constipation [CVC = 0.98]).
    Conclusion: The content of the protocols demonstrated high credibility and, its
    adoption in health institutions, can contribute to follow-up by phone in reducing the side
    effects (inappetence, nausea and vomiting, diarrhea and constipation) associated with
    outpatient antineoplastic chemotherapy for people with gastrointestinal malignancy.

4
  • LEILIANE RODRIGUES MAGALHÃES
  • REFRATARITY OF SCHIZOPHRENIA AND THE OCCURRENCE OF GENETIC POLYMORPHISMS IN THE GENE 5HT2A

  • Leader : RICHARDSON MIRANDA MACHADO
  • MEMBRES DE LA BANQUE :
  • CAMILA SOUZA DE ALMEIDA
  • RICARDO BEZERRA CAVALCANTE
  • RICHARDSON MIRANDA MACHADO
  • Data: 26 févr. 2021


  • Afficher le Résumé
  • Magalhães, L. R. Refractory of Schizophrenia and the Occurrence of Genetic Polymorphisms in the 2HT2A Gene [Dissertation]. Divinópolis: Graduation Program in academic másters in nursing, Universidade Federal de São João Del rei, 2021.
    ABSTRACT
    Introduction: Schizophrenia is considered a major public health problem. When the patient does not respond to two or more antipsychotic classes, he is considered “resistant” to treatment or “refractory.” Refractory schizophrenia (ER) affects 8 million people worldwide. Its etiology is believed to be multifactorial, including environmental and genetic factors. The study aimed to estimate the prevalence of rs6305, rs6314, and rs6311 genetic polymorphisms and associations with the occurrence of schizophrenia. Methodology: This is a case-control genetic-molecular study. The 216 participants were divided into 3 groups, which are: cases I- patients with a medical diagnosis of refractory schizophrenia, cases II- patients with other types of schizophrenia, and a control group - composed of people who do not analyze any diagnosis of mental disorder. A structured questionnaire was collected for the collection of sociodemographic data and, subsequently, the collection of biological material for genetic analysis was carried out. For genetic analysis, DNA extraction techniques, Polymerase Chain Reaction (PCR), Restriction Fragment Length Polymorphism (RFLP), and real-time PCR were performed. Statistical analyzes such as discarding or confirming the association between the onset of refractory schizophrenia and genetic exposure, using Pearson's Chi-Square statistical test (x2) and thus comparing the allele and genotypic frequencies between the case I groups, cases II, and controls through simple logistic regression (Odds Ratio value not adjusted). Subsequently, a model of dominance and recessivity was performed between the groups of patients with refractory schizophrenia and that of controls to verify the occurrence of the effect between them. For all tests, a significance level of 5% (p <0.05) was used. Results: There was no association between rs6305 and rs6314 polymorphisms with the occurrence of refractory schizophrenia. However, a statistically significant difference in genotypes was observed for the rs6311 polymorphism compared with the group of patients with refractory schizophrenia with the control group (p-value = 0.027). It was also noticed an association in the dominant model A (p-value = 0.042) and the heterosis model (p-value = 0.008) between the control groups and ER patients. Conclusion: Although this study found an association of the rs6311 polymorphism with schizophrenia, new studies must happen with larger samples for a better understanding of schizophrenia genetics embracing the Brazilian population.

5
  • GLADSON HENRIQUE SILVA
  • BARIATRIC SURGERY: PERCEPTIVE ACCURACY, BODY SATISFACTION AND QUALITY OF LIFE

  • Leader : RICHARDSON MIRANDA MACHADO
  • MEMBRES DE LA BANQUE :
  • RICARDO BEZERRA CAVALCANTE
  • RICHARDSON MIRANDA MACHADO
  • SANDRA VELENZUELA SUAZO
  • Data: 26 févr. 2021


  • Afficher le Résumé
  • SILVA, G. H. Bariatric surgery: perceptual accuracy, body satisfaction and quality of life. [Thesis]. Divinópolis: Nursing Graduate Program - Academic Master's Degree of the Universidade Federal de São João Del-Rei - 2020.
    ABSTRACT
    Introduction: Obesity has increased significantly worldwide, data showing that its prevalence has doubled since 1980, currently being 5% in children and 12% in adults (ZHANG et al, 2020).
    Obesity is considered when the Body Mass Index (BMI) is above 30 kg / m². Its severity being classified as grade I (moderate excess weight), when the BMI is between 30 and 34.9 kg / m2, grade II (mild or moderate obesity) with a BMI between 35 and 39.9 kg / m2 and, finally, grade III obesity (morbid obesity) in which BMI exceeds 40 kg / m2 (FLEGAL et al, 2014; WHO, 2015).
    Conventional treatment for grade III obesity (morbid obesity) has produced unsatisfactory results, with 95% of patients regaining their initial weight in up to two years. The indication for bariatric surgery has thus become more frequent in these cases, due to the low resolution of the conventional clinical approach.
    This research thus proposes to evaluate the perceptual accuracy / inaccuracy, body satisfaction / dissatisfaction and the quality of life of patients who underwent bariatric surgery taking into account the postoperative time to elucidate possible behavioral and perceptual changes involved in this process.
    Objective: To evaluate the perceptual accuracy, body satisfaction and quality of life of patients undergoing bariatric surgery.
    Methods: cross-sectional study carried out with 305 patients from a medium-sized reference clinic in the execution of bariatric surgeries in the Midwest region of Minas Gerais. One scale was used to assess perceptual accuracy and body satisfaction and another to assess quality of life. Descriptive analysis of the data was performed.
    Results: Statistically, the interquatile distance between patients (305) did not show any influence on the variables quality of life, body satisfaction and perceptual accuracy.
    Conclusion: The time of bariatric surgery does not influence the quality of life considered good, the distortion of body image and the dissatisfaction that patients presented in the respective study over a period of 13 years after the procedure.

6
  • PATRÍCIA FARIA OLIVEIRA
  • Construction and Validation of an Instrument for Nursing Home Consultation for Oncology Patients.
  • Leader : PATRICIA PERES DE OLIVEIRA
  • MEMBRES DE LA BANQUE :
  • PATRICIA PERES DE OLIVEIRA
  • QUENIA CAMILLE SOARES MARTINS
  • THALYTA CRISTINA MANSANO SCHLOSSER
  • Data: 30 juin 2021


  • Afficher le Résumé
  • OLIVEIRA, P. F. Construction and Validation of an Instrument for Nursing Home
    Consultation for Oncology Patients. 2021. 108 p. Thesis (Master of Science) –
    Postgraduate Program Master's Degree in Nursing, Universidade Federal de São João
    del-Rei, São João del-Rei, Divinópolis, Minas Gerais, Brazil, 2018.
     
    ABSTRACT
    Introduction: The growing incidence of cancer in recent years shows the need for
    preventive and control actions, which currently become public health challenges. The
    treatment of this disease is complex, multidisciplinary and depends essentially on the
    clinical staging, the pathological characteristics of the tumor and predictive and
    prognostic factors. Thus, the provision of nursing care is essential, which requires the
    nurse's mastery of specific theoretical information and sensitivity to deal with this
    clientele. Objective: This work has as general objective: To develop an instrument for
    home nursing consultation for cancer patients. And as specific objectives: a) Carry out
    a scoping review on nursing consultation during home care for cancer patients; b) Build
    an instrument directing the nursing consultation during home visits to cancer patients
    undergoing cancer treatment and c) Validate the instrument for nursing consultations
    with cancer patients. Method: methodological study, with a quantitative approach, for
    the construction and validation of the content of a data collection instrument during the
    nursing consultation with people with malignant neoplasm undergoing treatment in the
    home context. The methodological course of this study was carried out in the following
    stages: Step 1 - Scoping review, in search of the level of scientific evidence; Step 2 -
    Construction of the Instrument, based on Callista Roy's theoretical framework; Step 3
    - Content and appearance validation using the Delphi technique in two rounds (Delphi
    I [12 judges] and Delphi II [09 judges]) and those items with Content Validation
    Coefficient (CVC) were considered valid greater than 0.80 and consensus of more than
    80.0% in the Delphi technique. Data were analyzed using descriptive and inferential
    statistics (Binominal test). The study was submitted to the Research Ethics Committee
    of the Federal University of São João del-Rei and approved under Opinion nº
    2.010.532. Results: All items registered in the instrument reached agreement between
    judges above 80.0%, as well as all items reached statistically significant levels of
    assessment. At the end of Delphi II, the instrument was expressively valid conteudo
    (CVC=1,0) e aparência (CVC=0,99). Conclusion: The instrument constructed, based
    on scientific evidence, represents a guide for the nursing process, contributing to the
    Systematization of Nursing Care and excellence in the care provided to cancer patients
    at home, having a positive impact on their treatment.
7
  • LUANA FURTADO BUENO
  • Medical device-related pressure injury in hemodynamically unstable patients: prospective cohort study.
  • Leader : JULIANO TEIXEIRA MORAES
  • MEMBRES DE LA BANQUE :
  • DANIEL NOGUEIRA CORTEZ
  • ELINE LIMA BORGES
  • JULIANO TEIXEIRA MORAES
  • Data: 12 juil. 2021


  • Afficher le Résumé
  • Bueno LF. Medical device-related pressure injury in hemodynamically unstable patients:
    prospective cohort study. 2021. 87p. Dissertation (Master in Sciences) – Programa de Pós
    Graduação em Enfermagem, Universidade Federal de São João del-Rei, Divinópolis, 2021.
    ABSTRACT
    Introduction: Medical device-related pressure injuries (MDRPI) is a preventable adverse
    event, with higher occurrence in intensive care units (ICUs). Objective: To determine the
    incidence of MDRPI in critically ill and hemodynamically unstable patients. Method:
    Prospective cohort study that considered as outcome the presence of MDRPI. The study
    involved 77 participants followed daily until discharge, death, transfer or lesion development.
    Patients were evaluated in their sociodemographic and clinical information, risk of PI through
    the Braden scale and the head-to-toe skin examination. All patients had a Therapeutic
    Intervention Scoring System-28 (TISS-28) rating of III or IV. Data were tabulated in Excel and
    analyzed with Statistical Package for the Social Sciences software, version 23.0. The incidence
    rate was calculated. Results: This research identified that the sample was composed of 54
    (70.1%) men and 23 (29.9%) women. The mean age was 59.8 years. There was a statistically
    significant association between the presence of MDRPI and level of consciousness. The
    association of Braden scale assessment with injury prevention was statistically positive and
    assists in injury prevention. Regarding the risk factors and development of the lesions, the
    presence of infection (p = 0.007) and edema (p = 0.001) were configured as significant
    conditions with a higher risk of developing MDRPI. There was an association for the
    development of MDRPI in enteric tubes and/or gastric tubes, nasal catheter for oxygen therapy
    and laces for fixing ventilatory devices. Conclusion: The incidence rate found was higher than
    in other studies. The associated risk factors were using enteric or gastric tube, nasal catheter,
    laces, having infection, edema and stuporous/comatose level of consciousness.
8
  • DÉBORA FERREIRA PIO
  • Prevalence of Medical Adhesive-Related Skin Injuries in Brazilian hospitals: a multicenter study
  • Leader : JULIANO TEIXEIRA MORAES
  • MEMBRES DE LA BANQUE :
  • PAULA CRISTINA NOGUEIRA
  • ALBA OTONI COLLARES
  • JULIANO TEIXEIRA MORAES
  • Data: 14 juil. 2021


  • Afficher le Résumé
  • PIO, DF. Prevalence of Medical Adhesive-Related Skin Injuries in Brazilian hospitals: a
    multicenter study. 2021. 108 p. Dissertação (Mestrado em Ciências) – Programa de Pós
    graduação em Enfermagem, Universidade Federal de São João del-Rei, Divinópolis, 2021.
    ABSTRACT
    Introduction: "Medical Adhesive-Related Skin Injuries" (MARSI) is defined as an
    occurrence in which erythema and/or other manifestation of skin abnormality such as vesicle,
    blister, erosion and rupture persists for more than 30 minutes after removal of the adhesive. It
    is also believed that the prevalence of MARSI in Brazilian hospitals is high. Objective: To
    determine the prevalence of MARSI and its associated factors in patients admitted to adult
    intensive care units of Brazilian hospitals. Method: This is an observational, cross-sectional
    and multicenter study involving four research centers, which are large hospitals, reference for
    public and/or private care, equipped with an adult intensive care unit, distributed in three
    Brazilian states . The population consisted of adults admitted to intensive care units in
    hospitals. Data collection took place in a single day. The sample consisted of 108 patients.
    Data were collected through an elaborate instrument, in order to enable the recording of socio
    clinical information, skin inspection, and investigation of adhesives. Data were analyzed
    using descriptive statistics with measures of central tendency (mean, median) and dispersion
    (standard deviation), using the IBM® SPSS software, version 21.0. For the comparative
    analysis, association tests were performed. A 5% significance level (p <0.05) was considered
    for the statistical analysis and correlations of variables. The prevalence was determined
    considering the number of MARSI observed. Results: Of the 108 patients, 33 cases of
    MARSI were identified, representing a MARSI prevalence of 25.9%, in which 39.4% had a
    maceration-type lesion and 24.2% had an irritative contact dermatitis lesion (dermatitis).
    There is a significant association between developing MARSI and subjective assessment of
    nutritional status (p = 0.032), fixation of peripheral venous access (p = 0.030) and, the greater
    the number of patches used, the greater the chance of developing the lesion (p = 0.001).
    Conclusion: The prevalence of MARSI was 25.9%, with a greater occurrence in the
    maceration subtype and association with the subjective assessment of nutritional status and
    fixation of the peripheral venous access, showing that the greater the number of adhesives
    used, the greater the chance to develop the lesion. The study contributed to the knowledge of
    the epidemiological behavior of the MARSI in patients hospitalized in intensive care units,
    favoring improvements in the quality of care and subsidies for institutional protocols.
9
  • MATHEUS ADRIANO DIVINO PEREIRA
  • Spatial analysis of vaccination coverage in children under one year of age in Minas Gerais, Brazil
  • Leader : ELIETE ALBANO DE AZEVEDO GUIMARAES
  • MEMBRES DE LA BANQUE :
  • ELIETE ALBANO DE AZEVEDO GUIMARAES
  • MARIA DEL PILAR SERRANO GALLARDO
  • RAYSSA NOGUEIRA RODRIGUES MACHADO
  • VALERIA CONCEICAO DE OLIVEIRA
  • Data: 20 juil. 2021


  • Afficher le Résumé
  • PEREIRA, MAD. Spatial analysis of vaccination coverage in children under one year of
    age in Minas Gerais, Brazil. 2021. 81p. Dissertação (Mestrado em Enfermagem) –
    Universidade Federal de São João del-Rei, São João del-Rei, 2021.
    ABSTRACT
    Introduction: The decline in immunization is heterogeneous among Brazilian municipalities
    and may reflect socioeconomic inequalities and inequalities in access/performance of health
    services. The high abandonment of vaccines and the drop in childhood vaccination coverage
    and its consequences justify investigations to better understand the factors involved, consistent
    with the characteristics of the locations. Objective: To analyze immunization coverage in
    children under one year of age and territories at risk in the State of Minas Gerais, Brazil, in
    2018. Method: Ecological study that considered data from 853 municipalities in the State of
    Minas Gerais, Brazil. The Pentavalent, Polio, Meningococcal C, Yellow Fever, Rotavirus and
    Pneumococcal 10-valent conjugate vaccines applied in 2018 were considered. The spatial
    analysis technique called spatial scan was used to locate clusters, identifying areas with greater
    or lesser propensity to have its population vaccinated. To analyze the spatial distribution of
    vaccination and the similarity between municipalities in relation to its coverage, the Moran
    Global Univariate Index was performed and, to identify the correlated factors, the Moran
    Bivariate analysis was conducted. These analyzes were conducted using Geoda 1.12 software.
    Spatial clusters and their respective indicators were estimated using the SatScan 9.8 software.
    Thematic maps containing the spatial scan findings were also constructed, with the aid of
    ArcGIS 10.8 software. Results: Adequate vaccination coverage in children under one year of
    age was low and diversified among the municipalities in the state's macro-regions. Clusters with
    a low propensity for the vaccinated population were identified in all vaccines. In general, there
    is a noticeable polarization between the clusters that are less likely to be vaccinated, which are
    basically concentrated in the North, Northeast, East, Jequitinhonha and Vale do Aço macro
    regions, and those that showed the greatest propensity for the vaccinated population, present in
    the macro-regions North and South Triangle. Socioeconomic and service supply factors were
    correlated with vaccination coverage. Conclusion: The results will be useful to design
    interventions regarding the structuring of immunization services and implementation of
    management actions by regional technical references, to increase vaccination coverage in
    clusters that are less likely to be vaccinated.
10
  • PAULO HENRIQUE ALVES DE SOUSA
  • Factors Associated with Health-Related Quality of Life in Overweight School Adolescents. 2
  • Leader : MARCIA CHRISTINA CAETANO ROMANO
  • MEMBRES DE LA BANQUE :
  • ALBA OTONI COLLARES
  • ARIENE SILVA DO CARMO
  • MARCIA CHRISTINA CAETANO ROMANO
  • Data: 22 juil. 2021


  • Afficher le Résumé
  • Introduction: Overweight in teenagers is a serious public health problem, worldwide and that
    has several repercussions for this age group, ranging from physical problems, such as chronic
    diseases, to social and psychological problems. International literature has investigated the
    relationship between overweight in adolescents and health-related quality of life (HRQOL),
    but the results are not consensual and research on the subject in Brazil is still incipient.
    Objective: Consists of evaluating factors associated with health-related quality of life in
    overweight adolescents. Method: This is a cross-sectional study, carried out with 87
    elementary school adolescents in a city in the Midwest of Minas Gerais. Data on HRQoL,
    physical activity level, socioeconomic level, food consumption and anthropometric data on
    weight and height were collected. Data were tabulated in the Epidata Program and the
    analysis was performed in the Statistical Package for Social Sciences (SPSS) version 21.0.
    Quality of life outcomes were compared between the overweight and non-overweight groups,
    between genders and between physical activity, using the Mann Whitney test, and the
    comparison between socioeconomic levels was performed using the Kruskal Wallis test .
    Spearman correlations were performed to relate consumption of processed and ultra
    processed foods and quality of life outcome. Multivariate linear regression was performed to
    assess factors associated with HRQoL. The significance level adopted in this work is 5%.
    Results: The prevalence of overweight in the study population was 32.2% and 56.9% of
    adolescents consumed three to five types of processed and/or ultra-processed foods daily. A
    percentage of 17.2% of the participants were classified as sedentary and insufficiently active,
    and participants from social class C 1 had higher medians in the body self-perception domain.
    Higher medians of the emotional state domain were found in female adolescents and those
    who consumed processed and ultra-processed foods. Boys had higher medians in the health
    and physical activity, feelings and friends, and social support domains. Multivariate analysis
    showed that increasing age and body mass index (BMI) were associated with a decrease in
    global HRQoL. Conclusion: The higher the participant's BMI and age, the lower overall
    HRQL scores he has. The results show the importance of improving public policies aimed at
    the quality of life of adolescents, considering gender, socioeconomic status and emphasizing
    measures to prevent excess weight, promote adequate nutrition and physical activity
11
  • ARIANE RODRIGUES GUIMARÃES DE OLIVEIRA
  • Protective factors for adolescent obesity: a systematic review.
  • Leader : ALISSON ARAUJO
  • MEMBRES DE LA BANQUE :
  • ALISSON ARAUJO
  • NAYARA RAGI BALDONI COUTO
  • PATRICIA PINTO BRAGA
  • Data: 11 août 2021


  • Afficher le Résumé
  • OLIVEIRA, A. R. G. Protective factors for adolescent obesity: a systematic review. 2021.
    55 p. Dissertation Defense (Master in Nursing) - Graduate Program in Nursing, Federal
    University of São João del-Rei, Divinópolis, Minas Gerais, 2021.
     
    ABSTRACT
    Introduction: Brazil is going through a nutritional transition – from malnutrition to
    overweight/obesity. Actions are needed to contain the advance of excess weight and the injuries
    resulting from this chronic disease. There are few national studies on the topic of obesity
    prevention in adolescents. Objective: To identify and analyze the scientific literature on
    evidence on protective factors for obesity in adolescents. Method: Systematic literature review
    based on the PECO and PRISMA strategy. The inclusion criteria defined were: articles with
    observational cohort studies; longitudinal, transversal and case-control, which addressed a
    sample aged 10 to 19 years; published in full, in English, Portuguese and Spanish, without a
    chronological cut and which dealt with protective factors for obesity in adolescents. Editorial
    documents, letters, authors' opinions, and qualitative studies were excluded. A search was
    carried out in the following databases: Adolec, CINAHL, LILACS, MedLine/PubMed, Scopus
    and Web of Science. Results: 3459 studies were identified, of which five were included. The
    protective factors found include reduced screen time, behavioral changes (healthy eating
    practices, meal planning, physical activity), high self-esteem, sleep quality and breastfeeding.
    Conclusion: The study reinforces the importance of actions and policies aimed at adolescent
    health, with a focus on healthy lifestyle and nutrition education.
12
  • LUIZA MARIA DOS SANTOS
  • Construction and validation of a bundle for prevention of medical adhesive-related skin injuries in pediatric and neonatal intensive care patients
  • Leader : EDILENE APARECIDA ARAUJO DA SILVEIRA
  • MEMBRES DE LA BANQUE :
  • EDILENE APARECIDA ARAUJO DA SILVEIRA
  • JULIANO TEIXEIRA MORAES
  • PATRICIA PINTO BRAGA
  • RITA DE CÁSSIA DOMANSKY
  • Data: 16 août 2021


  • Afficher le Résumé
  • SANTOS, L. M. Construction and validation of a bundle for prevention of medical
    adhesive-related skin injuries in pediatric and neonatal intensive care patients. 2021.
    117p. Dissertation (Master in Nursing) - Universidade Federal de São João del-Rei,
    Divinópolis, Minas Gerais, Brazil, 2021.
    ABSTRACT
    Pediatric patients and neonates are susceptible to the development of skin lesions due to the
    use of vasoactive drugs, catheters, dehydration monitors, vascular access devices, and
    especially because the stratum corneum is not yet fully formed when in newborns younger
    than 32 weeks of age. It is also known that the use of adhesives in intensive care is common,
    and despite its importance, predisposes the patient to develop lesions caused by its handling.
    This type of injury is called a medical adhesive-related skin injury, and they tend to be
    painful. Therefore, identifying what care is needed to prevent medical adhesive-related skin
    lesion in neonatal and pediatric patients is important for clinical practice. Thus, the objective
    of this research was to perform the construction and validation of a Bundle for prevention of
    medical adhesive-related skin injuries in pediatric and neonatal intensive care patients. This is
    a methodological study developed in three stages. Initially a Scoping review was performed,
    in accordance with the Joanna Briggs Institute and the recommendations of the international
    guide PRISMA-ScR. Subsequently, care statements were constructed that composed bundle
    from the information obtained. Finally, the third stage consisted of validating the content and
    appearance of the Bundle using the Delphi technique. This technique counted with the
    participation of 16 judges specialized in stomal therapy, pediatrics or neonatology and met the
    recommendations of Pasquali (2010). For analysis, the Content Validity Index (CVI) was
    considered. The results from the Scoping Review pointed out that there are no medical
    adhesive-related skin injury prevention measures aimed at pediatric and neonatal patients.
    From this information, 32 care statements were constructed distributed into five categories:
    skin assessment (06 statements), patch selection (03 statements), patch application (08
    patches), patch removal (09 statements), and general care recommendations (06 statements).
    Appearance and content validation took place through two rounds of evaluation with final
    CVI equal to 1.0. The bundle was validated in applicability, objectivity, care, relevance,
    accuracy, variety, modality, typicality, credibility, breadth, and balance.It was concluded that it
    was possible to construct and validate in content and appearance the bundle of prevention ofskin lesion related to medical adhesive enabling its use by health professionals in clinical
    practice
13
  • NAIARA CRISTINA SILVA SIMÕES
  • Construction and validation of an educational video script for the prevention of immunization error.
  • Leader : VALERIA CONCEICAO DE OLIVEIRA
  • MEMBRES DE LA BANQUE :
  • RAYSSA NOGUEIRA RODRIGUES MACHADO
  • SAMUEL BARROS RODRIGUES
  • VALERIA CONCEICAO DE OLIVEIRA
  • Data: 17 août 2021


  • Afficher le Résumé
  • SIMÕES, Naiara Cristina Silva. Construction and validation of an educational video
    script for the prevention of immunization error. 2021.86 p. Dissertação (Mestrado em
    Ciências) – Programa de Pós- graduação em Enfermagem, Universidade Federal de São João
    del-Rei, Divinópolis, 2021.
    ABSTRACT
    Introduction: Immunization errors are characterized as any preventable event that can lead to
    the incorrect use of the immunobiological, which can cause harm to the patient and generate a
    negative impact on the population, coverage rates and jeopardize the control of vaccine
    preventable diseases. Therefore, it is necessary to adopt a professional training strategy, based
    on integrative and participatory teaching-learning models, as well as educational videos for a
    better use of learning. Objectives: Build and validate an orientation video based on a low
    fidelity clinical simulation scenario for the prevention of immunization errors. Method: This
    is a methodological study for the construction and validation of an educational video script for
    the prevention of immunization errors. For the construction and development of the script and
    later the video, three phases were followed: pre-production, production and post-production.
    The pre-production phase was based on three steps: construction of a low-fidelity simulation
    scenario; preparation of the script/storyboard for the video and validation by experts.
    Validation occurs through the Delphi technique, a data analysis was performed using the
    Content Validity Index, to identify the degree of agreement between expert committees.
    Results: The Content Validity Index (CVI) for the items obtained in the categories:
    objectives, content, construction, environment and verbal language was 97%. Conclusion:
    The educational video for the prevention of immunization error was built and validated for
    content by experts with a CVI of 0.97, this being a technological resource that facilitates the
    teaching-learning process that can be used in the training of professionals working in
    vaccination rooms.
14
  • FABRICIA MOREIRA AMORIM AMARAL
  • Psychometric properties of the Brazilian Portuguese version of the ‘Latino Students Patient Safety Questionnaire (LSPSQ)’ in between nursing and medical students.
  • Leader : LUCIANA REGINA FERREIRA PEREIRA DA MATA
  • MEMBRES DE LA BANQUE :
  • KÁTIA SANTANA FREITAS
  • LUCIANA REGINA FERREIRA PEREIRA DA MATA
  • ZENEWTON ANDRE DA SILVA GAMA
  • Data: 18 août 2021


  • Afficher le Résumé
  • AMARAL, F.M.A. Psychometric properties of the Brazilian Portuguese version of the ‘Latino Students Patient Safety Questionnaire (LSPSQ)’ in between nursing and medical students. 2021. 109p. Thesis. (Master degree) – Postgraduate Program Master’s Degree in Nursing, Universidade Federal de São João del-Rei, Divinópolis, 2021
     
    ABSTRACT
     
    Patient safety subject, as part of the training of health professionals, is strongly recommended
    and aims to qualify the care provided and strengthen safety in care. Monitoring the competences
    development about patient safety is one of the strategies that aim to identify knowledge gaps
    on the subject, and to contribute to guide possible adjustments in the training structure and
    scope for these future professionals. For the assessment of these aspects, the use of valid and
    reliable instruments is recommended, however, instruments with these characteristics have not
    been identified in the Brazilian literature. Thus, the aim of the study was to carry out an
    evaluation of the psychometric properties of the Brazilian version of the “Latino Students
    Patient Safety Questionnaire (LSPSQ)”. As it is an instrument aimed at Latino culture, its
    characteristics are expected to be close to the reality of teaching in Brazil. Originally, the
    LSPSQ was developed in Spanish with the purpose of evaluating knowledge and attitudes in
    patient safety among nursing and medical students involved in clinical practice activities. The
    instrument was provided to 218 undergraduate nursing and medical students from eleven public
    universities in Brazil, distributed among the Northeast, Southeast, Midwest and South regions.
    Data were collected between April 2020 and January 2021, through an online questionnaire.
    The evaluation of the validity and reliability of the Brazilian version of the LSPSQ was based
    in the recommendations of the COnsensus‐based Standards for the selection of health
    Measurement INstruments (COSMIN). The construct validity was evaluated based on the
    confirmatory factor analysis and the discriminant validity was also verified. Reliability was
    assessed using McDonald's omega, composite reliability, average variance extracted, and item
    total correlation, which represent measures of internal consistency. The results of the
    confirmatory factor analysis showed that the Brazilian version of the LSPSQ reproduced a five
    factor structure proposed by the original instrument. It was necessary to reduce the measure by
    one item. Excellent Fit Indexes were obtained, and discriminant validity was confirmed.
    Reliability measures was proper in all factors, except: McDonald's omega in one factor (0.68);
    and Average Variance Extracted in two factors (0.41; 0.47). Item-total correlation values were
    greater than 0.50. Thus, the Brazilian version of the LSPSQ was considered a valid and reliable instrument to assess knowledge and attitudes in patient safety, between Brazilian’s nursing and
    medical students.
15
  • ISABELY KAROLINE DA SILVA RIBEIRO
  • Quality of life at work, stress, anxiety and depression in the primary health care nursing team.

  • Leader : RENATA CRISTINA DA PENHA SILVEIRA
  • MEMBRES DE LA BANQUE :
  • MARIA LUCIA DO CARMO CRUZ ROBAZZI
  • RENATA CRISTINA DA PENHA SILVEIRA
  • SANDRA VERÓNICA VALENZUELA SUAZO
  • Data: 18 août 2021


  • Afficher le Résumé
  • RIBEIRO, Isabely Karoline da Silva. Qualidade de vida no trabalho, estresse, ansiedade e depressão na equipe de enfermagem da atenção primária à saúde. 115p. Dissertação (Mestrado em Ciências) - Programa de Pós-graduação em Enfermagem, Universidade Federal de São João del-Rei, Divinópolis, 2021.
     
    ABSTRACT
     
    Introduction: Primary Health Care (PHC) is the set of comprehensive health care actions
    developed both individually and collectively with the objective of producing impacts on the
    people’s autonomy and health situation. Currently, health services reflect the poor working
    conditions that nursing staff experiences, through unhealthy environments, repetitive work,
    work overload, lack of material/human resources and low wages. These inadequate working
    conditions in the PHC health units can generate dissatisfaction with the quality of life at work
    (QoLW) and potentiate the onset of mental illnesses such as stress, anxiety and depression
    Objective: to analyze the QoLW of nursing workers in PHC and its relationship with stress,
    anxiety and depression. Method: this is an observational, cross-sectional, descriptive and
    analytical study, performed between February and April 2021 with 130 nursing workers from
    the PHC network in Divinópolis, Minas Gerais, Brazil. In order to respond to the general
    objective of the study, a questionnaire was used for sociodemographic characterization, labor
    characterization and characterization of nursing workers’ lifestyle habits, a QoLW assessment
    instrument adapted from the Walton model and the Depression, Anxiety and Stress Scale
    (DASS-21). Results: of 130 nursing workers, 83% (102) were female, 56.2% (73) without a
    partner, 70% (91) with children, 68.5% (89) nursing technicians/assistants, 31.5% (41) nurses,
    62.4% (81) worked in traditional PHCU, 37.6% (48) worked in FHS, 77.7% (101) were
    permanent public servants, 47.2% (61) performed 40 hours of work per week, 47.7% (62)
    worked in mixed shifts (morning and afternoon), 26.2% (34) reported having another job; and,
    of these, 73.5% (25) reported that the another job is in nursing. Regarding QoLW, 67% of
    nursing workers are satisfied and 33% are dissatisfied. Still regarding QoLW,
    technicians/assistants differ from nurses in the dimensions of fair and adequate compensation
    (QoLW 1), social integration (QoLW 5) and work and life (QoLW 7), where nurses had better
    results in QoLW 1 and QoLW 5, while technicians/assistants had better results in QoLW 7.
    When analyzing DASS-21, 7,7% have mild depression, 9,2% mild anxiety and 23% mild stress.
    The association of the QoLW scales with the DASS-21 scale indicated that all correlations are
    negative and significant. Thus, the higher the QoLW (in all dimensions), the lower the scores
    in the dimensions of the DASS-21 scale (Depression, Anxiety and Stress). Conclusion: PHC
    nursing workers are satisfied with QoLW and show mild signs and symptoms of depression,
    anxiety and stress. In addition, workers satisfied with QoLW showed lower scores on the
    DASS-21 scale, confirming that satisfaction with QoLW is a protective factor against illness
    due to work-related mental disorders.
16
  • DEBORAH AMARAL DONNINI
  • Trend in the Prevalence of Immunization Errors in the State of Minas Gerais.
  • Leader : VALERIA CONCEICAO DE OLIVEIRA
  • MEMBRES DE LA BANQUE :
  • VALERIA CONCEICAO DE OLIVEIRA
  • ELIETE ALBANO DE AZEVEDO GUIMARAES
  • FERNANDA PENIDO MATOZINHOS
  • Data: 19 août 2021


  • Afficher le Résumé
  • DONNINI, DA.
    Trend in the Prevalence of Immunization Errors in the State of Minas
    Gerais. 2021.
    78p. Dissertação (Mestrado em Ciências) – Programa de Pós
    Graduação em Enfermagem, Universidade Federal de São João Del-Rei, Divinópolis, 2021.
    In Brazil, the National Immunization Program (PNI) is increasingly complex, with an
    increase in the availability of various immunobiologicals, which increases the opportunity for
    immunization errors (EI), and, consequently, can damage the protection against vaccine
    preventable diseases and generate additional costs, especially in cases where revaccination is
    necessary. Objectives: To analyze the trend in the prevalence of immunization error in the
    state of Minas Gerais, Brazil. Method: This is a cross-sectional study, using secondary data
    from the Post-Vaccination Adverse Event Information System of the National Immunization
    Program, from 2015 to 2019. The studied population comprised all individuals who received
    some immunobiological, who suffered some immunization error, and had this error registered
    in the System. The explanatory variables were those on the immunization error notification
    form and the outcome variable was the type of immunization error. Descriptive data analysis
    and calculation of the prevalence rate of immunization error by health macro-region were
    performed. The trend of the prevalence of error in the State in the period from 2020 to 2025
    was projected and analyzed. Results: 3829 notifications were analyzed. Females accounted
    for (58.1%) of the reported cases, the age groups most affected by the error were those under
    4 years of age (58.3%), with a higher proportion among those under 1 year of age (39.1%) .
    The most frequent type of error was administration of vaccines outside the recommended age,
    and errors without AEFI were more prevalent. The prevalence of the immunization error
    showed a very heterogeneous behavior among the macro-regions of the State, despite the data
    pointing to an underreporting of the error. Added to this, there was an increasing trend in
    errors in all macroregions in the period from 2020 to 2025. Conclusion: This study points to
    a worrying scenario of increase in immunization errors that can impact the quality of care
    provided in the vaccination room. In addition to bringing up reflections on nursing practice,
    on the need to adopt preventive measures against immunization errors and on research.
17
  • HELOÍSA MEIRE DE ANDRADE OTTONI
  • Assessment of the prevalence of canine visceral leishmaniasis in the municipality of Estrela do Indaiá, Minas Gerais, Brazil.
  • Leader : GILBERTO FONTES
  • MEMBRES DE LA BANQUE :
  • GILBERTO FONTES
  • FERNANDA MOURA LANZA
  • ELIANA MARIA MAURICIO DA ROCHA
  • JULIA GATTI LADEIA COSTA
  • Data: 19 août 2021


  • Afficher le Résumé
  • OTTONI, H.M.A. Assessment of the prevalence of canine visceral leishmaniasis in the municipality of Estrela do Indaiá, Minas Gerais, Brazil. 2021. 75 p. Dissertation (Masters in Nursing) – Postgraduate Program in Nursing, Federal University of São João del-Rei, Divinópolis, Minas Gerais, Brazil, 2021.
     
    ABSTRACT
     
    Introduction: Human Visceral Leishmaniasis (HVL) is a parasitic disease of vector
    transmission, infectious and systemic in nature and chronic in nature, described in several
    cities in all Brazilian regions. Dogs are the main domestic reservoir of Leishmania infantum
    and infection in these animals precedes the occurrence of human cases. Thus, knowledge of
    the transmission of Canine Visceral Leishmaniasis (CVL) is essential for the control of HVL.
    The municipality of Estrela do Indaiá, in the Central-West region of Minas Gerais, considered
    by the Ministry of Health (MS) as a silent area for CVL, registered the first death from HVL
    in 2018 and, until then, the existence of the CVL in the city. Objectives: Determine the
    existence and prevalence of CVL in the municipality of Estrela do Indaiá. Method: A canine
    serological survey was carried out in the urban and rural areas of the municipality, following
    the norms of the “MS Visceral Leishmaniasis Surveillance and Control Manual”. Dogs with
    L. infantum infection are those seroreactive by two immunological diagnosis techniques,
    Rapid Immunochromatography-TR-DPP® (screening) and Immunoenzymatic Assay-ELISA
    (confirmatory). In the urban area, domiciled dogs were evaluated, with the sample size
    defined based on the municipal canine census, and 50% of the households were evaluated
    alternately, covering all city blocks. In the rural area, the Baú community was evaluated, and
    all the domiciled dogs were analyzed. With the venous blood samples obtained from the dogs,
    the DPP® tests were performed and, from the positive animals, the immunoenzymatic ELISA
    tests (Kits produced by FioCruz) were performed. All “reactive” samples in the two
    techniques and 10% of negative samples were reassessed for quality control at the National
    Reference Laboratory for Leishmaniasis, at the Ezequiel Dias Foundation (FUNED/MG).
    Results: Of 334 samples collected in the urban area, 42 (12.6%) were reagent by the DPP®
    and of these, 34 (10.2%) were confirmed by the ELISA, defining the prevalence of CVL of
    10.2% (95% CI = 7 .4% - 13.9%). Of 31 blood samples collected in the rural area, one (3.2%)
    was reagent by the DPP®, being confirmed by the ELISA, defining the prevalence of CVL in
    the rural community of Baú at 3.2% (95% CI = 0.6 -% - 16.2%). But no municipality in the
    Center-West region of Minas Gerais, even those with notified human deaths, had a prevalence
    of CVL higher than or equal to that verified in this study. Conclusions: Given the high
    prevalence of CVL found, added to death from HVL in the city, further studies on the disease
    and the implementation of control and prevention strategies are needed to prevent deaths and
    expansion of HVL and CVL in Estrela do Indaiá and region.
18
  • DÉBORA CAMPOS SOARES ARAÚJO
  • ACTIONS OF EDUCATIONAL ACTIVITY ABOUT SYPHILIS IN THE KNOWLEDGE OF ADOLESCENTS:

    INTEGRATIVE REVIEW

  • Leader : ALISSON ARAUJO
  • MEMBRES DE LA BANQUE :
  • ALISSON ARAUJO
  • LILIANE DA CONSOLAÇÃO CAMPOS RIBEIRO
  • LUCIANA DE LOURDES QUEIROGA GONTIJO NETTO MAIA
  • VIRGINIA JUNQUEIRA OLIVEIRA
  • Data: 19 août 2021


  • Afficher le Résumé
  • ARAÚJO, Débora Campos Soares. Actions of Education Activity About Syphilis in the
    knowledge of adolescents: Integrativa Review. Dissertation (Master).Divinópolis, Academic
    Master’s Program in Nursing, Federal University of São João del-Rei; 2021.
    ABSTRACT
    Introduction: Syphilis is a curable Sexually Transmitted Infection (STI) unique to humans, which has
    become the target of numerous researches today because it is considered a serious public health problem
    worldwide. Its diagnosis can be made by a quick test. Acquired syphilis was included as a notifiable
    disease in Brazil by the Notifiable Diseases Information System (SINAN) in 2010, and since then an
    absolute growth in the number of cases has been observed, and the greatest increases occurred among
    adolescents and young people from 13 to 29 years old. Adolescence is a period characterized by
    vulnerability and for being a population group that requires new techniques to “promote health”, since
    it is usually during adolescence that the evolution of sexuality occurs, culminating in the initiation of
    sexual practice. The way adolescents express and live their sexuality is influenced by the environment
    in which they live. Objective: To analyze the scientific evidence on syphilis health education
    interventions in adolescents. Method: This is an integrative review performedin the VHL, PubMED,
    Science Direct and Web of Science databases. Results: Initially 1,377 articles were identified, but only
    nine met the eligibility criteria. The literature has shown that educational interventions such as
    conversation circles, games and workshops on contraceptive methods were effective in actively
    questioning the participation of adolescents, as well as an important opportunity forreflection and
    discussion, expanding their field of knowledge on these topics. Educational games were the most
    frequent resource found in the studies and with positive results. It is noteworthy that the schoolis a
    favorable scenario in this dialogue, since, as it is the daily environment of adolescents, where they spend
    most of the day, they feel safe to express their doubts, fears and feelings. Conclusion: There wasa gap
    in primary studies on the subject mainly involved in teenagers. This highlights the real need for the
    development and practical application of health education strategies for the prevention of syphilis in
    adolescence.
19
  • MICHELE MARIANO RODRIGUES
  • Hope, hopelessness and reasons for living in adolescence.
  • Leader : NADJA CRISTIANE LAPPANN BOTTI
  • MEMBRES DE LA BANQUE :
  • AMANDA MÁRCIA DOS SANTOS REINALDO
  • EDUARDO HENRIQUE DE MATOS LIMA
  • NADJA CRISTIANE LAPPANN BOTTI
  • Data: 19 août 2021


  • Afficher le Résumé
  • RODRIGUES, M.M. Hope, hopelessness and reasons for living in adolescence. [Dissertation]. Divinópolis: Postgraduate Program in Nursing at the Federal University of São João del-Rei; 2021.
     
    ABSTRACT
     
    Adolescence is a developmental period that presents higher vulnerability to suicidal
    behavior. Suicide is one of the main causes of death among adolescents aged 15 to 19 in
    both sexes. National rates have shown a gradual increase over the years, especially among
    adolescents aged 16 to 17. This study sought to understand hopelessness, considered a
    strong risk indicator, and the reasons for living in adolescence, an important protective
    factor against suicidal behavior. It also sought to relate the reasons for living in
    adolescence according to the levels of hopelessness based on the adolescents' narratives.
    For this purpose, research with a qualitative approach was carried out, through semi-
    structured interviews, in which the thematic content analysis, proposed by Bardin, was
    used as the analysis framework. A total of forty adolescents aged 15 to 19, students from
    two public schools in the central-western region of Minas Gerais, were interviewed.
    Adolescents related the reasons for living to the expectations of the future and the contexts
    experienced, according to the level of hopelessness. This study showed that the
    strengthening of bonds in the family, school and community environment favors hope
    and positive expectations for the future and minimizes the risk of suicide in adolescence.
20
  • NATALIA MARQUES RESENDE MILAGRE BREZOLINI
  • DENTAL SURGEON AND SUICID BEHAVIOR

  • Leader : NADJA CRISTIANE LAPPANN BOTTI
  • MEMBRES DE LA BANQUE :
  • JOAO LUIZ DE MIRANDA
  • LUCIANA DE LOURDES QUEIROGA GONTIJO NETTO MAIA
  • NADJA CRISTIANE LAPPANN BOTTI
  • Data: 20 août 2021


  • Afficher le Résumé
  • Brezolini, N.M.R.M. The dental surgeon and suicidal behavior [Dissertation]. Divinópolis:
    Programa de Pós-Graduação em Enfermagem da Universidade Federal de São João Del-Rei;
    2021.
    ABSTRACT
    Introduction: Suicide is a complex and universal phenomenon, which can be defined as self-inflicted
    violence, carried out to the end by a person with full knowledge or expectation of putting an end to
    something or a situation. It is a problem for public health and consequently for primary care. The
    dentist, having a bond with his patients, may be the first to witness the signs of suicidal behavior.
    Objective: describe the conduct of dental surgeon in face of suicidal behavior. Methods: This is an
    exploratory descriptive study with a quantitative approach. Data collection took place through a
    Whatsapp group, entitled “Dentistas de Divinópolis”. This group was created on August 7, 2014 and
    has 10 professionals who are group administrators and 256 professionals. The initial contact took
    place through a message sent in private from each member of that group. The message had a brief
    explanation about the project and then a link so they could have access to the consent form, the
    sociodemographic questionnaire (composed of 15 questions in order to characterize the participants as
    well as these characteristics in relation to suicidal behavior) and the Attitudes towards Suicidal
    Behavior Questionnaire (QUACS). Results: 86 dentists participated in this research, but 9 (nine) did
    not answer correctly/completely, thus being disregarded and the analysis was carried out considering
    the answers of 77 professionals. Of the 77 who answered completely, 40 were male (51.9%), 68.8%
    were married or in a stable relationship and 62 (80.5%) declared themselves white. 51 (66.2%) had
    specialization, the majority 83.1% work in the private sector, 39.0% had up to 5 years of training and
    74 (96.1%) had never received a course/ training on the subject. 42 (54.5%) were trained under the
    perspective of the new DCN. The QUACS data reveal that a difference was found between
    single/divorced and married in factor 3 -Right to suicide (p = 0.038). Singles/divorced individuals
    have a higher score indicating that this group has the most moral judgment regarding this issue.
    Conclusions: This work becomes relevant since the QUACS is used for the first time with dental
    surgeons. Another point, that as this is an unprecedented survey at a national level related to suicide
    and the dentist. Dentistry has a training that is still little focused on mental health issues, so it is
    believed that this study will bring a new look to this professional training, as well as a change in the
    look of the context of suicidal behavior.
21
  • TATIANA APARECIDA RODRIGUES
  • Patient safety culture in three hemodialysis services: associated labor and institutional factors in the context of the covid-19 pandemic.
  • Leader : LUCIANA REGINA FERREIRA PEREIRA DA MATA
  • MEMBRES DE LA BANQUE :
  • ALBA OTONI COLLARES
  • HELEN CRISTINY TEODORO COUTO RIBEIRO
  • LUCIANA REGINA FERREIRA PEREIRA DA MATA
  • ZENEWTON ANDRE DA SILVA GAMA
  • Data: 15 sept. 2021


  • Afficher le Résumé
  • Introduction: The high prevalence of adverse events (AE) in hemodialysis (HD), associated
    with the complexity of the treatment, is linked to factors that may be related to care processes,
    as well as to the culture of patient safety (CSP) in institutions. Among the renal replacement
    therapy methods, HD is the most commonly used and, despite advances in safety and efficacy
    processes, patients undergoing this treatment are subject to numerous complications responsible
    for increased morbidity and mortality. Renal impairment in hospitalized patients with SARS
    CoV-2 infection associated with higher hospital mortality and worse clinical outcome brings
    additional concern regarding patient safety (PS) in hemodialysis services. Objective: To assess
    the culture of patient safety in hemodialysis services and associated factors in the context of the
    COVID-19 pandemic. Methods: The design was observational cross-sectional. 134
    questionnaires were sent to professionals from three hemodialysis services of different
    administrations in the state of Minas Gerais, using the Hospital Survey on Patient Safety
    Culture, adapted for Brazil, which measures 12 dimensions of the safety culture. The
    perceptions are described through an overall score (1 to 10) and the percentage of positive
    responses to estimate strengths and weaknesses in each dimension. Results: The response rate
    was 92%. Patient safety was rated as good for 55.7% of respondents. In evaluating the
    dimensions of the safety culture, the public service showed one strength and five weaknesses.
    The private service has no barriers and there is only one in the philanthropic service. The latter
    have five and four dimensions that are facilitators. Priority areas for improvement actions
    should focus on the dimensions “Non-punitive response to errors” and “Personnel sizing”,
    which had lower percentages of positive responses. At the same time, the “Organizational
    Learning / Continuous Improvement” dimension should be highlighted, which received the best
    evaluation. The type of management was associated with a higher percentage of positive
    responses (p < 0.001). Conclusion: Although most professionals classify security as good, the
    strengths in the dimensions of the security culture were noticeable in two dimensions, and were
    more concentrated in the private and philanthropic service. The study allows the identification of weaknesses that should be planned for improvement interventions, especially in the public
    service where there was a concentration of larger fragile areas to be worked on. Interventions
    should consider the type of hospital service management that seems to interfere with the general
    perception of professionals.
22
  • EDUARDO JOSE BRAGA
  • Breastfeeding in the context of the covid-19 pandemic: a scope review
  • Leader : MARCIA CHRISTINA CAETANO ROMANO
  • MEMBRES DE LA BANQUE :
  • FLÁVIO DINIZ CAPANEMA
  • JOEL ALVES LAMOUNIER
  • MARCIA CHRISTINA CAETANO ROMANO
  • Data: 6 déc. 2021


  • Afficher le Résumé
  • BRAGA, E. J. Breastfeeding in the context of the covid-19 pandemic: a scope
    review.
    2021. 61p. Dissertation (Masters in Science) – Postgraduate Program in Nursing,
    Federal
    University of São João del-Rei, Divinópolis. 2021.
    ABSTRACT
    Introduction: breast milk is the ideal food for the child, especially exclusively, in the first six
    months of life and supplemented up to two years of age or more. There are many factors
    hindering the promotion of breastfeeding and, currently, a new challenge is presented: the
    COVID-19 pandemic. Objective: to map the scientific production that favors the promotion
    of breastfeeding in the COVID-19 pandemic. Methods: this is a scoping review with a
    research protocol approved and registered by the Open Science Framework, developed based
    on the international PRISMA-ScR guide and the method proposed by the Joanna Briggs
    Institute. The search was conducted in August 2021 in the following databases: US National
    Library of Medicine (PubMed), Latin American and Caribbean Health Sciences Literature
    (LILACS), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of
    Science and Scopus. Gray literature was also searched on the pages of official child health
    agencies, such as the World Health Organization (WHO), the Pan American Health
    Organization (PAHO), the American Pediatric Association (AAP), the Brazilian Society of
    Pediatrics (SBP) and the Ministry of Health (MS). Data were collected, analyzed and
    synthesized in a narrative way. Results: 2466 publications were surveyed, of which 18 were
    selected. With regard to the qualification of the articles that composed this review, the impact
    factor of journals according to JCR ranged between 0.75 and 11.28, with 77.8% have an
    impact less than five. As for the level of evidence, 38.9% of the articles have evidence 5C,
    38.9% evidence level B, being one 3B, four 4B and two 5B. Two publications were rated 3A.
    As for the selected publications, 50% had samples from Europe, 27.8% from Asia and 22.2%
    with participants from the USA, Australia and Brazil. The studied population was
    predominantly composed of pregnant women, postpartum women and newborns. According
    to study designs, 55.5% were reviews. The remaining 45.5% were divided into cross-sectional
    studies, case series, cohort, laboratory experimental and clinical practice guide. The
    publications point to the low possibility of vertical transmission of COVID-19 or through
    breastfeeding and also demonstrate the incipient amount of scientific evidence on the subject.
    Conclusion: breastfeeding, even in the context of SARS-CoV-2 infection, must be promoted
    and further studies are needed to establish, with significant scientific evidence, the safety of
    breastfeeding in the context of COVID-19.
23
  • Nayara Evangelista
  • The behavioral intention of using the Citizen's Electronic Medical Record.
  • Leader : ELIETE ALBANO DE AZEVEDO GUIMARAES
  • MEMBRES DE LA BANQUE :
  • DARLINTON BARBOSA FERES CARVALHO
  • ELIETE ALBANO DE AZEVEDO GUIMARAES
  • RICARDO BEZERRA CAVALCANTE
  • TARCISIO LAERTE GONTIJO
  • Data: 16 déc. 2021


  • Afficher le Résumé
  • Record. 2021. 101 p. Dissertation (Masters in Science) – Postgraduate Program in Nursing,
    Federal University of São João del-Rei, Divinópolis. 2021.
    ABSTRACT
    Introduction: The PEC implemented in e-SUS APS, since 2013, allows the individualized
    registration of data and assists the entire informational flow of the basic health unit. Studies in
    Brazil indicate that the use of the PEC presents weaknesses and challenges to be overcome with
    regard to structural and organizational issues. Therefore, it is important to identify the factors
    that enhance the acceptance and use of technologies by health professionals, because these
    factors may cause success or failure in its implementation. One of the models that analyze
    technology use behavior is the Unified Theory of Technology Acceptance and Use (UTAUT),
    which is considered the most appropriate technology acceptance model to assess behavioral
    intention and actual behavior to use an information technology. Objective: To analyze the
    behavioral intention to use the Electronic Citizen Record of the e-SUS APS strategy, from the
    perspective of the professionals of the family health and oral health teams. Method: Cross
    sectional study conducted in a Western Health Macro-region of Minas Gerais using the Unified
    Theory of Acceptance and Use of Technology. Data collection involved 139 professionals
    linked to 132 family health strategy teams and 103 oral health teams. To test the research model,
    partial least squares structural equation modeling was applied and the average variance
    extracted, composite reliability and Cronbach's alpha to validate the model. Results: The results
    showed statistically significant association with the following variables: Habit with Behavioral
    Intention to Use (p=0.000), Experience with Expectation of Effort (p=0.007) and Habit
    (p=0.015) Age and Expectation of Performance (p=0.018) with Gender and Expectation of
    Effort (p=0.000). Conclusion: The significant influence of the habitus construct on the
    behavioral intention to use CSP was highlighted. Além disso, identificaram-se grandes avanços
    no que diz respeito à informatização da atenção primária à saúde, porém persistem práticas que
    impedem a utilização de forma qualificada do PEC.
24
  • NAYSIA ALVES FILGUEIRAS
  • ACCEPTANCE OF THE CITIZEN'S ELECTRONIC HANDBOOK IN FAMILY HEALTH TEAMS 

  • Leader : RICARDO BEZERRA CAVALCANTE
  • MEMBRES DE LA BANQUE :
  • RICARDO BEZERRA CAVALCANTE
  • TARCISIO LAERTE GONTIJO
  • FÁBIO DA COSTA CARBOGIM
  • Data: 23 déc. 2021


  • Afficher le Résumé
  • This research aimed to evaluate the use of the PEC by professionals of Primary Health Care
    in the municipality of Virgolândia, Minas Gerais, describing its care features, through a case
    study with a qualitative approach, through Skype interviews with from a semi-structured
    script. With the research, it was possible to verify that, for most of the professionals
    interviewed, the PEC represents a great evolution that contributed significantly to the
    efficiency of the municipal health system, thanks to the improvements arising from its use
    in all the sectors involved. Furthermore, the results resulting from this study present
    knowledge to guide the process of using that system, in addition to identifying the gaps that
    exist, allowing for possible improvements in the system.
2020
Thèses
1
  • ROSILENE APARECIDA COSTA AMARAL
  • BUNDLE FOR PREVENTION AND MANAGEMENT OF COMPLICATIONS RELATED TO NEUTROPENY OF ONCOLOGICAL PATIENTS: methodological study

  • Leader : PATRICIA PERES DE OLIVEIRA
  • MEMBRES DE LA BANQUE :
  • EDILENE APARECIDA ARAUJO DA SILVEIRA
  • KELLI BORGES DOS SANTOS
  • PATRICIA PERES DE OLIVEIRA
  • Data: 14 févr. 2020


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  • AMARAL, R. A. C. Bundle for prevention and management of neutropenia-related complications in cancer patients: methodological study. Dissertation Defense (Master in Nursing) - Federal University of São João del-Rei, Divinópolis-MG, 2020.
    ABSTRACT
    One of the most widely used treatments for cancer is antineoplastic chemotherapy, which is effective, but it can cause numerous side effects. One of the most common is Febrile Neutropenia (NF). The objective was to build a bundle for the prevention and management of the complications of neutropenia in cancer patients. This is a methodological study, with a quantitative approach, for the construction, content validation and evaluation of a care bundle for the prevention and management of neutropenia in cancer patients. The methodological course of this study was carried out in the following steps: Step 1 - Scoping review, seeking the level of scientific evidence; Step 2 - Build the bundle; Step 3 - Validation of content and appearance (will determine the representativeness and suitability of bundle domains, items and guidelines) by the Delphi technique Step 4 - Bundle Evaluation - Pilot Test. For content evaluation, the Delphi technique was applied in two rounds (Delphi I [16 judges] and Delphi II [14 judges]) and those items with Content Validation Coefficient (CVC) greater than 0 were considered valid. 78 and consensus of more than 80.0%. Data were analyzed using descriptive and inferential statistics (binominal test). Results: The scoping review retrieved a total of 7,884 records and maintained 27 studies for the review. The main nursing care were related: risk factors for febrile neutropenia, prevention of infection and neutropenic sepsis, protocols for the use of colony stimulating factors and for the introduction of antibiotic therapy. The built bundle was divided into conducts regarding risk factors, prevention, management, pediatric specific management and the nursing staff. All bundle requirements reached agreement between judges greater than 80.0%, and all items achieved statistically significant assessment levels. At the end of Delphi I and Delphi II, the bundle was expressively valid with CVC = 0.92 and CVC = 0.93, respectively. It was concluded that the content of the bundle demonstrated high credibility and its adoption in health institutions can contribute to the quality of care and professional conduct regarding the prevention and management of complications of neutropenic cancer patients.

2
  • GABRIELA GONÇALVES AMARAL
  • Evaluation of the psychometric properties of the Immunobiological Conservation Assessment Scale.

  • Leader : VALERIA CONCEICAO DE OLIVEIRA
  • MEMBRES DE LA BANQUE :
  • VALERIA CONCEICAO DE OLIVEIRA
  • DANIEL NOGUEIRA CORTEZ
  • FERNANDA PENIDO MATOZINHOS
  • Data: 17 févr. 2020


  • Afficher le Résumé
  • Introdução: O sucesso dos programas nacionais de imunizações se dá em grande parte pela adequada manutenção de altas coberturas vacinais, bem como boas práticas de manutenção da cadeia de frio de conservação de imunobiológicos. A cadeia de frio compreende todo o trajeto que os imunobiológicos, percorre desde sua fabricação até o momento de serem administrados em usuários, sendo necessário um sistema de armazenamento e transporte efetivo a fim de mantê-los nas temperaturas recomendadas, de acordo com a termoestabilidade. Dada a importância da cadeia de frio para o efeito da imunização, é importante a validação de um instrumento que possa mensurar a manutenção dessa cadeia com base nas normas técnicas estipuladas pelo programa nacional de imunizações, principalmente na sala de imunização, que ocupa posição estratégica na cadeia de frio. Objetivo: analisar as qualidades psicométricas da Escala de Avaliação da Conservação de Imunobiológicos (EACI). Métodos: Realizou-se um estudo piloto para verificação da compreensibilidade da EACI. Aplicou-se a EACI aos enfermeiros e ou auxiliares/técnicos de enfermagem atuantes nas respectivas salas. Aferiu-se a consistência interna e a reprodutibilidade temporal, por meio do teste-reteste, para fins de certificar a confiabilidade da EACI, utilizando-se o coeficiente alfa de Cronbach e o coeficiente de correlação intraclasse, respectivamente. A validade de construto foi atestada por meio do teste de hipóteses e da validade estrutural, utilizando o teste de Mann-Whitney para comparação das medianas dos grupos-critérios e análise fatorial exploratória para definição estrutural. Para a definição da interpretabilidade da EACI, a construção do escore considerou-se as pontuações atribuídas para cada resposta dos itens como definido pela EACI. A definição da estratificação do escore baseou-se no consenso entre as pesquisadoras. Resultados: Totalizaram-se 278 salas
    de imunização visitadas. No estudo piloto, foi atestada a compreensão dos itens, bem como a clareza da sua linguagem, não sendo necessária a revisão dos itens. A EACI apresentou-se consistentes internamente (alfa de Cronbach: 0,72 [IC95%: 0,666 a 0,763]) e reprodutível temporalmente (CCI: 0,948 [IC95%: 0,911 a 0,981]), composta por um conjunto de itens capazes de explicar uma proporção da variância de 72% além de apresentar evidências na discriminação dos grupos-critérios (p = 0,0025). O escore obtido pela versão final da EACI representou 15 pontos, estratificado em: 0 ─ 9 pontos (Manutenção da cadeia de frio não adequada para a sala de imunização) e 10 ─ 15 (Manutenção da cadeia de frio adequada para a sala de imunização). Conclusão: A EACI mostrou-se confiável e válida para mensuração da manutenção da cadeia de frio de conservação de imunobiológicos nas salas de imunização, além do mais configura-se como o primeiro instrumento disponível na literatura brasileira e internacional para tal construto, tornando-se potencial para a avaliação da cadeia de frio,
    evidenciando demandas e entraves, permitindo a otimização das atividades relacionadas à conservação de imunobiológicos.
3
  • MATHEUS RAMOS LOPES

  • PREPARING FOR THE CHILD PROCESS: between expectations and experiences

  • Leader : EDILENE APARECIDA ARAUJO DA SILVEIRA
  • MEMBRES DE LA BANQUE :
  • EDILENE APARECIDA ARAUJO DA SILVEIRA
  • PATRICIA PERES DE OLIVEIRA
  • DANÚBIA MARIANE BARBOSA JARDIM DE CARVALHO
  • Data: 17 févr. 2020


  • Afficher le Résumé

  • Introduction:

    Pregnancy is an important moment in a woman's life and several biopsychosocial changes that prepare her for childbirth. Particularly the feelings bring reflections about the parturitive process related to the ability to manage, give birth and care. Given this, thinking about the psychological well-being of the pregnant woman in the last trimester of pregnancy, we ask ourselves what is the view of primiparous women about childbirth? Objective: to understand the experience of women primigravida about childbirth. Methodology: this is a descriptive, exploratory study of qualitative nature with Symbolic Interactionism as its theoretical framework. The data collection through participant observation, semi structured interview before and after delivery and application of bodymapping. All interviews in question were recorded and transcribed in full so that we could understand the experiences of pregnant women at the time of pregnancy, in addition to the expectations and desires of these interviewees in question about the theme Childbirth. The data were analyzed through content analysis proposed by Bardin. Results: 11 women in the pre-delivery and 05 in the group participated in the study. focal and postpartum. For the collection of data from the research in question, interviews were conducted semi-structured in pre-delivery, where women could express their feelings about the that they expected about their birth. Of the women who conducted the interviews, 90.9% they were married and 9.1% were single. Of the five women who answered the semi interviews structured, four had a normal delivery as planned and one underwent a cesarean depending on your baby's pelvic position. In view of the evaluation of data collected in interviews, four (4) discussion categories were identified: Expectations for childbirth / actual childbirth; Factors indicated by the pregnant woman that may help her in the parturition process; Factors indicated by pregnant women that may hinder her in the birth process; Vision about the future. Conclusion: It is evident that childbirth has transformative power with regard to the reframing of paradigms cultural and social aspects, especially with regard to changing the perspective on what really help and hinder. Social interaction with professionals and the social network has significant aspects that assist in coping with childbirth. However, there are other points, the significance of which brings difficulties.

4
  • LÍVIA SILVEIRA SILVA
  • PROFESSIONAL SAFETY AND ETHICAL AND BIOETHICAL PROBLEMS EXPERIENCED

    BY NURSES IN EVERYDAY ATTENTION PRIMARY HEALTH

  • Leader : SELMA MARIA DA FONSECA VIEGAS
  • MEMBRES DE LA BANQUE :
  • SELMA MARIA DA FONSECA VIEGAS
  • PATRICIA PERES DE OLIVEIRA
  • FERNANDA MOURA LANZA
  • ROSANE GONÇALVES NITSCHKE
  • LIVIA COZER MONTENEGRO
  • Data: 18 févr. 2020


  • Afficher le Résumé
  • Objective: to understand professional nurse’s safety in the face of ethical and bioethical
    problems, and experiences in the everyday life of Primary Health Care (PHC) in two Brazilian
    capitals. Method: a Holistic-qualitative Multiple Case Study based on Comprehensive
    Everyday Life Sociology. It contains two cases defined by the settings of two capitals,
    Florianópolis, Santa Catarina (SC) and Belo Horizonte, Minas Gerais (MG), Brazil, whose only
    unit of analysis was “ethical and bioethical problems experienced by nurses in the everyday life
    of PHC”. The sources of evidence were: intensive open individual interview with a semi
    structured script; field notes; Ordinance 2436, of September 21, 2017, in order to analyze daily
    experiences according to the nurse’s duties and the duties common to the team members; the
    Nursing Code of Ethics. Data analysis was based on the Thematic Content Analysis technique,
    following the analytical technique of cross-synthesis of cases. Fifty-four nurses working in PHC
    participated voluntarily in the study, 23 from the city of Florianópolis and 31 from the city of
    Belo Horizonte. Results: three thematic categories emerged: Professional nurse’s safety and
    ethical and bioethical problems experienced in the everyday life of Primary Health Care, which
    has two subcategories: Professional nurse’s safety: experiences in the everyday life of Primary
    Health Care; and Ethics and Bioethics in the everyday life of Primary Health Care: problems
    experienced and coping. The first category reveals the similar ethical and bioethical problems
    between the two researched realities capable of negatively impacting the professional’s safety.
    The second category, Being (bio) ethical in the everyday life of Primary Health Care: nurses’
    notions, contains two subcategories: Being (bio) ethical; and Notions of Ethics and Bioethics.
    The second category includes being a nurse in their daily lives in PHC and the notions of Ethics
    and Bioethics. Finally, the category Being a nurse in the everyday life of Primary Health Care:
    doing, learning and living together has two subcategories: Professional nurse’s performance
    in the everyday life of Primary Health Care; and Being a nurse in the everyday life of Primary
    Health Care. This last category reveals being a nurse before carrying out care, assistance and
    safety of his/her patients and family members. Final considerations: experience and skills,
    care protocols, the use of networks and social media and spaces for discussion and training
    related to Ethics and Bioethics can provide nurses with security in their professional practice.
    The conditions of infrastructure, the availability of material for actions and procedures, the
    organization of work, the environment and the environment are variables capable of providing
    security or insecurity to the professional’s everyday life. Communication, issues regarding to
    confidentiality of information, access to electronic medical records, teamwork, professional inter-relationship and information sharing, work overload, in addition to the everyday life of
    Community Health Agents in the community and with families, social vulnerability are
    potential generators of ethical and bioethical problems. The study presents contributions to the
    nursing and health areas, by identifying the ethical and bioethical problems experienced by
    nurses in the everyday life of PHC and its impact on the safety of this professional. Moreover,
    it offered necessary subsidies to provide professional nurse’s safety in the everyday life of PHC.
5
  • MARCO TÚLIO RESENDE CLEMENTINO
  • BIPOLAR AFFECTIVE DISORDER: FAMILY, PROFESSIONAL OVERLOAD AND SOCIAL COMPETENCE OF PATIENTS

  • Leader : RICHARDSON MIRANDA MACHADO
  • MEMBRES DE LA BANQUE :
  • RICHARDSON MIRANDA MACHADO
  • RONALDO ALVES DUARTE
  • SELMA MARIA DA FONSECA VIEGAS
  • Data: 21 févr. 2020


  • Afficher le Résumé
  • CLEMENTINO, M. T. R. Bipolar affective disorder: family, professional, and social competence of patients. [Thesis]. Divinópolis: Nursing Graduate Program - Academic Master's Degree of the Universidade Federal de São João Del-Rei - 2020.

     

     

    ABSTRACT

    Introduction: Bipolar Affective Disorder (BAD) is a severe and chronic mental illness of late diagnostic, characterized by marked mood swings with episodes of depression alternating with those of euphoria (mania). In general, this mood disorder manifests in both men and women between the ages of 15 and 25 but can also affect children and the elderly. Global data indicate an increase from 32.7 million to 48.8 million (49.1%) in the number of prevalent cases between 1990 and 2013. In Brazil, bipolar disorder has a similar epidemiological profile, with a prevalence of approximately 1 to 4% of the population. This disorder is associated with a risk of suicide 23 times higher than that observed in people without the disease. Bipolar Affective Disorder negatively affects the quality of life and social competence of patients in various areas, especially the economic situation, leisure, and interpersonal relationships. The severity of the disease is also associated with a greater workload for the caregiver, whether family or health care professional. Objective: To evaluate family and professional overload, as well as the social competence of patients with Bipolar Affective Disorder. Methods: A cross-sectional and non-probabilistic study performed with 71 participants from a Psychosocial Care Center III. The sociodemographic data were collected from the patients using three scales: one to assess family overload (Family Burden Interview Schedule FBIS-BR), another to assess professional overload (IMPACTO-BR Scale), and one to evaluate the patients’ overload social competence (A Social Behaviour Schedule - SBS-BR). The descriptive analysis was performed by measures of absolute and relative frequency distribution and central tendency. Results: The sociodemographic characterization showed a predominance of female patients (67.7%) between 41 and 50 years of age (32.3%), who were single (41.9%), with incomplete primary education (54.8%), and with no work (87.1%). The objective overload had a global score of 3.44 ± 0.25. Subscale A, which evaluates the patient assistance by the family in daily life, presented the highest average objective overload score (3.69 ± 0.80). The overall score of the subjective scale was 3.69 ± 0.42. Subscale E, which considers the concern of family members concern with the patient, obtained the highest mean subjective overload score (4.18 ± 0.63). The highest rate of professional overload was related to the emotional repercussions of work (1.93 ± 0.41) and the global score was 1.59 ± 0.36. The study patients had greater difficulties that could compromise their social competence in the areas of social interaction: proportion of social contacts that are by nature hostile (96.8%), social interaction: flashy behavior (96.8%), and laughing and speaking alone (90.3%). Conclusion: We demonstrated the importance of assessing family and professional overload, as well as the social competence of patients to produce knowledge that can provide greater effectiveness of Mental Health Services, minimizing the suffering of patients and family members and maximizing the practices of professionals working in the service, as well as their working conditions. 

6
  • DANIELA SOUSA GOMES
  • DIFFUSION OF THE CITIZEN'S ELECTRONIC PRONOUNCE (PEC) OF THE e-SUS STRATEGY BASIC ATTENTION (e-SUS AB)

  • Leader : RICARDO BEZERRA CAVALCANTE
  • MEMBRES DE LA BANQUE :
  • FÁBIO DA COSTA CARBOGIM
  • RICARDO BEZERRA CAVALCANTE
  • RICHARDSON MIRANDA MACHADO
  • Data: 21 févr. 2020


  • Afficher le Résumé
  • GOMES, D. S. Dissemination of the Electronic Citizen's Record (PEC) of the e-SUS Basic Care Strategy (e-SUS AB). 2020. 155p. Master's Dissertation - Federal University of São João Del-Rei, São João Del-Rei, 2020.

    ABSTRACT
    Study of qualitative approach that sought to analyze the process of Dissemination of the Electronic Record of Citizens in Family Health Teams. The Theory of Diffusion of Innovation was used as the theoretical framework and the case study as the methodological framework. The information was collected from November / 2018 to March / 2019 through an open questionnaire, elaborated from the theoretical lens used in the study and direct observations of the professionals' daily work. 17 professionals from the family health teams were interviewed. The data were analyzed using Content Analysis Thematic-Categorial modality. The attributes relative advantage and observability, potentiated the acceptance of the PEC based on the perception of its contributions related to the organization and management of information, integration of patient information in the care network and among professionals, and better monitoring of patients, being recognized as indispensable to the job. Despite the PEC being recognized as compatible with the reality of PHC, some weaknesses were pointed out and need to be overcome. Such weaknesses have contributed to develop in professionals the perception that innovation is complex, arousing resistance and possibilities for rejection. The communication channels element enhanced the dissemination of the PEC, facilitating the exchange of information on this innovation. The professionals' personal characteristics also influenced the PEC dissemination process. It was observed that there was not enough time for experimentation so that professionals could better understand the PEC. This innovation was implemented in a sudden, mandatory and authoritarian way.

7
  • RAFAELLA CRISTINA SOUSA SANTANA
  • STUDY OF EVALUATION OF THE ELECTRONIC PRONTIARY OF THE CITIZEN OF THE E-SUS STRATEGY BASIC ATTENTION

  • Leader : TARCISIO LAERTE GONTIJO
  • MEMBRES DE LA BANQUE :
  • ELIETE ALBANO DE AZEVEDO GUIMARAES
  • MARIA DEL PILAR SERRANO GALLARDO
  • RICARDO BEZERRA CAVALCANTE
  • Data: 18 mars 2020


  • Afficher le Résumé
  • ABSTRACT
    SANTANA, R.C.S. Evaluation of the Electronic Health Record of the Citizen of the e-SUS Primary Care strategy. 2019. 126 p. Dissertation (Master of Science) - Federal University of São João del-Rei, Divinópolis, 2019.
    Introduction: The Ministry of Health (MS) has been implementing since 2013 a new Health Information System for Primary Care called SISAB. The implementation of SISAB takes place through the strategy of the Department of Primary Care of the Ministry of Health (DAB / MS), called e-SUS Primary Care (e-SUS AB). Among the various activities involved in the e-SUS AB strategy, we highlight the implementation of two software systems that instrumentalize data collection to be inserted in SISAB, namely: a) Simplified Data Collection (CDS) and b) Electronic Health Record Citizen (PEC). PEC has been adopted as the main software for feeding SISAB. This new set of software systems has the central objective of supporting the computerization process of Basic Health Units, allowing interoperability with other Primary Care systems. Given that the PEC is in the implementation phase and its importance for the AB computerization process in the national territory, it is necessary to develop evaluative processes for this system. However, it is necessary initially to develop an evaluation study of this system to verify the feasibility of carrying out systematic evaluations of it. Objective: To carry out an Evaluation Study (EA) of the Electronic Health Record of the e-SUS Basic Care strategy (PEC e-SUS AB). Method: This is an exploratory study with a qualitative approach, based on the system of the seven elements proposed by Thurston and Ramaliu. Results: From documents and scientific productions, it was possible to better understand the operationalization and functionalities of the PEC. The theoretical / logical model configured the organization of the PEC visually and systematically with details of the inputs, activities, products and expected effects. Evaluation questions were established to evaluate the software, which were systematized in the elaboration of the measurement matrix. Conclusions: It is concluded that the PEC is evaluable and presented a favorable scenario for its development. The realization of this study proved to be an important strategy for planning subsequent evaluations.

8
  • ISABELLA DUARTE BRANQUINHO
  • ASSESSMENT OF ATTRIBUTES OF PRIMARY CARE IN CHILDREN'S HEALTH: A CAREER'S USER'S VIEW

  • Leader : FERNANDA MOURA LANZA
  • MEMBRES DE LA BANQUE :
  • FERNANDA MOURA LANZA
  • SELMA MARIA DA FONSECA VIEGAS
  • SIMONE ALBINO DA SILVA
  • Data: 30 avr. 2020


  • Afficher le Résumé
  • ISABELLA, D B. Evaluation of the attributes of primary care in children’s health: view of the caregiver user. [Dissertação]. Divinópolis: Programa de Pós-Graduação Acadêmico em Enfermagem da Universidade Federal de São João Del-Rei; 2020. ABSTRACT Introduction: the child’s health, historically, is a priority theme in Brazilian health policies, which resulted in considerable advances in health indicators for this area. Nevertheless, challenges persist in this area, which led to the creation of the National Policy for Comprehensive Child Health Care (PNAISC) in 2015. This policy has as its basic premise the Primary Health Care (PHC) as coordinator of the maternal, neonatal and infant health care network. Many evidences show that PHC has a strong impact on child health indicators. However, for PNAISC to be effective, it must be ordered according to the attributes of PHC. Method: an evaluative study was conducted, with a cross-sectional design, in 29 teams of the Family Health Strategy (FHS) located in the urban area of a medium-sized municipality in the interior of Minas Gerais. All persons over the age of 18, primary caregivers of children under the age of 23 months and 29 days, defined by those who continuously care for the child, were invited to participate in the study. We approached the people who attended the health unit for care, scheduled or other demand, on the days and times when the team of researchers was present in the respective unit; who had minimum understanding conditions to answer the questionnaires and who had already been with the child for care at the FHS unit at least once. Data collection took place in the months of April to December 2019 through the application of the Primary Care Assesment Tool - Pcatool-Brasil- Child Version and a complementary questionnaire to characterize the sociodemographic aspects of caregivers and children aged 0 to 2 years, in addition to clinical information concerning the child. The treatment and descriptive analysis of the data was performed in the software Statistical Package for the Social Sciences version 23. This study followed the ethical recommendations of the National Health Council and was approved by the Ethics Committee on Research Involving Human Beings under Opinion 3,090,646. Results: 389 people responsible for the care of children aged 0 to 2 years participated in the study, of whom 339 (79.1%) had affiliation with the PHC service. Regarding the participants with affiliation with the FHS team (n=339), 54% reported a degree of affiliation 4 (high degree of affiliation); 87.3% were mothers of children; 49% had between nine and 11 years of study and 73.2% reported the team nurse as a professional to whom they were linked. Among the participating children, 97% were registered in the unit where the interview was conducted. The results of the performance of FHS teams in child health care refer only to participants who had affiliation with the PHC service. According to the experience of the study participants, the general (score=7.0) and essential (score=7.2) scores showed high orientation for PHC (score obtained was above or equal to 6.6), as well as the first contact-use access attributes (score=7.7); longitudinality (score=6.7); coordination-integration of care (score=6.8); coordination - information systems (score=8.1); integrality-services provided (score=7.8) and family orientation (score=6.9). The attributes access first contact - accessibility (score=6.2), integrality-available services (score=5.9) and community orientation (score=5.8) showed low performance. Conclusions: child health care within the FHS, in the municipality studied, is highly oriented to PHC, since the general and essential score presented a score of 6.6. However, the frailty found in the derived score points to the need for investments to qualify care for children, families and communities, a capillary characteristic of the FHS. The study pointed out a strong recommendation for the training of nurses, with skills and attitudes to promote care directed to the health needs of the population, with special attention to early childhood, that is able to contribute to the implementation of the principles
    of the Unified Health System, PHC guidelines and strengthening of the FHS. Finally, new studies that evaluate the performance of PHC in other contexts, such as users of rural teams and traditional units, and also, under the vision of health professionals and managers.

9
  • MATEUS OLIVEIRA MARCELINO
  • AVALIAÇÃO DO GRAU DE ADEQUAÇÃO DAS BOAS PRÁTICAS NA ATENÇÃO AO PARTO E NASCIMENTO EM MATERNIDADES DA REDE CEGONHA EM MINAS GERAIS

  • Leader : MARCIA CHRISTINA CAETANO ROMANO
  • MEMBRES DE LA BANQUE :
  • TORCATA AMORIM
  • JULIANO TEIXEIRA MORAES
  • VALERIA CONCEICAO DE OLIVEIRA
  • Data: 17 juil. 2020


  • Afficher le Résumé
  • RESUMO
    Introdução: Nas últimas décadas, o Brasil apresentou avanços importantes para a qualidade de vida da saúde das mulheres e crianças. No entanto, ainda persistem inúmeros desafios para se garantir condições seguras de nascimento e eliminar a mortalidade materna e neonatal evitáveis no país. Neste cenário, em 2011, o Ministério da Saúde cria a Rede Cegonha (RC), uma rede de cuidados que assume o compromisso de garantir à mulher e à criança o direito à atenção humanizada ao pré-natal, parto e puerpério e o crescimento e desenvolvimento saudável de seus filhos seguindo os princípios do Sistema Único de Saúde e de práticas baseadas em evidências científicas recomendadas pela Organização Mundial da Saúde (OMS). Objetivo: Avaliar o grau de adequação das Boas Práticas na Atenção ao Parto e Nascimento em maternidades da Rede Cegonha no estado de Minas Gerais. Método: Estudo transversal, que avaliou 44 maternidades pertencentes às cinco macrorregiões de saúde prioritárias de Minas Gerais, escolhidas inicialmente para compor o processo de adesão à Rede Cegonha: Centro, Norte, Leste, Nordeste e Jequitinhonha. A coleta de dados se deu por meio de análise de documentos, observação direta e questionários estruturados. Participaram da pesquisa gestores, trabalhadores e puérperas. Para a estimativa do grau de adequação, foi utilizada uma matriz de análise e julgamento, com três componentes e vinte e cinco critérios referentes à diretriz “Boas Práticas na Atenção ao Parto e Nascimento” da RC. O grau de adequação foi definido, por meio de um sistema de escores, com pesos diferenciados para cada critério, arbitrados por especialistas. Resultados: o grau de adequação das boas práticas foi classificado como não adequado em 61,4% das maternidades e parcialmente adequado em 38,6%. O componente direito ao acompanhante de livre escolha foi responsável pelo maior grau de adequação entre as maternidades, seguido pelo componente boas práticas na atenção à mulher e redução de intervenções desnecessárias. O componente pior avaliado foi o de boas práticas na atenção ao recém-nascido. Conclusão: os resultados mostram baixa adequação das boas práticas na atenção ao parto e nascimento e a avaliação em saúde pode ser um instrumento de orientação no monitoramento da assistência nas maternidades.

10
  • LEANDRO MARTINS COSTA DE ARAUJO
  • FOLLOW-UP ON MENTAL HEALTH IN THE PERSPECTIVE OF YOUNG PEOPLE FROM DIVINÓPOLIS / MINAS GERAIS

  • Leader : NADJA CRISTIANE LAPPANN BOTTI
  • MEMBRES DE LA BANQUE :
  • ALISSON ARAUJO
  • AMANDA MÁRCIA DOS SANTOS REINALDO
  • NADJA CRISTIANE LAPPANN BOTTI
  • Data: 28 août 2020


  • Afficher le Résumé
  • ARAÚJO, L.M.C. Mental health monitoring from the perspective of young people in Divinópolis / Minas Gerais. Thesis (Master's degree). Divinópolis: Academic Master's Program in Nursing, Federal University of São João del-Rei; 2020.


    ABSTRACT

    INTRODUCTION: According to the World Health Organization (WHO), more than 400 million people worldwide and 23 million in Brazil, suffer some type of mental disorder. Mental disorders are present in all social classes and stages of life. The Childhood and Adolescence phases suffer from inadequate and fragile policies regarding mental health. To date, the municipality of Divinópolis / Minas Gerais does not have a public service in the locality for the psychiatric treatment of children and adolescents. This treatment has been taking place in the form of Treatment Outside the Home (TFD) in a state reference center that is 120 kilometers away in the capital of Minas Gerais. OBJECTIVE: To analyze the monitoring of children and adolescents' mental health in patients from Divinópolis at a state reference center in Belo Horizonte, Minas Gerais. METHOD: A quantitative and qualitative research was carried out. In the quantitative part, a descriptive study was carried out on the profile of the divinopolitan children and youth clientele served at this reference center. A list of users who were referred and served in the period from 2009 to 2019 was used. The data were organized with the aid of the Microsoft® Office Excel® 2010 program and variables such as sex, age, health region and basic unit to which they were referred were analyzed. In the qualitative part, semi-structured interviews were developed about the experiences in psychiatric treatment during adolescence from the perspective of 05 young people between 19 and 24 years of age. The interviews recorded in audio were transcribed and the material reached was submitted to Discourse Analysis. The results were organized into the following categories: a) Perception about yourself; b) Relationship with others; and c) Psychiatric treatment. RESULTS: Of the 407 patients seen in the period, 287 (70.5%) were male, 65 (16.0%) were under 12 years old, 198 (48.65%) were between 12 and 18 years old and 144 (35, 4%) between 19 and 28 years. The overall average was 11 trips per user, being higher in males at all ages. The number of referrals from the Family Health Strategy and Health Center were, respectively: in children under 12 years old 7.2% and 7.9%, between 12 to 18 years old with 22.1% for both, and between 19 and 28 years, 18.9% and 12.5%. In the group of children under 18 years old, 11.8% were seen at the adult mental health service in Divinópolis. By health regions, a heterogeneous spatial distribution was observed, but that coincides with the largest number of patients treated with the lowest per capita income. The results of the qualitative study allowed us to reflect on the assistance that the adolescent with some type of disorder received. The themes that emerged point to a lack of structure, both in the municipal health system, and in the family that can assist these adolescents in their needs. Through the speeches, this assistance ends up stigmatizing these people even more. All of these are in contrast to what is expected from the advances achieved with years of evolution in matters of assistance to mental disorders. CONCLUSIONS: From the profile, it can be noted that municipal mental health for children and adolescents needs urgent local public policies (for prevention and treatment) taking into account that: the male gender relationship should be better addressed in referrals and psychiatric treatments; the expressive number of users living in regions with low socioeconomic status; having a pediatrician and community health agent in the primary care team seems to contribute to the suspicion and identification of mental disorders in these stages of life. The psychiatric treatment received in adolescence needs better and adequate support so that it truly integrates the adolescent, the family, health professionals and the entire mental health care network.

2019
Thèses
1
  • EMILY CAROLINE CARDOSO BATISTA
  • Post-vaccination adverse events: a cohort study


  • Leader : ELIETE ALBANO DE AZEVEDO GUIMARAES
  • MEMBRES DE LA BANQUE :
  • DANIEL NOGUEIRA CORTEZ
  • ELIETE ALBANO DE AZEVEDO GUIMARAES
  • LÚCIA HELENA LINHEIRA BISETTO
  • Data: 7 févr. 2019


  • Afficher le Résumé
  • Post-vaccination adverse events: a cohort study


2
  • FLÁVIA PRADO ROCHA
  • THE HUMAN AND NON-HUMAN ACTORS’NETWORK IN THE USE OF ARTIFICIAL PANCREAS BY DIABETICS
  • Leader : RICARDO BEZERRA CAVALCANTE
  • MEMBRES DE LA BANQUE :
  • LEANDRO DE MORAIS CARDOSO
  • RICARDO BEZERRA CAVALCANTE
  • RICHARDSON MIRANDA MACHADO
  • Data: 21 nov. 2019


  • Afficher le Résumé
  • ABSTRACT
     
     
    Study in qualitative approach, using the Actor-Network Theory (ART) as the theoretical
    reference and the Controversies Cartography as the methodological reference. It was sought to
    describe the network of human and non-human actors in the use of artificial pancreas (AP) by
    diabetics. The scenario was defined as a medium-sized municipality in western Minas Gerais,
    where we conducted open interviews and observations with AP user patients, family
    members, a lawyer and health professionals involved. Documents and other materials that
    emerged from the field following the actors through the network were collected. The
    description was made from the facts and on goings narrative, following the propositions
    defined by the theoretical and methodological reference. We have verified a humans and
    nonhumans network influencers of the technology´s usage. Innovation itself is an actant
    effects emitter on networked interactions. The empowerment of humans involved with
    technology has emerged as a challenge when it comes to strengthen the network of supporters
    (professionals, family and friends). Because there is no public policy on technology access,
    judicialization has been recognized as a mandatory convergence point. Furthermore, we
    notice the innovation recognition as an effects emitter actant on the body itself, transforming
    it and cyborging it. We conclude that the AP usage network is hybrid, woven from the effects
    emission between humans and non-humans. Such conformation must be considered viewing
    the technological innovation improvement itself and its repercussions on the network and on
    its users’ body.
3
  • ANTÔNIO SÁVIO DE MACEDO
  • THE NETWORK OF HUMAN AND NON-HUMAN ACTORS IN THE IMPLEMENTATION OF AN ELECTRONIC PRONOUNCE

  • Leader : RICARDO BEZERRA CAVALCANTE
  • MEMBRES DE LA BANQUE :
  • HUMBERTO FERREIRA DE OLIVEIRA QUITES
  • LARISSA DE FREITAS BONOMO
  • RICARDO BEZERRA CAVALCANTE
  • RICHARDSON MIRANDA MACHADO
  • Data: 25 nov. 2019


  • Afficher le Résumé
  • Macedo, A. S. The network of human and non-human actors in the implementation of an electronic health record. 2019. 115p. Dissertation (Master of Nursing) - Federal University of São João del-Rei, Divinópolis, 2019.

    ABSTRACT

    A description of the network of human and non-human actors involved in the implementation of an electronic health record in Primary Health Care is the objective of this research, a qualitative approach study. The Actor-Network Theory (ANT) was used as the theoretical framework, and the Cartography of Controversies was used as the methodological framework of this investigation. Data collection consisted of the conducting of audio-recorded interviews and participant observation, based on semi-structured scripts on the daily work of professionals involved with the implementation of an Electronic Health Record in a city in the western region of the State of Minas Gerais. At first, the initial spokespersons were identified and accompanied, and the network was mapped from their interactions with other actors. Both the track of other actors emerging on the network and their established associations were followed. Besides, the registration devices that made it possible to embody the network were cataloged. The research proceeded with field diary records and observation notes from September 2018 to May 2019. The description was made from the narrative of facts and events, following the propositions defined by the theoretical and methodological framework. It was verified that the patient´s electronic health record is a tool which contributes to the care management process; it is a tool of great help in decision-making and the real-time knowledge of the patient's health history, also being a facilitator of information exchange between the health facilities of the different complexities that are present in the network, aiding in the planning, care supervision and the continuity of care provided. Difficulties were also observed, such as the lack of access to medical records by mid-level professionals, records which may not be currently available for viewing, which often hinders the assistance provided by these professionals. The conclusion was that the continuity of the implementation of the Electronic Health Record should include the participation of the team, the supervision and the management control in both the training and the qualification of professionals, daily inserting them in this network of human and non-human actors that meet the actual needs of both professionals and patients, favoring, thus, the empowerment of those ones who work directly with this tool.

4
  • DANIELA APARECIDA DE FARIA
  • Physical pain and hopelessness in shcool teenagers.
  • Leader : NADJA CRISTIANE LAPPANN BOTTI
  • MEMBRES DE LA BANQUE :
  • MATIAS NOLL
  • NADJA CRISTIANE LAPPANN BOTTI
  • VINICIUS SILVA BELO
  • Data: 11 déc. 2019


  • Afficher le Résumé
  • ABSTRACT
    Introduction: The presence of physical pain can generate a high biopsychosocial impact in all
    age groups. Musculoskeletal physical pain is considered a public health problem, due to its high
    prevalence, high cost and negative impact that it can have on the quality of life of those affected.
    Adolescence is a phase in which numerous biopsychosocial changes occurred, and if added to
    the presence of physical pain and hopelessness, it makes adolescents more vulnerable in this
    life cycle. General objective: To evaluate the prevalence of physical pain and hopelessness in
    a sample of school adolescents in two state schools in the city of Divinólis-MG. Method: This
    is a cross-sectional study, carried out from April to November 2018, with a final sample of the
    type for convenience of 270 adolescents from 10 to 19 years of age. The prevalence of physical
    pain was assessed by the EMADOR instrument and in the assessment of the presence of the
    feeling of hopelessness on the BHS scale. The bivariate and multivariate regression model was
    used to analyze the variables. Results: There was a higher prevalence of pain (acute 87.90%
    and chronic 76.00%) in adolescents as well as the presence of mild and severe hopelessness,
    respectively (88.10% and 90.90%). Still with regard to the parts of the location of pain in the
    views, it was found in the previous view: greater occurrence of headache (68.10%), followed
    by trunk (34.10%), lower limb (33.10%), upper limb (18.10%). A greater occurrence of pain
    was also seen in the posterior view, with the most frequent location being the back (48.50%),
    followed by the head and neck (27.40%), lower limb (17.40%), limb higher (7.80%). It was
    possible to verify the primary outcome in the studied population. In which, through bivariate
    analysis, the presence of occupation, chronic pain and back pain were associated with severe
    hopelessness. In the multivariate analysis, the location of back pain and chronic pain were
    independently associated with severe hopelessness. Adolescents who reported back pain and
    chronic pain had 2.07 (95% CI: 1.04-4.14) and 2.01 (95% CI: 1.03-3.93) times more than severe
    despair, respectively. Regarding the bivariate and multivariate analyzes of the factors associated
    with the presence of pain in the present study, the only variable that was associated in both
    analyzes was the presence of pain in females. Thus, female adolescents were 3.87 times more
    likely to have pain (OR: 3.87; 95% CI: 1.74-8.60). Conclusion: The results highlight the need
    for greater attention to adolescents who report the presence of chronic pain, back pain and
    feelings of hopelessness, highlighting the prevalence of pain in women. Thus, aiming to prevent
    the presence of these occurrences in adolescence and later in adulthood. Therefore, it is a
    multidisciplinary intervention in relation to the adolescent public and the theme involved.
5
  • YGOR COLEN MORATO
  • Brasilian Immunization information system: usability assessment.
  • Leader : ELIETE ALBANO DE AZEVEDO GUIMARAES
  • MEMBRES DE LA BANQUE :
  • DARLINTON BARBOSA FERES CARVALHO
  • ELIETE ALBANO DE AZEVEDO GUIMARAES
  • VALERIA CONCEICAO DE OLIVEIRA
  • Data: 12 déc. 2019


  • Afficher le Résumé
  • ABSTRACT
    MORATO, Y.C. Brasilian Immunization information system: usability assessment. 2020.
    122p. Dissertação (Mestrado em Enfermagem) – Universidade Federal de São João del-Rei,
    Divinópolis, 2019.
    Introduction: The Information System of the National Immunization Program - SIPNI of
    Brazil is a managerial technological innovation that enhances planning and decision making
    regarding vaccination activities, as it allows the individual registration of the vaccinated and
    their origins, the rescue of non-vaccinated. It also allows the provision of vaccine coverage data
    and post-vaccination adverse events, immunobiological validity and control as well as
    inventory control. Due to this relevance, one should consider the quality of its functionality,
    which is configured as a security requirement for the use of technology. Among the features of
    the software, usability is a quality attribute that can evaluate the ease of use of user interfaces
    from standards called Usability Heuristics. Objective: To analyze the usability of SIPNI WEB
    in primary health care (APS) vaccination rooms in the Western Macroregion of Minas Gerais
    (MG), in 2018. Method: A concurrent and convergent mixed method research that allowed the
    triangulation of methods (cross-sectional, Indirect Heuristic Assessment Method) and research
    techniques (questionnaire and semi-structured inspection script) based on the ten Nielsen
    heuristics. Data were collected between July and December 2018. Quantitative and qualitative
    data were analyzed separately and integrated at the interpretation level to identify convergences,
    differences or combinations. This study included 137 nursing professionals working in 96
    vaccination rooms and four information technology specialists with knowledge of SIPNI. For
    the analyses we used the descriptive and inferential statistics, the Indirect Heuristic Assessment
    Method and the Content Analysis, in the Thematic-Categorical mode. Results: Regarding the
    usability of IBS by nursing professionals, the average SUS score obtained (61.8) indicated
    marginal or little significant satisfaction and the overall average of heuristics was 2.87 ± 0.44.
    The best evaluated heuristics were: “Error Prevention” (3.03 ± 0.54) and “Help and
    Documentation” (3.00 ± 0.68); and the worst evaluated was “System Status Visibility”, with a
    mean of 2.62 ± 0.55. Professionals with the level of technical education presented higher scores
    for the Heuristics “Recognition rather than memorization” when compared to nurses (2.77 ±
    0.49 vs. 3.07 ± 0.66, p = 0.003. By analyzing the analytical categories, the results showed that
    the Brazilian IBS presents flaws both in the user's perception of location and in the path made
    within the system itself and presents barriers in relation to standardization, as well as duplicate
    commands, which make it difficult to access information. Conclusion: SII do Brazil provides
    easy access to users and can be accessed from anywhere and anytime, since proper internet
    connectivity is available. On the other hand, it has weaknesses, which are mildly serious and
    can be corrected as proposed by this research, in its ability to allow users to easily reach their
    goals of interaction with technology.
6
  • KELLY DE FREITAS SANTOS
  • Parental behavior and its relationship to the eating behavior of offspring.
  • Leader : MARCIA CHRISTINA CAETANO ROMANO
  • MEMBRES DE LA BANQUE :
  • ALBA OTONI COLLARES
  • MARCIA CHRISTINA CAETANO ROMANO
  • WENDELL COSTA BILA
  • Data: 13 déc. 2019


  • Afficher le Résumé
  • ABSTRACT
    FREITAS, K.S. Parental behavior and its relationship to the eating behavior of
    offspring. 2019. 143 p. Dissertation (Master) - Postgraduate Program Academic
    Master of Nursing, Federal University of São João del-Rei, 2019.
    The topic eating behavior has had relevance today due to its implications on the
    determination of prevalent chronic diseases. There has been a rapid change in the
    eating behavior of children, worsening the quality of children's diet, especially with
    increased consumption of ultra-processed foods. National investigations into the
    determinants of child eating behavior, especially in relation to parenting practices, are
    scarce. This research aims to answer the question: are parenting practices
    associated with child eating behavior? Objective: To evaluate the association
    between parenting practices and children's eating behavior. This is a cross-sectional
    study conducted with 368 children, aged between one and five years, registered in
    the Family Health Strategies of the urban area of Divinópolis-MG. Information
    regarding demographic, socioeconomic, clinical, children's food intake and parental
    behavior was collected. Data were processed using Epidata® version 3.1 software,
    which allowed proper consistency analysis and data validation. The child's eating
    behavior was assessed using the Food Frequency Questionnaire, which estimated
    the daily consumption of ultra-processed foods. Data analysis was performed using
    Statistical Package for Social Sciences software version 23.0 (SPSS Inc., Chicago,
    IL). Multiple linear regression was used to identify variables associated with the
    child's eating behavior, with a significance level of 5%. In the analysis of factors
    associated with higher consumption of ultra-processed foods, it was positively
    associated with parenting practices. Higher consumption of ultra-processed foods
    was identified when parents performed physical strength (p <0.018), eating reward (p
    <0.002) and dietary restriction (p <0.011) practices. Negative association with the
    consumption of ultra-processed foods was evidenced when parents provided
    guidance for healthy eating (p <0.006), authoritative monitoring (p <0.017), and
    positive reinforcement of child behavior considered appropriate (p <0.046). The
    results of this study showed that there is an association between parenting practices
    and the child's eating behavior.
7
  • LUANA SANTOS VITAL ALVES COELHO
  • Association between childhood violence and body mass index among adolescents
  • Leader : MARCIA CHRISTINA CAETANO ROMANO
  • MEMBRES DE LA BANQUE :
  • ALBA OTONI COLLARES
  • MARCIA CHRISTINA CAETANO ROMANO
  • WENDELL COSTA BILA
  • Data: 13 déc. 2019


  • Afficher le Résumé
  • ABSTRACT
     
    COELHO.L.S.V.A. Association between childhood violence and body mass index
    among adolescents2019.100 p. Dissertation (Master) - Postgraduate Program
    Academic Master of Nursing, Federal University of São João del-Rei, 2019.
     
    In contemporary times, overweight and obesity are a serious public health problem
    and have several health implications. The determinants of overweight are
    multifactorial, involving environmental, genetic and psychological factors. There is no
    consensus in the literature about the relationship between childhood violence and
    overweight among adolescents, and most publications on the topic are international,
    making it imperative to study Brazilian adolescents that can contribute to the
    clarification. about the theme. The aim of this paper is to evaluate the association
    between childhood violence and body mass index among adolescents. This is a
    quantitative cross-sectional study conducted with 136 adolescents from ten to
    nineteen years old, enrolled in the basic health units where the Multiprofessional
    Adolescent Health Residency Program of the Federal University of São João del Rei
    operates. municipality of Divinópolis-MG. Anthropometric assessment was performed
    to classify the nutritional status of adolescents and information regarding
    socioeconomic data, food intake, physical activity level and violence was collected
    through standardized protocols and validated questionnaires. Descriptive data
    analysis was performed by calculating the absolute and relative frequency
    distributions. Multiple linear regression was performed to identify factors associated
    with overweight among adolescents. The prevalence of overweight was 31.8% in
    both sexes and it was identified that the majority of participants were female (61.0%),
    with a predominance of 15-19 years old age group (65.4%), with economic class C2
    (35.3%). In this investigation, the most prevalent type of abuse suffered in childhood
    was emotional neglect, affecting 100% of participants. The final statistical model
    showed that BMI was influenced by physical neglect and consumption of processed
    foods, ie, the increases frequency of childhood physical neglect and consumption of
    processed foods increased the BMI Z-score. In conclusion, childhood violence was
    associated with increased BMI in adolescence.
8
  • LIDIANI VANESSA DA SILVA
  • LGBTQ SUICIDALITY: LIFE NARRATIVES FROM DIFFERENT GENERATIONS

  • Leader : NADJA CRISTIANE LAPPANN BOTTI
  • MEMBRES DE LA BANQUE :
  • MARCO JOSÉ DE OLIVEIRA DUARTE
  • NADJA CRISTIANE LAPPANN BOTTI
  • SHEILA FERREIRA MIRANDA
  • Data: 19 déc. 2019


  • Afficher le Résumé
  • ABSTRACT
    Prejudice and discrimination are phenomena present in the daily life of social life, presenting themselves in various ways and delimiting social norms and standards. Lesbian, gay, bisexual, transvestite, transgender and queer people (LGBTQ +) have historically been victims of discrimination and violence in society. In the literature, we find that homophobic violence, family non-acceptance, religious issues, aggressions and threats experienced in daily life can weaken the mental health of the LGBTQ + population. In addition to these factors, people who do not fit in heterosexuality and cisgenerity have a higher number of suicide deaths. Thus, the present study aimed to analyze narratives of LGBTQ + people regarding suicidal behavior in a city in the interior of the state of Minas Gerais. The methodological framework used was thematic oral history, the sampling technique was the snowball and the analysis framework used was thematic content analysis. The thematic oral history method allowed the understanding of the reality lived by LGBTQ + people revealing that suicidal behavior is present in their daily lives and that strategies for valuing life and living LGBTQ + are necessary.

2018
Thèses
1
  • CLARICE DE LOURDES ENES
  • Bipolar disorder: predictive factors of adhesion to pharmacological/psychological treatment adherence and quality of life
  • Leader : RICHARDSON MIRANDA MACHADO
  • MEMBRES DE LA BANQUE :
  • DENISE ALVES GUIMARAES
  • RICHARDSON MIRANDA MACHADO
  • SEBASTIÃO JÚNIOR HENRIQUE DUARTE
  • Data: 18 déc. 2018


  • Afficher le Résumé
  • ENES, C. L.
    Bipolar disorder:
    predictive factors of adhesion to
    pharmacological/psychological treatment adherence and quality of life [Thesis].
    Divinópolis: Post-Graduation Program in Nursing Master's Degree, Federal University of São
    João Del-Rei; 2018.
    ABSTRACT
    Introduction: Bipolar disorder (BD) is a chronic and recurrent mental illness that produces
    personal, professional, relational and quality of life losses of the patients, contributing to an
    increase in health care expenditures and the use of health services. Adherence to TB treatment
    is critical for its efficacy, but non-adherence rates can affect up to 50% of patients. Adherent
    patients present fewer crises, better interpersonal relationships, self-care and work capacity, and
    seek less health services. Adherence to treatment in TB has been evaluated in patients inserted
    in their social and family context, after discharge from treatment of the acute crisis. Knowing
    the predictive factors of adherence or non-adherence could contribute to structuring and
    reorganizing actions of mental health services at all levels, favoring patient stability and
    reducing readmissions. Objective: To evaluate the prediction of adherence to pharmacological
    and psychosocial treatment and quality of life aspects of patients with bipolar disorder. Method:
    Cross-sectional, descriptive and non-probabilistic study. 35 patients were evaluated. Inclusion
    criteria: age 18 years or older; understand and agree to participate in the research; be an CAPS
    III user for more than 6 months; have been discharged from hospitalization. Exclusion criteria:
    present any interfering conditions in the production of data; refuse to participate in the survey.
    Socio-demographic and clinical data were collected and two assessment scales were applied,
    one that quantified the prediction of adherence to TB treatment (ECPAT-TBH) and another,
    which assessed patients' quality of life (World Health Organization Quality of Life Assessment-
    bref, WHOQOL-bref). The descriptive analysis was performed by measures of absolute and
    relative frequency distribution, and central tendency. Results: The majority of the patients
    were female (68.6%), between 41 and 50 years (31,4%), without a partner (62.9%), with
    psychiatric follow-up for more than 10 years (74.3%) and uses more than 4 types of
    medications/day (82.9%). The use of ECPAT-TBH indicated a general tendency to adherence
    to the proposed treatment (77.1%). The application of the WHOQOL-bref scale presented
    results with a predominance of regular QoL, both in the general mean (77.2%) and in the
    domains. Therapeutic alliance and social relations positively impacted on adherence and quality
    of life, while difficulties in following treatment and environment had a negative effect.
    Conclusion: It was evidenced the importance of evaluating the tendency to adherence at the
    time of treatment discharge, since the prediction allows to signal interventions to maintain
    patient stability after returning to family and social life. The use of the ECPAT-TBH scale
    responded satisfactorily to the proposed objective, due to its specificity. Specific instruments
    for assessing QOL in bipolar should be constructed, due to disorder complexity.
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