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5.
Arch. argent. pediatr ; 118(2): 89-: I-94, II, abr. 2020. tab, ilus
Article in English, Spanish | LILACS (Americas), BINACIS | ID: biblio-1099856

ABSTRACT

Introducción. La fiebre en pediatría es motivo de consulta frecuente. El objetivo fue evaluar los conocimientos, actitudes y temores de los padres ante la fiebre de sus hijos.Material y métodos. Estudio observacional, analítico, transversal. En 2018, se realizó una encuesta a padres de niños de entre 6 meses y 5 años que asistieron al Hospital de Niños Ricardo Gutiérrez de la Ciudad de Buenos Aires.Se analizó la asociación entre las variables sociodemográficas y los conocimientos, actitudes y temores frente al cuadro febril.Resultados. Se realizaron 201 encuestas. El 56,7 % de los padres consideró que la fiebre era mala para la salud. El 37 % definió fiebre entre 37 °C y 37,5 °C, y el 59 %, 38-38,5 ºC. La media de temperatura considerada grave fue 39,2 °C (desvío estándar 0,69). El 93 % de los cuidadores utilizaba medidas físicas; el 97 % administraba antitérmicos y el 14,5 % los alternaba. Los temores a las consecuencias fueron, en el 82 %, convulsiones; en el 41 %, deshidratación; en el 18 %, daño cerebral y, en el 12 %, muerte. El 86,5 % despertaba a sus hijos para administrarles antitérmico. En el estrato de mayor instrucción materna, fue menor el temor a la fiebre (odds ratio0,5; intervalo de confianza del 95 %: 0,28-0,91).Conclusiones. Un tercio de los encuestados consideró fiebre valores bajos de temperatura. El temor a la fiebre fue elevado y el nivel de instrucción materna podría mitigarlo.


Introduction. In pediatrics, fever is a common reason for consultation. The objective was to assess parental knowledge, behaviors, and fears in the management of fever in their children.Materials and methods. Observational, analytical, cross-sectional study. In 2018, a survey was administered to the parents of children aged 6 months to 5 years who attended Hospital de Niños Ricardo Gutiérrez, in the Autonomous City of Buenos Aires. The association between sociodemographic outcome measures and knowledge, behaviors, and fears in cases of fever was analyzed.Results. A total of 201 surveys were completed: 56.7 % of parents considered that fever was bad for health; 37 % defined fever between 37 °C and 37.5 °C, and 59 %, between 38 °C and 38.5 °C. The mean temperature considered severe was 39.2 °C (standard deviation: 0.69). Physical methods were used by 93 % of caregivers; 97 % administered antipyretic agents, and 14.5 % used alternating agents. Fears of consequences included seizures in 82 %, dehydration in 41 %, brain damage in 18 %, and death in 12 %. Also, 86.5 % woke up their children to give them an antipyretic agent. Among the higher maternal education level, fear of fever was lower (odds ratio: 0.5; 95 % confidence interval: 0.28-0.91).Conclusions. One-third of survey respondents considered low body temperature values as fever. Fear of fever was high, and the level of maternal education may mitigate it.


Subject(s)
Humans , Male , Female , Infant, Newborn , Infant , Child, Preschool , Adult , Health Knowledge, Attitudes, Practice , Disease Management , Fever/therapy , Parents , Cross-Sectional Studies , Surveys and Questionnaires , Antipyretics/therapeutic use , Fever/diagnosis
6.
Arch. argent. pediatr ; 118(2): 125-: I-129, I, abr. 2020. tab
Article in English, Spanish | LILACS (Americas), BINACIS | ID: biblio-1100167

ABSTRACT

Introducción. Investigadores canadienses desarrollaron un cuestionario autoadministrado para indagar sobre la intención de los participantes de actividades de desarrollo profesional continuo (DPC) de transferir los conocimientos adquiridos en ámbitos áulicos a la práctica clínica. Su uso podría facilitar los procesos de mejora de la calidad en dichas actividades de DPC.Objetivo. Realizar la traducción y adaptación transcultural y validación del cuestionario REACTION (A theoRy-basEd instrument to assess the impACT of continuing profesional development activities on profesional behavIOr chaNge) para su uso en la Argentina, a partir de la versión original en inglés.Población y métodos. Se realizó la traducción y adaptación transcultural de los 12 ítems del instrumento, con un proceso de cinco pasos. La validez de constructo se exploró mediante el análisis factorial exploratorio, y la confiabilidad, a través del coeficiente de Cronbach y el coeficiente G.Resultados. La versión final del cuestionario se aplicó a una muestra de 133 médicos asistentes a 9 actividades presenciales de DPC de un hospital universitario de la Ciudad de Buenos Aires (edad promedio: 38 años; el 23,3 %, hombres; el 76 %, médicos de familia). El análisis factorial exploratorio arrojó 3 factores (influencia social, confianza en las capacidades propias y criterio ético). El coeficiente de Cronbach fue 0,82 y el coeficiente G fue 0,72.Conclusiones. Se realizó la adaptación y validación de la versión argentina del instrumento REACTION para evaluar el impacto del DPC enfocado en el entrenamiento de habilidades clínicas en la intención de los médicos de implementarlo en su práctica.


Introduction. Canadian researchers developed a self-administered questionnaire to ask participants of continuing professional development (CPD) activities about their intention to translate the knowledge acquired in the classroom into clinical practice. The questionnaire may facilitate quality improvement processes in such CPD activities.Objective. To translate, cross-culturally adapt and validate the original English REACTION questionnaire (A theoRy-basEd instrument to assess the impACT of continuing professional development activities on professional behavIOr chaNge) for its use in Argentina.Population and methods. The 12 questionnaire items were translated and cross-culturally adapted using a five-step process. The construct validity was assessed using an exploratory factor analysis, whereas reliability, with Cronbach's coefficient and the G coefficient.Results. The final questionnaire version was administered to a sample of 133 physicians who attended 9 CPD activities at a teaching hospital in the Autonomous City of Buenos Aires (average age: 38 years; 23.3 %, men; 76 %, family physicians). The exploratory factor analysis showed 3 factors (social influence, confidence in one's abilities, and ethical judgment). Cronbach's coefficient was 0.82 and the G coefficient, 0.72.Conclusions. The Argentine version of the REACTION questionnaire was adapted and validated to assess the impact of CPD centered on clinical skills training on physicians' intention to implement it in their practice


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Physicians/psychology , Health Knowledge, Attitudes, Practice , Education, Medical, Continuing , Translating , Attitude of Health Personnel , Data Collection , Surveys and Questionnaires , Reproducibility of Results , Adaptation
7.
Arch. argent. pediatr ; 118(2): e126-e134, abr. 2020. tab, ilus
Article in English, Spanish | LILACS (Americas), BINACIS | ID: biblio-1100203

ABSTRACT

Introducción. Se ha descrito que la menstruación se percibe como un evento natural pero molesto, con un impacto negativo en la vida diaria de la mujer. El objetivo del estudio fue identificar la percepción de la menstruación en adolescentes y los factores que podían influir sobre esta.Material y métodos. Estudio transversal observacional comparativo en adolescentes posmenárquicas con y sin enfermedades crónicas, en 2 hospitales pediátricos y 2 escuelas de nivel primario y secundario. Se recabaron los datos de edad, escolaridad, tipo de población, fecha de menarca y presencia de dismenorrea. Se aplicó un cuestionario previamente validado para evaluar la percepción sobre la menstruación.Resultados. Se incluyó un total de 346 adolescentes. Se encontró que la percepción más frecuente hacia la menstruación fue la negativa en un 65,6 % (n = 227), positiva en el 16 % (n = 55), sigilosa en el 13 % (n = 45) e indeterminada en el 5,4 % (n = 19). La presencia de enfermedad crónica demostró ser un factor protector de la percepción negativa de la menstruación (odds ratio 0,4 [intervalo de confianza del 95 %: 0,20-0,78], p = 0,007).Conclusiones. Más de la mitad de las adolescentes presentaron una actitud negativa hacia la menstruación, pero la presencia de una enfermedad crónica la mejoró


Introduction. It has been described that menstruation is perceived as a natural but cumbersome event, with a negative impact on women's daily life. The objective of this study was to identify the perception of menstruation among female adolescents and the factors that may affect it.Material and methods. Observational, cross-sectional, comparative study in postmenarcheal adolescents with and without chronic conditions in two children's hospitals and two primary and secondary schools. Age, education level, type of population, date of menarche, and presence of dysmenorrhea were recorded. A previously validated questionnaire was administered to assess the perception of menstruation. Results. A total of 346 female adolescents were included. The most common perception of menstruation was negative in 65.6 % (n = 227), positive in 16 % (n = 55), discreet in 13 % (n = 45), and indefinite in 5.4 % (n = 19). The presence of a chronic condition demonstrated to be a protective factor against a negative perception of menstruation (odds ratio: 0.4 [95 % confidence interval: 0.20-0.78], p = 0.007).Conclusions. More than half of female adolescents had a negative attitude toward menstruation, but the presence of a chronic condition improved it.


Subject(s)
Humans , Male , Female , Adolescent , Perception , Chronic Disease , Menstruation/psychology , Health Knowledge, Attitudes, Practice , Cross-Sectional Studies , Surveys and Questionnaires , Mexico
8.
Rev. habanera cienc. méd ; 19(1): 125-142, ene.-feb. 2020. tab, graf
Article in Spanish | LILACS (Americas), CUMED | ID: biblio-1099151

ABSTRACT

Introducción: La endocarditis infecciosa es una condición severa que puede presentarse luego de procedimientos odontológicos invasivos, principalmente en pacientes portadores de válvulas cardiacas protésicas y enfermedad cardiaca reumática y congénita. Es importante identificar el nivel de conocimientos de los estudiantes de Odontología para establecer reformas en el plan de estudios de la carrera. Objetivo: Determinar el nivel de conocimiento sobre profilaxis antibiótica de endocarditis infecciosa previa a procedimientos odontológicos en estudiantes de último año de Odontología de Lima. Material y métodos: Estudio analítico y transversal, cuya muestra estuvo constituida por 117 estudiantes del último año de la carrera de Odontología de la Universidad Nacional Mayor de San Marcos (UNMSM), la Universidad Nacional Federico Villareal (UNFV) y la Universidad Peruana Cayetano Heredia (UPCH), de Lima, Perú, durante el año 2014. El instrumento de evaluación fue una encuesta de 20 preguntas cerradas sobre epidemiología y etiopatogenia de endocarditis infecciosa e indicación y farmacología de la profilaxis antibiótica previa a procedimientos odontológicos. Los resultados fueron catalogados en 3 niveles: bajo, regular y alto. Resultados: El 53,84 por ciento de los internos presentó un nivel de conocimiento bajo, mientras el 32,47 por ciento un nivel regular y el 13,69 por ciento un nivel alto. El nivel de respuesta promedio fue 10,1 ± 2,95 [IC95 % (9,57-10,65)]. Por universidad, los internos de la UNMSM tuvieron un nivel de conocimiento promedio de 11 ± 2,60 [IC95 por ciento (9,84-12,15)], los de UNFV tuvieron 8,8 ± 3,36 [IC95 por ciento (7,74 - 9,86)] y los de UPCH tuvieron 10,7 ± 2,41 [IC95 por ciento (10,08-11,39)]; p=0,002. Conclusiones: El nivel de conocimiento sobre profilaxis antibiótica de endocarditis infecciosa en estudiantes de último año de Odontología de Lima es predominantemente bajo(AU)


Introduction: Infective endocarditis is a severe condition that can occur after invasive dental procedures, mainly in patients with prosthetic heart valves and rheumatic and congenital heart disease. It is important to identify the level of knowledge of dental students to establish reforms in the curriculum of the career. Objective: To determine the level of knowledge about antibiotic prophylaxis of infective endocarditis prior to dental procedures in last-year dental students of Lima. Material and methods: Analytical and cross-sectional study whose sample was made up of 117 last-year dental students of the National University of San Marcos (UNMSM), the National University Federico Villareal (UNFV) and the Peruvian University Cayetano Heredia (UPCH) from Lima, Peru, during the year 2014. The evaluation instrument was a survey of 20 closed questions on epidemiology and etiopathogenesis of infective endocarditis and indication and pharmacology of antibiotic prophylaxis prior to dental procedures. The results were cataloged in 3 levels: low, regular and high. Results: The results show that 53,84 percent of the interns presented a low level of knowledge, while 32,47 percent had a regular level and 13,69 percent a high level. The average response level was 10,1 ± 2,95 [95 percent CI (9,57-10,65)]. By university, UNMSM interns had an average level of knowledge of 11 ± 2,60 [95 percent CI (9,84-12,15)], UNFV had 8,8 ± 3,36 [95 percent CI (7,74-9,86)] and those of UPCH had 10,7 ± 2,41 [95 percent CI (10,08-11,39)]; p=0.002. Conclusions: The level of knowledge about antibiotic prophylaxis of infective endocarditis in last- year dental students in Lima is predominantly low(AU)


Subject(s)
Humans , Male , Female , Adult , Students, Dental , Health Knowledge, Attitudes, Practice/ethnology , Antibiotic Prophylaxis/methods , Education, Dental/methods , Endocarditis/drug therapy , Peru/epidemiology
9.
Rev. habanera cienc. méd ; 19(1): 112-124, ene.-feb. 2020. tab
Article in Spanish | LILACS (Americas), CUMED | ID: biblio-1099150

ABSTRACT

Introducción: La citología cervical constituye la principal herramienta para la detección y tratamiento del cáncer de cérvix. Algunos estudios llevados a cabo en población urbana han relacionado la realización y adherencia con los conocimientos, las actitudes y las prácticas favorables de las mujeres con respecto a esta prueba. Objetivo: evaluar los conocimientos, actitudes y prácticas con respecto a la citología cervical en mujeres pertenecientes a un grupo poblacional del ámbito rural. Material y Métodos: estudio de corte transversal-analítico en una población de aproximadamente 3148 mujeres en edad fértil, de ellas se obtuvo una muestra representativa. Se utilizó una encuesta anónima, validada, dirigida, y aplicada por personal de salud capacitado que labora en centros de salud del primer nivel de atención de los distritos de la provincia de Bolívar, La Libertad. Resultados: El 80 por ciento de las mujeres encuestadas tuvo un nivel de conocimiento alto e intermedio, el 70 por ciento una actitud favorable, mientras que el 44 por ciento reportó prácticas correctas en relación con la prueba de citología cervical. El nivel de conocimiento alto e intermedio estuvo asociado a la edad mayor de 30 años (p:0.02), estado civil casada (p:0.05), el mayor grado de instrucción (p:0.00) y el uso de métodos anticonceptivos (p:0.01); no se encontró relación con la edad de inicio de relaciones sexuales (p:0.98). Conclusiones: Existe un alto nivel de conocimientos, actitudes y prácticas correctas hacia la citología cervical en la población rural de la provincia de Bolívar, pero una baja adherencia hacia la misma(AU)


Introduction: Cervical cytology is the main tool for the detection and treatment of cervical cancer. Some studies carried out in the urban population have associated the realization and adherence with knowledge, attitudes and favorable practices of women with respect to this test. Objective: The aim of this study was to determine the level of knowledge, attitudes and practices towards cervical cytology in women of childbearing age in a rural Peruvian province. Material and Methods: A cross-sectional analytical study was conducted in a population of approximately 3148 women of childbearing age, a representative sample was obtained. An anonymous, validated, directed survey was used; it was applied by trained health personnel working in health centers of the primary care level in the districts of the province of Bolívar, La Libertad. Results: A total of 400 surveys were carried out. The results showed that 80 percent of the women surveyed had high and intermediate levels of knowledge, 70 percent had a favorable attitude, while 44 percent reported correct practices related to the cervical cytology test. The high and intermediate levels of knowledge were associated with age over 30 years (p: 0.02), married marital status (p: 0.05), the highest level of instruction (p: 0.00) and the use of contraceptive methods (p: 0.01); no relationship was found with the age of onset of sexual intercourse (p: 0.98). Conclusions: There is a high level of knowledge, attitudes and correct practices towards cervical cytology in the rural population of the province of Bolívar, but a low adherence to it(AU)


Subject(s)
Humans , Female , Adult , Cervix Uteri/cytology , Health Knowledge, Attitudes, Practice/ethnology , Rural Health/education , Peru , Rural Population , Cross-Sectional Studies , Women's Health
10.
Nursing (Säo Paulo) ; 23(260): 3502-3506, jan.2020.
Article in Portuguese | LILACS (Americas), BDENF | ID: biblio-1095357

ABSTRACT

Objetivo: Avaliar o conhecimento, atitude e prática, dos enfermeiros atuantes na atenção primária, no atendimento a Parada Cardiorrespiratória (PCR). Método: Tratar-se de um estudo de corte transversal, os dados foram coletados a partir Escala de Avaliação do Conhecimento Atitude Prática na Reanimação Cardiorrespiratória - CAPRCP-25. Resultados: Dos 29 enfermeiros inseridos nas UBS, 24 (82,75%) participaram do estudo. 87,5% dos participantes tiveram dificuldades de identificar a sequência correta do atendimento, 70,8% em identificar os ritmos indicativos de desfibrilação, 70,8% não reconhecem as técnicas utilizadas na aplicação de medicação na PCR e 62,5% relataram não possuir segurança quanto a todos os passos a serem realizados no atendimento a PCR. Conclusão: Apesar de reconhecer a importância do tema, a competência do enfermeiro no atendimento a vítimas de PCR mostrou-se insatisfatória. Tal fato torna-se fundamental a implantação de treinamento e capacitação contínua dos profissionais.(AU)


Objective: To evaluate the knowledge, attitude and practice of nurses working in primary care in Cardiorespiratory arrest (CRP). Method: This was a cross-sectional study, in which data were collected from the Practical Attitude on Cardiorespiratory Resuscitation Knowledge Assessment Scale - CAPRCP-25. Results: Of the 29 nurses in the UBS, 24 (82.75%) participated in the study. 87.5% of participants had difficulty identifying the correct sequence of care, 70.8% in identifying the defibrillation indicative rhythms, 70.8% did not recognize the techniques used in the application of medication in CRP and 62.5% reported no have confidence in all the steps to be taken in attending the PCR. Conclusion: Despite recognizing the importance of the theme, the nurse's competence in caring for CRP victims was unsatisfactory. This fact becomes fundamental to the implementation of training and continuous qualification of professionals.(AU)


Objetivo: Evaluar el conocimiento, la actitud y la práctica de las enfermeras que trabajan en la atención primaria en la atención de la Paro cardiorespiratorio (PCR). Método: Este fue un estudio de corte transversal, en el que los datos se recopilaron de la Escala de Evaluación del Conocimiento de Actitud Práctica en Resucitación Cardiorrespiratoria - CAPRCP-25. Resultados: De las 29 enfermeras en la UBS, 24 (82.75%) participaron en el estudio. El 87.5% de los participantes tuvo dificultades para identificar la secuencia correcta de atención, el 70.8% en la identificación de los ritmos indicativos de desfibrilación, el 70.8% no reconoció las técnicas utilizadas en la aplicación de medicamentos en la PCR y el 62.5% informó que no Tenga confianza en todos los pasos a seguir para asistir al PCR. Conclusion: a pesar de reconocer la importancia del tema de la PCR, la competencia de la enfermera en el cuidado de las víctimas de la PCR fue insatisfactoria. Este hecho se vuelve fundamental para la implementación de la capacitación y la capacitación continua de los profesionales.(AU)


Subject(s)
Humans , Primary Health Care , Primary Nursing , Health Knowledge, Attitudes, Practice , Heart Arrest , Emergency Nursing
11.
Nursing (Säo Paulo) ; 23(260): 3533-3536, jan.2020.
Article in Portuguese | LILACS (Americas), BDENF | ID: biblio-1095551

ABSTRACT

Objetivo é identificar o conhecimento e práticas dos profissionais que atuam na sala de imunização na Estratégia de Saúde da Família. Metodologia Trata-se de uma pesquisa qualitativa e exploratória, com três Enfermeiros e doze técnicos de quatro unidades de Estratégia de Saúde da Família, localizadas na zona oeste do RJ. Resultado, observou-se que as áreas físicas das salas de imunização atendem aos critérios do Manual de Rede de Frios e do Programa Nacional de Imunização, e que as atribuições diárias da sala de imunização são feitas somente pelos técnicos de enfermagem e os Enfermeiros são os Responsáveis Técnicos mas nenhum com disponibilidade integral para a função, desenvolvendo também atividades de supervisão e consultas de Enfermagem, pode-se observar dúvidas dos profissionais a respeito do tempo de funcionamento da câmara se ficar sem eletricidade, e na maioria os entrevistados das quatro unidades relataram que apesar de escalados na sala de imunização, podem assumir outros setores de acordo com a demanda. Conclusão podemos observar que os profissionais da sala de imunização possuem conhecimento sobre as atividades realizadas, contudo na prática algumas das atribuições dos profissionais não são realizadas de forma satisfatória e de acordo com que é exigido nos protocolos e manuais do Ministério da Saúde, e observamos o quanto é fundamental que todos os profissionais realizem treinamento em serviço, principalmente na sala de imunização onde mudanças ocorrem constantemente.(AU)


Aimed at identifying the knowledge and practices of the professionals who work in the immunization ward in the Family Health Strategy. Methodology This is a qualitative and exploratory research, with three nurses and twelve technicians from four units of Family Health Strategy, located in the western zone of RJ. As a result, it was observed that the physical areas of the immunization rooms meet the criteria of the Cold Net Manual and the National Immunization Program, and that the daily assignments of the immunization room are made only by the nursing technicians and the Nurses are the Technical officers but none with full availability for the function, also developing supervision activities and nursing consultations, one can observe doubts of the professionals regarding the operating time of the chamber if it runs out of electricity, and in the majority the interviewees of the four units reported which although scaled in the immunization room, can take on other sectors according to demand. Conclusion we can observe that the professionals of the immunization room have knowledge about the activities performed, however in practice some of the professionals' attributions are not performed satisfactorily and according to what is required in the protocols and manuals of the Ministry of Health, it was observed how essential it is that all professionals carry out in-service training, especially in the immunization ward where changes occur constantly.(AU)


Objetivo identificar el conocimiento y las prácticas de los profesionales que actúan en la sala de inmunización en la Estrategia de Salud de la Familia. Metodología Se trata de una investigación cualitativa y exploratoria, con tres enfermeros y doce técnicos de cuatro unidades de Estrategia de Salud de la Familia, ubicadas en la zona oeste del RJ. Se observó que las áreas físicas de las salas de inmunización atienden a los criterios del Manual de Red de Fríos y del Programa Nacional de Inmunización, y que las asignaciones diarias de la sala de inmunización son hechas solamente por los técnicos de enfermería y los enfermeros son los siguientes: Los responsables técnicos, pero ninguno con disponibilidad integral para la función, desarrollando también actividades de supervisión y consultas de enfermería, se pueden observar dudas de los profesionales acerca del tiempo de funcionamiento de la cámara si se queda sin electricidad, y en la mayoría los entrevistados de las cuatro unidades relataron que a pesar de escalados en la sala de inmunización, pueden asumir otros sectores de acuerdo con la demanda. Conclusión podemos observar que los profesionales de la sala de inmunización tienen conocimiento sobre las actividades realizadas, pero en la práctica algunas de las atribuciones de los profesionales no se realizan de forma satisfactoria y de acuerdo con que es exigido en los protocolos y manuales del Ministerio de Salud, se observó lo que es fundamental que todos los profesionales realicen entrenamiento en servicio, principalmente en la sala de inmunización donde los cambios ocurren constantemente.(AU)


Subject(s)
Humans , Health Knowledge, Attitudes, Practice , Immunization , Vaccination/nursing , Community Health Nursing , Immunization Programs , Family Health Strategy
14.
s.l; s.n; 2020.
Non-conventional in Portuguese | LILACS (Americas), ColecionaSUS | ID: biblio-1103025

ABSTRACT

Estas diretrizes se destinam aos serviços presenciais em transporte urbano coletivo e transporte rodoviário interestadual semiurbano. O material provém de resoluções já publicadas e orienta quanto às medidas para práticas de proteção adequadas ao enfrentamento da disseminação da Covid-19. Há orientações quanto à higienização, à manutenção do distanciamento e ao comportamento sanitário necessário. As recomendações se aplicam ao momento de pandemia e não anulam as normas sanitárias vigentes.


Subject(s)
Humans , Transportation/standards , Health Knowledge, Attitudes, Practice , Coronavirus Infections/prevention & control , Coronavirus Infections/epidemiology , Public Health Surveillance/methods , Brazil
15.
Article in Chinese | WPRIM (Western Pacific) | ID: wprim-781347

ABSTRACT

OBJECTIVE@#To investigate the status of oral health knowledge, attitude, behavior of 12-15 years old children and provide a theoretical basis of prevention.@*METHODS@#Multi-stage stratified sampling method was used to extract four middle school students from Chongqing districts and counties (2 in the main urban area and 2 suburbs), and their oral health knowledge, attitudes and behaviors were investigated through questionnaires. All data were entered using Epidata and statistical analysis was performed using SPSS 21.0 software.@*RESULTS@#A total of 3 902 valid questionnaires were collected. The proportion of people who had good brushing habits was 39.7% (1 548), the average oral health knowledge accuracy rate was 58.9%, and the average oral health positive attitude was 88.6%. The number of middle school students who attended the dental experience was 54.5% (2 127), and that of the school who received oral health education was 17.5% (681). There were gender and regional differences in brushing habits.@*CONCLUSIONS@#The knowledge and behavior of oral health among 12-15-year-old middle school students in Chongqing need to be improved. Oral health education for middle school students should be strengthened, especially in rural and suburban areas.


Subject(s)
Adolescent , Attitude to Health , Child , Health Behavior , Health Education, Dental , Health Knowledge, Attitudes, Practice , Humans , Oral Health , Rural Population , Surveys and Questionnaires , Toothbrushing
16.
Saúde Soc ; 29(1): e190642, 2020. tab
Article in Portuguese | LILACS (Americas) | ID: biblio-1094488

ABSTRACT

Resumo O objetivo desta pesquisa foi analisar os pontos críticos para a implementação da abordagem do diálogo aberto na atenção à crise psicótica. Trata-se de estudo qualitativo, utilizando os formulários preenchidos por profissionais de saúde mental que participaram de um seminário sobre a temática, realizado por Jaakko Seikkula em 2015, na Itália. Foram analisados 83 formulários com questões abertas autoaplicadas para detectar o perfil sociodemográfico dos participantes, convidando-os a indicar os pontos críticos da implementação do diálogo aberto. Os resultados foram organizados a partir dos sete princípios da abordagem e analisados segundo o conceito weberiano de tipo ideal de criticidade, sendo dispostos em dois tipos ideais: o organizacional e o cultural. Na percepção dos participantes a transferência dessa modalidade terapêutica para a Itália não parece livre de obstáculos. Os princípios de maior preocupação entre os profissionais enfermeiros e médicos foram: ajuda imediata, rede social, flexibilidade e mobilidade. Diante disso, reflete-se sobre os impasses perante a necessidade de mudar concepções, organizações, saberes e práticas de cuidado em saúde mental comunitária no contexto da desinstitucionalização.


Abstract This study sought to analyze the critical points to implement the Open Dialogue approach in psychotic crisis care. This qualitative study was based on the analysis of an open-ended questionnaire developed by mental health professionals who participated in a seminar on the subject conducted by Jaakko Seikkula in 2015, in Italy. Eighty-three self-administered questionnaires were analyzed to detect the participants' sociodemographic profile and their perception of the critical points of the implementation of Open Dialogue. The results were organized according to the seven principles of the approach and analyzed according to Weber's Ideal Type into two Ideal Types: organizational and cultural criticalities. In the participants' perception, the implementation in Italy of this therapeutic modality does not seem obstacle-free. The principles of greatest concern among nurses and physicians were immediate help, social networking, flexibility, and mobility. This paper thus reflected on the impasses regarding the need for a reframing in the conceptions, organizations, knowledge and practices of community mental health care in the context of deinstitutionalization.


Subject(s)
Humans , Male , Female , Health Knowledge, Attitudes, Practice , Mental Health , Deinstitutionalization , Mental Health Assistance , Mental Disorders , Qualitative Research
18.
Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) ; 12: 246-251, jan.-dez. 2020. tab
Article in English, Portuguese | LILACS (Americas), BDENF | ID: biblio-1047990

ABSTRACT

Objetivo: identificar o conhecimento de profissionais de saúde de unidades básicas de saúde da família sobre o manejo clínico da suspeita de febre de Chikungunya. Método: realizou-se um estudo transversal com 31 profissionais de saúde de unidades básicas e saúde da família, localizadas no Município de Quixadá-Ceará, nos meses de janeiro e fevereiro de 2018. Resultados: quase todos relatam que ao avaliar sinais de gravidade, critérios de internação e grupos de risco, se o paciente não apresentar sinais de gravidade, não tiver critérios de internação e/ou condições de risco, o mesmo deve permanecer em acompanhamento ambulatorial; se o paciente for apenas do grupo de risco, o mesmo deve receber acompanhamento ambulatorial em observação; e se o paciente apresentar sinais de gravidade e/ou tiver critérios de internação, ele deve receber acompanhamento em internação. Conclusão: os profissionais de saúde possuem conhecimento satisfatório sobre o manejo clínico da doença baseado nas orientações do Ministério da Saúde


Objective: to identify the knowledge of health professionals of family health basic units on the clinical management of suspected chikungunya fever. Method: a cross-sectional study with 31 healthcare professionals of basic units and family health, located in the city of Quixadá - Ceará, in the months of January and February 2018. Results: almost all report to evaluate signs of severity, admission criteria and risk groups, if the patient does not show signs of seriousness does not meet criteria for hospitalization and risk conditions/or should stay in outpatient follow-up; If the patient is only a risk group, he/she must be referred to outpatient follow-up for observation; and if the patient shows signs of severity and/or admission criteria, he should receive follow-up in hospital. Conclusion: health professionals have satisfactory knowledge on the clinical management of the disease based on the guidelines of the Ministry of Health


Objetivo: identificar el conocimiento de la salud profesionales de unidades básicas de salud de la familiaenel manejo clínico de só pecha Chikungunya fiebre. Método: estudio transversal con 31 profesionales de la salud de unidades básicas y de salud familiar, ubicado em la ciudad de Quixadá - Ceará, em los meses de enero y febrero de 2018. Resultados: informe casi todos para evaluar signos de gravedad, grupos de criterios de admisión y el riesgo, si el paciente no no mostrar signos de seriedad no tienen criterios para las condiciones de la hospitalización y el riesgo/unidad organizativa, debe mantenerse en seguimiento ambulatorio; Si el paciente es sóloel grupo de riesgo, el mismo debe recibir seguimento ambulatorio de observación; y si el paciente muestra signos de criterios de severidad y/o admisión, deben recibir seguimento em hospitalización. Conclusión: profesionales de la salud tienen conocimiento satisfactorio em el manejo clínico de la enfermedad basada en las directrices del Ministerio de Salud


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Physicians , Health Knowledge, Attitudes, Practice , Chikungunya Fever/diagnosis , Chikungunya Fever/therapy , Nurses , Primary Health Care , Chikungunya virus , Cross-Sectional Studies , Family Health Strategy
19.
Article in English, Portuguese | LILACS (Americas), BDENF | ID: biblio-1048348

ABSTRACT

Objetivo: elaborar um bundle de cuidados para a prevenção e o controle das infecções hospitalares em unidade de emergência, com base no conhecimento e prática dos profissionais de saúde e nas evidências científicas disponíveis na literatura. Método: pesquisa convergente assistencial, realizada em um serviço de emergência adulto de um hospital geral universitário localizado em uma capital do Sul do Brasil com aplicação de um Survey para 52 trabalhadores da equipe multiprofissional e posterior discussão em grupos "Aqui e Agora". Foi aprovado pelo CEPSH/UFSC com CAAE: 56390616.0.0000.0121. Resultados: emergiram três aspectos mais significativos que compuseram o bundle de cuidados: higienização das mãos; uso de equipamentos de proteção individual; e assepsia de materiais e equipamentos. Conclusão: a utilização do bundle permite informar, orientar, melhorar hábitos e relembrar a equipe de saúde sobre a necessidade de aderir a atitudes que tornem o cuidado realizado mais qualificado e seguro, tanto para o paciente, quanto para o profissional


Objective: develop a care bundle in order to help preventing and controlling hospital infections in emergency care units, based on the knowledge and practice of health professionals, as well as on scientific evidences available in the literature. Method: The study was carried out through the application of a survey comprising 52 health professionals working in the multi-professional team of the aforementioned hospital. The data from the survey were discussed in "Here-and-Now" groups. It was approved by CEPSH / UFSC with CAAE: 56390616.0.0000.0121. Results: the three most significant aspects composing the care bundle were selected based on data derived from the survey, from the groups and from the literature, namely: hand hygiene; use of personal protection equipment; and asepsis of materials and equipment. Conclusion: using the bundle allows inform, guide, as well as to improve habits and remind health teams about the need to adhere to measures able to make the health care practice more qualified and safer for both the patients and the professionals


Objetivo: elaborar un bundle de cuidados para la prevención y el control de las infecciones hospitalarias en unidad de emergencia, con base en el conocimiento y práctica de los profesionales de salud y en las evidencias científicas disponibles en la literatura. Método: se realizó con aplicación de un Survey de que participaron 52 trabajadores del equipo multiprofesional. Los datos de Survey fueron discutidos posteriormente en grupos "Aquí y Ahora". Fue aprobado por el CEPSH / UFSC con CAAE: 56390616.0.0.0000.0121. Resultados: en base a los datos de Survey, de los grupos y de la literatura se seleccionaron los tres aspectos más significativos que compusieron el bundle de cuidados: higienización de las manos; uso de equipos de protección individual; y asepsia de materiales y equipos. Conclusión: la utilización del bundle permite informar, orientar, mejorar hábitos y recordar el equipo de salud sobre la necesidad de adherir a actitudes que hagan del cuidado realizado más calificado y seguro, tanto para el paciente, como para el profesional


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Patient Care Team , Cross Infection/prevention & control , Emergency Medical Services , Health Knowledge, Attitudes, Practice , Surveys and Questionnaires , Focus Groups , Patient Safety , Patient Care Bundles
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