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1.
Enferm. foco (Brasília) ; 11(2): 23-28, jul. 2020.
Artigo em Português | LILACS (Américas), BDENF | ID: biblio-1104003

RESUMO

Objetivo: identificar qual a conduta assistencial do enfermeiro frente à amamentação cruzada. Metodologia: estudo qualitativo, realizado com seis enfermeiras atuantes da Estratégia de saúde da família por meio de um grupo focal em de Duque de Caxias. Resultados: aponta a carência do aconselhamento na conduta assistencial frente à amamentação cruzada e o silenciamento sobre os motivos da não recomendação da mesma. Conclusão: Recomenda-se mudança nos discursos dos enfermeiros para a busca dos motivos que desencadearam a prática da amamentação cruzada para assim poderem intervir, visto que na maioria das vezes é praticada pela não efetividade de seus direitos. (AU)


Objective: identify the nurse's care practice towards cross-breastfeeding.Methodology: a qualitative study carried out with six nurses working in the Family Health Strategy through a focus group in Duque de Caxias. Results: points out the lack of counseling in the care practice regarding cross-breastfeeding and the silencing of the reasons for not recommending it.Conclusion: it is recommended to change the nurses's discourses to search for the reasons that triggered the practice of cross-breastfeeding in order to intervene, considering that most of the time it is practiced for the non-effectiveness of their rights. (AU)


Objetivo: identificar cuál es la conducta asistencial del enfermero frente a la lactancia cruzada. Metodología: estudio cualitativo, realizado con seis enfermeras actuantes de la Estrategia de salud de la familia por medio de un grupo focal en el Duque de Caxias. Resultados: apunta la carencia del asesoramiento en la conducta asistencial frente a la lactancia cruzada y el silenciamiento sobre los motivos de la no recomendación de la misma. Conclusión: Se recomienda cambiar en los discursos de los enfermeros para la búsqueda de los motivos que desencadenaron la práctica de la lactancia cruzada para así poder intervenir, ya que la mayoría de las veces es practicada por la no efectividad de sus derechos. (AU)


Assuntos
Aleitamento Materno , Bioética , Enfermagem , Aconselhamento
2.
Artigo em Coreano | WPRIM (Pacífico Ocidental) | ID: wprim-811296

RESUMO

Dysmenorrhea is the most common gynecologic condition in women during the reproductive period. Severe dysmenorrhea pain affects their social activities, sleep, and quality of life. Nevertheless, the proportion of women with dysmenorrhea do not receive adequate medical counseling or pharmacological treatments. Primary dysmenorrhea is diagnosed clinically, and the secondary causes that can cause pelvic pain should be identified. The treatment of choice for primary dysmenorrhea is non-steroidal anti-inflammatory drugs (NSAIDs). In order to maximize the therapeutic effect, it is necessary to ensure that the appropriate medication is administered in a proper way. NSAIDs can cause adverse effects, including gastrointestinal disorders. If side effects occur or are anticipated with NSAIDs, the use of hormonal contraceptives may be recommended when contraception is considered. In addition to these pharmacological treatments, heat, dietary, and behavioral therapies have been tried and reported to have some effects. However, further research is required for robust conclusions.


Assuntos
Anti-Inflamatórios não Esteroides , Anticoncepção , Anticoncepcionais , Aconselhamento , Dismenorreia , Feminino , Temperatura Alta , Humanos , Menstruação , Dor Pélvica , Qualidade de Vida , Reprodução
3.
Artigo em Coreano | WPRIM (Pacífico Ocidental) | ID: wprim-811255

RESUMO

PURPOSE: This study identified the relationship between dietary habits and health-related behaviors depending on the Big Five personality factors (extraversion, openness, agreeableness, conscientiousness, neuroticism).METHODS: The NEO-II test was administered to 337 male and female college students in Seongnam City, Gyeonggi Province, and their dietary habits and health-related behaviors were surveyed.RESULTS: The male participants showed higher scores for extraversion, openness, agreeableness, and conscientiousness compared to that of their female counterparts, while the female participants showed higher scores for neuroticism. As for the results of multivariate logistic regression analysis, in the case of men, higher scores for extraversion were related to a lower intake of instant/fast foods and a higher intake of vegetables; higher agreeableness scores were related to a lower intake of fruit; and higher neuroticism scores were related to a heavy intake of high-cholesterol foods. It was found that higher openness scores were associated with a higher intake of burnt fish/meat and a lower intake of animal fat, while higher agreeableness scores were related to a lower intake of burnt fish/meat in women. Also, those subjects with higher openness and agreeableness scores were found to better consider the nutritional balance when having a meal. In the case of the male participants, higher openness scores were related to increased physical activity, while higher neuroticism scores were related to increased smoking and a lack of sleep. As for the women, those with higher extraversion scores smoked more, while those who recorded higher agreeableness scores were involved in more physical activities.CONCLUSION: Differences were observed in dietary habits and health-related behaviors between men and women depending on personality factors, and the analysis results of some dietary habits according to personality factors were inconsistent with those of the overseas studies. Therefore, to provide customized nutritional counseling when considering each individual's personality factors, more research results from domestic samples should be collected and accumulated.


Assuntos
Animais , Aconselhamento , Extroversão Psicológica , Feminino , Comportamento Alimentar , Frutas , Comportamentos Relacionados com a Saúde , Humanos , Modelos Logísticos , Masculino , Refeições , Atividade Motora , Fumaça , Fumar , Verduras
4.
Rev. bras. cancerol ; 66(1)20200129.
Artigo em Português | LILACS (Américas) | ID: biblio-1095028

RESUMO

Introdução: A presença de um nutricionista no setor de radioterapia objetiva a recuperação e a manutenção do estado nutricional dos pacientes. Objetivo: Comparar os resultados do aconselhamento nutricional diário com o aconselhamento nutricional semanal em pacientes com câncer de cabeça, pescoço e esôfago em tratamento radioterápico. Método: Foram selecionados 29 pacientes para o estudo e separados aleatoriamente em dois grupos. O grupo intervenção recebeu aconselhamento nutricional diariamente. O grupo padrão recebeu aconselhamento nutricional semanalmente. De ambos os grupos, foram aferidos peso corporal, circunferência braquial ou de panturrilha, avaliação subjetiva global produzida pelo próprio paciente (ASG-PPP) e cálculo do recordatório alimentar diário. Resultados: A maioria dos participantes era do sexo masculino (80%), com média de idade de 62,7 ± 26 anos. A terapia nutricional oral foi necessária para 48% dos indivíduos e, ao final do tratamento, 60% estavam em uso de nutrição enteral. A perda de peso média no grupo intervenção foi de 1,89 ± 2,58 Kg comparada à perda média de peso no grupo padrão de 9,92 ± 6,68 Kg (p=0,017). Metade dos pacientes do grupo intervenção, que iniciaram o tratamento categorizados pela ASG-PPP em A, finalizou o tratamento nessa mesma categoria (41,7%). Mais de 40% dos pacientes do grupo intervenção alcançaram as necessidades calóricas durante cinco semanas do tratamento. Conclusão: Encontraram-se resultados significativos para menor perda de peso em pacientes com aconselhamento nutricional diário que podem futuramente ser precursores de diretrizes que orientem e direcionem profissionais a condutas específicas aos pacientes com esse perfil.


Introduction: The presence of a nutritionist in the radiotherapy sector intends to recover and maintain the nutritional status of the patients. Objective: To compare the results of daily nutritional counseling with weekly nutritional advising for patients with head, neck and esophagus cancer in radiotherapy treatment. Method: 29 patients were assigned to the study and randomly divided into two groups. The intervention group received nutritional advice daily. The standard group received weekly nutritional counseling. For both groups, body weight, calf or calf circumference, global subjective evaluation produced by the patient (ASG-PPP) and calculation of the daily dietary recall were measured. Results: The majority of the participants were male (80%), mean age 62.7 ± 26 years. Oral nutrition therapy was required treatment 60% were in use of enteral nutrition. The mean weight loss in the intervention group was 1.89 ± 2.58 kg compared to the mean weight loss in the standard group of 9.92 ± 6.68 kg (p <0.001). Half of the patients in the intervention group who began treatment categorized by ASG-PPP in A, finished treatment in the same category (41.7%). More than 40% of patients in the intervention group achieved caloric needs during five weeks of treatment. Conclusion: This study found significant results for lower weight loss in patients with daily nutritional counseling. These results may in the future be precursors of guidelines that steer and direct professionals to specific conducts to patients with this profile.


Introducción: La presencia de un nutricionista en el sector de radioterapia intenciona la recuperación y mantenimiento del estado nutricional de los pacientes. Objetivo: Comparar los resultados del asesoramiento nutricional diario con el asesoramiento nutricional semanal en pacientes con cáncer de cabeza, cuello y esófago en tratamiento radioterápico. Método: Fueron seleccionados 29 pacientes para el estudio y separados aleatoriamente en dos grupos. El grupo de intervención recibió asesoramiento nutricional diariamente. El grupo estándar recibió asesoramiento nutricional semanalmente. De ambos grupos se evaluaron peso corporal, circunferencia braquial o de pantorrilla, evaluación subjetiva global producida por el propio paciente (ASG-PPP) y cálculo del recordatorio alimentario diario. Resultados: La mayoría de los participantes eran del sexo masculino (80%), con una media de edad de 62,7 ± 26 años. La terapia nutricional oral fue necesaria para el 48% de los individuos y al final del tratamiento el 60% estaban en uso de nutrición enteral. La pérdida de peso media en el grupo de intervención fue de 1,89 ± 2,58 Kg comparada con la pérdida media de peso en el grupo estándar de 9,92 ± 6,68 Kg (p<0,001). La mitad de los pacientes del grupo intervención que iniciaron el tratamiento categorizados por la ASG-PPP en A, finalizaron el tratamiento en esa misma categoría (41,7%). Más del 60% de los pacientes del grupo de intervención alcanzaron las necesidades calóricas durante cinco semanas del tratamiento. Conclusión: Este estudio encontró resultados significativos para una menor pérdida de peso en pacientes con asesoramiento nutricional diario. Estos resultados pueden en el futuro ser precursores de pautas que orientan y dirigen profesionales a conductas específicas a los pacientes con este perfil.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Neoplasias Esofágicas/radioterapia , Estado Nutricional , Neoplasias de Cabeça e Pescoço/radioterapia , Peso Corporal , Neoplasias Esofágicas/dietoterapia , Aconselhamento/métodos , Neoplasias de Cabeça e Pescoço/dietoterapia
5.
Rev. psicanal ; 26(3): http://revista.sppa.org.br/index.php/RPdaSPPA/article/view/470/490, dez. 2019.
Artigo em Português | LILACS (Américas) | ID: biblio-1050026

RESUMO

O grupo formado a partir da parceria SMED ­ SPPA, que há mais de doze anos trabalha com o estudo e com a aplicação de técnicas que disponibilizem o conhecimento psicanalítico na formação continuada de profissionais voltados à educação infantil, expandiu-se para um grupo de pesquisa interinstitucional e interdisciplinar com a finalidade de estudar as Rodas de conversa SMED ­ SPPA através de metodologia desenvolvida ao longo desses anos. O presente artigo descreve sucintamente a história da parceria entre as duas instituições, apresentando também a Fase 1 do Projeto de Pesquisa Diálogo entre educação e psicanálise: rodas de conversa entre SMED e SPPA. Trata-se de pesquisa naturalística com abordagem qualitativa exploratória. Trabalha-se com uma amostra de dois grupos, compostos, cada um, por vinte educadores, um assessor pedagógico da SMED e dois psicanalistas da SPPA. Para a coleta de dados, são utilizados os seguintes instrumentos: gravação de vídeos das reuniões; cadernos de campo escritos pelos psicanalistas e assessores e, por fim, questionários sobre expectativas a serem preenchidos pelos educadores. As narrativas que emergem da transcrição dos vídeos são analisadas pelo método de Bardin. Aproveitar-se-á a primeira experiência de campo (Fase 1) para a definição das categorias temáticas significativas, de tal forma que a sua relevância seja testada em uma segunda rodada do trabalho de campo (AU)


The group formed from the SMED ­ SPPA partnership, which for over twelve years has been working with the study and application of techniques that provide psychoanalytic knowledge in the continuing education of professionals focused on early childhood education, formed an interinstitutional and interdisciplinary research group. The purpose of this research is to study the SMED ­ SPPA Conversation circles, a methodology developed over the years and which is a product of this partnership. This article briefly describes the history of the partnership between the two institutions, and also presents Phase 1 of the Research Project Dialogue between education and psychoanalysis: conversation circles between SMED and SPPA. It is a naturalistic research with exploratory qualitative approach. We work with a sample with two groups, each consisting of twenty educators, one SMED pedagogical advisor and two SPPA psychoanalysts. For data collection, the following instruments are used: video recording of meetings; field notebooks written by psychoanalysts and advisors; questionnaires about expectations to be fulfilled by educators. The narratives that emerge from the transcription of the videos will be analyzed by Bardin's method. The first field experiment (Phase 1) will be used to define meaningful thematic categories, so that their relevance is tested in a second round of fieldwork


El grupo formado a partir de la asociación SMED ­ SPPA, que durante más de doce años ha estado trabajando con el estudio y la aplicación de técnicas que proporcionan conocimiento psicoanalítico en la educación continua de profesionales centrados en la educación infantil, formó un grupo de investigación interinstitucional e interdisciplinario. El propósito de esta investigación es estudiar las ruedas de conversación SMED ­ SPPA, una metodología desarrollada a lo largo de los años y que es un producto de esta asociación. Este artículo describe brevemente la historia de la asociación entre las dos instituciones y también presenta la Fase 1 del Proyecto de Investigación Diálogo entre educación y psicoanálisis: ruedas de conversación entre SMED y SPPA. Es una investigación naturalista con enfoque cualitativo exploratorio. Trabajamos con una muestra con dos grupos, cada uno compuesto por veinte educadores, un asesor pedagógico de SMED y dos psicoanalistas de SPPA. Para la recolección de datos, se utilizan los siguientes instrumentos: grabación de video de reuniones; cuadernos de campo escritos por psicoanalistas y asesores; cuestionarios sobre expectativas que deben cumplir los educadores. Las narraciones que emergen de la transcripción de los videos son analizadas por el método de Bardin. El primer experimento de campo (Fase 1) se utilizará para definir categorías temáticas significativas, de modo que su relevancia se evalúe en una segunda ronda de trabajo de campo


Assuntos
Marginalização Social , Serviços Comunitários de Saúde Mental , Aconselhamento , Discriminação Social , Técnicas de Observação do Comportamento
6.
Rev. bras. ativ. fís. saúde ; 24: 1-12, out. 2019. fig, tab
Artigo em Português | LILACS (Américas) | ID: biblio-1026740

RESUMO

O aconselhamento tem se mostrado promissor para mudança de comportamento. Este estudo teve como objetivo realizar uma revisão sistemática sobre a prevalência de aconselhamento para a prática de atividade física oferecido pelos profissionais de saúde e recebido pelos usuários no contexto da Atenção Básica à Saúde. Foram revisadas as bases de periódicos PsycINFO, EBSCOhost, PubMed, ScienceDirect, Web of Science, LILACS e SciELO. O risco de viés foi avaliado em todos os artigos. Foram incluídos na revisão 44 artigos, destes, 21 investigaram aconselhamento fornecido por profissionais de saúde e 23 analisaram aconselhamento recebido por usuários. A prevalência de aconselha-mento variou de 11,8% a 95,0% entre os profissionais (60,2 ± 22,7%) e 4,5% a 61,6% entre usuários (36,6 ± 14,2%). Médicos são os profissionais mais investigados. Usuários com fatores de risco para as doenças crônicas são os que mais relatam receber aconselhamento. O aconselhamento ainda é incipiente na Atenção Básica à Saúde, especialmente pela baixa percepção de aconselhamento recebido pelos usuários. Existe a necessidade de padronizar métodos para avaliar o aconselhamento para prática de atividade física, especialmente no tempo, no tipo e na forma de aconselhar


Counseling has shown promise for behavior change. This study aims to carry out a systematic review on the prevalence of counseling for the practice of physical activity offered by health professionals and received by users in the context of Primary Health Care. We reviewed the journal bases PsycINFO, EBSCOhost, PubMed, ScienceDirect, Web of Science, LILACS and SciELO. The risk of bias was evaluated in all articles. In total, 44 articles were included, of which 21 investigated advice provided by health professionals and 23 analyzed advice received by users. The prevalence of counseling ranged from 11.8% to 95.0% among professionals (60.2 ± 22.7%) and 4.5% to 61.6% among users (36.6 ± 14.2%). Doctors are the most researched professionals. Users with risk factors for chronic diseases are the most reported to receive counseling. Counseling is still incipient in Primary Health Care, especially because of the low perception of counseling received by users. There is a need to standardize methods to evaluate physical activity counseling, especially in the kind and in the form of advice.


Assuntos
Atenção Primária à Saúde , Aconselhamento , Promoção da Saúde , Atividade Motora
7.
Trends psychiatry psychother. (Impr.) ; 41(3): 276-282, July-Sept. 2019. tab
Artigo em Inglês | LILACS (Américas) | ID: biblio-1043528

RESUMO

Abstract Introduction Preeclampsia is a serious complication during pregnancy that not only influences maternal and fetal physical health, but also has maternal mental health outcomes such as anxiety. Prenatal anxiety has negative short- and long-term effects on pre- and postpartum maternal mental health, delivery, and mental health in subsequent pregnancies. Objective To investigate the effectiveness of individual psycho-educational counseling on anxiety in pregnant women with preeclampsia. Methods This was a randomized, intervention-controlled study involving two governmental hospitals in the municipality of Sirjan, Kerman, from January 30 2017 to March 31 2017. A total of 44 pregnant women with preeclampsia were assessed. The women were randomized into two groups: control (n=22) and intervention (n=22). The intervention consisted of two sessions of individual psycho-educational counseling. The level of anxiety was measured using the Spielberger State-Trait Anxiety Inventory (STAI) as pretest before the first session and as posttest after the second session during the hospitalization period. Results There was a significant reduction in the anxiety level after the counselling sessions in the intervention group (p<0.005). In addition, there was a slight increase in the anxiety level in the control group after the study. Conclusion According to the results, psycho-educational counseling can significantly reduce the anxiety level in pregnant women with preeclampsia. Therefore, it is recommended that healthcare providers provide this type of therapeutic intervention for pregnant women after hospitalization, in order to reduce their anxiety level and its subsequent negative outcomes. Clinical trial registration: IRCT2017082029817N3.


Resumo Introdução A pré-eclâmpsia é uma complicação séria durante a gravidez que não apenas influencia a saúde física da mãe e do feto, mas também tem consequências para a saúde mental materna, por exemplo ansiedade. A ansiedade pré-natal tem efeitos negativos e de longo prazo sobre a saúde mental da mãe antes e após o parto, sobre o parto, assim como sobre a saúde mental em gestações subsequentes. Objetivo Investigar a eficácia do aconselhamento psicoeducacional individual com relação aos níveis de ansiedade em gestantes com pré-eclâmpsia. Métodos Este foi um estudo randomizado, controlado, que envolveu dois hospitais governamentais na cidade de Sirjan, Kerman, de 30 de janeiro de 2017 a 31 de março de 2017. Um total de 42 gestantes com pré-eclâmpsia foram avaliadas. As mulheres foram randomicamente divididas em dois grupos: controle (n=22) e intervenção (n=22). A intervenção consistiu de duas sessões de aconselhamento psicoeducacional individual. O nível de ansiedade foi medido usando-se o Spielberger State-Trait Anxiety Inventory (STAI) antes da primeira sessão (pré-teste) e após a segunda seção (pós-teste), durante o período de hospitalização. Resultados Houve uma redução significativa no nível de ansiedade após as sessões de aconselhamento no grupo intervenção (p<0,005). Além disso, houve um discreto aumento no nível de ansiedade no grupo controle após o estudo. Conclusão De acordo com os resultados deste estudo, o aconselhamento psicoeducacional pode reduzir de forma significativa o nível de ansiedade em gestantes com pré-eclâmpsia. Assim, recomenda-se que os profissionais de saúde ofereçam esse tipo de intervenção terapêutica para gestantes após a hospitalização, a fim de reduzir o nível de ansiedade e seus desfechos negativos. Registro do ensaio clínico: IRCT2017082029817N3.


Assuntos
Humanos , Feminino , Gravidez , Adolescente , Adulto , Adulto Jovem , Transtornos de Ansiedade/terapia , Pré-Eclâmpsia/psicologia , Psicoterapia/métodos , Educação de Pacientes como Assunto/métodos , Aconselhamento/métodos , Transtornos de Ansiedade/etiologia , Cuidado Pré-Natal , Resultado do Tratamento , Pessoa de Meia-Idade
8.
Rev. bras. ciênc. mov ; 27(2): 97-109, abr.-jun.2019. tab, ilus
Artigo em Português | LILACS (Américas) | ID: biblio-1009184

RESUMO

O processo de envelhecimento no mundo torna-se cada vez maior. Na tentativa de se conseguir estimular o idoso a ter um estilo de vida mais saudável, algumas iniciativas em relação à educação para a saúde, lazer e motivação para a prática regular de atividade física já estão em curso, como intervenções físicas em conjunto a intervenções informativas. O objetivo do presente estudo é analisar a efetividade de intervenções informativas, por meio de grupos de aconselhamento, nos aspectos comportamentais relacionados à atividade física, comportamento sedentário e lazer em idosos. A população estudada nesta pesquisa foi de idosos participantes do Programa AFRID (Atividades Físicas e Recreativas para Terceira Idade), sendo a amostra composta por 14 idosos. O projeto foi desenvolvido em um período de 8 semanas, no qual os idosos foram avaliados pré e pós intervenção informativa. Os instrumentos utilizados no presente estudo foram Anamnese, Questionário Internacional de Atividade Física (IPAQ) versão longa, Questionário LASA-SBQ para medida do comportamento sedentário em idosos, EPL ­ Escala de Práticas no Lazer adaptada e grupo focal. Os resultados encontrados destacam que as intervenções realizadas melhoraram significativamente os dados do comportamento sedentário e mostraram uma tendência de melhora para os níveis de atividade física e envolvimento em atividades de lazer Físico/Esportivas e Intelectuais. A análise qualitativa apresentou que as intervenções informativas foram relevantes para a percepção da melhora dos aspectos comportamentais, como um significativo meio para a mudança de hábitos de vida, no qual os idosos puderam apresentar suas reflexões, anseios e sugestões sobre a importância do grupo de aconselhamento em sua saúde e qualidade de vida....(AU)


In an attempt to stimulate the elderly to have a healthier lifestyle, some initiatives in Public Policies are already in progress, such as physical activities interventions with informative interventions. The aim of this study was to analyse the effectiveness of a counseling interventions in the behavioral aspects related to physical activity, sedentary behavior and leisure time in the elderly. The population in this study was the elderly participants in the AFRID Program (Atividades Físicas e Recreativas para Terceira Idade), and the sample was composed of 14 elderly people. This project was developed in 16 weeks, and the subjects were assessed pre and post counseling intervention. The instruments used in the present study were: Anamnesis, International Physical Activity Questionnaire (IPAQ) long version, LASA-SBQ Questionnaire to measure sedentary behavior in older adults, EPL - Adapted Leisure Practice Scale and focal group. The results show that the interventions improved sedentary behavior data and indicated a tendency to improve physical activity levels and involvement in leisure activities, especially in Physical/Sport and Intellectuals.The qualitative analysis revealed that the informative interventions were relevant for the perception of the improvement of the behavioral aspects as a significative device for change of habits and lifestyle. In counseling, this population was able to present their reflections, wishesand suggestions on the importance of the group of counseling and continuity of this....(AU)


Assuntos
Humanos , Idoso , Idoso de 80 Anos ou mais , Idoso , Aconselhamento , Atividade Motora , Educação Física e Treinamento
9.
Femina ; 47(4): 207-210, 20190430.
Artigo em Português | LILACS (Américas) | ID: biblio-1103072

RESUMO

Adolescentes desejam método seguro e efetivo de contracepção, mas encontram barreiras ao conhecimento de diferentes opções e a seu acesso. A idade isoladamente não contraindica qualquer método contraceptivo. Ao contrário, adolescentes têm maior número de opções contraceptivas em virtude das condições de saúde próprias da idade. As formas mais populares de contracepção em adolescentes são preservativos e o coito interrompido, seguidos das pílulas combinadas. Observa-se, no entanto, que os métodos que dependem do uso correto das adolescentes apresentam maior número de falhas quando comparadas a mulheres adultas. Profissionais de saúde envolvidos em medidas contraceptivas devem priorizar o aconselhamento e a capacitação para a oferta dos métodos contraceptivos para adolescentes, observando aspectos culturais e éticos nessa importante fase da vida feminina.(AU)


Assuntos
Humanos , Feminino , Adolescente , Anticoncepção , Aconselhamento , Saúde do Adolescente , Progestinas , Preservativos , Estrogênios , Dispositivos Intrauterinos
10.
Pesqui. prát. psicossociais ; 14(1): 1-10, jan.-mar. 2019.
Artigo em Português | LILACS (Américas) | ID: biblio-1002792

RESUMO

Este artigo é um relato de experiência de ações itinerantes de um Centro de Testagem e Aconselhamento (CTA) em ambiente universitário. Essas ações de aconselhamento e testagem foram possíveis a partir da interação entre a comunidade acadêmica e os profissionais de saúde do CTA, levando em consideração a noção de vulnerabilidade e suas categorias (individual, social e programática).


This article reports on experience of itinerant actions of a Testing and Counseling Center in a university environment. These counseling and testing actions were carried out through the interaction between an academic community and health professionals, taking into account the notion of vulnerability and its categories (individual, social and programmatic).


Este artículo es un relato de experiencia de acciones itinerantes de un Centro de Consejería y Pruebas en el ámbito universitario. Estas acciones de consejería y pruebas fueron posibles a partir de la interacción entre los profesionales de la salud y de la comunidad académica, teniendo en cuenta la noción de vulnerabilidad y sus categorías (individual, social y programática).


Assuntos
Doenças Sexualmente Transmissíveis , Síndrome de Imunodeficiência Adquirida , Centros de Saúde , Educação em Saúde , Aconselhamento , Vulnerabilidade em Saúde , Sistemas de Apoio Psicossocial
11.
Artigo em Coreano | WPRIM (Pacífico Ocidental) | ID: wprim-759850

RESUMO

BACKGROUND: Smoking cessation services for inpatients can be provided effectively through interdisciplinary collaborations. Physicians could play a central role in smoking cessation counseling and treatment for recovery from illness and health promotion of the inpatient. This study aimed to investigate the perspectives of physicians on inpatient smoking cessation services. METHODS: We conducted one personal and two focus group interviews with clinical faculties at a university hospital in Seoul and a university hospital in Chungnam using semi-structured questionnaires. Interviews were recorded, and the transcribed verbatim was analyzed qualitatively. RESULTS: The physicians recognized the need for inpatient smoking cessation services and recognized that smoking cessation was effective when the patient had a smoking-related illness such as respiratory or cardiovascular disease Additionally, the physicians recognized the need for hospital management to support smoking cessation in hospitalized patients and recognized that it was effective to have a dedicated workforce with a smoking cessation coordinator. There was support from four types of physicians in the smoking cessation program: active participant, passive supporter, passive ignorer, and active refuser. CONCLUSIONS: The physician is important for the effective implementation of inpatient smoking cessation services. A dedicated team for the smoking cessation of the inpatient, the establishment of evidence-based data on the effectiveness of the inpatient smoking cessation services, and development of customized smoking cessation services will be necessary to strengthen the role of physicians.


Assuntos
Doenças Cardiovasculares , Comportamento Cooperativo , Aconselhamento , Grupos Focais , Promoção da Saúde , Humanos , Pacientes Internados , Seul , Fumaça , Abandono do Hábito de Fumar , Fumar
12.
Artigo em Coreano | WPRIM (Pacífico Ocidental) | ID: wprim-759608

RESUMO

OBJECTIVE: This study attempts to gauge the necessity of contraceptive education for women defecting from North Korea (NKDWs). METHODS: We conducted in-depth interviews with six NKDWs who had lived in the Republic of Korea (ROK) for more than three years, to understand the subjects' perceptions, experiences, and opinions regarding contraception. Thematic analyses were performed using qualitative data provided in the survey results. RESULTS: Before their defections from North Korea, none of the NKDWs had received any sex education. Loop is the only contraceptive method available to married women in ROK. After defection, NKDWs were provided information about contraceptive options available in China, but they could not fully understand this information. Furthermore, the information they received was not accurate. Thus, NKDWs had a high need for contraceptive sex education. As per our survey, their preferred education method was at least 3 lessons plus 1 : 1 counseling, as necessary. CONCLUSION: This study indicates that a necessity exists for development of a sex education program for NKDWs to enhance their contraceptive knowledge. Thus, government and health managers have a role to play in developing such a program.


Assuntos
China , Anticoncepção , Anticoncepcionais Orais , Aconselhamento , República Democrática Popular da Coreia , Educação , Feminino , Humanos , Métodos , República da Coreia , Educação Sexual , Saúde da Mulher
13.
Artigo em Coreano | WPRIM (Pacífico Ocidental) | ID: wprim-758560

RESUMO

PURPOSE: This study aimed to identify the factors that impact the intention of sexual abstinence among female college students. The approach was based on Ajzen's theory of planned behavior and the parent-adolescent communication of contextual factors. METHODS: A total of 189 female university students in the first to fourth grades at two universities in Honam region participated in the study. The collected data were analyzed using hierarchical stepwise multiple regression using SPSS 21.0. RESULTS: The major factor that influences the intention of sexual abstinence among female college students was attitudes toward sexual behavior (β=0.53, p<0.001). Other factors, in descending order of their impact, were subjective norms toward friends (β=0.25, p<0.001), experience of sexual intercourse (β=−0.19, p<0.001), and subjective norms toward parents (β=0.09, p=0.040). Taken together, the aforementioned factors explained 81.1 % of the total variance. CONCLUSION: Female college students' intention to abstain from sexual behaviors requires education promoting moderate and conservative positions. The participants' subjective norms concerning sexual behaviors as perceived by friends and parents were also important. The results of this study provide meaningful implications for education of parents, sexual education of female college students, and sexual counseling programs.


Assuntos
Coito , Aconselhamento , Educação , Feminino , Amigos , Humanos , Intenção , Pais , Abstinência Sexual , Comportamento Sexual
14.
Artigo em Coreano | WPRIM (Pacífico Ocidental) | ID: wprim-758464

RESUMO

OBJECTIVE: Mobile messengers are becoming common methods to communicate among people in various fields. This study investigated the effectiveness of mobile messengers as a tool for post-discharge case management of emergency department patients who attempted suicide and self-harm. METHODS: This study was a retrospective observational study of data collected prospectively. A total of 327 patients who attempted suicide and self-harm in the emergency department were divided into two groups: a conventional protocol group with a face-to-face or phone call interview and a new protocol group with added mobile messenger counseling. The basic characteristics, such as sex, age, methods of suicide and self-harm attempt, consent for case management, and admission to a ward, were surveyed. The rates of successful case management (transfer to a local community center or follow-up to neuropsychiatric outpatient clinic, or both) were compared as a primary outcome between the two groups. RESULTS: The conventional protocol group was 122 cases and the new protocol group was 205 cases. No significant differences in sex, age, methods of suicide and self-harm attempt, rate of consent to case management, and admission to a ward were observed between the two groups. On the other hand, the total successful management rate in mobile messenger group was higher than that of the other group (P=0.020). CONCLUSION: This study showed that mobile messengers could be an alternative communication tool for the post-discharge case management of patients who attempted suicide and self-injurious behavior. Nevertheless, a well-designed future study might be needed to determine if that method would reduce the reattempt rate.


Assuntos
Instituições de Assistência Ambulatorial , Administração de Caso , Telefone Celular , Aconselhamento , Serviço Hospitalar de Emergência , Seguimentos , Mãos , Humanos , Métodos , Estudo Observacional , Estudos Prospectivos , Estudos Retrospectivos , Comportamento Autodestrutivo , Suicídio , Tentativa de Suicídio
15.
Artigo em Inglês | WPRIM (Pacífico Ocidental) | ID: wprim-763307

RESUMO

Korean Society of Thyroid-Head and Neck Surgery appointed a Task Force to provide guidance on the implementation of a surgical treatment of oral cancer. MEDLINE databases were searched for articles on subjects related to “surgical management of oral cancer” published in English. Results were restricted to systematic reviews, randomized control trials/controlled clinical trials, and observational studies. The quality of evidence was rated with use RoBANS (Risk of Bias Assessment Tool for Nonrandomized Studies) and AMSTAR (A Measurement Tool to Assess the Methodological Quality of Systematic Reviews). Evidence-based recommendations for practice were ranked according to the American College of Physicians grading system. Additional directives are provided as expert opinions and Delphi questionnaire when insufficient evidence existed. The Committee developed 68 evidence-based recommendations in 34 categories intended to assist clinicians and patients and counselors, and health policy-makers. Proper surgical treatment selection for oral cancer, which is directed by patient- and subsite-specific factors, remains the greatest predictor of successful treatment outcomes. These guidelines are intended for use in conjunction with the individual patient's treatment goals.


Assuntos
Comitês Consultivos , Viés , Carcinoma de Células Escamosas , Aconselhamento , Prova Pericial , Humanos , Neoplasias Bucais , Pescoço , República da Coreia
16.
Cancer Research and Treatment ; : 1347-1356, 2019.
Artigo em Inglês | WPRIM (Pacífico Ocidental) | ID: wprim-763225

RESUMO

PURPOSE: Conditional survival estimates (CSE) can provide additional useful prognostic information on the period of survival after diagnosis, which helps in counseling patients with cancer on their individual prognoses. This study aimed to analyze conditional survival (CS) for hepatocellular carcinoma (HCC) using a Korean national registry. MATERIALS AND METHODS: Patients with HCC, registered in the Korean cancer registry database, were retrospectively reviewed. Overall survival (OS) was calculated using the Kaplan-Meier method. The 1-year CS at X year or month after diagnosis were calculated as CS₁=OS((X+1))/OS((X)). CS calculations were performed in each Barcelona Clinic Liver Cancer stage, after which patients at stage 0, A, and B underwent subgroup analysis using initial treatment methods. RESULTS: A total of 4,063 patients diagnosed with HCC from January 2008 to December 2010, and 2,721 who were diagnosed from January 2011 to December 2012, were separately reviewed. In 2008-2010, the 1-year CS of 1, 2, 3, 4, and 5-year survivors was 82.9%, 85.1%, 88.3%, 88.0%, and 88.6%, respectively. Patients demonstrated an increase in CSE over time in subgroup analysis, especially in the advanced stages. In 2011-2012, the 1-year CS of 6, 12, 18, 24, 30, and 36 months was 81.5%, 83.8%, 85.3%, 85.5%, 86.5%, and 88.8%, respectively. The subgroup analysis showed the same tendency towards increased CSE in the advanced stages. CONCLUSION: Overall, the CS improved with each additional year after diagnosis in both groups. CSE may therefore provide a more accurate prognosis and hopeful message to patients who are surviving with or after treatment.


Assuntos
Carcinoma Hepatocelular , Aconselhamento , Diagnóstico , Esperança , Humanos , Coreia (Geográfico) , Neoplasias Hepáticas , Métodos , Prognóstico , República da Coreia , Estudos Retrospectivos , Sobreviventes
17.
Asian Nursing Research ; : 216-220, 2019.
Artigo em Inglês | WPRIM (Pacífico Ocidental) | ID: wprim-762892

RESUMO

PURPOSE: This study aimed to use a web-based survey to investigate the correlation between job satisfaction and marital quality and to identify the association of demographics with job satisfaction and marital quality. METHODS: Married nurses (N = 2,296) completed the questionnaires. Correlations and linear regression analyses were carried out. RESULTS: Both marital quality and job satisfaction were relatively low. Additionally, marital quality was positively correlated with job satisfaction. Age, marital status (in years) and average daily hours spent with spouse had positive impact on job satisfaction. Multiple linear regression analyses showed that age, monthly income, average daily hours spent with spouse and marital quality were positively associated with job satisfaction. CONCLUSION: Because of the shifts nurses working, there is little time for nurses to spend with their spouses and family. It is recommended that hospital leaders could provide more flexibility with nurses' shift choices so nurses can arrange their work-life balance better. Other considerations like reducing workload and reducing working hours should be promoted as options. Nurse managers could offer counseling services including strategies to cope with the balance between work and life. This effort could improve job satisfaction and reduce the rate of turnover of nurses.


Assuntos
Grupo com Ancestrais do Continente Asiático , China , Aconselhamento , Demografia , Humanos , Satisfação no Emprego , Modelos Lineares , Estado Civil , Enfermeiras Administradoras , Maleabilidade , Cônjuges
18.
Artigo em Inglês | WPRIM (Pacífico Ocidental) | ID: wprim-762549

RESUMO

BACKGROUND: This study investigated characteristics according to demographic, occupational factors of Maslach Burnout Inventory-General Survey (MBI-GS) and related scales to MBI-GS. METHODS: The subjects of the study were 3,331 workers in 3 different workplaces of one electronics company. They filled in demographic factors surveys, occupational factors surveys, MBI-GS, Korean Occupational Stress Scale-Short Form (KOSS-SF), Patient Health Questionnaire-9 (PHQ-9), and World Health Organization Quality Of Life-Abbreviated version (WHOQOL-BREF). The correlations between sub-scales of MBI-GS and KOSS-SF, PHQ-9, WHOQOL-BREF were analyzed respectively. And KOSS-SF, PHQ-9, and WHOQOL-BREF were categorized; mean scores of sub-scales of MBI-GS were compared; and the quartiles of sub-scales of MBI-GS were presented. RESULTS: A comparison of mean scores of MBI-GS according to demographic and occupational factors showed a significant difference according to age, problem drinking behavior, working time, and working duration in exhaustion regardless of sex. In professional efficacy, a significant difference was observed in age, marital status, working type, and working duration. And as a result of correlation analysis, the correlation coefficient between exhaustion and PHQ-9 was the highest regardless of sex. In addition, regardless of sex, exhaustion and cynicism scores tended to increase and professional efficacy score tended to decrease as the work stress level rose. Same tendency is shown in case of the more severe the symptom of depression and the lower quality of life. When the quartile for sub-scales' score of MBI-GS were investigated, the burnout was more pronounced in female than in male. CONCLUSIONS: Many demographic and occupational factors affect burnout were identified in one electronics company, and we investigated which sub-scales of MBI-GS were affected. Through this study, burnout characteristics were identified in a few population group of Korea, and the results are expected to be useful for burnout risk group identification, counseling, etc.


Assuntos
Aconselhamento , Demografia , Depressão , Comportamento de Ingestão de Líquido , Feminino , Humanos , Coreia (Geográfico) , Masculino , Estado Civil , Grupos Populacionais , Qualidade de Vida , Identificação Social , Pesos e Medidas , Organização Mundial da Saúde
19.
Artigo em Inglês | WPRIM (Pacífico Ocidental) | ID: wprim-762547

RESUMO

BACKGROUND: The present study aimed to investigate the basic characteristics of carpal tunnel syndrome (CTS) and its differences between occupations using Korea's National Health Insurance (NHI) and National Employment Insurance (NEI). METHODS: The study participants were obtained from the NEI and NHI data from 2008 to 2015, with a diagnosis code of G560 (CTS) as the main or sub-diagnosis. Data about gender, age, diabetes mellitus, smoking, drinking, and length of employment, information about type of occupation, and number of employees according to age and occupation were obtained from NHI and NEI data. In total, 240 occupations were classified into blue-collar (BC) and white-collar (WC) work. In addition, each occupation was classified as high-risk and low-risk groups depending on the degree of wrist usage. RESULTS: The number of patients with CTS per 100,000 individuals increased with advancing age, and it was higher in women (4,572.2) than in men (1,798.5). Furthermore, the number was higher in BC workers (3,247.5) than in WC workers (1,824.1) as well as in the high-risk group than in the low-risk group in both BC workers (3,527.8 vs. 1,908.2) and WC workers (1,829.9 vs. 1,754.4). The number of patients with CTS was higher in the high-risk group than in the low-risk group among male and female BC workers and female WC workers. However, the number was higher in the low-risk group among male WC workers. In the BC category, the number of patients with CTS was highest among food processing-related workers (19,984.5). In the WC category, the number of patients with CTS was highest among social workers and counselors (7,444.1). CONCLUSIONS: The results of this study are expected to help identify occupational differences in patterns of CTS. High number of patients with CTS was seen in new jobs, as well as in previous studies.


Assuntos
Síndrome do Túnel Carpal , Aconselhamento , Diabetes Mellitus , Diagnóstico , Ingestão de Líquidos , Emprego , Feminino , Humanos , Seguro , Masculino , Programas Nacionais de Saúde , Ocupações , Fumaça , Fumar , Serviço Social , Assistentes Sociais , Punho
20.
Annals of Coloproctology ; : 262-267, 2019.
Artigo em Inglês | WPRIM (Pacífico Ocidental) | ID: wprim-762329

RESUMO

PURPOSE: The laparoscopic rectopexy has become increasingly popular with verified stability, surgical route selection should be tailored to individual patient characteristics rather than operative risk. The perineal approach is useful in young male patients who need to preserve fertility. This study aimed to compare the characteristics of men and women who underwent Delorme-Thiersch procedures and analyze the postoperative outcomes of the perineal approach by sex. METHODS: We retrospectively reviewed the medical records of 293 patients who underwent Delorme-Thiersch operations in Seoul Song Do Colorectal Hospital between January 2011 and September 2017. Patient clinical characteristics and postoperative complications were analyzed by sex. We analyzed surgical outcomes with preoperative and 3-month postoperative incontinence questionnaires, constipation levels, and anal manometry. RESULTS: In this study, men with rectal prolapse were younger than women with the same condition. American Society of Anesthesiologists physical status classifications were higher in women and women had more L-spine X-ray and pudendal nerve terminal motor latency test abnormalities. Anorectal manometry pressures were higher in men. Men also had longer operation times and hospital stays and more postoperative complications (8 T ring infections, 6 patients with bleeding, 3 with strictures, 2 with severe pain, and 2 with rectal perforations). The recurrence rate was higher among women. CONCLUSION: Men with rectal prolapse were younger, healthier, and had relatively better anorectal function than women. The Delorme-Thiersch operation in men promoted lower recurrence rates and was advantageous in preserving the fertility of young patients, but the incidence of complications was also higher in men. Adequate counseling and preparation for the possibility of complications are needed.


Assuntos
Classificação , Constipação Intestinal , Constrição Patológica , Aconselhamento , Feminino , Fertilidade , Hemorragia , Humanos , Incidência , Tempo de Internação , Masculino , Manometria , Registros Médicos , Música , Complicações Pós-Operatórias , Nervo Pudendo , Prolapso Retal , Recidiva , Estudos Retrospectivos , Seul
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