O objetivo deste estudo foi identificar como está a saúde mental das pessoas acometidas por ferida crônica. Pesquisa descritiva de abordagem qualitativa, realizada no período de agosto de 2008 a março de 2009, a qual utilizou a entrevista como técnica para a coleta de dados. Participaram seis portadores de feridas crônicas em acompanhamento pelo Ambulatório de Especialidades de um Hospital Público. Para análise dos dados utilizou-se a técnica de análise de conteúdo. Os resultados demonstram que há perda da autoestima, dor, déficit na qualidade do sono, inaptidão para o trabalho, vergonha e constrangimento para se relacionar socialmente, levando à propensão de problemas de ordem emocional. Concluímos que o portador de feridas crônicas apresenta propensão a desenvolver problemas que colocam em risco sua saúde mental.

IntroductionBreast cancer is the most common cause of cancer death among women.ObjectiveThe objective of this study was to analyze time trends in overall mortality from breast cancer in Brazil, Brazilian regions and States.MethodsThis is an exploratory study, of the time series of deaths from breast cancer contained in the Mortality Information System (SIM), of women living in Brazil, Brazilian regions and States, from 1996 to 2013. For the trend analysis, the polynomial regression model was used, and a significant trend was considered when the estimated model obtained a p value <0.05.ResultsThere was a tendency of increased mortality from breast cancer in Brazilian women (average increase of 0.18 per year; p <0.001), with regional differences, particularly in the age group 20–49 years (0.07 per year; p <0.001). The age group 50–69 years remained constant but had high average rates (37.14).ConclusionMore effective planning is needed to focus on the different scenarios of the Brazilian regions. Screening strategies for the incidence and mortality from breast cancer must also be rethought according to age group in the country.

IntroductionBreast cancer remains an important public health problem that is responsible for high morbidity and mortality rates, especially in developing countries.ObjectiveTo analyze the socioeconomic and access disparities related to breast cancer mortality in 399 cities in the state of Parana, Brazil.MethodsEcological, descriptive and analytical cross-sectional study based on secondary data from the Mortality Information System from 2009 to 2012 in the state of Parana. Breast cancer mortality rate was calculated considering the mortality cases and women population of each municipality, both based on women older than 20 years old. Moran global and local analyses were used to verify the presence of spatial autocorrelation and spatial regression modeling (Spatial Lag—SAR) with the purpose of analyzing the association between socioeconomic indicators, access and mortality rates for breast cancer.ResultsSignificant positive spatial autocorrelation was found for breast cancer mortality rates (I = 0.5432, p = 0.001). In the spatial regression analysis, the model explained 61% of the variance of the mortality rates for breast cancer. The mortality rate for breast cancer was negatively associated with the illiteracy rate (Coefficient = -0.0279) and positively associated with the access index (Coefficient = 12.9525).ConclusionThe lower illiteracy rate has not been sufficient to reduce the specific mortality rate by breast cancer, and the higher the score of accessibility to cancer services, the higher the specific mortality due to breast cancer. The results show that in the state of Parana, the problem is not related to a lack of education of the patients or the distance walked, but rather with the organization of services. These conclusions have important political implications on the organization and quality of the services provided for the diagnosis and treatment of breast cancer in the state of Parana.

O objetivo geral deste estudo foi revelar, na ótica familiar, a participação do portador de transtorno mental na vida em família. Pesquisa de abordagem qualitativa, realizada no período de março a maio de 2010. Os 14 colaboradores pertencem a onze famílias de portadores de transtornos mentais residentes no município de Maringá-Pr. Foi utilizada a história oral temática como técnica de coleta dos dados. Para análise dos dados utilizou-se a técnica de análise de conteúdo temática. Os resultados demonstram que, em relação à participação e decisões em família, ainda há dificuldades neste aspecto. Quanto à participação nas tarefas cotidianas, a maioria contribui quando não está em crise, porém com suas limitações; os relacionamentos familiares são permeados de sentimentos de dor e sofrimento atrelado a pena e dó. Conclui-se que a enfermagem tem o importante papel de orientar e apoiar a família em suas necessidades.

The aim of this study was to understand how family members of people with mental disorders conceive the performance of self-help groups (SG). This qualitative study was conducted with eleven family members who participate in a SG of the Maringaense Mental Health Association. Data were collected from April to June 2010 during group meetings, in an adjoining room, by means of semi-structured interviews, which were then subjected to content analysis. Two categories emerged: "The group compensates for deficiencies in care", which points out deficiencies arising from the formal care services and the benefits of SG for family members and, "Idealized care", which reveals the expectations of the family in relation to mental health care. It was concluded that family members would like activities of the SG to be incorporated by mental health care services and for family care to become a part of the care plan.

Background: Traffic accidents are a major global public health problem with an impact on morbidity and mortality. Objective: The aim of this study was to analyze the mortality trend from road accidents among young adults. Method: An ecological time-series study was performed of the deaths of young (15-24 years old) in traffic accidents in the state of Parana, Brazil from 1996 to 2013. Mortality data was obtained from the Mortality Information System. Mortality rates were calculated and the trend analysis was performed through polynomial regression models. A trend was considered significant when the estimated model obtained a p-value <0.05. Accidents involving tricycles were excluded from the analysis (58 cases). Results: Of the 12,063 deaths from road accidents, 82.0% were male. There was a significant and growing trend of accident mortality rates involving motorcyclists and car and pick-up truck occupants, and a decreasing trend of fatal accidents involving pedestrians. The average mortality rate for accidents involving motorcyclists was 10 deaths per 100,000 residents, an increase of 1.13 per year. Accidents involving car occupants increased annually by 0.43 and accidents involving pick-up truck occupants by 0.01. Conclusion: There was a significant increasing trend for fatalities of both genders, especially motorcyclists and car occupants. The pedestrian mortality trend has shown a decreasing due to their lower exposure.

RESUMOObjetivo: compreender a necessidade de cuidado expressa por familiares do adolescente usuário de álcool e substâncias psicoativas. Método: pesquisa descritiva de abordagem qualitativa realizada com seis familiares de adolescentes usuários de álcool e outras drogas e que foram hospitalizados para tratamento, no noroeste do estado do Paraná. A coleta de dados foi realizada no período de março a junho de 2009, por meio de entrevistas abertas, submetidas à análise de conteúdo. Resultados: mostram que o sofrimento é intenso e exige acompanhamento de conflitos familiares. Os familiares percebem descuidado dos profissionais para com os adolescentes, caracterizado pela ausência de continuidade no tratamento, falta de incentivo e de informações necessárias para que os familiares possam compreender e saibam lidar melhor com as situações decorrentes do uso de drogas. Conclusão: é urgente a necessidade dos profissionais apoiarem os familiares, oferecendo orientações efetivas e acompanhamento tanto do adolescente quanto da família. Palavras-chave: Relações familiares; enfermagem; saúde mental; abuso de substâncias psicoativas. ABSTRACTObjective: to understand the care needs teenage alcohol and psychoactive substance users, as expressed by relatives. Method: this descriptive, qualitative study of six relatives of teenage alcohol and other drug users, who had been hospitalized for treatment in northwest Paraná State. Data were collected from March to June 2009 by open interview and then subjected to content analysis. Results: show that suffering is intense and calls for monitoring of family conflicts. The family perceive professionals' carelessness with the teenagers, characterized by a lack of continuity in care, lack of encouragement and information needed for family members to understand situations arising from drug use and how to deal with them better. Conclusion: there is an urgent need for professionals to support families, offering effective guidance and monitoring of both teenagers and family. RESUMENObjetivo:comprender las necesidades de atención expresadas por los familiares de adolescentes usuarios de alcohol y sustancias psicoactivas. Método: Estudio descriptivo de enfoque cualitativo, realizado con seis familiares de adolescentes usuarios de alcohol y otras drogas y que fueron hospitalisados para tratamiento, en el noroeste del estado de Paraná. La recolección de datos se llevó a cabo de marzo a junio 2009, mediante entrevistas abiertas sometidas a análisis de contenido. Resultados: muestran que el sufrimiento es intenso y que exige un seguimiento de los conflictos familiares. La familia percibe la falta de cuidado de los profesionales con los adolescentes, caracterizado por la falta de continuidad en el tratamiento, la falta de incentivos y de información necesaria para que la familia pueda entender y sepa lidiar mejor con las situaciones derivadas de la utilización de drogas. Conclusión: es urgente la necesidad de apoyo a la familia de la parte de los profesionales, ofreciendo orientaciones efectivas y segu...

Objetivou identificar a concepção de cuidado dos enfermeiros que atuam em instituições psiquiátricas e associar os resultados encontrados com as questões ontológicas e epistemológicas do cuidado em enfermagem. Desenvolveu-se uma pesquisa exploratório-descritiva de análise qualitativa com sete enfermeiros trabalhadores de duas instituições psiquiátricas fechadas do interior do Paraná. O critério de seleção dos sujeitos foi o vínculo empregatício do enfermeiro com as referidas instituições. Os dados foram coletados por meio de um instrumento semi-estruturado e as entrevistas foram gravadas e transcritas. Tratou-se os dados através da técnica de análise temática de conteúdo evidenciando quatro categorias. Os resultados apontam para um discurso profissional pautado em princípios observados na psiquiatria, porém os profissionais não conseguiram defini-los ou até caracterizá-los conceitualmente em autores ou teorias que abordam tais aspectos, curiosamente mesmo sem distinguir conceitualmente as teorias, referem realizar um cuidado satisfatório e dedicado, promovendo uma adequada interação com o portador de transtorno mental. PALAVRAS-CHAVE: Conhecimento; Enfermagem psiquiátrica; Saúde mental.This study aimed to identify the concept of care of nurses who work in psychiatric institutions, and associate the results obtained with the ontological and epistemological issues in nursing care. An exploratory-descriptive study using a qualitative analysis was carried out with seven nurses employed at two inpatient psychiatric institutions in the state of Paraná. The selection criterion for the subjects studied was the nurse's employment status with the above mentioned institutions. Data were collected using a semistructured format while the interviews were recorded and transcribed. The data were sorted using the content thematic analysis technique, which evidenced four categories. The results pointed to a professional discourse ruled by principles observed in psychiatry. However, the nurses were not able to define these principles or even characterize them conceptually into authors or theories that approach them. Interestingly, even without being conceptually distinguishing the theories, the nurses declared to be performing satisfactorily and with dedicated care and promoting adequate interaction with mental health patients.