Qualidade do atendimento nas Unidades de Saúde da Família no município de Recife: a percepção do usuáriosQuality of care in the family healthcare units in the city of Recife: user perception
ABSTRACT ABSTRACT This was a cross-sectional study that aimed to describe the epidemiological characteristics of maternal deaths among women living in Recife, PE, Brazil that occurred between 2000 and 2006. The data source consisted of investigation files on maternal deaths. To analyze the data, the EpiInfo 6.04d software was used. The analysis considered 111 deaths, corresponding to a maternal death ratio of 65.99/ 100,000 live births. The obstetric data showed that these women had had fewer than six prenatal consultations, between one and four previous pregnancies, cesarean deliveries and hospital admission in a severe condition. Hypertensive disorders were the main cause of death. Most of the deaths were considered avoidable. The results indicate the need to improve the healthcare for pregnant women prenatally, at delivery and during the puerperium. K K K K Key wor ey wor ey wor ey wor ey words ds ds ds ds: : : : : Maternal mortality; Women's health; Delivery of health care; Vital statistics. RESUMEN RESUMEN RESUMEN RESUMEN RESUMEN Estudio de corte transversal cuyo objetivo ha sido describir las características epidemiológicas de los óbitos maternos de residentes en la ciudad de Recife, PE, Brasil ocurridos entre los años 2000 y 2006. La fuente de datos la constituyeron las fichas de investigación de óbito materna de la Secretaría de Salud de Recife. Para el análisis de los datos se ha hecho uso del programa EpiInfo 6.04d. Han sido investigados 111 óbitos, lo que corresponde a una Razón de Muerte Materna de 65,99/100.000 nacidos vivos. Los datos obstétricos han demostrado la realización de menos de seis consultas prenatales, entre una y cuatro gestaciones previas, parto cesáreo, ingreso en estado grave, con demanda de asistencia bajo terapia. Los trastornos hipertensivos constituyeron la principal causa del óbito. En su mayor parte, los óbitos han sido considerados evitables. Los resultados señalan la necesidad de aprimorar la asistencia a la salud de la gestante en el período prenatal, el parto y el puerperio.
This study seeks to evaluate accessibility to the Basic Units of the Family Health Strategy (ESF-UB) and Traditional Basic Units (BU-T) in the city of Recife in 2009. Data were collected through three instruments: a roadmap for systematic observation of the units and questionnaires for users and professional units. This is a descriptive cross-sectional study using a quantitative approach, and 1180 users, 61 doctors and 56 nurses were interviewed. The results showed good ties and recognition of users whereby primary healthcare is seen as the access portal to the health system. In the comparison between ESF-UB and UB-T, evaluations are always more favorable to the family healthcare strategy, though with relatively insignificant differences. The overall result revealed widespread dissatisfaction with the difficulty of obtaining drugs and taking tests, and also with the waiting times and access to specialized care. This showed the existence of organizational problems that may constitute barriers limiting accessibility to basic healthcare services for users.
RESUMO: Pesquisa com o objetivo de descrever as características clínicas e epidemiológicas de motociclistas com trauma cranioencefálico (TCE). Estudo descritivo, retrospectivo e documental realizado em hospital público de referência do Estado de Pernambuco. Foram analisados 564 prontuários de motociclistas atendidos no hospital, no período de novembro a dezembro de 2012. A maioria dos motociclistas era do sexo masculino (84,05%), solteira (86,87%), na faixa etária de 15-34 anos (72,8%). A queda foi o principal tipo de impacto com 292(51,6%) ocorrências. Quanto ao tipo de TCE, a maioria foi considerada leve -415(73,60%). O óbito ocorreu em cerca de 5% dos casos e 465(82,44%) tiveram alta clínica. Conclui-se que essas informações podem auxiliar na organização da rede de urgência e emergência e na implantação de estratégias de prevenção de acidentes. Palavras-Chave: Acidentes de trânsito; traumatismo cranioencefálico; motocicletas; hospitais de emergência.ABSTRACT: This descriptive study of clinical and epidemiological features of motorcyclists with traumatic brain injury (TBI) analyzed data from 564 medical records of motorcyclists treated at a public referral hospital in Pernambuco State from November to December 2012. Most of the motorcyclists were male (84.05%), single (86.87%), and aged 15-34 years (72.8%). The main impact type was falls (292; 51.6%) and most TBIs were mild (415; 73.60%). Death occurred in about 5% of cases, and 465(82.44%) were discharged from the clinic. It was concluded that this information can assist in organizing emergency care services and implementing accident prevention strategies.
Objective: Identify the quality of life of women treated for cervical cancer according to their clinical and socioeconomic characteristics. Methods: This was a analytical study on women who were treated for cervical cancer by means of surgery, radiotherapy and chemotherapy. To evaluate their quality of life, the WHOQOL-bref questionnaire was applied. The Mann-Whitney test was used to investigate associations between domains and variables. Results: There were associations (p < 0.05) between the WHOQOL-bref domains and the variables of income, conjugal situation, leisure activities and treatment undergone. The physical and psychological domains were associated with overall quality of life (R = 0.54 and R = 0.63, respectively). Conclusions: Socioeconomic conditions and the type of treatment undergone influenced the quality of life of these women after their treatment. There is a need to increase the reach of cervical cancer screening among women who are less economically favored; and, after treatment, to offer alternative measures that soften the secondary effects.
RESUMO Objetivo Descrever as características sociodemográficas, clínicas e relacionadas à vida sexual e identificar a disfunção sexual em mulheres após o tratamento do câncer do colo do útero. Método Estudo transversal que incluiu mulheres com idade ≥18 anos e conclusão do tratamento de três meses. Foram utilizados dois instrumentos: formulário com informações sociodemográficas, clínicas e relacionadas à vida sexual; e o Índice da Função Sexual Feminina para avaliar a função sexual das participantes sexualmente ativas, sendo valores do escore ≤26 classificados como disfunção sexual. A estatística descritiva foi utilizada para verificar associações através do teste de Mann-Whitney e qui-quadrado de Pearson ou exato de Fisher. Resultados Do total de 46 mulheres, 15 (32,61%) mantiveram relações sexuais após o tratamento e oito tiveram indicativo de disfunção sexual (escore de 21,66; desvio padrão=7,06). Os tipos de tratamento (p=0,03) e de radioterapia (p=0,01), e o estadiamento da doença (p=0,02) interferiram na função sexual. Os domínios do Índice da Função Sexual Feminina mais afetados foram lubrificação (p=0,03) e dor (p=0,04). Conclusão A disfunção sexual esteve presente nas mulheres estudadas com impacto negativo na qualidade de vida.
Objective: To describe the epidemiological characteristics of all exogenic poisoning cases in children assisted in a pediatric emergency unit in Recife, State of Pernambuco, Brazil, from April to September 2006. Methods: This is a descriptive study of exogenic poisoning in 0-12 aged children treated at Centro de Assistência Toxicológica de Pernambuco (Pernambuco Toxicological Assistance Center). The data were collected through interviews and by consulting patients' records. Results: 26 cases of accidental exogenic poisoning were registered, mainly males (65.4%). Regarding age, children under five years old were the most affected (65.4%). Medication was involved in 50.0% of the cases. Conclusion: Accidental exogenic poisoning affecting children younger than five years of age stands out as a significant public health problem. As a member of a multiprofessional health team, the nurse plays an important role in health education and in the measures to prevent child poisoning.Keywords: Poisoning/epidemiology; Toxic substances; Child; Accidents, home; Accident prevention RESUMO Objetivo: Descrever as características epidemiológicas dos casos de intoxicações exógenas em crianças atendidas em uma unidade de emergência pediátrica do Recife (PE), no período de abril a setembro de 2006. Métodos: Estudo descritivo dos casos de intoxicações exógenas ocorridos em crianças na faixa etária de 0 a 12 anos de idade notificados no Centro de Assistência Toxicológica de Pernambuco. Os dados foram coletados através de entrevistas e consultas às fichas de atendimento hospitalar.Resultados: Foram registrados 26 casos de intoxicação exógena acidental. Predominou o sexo masculino (65,4%) e a faixa etária dos menores de cinco anos de idade foi a mais acometida (65,4%). Os medicamentos estavam envolvidos em 50,0% dos casos. Conclusão: A intoxicação exógena acidental de crianças, sobretudo em menores de cinco anos é um problema de saúde pública que requer medidas preventivas para evitar sua ocorrência na infância. Descritores: Envenenamento/epidemiologia; Substâncias tóxicas; Criança; Acidentes domésticos; Prevenção de acidentes RESUMEN Objetivo: Describir las características epidemiológicas de los casos de intoxicaciones exógenas en niños atendidos en una unidad de emergencia pediátrica de Recife (PE), en el período de abril a setiembre del 2006. Métodos: Se trata de un estudio descriptivo de los casos de intoxicaciones exógenas ocurridos en niños del grupo etáreo de 0 a 12 años de edad notificados en el Centro de Asistencia Toxicológica de Pernambuco. Los datos fueron recolectados a través de entrevistas y consultas a las fichas de atención hospitalaria.Resultados: Fueron registrados 26 casos de intoxicación exógena accidental. Predominó el sexo masculino (65,4%) siendo el grupo etáreo de menores de cinco años de edad el más afectado (65,4%). Los medicamentos estaban involucrados en el 50,0% de los casos. Conclusión: La intoxicación exógena accidental de niños, sobre todo en menores de cinco años es un problema de salud pública que...
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