Caregivers of individuals with cancer in the COVID-19 pandemic are faced with the demands of cancer and the health needs produced by it, along with their own health and self-care needs, and the uncertainties of expectations and risks. A qualitative analytical phenomenological study with caregivers of individuals with cancer registered at the state referral hospital supplying medications, who answered the sociodemographic assessment questionnaires and semi-structured questions about their feelings and perceptions in the COVID-19 pandemic. Bardin’s content analysis was used, with methodological quality assessed using SRQR Standards for Reporting Qualitative Research and the MAXQDA software. Most of the caregivers are women, married, Catholic, of low income and education, aged between 30 and 60 years, optimistic, comply with health guidelines regarding social distancing, use of masks, and routine hand hygiene, do not practice regular physical activities, mention concern for their own physical and financial survival, and that of their family. The main need identified in the affective sphere was to reframe contact with family members, seeking to strengthen the bonds of affection. The feeling of emotional vulnerability shows the importance of building effective public policies for social support consistent with the improvement of health care for this population.
A pesquisa teve por intuito implantar a Comissão de Auditoria Interna (CAI) a partir dos indicadores de desempenho de serviço de um hospital materno infantil da região central do Brasil. Estudo descritivo e analítico realizado a partir de um diagnóstico situacional dos indicadores de desempenho de serviço, utilizando fichas de notificação de infecção referente a 2012 e 2016, e indicadores de desempenho de serviço de janeiro a junho de 2017 obtidos junto a CCIH e ao Núcleo Interno de Regulação. Como resultados, os dados mostraram taxas de infecção global do hospital, em média de 8,7% anual em 2012 e 3,06% em 2016, com a taxa de mortalidade na UTI neonatal em média de 32,4%. As condutas para a implantação da CAI consistiu na elaboração de checklist e intervenção educativa, favorecendo a comunicação e o esclarecimento das dúvidas sobre auditoria, numa perspectiva apoiadora e educativa, buscando qualidade da assistência em saúde.
Objetivo: identificar as características sociodemográficas e o comportamento dos Agentes de Combate í s Endemias (ACE) que predispõe alteração nos níveis sanguíneos de colinesterase sanguínea. Metodologia: estudo descritivo com delineamento retrospectivo, com ACE de Jataí-GO. A coleta de dados retrospectivo aconteceu ao período de 2009 a 2016, desenvolvida por meio de análise dos prontuários laborais dos participantes e no período de setembro a novembro de 2017 foi aplicado um instrumento semiestruturado para os ACE. Resultados: foram analisados 74 prontuários, dos quais 10 possuíam exames de colinesterase alterados. Observou-se associação entre o comportamento e a alteração da colinesterase, uma vez que, a maioria dos ACE não higienizava as mãos corretamente e não utilizavam os EPIs da forma preconizada, apesar de referirem participação em capacitações. Conclusão: as alterações dos níveis de colinesterase no sangue dos ACEs registrado em seus prontuários relacionam-se com seus comportamentos durante a sua prática profissional e estilo de vida.
Desafios globais das políticas de saúde voltadas à população masculina: revisão integrativaGlobal challenges of health policies aimed at the male population: an integrative review Desafíos globales de las políticas de salud dirigidas a la población masculina: revisión integradora
Background: To evaluate the trend of male mortality and its relationship with conditions sensitive to primary care (CSPCs), considering the coverage of the Family Health Strategy (FHS) and the implementation of the National Policy for Comprehensive Health Care of the Male (PNAISH).Methods: Ecological study of the time series of male deaths in the age group of 20 to 59 years, according to CSPC from 2009 to 2018 with data extraction from the Mortality Information System. The relationship between death rate due to CSPCs and FHS coverage was quantified by Spearman’s correlation. The trend in the number of deaths was adjusted by univariate quasi-Poisson regression models. Mortality trends were considered stationary (p > 0.05), declining (p < 0.05 and negative regression coefficient), or ascending (p < 0.05 and positive regression coefficient). Values of p < 0.05 were considered statistically significant.Results: CSPCs were responsible for 1,092,070 (19.2%) deaths in the 127 municipalities under study, a with year-on-year variation of -4.89% to 3.06% and showed no significant relationship with mean FHS coverage (r < 0.09; p < 0.160). PNAISH was implemented in 100% of the municipalities, and the FHS coverage showed a significant upward trend [95% CI; 1.03-1.09], with an annual average of 6%. The trend of deaths in the study groups due to CSPCs was generally stable (Exp (β) = 1.01; p > 0.593). Notably, deaths in specific groups increased over time: bacterial pneumonia, asthma, hypertension, epilepsy, kidney and urinary tract infections, and skin and subcutaneous tissue infections. The heart failure group showed a decreasing mortality rate (Exp (β) = 0.92; p = 0.008).Conclusions: The expansion of FHS coverage and the fact that PNAISH was implemented in all municipalities in the state of Goiás did not influence the rate of deaths due to CSPCs in general. The analysis of death trends due to CSPCs in general indicates stability in the investigated period. The present study, the first of its kind in country, allows an evaluation of actions related to PNAISH, confirming the need for urgent investments. It can serve as feedback to researchers and policy-makers on interventions in humans.
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