Objective: To analyze the relationship between spiritual well-being, sociodemographic, economic, religious, and health variables and the quality of life of older adults undergoing hemodialysis. Method: This was a cross-sectional and correlational study conducted with 169 older adults undergoing hemodialysis. The researchers conducted interviews to collect sociodemographic, economic, religious, and health data and applied the Spiritual Well-Being Scale (SWBS) and the WHO quality of life assessment (WHOQOL-BREF and WHOQOL-OLD). Results: Most of the older adults attained a moderate level of total spiritual well-being (SWB). In terms of QOL, the psychological domain (66.8; sd=13.9) and social relationships domain (66.8; sd=15.1) presented the highest mean scores. The WHOQOL-BREF domains were positively correlated with the SWB scale, with statistical signifi cance among all domains and subscales except the environmental domain. Conclusion: The QOL of older adults was associated with the construct of SWB, either positively or negatively. Descriptors: Renal Dialysis; Spirituality; Quality of Life; Religion; Aged. RESUMO Objetivo: Analisar a relação entre o bem-estar espiritual, variáveis sociodemográfi cas, econômicas, religiosas e de saúde com a qualidade de vida de idosos em tratamento hemodialítico. Método: Estudo transversal e correlacional feito com 169 idosos que realizavam hemodiálise. Foram realizadas entrevistas para caracterização sociodemográfi ca, econômica, religiosa e de saúde, além de aplicação da Escala de Bem-Estar Espiritual (EBE) e de Qualidade de vida (QV) (WHOQOL-bref e WHOQOL -Old). Resultados: A maioria dos idosos possuía moderado bem-estar espiritual total (EBE). Com relação à QV, os domínios psicológico (66,8; dp=13,9) e relações sociais (66,8; dp=15,1) apresentaram os maiores escores médios. A correlação dos domínios do WHOQOL-bref com os escores da escala de EBE foi positiva, com signifi cância estatística em todos os domínios e nas subescalas, exceto no domínio meio ambiente. Conclusão: A QV dos idosos está relacionada, seja de forma positiva ou negativa, com o constructo EBE. Descritores: Diálise Renal; Espiritualidade; Qualidade de Vida; Religião; Idoso. RESUMEN Objetivo: Analizar relación entre bienestar espiritual, variables sociodemográfi cas, económicas, religiosas y de salud con la calidad de vida de ancianos en tratamiento de hemodiálisis. Método: Estudio trasversal, correlacional, realizado con 169 ancianos en tratamiento de hemodiálisis. Fueron efectuadas entrevistas para caracterización sociodemográfi ca, económica, religiosa y de salud, además de aplicación de la Escala de Bienestar Espiritual (EBE) y de Calidad de Vida (QV) (WHOQOL-bref y WHOQOL-Old). Resultados: La mayoría de los ancianos tenía bienestar espiritual total (EBE) moderado. Respecto a la QV, los dominios psicológico (66,8; SD=13,9) y relaciones sociales (66,8; SD=15,1) presentaron los mayores puntajes medios. La correlación de los dominios del WHOQOL-bref con los puntajes de la escala de EBE fue positiva...

Objective: To evaluate the quality of life of people with chronic wounds and to compare this index with clinical parameters. Method: A cross-sectional study conducted between July 2014 and February 2015, evaluating people with chronic wounds in outpatient care during a nursing consultation, in the city of Guarapuava, Paraná. Quality of life was assessed by the Quality of Life Index - wounds version. Data were analyzed using the Mann Whitney test and T-test. Results: 53 people participated. The mean quality of life score was 22.65±3.08. The most significant scores in the analyzes were the family domain (27.71±2.94) with the highest mean score, and the health domain (18.91±4.58) had the lowest. Pain in walking (p=0.031) and using pain medication (p=0.002) presented a significant relation with overall score. There was a significant difference between the groups for the items pain at rest (p=0.022), pain in moving (p=0.006), using pain medication (p<0.001) and presence of infection (p=0.004), in the rest item (p=0.015) in the socioeconomic domain, and type of wound (p=0.05) and rest (p=0.041) in the psychological domain. Conclusion: The overall Quality of Life Index and by domains was classified as good and very good, where the family domain was better evaluated to the deriment of the health domain due to the clinical parameter of pain.

Objectives: to describe the occurrence of gestational and congenital syphilis in Guarapuava-PR, according to maternal, neonatal

Objective: Understanding the perception of women living in a rural area about the actions and services of Primary Health Care (PHC) in a municipality of southern Brazil, which is the only one regarded as predominantly rural. Method: A descriptive study of qualitative approach, carried out with women who lived in the countryside and required health services in the 15 days prior to collection. Results: The results registered low fidelity to PHC attributes, focusing its functional axis on sickness, transforming the unit into small points of emergency care and a bureaucratic place where patients are referred to other types of services. The quality of service offered is compromised to offering quick, fragmented and unequal treatment in the rural context. Conclusion: The findings of this study highlight the need for greater efforts in order to adequate the new care model in the development of appropriate actions as designated by PHC in the rural context studied.

Objetivo: compreender e visualizar um panorama dos Eventos Adversos Pós-Vacinação (EAPV), no do Município de Guarapuava - PR, com intuito de propor medidas, como educação permanente, para diminuição de erros ligados a atuação dos profissionais de enfermagem na administração dos agentes imunológicos. Método: Abordou-se o problema de pesquisa em forma de Projeto Aplicativo, que foi dividido em quatro fases, sendo a primeira a descrição do problema, seguida da identificação das necessidades de aprendizagem, e da atualização dos profissionais de enfermagem, e por fim a avaliação das atividades desenvolvidas. Resultados: O Projeto Aplicativo se mostrou extremamente útil, pois proporcionou aos participantes atualizarem seus conhecimentos e sanarem suas dúvidas, a partir disso a Secretaria Municipal de Saúde de Guarapuava e de uma implantação de um programa de educação permanente poderá atender com mais qualidade e segurança os usuários. Conclusões: O exercício de intervenção realizado neste estudo foi relevante para a discussão de uma problemática no serviço de saúde, contextualizar e abordar sobre EAPV não é tarefa fácil, mas necessária para aprimoramento do serviços de imunização no SUS. Foi uma ação localizada e regional mas que pode ser reproduzida em outros cenários.

A downward trend in hospital admissions due to primary care-sensitive cardiovascular conditions in the state of Paraná between 2000 and 2011 may have resulted from the expansion of the health network of and the access to primary health attention, as well as other factors that influence this set of diseases, such as improved socioeconomic conditions of the population, organization of primary care services for higher age ranges and women and decrease in risk factors.

Objective: to verify the correlation between the rates of hospitalization for primary care-sensitive cardiovascular diseases and the coverage by the Family Health Strategy of residents of the State of Paraná, by regional health divisions, from 2000 to 2011. Method: ecological study developed from data of the Hospital Information System of the Brazilian Unified Health System (SUS) and the Department of Primary Care of the Ministry of Health. The rates of hospitalization for cardiovascular diseases were correlated with the annual coverage by the Family Health Strategy using Pearson's and Spearman's correlation coefficients. Result: there was a strong and negative correlation in the State of Paraná (r=-0.91; p <0.001) and in most regional health divisions, with the highest correlations observed in the Metropolitan and Toledo (r =-0.93; p<0.001) and Paranaguá (r=-0.92, p<0.001) regional health divisions. Conclusion: the results suggest that the increase in the coverage by the Family Health Strategy was an important factor for decrease in the hospitalizations for cardiovascular conditions among residents of the State of Paraná and in most regional health divisions. Other studies should be performed to analyze the factors and causes in regional health divisions where there was no correlation with increase in the Family Health Strategy.

Objective: To analyze the trends of hospitalizations for ambulatory care-sensitive conditions, according to the main causes among children under five years old. Method: Ecological time-series study carried out with data from the Hospital Information System of the State of Parana. The analysis was based on hospitalization rates and polynomial regression models according to age and cause. Results: The most frequent causes were pneumonia, gastroenteritis, asthma, kidney and urinary tract infection and nutritional disorders. Hospitalizations for pneumonia, asthma and nutritional deficiencies decreased among children under five and hospitalizations rates for gastroenteritis remained stable. There was an increase in hospitalization rates for kidney and urinary tract infection in all ages. Conclusion: Hospitalization for care-sensitive conditions among children under five years presented an increasing trend only for children under one year old. Hospitalizations for pneumonia, gastroenteritis, asthma and nutritional deficiencies showed a decreasing trend. ResumoObjetivo: Analisar a tendência das hospitalizações por condições sensíveis à atenção primária, segundo principais causas em menores de cinco anos. Métodos: Estudo de séries temporais do tipo ecológico realizado com dados do Sistema de Informação Hospitalar do Estado do Paraná. A análise ocorreu a partir das taxas de hospitalização e de modelos de regressão polinomial segundo idade e causa. Resultados: As causas mais frequentes foram pneumonias, gastrenterites, asma, infeção no rim e trato urinário e deficiências nutricionais. As hospitalizações por pneumonia, asma e deficiências nutricionais em menores de cinco anos reduziram e por gastroenterites mantiveram-se estáveis. Houve aumento nas taxas de hospitalização por infecção no rim e trato urinário em todas as idades. Conclusão: A tendência de hospitalização por condições sensíveis em menores de cinco anos foi crescente apenas para as crianças menores de um ano. As hospitalizações por pneumonias, gastroenterites, asma e deficiências nutricionais apresentaram tendência decrescente.