Objective:to analyze the factors associated with suicidal ideation in a representative sample of university students. Methods:cross-sectional study, carried out with 637 students of the Federal University of Mato Grosso. The presence of suicidal ideation, demographic and socioeconomic variables, use of alcohol through the Alcohol, Smoking and Substance Involvement Screening Test, and depressive symptoms (Major Depression Inventory) were investigated. Bivariate analysis was performed with the Chi-square test and multivariate analysis using the Poisson regression model. Results:it was found that 9.9% of the students had suicidal thoughts in the previous 30 days and, in the bivariate analysis, the variables economic class, sexual orientation, religious practice, suicide attempts in the family and among friends, alcohol consumption and depressive symptoms were associated with suicidal ideation. In the multivariate analysis sexual orientation, suicide attempts in the family and the presence of depressive symptoms remained as associated factors. Conclusion:these findings constitute a situational diagnosis that enables the formulation of academic policies and preventive actions to confront this situation on the university campus.
Esse estudo tem como objeto a atenção à saúde mental no Programa Saúde da Família (PSF) e como pressuposto a complexidade desse atendimento. Os objetivos foram analisar as condições concretas da assistência à saúde mental em unidades de PSF de Cuiabá, Mato Grosso, Brasil, descrevendo a dinâmica assistencial e identificando situações e instrumentos utilizados pelos diferentes trabalhadores para atender problemas de sofrimento mental na comunidade. Por meio de metodologia exploratório-descritiva, foram estudados os discursos de oito equipes com os recursos da análise de conteúdo. Concluiu-se que a demanda de atendimento às pessoas com sofrimento mental não era registrada nos prontuários nem integrava projeto de intervenção individual ou familiar; algumas ações eram realizadas numa concepção leiga de "doença mental" e tratamento, e o recurso do encaminhamento para a rede especializada era freqüentemente acionado, apesar da precariedade desta, refletindo a necessidade de continuidade no processo de capacitação em saúde mental.
O trabalho com grupos, no Programa Saúde da Família (PSF), pode se constituir como tecnologia assistencial e de empoderamento de pacientes e da comunidade para o exercício da cidadania. Objetivo: analisar se o trabalho com grupos, nesse contexto, se constitui como espaços geradores ou potencializadores de participação da comunidade e controle social do serviço. Métodos: pesquisa exploratório-descritiva em oito Unidades de Saúde da Família (USF) de Cuiabá. Resultados: os enfermeiros realizam grupos com os recortes programáticos vigentes na prática da saúde pública tradicional. Os grupos se reduzem à informação coletiva sobre doenças e tratamento e se consolidam como estratégia assistencial enquanto a dimensão de empoderamento para o exercício da cidadania é reduzida.
Objective: To evaluate the burden of care and quality of life (QOL) of caregivers of children/adolescents with cancer during chemotherapy treatment, and to relate them to each other and sociodemographic data. Methods: A transversal study, with 160 caregivers. We collected sociodemographic data, burden of care using the Caregiver Burden Scale and QOL using the SF-36. Results: 88.7% of caregivers were mothers, with the mean age of 34.9 years, overall burden score 2.09 ± 0.04 and the SF-36 scores most compromised were: emotional aspects, vitality, mental health and physical aspects. The regression model accounted for 36.0% of the burden. Conclusion: The QOL of caregivers and burden of care experienced showed compromise in various domains, and these alterations may affect the quality of care provided to children and adolescents, and lead to imbalances in their own health. Keywords: Caregivers; Quality of life; Neoplasms/drug therapy; Child care; Adolescent RESUMOObjetivo: Avaliar a sobrecarga de cuidado e a qualidade de vida (QV) de cuidadores de crianças/adolescentes com câncer durante tratamento quimioterápico e relacioná-las entre si e aos dados sociodemográficos. Métodos: Estudo transversal, com 160 cuidadores. Foram coletados dados sociodemográficos, sobrecarga de cuidado, conforme "Caregiver Burden Scale" e de QV pelo SF-36. Resultados: 88,7% dos cuidadores eram mães, idade média 34,9 anos, escore geral de sobrecarga 2,09±0,04 e escores do SF-36 mais comprometidos: aspectos emocionais, vitalidade, saúde mental e aspectos físicos. O modelo de regressão respondeu 36,0% da sobrecarga. Conclusão: A QV dos cuidadores e sobrecarga de cuidados vivenciada mostram-se comprometidas em diversos domínios, e essas alterações podem afetar a qualidade da assistência prestada às crianças e adolescentes e propiciar desajustes na própria saúde. Descritores: Cuidadores; Qualidade de vida; Neoplasias/quimioterapia; Cuidado da criança; Adolescente RESUMEN Objetivo: Evaluar la sobrecarga del cuidado y la calidad de vida (CV) de cuidadores de niños/adolescentes con cáncer durante el tratamiento quimioterápico y relacionarlas entre sí y a los datos sociodemográficos. Métodos: Estudio transversal, realizado con 160 cuidadores. Fueron recolectados datos sociodemográficos, sobrecarga de cuidado, conforme "Caregiver Burden Scale" y de CV por el SF-36. Resultados: 88,7% de los cuidadores eran madres, edad promedio 34,9 años, scores general de sobrecarga 2,09±0,04 y scores del SF-36 más comprometidos: aspectos emocionales, vitalidad, salud mental y aspectos físicos. El modelo de regresión respondió a 36,0% de la sobrecarga. Conclusión: La CV de los cuidadores y sobrecarga de cuidados vivenciada se muestran comprometidas en diversos dominios, y esas alteraciones pueden afectar a la calidad de la asistencia prestada a los niños y adolescentes, propiciando desajustes en la propia salud. Descriptores: Cuidadores; Calidad de vida; Neoplasias/quimioterapia; Cuidado del niño; Adolescente
The aim of this study was to evaluate the quality of life and the presence of depressive symptoms among the caregivers and drug dependent people of the CAPSad. This is a cross-sectional study, with 109 users of four Psychosocial Care Centers for alcohol and other drugs of Mato Grosso and their caregivers, using the instruments: Medical Outcomes Studies 36 (SF-36), Beck Depression Inventory (BDI) and a sociodemographic variables questionnaire. The QoL of the caregivers in the domains functional capacity, physical aspect, pain and vitality were more affected when compared to the users. A strong correlation between QoL and depressive symptoms was found in both groups. The comparisons performed demonstrate a compromise in the quality of life of both, with the group of caregivers most affected, confirming the situation of drug dependence as an important factor in the perception of the caregiver regarding their quality of life. Calidad de vida y los síntomas depresivos en cuidadores y los adictos a las drogasEste estudio tuvo por objetivo evaluar la calidad de vida y los síntomas depresivos en cuidadores y adictos a drogas. Se trata de un estudio transversal en 109 usuarios y sus cuidadores en cuatro Centros de Atención Psicosocial de alcohol y otras drogas en el estado de Mato Grosso. Se aplicaron los instrumentos: Medical Outcomes Studies 36 (SF-36), Inventario de Depresión de Beck (BDI) y sociodemográficos. Se encontró que la calidad de vida de los cuidadores en los dominios de funcionamiento físico, dolor y vitalidad fueron más afectados en comparación a los usuarios. Se obtuvo una fuerte correlación entre la calidad de vida y los síntomas depresivos en ambos grupos. Las comparaciones demuestran que la calidad de vida del cuidador y del usuario están comprometidas, siendo que la más afectada corresponde al grupo de cuidadores, lo que confirma la situación de la dependencia de drogas como un actor importante en la percepción del cuidador sobre su calidad de vida.Descriptores: Calidad de Vida; Depresión; Relaciones Familiares; Los Trastornos Relacionados con el Consumo de Sustancias.
OBJETIVO: Comparar o perfil clínico e sociodemográfico dos adolescentes que permaneceram e que não permaneceram no tratamento no Centro de Atenção Psicossocial para Álcool e outras Drogas (CAPSad). MÉTODO: Estudo transversal, baseado no registro de prontuários de 125 usuários que estiveram em tratamento no CAPSad Adolescer em Cuiabá/MT, no período de junho de 2009 a junho de 2011. RESULTADOS: A permanência no tratamento foi predominante no sexo masculino, entre usuários que fizeram uso pesado de substâncias psicoativas, encaminhados ao serviço pelos setores social e judicial, que possuíam relação familiar conflituosa e que tinham a participação frequente da família no tratamento. A maior proporção dos que não permaneceram ocorreu na falta de integração do serviço com outros dispositivos da rede. CONCLUSÃO: Os achados deste estudo sobre as características dos adolescentes e os fatores intervenientes na permanência reforçam a responsabilidade do CAPS na efetivação da articulação da rede, além de reafirmar que a família deve ser cada vez mais aproximada do tratamento, sendo parte fundamental no projeto de intervenção.
Aims and objectives The rates of healthcare‐associated infections are high around the world. Hand hygiene is considered the most effective measure to reduce the transmission of pathogens in the hospital environment. Our objective was to evaluate adherence to hand hygiene in critical units of a tertiary‐level hospital in Central‐West Brazil. Design Observational study employing cross‐sectional data. Reporting rigour was demonstrated using the STROBE checklist. Methods Observation of hand hygiene practices of 129 professionals from the health team, including nursing staff, physicians and physical therapists. Data collection was carried out using the World Health Organization form. Results A total of 3,025 hand hygiene opportunities were observed, and the overall rate of adherence was only 46.25%. There was a greater frequency of hand hygiene after risk of exposure to bodily fluids and after contact with patients, 60.80% and 53.45%, respectively. Nurses obtained a higher rate of adherence to hand hygiene (59.80%). The neonatal ICU had a higher rate of adherence to hand hygiene when compared to other sectors. Conclusions The physical structure for hand hygiene in the institution was poor, and no professionals reached the minimum time required for execution of hand hygiene techniques. There were low rates of adherence to hand hygiene by professionals at all five times and in all categories and sectors observed, which may have been influenced by poor infrastructure present in the institution. Relevance to clinical practice This study is of great relevance to patient safety, given the rates of healthcare‐associated infections worldwide, with emphasis on underdeveloped countries. It is hoped that the results of this research can guide organisations to validly and systematically evaluate adherence to hand hygiene and achieve higher rates of adherence to hand hygiene and consequently reduce the number of infections in health environments.
Objective: to analyze factors associated to suicide risk in postgraduate students. Method: a cross-sectional analytical study, developed with 565 stricto sensu postgraduate students from August to September 2019. Data collection took place using a validated instrument containing demographic, socioeconomic, health and academic variables; as well as variables of Module C of the Mini International Neuropsychiatric Interview (MINI), version 5.0; of the CAGE (Cut down, Annoyed by criticism, Guilty and Eye-opener) questionnaire; and the Depression, Anxiety and Stress Scale (DASS-21). Descriptive and multiple statistical analysis was performed using the Poisson regression model, with a significance level of 5%. Results: 40.8% prevalence of current suicide risk. The following variables were associated to current suicide risk: age > 30 years old (p=0.029), absence of faith (p=0.015), depression (p<0.001) and anxiety (p=0.018) symptoms, use of psychotropic drugs during the course (p<0.001), not having a meaningful and inspiring academic work (p=0.013), not having a good relationship with colleagues from the postgraduate school (p=0.033), having family relationship impaired by the demands of the postgraduate school (p=0.036) and concern about the financial situation (p=0.048). Conclusion: a high prevalence of current suicide risk was identified among postgraduate students, as well as a significant association of this risk with demographic, socioeconomic, academic and health variables.
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