COMPLEX THINKING suPPOrTING CArE sTrATEGIEs FOr THE PrEVENTION OF sTDs/AIDs IN ADOLEsCENCE

Silva, Ítalo Rodolfo; Sousa, Francisca Georgina Macêdo de; Silva, Marcelle Miranda da; Silva, Thiago Privado da; Leite, Jósete Luzia

doi:10.1590/0104-07072015003000014

Cited by 7 publications

(10 citation statements)

References 8 publications

(11 reference statements)

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“…[8][9][10] The treatment of people living with HIV/AIDS has been thought of as a complex phenomenon in the literature. [11][12] Some studies have brought Edgar Morin's concept of complexity closer to Nursing/ Health and issues related to HIV/AIDS, including adolescence/youth and treatment adherence. [12][13] However, these issues need to be further explored.…”

Section: Introductionmentioning

confidence: 99%

“…[11][12] Some studies have brought Edgar Morin's concept of complexity closer to Nursing/ Health and issues related to HIV/AIDS, including adolescence/youth and treatment adherence. [12][13] However, these issues need to be further explored. 14 Adherence to treatment for people living with HIV/AIDS is not restricted to taking antiretrovirals and following the prescriptions of health professionals.…”

Section: Introductionmentioning

confidence: 99%

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Adherence to Treatment of Young Adults Living With Hiv/Aids From the Perspective of Complex Thinking

Costa

Meirelles

2019

Texto contexto - enferm.

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Objetive: to understand the adherence to treatment of young adults with HIV/AIDS treated in a specialized care service from the perspective of complex thinking. Method: a qualitative study, with the data grounded theory approach. Twelve young adults aged from 15 to 24 years old living with HIV/AIDS, nine health professionals and four mothers participated in the study. Data was obtained from interviews conducted between April and September 2016 and analyzed using the constant comparative method. Results: the adherence to treatment of young adults with HIV/AIDS has been understood as a dynamic, multifactorial and constantly changing phenomenon. This process involves multiple aspects, including fear of becoming ill, physical and social death, discrimination and stigma. It was found that even in the face of these difficulties, young adults decide to continue their treatment in search of normalization of health, a long and common life like other young people who do not live with HIV/AIDS. Conclusion: it was considered that in view of the complex and changing phenomenon, adherence to treatment of young adults with HIV/AIDS should be understood and managed by health professionals.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Adherence to Treatment of Young Adults Living With Hiv/Aids From the Perspective of Complex Thinking

Costa

Meirelles

2019

Texto contexto - enferm.

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“…In these environments, individual vulnerabilities coexist, although they are described separately in this study, it is understood that they are interconnected and dependent on the others, and are therefore not separated from social and programmatic vulnerabilities. 6,8 Individual vulnerabilities are based on the limited information that adolescents have on STI/HIV/AIDS due to the fragmented education that occurs in the family environment and in school due to the poor preparation and embarrassment of parents and teachers.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, it requires health professionals, and especially nursing professionals, to break away from fragmented care practices, as well as to consider the multiple dimensions involved in health care systems, in addition to considering the health-disease process and the human condition itself. 8 This study was based on the research question: what are the elements that constitute the bioecological systems, the situations of vulnerability regarding the prevention of STIs/HIV/AIDS from the perspective of adolescents. To answer this question, the following objective was formulated: to understand the elements that make up the bioecological systems and situations of vulnerability regarding the prevention of STI/HIV/AIDS from the perspective of adolescents.…”

Section: /13mentioning

confidence: 99%

Bioecological Systems and Elements That Make Adolescents Vulnerable to Sexually Transmissible Infections

Brum

Motta

Zanatta

2019

Texto contexto - enferm.

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Objective: to understand the elements that constitute the Bioecological Model and the situations of vulnerability regarding the prevention of sexually transmitted infections and HIV/AIDS from the perspective of adolescents. Method: a descriptive-exploratory study, with a qualitative approach, carried out between October and December 2015 with ten adolescents between 12 and 18 years of age registered in the socio-educational workshops of a non-governmental organization located in a municipality in the Western region of Santa Catarina, Brazil. Information was collected from the medical records of the adolescents and through Caroline Wang´s Photovoice strategy. Hermeneutics was used for the analysis of the information with the support of the theoretical reference of the Bioecological Model of Human Development and vulnerability. Results: bioecological systems in adolescents provide the means to learn and acquire knowledge about sexually transmitted infections and HIV/AIDS, however there are elements in these systems that collaborate with the individual, social and programmatic vulnerabilities involved in the prevention of these diseases. Conclusion: The importance of empowering the family in relation to sexual education of their children is highlighted as a way to reduce the vulnerability of adolescents to sexually transmitted diseases /HIV/AIDS. It also highlights the need to create physical spaces of care directed at adolescent health which receive adolescents and provide opportunities to be listened to and to provide dialogue between them and the health professionals. It is considered that the study highlights important points that can be included in adolescent health care strategies from the perspective of vulnerabilities and the bioecological systems in which they live.

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“…19,25 Such feelings are perceptible mainly in the male population due to gender issues. [36][37] Gender relationships are understood by perceptions of differences established through a hierarchical way of thinking in male universes and female specificities. 38 As a result, adolescents have shifted responsibility for prevention to girls and understand that they are vulnerable to STDs because of unstable sexual relationships of their partners.…”

Section:  Gender Differencesmentioning

confidence: 99%

Vulnerability of adolescents to sexually transmissible diseases in primary care

Oliveira

Abud

Inagaki

et al. 2018

Rev enferm UFPE on line.

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Objective: to identify the vulnerability situations adolescents are in relation to Sexually Transmitted Diseases in Primary Health Care. Method: this is a bibliographical, descriptive, integrative review type search of articles in the MEDLINE, BDENF and LILACS databases, in the period from January 2011 to December 2015. For this purpose, the following descriptors were used: adolescent, sexually transmitted diseases and primary health care, all with associations applying the “AND” in Portuguese, English and Spanish languages. The instrument adapted from the Ursi 2006 study was used to select the articles, which allowed outlining the main information. Results: there were 12 articles analyzed after applying the criteria. The results identified the following themes: socioeconomic conditions, early onset of sexual activity, lack of condom use, gender differences and difficulty of communication and access to Primary Health Care services. Conclusion: it was observed that adolescents need to be sensitized on the circumstances that lead to Sexually Transmitted Diseases, through partnerships with health services and social spaces in the community. Descriptors: Adolescent; Sexually Transmitted Diseases; Primary Health Care; Sexuality; Condoms; Gender Identity. RESUMO Objetivo: identificar as situações de vulnerabilidade em que os adolescentes se encontram em relação às Doenças Sexualmente Transmissíveis na Atenção Primária à Saúde. Método: estudo bibliográfico, descritivo, tipo revisão integrativa com busca de artigos nas bases de dados MEDLINE, BDENF e LILACS, no período de janeiro de 2011 a dezembro de 2015. Para tanto, utilizou-se os descritores: adolescente, doenças sexualmente transmissíveis e atenção primária à saúde, todos com associações aplicando-se o “AND” nos idiomas português, inglês e espanhol, além disso, para a seleção dos artigos, foi utilizado o instrumento adaptado do estudo de Ursi 2006, o qual permitiu esquematizar as principais informações. Resultados: foram analisados 12 artigos após aplicação dos critérios. Os resultados identificaram as seguintes temáticas: condições socioeconômicas; início precoce da atividade sexual; falta do uso do preservativo; diferença de gêneros; e dificuldade de comunicação e acesso aos serviços de Atenção Primária à Saúde. Conclusão: observou-se que os adolescentes necessitam ser sensibilizados sobre as circunstâncias que acarretam às Doenças Sexualmente Transmissíveis por meio de parcerias com os serviços de saúde e espaços sociais na comunidade. Descritores: Adolescente; Doenças Sexualmente Transmissíveis; Atenção Primária à Saúde; Sexualidade; Preservativos; Identidade de Gênero. RESUMEN Objetivo: identificar las situaciones de vulnerabilidad en que los adolescentes se encuentran en relación a las Enfermedades Sexualmente Transmisibles en la Atención Primaria a la Salud. Método: estudio bibliográfico, descriptivo, tipo revisión integradora con búsqueda de artículos en las bases de datos MEDLINE, BDENF y LILACS, en el período de enero de 2011 a diciembre de 2015. Para eso, se utilizaron los descriptores: adolescente, enfermedades sexualmente transmisibles y atención primaria a la salud, todos con asociaciones aplicándose “AND” en los idiomas portugués, inglés y español, además de eso, para la selección de los artículos fue utilizado el instrumento adaptado del estudio de Ursi 2006, el cual permitió esquematizar las principales informaciones. Resultados: fueron analizados 12 artículos después de la aplicación de los criterios. Los resultados identificaron las siguientes temáticas: condiciones socioeconómicas, inicio precoz de la actividad sexual, falta del uso del preservativo, diferencia de géneros y dificultad de comunicación y acceso a los servicios de Atención Primaria a la Salud. Conclusión: se observó que los adolescentes necesitan ser sensibilizados sobre las circunstancias que acarretan las Enfermedades Sexualmente Transmisibles, por medio de la asociación con los servicios de salud y espacios sociales en la comunidad. Descriptores: Adolescente; Enfermedades de Transmisión Sexual; Atención Primaria de Salud; Sexualidad; Condones; Identidad de Género.

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COMPLEX THINKING suPPOrTING CArE sTrATEGIEs FOr THE PrEVENTION OF sTDs/AIDs IN ADOLEsCENCE

Cited by 7 publications

References 8 publications

Adherence to Treatment of Young Adults Living With Hiv/Aids From the Perspective of Complex Thinking

Adherence to Treatment of Young Adults Living With Hiv/Aids From the Perspective of Complex Thinking

Bioecological Systems and Elements That Make Adolescents Vulnerable to Sexually Transmissible Infections

Vulnerability of adolescents to sexually transmissible diseases in primary care

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