scholarly journals Sexuality experiences of hysterectomized women

2019 ◽  
Vol 23 (4) ◽  
Author(s):  
Alessandra Schmidt ◽  
Graciela Dutra Sehnem ◽  
Leticia Silveira Cardoso ◽  
Jacqueline Silveira de Quadros ◽  
Aline Cammarano Ribeiro ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Sexual Activity ◽  
Family Health ◽  
Structured Interview ◽  
Ethics Committee ◽  
Female Identity ◽  
Sexual Practice ◽  
Educational Strategies ◽  
New Meanings ◽  
The Impact

Abstract Objective: To know the sexuality experiences of hysterectomized women. Method: Qualitative study carried out in Family Health Strategies with 19 hysterectomized women. A semi-structured interview was conducted, combined with the Creativity and Sensitivity Technique called Speaker Map, after approval by the Ethics Committee from January to February 2018. Data were analyzed according to analysis of the thematic content. Results: The participants had different sexuality experiences after the hysterectomy. The procedure was associated with restoration of health, resuming sexual activity, and changes in relationships. It was also related to the onset of dyspareunia and decrease in libido. Conclusion and implications for practice: The changes experienced after surgery led women to build new meanings for sexuality and their relationships. The surgery shows concrete results, such as decreased or increased pain in sexual practice, and subjective results, such as the feeling of freedom and the impact on female identity. These results may contribute to direct educational strategies to approach sexuality with each woman who undergoes hysterectomy.

scholarly journals Impact of Pediatric COVID-19 on Family Health-Related Quality of Life: A Qualitative Study from Latvia

2021 ◽  
Vol 8 ◽  
pp. 2333794X2110123
Author(s):  
Inese Stars ◽  
Liene Smane ◽  
Zanda Pucuka ◽  
Ieva Roge ◽  
Jana Pavare
Keyword(s):  
Quality Of Life ◽  
Qualitative Study ◽  
Family Relationships ◽  
Family Health ◽  
Support Network ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
The Impact

Information on family health-related quality of life (FHRQoL) among families of children with the coronavirus disease 2019 (COVID-19) is limited. This qualitative study explores the impact of pediatric COVID-19 on FHRQoL from the parents’ perspective. Semi-structured interviews were conducted with parents (n = 20) whose children had tested positive for the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Inductive thematic analysis revealed the following 10 themes that represented parents’ perception of FHRQoL while taking care of a child with COVID-19: pediatric COVID-19 as a disease with many unknowns; emotional saturation; internal family relationships in the context of “a new experience”; routine household activities and daily regimen while family is in lockdown; plenty of free time; a wide social support network; social stigma associated with COVID-19; different options for work; savings and debts; challenges with family housing and transport availability. Our results show that parents experience multiple effects of pediatric COVID-19 with regard to FHRQoL.

scholarly journals Melhores práticas de enfermagem na saúde da pessoa idosa

2020 ◽  
Vol 14 ◽  
Author(s):  
Maria Alice De Freitas ◽  
Angela Maria Alvarez
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Best Practices ◽  
Methodological Approach ◽  
Family Health ◽  
The Elderly ◽  
Structured Interview ◽  
Primary Health ◽  
La Red ◽  
The Impact

Objetivo: compreender, dentro das melhores práticas, as experiências de busca por conhecimento e utilização da experiência profissional dos enfermeiros no cuidado da pessoa idosa na Atenção Primária à Saúde. Método: trata-se de um estudo qualitativo, descritivo e exploratório, com 30 enfermeiros atuantes nas Estratégias Saúde da Família. Utilizou-se um instrumento de entrevista semiestruturado. Analisaram-se os dados pela técnica de Análise de Conteúdo na modalidade Análise Temática. Resultados: revelaram-se a busca por conhecimento com outros profissionais e o acesso à rede de internet como fontes de conhecimento. Evidenciou-se a necessidade do estabelecimento de uma rotina de estudos sistematizada e agenda de educação permanente sob a temática do envelhecimento. Conclusão: conclui-se que o estudo confirma que os enfermeiros realizam ações que carecem de notoriedade e que estão preocupados com o impacto de suas ações para o usuário idoso, mas, para que as melhores práticas sejam completamente estabelecidas,  se faz necessária a imersão científica e metodológica dos profissionais e da gestão, além da busca por conhecimento e valorização da experiência, que já coexistem. Descritores: Idoso; Enfermagem; Conhecimento, Atenção Primária à Saúde; Saúde da Pessoa Idosa; Dinâmica Populacional.AbstractObjective: to understand, within the best practices, the experiences of searching for knowledge and using nurses' professional experience in the care of the elderly in Primary Health Care. Method: this is a qualitative, descriptive and exploratory study, with 30 nurses working in the Family Health Strategies. A semi-structured interview instrument was used. Data was analyzed using the Content Analysis technique in the Thematic Analysis modality. Results: the search for knowledge with other professionals and access to the internet network as sources of knowledge were revealed. The need to establish a systematic study routine and a permanent education agenda under the theme of aging became evident. Conclusion: it is concluded that the study confirms that nurses perform actions that lack notoriety and that they are concerned with the impact of their actions for the elderly user, but, for the best practices to be completely established, scientific immersion is necessary and methodological approach of professionals and management, in addition to the search for knowledge and appreciation of experience, which already coexist. Descriptors: Elderly; Nursing; Knowledge; Primary Health Care; Elderly health; Population Dynamics.ResumenObjetivo: comprender, dentro de las mejores prácticas, las experiencias de búsqueda de conocimiento y el uso de la experiencia profesional de los enfermeros en el cuidado de ancianos en Atención Primaria de Salud. Método: estudio cualitativo, descriptivo y exploratorio con 30 enfermeros activos en las Estrategias de Salud Familiar. Se utilizó un instrumento de entrevista semiestructurada. Los datos se analizaron utilizando la técnica de Análisis de Contenido en la modalidad de Análisis Temático. Resultados: se reveló la búsqueda de conocimiento con otros profesionales y el acceso a la red de Internet como fuentes de conocimiento. La necesidad de establecer una rutina de estudio sistemática y una agenda de educación permanente bajo el tema del envejecimiento se hizo evidente. Conclusión: se concluye que el estudio confirma que los enfermeros realizan acciones que carecen de notoriedad y que están preocupados por el impacto de sus acciones para el usuario mayor, pero, para que las mejores prácticas se establezcan por completo, es necesaria la inmersión científica y enfoque metodológico de profesionales y directivos, además de la búsqueda de conocimiento y valoración de la experiencia, que ya coexisten. Descriptores: Anciano; Enfermería; Conocimiento; Atencíon Primária de la Salud; Saúde do Idoso; Dinámica Poblacional.

scholarly journals Referral and counter-referral for the integrality of care in the Health Care Network

2021 ◽  
Vol 31 (1) ◽  
Author(s):  
Cleise Cristine Ribeiro Borges Oliveira ◽  
Elaine Andrade Leal Silva ◽  
Mariluce Karla Bomfim de Souza
Keyword(s):  
Health Care ◽  
Content Analysis ◽  
Qualitative Study ◽  
Health System ◽  
Family Health ◽  
Ethics Committee ◽  
The State ◽  
Healthcare Network ◽  
Unified Health System ◽  
Health Care Network

Abstract The objective was to analyze the functioning of the referral and counter-referral system for integral care in the Healthcare Network. Qualitative study performed through interviews with 66 participants - managers, workers and users of a town of the state of Bahia, Brazil, and upon approval by the Ethics Committee, opinion number nº 334.737. The material was analyzed using the Content Analysis proposed by Bardin, finished in 2014. Various conceptions of referral and counter-referral were identified, as follows: referral of users, user’s broader view; non-fragmented care; and integral care. For the users, the difficulties and facilities in the flows are concentrated in the Regulation and Scheduling Center and Family Health Units. It is concluded that, to enable the establishment of the network in an integral way, it is necessary to identify important strategies provided by the Unified Health System (SUS) and strengthen these strategies, as well as to identify any drawbacks to remedy them.

scholarly journals Promoting health among the elderly: actions in primary health care

2018 ◽  
Vol 21 (2) ◽  
pp. 155-163
Author(s):  
Ana Paula Ribeiro de Castro ◽  
Eglídia Carla Figueirêdo Vidal ◽  
Ana Raquel Bezerra Saraiva ◽  
Sofia de Moraes Arnaldo ◽  
Ana Maria Machado Borges ◽  
...  
Keyword(s):  
Health Promotion ◽  
Family Health ◽  
The Elderly ◽  
Structured Interview ◽  
Ethics Committee ◽  
Waiting Room ◽  
Primary Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Abstract Objective: To identify health promotion actions carried out by professionals in the Family Health Strategy in relation to elderly people. Method: An exploratory study with a qualitative approach was performed in Juazeiro do Norte, Ceará, Brazil, with 19 professionals. A recorded, fully transcribed semi-structured interview was used after authorization by the ethics committee under number 501 675. The discussions were analyzed using Content Analysis, organized into thematic categories. Results: Actions of a collective nature were identified, such as activities in groups, meetings, conversation circles, lectures and guidance in the waiting room. Other directed actions were used, such as guidelines during individual consultations and referral to specialized services. Conclusion: The need for the discussion of health promotion and actions in relation to old age was highlighted, with debate and reflection on this theme required locally, along with the need to build a network of support for the health of the elderly in a shared manner among professionals, managers and the community.

Sexual Activity and Sex Hormone Levels in Aging Men

1993 ◽  
Vol 5 (2) ◽  
pp. 181-186 ◽  
Author(s):  
Moshe Sadowsky ◽  
Helen Antonovsky ◽  
Reuven Sobel ◽  
Benyamin Maoz
Keyword(s):  
Sexual Activity ◽  
Primary Care Clinic ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Sexual Hormones ◽  
Cross Sectional ◽  
Care Clinic ◽  
Aging Men ◽  
The Impact

A cross-sectional study of 60 men aged 65–80 was carried out to test the impact of the aging process on sexual hormones (testoterone, FSH, LH, prolactin), sexual activity, and the relations between them. Blood samples for hormone assays were taken between 8–9 A.M. in the primary care clinic at which the participants were registered. Data on sexual activity (coitus), sexual desire (libido), marital status, and age were obtained from the respondents by means of a structured interview. No relationship was found between testosterone (T) or prolactin (PL) and sexual activity. Nevertheless, a statistically significant relationship between FSH and LH versus age, and an inverse relationship between sexual activity and age were found. Hypogonadism (T level less than 3ng/ml) with normal levels of FSH and LH was observed in 11 respondents.

scholarly journals Remote instruction and distance education: A response to COVID-19

2020 ◽  
Vol 1 (2) ◽  
pp. 53-64
Author(s):  
James Lindner ◽  
Christopher Clemons ◽  
Andrew Thoron ◽  
Nicholas Lindner
Keyword(s):  
Distance Education ◽  
Qualitative Study ◽  
Structured Interview ◽  
Study Data ◽  
Transactional Distance ◽  
Transactional Distance Theory ◽  
Agriscience Teachers ◽  
Education Delivery ◽  
The Impact ◽  
Purposive Sample

The purpose of the qualitative study was to explore how middle and secondary school agriscience teachers define remote instruction and distance education. This research was conducted as a response to the COVID-19 pandemic. Data for the study were collected during the time schools were closed and/or offering remote instruction. A purposive sample of seventeen agriscience education teachers in the States of Alabama and Georgia were selected for this qualitative study. Data were collected using a structured interview questionnaire and analyzed using constant comparisons. The conceptual framework of this study was developed using transactional distance theory and bound by strategic analysis. Findings showed that secondary agriscience education teachers did not collectively define remote instruction and distance education in the same manner. Some defined them similarly, and some noted specific differences in how the terms are defined and used. These teachers identified strengths and opportunities that should be exploited and weaknesses and threats that should be mitigated. Recommendations for training in appropriate use of distance education delivery strategies are provided. Recommendations for additional research into the impact on student learning are provided.

scholarly journals Perspectives on expert generalist practice among japanese family doctor educators: A qualitative study

BJGP Open ◽  
2021 ◽  
pp. BJGPO.2021.0011
Author(s):  
Makoto Kaneko ◽  
Ai Oishi ◽  
Noriaki Sawa ◽  
Greg Irving ◽  
Yasuki Fujinuma
Keyword(s):  
Family Medicine ◽  
Qualitative Study ◽  
Family Doctor ◽  
Structured Interview ◽  
Qualitative Description ◽  
Educational Strategies ◽  
Japanese Family ◽  
Family Doctors ◽  
Training Programmes ◽  
Generalist Practice

BackgroundExpert generalist practice (EGP) is increasingly being viewed as the defining expertise of generalist care. In Japan, several family doctors consider it important and relevant in the Japanese context. However, no study has examined Japanese family doctor educators’ perceptions of EGP.AimTo explore Japanese family doctor educators’ perceptions of EGPDesign & settingA qualitative study among family doctor educators in JapanMethodWe conducted focus group interviews using a semi-structured interview guide following a short lecture on EGP. We adopted a qualitative description method and used the framework method to conduct thematic analysis.ResultsParticipants included 17 family medicine trainers in Japan, including 11 directors and five associate directors of family medicine training programmes. The results suggested that the concept of EGP was important and applicable to primary care in Japan. Participants’ perceptions on EGP pertained to the following four areas: impact of EGP, triggers for EGP, enablers for EGP, and educational strategies for EGP.ConclusionThe concept of EGP may be useful in clinical practice in Japan, especially in complex patient care. A clearer framework for or description of EGP, and of non-traditional methods such as ascetic practice and awareness of the self, were proposed as possible educational strategies.

scholarly journals Impact of oral and mental health over the quality of life of older people in a Family Health Unit

2020 ◽  
Vol 68 ◽  
Author(s):  
Mariama Gentil MUSSOLIN ◽  
Luana Pinho de MESQUITA-LAGO ◽  
Maria Conceição Pereira SARAIVA ◽  
Soraya Fernandes MESTRINER
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Oral Health ◽  
Older People ◽  
Depressive Disorders ◽  
Family Health ◽  
Structured Interview ◽  
Health Unit ◽  
The Impact

ABSTRACT Objective This study sought to analyze the impact of oral and mental health on the quality of life of older people enrolled in a Family Health Unit, as well as its associated factors. Methods This was a cross-sectional, descriptive, exploratory study, conducted through interviews. The probabilistic sample consisted of 86 older people, users of the unit, aged 60 and over, dependent or independent, from both sexes. The methodological frameworks adopted for data collection were the evaluation of oral health conditions (edentulism) and the structured interview, employing oral health perception questionnaires (SB-Brazil), the OHIP – 14 (Oral Health Impact Profile), and the PHQ-2 (Patient Health Questionnaire – Two Items) screening tool for depressive disorders. Secondary data was collected from e-SUS individual records (e-SUS Primary Care). Results The majority of the sample (64%) was female, between 60 and 90 years old (mean of 72.4 years). Most frequently occurring OHIP-14 dimensions were pain (16.3%) and psychological disability (11.6%). The variables age, income, schooling, need for and use of prostheses, activities of daily living (ADL), self-reported diseases (diabetes, hypertension and cancer) had no significant association with quality of life measures related to oral health. A good correlation and association (p < 0.001) between PHQ-2 (depressive disorders) and OHIP-14 scores was observed. Conclusion In conclusion, an association between oral and mental health can be observed in older people; thus, for this population-especially in the case of older women oral and mental health care requires an extensive and multiprofessional approach, aimed at improving quality of life.

scholarly journals Impactos da ação educativa nos indicadores de saúde: potencialidade e fragilidades

2018 ◽  
Vol 12 (6) ◽  
pp. 1640 ◽  
Author(s):  
Vanusa Thaine Lubini ◽  
Janaina Quinzen Willrich ◽  
Guilherme Emanuel Weiss Pinheiro ◽  
Luciane Prado Kantorski ◽  
Mirela Farias Pickersgill
Keyword(s):  
Health Education ◽  
Family Health ◽  
Health Indicators ◽  
Structured Interview ◽  
Educational Process ◽  
Observation Data ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
The Impact

RESUMOObjetivo: discutir as potencialidades e fragilidades identificadas por enfermeiros da Estratégia de Saúde da Família no desenvolvimento de ações de educação em saúde e o impacto nos indicadores de saúde. Método: estudo qualitativo, descritivo, exploratório, com enfermeiros de uma Unidade de Saúde da Família. A coleta de dados ocorreu a partir de entrevista semiestruturada e observação participante. A análise dos dados foi pela técnica de Análise de Conteúdo na modalidade Análise temática. Resultados: apresentam as potencialidades e as fragilidades vivenciadas pelos enfermeiros, além da percepção acerca das transformações nos indicadores de saúde como melhoria da cobertura vacinal, dos exames citopatológicos e na atenção ao pré-natal. Conclusão: o conhecimento acerca das potencialidades e fragilidades do processo educativo facilita o trabalho em saúde e, por consequência, favorece a melhoria dos indicadores de saúde que são reflexos da dedicação das equipes de saúde da família, pautados na educação em saúde. Descritores: Educação em Saúde; Enfermagem; Atenção Primária à Saúde; Indicadores de Saúde; Estratégia Saúde da Família. ABSTRACT Objective: to discuss the potentialities and fragilities identified by nurses of the Family Health Strategy in the development of health education actions and the impact on health indicators. Method: this is a qualitative, descriptive, exploratory study with nurses from a Family Health Unit. Data collection was done through a semi-structured interview and participant observation. Data analysis was based on the Content Analysis technique in the Thematic Analysis modality. Results: there are potentialities and fragilities experienced by nurses, as well as the perception about changes in health indicators such as improved vaccination coverage, cytopathological exams, and prenatal care. Conclusion: knowledge about the potentialities and fragilities of the educational process facilitates health work and, consequently, favors the improvement of health indicators that are a reflection of the dedication of the family health teams, based on health education. Descriptors: Health Education; Nursing; Primary Health Care; Health Status Indicators; Family Health Strategy. RESUMEN Objetivo: discutir las potencialidades y fragilidades identificadas por enfermeros de la Estrategia de Salud de la Familia en el desarrollo de acciones de educación en salud y el impacto en los indicadores de salud. Método: estudio cualitativo, descriptivo, exploratorio, con enfermeros de una Unidad de Salud de la Familia, La recolección de datos ocurrió a partir de entrevista semi-estructurada y observación participante, el análisis de los datos fue por la técnica de Análisis de Contenido en la modalidad Análisis temático. Resultados: presentan las potencialidades y las fragilidades vividas por los enfermeros, además de la percepción acerca de las transformaciones en los indicadores de salud como mejoría de la cobertura de vacunas, de los exámenes de citopatología y en la atención al prenatal. Conclusión: el conocimiento acerca de las potencialidades y fragilidades del proceso educativo facilita el trabajo en salud y, por consecuencia, favorece la mejoría de los indicadores de salud que son reflejos de la dedicación de los equipos de salud de la familia, pautado en la educación en salud. Descriptores: Educación en Salud; Enfermería; Atención Primaria de Salud; Indicadores de Salud; Estrategia de Salud Familiar.

Caregivers for elderly patients with diabetes mellitus: nursing care for health education

2011 ◽  
Vol 5 (6) ◽  
pp. 1431
Author(s):  
Antonia Elizanne Benta da Silva ◽  
Maria Leônia Pessoa da Silva
Keyword(s):  
Diabetes Mellitus ◽  
Health Education ◽  
Family Health ◽  
Structured Interview ◽  
Ethics Committee ◽  
Diabetic Patients ◽  
The Family ◽  
Patients With Diabetes ◽  
Santa Maria ◽  
Control Glucémico

ABSTRACTObjective: to examine the actions of health education carried out by nurses for caregivers of elderly diabetics in the Family Health Units of Cajazeiras/PB. Method: exploratory and descriptive study with a qualitative approach, carried out with 10 nurses. A form of semi-structured interview was used. Data collection occurred in April 2009 after approval of the research project by the Research Ethics Committee of the Faculdade Santa. Maria/PB, with protocol number 1820309. For the analysis we used the Collective Subject Discourse technique. Results: Idea Center 1- found that nurses held guidance on diet, medication, complications of diabetes, glycemic control, physical activity;  Idea Central 2 - showed that nurses find it difficult to carry out the guidelines for diabetics; Idea Central 3 - there was the great importance of home visits; Idea Central 4  - it was realized that it was necessary for nurses to seek care intensify the educational needs of diabetics and family; Idea Central 5 - there were needs changes in the care offered to caregivers of elderly diabetics, especially by physicians. Conclusion: it is necessary for nurses to develop educational activities to caregivers of elderly diabetic patients regarding diet and medication, mostly. Descriptors: caregivers; Health Services for the Aged; diabetes mellitus; health education.RESUMOObjetivo: verificar as ações de educação em saúde realizadas pelos enfermeiros para os cuidadores de idosos diabéticos nas Unidades de Saúde da Família de Cajazeiras/PB. Método: estudo exploratório e descritivo com abordagem qualitativa, realizado com 10 enfermeiros. Um roteiro de entrevista semi-estruturada foi usado. A coleta de dados ocorreu em abril de 2009, após aprovação do projeto de pesquisa pelo Comitê de Ética em Pesquisa da Faculdade Santa Maria/PB, com protocolo de número 1820309. Para a análise foi empregada a técnica do Discurso do Sujeito Coletivo. Resultados: Ideia Central 1 - verificou-se que os enfermeiros realizaram orientações quanto à dieta, medicação, complicações da doença, controle glicêmico, atividades físicas; Ideia Central 2 - evidenciou que os enfermeiros encontram dificuldades para realizar as orientações aos diabéticos; Ideia Central 3 - observou-se a grande importância das visitas domiciliares; A Ideia Central 4 - percebeu-se que era necessário que os enfermeiros intensificassem os cuidados ao buscar as necessidades educacionais dos diabéticos e família; Ideia Central 5 - observaram-se as necessidades de mudanças no atendimento oferecido aos cuidadores de idosos diabéticos, principalmente pelos médicos. Conclusão: torna-se necessário que enfermeiros desenvolvam ações educativas aos cuidadores de idosos diabéticos quanto à dieta e medicação, principalmente. Descritores: cuidadores; serviços de saúde para idosos; diabetes mellitus; educação em saúde.RESUMENObjetivo: estudiar las acciones de educación para la salud llevado a cabo por enfermeras para los cuidadores de ancianos diabéticos en las Unidades de Salud Familiar de Cajazeiras/PB. Método: estudio exploratorio y descriptivo con un enfoque cualitativo, realizado con 10 enfermeras. Una forma de entrevista semi-estructurada se utilizó. La recolección de datos tuvo lugar en abril de 2009 después de la aprobación del proyecto de investigación por el Comité de Ética de Investigación de la Faculdad Santa Maria/PB, con número de protocolo 1820309. Para el análisis se utilizó la técnica del Discurso del Sujeto Colectivo. Resultados: Idea Central 1 - encontró que las enfermeras cabo orientación sobre la dieta, medicación, complicaciones de la diabetes, el control glucémico, la actividad física; Idea Central 2 - mostró que las enfermeras les resulta difícil llevar a cabo las directrices para los diabéticos, la idea Central 3, que fue la gran importancia de las visitas domiciliarias; Idea Central 4 - se dio cuenta de que era necesario para que las enfermeras buscar atención intensificar las necesidades educativas de los diabéticos y familiares; Idea Central 5 - no se necesita cambios en la atención ofrecida a los cuidadores de los diabéticos de edad avanzada, especialmente por los médicos. Conclusión: es necesario para que las enfermeras desarrollan actividades educativas para los cuidadores de ancianos diabéticos respecto a la dieta y los medicamentos, en su mayoría. Descriptores: cuidadores; servicios de salud para ancianos; diabetes mellitus; educación en salud.

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