scholarly journals Desmame precoce: fatores associados e percepção das nutrizes

Author(s):  
Fabrícia Silva Rêgo ◽  
Hariane Freitas Rocha Almeida ◽  
Mayra Caroline Maranhão Araújo ◽  
Rafael Mondego Fontenele ◽  
Dênis Rômulo Leite Furtado ◽  
...  

O desmame precoce é considerado um problema de saúde pública por gerar grandes repercussões na saúde da criança, necessitando então da assistência de profissionais da saúde para seu esclarecimento e prevenção. O estudo teve objetiva descrever os fatores associados ao desmame precoce do aleitamento materno e a percepção das nutrizes frente a este processo. Tratou-se de uma revisão integrativa, realizada nas bases de dados LILACS e BDENF. Foram incluídos artigos publicados nos anos de 2014 a 2018, disponíveis na íntegra, no idioma português, perfazendo uma amostra composta por 9 artigos. Os resultados foram categorizados em: instabilidade emocional; crenças na lactação insuficiente; intercorrências mamárias; Situação socioeconômica, grau de instrução e condições de trabalho materno; a importância do enfermeiro no aleitamento materno. É necessário que os profissionais proponham intervenções, desde o pré-natal até o puerpério, com a finalidade de prevenção e manejo dos principais problemas que podem ocorrer durante a lactação.Descritores: Desmame, Aleitamento Materno, Recém-Nascido, Fatores de Risco. Early weaning: associated factors and mothers' perceptionAbstract: Early weaning is considered a public health problem because it causes great repercussions on the health of the child, requiring the assistance of health professionals for its clarification and prevention. The objective of this study was to describe the factors associated with early weaning from breastfeeding and the perception of nursing mothers in this process. This was an integrative review carried out in the LILACS and BDENF databases. Included articles published in the years 2014 to 2018, available in full, in the Portuguese language, making up a sample composed of 9 articles. The results were categorized as: emotional instability; insufficient lactation beliefs; breast intercurrences; Socioeconomic status, education level and maternal working conditions; the importance of nurses in breastfeeding. It is necessary that the professionals propose interventions, from prenatal to puerperium, in order to prevent and manage the main problems that can occur during lactation.Descriptors: Weaning, Breast Feeding, Infant Newborn, Risk Factors. Destete temprano: factores asociados y percepción de la nutriciónResumen: El destete temprano se considera un problema de salud pública porque tiene grandes repercusiones en la salud infantil, ya que requiere la asistencia de profesionales de la salud para su aclaración y prevención. El estudio tuvo como objetivo describir los factores asociados con el destete temprano de la lactancia materna y la percepción de las madres lactantes en relación con este proceso. Fue una revisión integradora, realizada en las bases de datos LILACS y BDENF. Incluimos artículos publicados de 2014 a 2018, disponibles en su totalidad, en idioma portugués, haciendo una muestra de 9 artículos. Los resultados se clasificaron en: inestabilidad emocional; creencias sobre lactancia insuficiente; complicaciones mamarias; Estado socioeconómico, nivel educativo y condiciones de trabajo materno; La importancia de las enfermeras en la lactancia materna. Es necesario que los profesionales propongan intervenciones, desde el prenatal hasta el posparto, con el propósito de prevenir y manejar los principales problemas que pueden ocurrir durante la lactancia.Descriptores: Destete, Lactancia Materna, Recién Nacido, Factores de Riesgo.

2018 ◽  
Vol 34 (1) ◽  
Author(s):  
Thiago G. Ramires ◽  
Luiz R. Nakamura ◽  
Ana J. Righetto ◽  
Edwin M. M. Ortega ◽  
Gauss M. Cordeiro

Renal insufficiency is a serious medical and public health problem worldwide. Recently, although many surveys have been developed to identify factors related to the lifetime of patients with renal insufficiency, controversial results from several studies suggest that researches should be conducted by region. Thus, in this study we aim to predict and identify factors associated with the lifetime of patients with chronic renal failure (CRF) in the metropolitan area of Maringá, Paraná State, Brazil, based on the generalized additive models for location, scale and shape (GAMLSS) framework. Data used in this study were collected from the Maringá Kidney Institute and comprehends 177 patients (classified with CRF and mostly being treated under the Brazilian Unified National Health System) enrolled in a hemodialysis program from 1978 up to 2010. By using this approach, we concluded that in other regions, gender, kidney transplant indicator, antibodies to hepatitis B and antibodies to hepatitis C are significant factors that affect the expected lifetime.


2020 ◽  
Author(s):  
Elias Amaje Hadona ◽  
Feleke Gebremeskel Weldehawariat ◽  
Muluken Bekele Sorrie

Abstract Background: Colostrum avoidance is the common nutritional malpractices in developing countries including Ethiopia. Discarding colostrum is the main causes of respiratory disease and diarrheal disease during childhood and contributes to over a million avoidable infant deaths each year and remains a public health problem in developing countries. Despite the fact that it has a negative effect on child health, little is known about the extent of the problem and its contributing factors in South Ethiopia particularly in study area. The aim of the study was to determine the prevalence of colostrum avoidance practices and associated factors among Mothers of children aged less than 12 months in Jinka Town, South Ethiopia. Methods: A community based cross-sectional study was conducted at Jinka Town from March 1 to 30, 2019. A total of 420 mothers having children less than 12 months of age were selected by systematic sampling technique. The data were collected by using pretested interviewer administered and semi-structured questionnaires. The data was entered using EPIDATA 3.1 and exported to SPSS version 23 for analysis. Descriptive statistics, Binary and multivariable logistic regression analysis were done. An adjusted odds ratio with 95% CI at a p-value < 0.05 was estimated to identify statistically significant variables with colostrum avoidance practices. Results: The prevalence of colostrum avoidance practice was 9.8% [95% CI: (6.9–12.5)]. Delayed initiation of breast feeding [AOR= 9.08(95% CI 4.16-19.83)], Lack of breast feeding counselling [AOR= 2.33(95% CI 1.11-4.87)], Home delivery of index child [AOR= 2.48 (95% CI 1.16-5.27)] and Poor knowledge on breast feeding [AOR=4.55(95% CI 1.95-10.63)] were factors associated with colostrum avoidance practices. Conclusions: Colostrum avoidance practice among mothers of children aged less than 12 months in Jinka town was high. Delayed initiation of Breas feeding, lack of breast feeding counselling, Home delivery and knowledge on breastfeeding feeding practice were factors associated with colostrum avoidance practice. Promoting institutional delivery services and strengthening of breast feeding counselling during antenatal and postnatal care were recommended for the promotion of the nutritional value of colostrum and its health benefits.


2020 ◽  
Author(s):  
Elias Amaje Hadona ◽  
Feleke G/Meskel W/Hawariat ◽  
Muluken Bekele Sorrie

Abstract Introduction: Colostrum avoidance is the common nutritional malpractices in developing countries including Ethiopia. Discarding colostrum is the main causes of respiratory disease and diarrheal disease during childhood and contributes to over a million avoidable infant deaths each year and remains a public health problem in developing countries. Despite the fact that it has a negative effect on child health, little is known about the extent of the problem and its contributing factors in South Ethiopia particularly in study area. The aim of the study was to determine the prevalence of colostrum avoidance practices and associated factors among Mothers of children aged less than 12 months in Jinka Town, South Ethiopia. Methods: A community based cross-sectional study was conducted at Jinka Town from March 1 to 30, 2019. A total of 420 mothers having children less than 12 months of age were selected by systematic sampling technique. The data were collected by using pretested interviewer administered and semi-structured questionnaires. The data was entered using EPIDATA 3.1 and exported to SPSS version 23 for analysis. Descriptive statistics, Binary and multivariable logistic regression analysis were done. An adjusted odds ratio with 95% CI at a p-value < 0.05 was estimated to identify statistically significant variables with colostrum avoidance practices. Results: The prevalence of colostrum avoidance practice was 9.8% [95% CI: (6.9–12.5)]. Delayed initiation of breast feeding [AOR= 9.08(95% CI 4.16-19.83)], Lack of breast feeding counselling [AOR= 2.33(95% CI 1.11-4.87)], Home delivery of index child [AOR= 2.48 (95% CI 1.16-5.27)] and Poor knowledge on breast feeding [AOR=4.55(95% CI 1.95-10.63)] were factors associated with colostrum avoidance practices. Conclusions: Colostrum avoidance practice among mothers of children aged less than 12 months in Jinka town was high. Delayed initiation of Breas feeding, lack of breast feeding counselling, Home delivery and knowledge on breastfeeding feeding practice were factors associated with colostrum avoidance practice. Promoting institutional delivery services and strengthening of breast feeding counselling during antenatal and postnatal care were recommended for the promotion of the nutritional value of colostrum and its health benefits.


2020 ◽  
Author(s):  
Sisay Eshete Tadesse ◽  
Tefera Chane Mekonnen ◽  
Yitbarek Wasihun Feleke ◽  
Metadel Adane Mesfine ◽  
Nigus Cherie Bekele ◽  
...  

Abstract Background Worldwide there are up to 300,000 known plant species. But, only 2% are consumed by human. Under nutrition among under five children is still a public health problem. There is an information gap on the importance of agricultural biodiversity in relation to dietary intake and nutritional status. Objective to assess the correlation between agricultural bio-diversity, dietary diversity, household food insecurity and associated factors of wasting among 6-59 months old children. Method A community based cross-sectional study was employed among 367 systematically selected children aged 6-59 months from January to April 2018. The sample size was determined by Epi Info 7.2.5.1. Data were collected by open data kit. Height and weight were measured using height measuring board and SECA Germany. Data entry and analysis was done using Epi Data version 3.1 and STATA version 14. Descriptive statistics was computed and reported using frequency and percentage. Anthropometric measurements were analyzed using WHO Anthro 2005 software. Linear regression and correlation were done. A p-value of < 0.05 and 95% confidence intervals were used to see the statistical significance. Result The prevalence of wasting was 7.3%(95% C.I; 4.6, 10.0). Dietary diversity score is found to be correlated with height for weight Z score (r=-0.11, p-value=0.04) of children. Mother who are unable to read and write (B=-.126, 95% CI: -1.02, -.034) and dietary diversity score (B=.143, 95% CI: .14, 1.86) were factors associated with wasting. Conclusion and Recommendation Wasting is higher than the national target of Ethiopia. Educational status of mother and DDS were factors associated with wasting among children aged 6-59 months. Prevention of nutritional problem should include reducing illiteracy rate among mother/care-givers and promote diversified intake of diet among 6-59 months old.


2020 ◽  
Author(s):  
Elias Amaje Hadona ◽  
Feleke Gebremeskel Weldehawariat ◽  
Muluken Bekele Sorrie

Abstract Background: Colostrum avoidance is the common nutritional malpractices in developing countries including Ethiopia. Discarding colostrum is the main causes of respiratory disease and diarrheal disease during childhood and contributes to over a million avoidable infant deaths each year and remains a public health problem in developing countries. Despite the fact that it has a negative effect on child health, little is known about the extent of the problem and its contributing factors in South Ethiopia particularly in study area. The aim of the study was to determine the prevalence of colostrum avoidance practices and associated factors among Mothers of children aged less than 12 months in Jinka Town, South Ethiopia. Methods: A community based cross-sectional study was conducted at Jinka Town from March 1 to 30, 2019. A total of 420 mothers having children less than 12 months of age were selected by systematic sampling technique. The data were collected by using pretested interviewer administered and semi-structured questionnaires. The data was entered using EPIDATA 3.1 and exported to SPSS version 23 for analysis. Descriptive statistics, Binary and multivariable logistic regression analysis were done. An adjusted odds ratio with 95% CI at a p-value < 0.05 was estimated to identify statistically significant variables with colostrum avoidance practices. Results: The prevalence of colostrum avoidance practice was 9.8% [95% CI: (6.9–12.5)]. Delayed initiation of breast feeding [AOR= 9.08(95% CI 4.16-19.83)], Lack of breast feeding counselling [AOR= 2.33(95% CI 1.11-4.87)], Home delivery of index child [AOR= 2.48 (95% CI 1.16-5.27)] and Poor knowledge on breast feeding [AOR=4.55(95% CI 1.95-10.63)] were factors associated with colostrum avoidance practices. Conclusions: Colostrum avoidance practice among mothers of children aged less than 12 months in Jinka town was high. Delayed initiation of Breas feeding, lack of breast feeding counselling, Home delivery and knowledge on breastfeeding feeding practice were factors associated with colostrum avoidance practice. Promoting institutional delivery services and strengthening of breast feeding counselling during antenatal and postnatal care were recommended for the promotion of the nutritional value of colostrum and its health benefits.


2019 ◽  
Author(s):  
Moges Gashaw Getnet ◽  
Balamurugan Janakiraman ◽  
Amare Minyihun ◽  
Gashaw Jember Belay ◽  
Kedir Sany

Abstract Background Fall is one of the most common and potentially disabling issues among people with visual impairment. Fall is a major public health problem and the leading cause of unintentional injury, disability and premature death worldwide. Several population based studies have reported poor vision as a frequent risk factor for falls yet large number of studies failed clarify the role of visual impairment in falls. Ethiopia lacked estimates of falls among both normal sighted and visual impaired persons. Therefore, this study aims to determine the prevalence of and visual related factors, other factors associated with falls among adult people with medically diagnosed visual impairment.Methods An institutional based cross-sectional study was conducted among visually impaired adults who were attended ophthalmology clinic in University of Gondar comprehensive specialized hospital. Data was collected by interview methods using structured questionnaire, patient record review and physical measurement. A bivariate and multivariable binary logistic regression model analysis was used to identify factors associated with fall. Adjusted Odds Ratio with corresponding 95% Confidence Interval was computed to show the strength of association.Results A total of 328 adults with visual impairment participated in the study (97.3% response rate). The age of the participants ranged from 25 to 89 years with mean age of (56.46±14.2 years). The overall cumulative prevalence of self-reported fall among adults with visual impairment was 26.8% with 95%CI (22.0-31.4). The major associated factors of fall identified by multivariate analysis were fear of falling; some concerned: (AOR, 4.12; 95%CI, 1.44-11.76), very concerned fear (AOR, 10.03; 95% CI, 3.03-33.21), medication: (AOR, 4.63; 95% CI 2.14-10.00) and self reported depression: (AOR, 3.46; 95%CI 1.11-10.79).Conclusion A moderate self-reported prevalence with high rate of fall related injuries was reported adult people with visual impairment participants in this study. The results indicate that strategies to provide fall prevention environment should be developed to reduce this impact of visual impairment and reduce fall and fall related injuries.


PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253126
Author(s):  
Yigizie Yeshaw ◽  
Tadeg Jemere ◽  
Henok Dagne ◽  
Zewudu Andualem ◽  
Yonas Akalu ◽  
...  

Introduction Maternal and neonatal tetanus remains a global public health problem affecting mainly the poorest and most marginalized subpopulations. In spite of the problem, studies conducted on the associated factors of births protected against neonatal tetanus are scarce in Africa. Therefore, this study aimed to identify both individual and community-level factors associated with births protected against neonatal tetanus in the region. Methods The most recent Demographic and Health Survey datasets of five African countries (Ethiopia, Burundi, Comoros, Zimbabwe and Zambia) were used to investigate the associated factors of births protected from neonatal tetanus. STATA Version 14 statistical software was used for the analysis. The data were weighted before doing any statistical analysis and deviance was used for model comparison. Multilevel binary logistic regression was used to identify the associated factors of births protected against neonatal tetanus. Finally, the adjusted odds ratio (AOR) with its 95% confidence interval (CI) was calculated for each potential factors included in the multivariable multilevel logistic regression model. Results A total weighted sample of 30897 reproductive age women who had a birth within 5 years preceding the survey were included in the analysis. Those women with age of 20–34 (AOR = 1.32, 95%CI: 1.18–1.48) and 35–49 years (AOR = 1.26, 95% CI: 1.10–1.44), high community level of women education (AOR = 1.13, 95%CI: 1.04–1.23), being from poorer(AOR = 1.23, 95% CI: 1.14–1.33), middle (AOR = 1.31, 95%CI: 1.21–1.43), richer (AOR = 1.21, 95%CI: 1.11–1.32) and richest households (AOR = 1.59, 95%CI: 1.44–1.74), having antenatal care follow up (AOR = 9.62, 95% CI: 8.79–10.54), not perceiving distance to health facility as a big problem (AOR = 1.18, 95% CI: (1.11–1.25) had higher odds of having births protected against neonatal tetanus. Conclusion Both individual and community level factors were found to be associated with births protected against neonatal tetanus in Africa. This suggests that a variety of factors are affecting births protected against neonatal tetanus in the region. Hence, the impact of these factors should be recognized while developing strategies to reduce neonatal tetanus in the region.


2010 ◽  
Vol 4 (2) ◽  
pp. 577
Author(s):  
Bruno Ribeiro de Rezende Mergulhão ◽  
Ednaldo Cavalcante de Araújo ◽  
Eliane Maria Ribeiro de Vasconcelos ◽  
Simone Maria Muniz da Silva Bezerra

ABSTRACTObjective: to identify health risk factors for the nurses’ workers at the Surgical Center, from Clinics Hospital, of the Federal University of Pernambuco/SCCH/FUP, related to the condition work and ergonomics. Method: this is about an exploratory and descriptive study, from quantitative approach. Population was performed of nurses’ workers, after meeting some inclusion criteria. To collect the data was used a questionnaire, from August to September 2009, after approval of the research project by the Ethics Research of the FUP (protocol number 132/09). Data analysis was performed using Epi-Info version 3.3.2. Results: were presented on the simple distribution of frequencies, in tables. Results: it was observed that there was a predominance of females (79.1%), and a shortage of auxiliary material identified as the main cause of dissatisfaction among employees, 72.1% said they do not use correct posture while handling patients; 97.7% said there was no place to rest and 100% did not do gymnastics in the workplace. Conclusion: factors or agents of chemical, physical, biological and ergonomic were considered the main cause of unsafe situations and of danger to which health professionals are exposed. Descriptors: health workers; working conditions; nurses' aides;  nursing; nursing staff; risks; risk factors.RESUMOObjetivo: identificar os fatores de riscos à saúde dos profissionais de enfermagem do Centro Cirúrgico, do Hospital das Clínicas, da Universidade Federal de Pernambuco/CCHC/UFPE, relacionados com a condição de trabalho e a ergonomia. Método: trata-se de um estudo descritivo e exploratório, de abordagem quantitativa. A população foi composta por profissionais de enfermagem, após atendimento de critérios de inclusão. A coleta de dados foi realizada entre agosto e setembro de 2009, utilizando-se de questionário, após aprovação do projeto de pesquisa pelo Comitê de Ética em Pesquisa da UFPE (número de protocolo 132/09). A análise dos dados foi realizada utilizando-se do programa Epi-Info versão 3.3.2, cuja apresentação dos resultados, a partir da distribuição das frequências simples, foi em tabelas. Resultados: foi observado que houve predomínio do sexo feminino (79,1%), sendo o déficit de material auxiliar apontado como a principal causa de insatisfação por parte dos funcionários, 72,1% afirmaram não fazer o uso correto da postura durante a manipulação de pacientes; 97,7% afirmaram que não havia local para repouso e, 100% não realizam ginástica laboral no ambiente de trabalho. Conclusão: os fatores ou agentes de riscos químicos, físicos, biológicos e ergonômicos foram considerados os principais responsáveis pelas situações insalubres e de periculosidade a qual os profissionais de saúde encontram-se expostos. Descritores: saúde do trabalhador, condições de trabalho, auxiliares de enfermagem;  enfermagem, equipe de enfermagem, riscos; fatores de risco.RESUMENObjetivo: identificar factores de riesgo para la salud de los trabajadores de enfermería del Centro Quirúrgico en el Hospital das Clínicas de la Universidade Federal de Pernambuco/CQHC/UFPE, en relación a la condición de trabajo y la ergonomía. Método: este es un estudio descriptivo, con enfoque cuantitativo. La población estuvo formada por personal de enfermería, después de reunirse con criterios de inclusións. Para recoger los datos se utilizo, un cuestionario con 43 preguntas sobre los riesgos ergonômicos, entre agosto y septiembre de 2009, después de la aprobación del proyecto de investigación del Centro de Investigación em Ética de la UUFPE (número de registro 132/09). Análisis de los datos se realizó con Epi-Info versión 3.3.2, la presentación de los resultados de la simple distribución de frecuencias, estaba en tablas. Resultados: se observó que existía un predominio del sexo femenino (79,1%), y la escasez de material auxiliar identificado como la principal causa de insatisfacción entre los empleados, el 72,1% dijo que no utiliza una postura correcta durante la manipulación de los pacientes , 97,7% dijo que no había lugar para el descanso y el 100% no hacer gimnasia en el lugar de trabajo. Conclusión: los factores o agentes químicos, físicos, biológicos y ergonómicos, se considera la principal causa de situaciones de riesgo y de peligro a que están expuestos los profesionales de la salud. Descriptores: trabajadores de la salud; condiciones de trabajo; auxiliares de enfermería;  enfermería; personal de enfermería; riesgos; factores de riesgo. 


2019 ◽  
Vol 19 (1) ◽  
pp. 157-164
Author(s):  
Lorena Oliveira Peixoto ◽  
Daniela Vasconcelos de Azevedo ◽  
Leontina Fernandes Britto ◽  
Isadora Nogueira Vasconcelos

Abstract Objectives: to analyze the meaning of breastfeeding for nursing mothers, users of the public health network in Fortaleza city, Ceará. Methods: a cross-sectional study was carried out with nursing mothers from nine health units. The data were collected through the application of a socioeconomic and health questionnaire and the Word Free Association Test, using "breastfeeding" as an induced stimulus. The terms referred to in the Word Free Association Test were grouped into categories and analyzed by the EVOC 2000 ®software, which showed the results in a fourcell table, where the categories were distributed according to the level of meaning to the mothers. Results: the sample consisted of 279 nursing mothers. More than 60% of these women referred in receiving guidance on breastfeeding in prenatal, puerperal and childcare consultations, and 68% of them reported having no difficulties in breastfeeding. The most significant categories identified by the Word Free Association Test were: Milk, Important, Health, and Love. Conclusions: for the nursing mothers, breastfeeding is an important practice, represented by the breast milk itself, which is permeated by positive meanings. Knowing these meanings helps to understand the factors associated to early weaning, making it possible to reconstruct care directed to this public.


2021 ◽  
Vol 40 (1) ◽  
Author(s):  
Damitie Kebede ◽  
Reddy P. C. J. Prasad ◽  
Degnet Teferi Asres ◽  
Hayat Aragaw ◽  
Eyerusalem Worku

Abstract Background Undernutrition among adolescents is a major public health problem in developing nations including Ethiopia. Adolescents need to have good-quantity and good-quality nutrients to cope with this rapid growth and other health risks which increase nutritional demand. This study aimed to assess the prevalence and associated factors of stunting and thinness among school adolescents in Finote Selam Town, Northwest Ethiopia. Methods A school-based cross-sectional study among adolescent students aged 10–19 in public schools was carried out in Finote Selam Town from February 5 to March 27, 2018. A total of 397 school adolescents were included in this study. Stratified and simple random sampling techniques were employed to select study subjects. Pretested structured questionnaires were used to collect the data. Data were entered using Epi info version 7 and analyzed using SPSS version 20 and WHO AnthroPlus software. A multivariable logistic regression analysis was employed to identify factors associated with stunting and thinness. Crude and adjusted odds ratios with 95% level significance were used to measure the strength of association, and statistical significance was declared at a P value less than 0.05. Results The prevalence of stunting and thinness among school adolescents was 21.8% and 16.9%, respectively. About 9.7% of school adolescents experienced both stunting and thinness. Being male (P = 0.031), coming from rural area (P = 0.046), having a family monthly income of less than $28.37 (P = 0.044) and having less than four dietary diversity (P = 0.021) were significantly associated with stunting. Early adolescent stage (P = 0.034), being male adolescent students (P = 0.37), having a family monthly income of less than $28.37 (P = 0.016), having a family monthly income between $28.37 and $56.74 (P = 0.021) (35.25 Birr = 1 USD) and using well water (P = 0.045) were significantly associated with thinness. Conclusion Undernutrition was a predominant problem in the study area. Sex, age, place of residence, dietary diversity, sources of drinking water and family monthly income were important factors associated with stunting and thinness among the respondents. Strategies to improve the nutritional status of adolescent students should be given much attention.


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