https://repositorio.ufpb.br/jspui/handle/tede/4455 PPGENF 2026-07-06T09:44:17Z https://repositorio.ufpb.br/jspui/handle/123456789/38272 Título: Qualidade de vida relacionada à saúde, autoestima e funcionalidade de pessoas em pós-alta de hanseníase Autor(es): Fortunato, Cibelly Nunes Orientador: Freire, Maria Eliane Moreira Abstract: Objective: To assess quality of life related to health, self-esteem and functionality of people post-discharge from leprosy treatment. Method: The study was developed in two stages. In the first stage, a scoping review was built to map evidence in the scientific literature on health impairment after leprosy discharge and related factors, guided by the methodological guidelines proposed by the Joanna Briggs Institute, systematized by a PRISMA-ScR flowchart and recorded in the Open Science Framework (osf.io/vmdc6). In the second stage, an original, descriptive, cross- sectional study was developed with a quantitative approach, carried out in a referral hospital in Paraíba, Brazil, between May and August 2021. A non-probabilistic sample was adopted, with older individuals 18 years old, both sexes, who completed the leprosy treatment regimen. To obtain the data, a sociodemographic and clinical instrument, the Whoqol-bref, the Rosenberg self-esteem scale and the Screening of Activity Limitation and Safety Awareness (SALSA) were used. The research was approved by the Research Ethics Committee, under Opinion No. 4,663,032. Results: The scope review consisted of ten articles, of which nine showed some impairment in the degree of physical disability, demonstrating as related factors, weaknesses in post-discharge follow-up, shortage of trained professionals, lack of health education, difficulty in accessing to health services, delay in the treatment of reactional episodes and biopsychosocial rehabilitation, and absence of protocols and instruments for systematization and surveillance of care. For the field study, the sample consisted of 131 participants, most of them male, married, aged between 41 and 60 years. There was a negative impact on health-related quality of life, especially in the physical domain, with a better level of self-esteem and impairment of functionality in people post-discharge from leprosy. When comparing health-related quality of life and self- esteem, there was significance in all domains (p≤0.001). And, when compared with functionality, there was a significant difference in the Physical (p<0.001), Environmental (p=0.001) and Psychological (p=0.004) domains, since they obtained the p-value <0.05. Conclusion: The data obtained point to a worsening in health- related quality of life, improvement in self-esteem and impairment of functionality in the interviewees. It shows a positive association when comparing quality of life and better self-esteem, as well as, the greater the impairment of functionality, the worse the impact on health-related quality of life.; RESUMEN Objetivo: Evaluar la calidad de vida relacionada con la salud, la autoestima y la funcionalidad de las personas después del alta del tratamiento de la lepra. Método: El estudio se desarrolló en dos etapas. En la primera etapa, se construyó una revisión de alcance para mapear la evidencia en la literatura científica sobre el deterioro de la salud después del alta de la lepra y los factores relacionados, guiado por las pautas metodológicas propuestas por el Instituto Joanna Briggs, sistematizado por un diagrama de flujo PRISMA-ScR y registrado en el Marco de ciencia abierta (osf.io/vmdc6). En la segunda etapa, se desarrolló un estudio original, descriptivo, transversal, con enfoque cuantitativo, realizado en un hospital de referencia de Paraíba, Brasil, entre mayo y agosto de 2021. Se adoptó una muestra no probabilística, con personas mayores de 18 años, de ambos sexos, que completaron el régimen de tratamiento de la lepra. Para la obtención de los datos se utilizó un instrumento sociodemográfico y clínico, el Whoqol-bref, la escala de autoestima de Rosenberg y el Screening of Activity Limitation and Safety Awareness (SALSA). La investigación fue aprobada por el Comité de Ética en Investigación, bajo el Dictamen no 4.663.032. Resultados: La revisión de alcance constó de diez artículos, de los cuales nueve evidenciaron alguna afectación en el grado de discapacidad física, demostrando como factores relacionados, debilidades en el seguimiento posterior al alta, escasez de profesionales capacitados, falta de educación en salud, dificultad de acceso a la salud servicios, retraso en el tratamiento de episodios reaccionarios y rehabilitación biopsicosocial, y ausencia de protocolos e instrumentos de sistematización y vigilancia de la atención. Para el estudio de campo, la muestra estuvo conformada por 131 participantes, en su mayoría del sexo masculino, casados, con edades entre 41 y 60 años. Hubo un impacto negativo en la calidad de vida relacionada con la salud, especialmente en el dominio físico, con un mejor nivel de autoestima y deterioro de la funcionalidad en las personas después del alta por lepra. Al comparar la calidad de vida relacionada con la salud y la autoestima, hubo significación en todos los dominios (p≤0,001). Y, cuando se comparó con la funcionalidad, hubo diferencia significativa en los dominios Físico (p<0,001), Ambiental (p=0,001) y Psicológico (p=0,004), ya que obtuvieron el p-valor <0,05. Conclusión: Los datos obtenidos apuntan a un empeoramiento de la calidad de vida relacionada con la salud, mejora de la autoestima y deterioro de la funcionalidad en los entrevistados. Muestra una asociación positiva al comparar calidad de vida y mejor autoestima, así como, cuanto mayor es el deterioro de la funcionalidad, peor es el impacto en la calidad de vida relacionada con la salud. Editor: Universidade Federal da Paraíba Tipo: Dissertação 2022-02-18T00:00:00Z https://repositorio.ufpb.br/jspui/handle/123456789/38086 Título: Construção e validação de um protocolo de intervenções de enfermagem para promoção do conforto de pessoas idosas hospitalizadas Autor(es): Oliveira, Sanni Moraes de Orientador: Fernandes, Maria das Graças Melo Abstract: Introduction: Longevity leads to multidimensional changes in the aging population and brings with it greater susceptibility to the occurrence of chronic health conditions, with risks of frailty and organic dysfunction and consequently a greater occurrence of prolonged and recurrent hospitalizations. Hospitalization, although necessary to restore health, can generate anxiety, fear and discomfort and constitute an unpleasant experience for elderly people. Although Nursing plays a preponderant role in caring for people in the context of hospitalization, through actions to promote well-being and comfort, it appears that these actions, in general, do not follow standardization, which implies the implementation of fragmented and inefficient care. Thus, in order to support nursing practice with a view to promoting the comfort of hospitalized elderly people, we propose an intervention protocol supported by Kolcaba's Comfort Theory, scientific evidence, as well as nursing interventions and activities proposed by the NIC. Objective: Build a protocol of nursing interventions to promote the comfort of hospitalized elderly people in light of Kolcaba's Theory. Method: This is a methodological study, initially starting from an integrative review of the literature to search for scientific evidence in the Database regarding interventions, activities and nursing care aimed at promoting comfort in people in the hospital environment. At the same time, the NIC Standardized Language System was used to identify the proposed Interventions for the “Impaired Comfort” Nursing Diagnosis of NANDA-I version 2021- 2023. Next, Cross Mapping of interventions and activities validated by experts in the area of knowledge was carried out. Finally, the construction and final validation was guided by the Appraisal of Guidelines for Research & Evaluation II instrument. To meet the requirements of the Guidelines and Standards for Research on Human Beings, all regulatory procedures and standards recommended by Resolution 466/2012 and 580/2018 of the CNS/MS/BRAZIL were respected, with approval from the Research Ethics Committee under CAAE no: 56816022.7.0000.5183. Results: 21 NIC interventions and information extracted from 15 studies were analyzed and validated by experts in light of theory in the physical, environmental, sociocultural and psychospiritual dimensions. A total of 604 nursing activities proposed in the NIC 7th edition were obtained, of which 176 were mapped with 137 interventions, activities and care evidenced in the literature, 13 activities did not show similarity with the proposed interventions, among which the majority were related to the psychospiritual context, with inclusion in other NANDA-I NDs, confirmed by the absence of this class of comfort in the aforementioned taxonomy. In validating the guideline, the domains 'scope and purpose', 'involvement of the parties' and 'clarity of presentation' were evaluated with maximum points, resulting in 100% suitability in the experts' assessment. In the domains ‘rigor of development’ and ‘editorial independence’, a percentage of 94% agreement was reached. In the ‘applicability’ domain, the maximum score corresponded to 93%, this being the domain that required small adjustments requested by the judges and for subsequent clinical validation. Final considerations: The relevance of the Comfort Theory supported the successful development of the nursing intervention protocol aimed at the comfort of hospitalized elderly people, demonstrating the predominance of the psycho-spiritual context as the main focus of intervention for this population. The study made it possible to identify the main evidence-based interventions in nursing and correlate them in the Standardized Nursing Language System. Continuing this study is essential to validate its practical applicability, ensuring its improvement and meeting the real needs of hospitalized elderly people. Editor: Universidade Federal da Paraíba Tipo: Tese 2024-07-23T00:00:00Z https://repositorio.ufpb.br/jspui/handle/123456789/38073 Título: Cuidado de enfermagem às pessoas com feridas crônicas na atenção básica no contexto da Covid-19 Autor(es): Gonzaga, Maria Helloysa Herculano Pereira de Oliveira Araújo Orientador: Soares, Maria Julia Guimarães Oliveira Abstract: Introduction: Primary Care needs to ensure continuity of care for people with chronic wounds, even with the COVID-19 pandemic, because without monitoring, this population can develop complications. Objective: To analyze nursing care for people with chronic wounds followed up in Primary Care, in the context of COVID-19. Methodology: This research was conducted in two stages: (1) methodological study with a quantitative approach for the construction and validation of a data collection instrument to assess Nursing care for people with chronic wounds, before and during the pandemic. Content validation was conducted by six judges, using the Delphi technique in two rounds. It was considered adequate Content Validity Coefficient (CVC) ≥ 0.8; (2) descriptive and cross-sectional study with a quantitative approach, with 63 Primary Care nurses from two municipalities of Paraíba. Data collection was online, containing socio-professional information, a validated questionnaire, and the Compliance with Standard Precautions Scale. For analysis, the percentage comparison tests of Fisher, Mann-Whitney, Shapiro-Wilks and Kolmogorov-Smirno were applied. The study was approved by the Research Ethics Committee, opinion no. 4,432,653/2020. Results: (1) After the judges’ assessment, the instrument had 11 questions, being considered valid in the second round (CVC=0.96). (2) It was identified a reduction (p<0.05) in nursing consultations, home visits, educational activities, and dressings in the Basic Health Unit. There was an increase (p<0.05) in scheduling, teleservice, hygiene of environment, supply for hand hygiene, use of mask and assistance in external areas. After the start of the pandemic, some actions were associated (p<0.05) with the use of personal protective equipment (PPE) and hand hygiene solutions. As for standard precautions, it was verified adherence of 65.07% before and 76.19% during the pandemic. Conclusions: The pandemic caused a reduction in face-to-face care actions for people with chronic wounds, increased the use of PPE and hand hygiene solutions, scheduling, teleservice and assistance in external areas. Furthermore, it was found greater compliance with standard precautions during the pandemic.; RESUMEN Introducción: La Atención Primaria necesita asegurar la continuidad de la atención a las personas con heridas crónicas, incluso con la pandemia del COVID-19, ya que sin seguimiento esta población puede desarrollar complicaciones. Objetivo: Analizar la atención de enfermería a personas con heridas crónicas seguidas en Atención Primaria, en el contexto del COVID-19. Metodología: Esta investigación se desarrolló en dos etapas: (1) estudio metodológico con enfoque cuantitativo para la construcción y validación de un instrumento de recolección de datos para evaluar la atención de enfermería a personas con heridas crónicas, antes y durante la pandemia. La validación de contenido fue realizada por seis jueces, utilizando la técnica Delphi en dos rondas. Se consideró adecuado Coeficiente de Validez de Contenido (CVC) ≥ 0,8; (2) estudio descriptivo y transversal con enfoque cuantitativo, con 63 enfermeros de la Atención Primaria de dos municipios de Paraíba. La recolección de datos fue en línea, con información socio profesional, un cuestionario validado y la escala Compliance with Standard Precautions Scale. Para el análisis se aplicaron las pruebas de comparación porcentual de Fisher, Mann- Whitney, Shapiro-Wilks y Kolmogorov-Smirno. El estudio fue aprobado por el Comité de Ética en Investigación, opinión n. 4.432.653/2020. Resultados: (1) Después de la evaluación de los jueces, el instrumento contó con 11 preguntas, considerándose válido en la segunda ronda (CVC=0,96). (2) Se identificó reducción (p<0,05) en consultas de enfermería, visitas domiciliarias, actividades educativas y apósitos en la Unidad Básica de Salud. Hubo un incremento (p<0,05) en programación, teleservicio, higiene del ambiente, material para higiene de manos, uso de mascarilla y asistencia en áreas externas. Después del inicio de la pandemia, algunas acciones se asociaron (p <0.05) con el uso de equipos de protección personal (EPP) y soluciones de higiene de manos. En cuanto a las precauciones estándar, se verificó una adherencia del 65,07% antes y del 76,19% durante la pandemia. Conclusiones: La pandemia provocó una reducción de las acciones de atención presencial a las personas con heridas crónicas, aumentó el uso de EPP y soluciones de higiene de manos, programación, teleservicio y atención en áreas externas. Además, se encontró un mayor cumplimiento de las precauciones estándar durante la pandemia. Editor: Universidade Federal da Paraíba Tipo: Dissertação 2021-08-30T00:00:00Z https://repositorio.ufpb.br/jspui/handle/123456789/37762 Título: Conhecimento, atitude e prática de enfermeiros sobre autocuidado em hanseníase: tecnologia para educação na saúde Autor(es): Antas, Ester Missias Villaverde Orientador: Oliveira, Simone Helena dos Santos Abstract: Introduction: Leprosy is a communicable, disabling disease characterized by a slow and progressive course of illness. In Primary Health Care (PHC), it is essential to utilize technologies that support health education and enhance self-care guidelines for nurses, aiming to prevent disabilities and deformities in individuals with leprosy. Objective: To develop a technology for the elaboration of a Situational Strategic Plan for Health Education for PHC nurses, with an emphasis on self-care guidelines for the face, hands, and feet of people with leprosy. Method: Research conducted in João Pessoa from September 2022 to March 2025, developed in three stages: a methodological study to construct and validate the instrument Knowledge, Attitude, and Practice regarding self-care in leprosy; an evaluative study to characterize the knowledge, attitude, and practice of 69 PHC nurses regarding self-care guidelines for the face, hands, and feet of people with leprosy; and situational strategic planning for the PHC context. Descriptive statistical techniques were applied, along with analysis of the Content Validity Index (CVI) and consistency, as measured by Cronbach's alpha (α), with a 95% confidence interval. The research was approved by the Research Ethics Committee, with opinion no. 5,655,957. Results: The instrument presented a satisfactory Overall CVI for the criteria of Clarity (CVI 0.96) and Relevance (CVI 0.98), and substantial internal consistency (α = 0.67). The evaluative study showed inadequate knowledge (except for the feet), attitude, and practice regarding self-care guidelines for the face and limbs of people with leprosy. In the Situational Strategic Plan, an Action Plan was developed for the future implementation of Health Education for PHC nurses. Conclusion: The validated instrument presented satisfactory content and demonstrated potential for use in future studies; the characterization of nurses' knowledge, attitude, and practice regarding self-care guidelines for the face, hands, and feet of people with leprosy was fundamental for the elaboration of an Action Plan directed at the real learning needs of the group, anchored in a theoretical framework that considers prior knowledge.; RESUMEN. Introducción: La lepra es una enfermedad transmisible, discapacitante y asociada a una enfermedad lenta y progresiva. En Atención Primaria de Salud (APS) es fundamental el uso de tecnologías que apoyen la educación sanitaria y la mejora de las pautas de autocuidado por parte del personal de enfermería para prevenir discapacidades y deformidades en las personas con lepra. Objetivo: Desarrollar una tecnología para la elaboración de un Plan Estratégico Situacional de Educación Sanitaria para enfermeras de APS, haciendo hincapié en las pautas de autocuidado para la cara, las manos y los pies de las personas con lepra. Método: Investigación realizada en João Pessoa de septiembre de 2022 a marzo de 2025, desarrollada en tres etapas: Estudio metodológico para la construcción y validación del instrumento Conocimiento, actitud y práctica sobre autocuidado en la lepra; Estudio de evaluación para caracterizar el conocimiento, actitud y práctica de 69 enfermeros de APS en relación a las orientaciones de autocuidado de la cara, manos y pies de las personas con lepra; Planificación Estratégica Situacional para el contexto de APS. Se aplicaron técnicas de estadística descriptiva, análisis del Índice de Validez de Contenido (IVC) y consistencia mediante el cálculo del Alfa de Cronbach (α), con un Intervalo de Confianza del 95%. La investigación fue aprobada por el Comité de Ética en Investigación, con el dictamen nº 5.655.957. Resultados: El instrumento mostró un IVC Global satisfactorio para los criterios de Claridad (IVC 0,96) y Relevancia (IVC 0,98), y una consistencia interna sustancial (α = 0,67). El estudio de evaluación mostró conocimientos (excepto para los pies), actitudes y prácticas inadecuados en relación con las pautas de autocuidado de la cara y las extremidades de las personas con lepra. En la Planificación Estratégica Situacional se elaboró un Plan de Acción para la futura implementación de la Educación Sanitaria para enfermeras de APS. Conclusión: El instrumento validado presentó contenido satisfactorio y mostró potencial para uso en futuros estudios; la caracterización del conocimiento, actitud y práctica de las enfermeras con relación a las orientaciones de autocuidado de la cara, manos y pies de las personas con lepra fue fundamental para la elaboración del Plan de Acción dirigido a las reales necesidades de aprendizaje del grupo, anclado en un marco teórico que considere los conocimientos previos. Editor: Universidade Federal da Paraíba Tipo: Tese 2025-07-28T00:00:00Z