Autoavaliação da saúde por idosos brasileiros: revisão sistemática da literatura
To conduct a systematic review of the literature on self-assessment of health status in the elderly population.
To conduct a systematic review of the literature on self-assessment of health status in the elderly population.
This work examines the discourse of the American philosopher and educator John Dewey (1859-1852) about human nature, adopting as reference the book Human nature and conduct: an introduction to Social Psychology. In this book, published in 1922, Dewey discusses fundamental concepts of Psychology - instinct, habit, intelligence, and others - and proposes a new psychological science; the author's elaborations cover the fields of philosophy, psychology and education. The methodology to analyze his discourse follows the studies developed by the Research Group Rhetoric and Argumentation in Pedagogy. Such studies are based on Chaïm Perelman's and Stephen Toulmin's theories
It is important to include large sample sizes and different factors that influence the six-minute walking distance (6MWD) in order to propose reference equations for the six-minute walking test (6 MWT).
A Educação Infantil no Brasil é marcada pela dualidade cuidar e educar. Esta dualidade é ainda mais evidente no cotidiano do berçário, pois bebês têm necessidades e demandam das educadoras práticas além do que é considerado educacional. Este estudo teve como objetivo, investigar as práticas de cuidado de educadoras de berçário e suas crenças sobre as necessidades desenvolvimentais de bebês. Participaram catorze educadoras de duas creches públicas, cujas respostas à entrevista foram analisadas qualitativamente, com base em três categorias derivadas das dimensões de cuidado propostas por Winnicott: holding (segurar/sustentar), handling (manipular) e object-presenting (apresentar objetos). Os resultados mostraram que as educadoras identificaram o holding como a principal necessidade dos bebês e o handling (manipular) e a apresentação de objetos como as principais práticas. Destaca-se a necessidade de valorizar os cuidados básicos como um fazer legítimo do profissional da Educação Infantil, tendo em vista sua importância para o desenvolvimento emocional saudável do bebê
The development of methods that enable analysis of programs and public policies is a key point for their objectives to be attained. This study presents a Brazilian experience of analysis of two food and nutritional security programs in cities in Brazil's northeast region, namely the National Program for Vitamin A Supplementation, and monitoring health conditions of those included in the Family Allowance Program. The methodological stages included the definition of programs to be analyzed, data collection locations, the population participating in the research, collection procedures and data analysis. The methodology used made it possible to ascertain the perception of the different social actors involved in the operationalization of these programs, proving to be an important tool for the insertion of these actors, not only as objects of analysis, but also mainly as subjects of self-evaluation.
The scope of this study was to understand how the process of anticipated grieving is imbued in patients undergoing Hematopoietic Stem Cell Transplantation (HSCT). A cross-sectional clinical-qualitative study was conducted on a sample of 17 patients, mostly women, married, aged between 20 and 42 years and diagnosed with Chronic Myeloid Leukemia. Data was collected by semi-structured interviews applied individually and subjected to thematic content analysis. The results indicate that the loss of health imposes a new challenge in a life history already permeated by great hardships and premature losses. It was found that the expected reactions faced with normal grieving were expressed by the participants and that the most prevalent coping strategy was holding steadfast to their faith. Future plans involved being healed, returning to normality and vocational rehabilitation. The results may help the multidisciplinary teams to understand the emotional implications of the illness/treatment for implementing both preventive and intervention strategies. The critical aspect is that staff must be attentive as to how to communicate the diagnosis and the possibility of outlining a therapeutic plan, in order to augment the fighting spirit of the patient and strengthen the bond of trust with health professionals.
This study sought to investigate the significance of death for doctors who work with terminally ill patients in the Bone Marrow Transplant (BMT) context. The research was based on a qualitative, methodological and collective case study approach, and used Dejours' psychodynamics of work as a theoretical framework. Five practitioners linked to a Bone Marrow Transplant Unit in a university hospital in São Paulo, Brazil, participated in the research. A semi-structured script was applied which addressed the personal, academic and professional experiences elicited by a terminal situation. Data were organized into two categories: "Work and professional identity: the doctor's battle against death" and "Vocation and medical training: it all begins at home." The results show that, in the medical and hospital context, death is almost always reduced to technical rationality and this must be avoided at all costs. The significances attributed to death are rooted in the values of contemporary society and subjectively perceived through the physician's life trajectory and academic training, which influence how these professionals experience the dying process of the patients.
This article seeks to establish the causes of hospitalizations among the elderly and identify the prevalence and associated factors. It is a cross-sectional study with 418 elderly users of SUS selected by multistage proportional sampling in the nine Sanitary Districts of Goiânia. Hospitalization was defined as a positive response to the question: "Were you hospitalized in the past year?" The independent variables were collected on a standardized questionnaire. Associations were explored through the prevalence ratio and the respective 95% CI. Multivariate analysis was conducted using hierarchical Poisson regression. The prevalence of hospitalizations was 24.4% and the major causes were circulatory (28.4%), respiratory (9.8%) and infectious and parasitic diseases (9.8%). In multivariate analysis, the following variables continued to be associated with hospitalizations: A/B economic class, reports of five or more diseases and weight loss. The results revealed a high prevalence of hospitalizations and that factors involved are mainly related to socioeconomic issues and health status, which demonstrates that it is necessary to monitor these cases in primary health care to prevent unnecessary hospitalization.
This article seeks to evaluate the effects of hatha yoga on stress and anxiety levels in mastectomized women. It also investigates the relationship between these levels with the following variables: age; marital status; religion; instruction; profession; smoke addiction; elitism; staging of the disease; and treatment phase. This involved controlled random clinical trial sampling of 45 mastectomized women treated at the Ilza Bianco outpatient service of Santa Rita de Cássia Hospital in the Brazilian state of Espírito Santo from March to November 2010. The experimental group participated in 6 individually-applied sessions with incentive for ongoing home practice and was re-evaluated after the period, whereas the control group was re-evaluated after a proportional period. For the study of the variables, the interview and recording on a form technique was used, along with the Anxiety Trait and State Test, and the Stress Symptoms and Signs Test. For statistical treatment, the Statistical Pack for Social Sciences was used. The data are statistically significant and have shown that hatha yoga exercises decrease stress and anxiety in the experimental group. No connection between confounding variables and anxiety and stress levels was found.