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- ItemAcesso aberto (Open Access)Caracterização dos cuidadores de candidatos a transplante do coração na UNIFESP(Sociedade Brasileira de Cirurgia Cardiovascular, 2007-12-01) Machado, Regimar Carla [UNIFESP]; Branco, João Nelson Rodrigues [UNIFESP]; Michel, Jeanne Liliane Marlene [UNIFESP]; Gabriel, Edmo Atique [UNIFESP]; Locali, Rafael Fagionato [UNIFESP]; Helito, Renata Almeida Barros [UNIFESP]; Buffolo, Enio [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVES: To identify and describe the main caregiver of the patients on the heart transplant waiting list; to compare relevant information provided by patients and caregivers, and to classify the caregivers according to their dedication and efficiency in assisting the patient by correlating them to sociodemographic data. METHODS: Descriptive study performed from October 2004 to October 2005 at UNIFESP outpatient clinics. The study sample consisted of 21 patients and their caregivers. Data were collected through a structured interview. RESULTS: The main caregiver was a family member (95%), usually the spouse. There were 13 women (81%) and three men (19%). Patient age ranged from 24 to 65 years (mean 44.3). Patients were married (56%); catholic (43.8%); 29% have finished elementary school; 24% have finished high school; 14% have higher education; 68.8% have a regular job; and 81.4% had their own income. All caregivers lived in the same house as the patient. Once a score was established, the caregivers were classified as: good - 8 (50%); regular - 7 (43.7%); and bad 1 - (6.3%). The scores were correlated with education, professional activity, and income without any significant statistical correlation. CONCLUSION: It is important to determine the instruments to recognize and describe the caregivers. The caregiver is usually a family member (spouse), female, mean age of 44.3 years; has his/her own income and, most of the time, he/she is classified as good or regular, and no correlation was found with education, professional activity and income. Further studies with a larger sample should establish the relationship between the caregiver's role and the heart transplant outcomes.
- ItemAcesso aberto (Open Access)Patients' relatives delayed help seeking after a first psychotic episode(Associação Brasileira de Psiquiatria - ABP, 2006-06-01) Monteiro, Vera Beatriz Martins [UNIFESP]; Santos, José Quirino dos [UNIFESP]; Martin, Denise [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade de São Paulo (USP); Universidade Católica de SantosOBJECTIVE: Recent studies show that proper treatment after the first psychotic episode may be delayed for a long time. Some patients remain without care even while exhibiting serious symptoms. The objective of the study was to understand the reasons why patients' relatives waited at least 6 months to look for psychiatric counseling and treatment. METHOD: Qualitative analyses of semi-structured interviews with 15 relatives (of patients with first psychotic episode) who have waited more than six months before seeking psychiatric treatment were applied. The interviews were recorded; transcribed and relevant portions were codified and grouped, forming terms, concepts or categories. RESULTS: These family members referred to individuals with mental problems in other families in a stereotyped fashion, citing negative aspects such as violence and criminality. They used softer terms when referring to their family members. Not knowing that their sick relative to be a case of mental illness, relatives classified certain observed behaviors as coming principally from spiritual problems and drug use. The initial delay in seeking medical help for the sick person was influenced by: 1) stereotyped misconceptions used by relatives to understand mental problems; 2) explanatory models elaborated to try to understand the sick person's behavior; 3) fear of psychiatric treatment; and 4) negative experiences with psychiatric services. CONCLUSIONS: Cultural aspects are present at all levels of this elaboration process. Their proper understanding by physicians can considerably diminish relatives' pain and suffering.
- ItemAcesso aberto (Open Access)Síndrome respiratória aguda grave causada por influenza A (subtipo H1N1)(Sociedade Brasileira de Pneumologia e Tisiologia, 2010-06-01) Ribeiro, Sandra Aparecida [UNIFESP]; Brasileiro, Graziela Sgreccia; Soleiman, Luciana Novaes Campello; Silva, Cristiano Cruz; Kavaguti, Cláudio Shoki; Universidade Federal de São Paulo (UNIFESP); Hospital do Servidor Público Estadual de São Paulo; Hospital Municipal do Tatuapé; Prefeitura Municipal de DiademaIn view of the pandemic caused by a new virus, influenza A (H1N1), we report the case of a 56-year-old patient without relevant risk factors and with severe acute respiratory syndrome resulting from infection with this virus. We present the results of laboratory tests and the imaging findings (chest X-ray and CT scans). The evolution was favorable, and the patient was discharged after 14 days.
- ItemAcesso aberto (Open Access)Validation of a protocol to assist patients with intra-aortic balloon(Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), 2012-01-01) Machado, Regimar Carla [UNIFESP]; Guerra, Grazia Maria; Branco, João Nelson Rodrigues [UNIFESP]; University of Vale do Paraiba; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: To develop a protocol of care for patients with Intra-Aortic Balloon and validate the content of this protocol. METHODS: Study of quantitative and descriptive approach. The methodology followed three steps: development of the instrument; content validity and reliability verification of the protocol for the analysis of agreement between specialists with greater experience. The study included 48 specialists, including physicians and nurses experienced in patient care in use of balloon. Items considered valid achieved at least 75% of consensus before the analysis of agreement between evaluators. RESULTS: We evaluated 36 items, of these, 20 were considered valid. The reliability was also verified, using consistency of the responses of more experienced evaluators. Among the items submitted to new statistical analysis by these evaluators, only two were considered valid. CONCLUSION: Based on the content validation, a protocol with 22 items concerning patient care without the use of intra-aortic balloon was developed.