Trabalho de Conclusão de Curso - TCC
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Navegando Trabalho de Conclusão de Curso - TCC por Autor "Cruz, Maria de Nazaré da Silva"
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Item Os efeitos terapêuticos da ozonioterapia ao portador de pé diabético: uma revisão integrativa da literatura(Centro Universitário do Estado do Pará, 2019) Neves, Sthefany Borges das; Araújo, Wellen Simone de Barros; Bittencourt, Margarete Carréra; http://lattes.cnpq.br/6459146408488843; Sozinho, Maria de Belém Ramos; http://lattes.cnpq.br/0704907714026557; Cruz, Maria de Nazaré da Silva; http://lattes.cnpq.br/5419032892855863The term diabetes mellitus (DM) refers to a metabolic disorder of heterogeneous etiologies, characterized by hyperglycemia and metabolic disorders of carbohydrates, proteins and fats, resulting from defects in insulin secretion and / or action (Ministry of Health , 2013). Diabetic lesions tend to heal slowly and are often associated with difficult-to-resolve infections that are characterized in the presence of foot lesions due to neuropathies known as diabetic foot (CARDOSO et al., 2010). Ozone therapy is presented in the literature as an option for the treatment of lesions, both for its antimicrobial potential and for the ability to interfere with tissue repair in which it stimulates the formation of new vessels in the affected region, accelerating the formation of granulation tissue and decreasing healing time (CARDOSO et al., 2010). The most common complication among DM patients is diabetic foot, leading to several consequences such as hospitalizations and amputations of lower limbs. Approximately 15% of diabetics will develop ulcers, of which 15 to 20% will require some type of amputation. This is because the feet are vulnerable parts to the diabetic complications, since they are exposed daily to repetitive traumas. To seek scientific evidence on the benefits of the therapeutic use of ozone in diabetic lesions through an integrative literature review. The study is an integrative review of descriptive and exploratory literature in the national and international context. The research included original articles, review articles and master's thesis. To guide the present integrative review, the following question was asked: what are the scientific evidences about the therapeutic effects of ozone therapy to diabetic foot wearers from January 2010 to February 2019? In the initial search in the literature 20 articles were found according to the descriptors in the health sciences, after the analysis of the same 10 articles were selected that met the inclusion criteria of this study. The sample of this Integrative Review of Literature totaled 10 articles, of which 3 (30%) were found only in the MEDLINE database, 1 (10%) only in LILACS, 2 (20%) only in the VHL, 3 (30%) in the VHL and LILACS and 1 (10%) in the VHL and MEDLINE. According to the research carried out in the literature, all the studies showed benefits, such as: reduction of bacterial growth (NE1), reduction of amputation (NE2), decreased infection and reduced amputation (NE3 ), there was neovascularization and acceleration in tissue repair (NE3, NE6) and there was reduction of the lesion area. According to the studies conducted by IZADI, et al. (2019), it was found that the healing time depends on the size of the lesion and subsequent ozone dosage, the greater the lesion the longer the cicatrization time and the greater the dosage. The use of ozone in diabetic lesions is a practice that has satisfactory results, and the nurse must be up to date, conducting studies regarding the technique in order to provide a better treatment option and quality of life for diabetic foot patients.Item Incidência de lesões cutâneas em neonatos na Unidade de Terapia Intensiva Neonatal de um hospital de referência(Centro Universitário do Estado do Pará, 2019) Pereira, Jakeline Batista; Sousa, Jaqueline Téles de; Santos, Wanessa Lyandra Oliveira; Sozinho, Maria de Belém Ramos; http://lattes.cnpq.br/0704907714026557; Cruz, Maria de Nazaré da Silva; http://lattes.cnpq.br/5419032892855863; Peixoto, Ivonete Vieira Pereira; http://lattes.cnpq.br/0072766773987067The skin is one of the major organs of the human body, in addition to being the largest organ, and performs important functions such as immunological thermoregulation, defense against toxins and infections. Therefore, the preservation of skin integrity is very important especially in children and newborns that still have thin and sensitive skin. GOAL: To analyze the incidence of skin lesions in a neonatal intensive care unit of a referral hospital; Trace the main factors that cause injuries in neonates admitted to the NICU; Observe the neonate during the procedures of the professionals quantifying the skin lesions in the NICU; To characterize newborns hospitalized in a Neonatal Intensive Care Unit regarding the clinical variables. The data collection was done through the form of the characterization of the clinical variables of the newborn; the data were organized and accounted for in the Excel spreadsheet program. After the correction of some errors and the analysis was carried out in the SPSS Statistics Program, the development of the study met the national and international standards of ethics in research involving human beings. Participants were 43 neonates. Pretere newborns prevailed with 37.2% males, and born cesarean births that gave the percentage of 70%, and 28% weighed up to 1088 g. In the evaluation of the diagnosis of hospitalizations, 32.6% of hospital admission among the newborns was respiratory disorder, followed by prematurity with 18.6%, followed by meconium aspiration syndrome with 9.3% of the cases. 4.7% due to unspecified intestinal obstruction. On the other hand, the evaluation of the skin, from the data recorded, 72.7% of the lesions were caused by adhesive fixation and by venous puncture. Secondly, the removal of adhesives with 21.2% and with 3% the infiltration, besides the friction in the region of the diaper also with 3%. The sites that presented lesions with more incidences were on the lips, in which 55.8% of the children had these lesions. Then, the MMSS had 48.8%, followed by the MMII with 41.8%, the umbilical stump and the abdominal region had an incidence of 13.9%, 9.3% presented lesions on the perineum and on the face, 6, 9% in the posterior thorax and in the head, 2.3% of the infants had lesions in the anterior thorax and sacral region and 4.6% had no lesions By associating the variables with the scores, the neonates presented statistical significance for the development of skin lesions, extreme premature infants, low birth weight infants and newborns nursing PICC and peripheral catheter concomitantly. A positive evaluation of the skin of these RNs was concluded. However, the scores show the rupture injury was the prevailing construct and is related to venous punctures and the fixation by tape.Item Perfil das gestantes atendidas em uma Estratégia Saúde da Família em Belém-PA(Centro Universitário do Estado do Pará, 2019) Silva, Aldebaram Mariana Abreu da; Tavares, Carlene Leandro; Rocha, Paula Sousa da Silva; http://lattes.cnpq.br/3929566584203932; Lima, Mariana Souza de; http://lattes.cnpq.br/8926250391706936; Cruz, Maria de Nazaré da Silva; http://lattes.cnpq.br/5419032892855863One of the most important phases in the life of a woman is a gestation that corresponds to the period before the birth, that is, the development of the embryo. The gestational period is a time that shows the presence of physiological and emotional changes. Aiming at this, the Ministry of Health (MS) instituted the Prenatal and Birth Humanization Program (PHPN), through ordinance / GM No. 569 of 2000, which is a pregnant woman on the subject and the right to have a relationship prenatal. (NP) dignified and qualified throughout the period of childbirth, birth and puerperium (BRAZIL, 2011). To trace the profile of pregnant women attended by a Family Health team, in the Guamá neighborhood of Belém do Pará. An exploratory, retrospective, documentary, quantitative research is conducted in the form of a quantitative analysis , quantitative, quantitative, statistical and quantitative analysis in two parts: the first performed an identification of the pregnant woman and the second, the health history of the pregnant woman. The research was done by the Ethics and Research Committee with Human Beings of the University Center of the State of Pará (CEP / CESUPA). Under opinion No.: 3,189,267 CAAE: 08052318.6.0000.5169, on March 11, 2019. Based on the charts of the main ways of managing How was the prenatal care; Schooling according to age; Use of Contraceptive Methods and Age and; Number of pregnancies according to age. A thematic of the study deserves important attention, since the pregnant women compose the main uses of the health services. Therefore, it is imperative that the health services are knowledgeable about the profile of pregnant women attended by education programs aimed at non-prenatal promotion and prevention. It is therefore essential for the follow-up and guidance of pregnant women.