http://repositorio.ufc.br/handle/riufc/15285 2026-04-05T13:55:38Z http://repositorio.ufc.br/handle/riufc/85512 Título: Comparação dos dados demográficos e de morbimortalidade de pacientes com doença renal crônica dialítica acometidos pela covid-19 em 2020 versus 2021 Autor(es): Aragão, Yaranara Linhares Abstract: Chronic Renal Failure (CRF) consists of the irreversible loss of kidney function slowly and progressively. The number of renal patients is growing worldwide, and Brazil already represents the third largest hemodialysis market. The Covid-19 pandemic has had a global impact, highlighting limitations in transmission, risk factors and their severity. Patients with chronic kidney disease are high-risk groups for severe cases of Covid-19 to develop. OBJECTIVE: To compare the demographic profile, clinical complications and mortality rate in patients with dialysis chronic kidney disease affected by COVID-19 in 2020 versus 2021. RESULTS: A total of 152 subjects participated in the study. The average age found in the survey was 57.5 (37 – 65.2) years. The sample was characterized by male patients, 63.8% and female patients, 36.2%, who required hospitalization of 11.3% and death was 13.3%. DISCUSSION: One of the extremely significant findings in the study illustrates the manifestation of such latent potentials: : as in the characterization of the sample, a higher prevalence of patients who tested for COVID-19 was observed in patients with an average age of 57 years and male. The spatial distribution of the degree of incidence of Covid-19 in the municipalities of the state of Ceará demonstrated the inequality in the incidence coefficient of this pandemic with spatial dependence and positive correlation of the high type associated with the municipal human development index. The short-term mortality rate in dialysis patients, most patients even after the diagnosis of COVID-19 had not died. CONCLUSION: The quality of life of chronic renal dialysis patients is well compromised because they are in treatment impairment. CKD, and some chronic diseases such as cardiovascular diseases, hypertension and diabetes mellitus are among the comorbidities that imply a higher risk for a severe clinical presentation for several types of infectious diseases. Tipo: Dissertação 2023-01-01T00:00:00Z http://repositorio.ufc.br/handle/riufc/85437 Título: Condições de trabalho e saúde mental de enfermeiros da Estratégia Saúde da Família de uma região serrana do Ceará pós pandemia da covid-19 Autor(es): Aragão, Caroline Mauriz de Moura Costa Feitosa Abstract: Primary Health Care (PHC) constitutes the gateway for users to the Unified Health System (SUS) and is responsible for organizing health care networks. To ensure compliance with the principles and guidelines established by SUS, PHC relies on a team of professionals within the Family Health Strategy (FHS), including nurses. The work environment can be considered a risk factor for distress and, consequently, for the illness of health professionals. Psychosocial risks can influence nursing practices, as the relationship between mental health and work is deeply interconnected. Discussions on health work processes have become essential to understand the structure of health care delivery, especially when assessing the production of subjectivities arising from power relations, which are crucial to the analysis of care provision and training in the health field. This study aimed to evaluate the working conditions of Family Health Strategy nurses in a mountainous region of Ceará, Brazil, after the Covid-19 pandemic, and their relationship with mental health, also considering sociodemographic characteristics and labor market insertion. A mixed-methods study with a sequential explanatory design was conducted in two phases: quantitative and qualitative. Data collection instruments included a sociodemographic and professional questionnaire, the Work and Illness Risk Inventory (ITRA), and the Depression, Anxiety and Stress Scale (DASS-21), applied to 28 nurses in the first phase. In the second phase, semi-structured interviews were conducted with 12 nurses until theoretical data saturation was reached. Data were collected between May and August 2025. Quantitative results were consolidated into tables using descriptive statistics and Spearman’s correlation, while qualitative results were analyzed through Bardin’s content analysis. The study was approved by the Research Ethics Committee of Vale do Acaraú State University (UVA), under approval number 7.449.295/2025 and CAAE 86725625.4.0000.5053. The findings reveal a lack of investment in the nurses’ work environment, which affects work organization and interpersonal relationships. Levels of anxiety, stress, and depression remained within normal ranges. It is concluded that the lack of institutional investment in workers’ quality of life negatively impacts work performance. Moreover, nurses tend to adopt individual rather than collective coping strategies to deal with work-related distress. The few experiences of satisfaction reported by these professionals stem from community recognition of their work. Tipo: Dissertação 2026-01-01T00:00:00Z http://repositorio.ufc.br/handle/riufc/85314 Título: O fenômeno da violência na percepção dos gerentes dos centros de Saúde da Família de Sobral - CE Autor(es): Coelho, Andrezza Aguiar Abstract: Violence is part of health service agendas in many ways, either as an expression of health needs or as barriers to the access, in this context the Family Health Strategy plays an important role. Based on this assumption, the objective was to analyze the perception of the managers of the Family Health Strategy teams regarding the phenomenon of violence. An exploratory-descriptive study with a quantitative and qualitative approach was developed. Held in Sobral, were considered as locus and research participants all Family Health Centers and their managers (N = 35). The study was conducted in 2018 and 2019 and the collection was based on the application of a questionnaire and 2 focus groups. The data collected in the first stage (questionnaire) were tabulated in the EpiInfo program and presented in tables and graphs format, adding to the descriptive statistical analysis. In the second stage (focus groups), the data were coded and organized according to the Collective Subject Discourse (CSD) analysis technique. The research was approved by the Scientific Committee of the Sobral Health Secretariat with protocol opinion No. 0064/2019 and by the UVA Research Ethics Committee, with Opinion No. 3,377,966, and CAAE No. 18385513.5.0000.5053. Therefore, in accordance with the principles of the Resolution No. 466/12. The results reveal that 22 (62.86%) of the managers work inside the city and the other 13 (37.14%) in the districts of Sobral. Most managers are nurses (N = 27; 79.41%), have been working in primary care from six months to one year (N = 27; 77.14%), have been manager for more than one year (N = 22; 62.85%) as well as have specialization (N = 26; 76%). Just over half of the managers (N = 18; 51.43%) experienced Permanent Education or other qualifications related to violence, indicating in the discourse of managers the need for more qualifications for better effectiveness in dealing with people / families victims of violence. The most frequent types of violence include neglect/abandonment and physical violence (N = 24; 68.57%); according to the CSD, these were more directed to women, the elderly and children. Other situations mentioned were death threats (N = 9; 25.7%) and homicide attempts (N = 10; 28.5%) suffered by users of the Family Health Care Centers. The existence of territorial conflicts (N = 15; 43%) was indicated as an important factor that directly affects the actions developed, as they cause insecurity and make the work process difficult. Managers report that they feel 'more or less safe' on the way home to work, as well as in the workplace itself. Attendance to demands arising from situations of violence were recurrent from activities directed to individual and multiprofessional care (N = 35; 100%), such as home visits (N = 32; 91.43%). And for this, the intrasectoral and intersectoral partnerships were highlighted, where the majority activates the mental health services (N = 29; 82.86%), the services of the municipal social assistance network (N = 26; 74, 28%) and public schools (N = 23; 65.71%). Based on the data presented, it is necessary to incorporate violence (its determinants, care and outcomes) into the primary care agenda in order to ensure a systematic and accurate approach to this phenomenon. Tipo: Dissertação 2025-01-01T00:00:00Z http://repositorio.ufc.br/handle/riufc/84948 Título: Saúde mental dos agentes comunitários de saúde no Brasil: uma revisão de escopo Autor(es): Fontenele, Débora Maria Ximenes Abstract: The mental health of Community Health Workers (CHWs) is an increasingly relevant topic in the field of Collective Health, as it involves a professional category that occupies a strategic position in consolidating Brazil’s Unified Health System (SUS) and implementing the actions of Primary Health Care (PHC). Acting as a bridge between health services and the community, these professionals experience daily situations of social vulnerability, human suffering, poverty, and violence, which expose them to high levels of emotional strain and psychological distress. This study aimed to map and synthesize the available scientific evidence on the mental health of CHWs in Brazil, identifying associated factors, assessment tools, and strategies for promotion, prevention, and care. It is a qualitative, exploratory, and descriptive scoping review conducted in accordance with the methodological guidelines of the Joanna Briggs Institute (JBI) and the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta- Analyses Extension for Scoping Reviews (PRISMA-ScR). The search was carried out in the SciELO and PubMed/MEDLINE databases, covering the period from 1991 to 2025. Twenty- four studies addressing the psychological distress of CHWs in different regional and institutional contexts were included. The results revealed a significant prevalence of mental suffering, anxiety, depression, and burnout syndrome, mainly associated with work overload, job insecurity, lack of psychosocial support, and insufficient institutional recognition. Among the protective factors identified, emotional bonds with the community, peer support, and a sense of belonging to the territory stood out as elements that contribute to resilience and coping with adversity. The care strategies described in the literature included self-care actions, listening and psychological support groups, continuing education initiatives, and participatory management practices aimed at valuing workers. It is concluded that the mental health of CHWs is a central dimension for the quality of Primary Health Care and for strengthening the SUS, requiring public policies that ensure decent working conditions, institutional psychological support, and recognition of the importance of these professionals in health care. This research contributes to consolidating the debate on caring for those who care and provides theoretical and practical support for managers and researchers committed to valuing and promoting the well-being of Community Health Workers. Tipo: Dissertação 2026-01-01T00:00:00Z