http://repositorio.ufc.br/handle/riufc/209 2026-05-27T02:09:36Z 2026-05-27T02:09:36Z Ferreira, Luzia Camila Coelho http://repositorio.ufc.br/handle/riufc/86414 2026-05-22T11:03:40Z 2025-01-01T00:00:00Z

Título: Avaliação da técnica de amamentação com puérperas em alojamento conjunto Autor(es): Ferreira, Luzia Camila Coelho Abstract: Breastfeeding is the most recommended form of infant nutrition, providing benefits for both the child and the mother. However, its success depends on an adequate breastfeeding technique, since difficulties during this process may cause pain and contribute to early weaning. Nevertheless, there are still limitations in the literature on this topic, including studies with small sample sizes and limited control of variables, which reinforces the need for reliable methods to assess breastfeeding. In this context, the Bristol Breastfeeding Assessment Tool – Brazilian version (BBAT-VB) stands out for enabling a structured assessment of breastfeeding technique, identifying difficulties and supporting interventions. Thus, this study aimed to evaluate the breastfeeding technique of the mother-child dyad in rooming-in care using the BBAT-VB. This was a cross-sectional study with a quantitative approach, involving 503 postpartum women assisted at a public maternity hospital in Fortaleza, Ceará, Brazil. Data collection took place in the rooming-in unit through individual interviews, using a sociodemographic and obstetric questionnaire and the Brazilian version of the BBAT-VB, an instrument that evaluates positioning, latch, sucking, and swallowing. Each item is scored from 0 (poor) to 2 (good), resulting in a total score ranging from 0 to 8 points. Observations were carried out during spontaneous breastfeeding sessions by a previously trained team. Data were analyzed using the Number Cruncher Statistical System 2007, employing means, standard deviations, frequencies, and percentages, with dichotomous categorization of BBAT-VB scores into effective technique (≥7) and ineffective/below ideal technique (≤6). The study was approved by the institution’s Research Ethics Committee. Among the 503 participants, 55.5% were classified as having an effective breastfeeding technique, while 44.5% presented an ineffective technique. According to the BBAT-VB, the domains were classified as good for positioning (48.7%), latch (58.8%), sucking (76.9%), and swallowing (68.4%). Maternal habits and health history showed, for the most part, no significant association with breastfeeding technique, except for alcohol consumption (p=0.046). Significant associations were also observed with the number of living children (p=0.037), feeling obligated to breastfeed (p=0.048), milk production (p=0.015), development of maternal comorbidities (p=0.036), nipple type, especially protruding nipples (p=0.017), and maintenance of exclusive breastfeeding (p=0.025). It was concluded that breastfeeding technique was associated with maternal, reproductive, and clinical characteristics, as well as aspects related to the breastfeeding process itself. Therefore, the need for implementing care protocols, personalized educational strategies, and mother-baby centered care is emphasized, with a focus on preventing early weaning. Tipo: Dissertação

2025-01-01T00:00:00Z Amarante, Kemyson Camurça http://repositorio.ufc.br/handle/riufc/86375 2026-05-20T11:16:20Z 2025-01-01T00:00:00Z

Título: Sexo inseguro e vulnerabilidades em saúde entre adultos jovens no Brasil: pesquisa nacional de saúde (2019) Autor(es): Amarante, Kemyson Camurça Abstract: Unsafe sex constitutes a significant public health challenge, as it is associated with increasing rates of sexually transmitted infections and unplanned pregnancies, particularly affecting young people. Analyzing individual, social, and programmatic vulnerabilities enables a deeper understanding of the factors that influence behaviors and shape inequalities in access to care, given that individual vulnerability encompasses knowledge, risk perception, preventive attitudes, and personal characteristics that guide the adoption of safer sexual practices. Social vulnerability involves gender relations, socioeconomic status, educational level, cultural norms, and support networks that may either enhance or restrict young people’s autonomy, whereas programmatic vulnerability refers to the availability and quality of health policies and services. This issue aligns with Sustainable Development Goal 3, which seeks to ensure health and wellbeing, including targets related to sexual and reproductive health. In this context, nurses play an essential role by promoting health education, counseling, and access to qualified preventive actions. This study aims to analyze the individual, social, and programmatic vulnerabilities associated with unsafe sex among young people aged 18 to 24 in Brazil, grounded in José Ricardo Ayres’ theoretical framework and using data from the 2019 National Health Survey. Analyses will follow the STROBE guidelines, and the findings are expected to inform publicand intersectoral actions aimed at promoting sexual and reproductive health among young people, with a focus on equity and the reduction of health vulnerabilities. Tipo: Dissertação

2025-01-01T00:00:00Z Santos, Míria Conceição Lavinas http://repositorio.ufc.br/handle/riufc/86328 2026-05-16T12:25:29Z 2004-01-01T00:00:00Z

Título: Qualidade de vida de mulheres mastectomizadas: estudo comparativo no campo da enfermagem oncológica realizado com populações atendidas em grupos de auto ajuda e no ambulatório de hormonioterapia de um hospital oncológico Autor(es): Santos, Míria Conceição Lavinas Abstract: The healing treatment of breast câncer is the mastectomy, which guarantees life but interferes with the women's quality of life. This research aimed at verifying if the participation in self- help groups influences the quality of life of mastectomized women. Two groups of mastectomized women were constituted: a study group composed of 16 women from a self- help group and 32 women attended at the clinic of a câncer hospital that composed the control group. Medicai Outcomes Study Questionnaire 36-item Short form Health Survey (SF-36) was used as an instrument for the measurement of the quality of life levei. The sample of 48 women were in the average age of 58,2 ± 10,6 and had time of mastectomy of 55,4 ± 28,7 months. The study and control groups differed as to the existence of co-morbidity, present in 68,8% of the study group and in 31,2% of the control group (p=0,029). The points generated by SF-36 in eight dimensions of the quality of life related to health were in the study and control groups, respectively: 55,3 ± 22,0 vs. 60,0 ± 28,4 for Physical Function (p=0,463), 32,8 ± 42,5 vs. 33,6 ± 41,0 for Role-Physical (p=0,821), 54,2 ± 22,7 vs. 56,3 ± 25,6 for the Bodily Pain (p=0,869), 65,1 ± 23,0 vs. 74,3 ± 20,3 for General Health (p=0,138), 62,2 ±21,6 vs. 62,7 ± 23,6 for Vitality (p=0,709), 78,1 ± 21,7 vs. 74,4 ± 26,1 for Social Functioning (p=0,786), 58,3 ± 41,3 vs. 61,5 ± 44,9 for Role-Emotional (p=0,655) and 63,3 ±31,5 vs. 64,5 ± 22,2 for Mental Health (p=0,669). We concluded that: 1-the most committed dimensions of the quality of life refer to the physical aspect; 2-the dimensions regarding the mental aspect had better punctuation maybe for the possible psychological adaptation that happened due to the long time of mastectomy of the sample; 3-there wasn’t any difference in the levei of quality of life between the two groups, however this equality can mean positive effect of the participation in a self-help group about the quality of life, since the women of the group study presented more - co-morbidity that could influence negatively, and with sum characteristic to the condition of the mastectomized woman, the quality of life. Tipo: Dissertação

2004-01-01T00:00:00Z Melo, Elizabeth Mesquita http://repositorio.ufc.br/handle/riufc/86137 2026-05-06T12:01:40Z 2001-01-01T00:00:00Z

Título: Processo adaptativo da familia frente a mastectomia Autor(es): Melo, Elizabeth Mesquita Abstract: he mastectomy represents a real threat to the woman's self -esteem, altering her daily life and provoking changes that can be of physical, social and emotional order, not just affecting the woman, but also causing conflicts in her family. We aimed to identify stimulus that happen in the mastectomized woman's family context as surgery consequences and to know her relatives' behaviors when facing these stimulus, presented as acting roles and interdependence. The study has a descriptive type and was developed in a specialized Oncological institution, located in Fortaleza - CE, with 15 families of mastectomized women identified in an initial contact with these patients. The data were collected through visits, using a route for data collection and having Roy's Adaptation theory as a referential. The interviews had a semi - structured type. The data were organized based on the analysis content. After the disease's discovery and the surgery news, fear was referred by the relatives, generating impact in the family and in the closest friends. The behaviors observed at that moment contributed in a negative way to the family's balance, being, like this, considered ineffective. The love feelings and affection reflected the woman's meaning given by her relatives, without important alterations after the mastectomy, what demonstrates an adaptative behavior. Among the changes in the woman's life and in her family context carted by the mastectomy and by the mamma cancer diagnosis, there were alterations in several family members roles, as consequences of the incidental reductions that the woman did in her role, as an adaptation form to her new condition. Those alterations were as much of physical order, as emotional and social -economical. The most important changes included those ones related to professional activities or domesticai tasks. The behaviors manifested by the relatives were constituted mainly by adaptative behaviors, contributing to the maintenance of the family integrity. The observed family union helped the problem confrontation, making the family's relationships growth possible. We concluded that the family, as well as the mastectomized woman, is in the same way affected during the whole disease's process and treatment, being necessary the health team to give some attention to the family in order to include it in the planning of our actions. The adaptation model is valid, once it offers a better vision concerning the situation and behaviors of relatives based on the concepts of the worked theory. Tipo: Dissertação

2001-01-01T00:00:00Z