http://repositorio.ufc.br/handle/riufc/80316 2026-08-13T05:16:39Z 2026-08-13T05:16:39Z Viana, Diego Mendonça http://repositorio.ufc.br/handle/riufc/86909 2026-06-25T17:54:48Z 2026-01-01T00:00:00Z

Título: Impactos da pandemia de COVID-19 no processo de trabalho e na saúde mental de trabalhadores da Atenção Primária em Saúde do estado do Ceará Autor(es): Viana, Diego Mendonça Abstract: This research was conceived as an investigation into healthcare in the context of COVID-19 and the field of Mental Health (MH) of healthcare workers. The general objective of this thesis and its developments were: to understand the implications of the pandemic on the mental health of Primary Health Care (PHC) workers who worked in the COVID-19 care line in Ceará. Specific Objectives: 1. to systematize the routine and work processes of professionals; 2. to analyze the existence of possible stressors, mental suffering, or similar situations in the professionals' work routine; 3. to construct an analytical synthesis of possible risks of mental health illness existing in the daily work of COVID-19 care; 4. to point out strategies for the mental health care of PHC workers in the contexts of epidemics and pandemics. This thesis was a scientific initiative in the field of qualitative research in terms of its approach, an applied research in nature, with exploratory objectives and procedures that encompass field research, documentary research, and bibliographic research through reviews carried out for its foundation and as a product of this research journey. The research settings were the primary health care units (PHCUs), or equivalent facilities, in the following municipalities: Fortaleza, Itapipoca, Sobral, Quixadá, Juazeiro do Norte, Iguatu, and Crateús. The research subjects were healthcare professionals with higher education degrees who were part of the COVID-19 care teams in primary health care, especially physicians, nurses, dentists, NASF-AB teams, or equivalent. Data collection was carried out through individual semi-structured interviews, either in person or via videoconference, through analysis of official documents, and with the application of the SRQ-20 instrument. Data analysis was performed using content analysis for the interviews and official documents, and descriptive statistics for the data from the SRQ-20 application. The results of this research are divided into groups: a) Results of the Literature Reviews, b) Results of the Semi-structured Interviews, c) Results of the Self-Report Questionnaire (SRQ-20), and d) Results of the Document Analysis. The final considerations version focuses on the following facts: healthcare professionals and systems were surprised by the COVID-19 pandemic; the routine and work process in primary healthcare were altered or completely redesigned to adapt to the new demands of the pandemic; and there was a significant and detrimental impact on the mental health of workers in the context of the health crisis. Tipo: Tese

2026-01-01T00:00:00Z Moreira, Nalber Sigian Tavares http://repositorio.ufc.br/handle/riufc/85074 2026-03-05T11:27:31Z 2025-01-01T00:00:00Z

Título: Avaliação da atenção primária à saúde bucal nas regiões de saúde do Ceará sob a perspectiva do cirurgião-dentista Autor(es): Moreira, Nalber Sigian Tavares Abstract: Primary Oral Health Care (POHC) integrates the organization of Health Care Networks and requires evaluation processes capable of identifying territorial performance patterns and supporting management decision-making. This study evaluated POHC in the Health Regions of Ceará, Brazil, from the perspective of dentists, based on the theoretical frameworks of Donabedian and Starfield. This is an evaluative study with a quantitative approach and descriptive and comparative analyses. Data were collected in the second half of 2024 through an electronic questionnaire containing the professional version of the Primary Care Assessment Tool – Oral Health (PCATool-SB) and a sociodemographic and occupational questionnaire. A total of 374 valid responses were analyzed (response rate of 88.2%), from dentists working in Oral Health Teams. The essential attributes evaluated were First-contact access (Accessibility), Longitudinality, Coordination, and Comprehensiveness, synthesized in the Essential Score (scale 0–10). The results showed regional heterogeneity and persistent accessibility barriers. It was concluded that POHC in Ceará presents heterogeneous orientation regarding Primary Health Care attributes, indicating the need for regionalized management strategies focused on improving access, care integration, and continuing education. Tipo: Tese

2025-01-01T00:00:00Z Cordeiro, Luciana Rodrigues http://repositorio.ufc.br/handle/riufc/80276 2025-04-07T19:55:15Z 2024-01-01T00:00:00Z

Título: Desenvolvimento e validação científica do floral de Alpinia zerumbet (pers.) B. L. Burtt & r. M. Sm. : tecnologia sustentável da farmácia viva para o SUS com atuação no bem-estar emocional Autor(es): Cordeiro, Luciana Rodrigues Abstract: Flowers have been used for therapeutic purposes for thousands of years, but the first globally recognized florals emerged from 1928, with the creation of the Bach Flowers Remedies. Alpinia zerumbet (Pers.) B. L. Burtt & R. M. Sm. is a native plant of China and Japan, adapted to the Brazilian Caatinga biome, which belongs to the Caatinga ethnobotanical collection, Farmácia Viva, of the Federal University of Ceará (UFC). The aim of this thesis was to scientifically validate the use of Alpinia zerumbet (Pers.) B. L. Burtt & R. M. Sm. in the Brazilian National Health System (SUS), by implementing it as a integrative and complementary health practices in primary care for anxiety symptoms, aligned with the National Policy for Integrative and Complementary Practices (PNPIC), promoting emotional health and quality of life. The study took place in two phases: 1) methodological - scoping review, flower medicine preparation, histological and phytochemical study of Alpinia zerumbet; and 2) quasi-experimental sensory study. The research participants included people at high risk of being diagnosed with anxiety, identified by screening and associated with one of the Primary Health Care Units (UAPS) in the municipality of Fortaleza-Ceará-Brazil. A production model for ―Floral de Matos‖ was developed, with Alpinia zerumbet, Farmácias Vivas first floral medicine, based on the theory of Dr. Edward Bach and elaborated based on a scope review. The phytochemical, histological and UV spectrometry studies demonstrated the presence of anthocyanins in the flowers and the floral medicine. The presence of anthocyanins in the flowers enhances the capture of UV rays and the release of molecules and ions into the floral water, corroborating that there are components beyond vibrational energy which justify their beneficial effects on humans. The quasi-experimental sensory study has validated the floral, providing elaboration of indication, the expected effects and indications of use. It was found the positive effect on people with anxiety, improving sleep quality, relaxation, reducing fatigue, increasing energy, aiding decision-making, releasing emotions and the expression of speech, as well as improving emotions such as sadness, fear and irritation. It was possible to produce a floral medicine at low cost, with an emphasis on our local flora. The Alpinia zerumbet flower emerge as proposal for the use of flower therapy in the SUS, at no cost, in line with the guidelines of the Ministry of Health's National Policy for Integrative and Complementary Practices. Tipo: Tese

2024-01-01T00:00:00Z