http://repositorio.ufc.br/handle/riufc/204 Sun, 05 Apr 2026 23:50:19 GMT 2026-04-05T23:50:19Z http://repositorio.ufc.br/handle/riufc/85641 Título: Fatores associados com a amamentação na hora de ouro em uma maternidade pública: estudo transversal analítico Autor(es): Arruda, Maria Dhescyca Ingrid Silva Abstract: Breastfeeding within the first hour of life is recognized as one of the most effective interventions for reducing neonatal morbidity and mortality, being associated with immunological protection, strengthening of the mother–infant bond, and longer duration of exclusive breastfeeding. Despite national and international recommendations regarding the “golden hour,” its occurrence remains influenced by clinical, obstetric, neonatal, and healthcare-related factors. This study aimed to analyze the factors associated with breastfeeding within the first hour of life in a public maternity hospital in Ceará, Brazil. This was a cross-sectional study with a quantitative approach, conducted with 604 postpartum women hospitalized in Rooming-in Units. Data collection took place in the wards through individual interviews using a structured form that addressed sociodemographic, obstetric, neonatal, and healthcare-related variables. Statistical analysis included descriptive and inferential measures, with calculation of prevalence ratios (PR) and their respective 95% confidence intervals (95% CI), adopting a significance level of 5%. The study was approved by a Research Ethics Committee. The prevalence of breastfeeding within the first hour of life was 58.44%. No statistically significant associations were identified with sociodemographic variables. Among obstetric characteristics, vaginal delivery was significantly associated with a higher occurrence of the outcome (PR = 1.65; 95% CI: 1.44–1.89). Maternal clinical conditions such as gestational diabetes mellitus (PR = 0.81; 95% CI: 0.67–0.97), gestational hypertension (PR = 0.82; 95% CI: 0.69–0.97), and preeclampsia (PR = 0.61; 95% CI: 0.44–0.82) showed a negative association with breastfeeding in the first hour of life. Regarding neonatal aspects, newborns with an Apgar score ≥7 at the first minute (PR = 1.41; 95% CI: 1.04–1.99) and those born at term (PR = 1.27; 95% CI: 1.01–1.60) showed a positive association with early breastfeeding. A higher prevalence of the outcome was also observed among postpartum women who received guidance on the importance of breastfeeding within the first hour of life (PR = 1.37; 95% CI: 1.19–1.57), guidance on exclusive breastfeeding until six months (PR = 1.19; 95% CI: 1.03–1.38), received support during prenatal care (PR = 1.33; 95% CI: 1.15–1.55), and reported a desire to breastfeed after receiving prenatal support (PR = 1.27; 95% CI: 1.10–1.47). It is concluded that breastfeeding within the first hour of life is a multifactorial phenomenon determined by the interaction between maternal clinical conditions, neonatal characteristics, and institutional practices in mother–infant care. These findings highlight the need to strengthen and qualify healthcare provided to women throughout the pregnancy–puerperal cycle in order to promote early initiation of breastfeeding and reinforce exclusive breastfeeding. Tipo: Dissertação Thu, 01 Jan 2026 00:00:00 GMT http://repositorio.ufc.br/handle/riufc/85641 2026-01-01T00:00:00Z http://repositorio.ufc.br/handle/riufc/85599 Título: O Impacto do diagnóstico do câncer de mama: vivência de um grupo de mulheres Autor(es): Araújo, Iliana Maria de Almeida Abstract: Study of qualitative character, that had as objective understands the meaning of the diagnosis of mamma's cancer for the woman. In the search of that understanding she opted for a theoretical references, based on the interactions and the individual's existence. Symbolic Interactive. The population was constituted of 8 women with inamma câncer and that accepted to participate in the study. The collection of data was accomplished at the hospital of the cancer of Ceará, in the period of May to July of 2003. As instniment was used the semi-structured interview, where all the depositions were strictly logged as form of guaranteeing the truthfulness of the infonnation. The analysis of the narratives allowed the identification of thematic units contained in two great categories: The impact of the diagnosis of mamma cancer and the facing of mainma's cancer. The study of the theme made possible the understanding of the experience of the diagnosis of mamma cancer, bringing the derepente the weakness feelings, fear, weakness, but attn the same team it serve the starting point it goes the a new one to look of symbols and meanings taking the woman to look it goes you it you force inside of herself. Tipo: Dissertação Wed, 01 Jan 2003 00:00:00 GMT http://repositorio.ufc.br/handle/riufc/85599 2003-01-01T00:00:00Z http://repositorio.ufc.br/handle/riufc/85538 Título: Necessidades de conforto de cuidadores familiares que prestam cuidados paliativos domiciliares: um estudo qualitativo Autor(es): Pires, José Mateus Abstract: The expansion of home-based palliative care has increased family involvement in complex caregiving tasks, exposing family caregivers to physical, emotional, and social burden, often exacerbated by fragile support networks. Within this context, comfort emerges as a key dimension of the caregiving experience, shaped by relational, spiritual, and sociocultural factors. From this perspective, this study aimed to understand how comfort needs are configured and managed by family caregivers in the context of home-based palliative care. This is a qualitative study grounded in Interpretive Description and reported in accordance with the Standards for Reporting Qualitative Research (SRQR). Data were collected between December 2025 and January 2026 in a university hospital in Fortaleza, Ceará, Brazil, involving family caregivers of individuals receiving palliative care who were responsible for daily care at home. Data were generated through semi-structured interviews, audio-recorded, fully transcribed, and analyzed using an interpretive and comparative process, with flexible coding, thematic construction, and clinical integration of findings. The study was approved by the Research Ethics Committee of Hospital Universitário Walter Cantídio (Approval No. 7,898,841). A total of 15 family caregivers participated, predominantly middle-aged and older adults, emotionally connected to the care recipient, centrally involved in the home care routine, and living under predominantly constrained socioeconomic conditions. Findings indicate that home-based caregiving profoundly reorganizes caregivers’ time, body, and identity, producing a form of comfort rarely experienced as full well-being, and more often as a comfort within constraints, sustained through practical and symbolic arrangements. The findings were organized into six interpretive patterns: (1) ambivalence in transitioning into the caregiver role; (2) navigating between reciprocity and a sense of duty; (3) the lived body as a site of strain; (4) the antinomies of comfort experience; (5) balancing tensions within caregiving and support networks; and (6) cultivating transcendence as a source of self-care. It is concluded that comfort needs are produced at the intersection of high care demands, fragile support networks, and sustained burden, positioning comfort as an experience constructed within constraints. By making this everyday dynamic visible, the study contributes to recognizing family caregivers as recipients of care in their own right and highlights the relevance of nursing in identifying burden, coordinating support, and co-constructing realistic strategies to sustain care at home. Tipo: Dissertação Thu, 01 Jan 2026 00:00:00 GMT http://repositorio.ufc.br/handle/riufc/85538 2026-01-01T00:00:00Z http://repositorio.ufc.br/handle/riufc/85480 Título: Comportamentos ineficazes de manutenção da saúde em pacientes transplantados de fígado: revisões sistemáticas e metanálises Autor(es): Holanda, Dayane dos Reis Araújo Rocha Abstract: The objective of this study was to systematically summarize the scientific evidence on the etiological factors and clinical indicators of ineffective health maintenance behaviors in adult liver transplant recipients followed in non-hospital settings. To this end, two independent systematic reviews with meta-analysis were conducted. The first review aimed to identify etiological and risk factors and, consequently, associated conditions and populations at risk related to this phenomenon. The second review was directed toward the identification and evaluation of the diagnostic accuracy of the clinical indicators of ineffective health maintenance behaviors. Both reviews followed international methodological recommendations for systematic reviews and diagnostic test accuracy reviews, with protocols previously registered in PROSPERO. Searches were carried out in eight health-related databases, in addition to gray literature and manual reference tracking, without restrictions on language or publication period. Observational and experimental studies involving liver transplant recipients aged 18 years or older in non-hospital follow-up were included, while studies conducted exclusively in hospital settings, protocols, guidelines, and research involving health professionals or students were excluded. Study selection, methodological quality assessment, and data extraction were performed by two independent reviewers. Data synthesis was carried out through narrative, tabular, and quantitative approaches, with meta-analysis performed only when conceptual homogeneity and availability of compatible data were present. In the etiology and risk review, 39 studies were included, from which 32 factors related to ineffective health maintenance behaviors were identified, 15 of which provided sufficient data for quantitative synthesis. These factors encompassed psychosocial, cognitive, socioeconomic, and clinical-functional dimensions. Factors related to inadequate self-efficacy, insufficient knowledge of basic health practices, substance abuse, insufficient health resources, and psychological distress-especially anxiety and feelings of guilt related to transplantation-were prominent. Associated conditions, such as physical frailty and a greater need for clinical follow-up, were also related to the manifestation of the phenomenon. Other factors, such as inadequate health literacy, insufficient social support, and competing lifestyle preferences, showed inconsistent results among the included studies. In the review of clinical indicators, 24 indicators of ineffective health maintenance behaviors were identified. Among these, 3 indicators provided sufficient data for quantitative synthesis of diagnostic accuracy, particularly those related to alcohol consumption and the absence of active coping behaviors. These indicators demonstrated greater clinical usefulness for confirming the diagnosis when present; however, in isolation, they are not sufficient to exclude the phenomenon.The synthesized evidence demonstrates that ineffective health maintenance behaviors in liver transplant recipients constitute a multifactorial phenomenon, influenced by psychosocial, cognitive, socioeconomic, and clinical-functional determinants. The identification of 32 factors and 24 clinical indicators contributes to greater precision in nursing clinical judgment. Despite the advances, methodological heterogeneity and the scarcity of diagnostic accuracy studies limit the quantitative synthesis of all indicators, indicating the need for further investigations, especially with longitudinal designs, to strengthen the level of evidence and the clinical applicability of this nursing diagnosis. Tipo: Dissertação Thu, 01 Jan 2026 00:00:00 GMT http://repositorio.ufc.br/handle/riufc/85480 2026-01-01T00:00:00Z