https://repositorio.ufu.br/handle/123456789/38231 2026-04-08T16:50:48Z https://repositorio.ufu.br/handle/123456789/43764 Title: Satisfação com a telemedicina para pessoas em situação de violência sexual: estudo descritivo em serviço de referência brasileiro Abstract: The use of telemedicine expanded during the COVID-19 pandemic and proved to be important on the follow-up in various clinical situations, including people in situation of sexual violence. The study aimed to compare individuals' satisfaction with the quality of outpatient care via telehealth versus in-person care at a reference service of a Brazilian university hospital from the experience of the pandemic. This is a retrospective descriptive study involving literate individuals over 18 years old who had at least one consultation at the service between August 2020 and January 2022. Eligible individuals were invited by phone to participate in the research, which consisted of a satisfaction interview regarding in-person and/or remote consultations conducted at the study service, based on a 14-item questionnaire. Twenty-two women were included in the study. The average age was 29.8 ± 7.2 years, 40.9% were mixed race, and the majority (60.9%) had completed high school or higher education. When compared, the satisfaction perceptions of telehealth and in-person consultations showed no significant difference among the participants (p>0.05). Telemedicine proves to be an important tool in providing care to individuals experiencing sexual violence, with similar satisfaction compared to in-person care. Its use should be encouraged to improve service quality, as viable alternative form of healthcare assistance of this population. 2024-07-04T00:00:00Z https://repositorio.ufu.br/handle/123456789/43739 Title: Imaginário coletivo de profissionais da saúde de unidade de terapia intensiva em relação a pacientes com comportamento suicida Abstract: Suicide is a complex, universal human phenomenon and represents a major public health problem throughout the world. Our objective was to investigate the collective imagination of health professionals in an Intensive Care Unit regarding patients with suicidal behavior. In this qualitative study, 18 professionals from different categories participated in an Intensive Care Unit of a Clinical Hospital. We carried out individual interviews and the Drawing-Story with Theme Procedure was used as a facilitating strategy. From the interpretation and psychoanalytic analysis of the results, three fields of meaning were identified: (1) “Not finding oneself”; (2) “Speech as a taboo” and (3) “Hard climate”. The results obtained demonstrated that the participants' collective imagination is still permeated by stigmas and taboos, which creates difficulties in care and emotional unpreparedness when dealing with patients with suicidal behavior. Health professionals perceive patients with suicidal behavior as lost and in great suffering. They also claim that they do not feel capable and prepared for this type of care, highlighting their lack of preparation for listening to these individuals who attempt suicide. We noticed a prevalence in biological and physical care and the existence of stigmas and prejudices related to the context of mental health. This research brings reflections on assistance that is still very limited, in the predominant biomedical model and the need for training and campaigns that encourage dialogue about mental health in order to change perspectives and help health professionals feel safer and more capable. It was also noticed the existence of suffering and a lack of space for professionals to speak that underlie the technical conducts, which awakens a need for a more careful and sensitive look at the healthcare. 2024-03-20T00:00:00Z https://repositorio.ufu.br/handle/123456789/43667 Title: Aborto Legal: Protocolo Assistencial do Hospital de Clínicas da Universidade Federal de Uberlândia Abstract: Introduction: In Brazil, abortion is permitted by law in cases when the life of the woman is at risk, the fetus is anencephalic, and the pregnancy is the result of sexual violence. In health services that provide care to patients who choose legal abortion, it is important that clinical practice be guided and standardized by protocols so that there is uniformity of clinical practice. Objective: The objective of this study was to develop the HC/UFU care protocol for health professionals caring for people who are pregnant and can have a legal abortion, based on current scientific evidence. Materials and Methods: The protocol was developed after a review of the main guidelines related to induced and safe abortion, following a search of the Pubmed and Tripdatabase databases, in response to clinical questions formulated in meetings with health professionals who care for patients who opt for legal abortion. Clinical guidelines from the database and website searches were appraised by two independent reviewers using the Appraisal of Guidelines for Research & Evaluation (AGREE II) tool. The recommendations were reviewed and approved in a meeting with service professionals. The recommendations were reviewed and approved in a meeting with service professionals. Results: Recommendations were made for medical and procedural management of legal abortion up to 14 weeks, between 14 and 24 weeks, and medical management of pregnancies over 24 weeks. Recommendations were also made for cervical preparation, prophylaxis and pain management. Conclusion: The HC/UFU protocol for the care of legal abortion has up-to-date recommendations based on quality guidelines, with good scores in the domains of the AGREE II instrument. The protocol also has local recommendations adapted to the limitations of techniques and supllies of the service. 2024-07-10T00:00:00Z https://repositorio.ufu.br/handle/123456789/43073 Title: Associação entre estado nutricional e diagnóstico de sepse ou morte causada por sepse em adultos e idosos hospitalizados Abstract: Introduction: Sepsis is defined as a dysregulated host response to an infection. It is currently recognized as a public health problem and is considered one of the main causes of morbidity and mortality in hospitalized patients. The association between nutritional status and diagnosis and death caused by sepsis is still not very well understood. Objective: To investigate the association between nutritional status and the diagnosis of sepsis and death caused by sepsis in hospitalized adults and elderly people, exploring the mediating effect. Methods: A documentary-based retrospective cohort study was carried out, including medical records of adult and elderly patients hospitalized between January 1, 2014 and December 31, 2016. All patients with clinical data, biochemical and status tests were included. complete nutritional information available in the electronic database. Deviations in nutritional status were considered to be patients with underweight and excess weight, classified according to BMI. To evaluate the association between deviations in nutritional status and diagnosis and death from sepsis, mediational analysis were carried out based on the KHB method proposed by Karlson, Holm and Breen using the length of hospital stay, multimorbidity and biochemical tests as mediators. Results: Of the 1,445 patients included, 26.9% were classified as malnourished and 33.4% as overweight. The frequency of sepsis diagnosis was 6.6% and death from sepsis was 3.3%. For those patients classified as malnutrition, a mediation percentage of 51.82% was found in the association (of risk) with the diagnosis of sepsis. There was no significant association between malnutrition and death caused by sepsis. In relation to patients classified as overweight, a percentage of mediation, 14%, was found in the (protective) association with the diagnosis of sepsis, but this effect explained only a part of the total effect of this association, as the direct effect was also significant. Furthermore, overweight patients also had a lower risk of dying from sepsis, but this association did not occur through the mediators of this study. Conclusion: Malnutrition had a risk association with the diagnosis of sepsis, while excess weight had a protective association with diagnosis and death from sepsis. Patients with malnutrition are at greater risk of sepsis with a high percentage of mediation, the opposite of being overweight, which demonstrated a low percentage of mediation for sepsis and death from sepsis, reducing the occurrence of these outcomes. These findings show the importance of identifying the nutritional status of hospitalized patients and thus recognizing patients at risk and carrying out the necessary interventions, reducing the frequency and mortality due to sepsis. 2024-02-29T00:00:00Z