RESUMO
The purpose of this study was to identify the demands of home care of children born exposed to HIV in the perspective of the environmental theory. It consists of an exploratory descriptive qualitative study, developed between January and April of 2011. Study participants were ten HIV-infected mothers with infants exposed to the virus, living in Fortaleza, Ceará. The data collection instruments included a disposable digital camera and forms to obtain information on health associated with the home environment. Results were contextualized according to the theory and organized into the following categories: vulnerabilities associated with the physical structure of the house; contaminated intra and peridomestic air; unclean water used for drinking; sanitation and sewerage system; lighting and ventilation of the house. In conclusion, the home environment offers unfavorable environmental conditions for the child. Targeted interventions in the home environment are necessary so as to promote the health of children born exposed to HIV.
Assuntos
Exposição Ambiental , Saúde da Família , Infecções por HIV/prevenção & controle , Necessidades e Demandas de Serviços de Saúde , Habitação , Cuidado do Lactente , Determinantes Sociais da Saúde , Adolescente , Adulto , Poluição do Ar em Ambientes Fechados/economia , Poluição do Ar em Ambientes Fechados/estatística & dados numéricos , Brasil , Exposição Ambiental/economia , Exposição Ambiental/estatística & dados numéricos , Saúde da Família/economia , Saúde da Família/estatística & dados numéricos , Feminino , Infecções por HIV/congênito , Infecções por HIV/transmissão , Necessidades e Demandas de Serviços de Saúde/economia , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Visita Domiciliar , Habitação/economia , Habitação/estatística & dados numéricos , Humanos , Higiene/economia , Higiene/normas , Lactente , Cuidado do Lactente/economia , Cuidado do Lactente/normas , Cuidado do Lactente/estatística & dados numéricos , Controle de Infecções , Transmissão Vertical de Doenças Infecciosas , Masculino , Modelos Teóricos , Fotografação , Pobreza , Gravidez , Complicações Infecciosas na Gravidez , Medição de Risco , Saneamento/economia , Saneamento/estatística & dados numéricos , Determinantes Sociais da Saúde/economia , Determinantes Sociais da Saúde/estatística & dados numéricos , Fatores Socioeconômicos , Poluição da Água/economia , Poluição da Água/estatística & dados numéricos , Abastecimento de Água/economia , Abastecimento de Água/estatística & dados numéricos , Adulto JovemRESUMO
The objective of this study was to understand the coping mechanisms of men living with HIV/AIDS in terms of their work environment. A qualitative study was carried out at a specialized outpatient clinic in Fortaleza-Ceará between March and June 2010, involving eleven men infected with the virus. Semi-structured and audio-recorded interviews were used. The statements were categorized through content analysis into the following categories: absence from work due to the infection; subterfuges used to hide the disease; disrespect for confidentiality in the work environment; suffering associated with the fear of rejection and prejudice; ways of coping after diagnosis of the disease; and the importance of work for personal accomplishment. In conclusion, men infected with HIV face counterproductive situations in the work environment, mainly evidenced by fear of discovery of the infection and prejudice. Associated with coping, absences for health monitoring purposes interfered with performance at work and increased the risk of losing their job.
Assuntos
Adaptação Psicológica , Infecções por HIV/psicologia , Local de Trabalho , Síndrome da Imunodeficiência Adquirida/psicologia , Adulto , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
This study was performed with the purpose to analyze the communication between nursing students and patients with AIDS during peripheral venous puncture. Video recordings were made of six pairs (student-patient) while performing the venous puncture procedure in May 2009 at a day-hospital in Fortaleza-Ceará. As a group, four judges evaluated the interactions established between the pairs. The analyses were categorized in: Valuing technique over communication; Mask: a barriers to communication; Private space invasion; Interference of the environment in the communication. It was concluded that different factors increase the difficulty establishing an effective communication, especially the need for students to be trained about the importance of establishing communication during care, so as to promote humanized and individual care, in which sensitivity and empathy overlap fear and insecurity.