https://repositorio.uema.br/jspui/handle/123456789/2056 2026-09-21T20:14:00Z https://repositorio.uema.br/jspui/handle/123456789/6645 Título: Percepção de acompanhantes acerca da aplicabilidade da ludicidade no ambiente hospitalar pediátrico Abstact: Hospitalization in childhood can trigger emotional and behavioral changes, as the experience is often perceived by the child as unpleasant, accompanied by anxiety, fear, stress, discomfort, and even pain. The use of play-based activities offers a genuine way for children to express their experiences, facilitating treatment while also providing support to their accompanying caregivers. Thus, this study aimed to analyze the perceptions of accompanying caregivers regarding the applicability and effects of playbased activities in the pediatric hospital setting. This research was a quantitative and qualitative, exploratory, and descriptive field study involving caregivers of hospitalized children aged 4 to 12 at the Maternal and Child Hospital in Bacabal, Maranhão (MA). Data were collected using a semi-structured questionnaire containing seven questions on the topic. The data were subsequently analyzed and transcribed using concurrent triangulation—a characteristic of mixed-methods studies involving the simultaneous collection of quantitative and qualitative data—carried out in three stages: 1) simultaneous data collection; 2) organization and analysis via statistics and interpretation of perceived experiences; and 3) processing of results. The study included 22 caregivers, whose responses revealed a largely favorable perception of play-based interventions. A consensus (100%) was observed regarding the contribution of these activities to the children's emotional well-being and to improving the caregivers' own experiences during the hospitalization period. Furthermore, participants reported positive changes in the children's behavior, highlighting expressions of joy, calmness, enthusiasm, social interaction, and distraction, as well as a reduced focus on pain and the hospital environment. Similarly, there was 100% agreement regarding the relevance of play-based resources for a child's recovery, the promotion of comfort during hospitalization, and the minimization of pain and discomfort. It is concluded that play constitutes an important complementary therapeutic tool in pediatric care, fostering emotional, social, and behavioral benefits for hospitalized children and their accompanying caregivers, while also contributing to the humanization of care and strengthening the role of nursing in this context. 2026-07-15T00:00:00Z https://repositorio.uema.br/jspui/handle/123456789/5584 Título: Análise epidemiológica da mortalidade materna na cidade de Bacabal-Maranhão no período de 2013 a 2023 Abstact: This study aims to analyze and discuss the epidemiological analysis and causal phenomena that follow maternal mortality in the city of Bacabal-Maranhão, from 2013 to 2023. The sample consisted of women, aged between 10 and 49 years, who died during pregnancy, childbirth and puerperium. To this end, a methodology was used through a descriptive ecological and quantitative time series study, using secondary data from health information systems. The data were collected from the Mortality Information System (SIM), a system managed by the Department of Health Situation Analysis, of the Health Surveillance Secretariat, in conjunction with the State and Municipal Health Secretariats, available in the system of the Department of Information Technology of the Unified Health System (DATASUS). The results highlighted the influence of socioeconomic factors, difficulties in accessing health and precariousness in prenatal care. It is expected that this study can contribute to the development of public policies and also favor the adoption of strategies to reduce the maternal mortality rate in the state of Maranhão. 2025-02-06T00:00:00Z https://repositorio.uema.br/jspui/handle/123456789/5574 Título: Assistência de enfermagem humanizada em saúde mental, no contexto da Atenção Básica: uma revisão de literatura Abstact: The health reform and psychiatric reform of the 1970s and 1980s had a profound influence on social structures. The previously prevailing model of care, centered primarily on psychiatric hospitals, underwent a transformation toward a more community-oriented approach, exemplified by initiatives such as primary care and the Family Health Strategy (ESF), which emphasize the importance of social reintegration and implement care practices that prioritize the patient's lived experience, rather than focusing solely on the symptoms and psychiatric disorders associated with individuals with mental health problems. Objective: To highlight in the literature the humanized nursing care for patients with mental illness in the context of primary care. Methodology: This study uses an integrative literature review approach, with a descriptive and exploratory approach. The searches for scientific articles dealing with the chosen theme were carried out between October 10 and 20. To survey the literature articles, a search was carried out in the following databases: (LILACS); Scientific Electronic Library Online (ScieLO); Medical Literature Analysis and Retrieval System Online (Medline); Google Scholar. Results: The search in the databases resulted in 232 articles, among which only 14 responded in full to the criteria established in the research. Final Considerations: The studies analyzed indicate that actions in the area of mental health have been based on comprehensive bringing a life perspective to these individuals 2025-02-05T00:00:00Z https://repositorio.uema.br/jspui/handle/123456789/3588 Título: Desafios da equipe de enfermagem frente a atenção domiciliar ao idoso: uma revisão integrativa Abstact: Home care is a type of care that has grown the most in recent years, mainly related to changes in the age pyramid and the increase in chronic non-communicable diseases, as a result of which the elderly tend to be the individuals with the greatest adherence to this form of care. The aim of the work is to understand the challenges faced by the nursing team in providing care to the elderly within the scope of home care. This is a literature review carried out by searching for journals published in online databases, namely: LILACS, EMBASE, Web Of Science, Scopus and Medline/PubMed. Using the PICo mnemonic, the following guiding question was constructed; What are the challenges facing the nursing team when it comes to home care for elderly patients? By searching the databases, it was possible to identify 851 works using the Health Descriptors “nursing; health of the elderly and home care services”, with the help of the Boolean marker and. When applying the eligibility criteria, 7 works were considered, showing that the main difficulties were related to the work environment, which is not standardized and relies on improvised actions by both professionals and caregivers. The second main challenge is related to the training of caregivers, as despite health professionals routinely visiting their patients, the main people responsible for care are family members who do not have the technical skills to provide adequate care. 2024-09-05T00:00:00Z