https://repositorio.uema.br/jspui/handle/123456789/2861 2026-09-21T20:14:15Z https://repositorio.uema.br/jspui/handle/123456789/6847 Título: Saberes e práticas de adolescentes sobre métodos contraceptivos Abstact: Adolescence is a period marked by intense physical, emotional, and social changes and is also a stage of greater vulnerability regarding sexual and reproductive health. In this context, knowledge and proper use of contraceptive methods are essential for preventing unplanned pregnancy and sexually transmitted infections (STIs). This study aimed to understand adolescents’ knowledge and practices regarding contraceptive methods. This is a mixed-methods descriptive study conducted with 183 high school students enrolled in public schools in the municipality of Grajaú, Maranhão, Brazil. Data were collected through a structured questionnaire containing closed- and openended questions. Quantitative data were analyzed using descriptive statistics, while qualitative data were subjected to Bardin’s content analysis. The results showed that 95.1% of the adolescents reported knowing about contraceptive methods, 90.7% recognized their importance in preventing unplanned pregnancy, and 91.3% identified condoms as an effective method for preventing sexually transmitted infections. Male condoms were the best-known and most commonly used contraceptive method among participants. Despite this, only 51.4% reported using any contraceptive method. The main barriers identified were embarrassment, fear of judgment, and lack of information. It is concluded that adolescents have knowledge about contraception and recognize the importance of contraceptive methods in preventing unplanned pregnancy and sexually transmitted infections. However, difficulties were identified in translating this knowledge into regular preventive practices. Therefore, there is a need to strengthen health education actions and expand spaces for dialogue among schools, families, and health services 2026-01-01T00:00:00Z https://repositorio.uema.br/jspui/handle/123456789/6845 Título: Percepção dos enfermeiros sobre os principais desafios enfrentados no tratamento da hanseníase no município de Grajaú, Maranhão Abstact: Leprosy is a chronic infectious disease caused by Mycobacterium leprae, characterized by the involvement of the skin and peripheral nerves. When not diagnosed and treated early, it can lead to physical deformities and permanent disabilities, negatively affecting patients' quality of life, social inclusion, and occupational activities. This study aimed to understand nurses' perceptions of the main challenges faced in the treatment of leprosy in the municipality of Grajaú, Maranhão, Brazil. It is a field study with a mixed-methods (qualitative and quantitative) approach, conducted in Primary Health Care Units (PHCUs) located in the urban area of Grajaú, involving eight nurses working in Primary Health Care. Data were collected through interviews using a structured covering professional training, clinical practice, challenges encountered in patient care, and participants' perceptions of the stigma associated with leprosy. The data were analyzed using an integrated approach, combining qualitative analysis to interpret participants' statements and quantitative analysis to organize frequencies and percentages, while ensuring compliance with ethical research principles and maintaining participants' confidentiality. 2026-07-03T00:00:00Z https://repositorio.uema.br/jspui/handle/123456789/3081 Título: A percepção dos enfermeiros sob as manifestações clínicas de endometriose no município de Grajaú - MA Abstact: The perception of nurses regarding the clinical manifestations of endometriosis is applied to the knowledge that the professional must present during the approach in nursing care, based on the importance of professional assistance to women who have endometriosis regarding their reproductive life and quality of life, with influence on the physical, psychological and social life of a woman, this gynecopathy becomes extremely uncomfortable for women and in different ways, the frequencies and intensities vary from each month from woman to another, they may also present strong abdominal pain during the menstrual period, menorrhagia, diarrhea or constipation, fatigue, infertility, dyspareunia and pain and bleeding. The general objective is to evaluate the level of understanding and actions of nurses in the face of clinical manifestations of endometriosis in women assisted in basic health units in the municipality of Grajaú- MA. The research is characterized as an exploratory descriptive study with a descriptive qualitative and quantitative approach, in which the instrument of applying questionnaires and interviews to nurses who care for women with endometriosis is used. It is concluded that this work is of enormous relevance to the academic community, contributing to the clarification of information regarding the perception of nurses today regarding the clinical manifestations of endometriosis, showing results that serve as a question to improve care in this área 2024-01-01T00:00:00Z https://repositorio.uema.br/jspui/handle/123456789/3063 Título: Sífilis na gestação: desafios para a assistência de enfermagem no prénatal em Grajaú - MA Abstact: Syphilis is a curable sexually transmitted infection, as long as it is treated. It is a public health problem, with direct impact on pregnant women who, if not diagnosed and treated, can transmit the Treponema to the fetus through transplacental route. Primary care nurses must be able to prevent, diagnose, and treat pregnant women and their sexual partners, in order to prevent congenital syphilis. Therefore, this study aimed to describe the challenges faced by nurses regarding the care provided to pregnant women with syphilis during prenatal care in primary health care. This is an exploratorydescriptive research, which used field research, with a qualitative approach. The study participants were five nurses from health units in the urban area of a city in the state of Maranhão. Data collection took place in November 2022, through a semi-structured interview script, occurred individually in the interviewees' offices on previously scheduled days, and were recorded. Subsequently, the data were transcribed in full and submitted to a thematic analysis. The results obtained were presented in four categories, "Nurses' conduct during the first prenatal consultation and syphilis diagnosis", "Challenges for the diagnosis and treatment of syphilis", "Information passed on about syphilis during prenatal care", and "Strategies used by nurses for adherence to treatment of syphilis". It was possible to verify that nurses perform the prenatal consultation according to the protocols for syphilis detection and treatment. Pregnant women are oriented about the disease, prevention, and treatment scheme, as well as their partners, in order to avoid reinfection or vertical transmission. It was observed that the professionals encounter difficulties in the adherence of the pregnant woman to treatment, as well as the partner's resistance. It is concluded that the main challenges for nursing are a consequence of the need to capture pregnant women to follow up on treatment, as well as the difficulty in treating partners and avoiding vertical transmission. Given the importance of the subject, it is necessary to develop further research on this topic in the city 2023-01-24T00:00:00Z