https://repositorio.uema.br/jspui/handle/123456789/2862 2026-04-08T20:37:39Z 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 https://repositorio.uema.br/jspui/handle/123456789/3062 Título: Vacinação contra o Papilomavirus humano (HPV) na cidade de Grajaú - MA: análise da cobertura vacinal Abstact: The Human Papilloma Virus (HPV) is a virus that belongs to the Papillomaviridae family and has more than 200 identified types, 15 of which have oncogenic potential. Non-oncogenic HPV types cause benign genital warts and other lesions of epithelial tissues. Considering all the types of cancer that can be caused by HPV, the control of cervical cancer (CC) is a priority for the Ministry of Health, given its high incidence in the female population worldwide and in Brazil in recent years. The HPV vaccine, which aims to prevent HPV infection and reduce the incidence of cancers caused by it, is a recent technology in the primary prevention of cervical cancer. With this advance, cancers caused by HPV are among the easiest to prevent. Thus, this study aimed to evaluate the immunization coverage index (CV) of the Quadrivalent HPV Vaccine (4vHPV) in the municipality of Grajaú-MA. This is a descriptive, retrospective study, with a quantitative approach to data and exploratory in nature, with analysis of secondary data on the coverage of the 4vHPV Vaccine in the municipality of Grajaú-MA, from March 9, 2014 to December 31 de 2021. The historical series presented shows a trend not only in Grajaú-MA, but throughout the country, which is the difficulty in reaching the VC goal of the 4vHPV vaccine. It is noteworthy that the VC for females in 2014 had the highest rate, reaching 81.90% and being the only year in which the goal of 80% was reached. In the following years of the series, for both females and males, the VC was below the target recommended by the Ministry of Health. A relevant point evidenced was the lowest VC for males in all years in which it was possible to compare with females, which shows us that there are still issues to be worked on regarding the importance of immunization against HPV in this population. . In 2017, when males were included as the vaccine's target population, the CV for this population was 9.01%, the lowest in the series. In that same year, the CV for females was 54.79%, a difference of 83.55%. With regard to applied doses, the data found coincide with the VC rates. For females, it was possible to notice that the year with the highest number of doses applied was 2014, with a total of 2,164 doses applied. As for males, we found data subject to discussion from the year 2017, which was the year with the lowest number of doses applied, with 292 doses. The year 2018 stood out with the highest number of doses applied, with an increase of 211%. Regarding the influence of the COVID 19 Pandemic, in the present study there was no negative influence of the pandemic on VC. These findings differ from previously published data, which shows that more studies are needed to elucidate this issue. The results found are important to show how vaccination against HPV is in the municipality of Grajaú-MA, subsidizing new studies in the area and relevant data for the population and public health of the municipality 2023-01-09T00:00:00Z https://repositorio.uema.br/jspui/handle/123456789/3054 Título: Perfil epidemiológico das gestantes diagnosticadas com sífilis na região de saúde de Barra do Corda: análise de notificações de 2018 a 2021 Abstact: Syphilis is an infectious disease that has a major impact on public health, where many authors consider that there is currently an epidemic of syphilis. This pathology lasts for centuries and can be transmitted sexually, blood and transversely. It aims to understand the epidemiological profile of pregnant women diagnosed with syphilis in the area corresponding to the health region of Barra do Corda from 2018 to 2019. Grajaú and Barra do Corda. On the other hand, Fernando Falcão is the district with the smallest population and was the fourth with the most cases of congenital syphilis. As for the diagnoses, they were mostly performed while the pregnant woman was in the primary stage. The brown color was the one that presented the highest number of notifications. The Barra do Corda regional within its six municipalities comprises a complex area to be studied, with a large territorial area and nuance that need to be considered when carrying out research activities or health actions, considering cultural riches and social problems 2023-01-01T00:00:00Z