TEDE Communidade: SISTEMA DE PUBLICAÇÃO ELETRÔNICA DE TESES E DISSERTAÇÕES

Pré-natal odontológico e a percepção sobre saúde bucal de gestantes atendidas no município de São Lourenço do Sul - RS.

Fri, 28 Nov 2025 00:00:00 GMT

Título: Pré-natal odontológico e a percepção sobre saúde bucal de gestantes atendidas no município de São Lourenço do Sul - RS. Autor: Köhler, Júlia Schuch Primeiro orientador: Karam, Sarah Arangurem Abstract: Introduction: Prenatal dental care aims to offer pregnant women preventive and curative treatments, as well as guidance on oral hygiene, healthy eating, and common changes that may occur during pregnancy. However, many barriers to accessing this care in primary care still exist, making it important to understand how women perceive their oral health and whether this is associated with adherence to prenatal dental care. Objective: To evaluate the association between having a dental consultation and self-perceived oral health during pregnancy, in Primary Health Care Units (PHCUs) in the urban area of São Lourenço do Sul, Rio Grande do Sul. Methods: A cross-sectional study was conducted using self-administered questionnaires. Pregnant women undergoing prenatal care at seven primary health care units in the urban area were included between March and September 2025. To assess the association between self-perceived oral health and the performance of dental consultations during pregnancy, crude and adjusted analyses were performed using Poisson regression models, measuring prevalence ratios (PR) and their respective 95% confidence intervals (CI). For all analyses performed, a confidence level of 5% (p<0.05) was established.. Results: 109 pregnant women participated in the study, of whom 36.1% reported a negative perception of their oral health. Regarding dental visits, 63.0% consulted a dentist during pregnancy, and the main reason was prenatal dental care (60.3% [95% CI 48.07-71.34]). Despite this, 77.1% (95% CI 68.03-84.25) of the pregnant women did not receive any guidance on how to care for their child's oral health. In the adjusted analysis, pregnant women who consulted a dentist during pregnancy had a 63% (PR 0.37 [95% CI 0.19- 0.71]) lower prevalence of negative oral health perception compared to those pregnant women who did not consult a dentist. Conclusion: Pregnant women who consulted a dentist showed a lower prevalence of negative perception of oral health, indicating that going to the dentist during pregnancy is a protective factor against negative self perception of oral health. Instituição: Universidade Catolica de Pelotas Tipo do documento: Dissertação

Avaliação do cumprimento das orientações sobre o aleitamento materno em um hospital Amigo da Criança no sul do país

Fri, 28 Nov 2025 00:00:00 GMT

Título: Avaliação do cumprimento das orientações sobre o aleitamento materno em um hospital Amigo da Criança no sul do país Autor: Marques, Priscila Gomes Barros Primeiro orientador: Figueiredo, Vera Lúcia Marques de Abstract: Breastfeeding (BF) is recognized as an essential practice for maternal and child health and is globally encouraged by the WHO and UNICEF. The Baby-Friendly Hospital Initiative (BFHI) establishes guidelines to support safe and effective breastfeeding practices. However, the effectiveness of communication and implementation of these guidelines by healthcare teams may vary across services. Thus, this study aimed to monitor, in a teaching hospital, the effectiveness of breastfeeding guidance provided by the technical staff according to UNICEF and WHO recommendations. This descriptive study was conducted with 248 postpartum women, between 36 and 72 hours after delivery, admitted to the Obstetrics Unit of HE/UFPel/EBSERH. Data collection occurred through a semi-structured dialogued interview, including questions adapted from the BFHI self-assessment instrument and sociodemographic variables, in addition to interviewer observations. Data were analyzed using simple and relative frequencies, means, and standard deviations in SPSS software. High adherence to Steps 5, 7, 8, and 10 was observed, with a high frequency of practical and individualized guidance, as well as universal rooming-in rates and a high prevalence of exclusive breastfeeding (87.5%). However, 57.3% of women did not experience skin-to-skin contact, primarily due to neonatal complications. Difficulties with latch were reported by 52.2% of participants, the use of artificial nipples was low, and guidance about support networks showed broad coverage. The hospital demonstrated strong adherence to BFHI guidelines, reflecting its commitment to breastfeeding promotion and certification maintenance. Nevertheless, the low prevalence of skin-to-skin contact and persistent latch difficulties highlight areas that require further intervention. Finally, the findings of this study informed the technical report delivered to the hospital, identifying strengths, areas for improvement, and emphasizing the importance of continuous monitoring, permanent staff education, and enhanced clinical workflows to further strengthen BFHI certification and improve the quality of maternal and child care. Instituição: Universidade Catolica de Pelotas Tipo do documento: Dissertação

Prevalência de dor crônica em pacientes atendidos em Unidades Básicas de Saúde do Sul do Brasil - um estudo transversal

Wed, 26 Nov 2025 00:00:00 GMT

Título: Prevalência de dor crônica em pacientes atendidos em Unidades Básicas de Saúde do Sul do Brasil - um estudo transversal Autor: Santos, Débora Rutz dos Primeiro orientador: Barros, Fernando Celso Lopes Fernandes de Abstract: Introduction: Chronic pain is a multifactorial and complex condition, with biopsychosocial aspects, characterized by its persistence beyond what is expected for a cure – conceptually considered as persistent or recurrent pain for three months or more, with the potential to be a disabling factor. Making a survey of the prevalence of chronic pain in local Primary Health Care a reality is extremely fundamental, considering the impairment and scope of chronic pain in an individual's life. Objective: To evaluate the prevalence of chronic pain in an adult population aged 20 years or older enrolled via the Family Health Strategy in the six Basic Health Units (UBSs) of the Catholic University of Pelotas (UCPel) - Caic Pestano, Sanga Funda, Areal I, União de Bairros, Py Crespo and Fátima - in Pelotas (RS). Method: A cross-sectional, quantitative study was conducted between August 18 and September 19, 2025, with 154 participants, who were selected by convenience during medical appointments. A semi- structured, virtual questionnaire – in Google Forms format – was applied, containing two parts, the first being mandatory and the second only for patients with chronic pain. The first part consisted of socioeconomic questions and a key question to identify the presence of chronic pain – yes or no for pain lasting three months or more – as well as the location where the pain is most present. The second part consisted of questions from the LANNS (Leeds Assessment of Neuropathic Symptoms and Signs) scale and, at the end, the Visual Analogue Scale for pain (VAS). Results: among the 154 patients, 101 (65.6%) were classified as having chronic pain. Age associated with chronic pain was most prevalent in groups over 40 years old, especially in the 61-70 age range (85.3%). The most frequently reported locations for pain were the lower limbs, mentioned by 31.7% of individuals, and the lumbosacral spine (lower back pain), with 28.7% of reports. 39.6% presented neuropathic pain based on the final score of the LANNS scale, and regarding the VAS (Visual Analogue Scale), the average score reported by participants was 7.5, consistent with intense chronic pain. Discussion: This study highlights a high prevalence of chronic pain in the studied population, compared to averages already reported in Brazil and worldwide in previous studies, as well as a significant relationship between pain and advanced age. Furthermore, it demonstrates a higher-than-expected prevalence of chronic neuropathic pain and confirms the lower limbs and lumbosacral spine as prominent pain locations. Conclusion: Therefore, it is essential to consider these findings to foster strategies and policies for greater care and attention to chronic pain and the health of the elderly in the region, and the need for further studies with larger samples for a more detailed understanding of the population in question is evident. Instituição: Universidade Catolica de Pelotas Tipo do documento: Dissertação

Avaliação à adesão a triagem auditiva neonatal em um hospital escola no município de Pelotas

Wed, 26 Nov 2025 00:00:00 GMT

Título: Avaliação à adesão a triagem auditiva neonatal em um hospital escola no município de Pelotas Autor: Macedo, Janaina dos Santos Primeiro orientador: Barros, Fernando Celso Lopes de Abstract: . Instituição: Universidade Catolica de Pelotas Tipo do documento: Dissertação