Dissertations / Theses: 'Adolescents in hospital'

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Bishop, Katherine G. "From their perspectives: Children and young people's experience of a paediatric hospital environment and its relationship to their feeling of well-being." Thesis, The University of Sydney, 2008. http://hdl.handle.net/2123/3962.

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This study was conducted to increase our understanding of children and young people’s experience of a hospital environment and to identify the salient attributes of the physical environment in their experience. There were three specific aims: to describe children and young people’s experience of a hospital environment and identify what constitutes a supportive paediatric environment; to examine the role of the physical environment in patients’ feeling of well-being; and to highlight the capacity of participatory research with children and young people to inform evidence-based paediatric design. At this stage, there has been very little healthcare design research carried out with populations of children and young people. Well-being research with children and young people in paediatric environments that identifies the potential supportive attributes in this environment is also very limited. Historically research on children’s health and well-being has been dominated by a focus on the prevalence of disorders, problems and disabilities. More recently, in response to the change to health promotion, positive attributes have been included in well-being and satisfaction measures. At this stage, there are still many fewer positive measures. Within the body of literature that exists in healthcare, healthcare design research, and well-being research, there are only a small number of participatory studies that focus on children and young people’s experience of hospitalisation, and an even smaller number that include children and young people’s experience of hospital environments. The picture that is created by the research that exists is patchy. There is a need for a more holistic understanding of children and young people’s experience of hospitalisation and of hospital environments from their own perspectives. Based on these gaps in current knowledge, two research questions were developed. The first was concerned with describing children and young people’s experience of the sociophysical environment of a paediatric hospital. The second question was concerned with understanding the role of the physical environment in children and young people’s feeling of well-being in a hospital environment. In addressing these questions, the intention was to identify attributes within the hospital setting which collectively comprise a supportive environment for children and young people and which contribute to children and young people’s feeling of well-being in a paediatric setting. The current study was conducted as an exploratory qualitative case study and carried out at the Children’s Hospital at Westmead, in Sydney, Australia. Using participatory research techniques, the sequence of the study included two pilot studies and the main study. The focus was on understanding the experiences of longer-term patients of a paediatric hospital environment. In the main study 25 children and young people, aged between 9-18 years, who had been in hospital for at least a week completed semi-structured interviews in which they talked about their response to the environment of the hospital and their experience of hospitalisation. Data analysis was completed using a combination of concept mapping and thematic analysis techniques. Preliminary findings were used as the basis of a further member-checking task carried out with a further six children and young people before conclusions were reached. The findings reveal that children and young people’s experience of a paediatric setting involves a number of major areas of influence including their personal situation, their social experience, their interaction with the physical environment, opportunities and characteristics of the organisation, and the effect of time. The findings also reveal that children’s feeling of well-being within this experience is linked to their ability to feel comfortable in the environment, to maintain a positive state of mind, and to remain positively engaged with the experience and the environment. This research reveals a dynamic relationship between children and young people and a paediatric environment that children and young people actively manage and shape. It reveals some of the key considerations in children and young people’s experience of hospitalisation. It also reveals why these considerations are important and what role they play in patients’ experience and feeling of well-being. These findings provide the basis for further research and they have implications for future design and research practice in paediatric healthcare settings.

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Bishop, Katherine G. "From their perspectives children and young people's experience of a paediatric hospital environment and its relationship to their feeling of well-being /." University of Sydney, 2008. http://hdl.handle.net/2123/3962.

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Doctor of Philosophy (PhD)
This study was conducted to increase our understanding of children and young people’s experience of a hospital environment and to identify the salient attributes of the physical environment in their experience. There were three specific aims: to describe children and young people’s experience of a hospital environment and identify what constitutes a supportive paediatric environment; to examine the role of the physical environment in patients’ feeling of well-being; and to highlight the capacity of participatory research with children and young people to inform evidence-based paediatric design. At this stage, there has been very little healthcare design research carried out with populations of children and young people. Well-being research with children and young people in paediatric environments that identifies the potential supportive attributes in this environment is also very limited. Historically research on children’s health and well-being has been dominated by a focus on the prevalence of disorders, problems and disabilities. More recently, in response to the change to health promotion, positive attributes have been included in well-being and satisfaction measures. At this stage, there are still many fewer positive measures. Within the body of literature that exists in healthcare, healthcare design research, and well-being research, there are only a small number of participatory studies that focus on children and young people’s experience of hospitalisation, and an even smaller number that include children and young people’s experience of hospital environments. The picture that is created by the research that exists is patchy. There is a need for a more holistic understanding of children and young people’s experience of hospitalisation and of hospital environments from their own perspectives. Based on these gaps in current knowledge, two research questions were developed. The first was concerned with describing children and young people’s experience of the sociophysical environment of a paediatric hospital. The second question was concerned with understanding the role of the physical environment in children and young people’s feeling of well-being in a hospital environment. In addressing these questions, the intention was to identify attributes within the hospital setting which collectively comprise a supportive environment for children and young people and which contribute to children and young people’s feeling of well-being in a paediatric setting. The current study was conducted as an exploratory qualitative case study and carried out at the Children’s Hospital at Westmead, in Sydney, Australia. Using participatory research techniques, the sequence of the study included two pilot studies and the main study. The focus was on understanding the experiences of longer-term patients of a paediatric hospital environment. In the main study 25 children and young people, aged between 9-18 years, who had been in hospital for at least a week completed semi-structured interviews in which they talked about their response to the environment of the hospital and their experience of hospitalisation. Data analysis was completed using a combination of concept mapping and thematic analysis techniques. Preliminary findings were used as the basis of a further member-checking task carried out with a further six children and young people before conclusions were reached. The findings reveal that children and young people’s experience of a paediatric setting involves a number of major areas of influence including their personal situation, their social experience, their interaction with the physical environment, opportunities and characteristics of the organisation, and the effect of time. The findings also reveal that children’s feeling of well-being within this experience is linked to their ability to feel comfortable in the environment, to maintain a positive state of mind, and to remain positively engaged with the experience and the environment. This research reveals a dynamic relationship between children and young people and a paediatric environment that children and young people actively manage and shape. It reveals some of the key considerations in children and young people’s experience of hospitalisation. It also reveals why these considerations are important and what role they play in patients’ experience and feeling of well-being. These findings provide the basis for further research and they have implications for future design and research practice in paediatric healthcare settings.

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Ludwick, Cleo Vandermolen. "Ministering to adolescents in an institutional setting." Theological Research Exchange Network (TREN), 1987. http://www.tren.com.

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Montoro, Silene Barbosa. "Influencia da orientação personalizada para atividade fisica na melhora da condição clinica e fisica de crianças e adolescentes obesos no Hospital de Clinicas da Unicamp." [s.n.], 2009. http://repositorio.unicamp.br/jspui/handle/REPOSIP/308168.

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Orientador: Angelica Maria Bicudo Zeferino
Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas
Made available in DSpace on 2018-08-13T09:18:42Z (GMT). No. of bitstreams: 1 Montoro_SileneBarbosa_M.pdf: 3875536 bytes, checksum: 751cb7ff987e9c19c0011fddb6588f92 (MD5) Previous issue date: 2009
Resumo: Com o intuito de prestar assistência às crianças e aos adolescentes obesos com maior risco de doenças, oriundos da área de cobertura do Hospital de Clínicas da Unicamp, foi criado o Ambulatório de Obesidade Infantil da Criança e do Adolescente. Este estudo teve como objetivo avaliar a eficácia da orientação para atividade física feita por profissional Educador Físico no serviço de atendimento de crianças e adolescentes obesos do Hospital de Clínicas da Unicamp. Trata-se de um estudo longitudinal das crianças e adolescentes de 07 a 19 anos que fizeram pelo menos duas avaliações de performance com espaço mínimo de 12 meses entre a primeira e a segunda avaliação. Dos 150 pacientes atendidos, 77 pacientes aderiram à atividade física após a primeira consulta (51%); dentre esses, 33 permaneceram em atividade física pelo menos por 12 meses (43%). Houve melhora significativa da distância percorrida no teste vai-e-vem 20 metros entre os meninos. Houve aumento do IMC nos dois gêneros. Não houve impacto significativo nas outras variáveis estudadas (PA, FC e indicadores bioquímicos).
Abstract: Intending to give assistance to children and teenagers that are obese in risk of disease, coming from of the area of the hospital of the Unicamp, it was created the obesity out-patient clinic of the children and teenagers. The goal of this research was test the efficacy of guidance for physical activity done by Physical Educator professional in customer service for obese children and adolescents at the clinic hospital of the Unicamp. This is a longitudinal study regarding children and teenagers between seven and nineteen years old, who took at least two examinations of performance, with a minimum period of twelve months between the first and the second examination. The results of the 150 patients attempted is about 77 started practicing physician activities after the first appointment with a the physical educator (51%), among them 33 kept those activities for at least one year (43%).There have been some increase in the good results about the distance covered in the 20 meters come and go test among the boys There have been some increase either on the IMC in both two genders There haven't been meaningful impacts on the other data searched (PA, FC and some biochemistry indicator).
Mestrado
Saude da Criança e do Adolescente
Mestre em Saude da Criança e do Adolescente

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Kong, Jenny P. F. "Systemic family therapy with families with children and adolescents in an outpatient hospital setting." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/MQ56131.pdf.

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Connor, Liam. "Adolescents with congenital heart disease: an exploration of psychosocial development, intra-hospital and familial experiences." Thesis, Queensland University of Technology, 2009.

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The last twenty years has seen a significant improvement in the physical health of sufferers of Congenital Heart Disease (CHD) due to advances in medical assessment, diagnosis and treatment. Children with CHD are living longer into adolescence and adulthood. Research now assesses the psychosocial development of this population. Two studies were conducted: phase one used qualitative research analyses to interview adolescents (N=6) about their experiences with CHD. A number of themes emerged: CHD defines sense of identity and experience of the disease generates apprehension. Phase 2 used quantitative analysis to measure experiences of Health Related Quality of Life (HRQoL) and psychopathology in a larger sample (N-42). Older adolescents were more likely to experience negative mood, anger, poorer cognitive and social functioning. A number of HRQoL scales were related to depression, anxiety and stress. Results are discussed in the context of chronic illness behavior and developmental tasks of adolescents and have implications for the provision of psychological services to this population.

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PHELAN, KIERAN J. "TRENDS AND PATTERNS OF PLAYGROUND INJURIES IN UNITED STATES CHILDREN AND ADOLESCENTS." University of Cincinnati / OhioLINK, 2001. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1006198437.

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Selape-Kebuang, Bongani Lebo. "Adolescents’ perceptions and experiences of Anti-retroviral therapy (ART) at a tertiary hospital in Francistown, Botswana." University of the Western Cape, 2016. http://hdl.handle.net/11394/4900.

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Magister Artium (Social Work) - MA(SW)
Botswana is experiencing high levels of HIV prevalence rate at 16.9% among the general population, 4.5% among adolescents aged 10-14 and 4.7% among adolescents aged 14-19. Adolescents are in a critically stage between childhood and adulthood and undergo a lot of developmental changes physically, sychologically and emotionally. The scourge of HIV/AIDS has also brought with it multiple challenges to adolescents as those who are HIV positive have to adhere to all the health requirements of being HIV positive and at the same time being pressurised by the societal expectations. Stigmatisation and discrimination are experienced as barriers against the fight towards HIV which is seen a major factor among adolescents. The aim of the study was to explore and describe adolescents’ perceptions and experiences of anti-retroviral therapy at a tertiary hospital in Francistown, Botswana. The study followed a qualitative research approach with an exploratory descriptive research design. Purposive sampling was used to recruit participants. Participants were school going adolescents aged between 13 and 19 years, who are on antiretroviral therapy and going for reviews at a tertiary hospital in Francistown, Botswana. Data were gathered though face to face semi structured interviews with each of the 24 participants. Data were analysed thematically. The following four themes emerged during the analysis: i. “ARVs control but don’t cure”; ii. “Why did it happen to me?-the reality of using ARVs”; iii. “I don’t want to take them for the rest of my life”; and iv. “No man is an island”, which addressed the research objectives. The findings led to the conclusion that, despite the fact that HIV has been around for over two decades and ARVs has been around for more than a decade, adolescents living with HIV still faces challenges such as stigmatisation due to social as well as clinical factors and adjusting to a lifelong treatment which made it difficult for them to adhere to their treatment. However, adolescents are happy as they are living a healthy and a fruitful life as a result of the ARVs. Ethical considerations were adhered too. Furthermore the findings of the study could assist the Ministries of Health, Education, Local Government and Rural Development to address these challenges experienced by the adolescents in the development of social programmes to improve the livelihood of the adolescents living with HIV/AIDS.

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Zorzo, Renato Augusto. "Perfil clínico-epidemiológico de 121 crianças e adolescentes com doença renal crônica: 22 anos de experiência do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo." Universidade de São Paulo, 2008. http://www.teses.usp.br/teses/disponiveis/17/17138/tde-28072008-211159/.

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A doença renal crônica (DRC) atinge cada vez mais uma parcela significativa da população, e entre os pacientes adultos as doenças metabólicas são as principais causas, respondendo por aproximadamente 70% dos pacientes em tratamento dialítico. Porém, há poucas publicações sobre levantamento epidemiológico de DRC em crianças disponíveis na literatura. O objetivo deste trabalho foi descrever o perfil clínico-epidemiológico das crianças e adolescentes com DRC atendidos pelo Serviço de Nefrologia Pediátrica do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HCFMRP-USP), contemplando 22 anos de experiência. Para tanto, foram revisados 121 prontuários e coletadas 21 variáveis de cada um deles. Do total, 58,7% eram do sexo masculino, e 41,3% do sexo feminino. A média de idade de entrada foi 59,1 meses. Os pacientes menores que 5 anos somaram 62,5% do total. Os pacientes procedentes de Ribeirão Preto ou de cidades com até 300km de distância somaram 63% dos casos. As causas básicas de DRC foram: uropatias (48,8%), glomerulopatias (20,7%), displasias renais congênitas ou policísticas (7,4%), vasculopatias (6,6%), tubulopatias (2,5%), outras causas (7,4%) e causa indeterminada (6,6%). Das glomerulopatias, os tipos histológicos encontrados foram a glomeruloesclerose segmentar e focal (GESF) (25,0%), a proliferação mesangial difusa (PMD) (20,8%), a glomerulonefrite (GN) avançada (12,5%), a glomerulonefrite crescêntica (GNC) (8,3%) e a Síndrome de Alport (8,3%), sendo que 4,2% dos casos foram considerados indeterminados e 20,8% dos pacientes não foram submetidos a biópsia. A grande maioria dos pacientes (59,8%) tinha estatura abaixo do 5º percentil para idade e sexo no momento do diagnóstico. O tempo de seguimento clínico variou de 2 a 263 meses, com média de 67,5 meses. A creatinina sérica no momento do diagnóstico variou de 0,5 a 12,1 mg/dL, com média igual a 3,0 mg/dL. A média de RFG calculado pela Fórmula de Schwartz no momento do diagnóstico foi 27,4 mL/min/1,73m2. A maioria dos casos (62,3%) chegou ao serviço em DRC estágios 4, 5 ou em diálise. Hipertensão arterial (HA) foi detectada em 56,2% dos pacientes em algum momento do curso clínico. Acidose metabólica foi detectada em 53,7% dos pacientes no momento do diagnóstico. Do total de pacientes, 38,0% foram submetidos a tratamento dialítico, sendo as modalidades peritoneais preferidas em 80,4% dos casos. Transplante renal foi realizado em 24,8% dos pacientes, sendo as proporções de doador vivo relacionado (DVR) e doador cadáver (DC) semelhantes. A proporção de óbitos no período do estudo foi 22,3%. Dos demais pacientes, 17,4% foram transferidos para seguimento pela Clínica Médica do HCFMRP-USP, e 38,8% dos casos ainda estavam em seguimento pela Nefrologia Pediátrica em dezembro de 2005. Concluímos que a população estudada mostrou características clínico-epidemiológicas semelhantes às publicações nacionais e internacionais consultadas.
The prevalence of chronic renal failure (CRF) increases every day, and among adult patients, the principal causes are metabolic diseases, responsible to almost 70% of patients who are under dialysis. However, there are few studies regarding epidemiologic data of CRF in children. The objective of this study was to describe clinical and epidemiological profiles of children and adolescents with CRF who have been followed up by the Pediatric Nephrology Team of the Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HCFMRP-USP), along 22 years of experience. Data of 121 medical records have been reviewed, and 21 variables have been collected from each of them. From the total of the patients, 58.7% were male and 41.3% were female. The average of age of registration was 59.1 months. Patients who were younger than 5 years summed 62.5% of all. From the total of patients, 63% lived in Ribeirão Preto or in cities until 300km far. The primary renal diseases described were: uropathies (48.8%), glomerulopathies (20.7%), congenital or polycystic renal dysplasia (7.4%), vasculopathies (6.6%), tubular diseases (2.5%), miscellaneous (7.4%) and unknown causes (6.6%). Among the glomerulopathies group, the histological patterns described were: Focal Segmental Glomerulosclerosis (25.0%), Diffuse Mesangial Proliferation (20.8%), Advanced Glomerulonephritis (12.5%), Crescentic Glomerulonephritis (8.3%) and the Alport Syndrome (8.3%). From total of biopsies, 4.2% were not able to define a diagnosis, and 20.8% of the glomerulopathies\' patients were not undergone renal biopsy. From the total, 59.8% of the patients were under the 5o percentile of the NCHS curve in their registration, related to their height. The follow up showed a variation of 2 to 263 months, which average was 67.5 months. The blood creatinine level showed a variation of 0.5 to 12.1 mg/dL, which average was 3.0 mg/dL. The average Glomerular Filtration Rate, estimated by the Schwartz\'s formula, was 27.4 mL/min/1,73m2. At the onset, 62.3% of the patients were classified at the stages 4, 5 or under dialysis. Hypertension was described in 56.2% of the patients at any time of the follow up. Metabolic acidosis was described in 53.7% of the patients at the onset. Patients who underwent dialysis summed 38.0%, and the peritoneal modalities performed 80.4% of all cases. Renal transplantation was performed in 24.8% of the patients, with similar proportions of live-related and cadaveric donors. The proportion of deaths during the 22 years of study was 22.3% of all. The rest of them were delivered to the Clinical Team of the HCFMRP-USP (17.4%) or still had been followed up by the Pediatric Nephrology Team by December 2005 (38.8%). We concluded that the population described had similar clinical and epidemiological characteristics to the other Brazilian and international data available.

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Lemme, Thato. "Barriers to highly active antiretroviral therapy amongst HIV-infected adolescents in a government hospital in Botswana." Diss., University of Pretoria, 2015. http://hdl.handle.net/2263/53426.

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The emergence of the Human Immuno-Deficiency Virus (HIV) and Acquired Immuno-Deficiency Syndrome (AIDS) has resulted in many children being perinatally-infected. Some die before reaching adolescence, while others survived into adolescence due to the introduction of Highly Active Antiretroviral Therapy (HAART). Amongst countries of sub-Saharan Africa, Botswana has the highest estimated prevalence rate of HIV and AIDS which is 18.5% of a total population of 2 038 228. In 2002, Botswana became the first country in sub-Saharan Africa to launch a free national HAART programme in the public health sector. The country has achieved more than a 96% coverage rate of HAART. Despite availability of HAART, adolescence is a complex developmental phase marked with psychological, behavioural, physiological and cognitive changes. Hence, the goal of the study has been to identify barriers to HAART adherence amongst HIV-infected adolescents in a government hospital, in Botswana. A qualitative research approach and a phenomenological research design have been utilised to explore and describe factors that inhibit HIV-infected adolescents from adhering appropriately to HAART. The study participants are twelve HIV-infected adolescents (males and females) aged 13 to 17 years who receive HAART from a government hospital in Botswana. Simple random sampling had been used to select these study participants. Unstructured, one-on-one interviews had been conducted utilising an interview schedule and the data that had been collected from the interviews has been transcribed and thematically analysed using Tesch s framework. A bio-ecological perspective has been applied to enhance understanding of this phenomenon. The following themes emerged from the study: knowledge about HIV and AIDS and the importance of HAART adherence, contextualising and conceptualising HAART adherence amongst adolescents, factors contributing towards non-adherence to HAART amongst HIV-infected adolescents, coping strategies and recommendations. The study findings reveal that participants displayed adequate knowledge regarding HIV and AIDS, its transmission, prevention and treatment. However, participants showed inadequate knowledge regarding the myths of HIV and AIDS. The study findings reveal further that participants are knowledgeable of the benefits of HAART adherence, methods that are being utilised to assess adherence and consequences of non-adherence. Hospital, school, home, radio, television, pamphlets, teen club and church are the major sources of information for the knowledge displayed. The results of the study show that a significant number of participants started treatment at a younger age and have been on treatment for lengthier periods. The main barriers to HAART adherence are individually-related factors, regimen or medication side effects, social stigma from school and community, and lengthy waiting times in the health facility during medication refills. However, disclosure of HIV positive status, support from family, teen club or peers, hospital, school, church and various individual strategies were utilised as coping mechanisms. Moreover, majority of the participants were adamant that continuous education on the importance of HAART adherence by healthcare workers and caregivers is essential. They also added that medication supervision is a key strategy in enhancing adherence amongst non-adherent HIV-infected adolescents. Recommendations include the imperativeness of a multi-sectoral approach towards strengthening education on HIV and AIDS, including the importance of HAART adherence, as well as addressing stigma and discrimination surrounding HIV and AIDS. Last of all, future research should include caregivers and healthcare workers particularly, in studies of this nature to strengthen the findings. It should also consider the effectiveness of initiatives that have been outlined to promote HAART adherence.
Mini Dissertation (MSW)--University of Pretoria, 2015.
Social Work and Criminology
MSW
Unrestricted

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Trevizani, Tiago Marcelo. "Camisa de força para menores : a patologização de crianças e adolescentes (Hospício São Pedro, 1884-1929)." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2013. http://hdl.handle.net/10183/87576.

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Esta dissertação busca problematizar a patologização dos modos de ser criança e adolescente que vem se proliferando na atualidade, devido à pulverização dos diagnósticos e à banalização das terapêuticas corretivas. Para isso, recorre à história como uma estratégia metodológica de problematização do presente. Inspirado em uma perspectiva genealógica, tal como propõe Michel Foucault, realizou-se uma análise de prontuários de crianças e adolescentes internados no Hospício São Pedro em Porto Alegre/RS entre os anos de 1884 e 1929. Outras fontes históricas que subsidiaram a pesquisa foram relatórios administrativos dos médicos-diretores desse mesmo estabelecimento, além de livros e artigos científicos escritos por alienistas e psiquiatras no período em questão, publicados, especialmente, nos Archivos Brasileiros de Hygiene Mental e nos Archivos Rio Grandenses de Medicina. Analisaram-se os diagnósticos atribuídos às crianças e adolescentes nessa época; as estratégias disciplinares de normalização dos corpos anômalos e das condutas desviantes; assim como os modelos explicativos da etiologia da alienação mental. Entende-se que os acontecimentos históricos e políticos estão diretamente implicados na produção dos discursos e das práticas em torno das patologias das crianças e adolescentes, pois as fronteiras da anormalidade estão circunscritas num determinado regime de verdade e emergem num determinado campo de relações de poder.
This dissertation aims to problematize the pathologization of the modes of being child and adolescent that comes proliferating today, due to the pulverization of diagnostics and the banalization of corrective therapies. In this way, it uses story as a methodological strategy of questioning the present. Inspired by a genealogical perspective, as proposed by Michel Foucault, an analyze of medical records of children and adolescents admitted into Hospício São Pedro in Porto Alegre/RS between the years 1884 to 1929 was made. Other historical sources that support the research were administrative reports of the medical directors of that establishment. Books and scientific articles written by alienists and psychiatrists in the period in question, published, especially in the Archivos Brasileiros de Hygiene Mental and the Archivos Rio Grandenses de Medicinina have also been used. Were analyzed the diagnostics attributed to children and adolescents at the time; strategies disciplinary of normalization of the bodies anomalous and the deviant behaviors, even as the explicative models of the etiology of mental alienation. Is understood that the historical and political events are directly involved in the production of discourses and practices around the pathologies of children and adolescents, because the borders of the abnormality are circumscribed in a determined regime of truth and emerge in a particular field of power relations.

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Grover, Peter Arden Scott. "Prediction of posttreatment level of functioning from performance in a leveled token economy for emotionally disturbed adolescents." PDXScholar, 1990. https://pdxscholar.library.pdx.edu/open_access_etds/4083.

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This study examined the relationship between performance in a leveled token economy for emotionally disturbed adolescents and posttreatment level of functioning six months after discharge from the target program. The target program for the study is an acute care psychiatric hospital which specialized in the treatment of adolescents with both emotional and substance abuse problems. Previous literature on the outcome of token economy treatment programs however for they adolescents have generally been favorable have typically not examined level of functioning as an outcome criteria.

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Smith, Lourett. "Guidelines for a therapeutic programme to address the mental health needs of adolescents being treated in a psychiatric hospital." Thesis, Nelson Mandela Metropolitan University, 2013. http://hdl.handle.net/10948/d1010963.

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It is estimated that about 10 million children and adolescents worldwide, annually suffer from psychiatric disorders. They often require hospital treatment because they are not coping with their psychiatric condition at home or there is a lack of supervision. Suicide amongst adolescents who are experiencing a crisis is a bleak reality. In-patient treatment provides the necessary structure and supervision in order to secure a stable environment which is vital for treating adolescents. Treatment usually includes a therapeutic programme provided by members of the multi-professional team. Since there is at present no adolescent in-patient treatment facility in the Nelson Mandela Bay to provide psychiatric care to adolescents who are experiencing a mental problem, these patients are admitted to psychiatric hospitals which cater only for the needs of adult patients or they are referred to facilities in other provinces. The goals and objectives of this study are firstly, to explore and describe the perceptions of mental health professionals working in psychiatric hospitals regarding what should be included in a therapeutic programme for adolescents and secondly, to develop guidelines for treating adolescents that can be implemented in psychiatric hospitals in the Nelson Mandela Bay. The study followed a qualitative, exploratory, descriptive, contextual design. The research population included various professionals who provide services at psychiatric hospitals in the Nelson Mandela Bay. Purposive sampling was utilized. Semi-structured interviews were conducted to collect information-rich data and field notes were kept. The interviews were transcribed and Tesch’s eight steps of data analysis were followed to create meaning from the data collected. Themes were identified and grouped together to form new categories. An independent coder assisted with the coding process to ensure the trustworthiness of the findings. Literature was reviewed in order to identify research that was done previously regarding adolescent psychiatric in-patient programmes in order to bridge the gaps that were identified. The researcher ensured the validity of the study by conforming to Lincoln and Guba’s model of trustworthiness which consists of the following four constructs, namely, credibility, transferability, dependability and confirmability. The researcher ensured that the study was conducted in an ethical manner by adhering to ethical principles such as beneficence, justice and fidelity.

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Azevedo, Alda Elizabeth Boehler Iglesias. "Estudo epidemiológico de abuso sexual e fatores associados entre crianças e adolescentes assistidos no Hospital Universitário Júlio Müller, Cuiabá-MT." Universidade Federal de Mato Grosso, 2013. http://ri.ufmt.br/handle/1/744.

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A violência contra crianças e adolescentes é um grave problema de saúde pública. Inserida num contexto histórico-social e com profundas raízes culturais, o abuso sexual contra crianças e adolescentes é uma forma grave de violência caracterizada por uma dinâmica complexa, que envolve aspectos biológicos, psicológicos, sociais e legais, exigindo a intervenção coordenada de diferentes instituições e deve ser abordada de forma adequada pela equipe de saúde. Objetivo: Analisar o abuso sexual entre a população de crianças e adolescentes assistidos no Hospital Universitário Júlio Müller. Método: Estudo de corte transversal descritivo, com informações obtidas nas fichas de atendimento e prontuários de crianças e adolescentes referenciados com queixa de abuso sexual no período de 2003 a 2011. Os dados foram digitados e armazenados em uma planilha do Microsoft Excel 2010® e analisados com pacote estatístico Statistical Package for the Social Sciences (SPSS®) versão 20.0. Os resultados foram apresentados em frequências absolutas e relativas, figuras e tabelas. Foi feito o teste t não pareado para análise de diferenças entre as médias de idade segundo o sexo. Para verificar associação de algumas variáveis independentes com a população atendida categorizada segundo a classificação final e grupo etário (variáveis dependentes) foram realizados o teste do qui-quadrado de Pearson, com nível de significância 5%. Resultados: Dos 615 prontuários analisados, 90,60% eram do sexo feminino. A média da idade na população feminina foi de 11,98 anos e de 8,30 anos na masculina, 51,71% eram de raça/cor parda, 62,93% possuíam ensino fundamental incompleto e 42,11% residiam em habitação própria. Dentre 203 vítimas com renda familiar per capita conhecida, 62,56% tinham renda abaixo da linha brasileira referência de pobreza. Em relação aos municípios, 67,32% das vítimas eram procedentes de Cuiabá e 49,27% dos abusos sexuais ocorreram nesse município, com predomínio nas regiões norte e sul. As vítimas foram, na maioria, encaminhadas pelo Instituto Médico Legal do Estado (52,20%) e a mãe era a principal acompanhante presente no atendimento inicial (53,66%). As vítimas receberam o primeiro atendimento em sua maioria pelo serviço social (97,24%) e médico (84,39%). Após o primeiro atendimento, os exames complementares foram solicitados em 78,70% e o protocolo do Ministério da Saúde para prescrição de profilaxia das doenças sexualmente transmissíveis foi realizado em 32,03%. Das vítimas atendidas, 54,31% dos abusos sexuais foram confirmados na primeira consulta, e após acompanhamento, foram confirmados 59,51% dos casos, com uma perda de seguimento de 87,32%. A análise dos 366 casos confirmados deste estudo categorizados segundo o grupo etário encontrou-se associação significante (p<0,05) com o abuso sexual para menores de 12 anos: sexo masculino; período diurno; residência da vítima; episódio de repetição; violência de vulnerável e abusador conhecido. Para a faixa etária maior igual a 12 anos, encontrou-se uma associação da ocorrência de abuso sexual com: sexo feminino, período noturno, episódio único, uso de força física; abusador desconhecido. Verificou-se que o abuso sexual ocorreu igualmente em crianças e adolescentes categorizados de acordo com a faixa etária de estupro, quando o agressor era o pai/padrasto, com vínculo intra ou extra-familiar e raça/cor branca ou negra. Conclusões: As proporções da ocorrência de abuso sexual mostraram que, muito embora o fenômeno seja feminino e as maiores frequências sejam em meninas adolescentes, os meninos do sexo masculino também são abusados, principalmente na infância.
Violence against children and adolescents is a serious public health issue. Inserted into a historical and social context and with deep cultural roots, the sexual abuse of children and adolescents is a severe form of violence characterized by a complex dynamic, which involves biological, psychological, social and legal aspects, requiring the coordinated intervention of different institutions and must be properly addressed by the healthcare team. Objective: To analyze sexual abuse among the population of children and adolescents attended at University Hospital Júlio Müller. Methods: A cross-sectional descriptive study, with informations obtained from the medical records of children and adolescents referred due to sexual abuse from 2003 to 2011. Data were stored in Microsoft Excel 2010® and analyzed with Statistical Package for Social Sciences (SPSS®) version 20.0. The results were presented in absolute and relative frequencies, figures and tables. It was made the unpaired t test for analysis of differences between the mean age by sex. To verify the association of some independent variables with the assisted population categorized according to final classification and age group (dependent variables) were done Pearson chi-square test, with significance level of 5%. Results: Of the 615 records analyzed, 90.60% were female. The average age of the female population was 11.98 years and 8.30 years in male, 51.71% were of mixed race/color, 62.93% had incomplete primary education and 42.11% owned their own house. Among 203 victims with per capita family income known, 62.56% had incomes below Brazilian line poverty reference. In the municipalities, 67.32% of the victims were from Cuiabá and 49.27% of the sexual abuse occurred in this city, predominantly in the north and south regions. The victims were mostly referred by the Forensic Medicine Institute of the State (52.20%) and the mother was the main escort at the first consultation (53.66%). The first evaluation of the victims was mostly done by the social service (97.24%) and medical team (84.39%). After the first care, laboratorial exams were requested in 78.70%, and the Health Ministry Protocol for the prevention of sexually transmitted diseases was applied in 32.03%. Of the victims assisted, 54.31% were confirmed in the first attendance, after follow, have been confirmed 59.51% of cases, with a loss follow up of 87.32%. Analysis of the 366 confirmed cases of this study categorized according to age group, we found a significant association (p <0.05) for children under 12 years and the occurrence sexual abuse: male gender; daytime period; residence of the victim; repetitions episodes of sexual abuse; violence of vulnerable person, and known abuser. For the age group greater equal to 12 years, there was an association of the occurrence of sexual abuse with: female gender, nocturnal period, unique episode; use of physical strength; unknown abuser. It was found that sexual abuse occurred equally in children and adolescents categorized according to age group for rape, when the abuser was the father/stepfather, with intra- or extra-familial relationship and race/color white or black. Conclusions: The proportions of sexual abuse showed that, even though the phenomenon is female and the highest frequencies were found in adolescent girls, boys are also abused, especially in childhood

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Jenkins, Ashley M. M. D. "Pediatric Hospital Utilization During Transition to Adult Healthcare for Adolescents and Young Adults with Chronic Conditions of Childhood." University of Cincinnati / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1592133724158817.

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Richey, Chastity. "Challenges in Discharge Planning with Adolescents Receiving Recurring Inpatient Psychiatric Treatment." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4943.

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Mental health is a growing concern for adolescents. Billions of dollars are spent annually on mental services for youth. Many adolescents experience abuse, suicidal ideations, psychotic disorders, substance abuse, and other challenges. Recurring inpatient psychiatric hospitalizations are increasing among adolescents. The recurring admissions impact adolescents significantly socially, psychologically, and financially. Social workers are a vital part of this treatment process from admission to discharge. The research question asked what were the issues and challenges social workers encounter when conducting discharge planning with adolescents receiving recurring inpatient psychiatric treatment. The purpose for this doctoral project was to carefully examine the discharge planning process while identifying ways social workers can positively impact the process. Key concepts for this project were adolescent, inpatient hospitalization, recurring hospitalization, and discharge planning. Systems theory was used to inform the project. This action research study allowed social workers to share their experiences and perspectives about the role of social workers in discharge planning. Seven participants were identified using purposive sampling. One focus group provided data for project. Data analysis consisted of in vivo and process coding. Four participant-inspired themes identified related to issues and challenges in discharge planning include (a) adequate resources, (b) insurance restrictions, (c) rapport with adolescents, and (d) parental participation. Social work practice and positive social change implications include establishing follow-up protocol for all adolescent discharges from inpatient settings and increasing the use of encouragement and engagement strategies for rapport building with adolescents.

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Carrasco, Lluch María Pilar. "Estudio del valor terapéutico de la literatura infantil en niños hospitalizados." Doctoral thesis, Universidad de Murcia, 2008. http://hdl.handle.net/10803/10760.

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Estudio sobre la influencia benéfica , para paliar el miedo y aumentar la autoestima, de los cuentos en niños y adolescentes hospitalizados de cinco a trece años .Trabajo de investigación a través observación y cuestionarios para niños y padres sobre gustos literarios y miedos hospitalarios.Experiencia realizada a nivel grupal, en aulas hospitalarias, y a nivel individual con alumnos oncológicos. Diario de tres casos sesiones de cuentos con niños oncológicos.Canon literario a través de las siguientes categorías: Aceptación diferencias, Enfermedad-Hospitalización, Miedo, Sentimientos, Humor, Maravillosos.
A study about the beneficial influence of children stories on hospitalized children and adolescents aged from 5 to 13 in reducing fear and increasing self-esteem. Research based on direct observation and questionnaires for children and parents about their literary preferences and hospital fears. Research carried out both at group and individual level with oncological pupils in hospital classrooms. Diary of three reading sessions with oncological children. Literary bibliography of the following categories: Acceptance of differences, Illness-Hospitalization, Fear, Feelings, Humour and Fairy Tales.

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Blikstein, Flávia. "Destinos de crianças: estudo sobre as internações de crianças e adolescentes em Hospital Público Psiquiátrico." Pontifícia Universidade Católica de São Paulo, 2012. https://tede2.pucsp.br/handle/handle/16993.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
This dissertation s main objective is to contribute to the advancement of the field of mental health for children and adolescents. This study aims to investigate the causes of the continuation of the practice of hospitalization of children and adolescents in psychiatric hospitals in the state of São Paulo despite the advances of Brazilian Psychiatric Reform. CAISM Philippe Pinel was chosen as the main research site, due to its status as a reference institution for the hospitalization of children and adolescents in the state of São Paulo. Through medical records, we investigated the profile of admissions between January 2005 and December 2009. The methodological strategies were developed in order to grasp the nuances of children and adolescents hospitalized during this period, and highlight their paths to institutional admission. Based on the data analyzed, we could make some key inferences about the functioning of the mental health field for children and adolescents. In our study, we observed that children and teenagers are sent to institutions in two ways: either through health services, or by court order. After a comparative analysis between these two forms of routing, we found that the institutionalization via court order, in many cases, occur in circumstances that contradict the norms of Psychiatric Reform and the Statute of Children and Adolescents. We conclude that new practices and policies in the field of mental health must prioritize transversal actions between different sectors of governmental institutions.
A presente dissertação tem como principal objetivo colaborar com o desenvolvimento do campo da saúde mental infantojuvenil. Para tanto, este estudo propõe-se a investigar como e por que, apesar dos avanços da Reforma Psiquiátrica brasileira, se mantém a internação de crianças e adolescentes em hospitais psiquiátricos no Estado de São Paulo. Escolhemos como campo de pesquisa o CAISM Philippe Pinel por ser a instituição de referência para a internação de crianças e adolescentes no Estado de São Paulo. Por meio dos prontuários, investigamos o perfil das internações entre janeiro de 2005 e dezembro de 2009. As estratégias metodológicas foram desenvolvidas a fim de apreender as particularidades das crianças e adolescentes internados neste período e evidenciar suas trajetórias institucionais até a internação. A partir da análise dos dados produzidos, pudemos fazer algumas observações sobre o funcionamento do campo da saúde mental infantojuvenil. Em nosso estudo observamos que as crianças e adolescentes são encaminhados à internação de duas formas distintas: por serviços de saúde ou por ordem judicial. Após uma análise comparativa entre estas duas formas de encaminhamento, pudemos observar que as internações via ordem judicial, em diversos casos, ocorrem em circunstâncias que contradizem as normas da Reforma Psiquiátrica e do Estatuto da Criança e do Adolescente (ECA). Concluímos assim que novas práticas e políticas públicas do campo da saúde mental infantojuvenil devem priorizar ações transversais e intersetoriais do poder público

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Sá, Lucineide Ferreira de. "A VIOLÊNCIA DOMÉSTICA E A INFLUÊNCIA DE FATORES SÓCIO-HISTÓRICOS, ECONÔMICOS, POLÍTICOS E CULTURAIS: a experiência das famílias atendidas no Hospital das Clínicas/UFG/Goiânia 2005 a 2010." Pontifícia Universidade Católica de Goiás, 2012. http://localhost:8080/tede/handle/tede/2159.

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This study aims to understand domestic violence and the influence of socio-historical, economic, political and cultural changes in the occurrence of domestic violence within the families that were attended at the Hospital das Clínicas of Federal University of Goiás in the period 2005 to 2010. To understand these factors we tried to analyze the historical configuration of structural violence in capitalist society and the construction of citizenship rights in family relations, as well as the establishment of social rights and social policies as a necessary relationship between state and family. We sought to examine also the history of violence against children and adolescents in Brazilian society, and the particularity of domestic violence against children and adolescents. In this process we performed a historical review of legal frameworks and policies for treatment of this segment. Based on these studies you can say that children and adolescents are victims of different types of violence (from the structural to the home) because they do not have public policies that ensure comprehensive social protection. Prevention, protection and care of children and adolescents in situations of domestic violence require intersectoral policies involving health, education, welfare, housing, sanitation, recreation and others. However, empirical research has demonstrated the precarious living conditions of families and the difficulty in obtaining assistance in various policies mentioned. It has also shown that the unmet basic needs for these policies can contribute to the occurrence of violence or to its perpetuation. Thus, it can be said that a quality service and universalized public policy can mean the protection of children and adolescents not only of structural violence as well as domestic violence.
A proposta deste estudo consiste em apreender a violência doméstica e a influência dos fatores sócio-históricos, econômicos, políticos e culturais na ocorrência da violência doméstica com as famílias atendidas no Hospital das Clínicas (HC/UFG), no período de 2005 a 2010. Para compreensão desses fatores, buscou-se analisar a configuração histórica da violência estrutural na sociedade capitalista e a construção dos direitos de cidadania na relação com a família, bem como a constituição dos direitos sociais e das políticas sociais como relação necessária entre Estado e família. Buscou-se analisar, ainda, o histórico da violência contra a infância e adolescência na sociedade brasileira, e a particularidade da violência doméstica contra crianças e adolescentes. Nesse processo, realizou-se um resgate histórico dos marcos legais e das políticas de atendimento desse segmento. Com base nesses estudos, pode-se afirmar que a infância e a adolescência são vítimas de diferentes tipos de violência (desde a estrutural até a doméstica), por não contarem com políticas públicas que assegurem proteção social integral. A prevenção, proteção e atendimento à criança e ao adolescente em situação de violência doméstica requerem ações intersetoriais que envolvam as políticas de: saúde, educação, assistência social, habitação, saneamento, lazer, dentre outras. Entretanto, a pesquisa empírica demonstrou a precariedade das condições de vida das famílias e a dificuldade na obtenção de atendimento no âmbito das diferentes políticas apontadas. Demonstrou, ainda, que o não atendimento das necessidades básicas por essas políticas pode contribuir para a ocorrência da violência ou para sua perpetuação. Dessa forma, pode-se afirmar que um atendimento de qualidade e universalizado por parte das políticas públicas pode significar a proteção de crianças e adolescentes não só da violência estrutural mas também da violência doméstica.

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Dutton, Claire Fiona. "Psychosocial and risk assessment with children and adolescents on presentation to hospital for self-harm: A qualitative study of clinicians' experiences." Thesis, University of Leeds, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.487722.

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The study used a qualitative approach to explore CAMHS professionals' experiences of carrying out self-harm assessments, including thinking about the relationship with young people in the assessments and whether clinicians' experiences of the work changes over time. Clinicians working in Child and Adolescent Mental Health Services (CAMHS) undertake the work of assessing young people who attend hospital due to self-harm. These clinicians must make the decision about whether a young person can be safely discharged home, as well as thinking about their wider needs.

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Lavor, Maria Francielze Holanda. "Clinical-epidemiological characteristics of the mechanical trauma in children and adolescents in a tertiary public hospital of the City of Fortaleza." Universidade Federal do CearÃ, 2006. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=758.

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CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superior
Trauma is not only a serious sickness, but also a significant Public Health problem, since it is the primary pediatric mortality cause in developed countries and a determinative factor of transitory or permanent sequelae. AIMS: establish the clinical-epidemiological profile of mechanical trauma in children and adolescents, in a third Fortaleza city Count Hospital in Ceara state. METHOD: hospital based prospective observational study, proceeded with patients from zero to 19 years-old, victims of mechanical trauma, admitted by Instituto Dr. Jose Frota from February to July of 2005, being accompanied until to final moment (hospital discharge, obit or transfer). Studied variables were related to the socioeconomic and demographic conditions of patients and their families. Respect to the trauma, it was studied mechanism, type and consequences. RESULTS: 697 children were studied. Male gender was predominant (80.2%), as well as those 15 to 19 year-olds (47.8%); 53.1% came from country and 73.7% came from urban zone. Sunday was the predominant day of traumatic events (22.2%) and the afternoon time represented 37% of the cases. Mother was the primary caregiver in 69.7%. The main trauma mechanism was the drop (32.5%), followed by aggressions (25%). Skeletal trauma was the major type of trauma (60.1%), followed by traumatic brain injury (41%); 95% had light severity. Most of patients (92.1%) were discharged from hospital, 3.3% evolved to obit, 51% presented sequelae, but in 49.4% functional capacity was preserved and in 1.1% it was completely compromised.CONCLUSIONS: Trauma was more frequent among 15 to 19 year-olds and in male children and adolescents. The main trauma mechanism was the drop, being the skeletal trauma the most found. Most of cases had light severity, having motor transitory sequel as the central consequence. Most of patients were discharged from hospital and had their functional capacities preserved or simply partially compromised. Only 1.1% had invalidating or definitive sequelae
O trauma constitui-se nÃo apenas uma grave doenÃa, mas um significativo problema de SaÃde PÃblica, em virtude de ser a principal causa de mortalidade pediÃtrica nos paÃses desenvolvidos e fator determinante de sequelas transitÃrias ou permanentes.OBJETIVOS: determinar o perfil clÃnico-epidemiolÃgico do trauma mecÃnico em crianÃas e adolescentes, em um Hospital PÃblico TerciÃrio do MunicÃpio de Fortaleza no Estado do CearÃ. MÃTODO: estudo observacional, prospectivo, de base hospitalar, realizado com pacientes de zero a 19 anos vÃtimas de trauma mecÃnico, admitidos no Instituto Dr. JosÃ Frota no perÃodo de fevereiro a julho de 2005, sendo seguidos atÃ o momento do desfecho (alta hospitalar, Ãbito ou transferÃncia). Foram estudadas variÃveis relacionadas Ãs condiÃÃes socioeconÃmicas e demogrÃficas referentes ao paciente e sua famÃlia. Em relaÃÃo ao trauma estudou-se o mecanismo, o tipo e as consequÃncias. RESULTADOS: foram estudadas 697 crianÃas. Houve predominÃncia do sexo masculino (80,2%) e da faixa etÃria de 15 a 19 anos (47,8%); 53,1% foram procedentes do Interior e 73,7% da zona urbana. Domingo foi o dia em que predominaram os eventos traumÃticos (22,2%) e o turno da tarde representou 37% dos casos. A mÃe foi o cuidador primÃrio em 69,7%. A queda foi o principal mecanismo de trauma (32,5%) seguido das agressÃes (25%). O trauma esquelÃtico foi o principal tipo de trauma (60,1%) seguido de trauma cranioencefÃlico (41%); 95% tiveram gravidade leve. A maioria dos pacientes (92,1%) recebeu alta hospitalar, 3,3% evoluÃram para Ãbito, 51% apresentaram sequela, mas em 49,4% a capacidade funcional foi preservada e em 1,1% totalmente comprometida. CONCLUSÃES: trauma foi mais frequente na faixa etÃria de 15 a 19 anos e em crianÃas e adolescentes do sexo masculino. O principal mecanismo de trauma mecÃnico foi queda, sendo o trauma esquelÃtico o tipo mais encontrado. A maioria dos casos foi de gravidade leve, conduzindo a sequela motora transitÃria como principal consequencia, tendo a maioria dos pacientes recebidos alta hospitalar, com a capacidade funcional preservada ou apenas parcialmente comprometida. Apenas 1,1% tiveram sequela invalidante ou definitiva

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Campos, Lia Keuchguerian Silveira 1981. "Vivências emocionais de mães de adolescentes do sexo feminino com anorexia nervosa, atendidas no Hospital das Clínicas da Unicamp = um estudo clínico-qualitativo = Emotional experiences of mothers of female adolescents with anorexia nervosa, attended in the general hospital of Unicamp : a clinical qualitative study." [s.n.], 2012. http://repositorio.unicamp.br/jspui/handle/REPOSIP/308982.

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Orientador: Egberto Ribeiro Turato
Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: O presente estudo teve como objetivo conhecer as vivências emocionais das mães de adolescentes do sexo feminino, cujas filhas receberam o diagnóstico de anorexia nervosa e que estão em tratamento no Ambulatório de Transtornos Alimentares do Hospital das Clínicas da UNICAMP. Utilizamos o método clínico qualitativo, por meio de entrevistas semidirigidas em profundidade, em uma amostra intencional, fechada pelo critério de saturação, com sete mães de paciente com anorexia nervosa. As entrevistas foram feitas individualmente no Ambulatório de Transtornos Alimentares do HC UNICAMP. Cuidados éticos foram tomados seguindo as normas preconizadas pelo Conselho Nacional de Saúde. A técnica de tratamento de dados foi feita por meio da análise de conteúdo das entrevistas transcritas na íntegra e categorização. Os resultados foram submetidos à validação externa, junto ao Laboratório de Pesquisa Clínico-qualitativo do Departamento de Psicologia Médica e Psiquiatria da UNICAMP e na apresentação em congressos nacionais e internacionais. Os resultados possibilitaram identificar aspectos das mães das pacientes com anorexia nervosa que foram organizados em três categorias: Não diferenciação mãe-filha e falhas na comunicação; Quantidade versus qualidade; e Anorexia e oposição como um ataque. As mães das pacientes com anorexia nervosa propõem uma relação fusional na qual os aspectos da individualidade da filha ficam mal definidos e as tentativas de busca de individuação por parte das filhas são sentidas como um ataque e oposição aos cuidados maternos. As mães apresentam dificuldades em compreender as reais necessidades de suas filhas e tentam compensar deficiências qualitativas com quantidades, especialmente de alimentos e cuidados. Forma-se um círculo vicioso no qual a maternidade fica confundida com padrões rígidos de controle e de expectativas em relação à filha e as atitudes desta filha que sinalizam tentativas de individuação são sentidas como um ataque à mãe e sua devoção, o que leva as mães a recrudescerem os esforços no sentido de controlá-las e adequá-las ao padrão rígido proposto. Concluímos que os achados permitem contribuições para a ampliação dos conhecimentos e tratamentos da anorexia nervosa, ressaltando a necessidade do acompanhamento psicológico e psicoeducacional para as mães dessas pacientes
Abstract: The present study aimed to understand the emotional experiences of mothers of female adolescents whose daughters were diagnosed with anorexia nervosa and who are receiving treatment at the Out-patient Clinic for Eating Disorders at the University Hospital of UNICAMP. The Clinical Qualitative Method was used, through in-depth semi directed interviews, using an intentional sample, closed by saturation, with seven mothers of female patients with anorexia nervosa. The interviews were conducted individually in the Outpatient Clinic of Eating Disorders, HC UNICAMP. Ethical Care was taken following the ethical standards established by the National Council of Health. The technical data processing was done through the qualitative content analysis of the fully transcribed interviews and categorization. The emerging categories were validated by peer-reviewers from the Laboratory of Clinical-Qualitative Research, UNICAMP and presentation at national and international conferences. The findings made it possible to identify aspects in mothers of patients with anorexia nervosa which were organized in three categories: Non-differentiated mother-daughter and failures in communication; Quantity versus quality; e Anorexia and opposition as an attack. Mothers propose a fusional relationship with their daughters, in which the aspects of individuality are ill-defined. The daughters' attempts to become individuals are felt as an attack, and experienced by mothers as injustice and aggression. The mothers have difficulties to understand their daughters' logic and try to remedy a qualitative deficiency with quantity, especially of food and care. A vicious circle is formed, in which motherhood is confused with rigid control standards and expectations for the daughter and every attempt of the daughters to individualize are experienced by their mothers as an attack on the mother and on her devotion, which leads mothers to increase her offensive to make her daughter adapt to the model she is proposing. We concluded that the findings provide important contributions which can improve knowledge and clinical interventions to treat anorexia nervosa, emphasizing the need for psychotherapeutic and psycho-education for the mothers of these patients
Mestrado
Ciencias Biomedicas
Mestre em Ciências Médicas

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Boffo, Manoela Santos. "Transplante alogênico de células-tronco hematopoiéticas no grupo infanto/juvenil no Hospital de Clínicas de Porto Alegre-RS : uma análise de suas características, principais complicações e desfechos." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2014. http://hdl.handle.net/10183/104125.

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O Transplante de Células-tronco hematopoiéticas (TCTH) alogênico é um procedimento com grande potencial de cura para uma variedade de doenças malignas e não malignas, tanto no grupo pediátrico como em pacientes adultos. O objetivo do trabalho foi descrever o perfil dos pacientes pediátricos submetidos ao TCTH alogênico no Hospital de Clínicas de Porto Alegre, assim como verificar a incidência das principais complicações e seus possíveis fatores de risco. Foi realizado um estudo de coorte retrospectivo de 100 pacientes entre 0 e 21 anos submetidos ao TCTH alogênico no HCPA entre 1995 e 2011. A mediana de idade do receptor foi 9,5 anos, sendo 55% do sexo masculino. As principais doenças de base foram as leucemias agudas (48%), onde 60,4% eram LLA, 37,5% LMA e 2,1% leucemia secundária. 73% dos transplantes foram de doadores aparentados e a medula óssea foi a principal fonte empregada (85,4%). A incidência de DECH aguda foi de 46% e de DECH crônica de 30,8%. Vinte pacientes recaíram da doença de base e 38 evoluíram para o óbito. A SG em 10 anos foi de 57% e a SLD para as leucemias agudas foi de 45%. Em análise multivariada, o doador não aparentado, o uso de TBI e a recaída da doença de base foram fatores de risco para a SG. Para a DECH crônica, o uso de outras profilaxias para DECH exceto CSA+MTX foi fator de risco. Nosso trabalho foi importante para descrever as características, principais desfechos e fatores de risco associados do TCTH no grupo pediátrico de nossa instituição.
Allogeneic hematopoietic stem cell transplantation (HSCT) is a potentially curative procedure for a variety of malignant and non-malignant diseases. The aim of this study was to describe the pediatric population submited to HSCT at Hospital de Clínicas de Porto Alegre and identify the incidence and risk factors of the main outcomes. We retrospectively reviewed 100 patients from 0 to 21 years old who underwent allogeneic HSCT between 1995 and 2011. The median age was 9,5 years and 55% were male. Acute leukemia was the most prevalent disease in this group (48%), from which 60,4% were ALL, 37,5% AML and 2,1% secondary leukemia. 73% of the transplants were from related donors and the bone marrow was the source in 85,4% of the procedures. The incidence of acute GVHD was 46% and of chronic GVHD was 30,8%. Twenty patients relapsed and 38 died. The OS at 10 years was 57% and the DFS for the group transplanted with acute leucemia was 45%. Unrelated donor, TBI and relapse were associated with a worse survival on multivariate analysis. Other GVHD prophylaxis than CSA+MTX was a risk factor for chronic GVHD on multivariate analysis. Our study was important to understand the characteristics, outcomes and risk factors for the HSCT in the pediatric group of a single institution in Brazil.

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Lima, Fabiana Cristina de. "Caracterização do atendimento escolar oferecido às crianças e adolescentes internados em um hospital terciário." Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/17/17137/tde-10042018-145715/.

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A internação, para crianças e adolescentes, é um momento de incertezas. Nota-se alteração no comportamento, aumento da ansiedade e, também, distanciamento tanto dos familiares, como do meio social de convívio e, consequentemente, o afastamento da escola, o que pode causar perdas no processo ensino-aprendizagem. Este estudo teve o objetivo de caracterizar o papel dos professores e a interação com a equipe de saúde, também analisar a receptividade das crianças, adolescentes, pais e responsáveis ao atendimento escolar oferecido em um hospital terciário. Foram entrevistados 113 participantes, no período de janeiro a dezembro de 2015, divididos em quatro grupos: G1-Professores (n=8), G2-Equipe de Saúde (n=25), G3- Pais/responsáveis (n=40) e G4-Crianças/adolescentes (n=40) e adotadas três ações de investigação: a observacional, a entrevista semiestruturada e as pesquisas de campo. Os dados foram analisados separadamente e algumas questões foram comparadas entre os grupos. Os dados analisados qualitativo e quantitativamente, por meio das entrevistas semiestruturadas, foram transcritas e posteriormente, elaboradas tabelas com temáticas e categorias. Este estudo mostrou a percepção positiva dos participantes frente ao atendimento da Classe Hospitalar. E, também ressaltou a necessidade da capacitação dos professores, por meio de treinamentos em serviço e, também, cursos de formação continuada para oferecer ao aluno-doente um ambiente de acolhimento e efetivação do processo ensino-aprendizagem. Evidenciou, além disso, a necessidade do posicionamento, do professor, como parte integrante de uma equipe inter/multidisciplinar. Por outro lado, evidenciou a necessidade de maior interação da equipe de saúde com os professores, além de maior envolvimento com a rotina das classes hospitalares e, também o conhecimento da legalidade do atendimento escolar, dentro de um hospital. As crianças e adolescentes reconheceram a importância da Classe Hospitalar, para o alívio da insegurança e sofrimento, durante a internação, além da oportunidade de continuar os estudos. Os pais e responsáveis evidenciaram a importância do atendimento escolar e também, o carinho, afeto, dedicação e competência dos professores, para com os alunos da Classe Hospitalar. Por outro lado, perceberam a necessidade de melhor acolhimento e receptividade da escola de origem, para que não haja divergências entre os currículos, facilitando a reinserção do aluno na escola regular.
The hospitalized children and adolescents hospitalization is a period of uncertainties. It\'s noted a change in behavior, increased anxiety and, also, distancing both family members and the social environment and, thereafter, the withdrawal from school, which can cause losses in the learning process. This study aimed to characterize the role of teachers and the interaction with the health team, as well as to analyze the receptivity of children, adolescents, parents and caregivers to a educational provision offered in a tertiary hospital. One hundred and thirteen participants were interviewed from January to December 2015, shared into four groups: G1- Teachers (n = 8), G2-Health Team (n = 25), G3-Parents / Guardians (n = 40) and G4-Children / adolescents (n = 40) and three research actions were adopted: observational, semi-structured interview and field research. Data were analyzed individually and some questions were compared between the groups. The data analyzed qualitatively and quantitatively, through semi-structured interviews, were transcribed and later, tables were elaborated with themes and categories. This study showed the positive perception of the participants regarding the school care offered of the Hospital Class. It also emphasized the need for teacher training, the inservice training and continuing education courses to provide a welcoming climate and effective teaching-learning process to the sick-student. It also showed a need for the positioning of the teacher as an integral part of an inter / multidisciplinary team. On the other hand, it showed the need for greater interaction between the health team and the teachers, as well as a greater involvement from the health team with the routine of the hospital classes, and also the knowledge of this team about the legality of school care inside the hospital. The children and adolescents recognized the importance of the hospital class for the relief of insecurity and suffering during hospitalization and the opportunity to continue their studies. The parents and caretakers have demonstrated the importance of the Hospital Class teachers care and also the affection, dedication and competence of the professionals, towards the students. On the other hand, they perceived the need for better reception and receptivity of the original school, in order that don´t exist divergence between the school\'s curriculum, favoring the student reintegration in the regular school.

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McKenna, Megan L. "What if they think I'm crazy : clinical interventions to help adolescents manage stigma following a psychiatric hospitalization : a project based upon an independent investigation /." View online, 2008. http://hdl.handle.net/10090/5912.

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Wang, Tzu-ya (Lisa). "Action research : improving my music therapy practice with hospitalised adolescents through building relationships and meeting their developmental needs : a thesis submitted to the Victoria University of Wellington in partial fulfilment of the requirements for the degree of Master of Music Therapy." New Zealand School of Music, 2008. http://hdl.handle.net/10179/1115.

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This study examines the researcher's music therapy intervention with hospitalised adolescents within a paediatric hospital The hospital is located in a New Zealand city serving a broad multicultural population of mainly Pakeha, Maori and Pacific Island people. There is a large body of literature showing that experiences of hospitalisation are often unpleasant and that the challenges adolescents encounter during hospitalisation can also be detrimental to their development. The researcher employed an action research model of cycles of planning, action and reflection to explore the potential for practice improvement in meeting the needs of hospitalised adolescents. In addition, young people's feedback on the sessions and input from supervisors also contributed to the researcher's planning. Personal goals in clinical practice and specific planning for the needs of individual participants were the starting points of each cycle. Subsequently, each cycle had a learning analysis to relate planning to action and to collect the knowledge for the next cycle or future practice. The researcher found that through scrutiny of her clinical work she was able to improve her professional practice. The findings also showed that relationship-building through music therapy was able to support the developmental needs of hospitalised adolescents.

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Silva, Josefa Bras da. "Um estudo do perfil dos menores internados na ala de desintoxicação do Hospital Universitário do Oeste do Paraná - HOOP - e das políticas públicas relacionadas ao tema." Universidade Estadual do Oeste do Paraná, 2018. http://tede.unioeste.br/handle/tede/3728.

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Introduction: This research aims at analyzing children and adolescents’ profiles under hospitalization conditions for the detoxification program offered by the Western Paraná University Hospital (HUOP). Methodology: This is a qualitative and quantitative research, with an exploratory-descriptive character. As a support for the analysis, the study deals not only with a bibliographical discussion about children and adolescents under psychoactive substances addiction, but also with the legal rulings established by the Statute of Child and Adolescent, and by the guidelines of SUS and Ministry of Health. The present study also adopted the documentary analysis to rescue the history of the implantation of the HUOP Detoxification Program and its activities. This research used a 400 physical-file samples with the patient’s information in order to carry out statistical analyses concerning the program users. All the information was collected on the day the patient was hospitalized by HUOP's on-call social worker, and all questions were answered by the own patient and his / her caregiver. The selected files are from 2007 to 2016, which was chosen because the Detoxification Wing began its operation in March 2007. The studied variables were: age, sex, schooling, school dropout, family income, chronological order of consumption of psychoactive substances, first substance, substances most used, how the substance was obtained, occupation, participation of social programs, family composition, birth order, addicted familiar member, housing conditions, origin, as well as involvement in infractions, compliance with socio-educational measures, sexual behavior, patients who have become pregnant. Results: Most of them were male (76.5%), while females were 23.5%. Their mean age ranged from 8 to 17 years old, and the oldest age group ranged from 15 to 17 years old, whose focus was the 15-year old group. And regarding their schooling degree, it was observed that the users were behind in school degree. 89.9% of them did not have finish the elementary education and 9% had just part of secondary education. At their hospitalization day, more than 60% were out of school. The familiar average income of the studied individual ranged from one to two minimum wages. In order to get information about the characteristics of psychoactive substances used, it was observed that many of them were introduced to both licit and illicit substances by influence of friends, siblings, relatives and even parents. The main reason that led them to try psychoactive substances was curiosity. And as the first psychoactive substance most consumed was alcohol, and almost 50% was followed by tobacco, and then marijuana. All those patients, before hospitalization, used more than one substance, but marijuana was the most consumed (59.2%), followed by crack. We also have the use of psychoactive substances, among parents reaching 70.4%. The use of psychoactive substances by patients was associated with involvement with illegal activities in order to get them. This index reached 92%. They were involved in robbery, prostitution and, mostly, they took part of illicit psychoactive substance trafficking. It was recorded that 18.2% of them complied with socio-educational measures, 17.5% were in compliance as a service measure, 11.0% were under assisted freedom, 2.6% were in compliance with freedom deprivation measures. Regarding the family, it is observed that 70.5% are part of a parental/single-parent family nucleus. And the number of siblings is small. There were two or three children. They had a bad or conflicting relationship with their family, but the greatest conflict was with their father. The major modality of hospitalization was involuntary, in which they are brought by the parents or guardian, followed by compulsory. The greatest majority was admitted at the hospital against their own will and were brought by parents or guardian, followed by the compulsory. 63.9% had already took part of some treatment before hospitalization in this Wing. The mother is the main person who most come with their sons and daughters to the hospital. Sexual behavior was more associated with risk, with early onset of sexual activity, whose practice is with different partners, including prostitution. Thus, there were forty girls from 400 sampling charts, and from those ones, twelve had already become pregnant at least once.
Introdução: Esta pesquisa tem como objetivo a análise do perfil das crianças e adolescentes em condição de internação no programa de desintoxicação, oferecido pelo Hospital Universitário do Oeste do Paraná (HUOP). Metodologia: O estudo consiste em uma pesquisa qualitativa e quantitativa, de caráter exploratório-descritivo. Como suporte para a análise, o estudo trata não só da discussão bibliográfica sobre crianças e adolescentes em situação de uso de substâncias psicoativas, como também da normatização jurídica, prevista pelo Estatuto da Criança e Adolescente, e das diretrizes do SUS e do Ministério da Saúde. O presente estudo, também, adotou a análise documental para resgatar a história da implantação do Programa de Desintoxicação do HUOP e suas atividades. Para efetuar análises estatísticas sobre os usuários do programa, a pesquisa utilizou uma amostra de 400 prontuários físicos, contendo informações referentes aos pacientes. Todas as informações contidas nos prontuários físicos são coletadas no dia do internamento do paciente, pela assistente social de plantão do HUOP, e todas as perguntas são respondidas pelo próprio paciente e seu responsável. Os prontuários escolhidos são do período de 2007 a 2016, e esse período foi escolhido pelo fato de a Ala de Desintoxicação ter seu início de funcionamento em março de 2007. As variáveis estudadas foram idade, sexo, escolaridade, evasão escolar, renda familiar, experimentação, ordem cronológica de consumo de substâncias psicoativas, primeira substância, substâncias de maior uso, modo de obtenção da substância, ocupação, participação de programas sociais, composição familiar, ordem de nascimento, membro familiar com dependência, condições das moradias, procedência, bem como envolvimento em atos infracionais, cumprimento em medidas socioeducativas, comportamento sexual, pacientes que já engravidaram. Resultados: A maioria era do sexo masculino, com um percentual de 76,5%, enquanto o sexo feminino era de 23,5%. A média de idade dos pacientes variou entre oito e 17 anos, sendo que a maior faixa etária é dos 15 aos 17 anos, concentrando-se na faixa etária dos 15 anos. Quanto ao grau de escolaridade, observouse que os usuários apresentavam algum grau de atraso escolar, 89,9% dos usuários possuíam o ensino fundamental incompleto e 9% tinham o ensino médio incompleto, e no dia do internamento mais de 60% estavam fora da escola. A renda média dos familiares da população estudada é de um a dois salários mínimos. Quanto às características do uso das substâncias psicoativas, constatou-se que muitos iniciaram o uso destas, tanto lícitas como ilícitas, por influência de amigos, irmãos, parentes e até mesmo dos pais. O maior motivo que levou à experimentação das substâncias psicoativas foi a curiosidade. E, como a primeira substância psicoativa mais consumida foi o álcool, com quase 50% seguido pelo tabaco, evoluído para a segunda, que foi a maconha. Todos, antes do internamento, faziam uso de mais de um tipo de substância, só que a mais consumida era a maconha, com 59,2%, seguida pelo crack. Há também o uso de substâncias psicoativas entre os pais, chegando a 70,4%. O uso dessas substâncias pelos pacientes estava associado ao envolvimento com atividades ilegais para consegui-las, chegando a 92%. Havia o envolvimento em roubo, prostituição e, sobretudo, a adesão ao tráfico de substâncias psicoativas ilícitas. E 18,2% cumpriram medidas socioeducativas, 17,5% estavam em cumprimento de medida de prestação de serviço, 11,0%, em liberdade assistida, 2,6% estavam em cumprimento de medidas com privação da liberdade. Com relação à família, observa-se que 70,5% fazem parte de um núcleo familiar parental/monoparental. E o número de irmãos é pequeno, de dois a três filhos. O relacionamento dos pacientes com a família é uma relação ruim ou conflituosa com algum membro, sendo o pai com quem ocorrem os maiores conflitos. A maior modalidade de internação foi a involuntária, em que são trazidos pelos pais ou responsável, seguida pela compulsória. E 63,9% já tinham recorrido a algum tratamento antes da internação na ala. A mãe é a principal pessoa que mais acompanha os filhos nos internamentos. O comportamento sexual esteve mais associado ao de risco, com início precoce de atividade sexual, cuja prática é com parceiros diferentes, inclusive se prostituindo. E, da amostra dos 400 prontuários, 40 eram meninas, e, destas, 12 já tinham engravidado uma ou mais de uma vez.

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Peirano, Elias Romano. "Afrontamiento y sintomatología clínica en adolescentes que acuden a un hospital de salud mental de Lima." Bachelor's thesis, Pontificia Universidad Católica del Perú, 2017. http://tesis.pucp.edu.pe/repositorio/handle/123456789/8169.

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RESUMEN: La presente investigación tuvo como objetivo principal identificar la relación entre la sintomatología clínica y las estrategias de afrontamiento en un grupo de 46 adolescentes de entre 13 y 17 años que acuden a un hospital de Salud Mental de Lima. Los instrumentos empleados fueron la Escala de Afrontamiento para adolescentes (ACS) de Frydenberg y Lewis (1997) y el Inventario de Síntomas SCL 90-R de Derogatis (1994). Se encontraron correlaciones significativas entre las escalas de sintomatología y los estilos y estrategias de afrontamiento. La dimensión depresión muestra una correlación fuerte con el estilo de afrontamiento no productivo y con estrategias que forman parte de este estilo. El estilo resolver el problema y algunas de las estrategias que lo componen correlacionan de manera inversa con depresión y ansiedad, lo cual también sucede con estrategias enfocadas en buscar apoyo de los demás. A partir de los resultados se discute sobre las implicancias para el tema y los objetivos del trabajo, la relación con otros estudios y el impacto en investigaciones posteriores.
ABSTRACT: This research has as main objective to identify the relationship between clinical symptoms and coping styles in a group of 46 adolescents between 13 and 17 years old attending to a Mental Health hospital in Lima. The instruments used were the Frydenberg and Lewis (1997) Coping Scale for adolescents (ACS) and the Derogatis (1994) Symptom Checklist SCL 90-R. We found significant correlations between clinical symptoms and coping styles. Depression dimension shows a strong correlation with non-productive coping style and strategies that are part of this group. Solve the problem style and some of the strategies that compose it inversely correlate with depression and anxiety, which also happens to strategies focused on seeking support from others. From the results is constructed a discussion about the implications for the theory and the objectives of this proyect, relationship with other studies and the impact on further research.
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Alves, Aldalice Braitt Lima. "Implantação e avaliação de um conjunto de ações educativas desenvolvidas junto a pacientes pediátricos internados: a experiência do Hospital Manoel Novaes - Bahia." Programa de Pós-Graduação em Educação da UFBA, 2009. http://www.repositorio.ufba.br/ri/handle/ri/11745.

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A presente pesquisa teve como objetivo verificar o efeito de um atendimento pedagógico, desenvolvido por equipe formada por profissionais de saúde e professores de escolas, junto a crianças e/ou adolescentes internados em um hospital do município de Itabuna-Bahia. Buscou-se a reafirmação empírica do papel dessas intervenções na atenção ao bem estar biopsicossocial da criança, na promoção da aprendizagem e na diminuição de agravos à saúde decorrentes de sua hospitalização prolongada. Trabalhamos com um grupo de vinte crianças e/ou adolescentes hospitalizados e implantamos um programa de ações educativas (intervenção), objetivando observar alterações em seus quadros gerais. Avaliamos o grupo antes e após a intervenção, em um processo que, assim, se estendeu do mês de março de 2004 ao mês de março de 2006. Alguns teóricos que nos inspiraram nesse estudo foram: Wallon (1972); Piaget (1969); Lipp (2000); Lucarelli (2000); Haeussler e Milicic (1999); Damásio (2000); Morin (2000) ; Ceccim (1999); Ortiz (2001); Freitas (2001). Utilizamos na tragetória metodológica, uma abordagem qualitativa. Tratou-se de uma pesquisa quase-experimental, com avaliação “antesdepois”, com um único grupo. Na descrição dos dados coletados nas entrevistas, utilizamos a análise de conteúdo de Bardin (1977, p. 37). A análise dos dados nos mostrou que as crianças e/ou adolescentes hospitalizados mudaram o seu comportamento, graças à intervenção, confirmando a hipótese que norteou o trabalho. Antes demonstravam apatia, tristeza e, após as práticas realizadas, a emoção que vigorou foi a alegria, o sorriso presente e a aceitação ao tratamento. Concluímos, nesta pesquisa, que a existência no hospital, de uma equipe pedagógica ampliada, englobando o pessoal de saúde e o pessoal da escola, mantendo o ambiente, tanto quanto possível, de acordo com a necessidade da criança e/ou adolescente, propicia-lhes uma melhor adaptação ao meio hospitalar, contribuindo para o aumento do seu bem-estar e, assim, promovendo a recuperação e/ou minimização do seu problema de saúde. Este estudo se insere como um esforço para auxiliar a criança e/ou adolescente hospitalizado, tanto quanto a equipe do hospital e da escola que cuidam deles, as quais podem/devem aproveitar a situação de hospitalização como possibilidade de aprendizagem significativa, orientando-os no aprendizado escolar e para o desenvolvimento de consciência e responsabilização referentes aos seus processos de vida e saúde.
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Sandroni, Giuseppina Antonia. "Classe hospitalar: a importância do acompanhamento pedagógico para crianças e adolescentes." Universidade Federal de São Carlos, 2011. https://repositorio.ufscar.br/handle/ufscar/3082.

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Financiadora de Estudos e Projetos
Pedagogical and play activities promote social, cognitive and affective development in children and adolescents; they also contribute towards healing process and alleviate pain and suffering in students who have been hospitalized and cannot participate in their social environments and school. Based on this assumption, this study aimed at investigating which pedagogical activities are directed to hospitalized children and adolescents. This is a qualitative and exploratory research in which data were collected through a semi-structured survey. The participants were the companions of the users of pediatrics, health professionals working at the pediatric unit physicist, nurses, psychologist, social assistant and the regional supervisor of special education. Data were analyzed based on meaning units. The results are suggestive that there is a lack of knowledge on the benefits of pedagogical and play activity in hospital environments. Factors such as the lack of appropriate place for the activities, the lack of professionals to perform the activities and the user s unawareness of their right to hospital classroom, contribute for keeping this population excluded from daily school routine. Considering that being hospitalized represents radical changes to children and adolescents, since playing and learning are turned into a painful and uncertain routine, the results indicate conditions for installing hospital classrooms, which should be provided by Special Education. Pedagogical and play activities, allied to a humanized hospital environment, would contribute to new expectations and hopes, and to the learning process in children and adolescents who need to overcome the hospitalization barrier.
A atividade pedagógica promove benefícios relacionados ao desenvolvimento cognitivo, social e afetivo de crianças e adolescentes; auxilia no processo de cura, atenua o sofrimento e a dor de alunos/as que por motivo de internação hospitalar, estão privadas/os de participar de seu meio sócio-cultural e escolar. Com base nesses pressupostos, a presente pesquisa teve por objetivo investigar: quais atividades destinam-se ao atendimento de crianças e adolescentes que por motivo de doença, ficam por um período em internação no hospital. Trata-se de uma pesquisa de cunho qualitativo, de caráter exploratório, cujos dados foram coletados por meio de entrevistas semi-estruturadas realizadas com acompanhantes dos usuários da pediatria, profissionais responsáveis pelo atendimento no setor médico, enfermeira-chefe e enfermeira estagiária, além de psicóloga e assistente social - e um dos supervisores responsáveis pela Educação Especial da região. A análise dos dados realizada com base nas unidades de significado, deu a ver que pouco se conhece sobre os benefícios da atividade pedagógica em ambiente hospitalar e que alguns problemas como falta de espaço para realização das atividades, falta de profissional que desempenhe esta proposta e desconhecimento pelos usuários de seu direito de usufruir do serviço de Classe Hospitalar, levam uma parcela da população ao afastamento de sua rotina escolar e, portanto, à exclusão. Sabendo-se que a internação é uma mudança muito drástica para uma criança/adolescente, que repentinamente têm de sair de sua rotina de brincar, aprender, conhecer, para uma rotina dolorosa, cansativa e incerta, os resultados desta pesquisa indicam algumas condições necessárias à instalação e implementação de uma Classe Hospitalar, serviço da área da Educação Especial. As atividades pedagógicas seriam bem vindas nesse espaço para trazer, em conjunto com um ambiente diferenciado dentro do hospital, pautado por uma política de humanização do atendimento, novas atividades, expectativas, esperanças e continuidade no aprender dessas crianças e adolescentes, que precisam ultrapassar a barreira da internação.

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Morrison, Candice Jane. "The polycystic ovary syndrome : a comparison of the presentation in adolescents compared to women aged 35 years and older attending the Gynaecological Endocrine clinic at Groote Schuur Hospital." Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/13791.

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PCOS is the commonest endocrinopathy occurring in women of reproductive age. This study aimed at comparing the presentation of adolescents to that of women â‰¥ 35 years presenting to the gynaecological endocrine clinic with a diagnosis of PCOS. This was a descriptive cohort study. Since 1996 all women with PCOS have their clinical, metabolic and endocrine data entered into a database. We compared the initial presentation of adolescents and women aged 35 and above.

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Merlo, Gonzalo, and Andrea Sosa. "Embarazo adolescente en hospitales públicos." Bachelor's thesis, Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Escuela de Enfermería, 2006. http://bdigital.uncu.edu.ar/8132.

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El siguiente trabajo de investigación tiene como objetivo principal determinar los conocimientos sobre planificación familiar que poseen las madres adolescentes (entre 12 a 19 años) atendidas en el Hospital Luis Lagomaggiore durante el mes de octubre de 2005. Es un estudio de tipo cuantitativo, descriptivo y correlacional, en el que se evaluaron variables como: planificación familiar (conocimientos, tipos y uso de anticonceptivos, obtención de información) y otros factores (sociales, culturales, familiares). Se tomó como muestra a 24 madres adolescentes gestantes y puérperas inmediatas internadas en el Servicio de Maternidad y de Estar Materno Infantil, a las que se les realizó una entrevista estructurada.
Fil: Merlo, Gonzalo. Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Escuela de Enfermería..
Fil: Sosa, Andrea. Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Escuela de Enfermería..

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Khan, Rabia. "Perspectives on disclosure of HIV status to others among 12-19 year old HIV-infected adolescents attending an HIV care clinic at a tertiary hospital in Harare, Zimbabwe : a qualitative study." Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/16698.

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Includes bibliographical references
Introduction: The worldwide commitment to increasing services and access to antiretroviral therapy have resulted in a decline in HIV related mortality. As a result, the focus of HIV care is shifting towards improving the psychological health and quality of life. HIV infected adolescents are a group with unique psychosocial challenges. Given that HIV self disclosure has been recognized as an important challenge affecting their physical as well psychological health it warrants further exploration. Methods: A qualitative study was conducted during September to November 2014 among adolescents (12-19years) attending the HIV care clinic at a tertiary hospital in Harare. Twenty adolescents who were vertically infected with HIV were recruited using purposive sampling techniques to achieve maximum variability in age and sex. In depth interviews were conducted to determine the views of adolescents regarding when, whom and how to self disclose. All the interviews were transcribed verbatim. Data was analyzed using the framework approach. Results: Adolescents identified stigma and discrimination from peers as well as lack of HIV knowledge as important barriers to status disclosure and suggested societal resources like support groups and media to assist them in the disclosure process. Conclusion: HIV status disclosure to others is a challenging task for adolescents and it can be affected by personal as well as social factors. In order to deal with disclosure dilemmas, we have to work with adolescents keeping all these factors in mind to assist them in decision making, there by facilitating healthy supportive relationships and contributing to the wellbeing of HIV-positive adolescents.

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Costa, Águeda Henriqueta da Conceição. "Avaliação das condições bucais e antropométricas em adolescentes soropositivos entre 12 a 19 anos de idade, atendidos no Hospital Central de Maputo-Moçambique." Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/25/25144/tde-28012014-142254/.

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O objetivo deste trabalho foi avaliar e comparar as condições de saúde bucal e antropométricas em adolescentes portadores da AIDS (Síndrome de imunodeficiência adquirida) em Maputo-Moçambique e correlacioná-las com o número de linfócitos T CD4+. A amostra foi constituída por 143 adolescentes, entre 12 e19 anos de ambos os gêneros, dividida em 2 grupos: GA - grupo com AIDS (n=68) e GC-grupo controle (n=75) sem a doença. As condições bucais analisadas foram: doença periodontal (IPC) alterações do tecido mole e cárie dentária (CPOD). A avaliação antropométrica foi realizada por meio do índice de massa corpórea (IMC) e a contagem de linfócitos TCD4 foi obtida dos prontuários. As variáveis foram analisadas por meio de odds ratio e correlação de Sperman (p<0,05). A maioria dos indivíduos avaliados em ambos os grupos apresentou IMC normal. A maioria dos pacientes não apresentou doença periodontal, sendo 67,6% do GA e 61,3% do GC (p>0,05). As alterações de tecido mole foram encontradas em 11,8% (GA=14 e GC=3), sendo que no GC foram encontradas apenas ulcerações aftosas. Não houve diferença estatística, entre os grupos (p>0,05). O CPOD médio na amostra estudada foi 2,90±2,78, no GA foi de 3,06±2,63 e no GC foi de 2,76±2,91, (p>0,05). O Significant Index Caries (SIC ) encontrado no estudo foi de 6,12± 2,04, (GA: 6,17±3,05 e GC: 6,08±2,76). Nas condições bucais e no número de linfócitos T CD4 houve correlação negativa no CPOD e IPC (r= - 0,185) e na alteração de tecido mole houve correlação negativa (r=-0,0136) entretanto não foram significativas (p>0,05), Encontrou-se correlação positiva entre o IMC e o número de linfócitos T CD4 (r=-0,012 p=0>0,05). O CPOD e IPC mostram-se baixos e as condições antropométricas dentro da normalidade nos adolescentes HIV soropositivos submetidos à terapia antirretroviral.
The aim of this study was to evaluate the oral health conditions and anthropometric measurements in adolescents with AIDS in Maputo Mozambique and correlate them to the level of TCD4 count . The sample was comprised of 143 adolescents aged 12-19 years of both genders divided into 2 groups : GA - AIDS group (n = 68) and CG - control group (n =75) without disease ,The oral conditions were analyzed: periodontal disease (CPI), soft tissue changes and Dental caries (DMFT). Anthropometric evaluation was performed using the body mass index (BMI) and TCD4 cell count was obtained from medical records, The variables were analyzed using the Student t test and Spearman correlation (p < 0,05) , The mean DMFT in the sample was 2,90 ± 2,78; in the GA 3,06 ± 2,63 and GC 2,76 ± 2,91 ( p > 0,05) , The Significant Index Caries (SIC) found was 6,12 ± 2,04 (GA : 6,17 ± 3,05 and CG: 6,08 ± 2,76),The most patients did not show periodontal disease, The GA was 67,6% and GC was 61,3 % of adolescents groups (p > 0,05), Most of the subjects in both groups had normal BMI. The soft tissue changes were found in 17 adolescents ( GA = 14 and CG = 3) and the GC only aphthous ulcerations were found, There was no statistical difference between groups ( p > 0,05), There was a positive correlation between DMFT and CPI (r = 0,185 p < 0,05). In dental conditions and TCD4 counts correlated negatively in DMFT (r = -0,0037) in the CPI (r = -0,07) and soft-tissue abnormalities correlated negatively (r = -0,098) however they were not significant (p> 0,05). A positive correlation was found between BMI and CD4 lymphocyte count (r = 0,012 p =0> 0,05). In adolescents seropositive undergoing antiretroviral therapy the oral conditions showed to be of low prevalence and anthropometric measurement was normal.

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Simionatto, Katiele. "Mudanças, incertezas e significados: vivências de adolescentes com câncer no contexto hospitalar." Universidade Federal de Santa Maria, 2016. http://repositorio.ufsm.br/handle/1/12334.

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This clinical-qualitative-approach work aimed to investigate the meanings attributed by adolescents to their cancer experiences in the hospital environment. The research scenario was a Treatment Center for children with cancer, from a public hospital located in the interior of Rio Grande do Sul. The participants were adolescents between 12 and 18 years old, going through the treatment process. The participants were adolescents between 12 and 18 years old, going through the treatment process and the instrument used to collect data was semidirected interviews. The study had a total of nine participants, which was delimited based on saturation criteria, besides, the instrument of data collection was a semi-directed interview. The interviews were recorded in audio and fully transcribed, being analyzed by the technique of Content Analysis. The categories, from the analysis, were organized in two articles. The first one is about the adolescent's diagnosis of cancer, demonstrating how overwhelming the news can be for the subjects, who had never faced such a threatening disease, as well as the rupture of daily life, since it exposes the significant changes that occurs in the routine of the adolescents, evidencing the consequences of their estrangement concerning social relations. Another issue approached in the first article is the repercussions of illness, as well as the impact of the other's look on the adolescent, in other words, the stigmatization of the disease and the difficulty of having to bear the other's look considering the changes caused by the treatment (as hair loss or mask use). The first article also discusses the hospitalization of adolescents with children, in the same place. This way, the treatment center can be seen as a space that does not contemplate the psychosocial needs of hospitalized adolescents. The second article deals specifically with school dropout, finding that, due to treatment, long hospitalizations, as well as the implications of the disease and the care required, adolescents had to move away from school activities. It also explores the perception of adolescents about the hospital class - a service offered at the treatment center, which serves as a support for adolescents to continue their studies. Finally, the second article explored the difficulty of reinsertion in school environment, concerning adolescents with cancer after treatment. It is worth to highlight that the consequences of diagnosis, treatment and hospitalization, when experienced during adolescence period, may become a double problematic, since the adolescent needs to go through two complex processes: adolescence and illness. It is possible to conclude that there is a need for improvements regarding public policies and services for adolescents with cancer.
O presente estudo, de abordagem clínico-qualitativa, objetivou investigar os significados atribuídos por adolescentes às suas vivências de câncer no ambiente hospitalar. O cenário da pesquisa foi um Centro de Tratamento de crianças com câncer, de um hospital público localizado no interior do Estado do Rio Grande do Sul. Participaram nove adolescentes entre 12 e 18 anos, os quais estavam em processo de tratamento. O número de participantes foi delimitado pelo critério de saturação e o instrumento de coleta de dados foi uma entrevista semidirigida. As entrevistas foram gravadas em áudio e integralmente transcritas, sendo analisadas pela técnica de análise de conteúdo. As categorias, oriundas da análise, foram organizadas em dois artigos. O primeiro aborda o recebimento do diagnóstico de câncer pelo adolescente, demonstrando o quanto tal notícia foi avassaladora para os sujeitos, os quais nunca haviam estado diante de uma doença tão ameaçadora, bem como a ruptura do cotidiano, uma vez que expõe as mudanças significativas que ocorreram na rotina dos adolescentes, evidenciando as consequências do seu afastamento das relações sociais. Outro assunto abordado no primeiro artigo são as repercussões do adoecimento, assim como o impacto do olhar do outro sobre o adolescente, isto é, a questão da estigmatização da doença e da dificuldade de ter que suportar o olhar do outro sobre as mudanças acometidas pelo tratamento (por exemplo, alopecia, uso de máscara). O primeiro artigo aborda também a internação do adolescente junto a crianças, assinalando que o centro de tratamento pode ser visto como um espaço que não contempla as necessidades psicossociais dos adolescentes internados. Já o segundo artigo trata especificamente da questão do afastamento da vida escolar, verificando que, devido ao tratamento, à longas internações, às implicações da doença e aos cuidados exigidos, os adolescentes tiveram que se afastar das atividades escolares. Aprofunda-se, ainda, a respeito da percepção dos adolescentes sobre a classe hospitalar – um serviço ofertado no centro de tratamento, que serve de apoio para que os adolescentes continuem os estudos. Por fim, o segundo artigo explorou a dificuldade de reinserção, no ambiente escolar, do adolescente com câncer após o tratamento. Destaca-se que as consequências do diagnóstico, do tratamento e da hospitalização, quando vivenciadas durante a adolescência, tornam-se uma dupla problemática, pois o adolescente necessita passar por dois processos complexos: o adolescer e o adoecer. Conclui-se que existe a necessidade de melhorias no que diz respeito às políticas públicas e aos serviços voltados aos adolescentes com câncer.

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Vidal, Flor Mercè. "Avaluació de l´impacte del programa d’atenció i educació terapèutica dirigit a joves amb diabetis mellitus tipus 1 traslladats de centres pediàtrics a un hospital d’adults." Doctoral thesis, Universitat Jaume I, 2020. http://hdl.handle.net/10803/669266.

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L’abordatge i l’atenció de persones amb diabetis tipus 1 és especialment complex durant l’adolescència, període que coincideix amb el necessari trasllat d’aquests joves des del centre pedià-tric a la unitat d’adults. En aquesta tesi es valora el procés que segueixen els joves i llurs famílies en el període de transició i s’avalua l’impacte del programa d’atenció i educació terapèutica que realitzen durant el primer any en el centre d’adults. Inicialment i als 12 mesos s’avaluen paràmetres de control metabòlic, automaneig del tractament, nivell de coneixements de diabetis, percepció de hipoglucèmies i qualitat de vida. Es comparen resultats en funció de diferents modalitats de tractament; bomba d’insulina versus múltiples dosis d’insulina i en funció del grau d’adherència al tractament. Així mateix s’analitzen les narracions que fan els joves i llurs famílies abans del trasllat i 1 any posterior per valorar els punts forts, febles i estratègies de millora del programa.
The management and care of people with type 1 diabetes is especially complex during adolescence, a period that coincides with the necessary transfer of these adolescents from the pediatric center to the adult unit. This dissertation evaluates the process that adolescents and their families follow in the transition period, and evaluates the impact of the therapeutic education and care program they carry out during the first year in the adult center. Initially and at 12 months the parameters of metabolic control, self-management of the treatment, level of diabetes knowledge, perception of hypoglycemia and quality of life were evaluated. Results are compared based on different treatment modalities; insulin pump versus multiple doses of insulin and depending on the degree of adherence to the treatment. It also analyzes the narratives made by adolescences and their families before and one year later to evaluate the strengths, weaknesses and strategies for improving the program.

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MELO, Verônica Maria Pinho Pessôa. "Fraturas em crianças e adolescentes atendidos em hospital de trauma do Recife: associação com uso prévio de glicocorticoides?" Universidade Federal de Pernambuco, 2016. https://repositorio.ufpe.br/handle/123456789/18519.

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Introdução: o uso crônico de glicocorticoides é considerado a principal causa de osteoporose secundária e iatrogênica. Existem poucos estudos associando fraturas ao uso de glicocorticoides na faixa etária pediátrica. Eles poderiam ajudar na criação de abordagens preventivas e terapêuticas. Objetivos: avaliar se o uso de glicocorticoides, nos 12 meses precedentes, associou-se à ocorrência de fraturas em crianças e adolescentes; identificar a frequência de asma e outras doenças; comparar o perfil demográfico, o tipo de trauma, o índice de massa corpórea, a prática de exercício físico, a ingesta de leite e o tabagismo passivo domiciliar nos grupos com e sem fratura; verificar a frequência de deficiência de vitamina D. Métodos: no período de abril a outubro de 2015, um estudo tipo caso controle foi conduzido em crianças e adolescentes vitimadas por trauma, com e sem fratura, a partir da análise dos dados coletados. Resultados: foram estudados 104 pacientes, 50 com fratura e 54 com trauma, mas sem fratura. Ao todo, 80,4% eram meninos e 40,4% estavam na faixa etária de 10 a 14 anos. O uso prévio de glicocorticoides ocorreu em 15,4% do total, sem diferença estatisticamente significante entre os dois grupos. Entre 39 pacientes com fratura e que dosaram a vitamina D, 47,2% tinham níveis séricos < 30ng/ml. A prática de exercício físico associou-se a um aumento em 2,2 vezes no risco para fratura. Conclusões: este estudo não mostrou associação entre o uso prévio de glicocorticoides e a ocorrência de fraturas em crianças e adolescentes. A faixa etária de 10 a 14 anos, o trauma grave e o exercício físico associaram-se com um maior risco para fraturas. Cerca de metade de uma amostra dos pacientes com fratura apresentou níveis insuficientes/deficientes de vitamina D, mesmo em região tropical.
Introduction: Osteoporosis is not exclusive to older adults and manifests by fractures. Chronic glucocorticoid use is considered the main cause of secondary and iatrogenic osteoporosis. Few studies have related fractures to the use of glucocorticoids in children and adolescents. Such studies could be useful for the development of preventive and therapeutic strategies. Objectives: To assess whether glucocorticoid use in the past 12 months is associated with the occurrence of fractures in children and adolescents; to identify the frequency of asthma and other diseases; and to compare the demographic profile, type of trauma, body mass index, physical activity, milk intake, and household exposure to cigarette smoke of groups with and without fractures; to verify the frequency of vitamin D insufficiency/deficiency. Methods: A case-control study, conducted from April to October 2015, analyzed the data of trauma children and adolescents with and without fractures. Results: A total of 104 trauma patients were studied, 50 with and 54 without fractures. In all, 80.4% were males, and 40.4% were aged 10 to 14 years. Previous glucocorticoid use occurred in 15.4% of the sample, without significant difference between the groups. Of the 39 fracture patients with measured serum vitamin D levels, 47.2% had levels < 30ng/ml. Physical activity was associated with a 2.2-fold risk of fractures, but without significance in multivariate analysis. Conclusions: This study did not find an association between previous glucocorticoid use and the occurrence of fractures in children and adolescents. In 10- to 14-year-olds, severe trauma and physical activity were associated with higher risk of fractures. About half the fracture sample had insufficient/deficient vitamin D levels, despite residing in a tropical region.

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Maticorena, Quevedo Diego Alejandro, and clark Javier Alejandro Okumura. "La edad materna como factor predisponente de complicaciones en el emabrazo de gestantes adolescentes y adultas. Estuido de corte transversal en el hospital María Auxiliadora, Lima, Perú." Bachelor's thesis, Universidad Peruana de Ciencias Aplicadas (UPC), 2014. http://hdl.handle.net/10757/620964.

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Objetivo: Determinar si la edad materna está asociada a un aumento o disminución de riesgo de complicaciones obstétricas y perinatales, ajustándola por diversas variables confusoras. Métodos: Estudio de cohorte retrospectiva de 67 693 gestantes en Lima, entre enero del 2000 a diciembre del 2010, usando la base de datos del Sistema informático perinatal del Hospital Nacional María Auxiliadora. Las complicaciones fueron comparadas entre gestantes adolescentes (< 20 años) y gestantes adultas (20-35 años); el grupo adolescente se clasificó en adolescentes tardías (15-19 años) y adolescentes tempranas (< 15 años). Se obtuvieron los Odds Ratio ajustados con la regresión logística simple y múltiple. Resultados: Al ajustar las diversas variables, se encontró mayor riesgo de cesárea e infección puerperal en las adolescentes menores de 15 años, así como mayor riesgo de episiotomía en el grupo total de adolescentes. Asimismo, se identificó un menor riesgo del embarazo adolescente para preeclampsia, hemorragia de la 2da mitad del embarazo, ruptura prematura de membranas, amenaza de parto pretérmino y desgarro vaginal. Conclusiones: Se encontró al embarazo adolescente como factor de riesgo para complicaciones obstétricas. Por lo tanto, se recomienda un control prenatal multidisciplinario para éste grupo etario.
Objective: To determine whether maternal age is associated with increased or decreased risk of obstetric and perinatal outcomes, adjusting by several factors. Metods: Retrospective cohort study of 67 693 pregnant women in Lima, from January 2000 to December 2010, using the perinatal database computer system from the Hospital Nacional María Auxiliadora. Outcomes were compared among pregnant adolescents (< 20 years) and adults (20-35 years); in addition, the adolescent group was divided in late adolescents (15-20 years), and early adolescents (<15 years). Adjusted odds ratios were obtained through logistic regression analysis. Results: Adjusting by several factors, an increased risk of cesarean and puerperal infection in adolescents less than 15 years was found, as well as an increased risk of episiotomy in the total group of adolescents. In addition, this study identified a lower risk of preeclampsia, 2nd half-pregnancy bleeding, premature rupture of membranes, preterm labor and vaginal tearing among adolescent mothers. Conclusion: Teenage pregnancy was found as a risk factor for adverse obstetric outcomes; hence, a multidisciplinary prenatal care for this group of adolescent is recommended. Key Word: Adolescent pregnancy, obstetric outcomes, perinatal outcomes

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Araújo, Suely Santos. "Perfil epidemiológico de crianças e adolescentes portadores de neoplasias acompanhados no Hospital de Câncer de Mato Grosso." Universidade Federal de Mato Grosso, 2014. http://ri.ufmt.br/handle/1/478.

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O câncer pediátrico corresponde a cerca de 3% de todos os tumores malignos, e no mundo são diagnosticados mais de 160.000 casos novos por ano. No Brasil em 2014, estima-se que ocorrerão cerca de 11.840 casos novos de câncer em crianças e adolescentes até 19 anos de idade. Objetivo: Descrever o perfil epidemiológico de casos de neoplasias malignas de crianças e adolescentes acompanhados no Hospital de Câncer de Mato Grosso. Método: Estudo de coorte retrospectiva de casos com diagnóstico de câncer, no período de 2002 a 2012, utilizando informações dos prontuários médicos da instituição. Resultados: Foram analisados 658 casos de neoplasias malignas, a maioria estava sem tratamento oncológico prévio (73,70%), os sinais e sintomas mais frequentes foram febre, dor e palidez, 43,44% tinha história familiar de câncer. Houve predomínio do sexo masculino, mais evidente nos adolescentes (59,14%). A média de idade das crianças na primeira consulta foi de 4,82 anos e dos adolescentes foi de 14,38 anos. A raça/cor negra predominou no grupo de adolescentes, e branca nas crianças. A escolaridade predominante materna e paterna foi de ensino fundamental incompleto e a maioria das famílias dos casos tinham renda familiar per capita mensal abaixo da linha de pobreza brasileira. Considerando 0-19 anos, os grupos diagnósticos mais frequentes foram leucemias (36,32%), linfomas e neoplasias reticuloendoteliais (16,87%) e tumores do sistema nervoso central e miscelânia de neoplasias intracranianas e intraespinhais (11,40%), similar distribuição ocorreu em crianças, mas nos adolescentes, o terceiro grupo diagnóstico mais frequente foi de tumores ósseos. Na raça/cor branca, os grupos diagnósticos mais frequentes foram leucemias, linfomas e sarcomas de partes moles e na raça/cor negra foram leucemias, linfomas e neoplasias reticuloendoteliais e tumores do sistema nervoso central e sarcomas de partes moles. Os grupos de diagnóstico mais frequentes em ambos os sexos foram leucemias, linfomas e neoplasias reticuloendoteliais e tumores do sistema nervoso central e sarcomas de partes moles. A maioria (64.33%) dos casos foi procedente de três regiões de saúde de Mato Grosso: Baixada Cuiabana, Rondonópolis e Sinop. A mediana do intervalo de tempo entre os primeiros sintomas e a primeira consulta foi de 48,50 dias, entre os primeiros sintomas e o diagnóstico foi de 43,0 dias, entre a data dos primeiros sintomas e o início do tratamento foi de 51 dias. Excluídos os casos de neoplasia maligna com diagnóstico prévio ou que estavam em tratamento oncológico prévio, a mediana do intervalo de tempo entre a primeira consulta e diagnóstico foi de 5,00 dias e entre a data do diagnóstico e o início do tratamento foi de 5,00 dias. A maioria (80,59%) dos casos analisados não apresentou recidiva durante o período de seguimento. No final do período estudado, a maioria (56,62%) dos casos de neoplasias malignas encontravam-se vivos sem câncer e 34,70% foram a óbito com câncer. Conclusões: As características sociodemográficas e distribuição dos grupos diagnósticos mais frequentes foram similares ao padrão da literatura brasileira e mundial. A maioria tinha renda familiar per capita mensal abaixo da linha de pobreza o que mostra o relevante papel social do Hospital de Câncer de Mato Grosso para a população atendida.
The pediatric cancer represents about 3% of all malignant tumors diagnosed worldwide, and over 160,000 cases per year. In 2014, it is estimated that will occur in Brazil about 11,840 new cases of cancer in children and adolescents below 19 years of age. Objective: To describe the epidemiology of malignancies in children and adolescents followed in Cancer Hospital of Mato Grosso. Method: This is a retrospective cohort of patients diagnosed with cancer in the period 2002-2012, using information from the medical records of the institution. Results: 658 cases of malignancies were analyzed, most were without previous cancer treatment (73.70%), the most common signs and symptoms were fever, pain and pallor, 43.44% had a family history of cancer. Most occurred in males, most evident in adolescents (59.14%). The mean age of the children at the first consult was 4.82 years and for the adolescents was 14.38 years. The black race predominated in the adolescents, and white color predominated in the children group. The majority of maternal and paternal education was uncompleted basic school and most families had per capita monthly family income below the Brazilian poverty line. Whereas 0-19 years, the most frequent diagnostic groups were leukemias (36.32%), lymphomas and reticuloendothelial neoplasms (16.87%) and tumors of the central nervous system and miscellaneous intracranial and intraspinal neoplasms (11.40%), similar distribution occurred in children but in adolescents, the third group was more frequent diagnosis of bone tumors. In the white race, the most frequent diagnostic groups were leukemias, lymphomas and soft tissue sarcomas and in the black race were leukemias, lymphomas and reticuloendothelial neoplasms and tumors of the central nervous system and soft tissue sarcomas. The most frequent diagnosis groups in both sexes were leukemias, lymphomas, and cancers and tumors of the reticuloendothelial and central nervous system and soft tissue sarcomas. The majority (64.33%) of cases was coming from three health regions of Mato Grosso: Baixada Cuiabana, Rondonópolis and Sinop. The median of time interval between the first symptoms and the first consultation was 48.50 days, between the first symptoms and diagnosis was 43.0 days, between the date of first symptoms and beginning of treatment was 51 days. Excluding the cases of malignancy with a diagnosis or who received previous oncological treatment, the median of time interval between the first consultation and diagnosis was 5.0 days and between the date of diagnosis and start of treatment was 5.0 days. The majority (80.59%) of the cases analyzed showed no recurrence during the follow-up period. At the end of the study period, the majority (56.62%) cases of malignancies were alive without cancer and 34.70% died with cancer. Conclusions: The sociodemographic characteristics and distribution of the most frequent diagnostic groups were similar to the pattern of Brazilian and world literature. Most had family monthly per capita income below the poverty line which shows the important social role of the Cancer Hospital of Mato Grosso to the attended population.

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Mares, Thaise Fernanda de Lima. "O serviço de atendimento à rede de escolarização hospitalar do Hospital Universitário do Oeste do Paraná de Cascavel - Pr: um estudo sobre os adolescentes atendidos na ala de desintoxicação." Universidade Estadual do Oeste do Paraná, 2016. http://tede.unioeste.br/handle/tede/3390.

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The process of education of children and adolescents can be interrupted for many reasons, among which stands out the hospitalization. To attend the children and adolescents hospitalized, whether are they registered or not in school, it was established in 2007 by the Education State Secretariat of Paraná - SEED-PR, through the Secretarial Resolution No. 2,527 / 2007, the Attendance Service to the Hospital Schooling Network - SAREH. In 2011, SAREH was implemented at the University Hospital of Western Parana - HUOP, in Cascavel - PR, to meet students enrolled or not in the school system. Being so, this thesis answers the following problem: What are the limits and possibilities for the educational and administrative processes developed by the Attendance Service to the Hospital Schooling Network in the Detoxification Ward at the HUOP Cascavel - PR, in order to continue the hospitalized students‟ educational process and maintain their link with the school environment? The overall objective, therefore, is to present the educational and administrative processes developed by the SAREH in the Detoxification Ward at the HUOP Cascavel - PR, aiming to analyze the limits and possibilities related to the continuity of the learning process and the maintenance of the link with the school environment of hospitalized students. The specific objectives are: a) Understand the emergency context of the SAREH from the State's relationship with the Social and Educational Policies; b) Identify the social, economic and educational profile of adolescents attended by the SAREH in the Ward Detoxification of HUOP Cascavel-PR from 2011 to 2013; c) present the educational and administrative processes developed in the Detoxification Ward by SAREH of HUOP Cascavel - PR, from 2011 to 2016, aiming to analyze the limits and possibilities for the continuity of the learning process and the maintenance of the link with the school environment of hospitalized students, through interviews with SAREH professionals who work or worked in that wing. It was possible to conclude, through bibliographical, documental and field research, the limits, challenges and possibilities of the SAREH developed in the Detoxification Ward. It was concluded, above all, that the SAREH is part of the Social and Educational Policy and therefore represents the distribution of socially produced wealth. The SAREH, while it is a focused social and educational policy, constitutes the possibility of intervention in the problem of drug addiction and educational services to adolescents admitted to the Detoxification Ward. It has, on the one hand, the scale of social and educational responsibility for covering education and health services. On the other hand, it maintains the perspective of the liberal principles of individuality and freedom, making the adolescents responsible for their actions and for the situation in which they are found, whether it is the use of drugs or the return to school.
O processo de escolarização das crianças e dos adolescentes pode ser interrompido por inúmeros motivos, dentre os quais se destaca o internamento hospitalar. Para atendimento às crianças e aos adolescentes que estão internados, estejam eles matriculados ou não na escola, foi implantado, em 2007, pela Secretaria de Estado da Educação do Paraná - SEED-PR e por meio da Resolução Secretarial Nº 2.527/2007, o Serviço de Atendimento à Rede de Escolarização Hospitalar - SAREH. Em 2011, o SAREH foi implantado no Hospital Universitário do Oeste do Paraná – HUOP de Cascavel - PR, para atender aos educandos matriculados, ou não, na rede de ensino. Assim, a presente dissertação responde à seguinte problemática de pesquisa: Quais os limites e as possibilidades relativos aos processos educacional e administrativo desenvolvidos pelo Serviço de Atendimento à Rede de Escolarização Hospitalar, na Ala de Desintoxicação do HUOP de Cascavel – PR, visando a continuidade do processo de escolarização e a manutenção do vínculo dos alunos hospitalizados com o ambiente escolar? O objetivo geral, portanto, é o de apresentar os processos educacional e administrativo desenvolvidos pelo SAREH na Ala de Desintoxicação do HUOP, de Cascavel – PR, visando a análise dos limites e das possibilidades relativos à continuidade do processo de escolarização e à manutenção do vínculo dos alunos hospitalizados com o ambiente escolar. Os objetivos específicos são: a) Compreender o contexto de emergência do SAREH a partir da relação do Estado com as Políticas Social/Educacional; b) Identificar o perfil social, econômico e educacional dos adolescentes atendidos pelo SAREH na Ala de Desintoxicação do HUOP de Cascavel-PR no período de 2011 a 2013; e c) Apresentar os processos educacional e administrativo desenvolvidos na Ala de Desintoxicação pelo SAREH do HUOP de Cascavel – PR entre o período de 2011 a 2016, visando a análise das possibilidades e dos limites relativos à continuidade do processo de escolarização e à manutenção do vínculo dos alunos hospitalizados com o ambiente escolar, por meio das entrevistas realizadas com os profissionais do SAREH que atuam ou atuaram na referida Ala. Foi possível concluir, por meio da realização de pesquisa bibliográfica, documental e de campo, os limites, os desafios e as possibilidades do SAREH desenvolvido na Ala de Desintoxicação. Concluiu-se, sobretudo, que o SAREH é parte constituinte da Política Social/Educacional e, portanto, representa a repartição da riqueza socialmente produzida. O SAREH, ao mesmo tempo em que é uma Política Social/Educacional focalizada, constitui-se na possibilidade de intervenção na problemática da drogadição e do atendimento educacional aos adolescentes internados na ala de desintoxicação. Tem, de um lado, a dimensão de responsabilidade social e educacional ao contemplar os serviços de educação e saúde, e, de outro, sustenta a perspectiva dos princípios liberais da individualidade e liberdade, tornando o adolescente responsável por suas ações e pela situação em que se coloca, seja pelo uso das drogas ou de retorno à escola.

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Braga, Cláudia Pellegrini. "A permanência da prática de internação de crianças e adolescentes em instituição psiquiátrica em um cenário de avanços da reforma psiquiátrica: o circuito do controle." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/5/5137/tde-06112015-153850/.

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A reforma psiquiátrica brasileira, na qualidade de um processo social e crítico, vem transformando o cenário da atenção psicossocial, tendo como norte a constituição de direitos das pessoas com sofrimento psíquico. A perspectiva da desinstitucionalização, alicerce desse processo, configura-se como um campo de saberes e práticas, comprometido com a criação de serviços e de novas formas de relação com a experiência do sofrimento psíquico. A constituição de um campo de atenção específico para crianças e adolescentes, alinhado a essa perspectiva, está em curso e é recente, sendo a criação de serviços e a promoção de debates para a formulação de políticas públicas marcos importantes. Contudo, mesmo com esses avanços significativos, há movimentos contrarreformistas em curso, expressos, por exemplo, na permanência da prática de internação de crianças e adolescentes em instituições psiquiátricas de caráter asilar. Em um horizonte que visa à transformação dessa situação é preciso compreender as premissas e as justificativas para essas internações. Assim, esse estudo objetivou identificar e analisar os motivos de internação de crianças e adolescentes em uma instituição psiquiátrica de caráter asilar do Estado de São Paulo segundo as perspectivas da instituição e, também, das crianças e dos adolescentes internados. No âmbito da pesquisa qualitativa, a partir da Hermenêutica Dialética enquanto norteador metodológico e abordagem de dados, foi realizada observação participante em uma instituição psiquiátrica durante um período de quatro meses. Ainda, foi feito o estudo de 45 documentos institucionais referentes aos sujeitos internados nesse período e foram feitas entrevistas abertas com oito adolescentes internados na instituição. Para a análise, foi determinado como Categoria Analítica o conjunto de conceitos e práticas da perspectiva da desinstitucionalização e, a partir do material de campo, foram eleitas Categorias Empíricas e Operacionais. Após a leitura transversal dessas categorias, foram constituídos quatro temas de discussão. O primeiro, relativo ao perfil das 45 crianças e dos adolescentes internados no período do estudo, indicou que são características centrais: situações de vulnerabilidade diversas, frágil rede social, de suporte e de serviços, baixo grau de escolarização, passagens por outras instituições, e atribuição de um conjunto de traços que definem os sujeitos como sendo desviantes em relação a uma norma; assim, podese afirmar que há uma carreira de internação e psiquiatrização da vida, que diz respeito às vicissitudes da vida e a uma série de passagens institucionais. O segundo tema, compreendeu a psiquiatria enquanto uma prática ideológica sustentada por dois mecanismos principais: a produção de um curto-circuito simplificador da vida, no qual a expressão de relações de agressividade determina a internação; e a atribuição de um diagnóstico psiquiátrico abrangente, o F.29, que ocupa a função de justificar e legitimar a internação. O terceiro tema apontou que a instituição tem um claro esquema institucionalizante, baseado em um princípio autoritário-hierárquico e determinado pelo regramento do cotidiano. O quarto tema assinalou que, nas diferentes situações de internação, há uma mesma lógica operando: o circuito do controle, constituído por meio de dependências recíprocas de aparatos institucionais, dentre os quais o que sustenta efetivamente esse circuito é a instituição psiquiátrica. Conclui-se que, mesmo em um cenário de avanços da reforma psiquiátrica, lógicas segregatórias e asilares permanecem nas relações entre sujeitos e entre instituições, o que coloca a necessidade de continuidade da luta pela efetivação da reforma psiquiátrica
The Brazilian psychiatric reform, as a social and critical process, is transforming the psicossocial attention scenario, taking into account the rights of people with psychic suffering. The perspective of deinstitutionalization, a field of practices and knowledges, is the base of this process and is committed with the creation of services and with singular rapports with the psychic suffering experience. The construction of a specific form of psicossocial attention for children and adolescents is new and is in progress; the establishment of services and the promotion of debates for public policy making are some of the action taken in this context. Yet, even though this significance advances, contrariwise reform movements are in course, as the permanency of internment practices of children and adolescents in psychiatric institutions with asylum characteristics. Regarding the transformation of this situation, it is necessary to understand the reasons and justifications of those internments. Therefore, this research aimed to identify and analyse the motives of internment of children and adolescents in a psychiatric institution with asylum characteristics, located at São Paulo, according to the perspectives of the institution and, also, of the children and adolescents. A qualitative research, in a Hermeneutic Dialectic approach, was performed: a participative observation within a four months period, a study of 45 institutional documents, and interviews with eight adolescents. For analysis, the concepts and practices of the deinstitutionalization perspective were determined as Analytical Categories and, as from the material of the study were chosen the Empirical and Operational Categories. Thereafter the transversal reading of these categories, were constituted four themes of discussion. The first, concerning the profile of the 45 interned children and adolescents in the study period, revealed as main characteristics: various vulnerability situations, a feeble social net, a low scholar degree, several institutional passages, and the attribution of various features that defines the person as a deviant of norms; hence, there is an internment and a psychiatric career in the lives of these children and adolescents, connected to the vicissitudes and events of life. The second theme asseverates that psychiatry seems to be an ideological practice, sustained by two main mechanisms: the production of a short circuit that simplifies life and on which the aggressiveness relations expressions imposes the internment; and the attribution of an extensive psychiatric diagnosis, F.29, that justifies and legitimates the internments. The third theme confirms the institutionalization scheme of the institution, based on an authoritarian and hierarchy scheme, determined by the quotidian regulation. The fourth theme, distinguishes that there is an alike logic on the several internment situations: the circuit control, which is composed by reciprocal dependencies of institutional equipments, among which the psychiatric institution is, indeed, responsible for the maintenance of this circuit. To conclude, regarding the relevant advances in psychiatric reform scenario, segregation and asylum logic\'s still happens, both in institutions and social relations. This fact put in place the necessity of keeping on the efforts for the psychiatric reform

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Aracena, Aida Esther, and Antonia Miriam Palma. "Embarazo en adolescentes." Bachelor's thesis, Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Escuela de Enfermería, 2002. http://bdigital.uncu.edu.ar/8110.

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El objetivo principal de este estudio es determinar cuáles son las características asociadas al embarazo de adolescentes atendidas en el Hospital Alfredo Italo Perrupato de San Martín, Mendoza. Se evaluaron variables como edad, estado civil, número de gestas, métodos de prevención, entre otras. Es un estudio de tipo cuantitativo, descriptivo, transversal y retrospectivo. Se trabajó con una muestra de 377 adolescentes de entre 12 a 19 años atendidas en sala de partos durante los meses de junio de 2000 al 31 de mayo del 2001. Como técnica de recolección de datos se realizó una recopilación documental utilizando el libro de parte diario de sala de partos de dicho hospital.
Fil: Aracena, Aida Esther. Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Escuela de Enfermería..
Fil: Palma, Antonia Miriam. Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Escuela de Enfermería..

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Garcia, Denise Maximo Lellis. "Percepção materna e autopercepção nutricional de crianças e adolescentes atendidos no pronto atendimento de um hospital escola." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/5/5141/tde-24022016-122335/.

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Introdução: Este estudo trata da percepção materna sobre o estado nutricional do filho e da autopercepção do estado nutricional de crianças e adolescentes. Há evidências de que as mães apresentam dificuldade em reconhecer adequadamente o estado nutricional do filho, especialmente nos casos de excesso de peso. Crianças e adolescentes também não percebem adequadamente o próprio estado nutricional. A prevenção do excesso de peso, bem como de transtornos alimentares, requer percepção precoce e adequada abordagem dessas condições. A não percepção do real estado nutricional de crianças e adolescentes por suas mães e por elas mesmas representa um importante obstáculo para a busca de assistência profissional. São poucos os estudos que abordam esta temática na no país. Objetivos Principais: Descrever a adequação do reconhecimento do estado nutricional de crianças e adolescentes por eles mesmos e por seus cuidadores principais. Objetivos Secundários: Analisar fatores que interfiram na percepção do estado nutricional das crianças e adolescentes por eles mesmos e por seus cuidadores. Método: estudo transversal analítico realizado no pronto atendimento do Hospital Universitário da Universidade de São Paulo de março de 2009 a abril de 2010. Foram incluídas 1.001 crianças de dois a 14 anos e seu cuidador principal. Foi aplicado questionário que avaliou, através de descritores verbais, a autopercepção nutricional da criança ou adolescente e a percepção materna sobre o estado nutricional do filho. As crianças e seus cuidadores principais tiveram peso e estatura aferidos. Foi analisada a concordância entre o estado nutricional real da criança e as classificações mencionadas pela mãe e pela própria criança ou adolescente através do coeficiente Kappa. Foram avaliados, através de análise multivariada, fatores associados a erro na autopercepção e percepção materna sobre o estado nutricional da criança ou adolescente. Resultados: A concordância entre a percepção materna e da autopercepção nutricional da criança com o estado nutricional real da criança é pobre (Kappa ponderado 0,236 e 0,295 respectivamente). 50,9% das mães acertaram a classificação nutricional do filho. O gênero (OR1,59 1, IC17-2,01 p=0,008) e a idade (OR 1,01, IC1,00-1,01 p < 0,001) da criança influenciaram no acerto de classificação da mãe. Mães que se autoclassificaram como \"peso alto\" acertaram mais o estado nutricional das crianças (OR1,54 IC 1,10-2,15, p=0,011) e mães de crianças com sobrepeso (OR0,17, IC0,11-0,25, p < 0,001) e obesidade (OR 0,28, IC 0,18-0,44, p < 0,001) apresentaram pior percepção do correto estado nutricional do filho. As mães subestimaram mais o estado nutricional dos meninos e superestimaram nas meninas. Mães que apresentavam sobrepeso (p=0,025) ou obesidade (p=0,010) subestimaram mais o estado nutricional dos filhos e mães de crianças com sobrepeso (p < 0,001) e obesidade (p < 0,001) também subestimaram mais o estado nutricional das crianças. A autopercepção nutricional foi correta em 49% das crianças. Das que erraram a maioria (58%) subestimou. O gênero (OR 1,60, IC1,13-2,26 p < 0,007) e a idade (OR 1,01 CI 1,10-1,02, p < 0,001) da criança influenciaram na autopercepção nutricional das mesmas. Crianças com sobrepeso apresentaram menor chance de perceber adequadamente o próprio estado nutricional (OR 0,38, IC 0,23-0,63, p < 0,001). As meninas tendem a superestimar o próprio estado nutricional e os meninos tendem a subestimar (p=0,027). Conclusão: a percepção materna sobre o estado nutricional da criança e adolescente é frequentemente incorreta. Tanto mães quanto crianças tendem a superestimar o estado nutricional nas meninas e subestimar nos meninos. Os resultados evidenciam a importância da avaliação da percepção nutricional da criança e auxílio às famílias para que reconheçam o real estado nutricional do filho, buscando uma efetiva ação preventiva, já que a detecção precoce é o primeiro passo para a prevenção ou recuperação do excesso de peso e para a prevenção de transtornos alimentares
Introduction: This study aimed to determine maternal perception regarding the nutritional status of her child and the self-nutritional perception status of children and adolescents. There is evidence that mothers have difficulty in properly recognizing the nutritional status of their children, especially overweight cases. Children and adolescents also do not accurately perceive their own nutritional status. Prevention of overweight and eating disorders requires early and adequate perception of these conditions. The perception failure of the actual nutritional status of children and adolescents by their mothers and themselves is a major barrier to seeking professional assistance. Few studies have addressed this issue in Brazil . Main Objectives: To determine the appropriateness of the recognition of nutritional status of children and adolescents by themselves and their primary caregivers. Secondary Objectives: To analyze factors affecting the perception of the nutritional status of children and adolescents by themselves and their caregivers. Method: A cross-sectional analytical study conducted in the emergency room of the University Hospital of the University of São Paulo from March 2009 to April 2010. We included 1,001 children aged 2-14 years and their primary caregiver. A questionnaire that evaluated self-nutritional perception of the child or adolescent and maternal perception about the nutritional status of her child through verbal descriptors was administered. The weight and height of children and their primary caregivers were measured. The correlation between the actual nutritional status of children and the classifications mentioned by the mother and by the child or adolescent were analyzed using the Kappa coefficient. Factors associated with incorrect self-perception and maternal perception of the nutritional status of children and adolescents were assessed by multivariate analysis. Results: The correlation between maternal perception and nutritional self-perception of children with the actual nutritional status of the child was poor (weighted Kappa, 0.236 and 0.295, respectively). The nutritional classification of the child was judged correctly by 50.9% of mothers. The child\'s gender (OR, 1.59 1; CI, 17-2.01; p = 0.008) and age (OR, 1.01; CI, 1.00-1.01; p < 0.001) influenced the mother\'s classification accuracy. Mothers who classified themselves as \"heavy weight\" were more accurate about the nutritional status of their children (OR, 1.54; CI, 1, 10-2.15; p = 0.011), whereas mothers of children with overweight (OR, 0,17; CI 0,11-0. 25; p < 0.001) and obesity (OR, 0.28; CI, 0.18 to 0.44; p < 0.001) had worse perception of the correct nutritional status of their child. Mothers underestimated the nutritional status of boys and overestimated that of girls. Mothers who were overweight (p = 0.025) or obese (p = 0.010) underestimated the nutritional status of their children more often, and mothers of children with overweight (p < 0.001) and obesity (p < 0.001) also underestimated the nutritional status of children more often. Self-nutritional perception was correct in 49% of children. Of those who were incorrect, the majority (58%) underestimated. The gender (OR, 1.60; CI, 1, 13-2.26; p < 0.007) and age (OR, 1.01; CI, 1.10-1.02; p < 0.001) of the children influenced their self-nutritional perception. Overweight children were less likely to properly perceive their actual nutritional status (OR, 0.38; CI, 0.23-0.63; p < 0.001). Girls tended to overestimate their own nutritional status, whereas boys tended to underestimate it (p = 0.027). Conclusion: The maternal perception of the nutritional status of the child and adolescent is often incorrect. Both mothers and children tend to over- and underestimate the nutritional status in girls and boys, respectively. These results show the importance of evaluating the nutritional perception of children and providing support to families for recognizing the actual nutritional status of their child and seeking an effective preventive action, since early detection is the first step toward preventing overweight or improving and preventing eating disorders

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Díaz, Liliana Inés. "Embarazo adolescente." Bachelor's thesis, Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Escuela de Enfermería, 2011. http://bdigital.uncu.edu.ar/5998.

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En este trabajo se analiza la situación de la evolución en la tasa de embarazo adolescente en el Departamento de San Rafael, Mendoza, Argentina. Se toman como referencia las adolescentes atendidas en el Servicio de Maternidad del Hospital Teodoro. J. Schestakow. Los objetivos de este trabajo son: determinar la tasa de crecimiento de partos de madres adolescentes; identificar el perfil socio económico y cultural de las madres adolescentes; identificar el nivel de conocimiento sobre métodos anticonceptivos y complicaciones del embarazo que poseen las adolescentes atendidas; determinar las patologías existentes en las adolescentes embarazadas atendidas en los Consultorios Externos del Hospital Teodoro J. Schestakow y establecer estrategias destinadas a prevenir, educar y difundir pautas de conducta que nos permiten atender y reducir el número de casos de embarazos adolescente.
Fil: Díaz, Liliana Inés. Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Escuela de Enfermería..

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Quosdorf, Ashley. "Connecting with Adolescent Mothers: Perspectives of Hospital-Based Perinatal Nurses." Thesis, Université d'Ottawa / University of Ottawa, 2019. http://hdl.handle.net/10393/38838.

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Background: Adolescents are more likely to be dissatisfied with perinatal care than adults. Adolescents’ perspectives of their perinatal care experiences have been explored; however, there are few studies exploring adolescent-friendly inpatient care from nurses’ perspectives. Purpose: To explore adolescent-friendly care from the perspective of hospital-based adolescent-friendly perinatal nurses. Research Questions: (1) How and why do perinatal nurses in inpatient settings adapt their practice when caring for adolescents? (2) What are the individual nursing behaviours and organizational characteristics of adolescent-friendly care in inpatient perinatal settings, from the perspective of perinatal nurses? Methods: I report the qualitative component of a mixed methods study. Open-ended interviews were conducted with twenty-seven purposively-sampled expert nurses. Data were analyzed using Interpretive Description. Findings: Nurses described being mother-friendly to adolescents by being nonjudgmental, forming connections, individualizing care, and employing behavioural strategies that facilitate relationship-building. Implications: These findings will inform the development of interventions to facilitate connections between nurses and adolescent mothers.

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Esteves, Arinete Veras Fontes. "Compreendendo a criança e o adolescente com câncer em tratamento quimioterápico durante a utilização do brinquedo." Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/59/59137/tde-10052010-110007/.

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O brincar é uma atividade essencial na vida da criança, mas negligenciada durante a doença e hospitalização. Quando a criança adoece de uma doença grave crônica como o câncer, há uma mudança significante em sua vida, tirando-a do convívio de brincadeiras, do meio familiar e social. Ela sofre tratamentos agressivos, internações freqüentes, e seu estado psicológico nem sempre é considerado. Brinquedos nem sempre lhe são oferecidos para minimizar o estresse da doença e da hospitalização. O objetivo do presente estudo foi compreender os modos de ser-no-mundo da criança e do adolescente com câncer em tratamento quimioterápico diante da utilização do brinquedo durante a quimioterapia. Neste contexto, trata-se de uma pesquisa qualitativa de inspiração fenomenológica em Psicologia. As entrevistas foram gravadas e transcritas em sua íntegra garantindo assim a sua fidedignidade e foram iniciadas a partir das questões norteadoras: Brincar é importante? Como é brincar no hospital?. Foram realizadas 16 entrevistas, sendo oito participantes do gênero feminino, com a idade entre seis a 14 anos e oito masculinos na faixa etária de 10 a 14 anos, todos acometidos por algum tipo de Leucemia em diferentes fases de tratamento. Através da análise de seis entrevistas foi possível observar que para as crianças brincar, neste ambiente é muito importante, pois sentem-se felizes durante essa atividade e esquecem-se dos efeitos colaterais causados pelo tratamento agressivo com os quimioterápicos. Relatam que a ausência de atividades as deixa tristes. A partir dessa análise foi possível organizar as categorias temáticas que possibilitaram a compreensão do fenômeno estudado. Os discursos obtidos durante o estudo possibilitaram identificar que o brinquedo e a atividade de brincar auxiliam a minimizar o estresse da criança causado pelo tratamento quimioterápico e seus efeitos colaterais. Os profissionais que atuam na área da saúde e todos aqueles que trabalham com crianças devem compreender que a criança é vida, liberdade, e o brincar faz parte de sua existência, e não pode ser desvinculado de sua rotina diária só por estarem doentes e hospitalizadas. As crianças são autênticas em todos os seus momentos de existir no mundo.
Playing is an essential activity in the life of a child, ignored during sickness and hospitalization. When a child falls sick with a serious, chronic disease such as cancer, his/her life changes significantly, removing him/her from his playing ambient and from his family and social environment. He/she undergoes aggressive treatments and frequent hospitalization, but his/her psychological state is not always taken into consideration and toys are not always offered to minimize the stress caused by the disease and the hospitalization. The objective of the present study was to understand the ways of being-in-the-world of the child and adolescent with cancer undergoing chemotherapy when a toy is used during the chemotherapy session. Thus this represents qualitative research of phenomenological inspiration in psychology. The interviews were taped and transcribed in their entirety, thus guaranteeing their trustworthiness, and started with the following leading questions: Is playing important? How do you find playing in hospital? Sixteen interviews were carried out, with 8 female participants between 6 and 14 years old and 8 male participants between 10 and 14 years old, all suffering from some form of leukaemia and in different phases of treatment. The analysis of six interviews showed that it was very important for the children to play in this environment, since they felt happy during this activity and forgot about the side effects caused by the aggressive treatment with therapeutic drugs. They reported that the lack of activity made them sad. As from this analysis it was possible to organize the thematic categories that made it possible to understand the phenomenon under study. The discourses obtained during this study made it possible to identify the fact that the toy and the activity of playing helped to minimize the stress caused in the child by the chemotherapy treatment and its side effects. The professionals working in the health area and all those working with children should understand that the child is alive and free and that playing is part of his/her existence and cannot be separated from his/her daily routine just because of his/her sickness and hospitalization. Children are authentic at every moment of their existence in the world.

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Carvalho, Juliana Burlamaqui. "Adolescência, corpo e câncer : sobre a escuta psicanalítica no hospital." Universidade de Fortaleza, 2010. http://dspace.unifor.br/handle/tede/86654.

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This dissertation deals with the adolescent transition crisscrossed by the cancer experience proposing to investigate the subjective implications of this disease in teenagers and its consequent mutilations as well as the expressions of discomfort and the attempts to elaborate the mourning. The insertion of the psychoanalyst in the hospital and the possible psychoanalytic practice with adolescents were the starting points to consider the possibility of making the psychoanalytic research in dialogue with the health field. The listening of teenagers in hospitals evoked the first questions about the losses that reveal the vulnerability of the body and the psychic labor of adolescents in order to reintegrate the corporeal changes to their body image. Organic illness and the transformations of puberty should face the teenager to the Real of the body which will need to be reframed. To Psychoanalysis the adolescence is a singular moment of psychic organization involving a new position before the corporeal changes and events so to be recognized in a new subjective position. During this path clinical cases were used which evoked the theorization, based upon the framework of Psychoanalysis, about the body issues and the adolescent transition marked by cancer. The clinic calls the analyst to theorize about the effect of his practice so he can be an author, being the construction of the clinical case an elaboration of the analyst-researcher who tries to learn what comes out from transference: the subject. The psychoanalytic research will not be considered dissociated from the practice and the clinic as well as from being based upon ethics and the place of the analyst in the social bond. Keywords: adolescence; psychoanalysis; body; cancer; hospital.
Esta dissertação aborda a passagem adolescente entrecruzada pela experiência do câncer, propondo investigar as implicações subjetivas do câncer em adolescentes e das consequentes mutilações, bem como as expressões do mal-estar e as tentativas de elaboração do luto. A inserção do psicanalista no hospital e a prática psicanalítica possível com adolescentes foi o ponto de partida para considerar a possibilidade de fazer pesquisa psicanalítica em interlocução com o campo de saúde. A escuta com adolescentes no contexto hospitalar suscitou os primeiros questionamentos acerca das perdas que revelam a vulnerabilidade do corpo e do trabalho psíquico das adolescentes, a fim de reintegrar as mudanças corporais à imagem corporal. O adoecimento orgânico e as transformações da puberdade confrontariam o adolescente com o Real do corpo, que precisará ser ressignificado. A adolescência, para a psicanálise, é um momento singular de estruturação psíquica que envolve um novo posicionamento diante das mudanças corporais e dos acontecimentos para ser reconhecido numa nova posição subjetiva. Neste percurso, foram utilizados casos clínicos que evocaram a teorização, pautada no referencial psicanalítico, sobre as questões do corpo e da passagem adolescente marcada pelo câncer. A clínica convoca o analista a teorizar sobre o efeito da sua prática para poder ser autor, sendo a construção do caso clínico uma elaboração do analista-pesquisador que tenta apreender o que emerge na relação transferencial: o sujeito. A pesquisa em psicanálise será considerada como indissociada da prática e da clínica, também estando pautada na ética e no lugar do analista no laço social. Palavras-chave: adolescência; psicanálise; corpo; câncer; hospital.

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Gardner, Lea Anne. "Factors Associated with Hospital Commitment to Provide Child/Adolescent Psychiatric Services." VCU Scholars Compass, 2006. https://scholarscompass.vcu.edu/etd/788.

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General acute care hospitals play a particularly important role in the delivery of children's mental health given the extant lack of alternatives to long term hospitals for patients requiring a restrictive treatment environment (Glied and Cuellar, 2003). This cross-sectional study identifies environmental and organizational factors associated with general acute care and children's hospitals in the United States that provide hospital-based child/adolescent psychiatric services and the number of services. Two macro-level theories, Resource Dependence Theory and Institutional Theory were used to identify environmental and organizational factors. A nationwide sample of hospitals was drawn from the 2003 AHA annual survey. Data from the 2002 AHA annual survey, Area Resource File and American College of Graduate Medical Education was used for the independent variables. There were three analyses, correlation, descriptive and logistic regression. Results demonstrate that hospitals in markets with a low percentage of non-white children, higher family median income, high hospital community orientation, and high percentage of not for profit hospitals are more likely to offer child psychiatric services. Organizational factors associated with an increased likelihood to providing child psychiatric services include hospitals identified as Catholic, public or children's and those with a child psychiatric residency program. Three factors were associated with hospitals providing a high number of child psychiatric services and include hospitals in metropolitan statistical areas, system affiliation, and general acute care hospitals. This study demonstrated that 1. large hospitals are more likely to offer child psychiatric services and a high number of services, 2. children's hospitals provide child psychiatric services, but not a high number of them, and 3. hospitals with a high number of service offerings are mainly located in MSA's and more likely to offer outpatient substance abuse services. Significant results were obtained in the analysis of hospital characteristics and the provision of child psychiatric services, but weaker results were observed when analyzing the number of services. Further research is needed to identify factors with stronger associations to the level of service offerings.

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Díaz, María Isabel. "Factores de riesgo en embarazo adolescente." Bachelor's thesis, Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Escuela de Enfermería, 2003. http://bdigital.uncu.edu.ar/8108.

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El objetivo principal de este estudio es determinar cuáles son los conocimientos sobre los factores de riesgo que poseen las madres adolescentes internadas en el Servicio de Maternidad del Hospital Luis Lagomaggiore, Mendoza en el mes de febrero a abril de 2003. Los factores que se estudiaron fueron: nivel de conocimiento (signos de alarma, complicaciones, educación sexual, anticonceptivos) y socioculturales (nivel de instrucción, estado civil, grupo familiar). Es un estudio de tipo descriptivo, se trabajó con una muestra de 25 mujeres de entre 13 a 19 años internadas en el 2º piso del servicio de maternidad con diagnóstico de embarazo de riesgo. La recolección de datos se realizó una entrevista personal mediante un cuestionario con preguntas cerradas y dicotómicas.
Fil: Díaz, María Isabel. Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Escuela de Enfermería..

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Stocchero, Márcia Regina Soares. "Atendimento psicopedagógico à criança e o adolescente do Hospital Universitário Lauro Wanderley: implicações das práticas." Universidade Federal da Paraíba, 2012. http://tede.biblioteca.ufpb.br:8080/handle/tede/4687.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES
El niño y el adolescente cuando están hospitalizados se ven obligados a experimentar cambios drásticos en su vida, rompiendo bruscamente con su rutina en que estaban acostumbrados, por ejemplo, el convivio con los familiares, los amigos y, sobre todo con la escuela. Esa nueva realidad a que el internado necesita enfrentar podrá ocasionar un retraso en su desarrollo cognitivo, social y emocional. Con el intento de minimizar las posibles pérdidas que comprometen el desarrollo integral de los internados del Hospital Universitario Lauro Wanderley (HULW) fue creado el Proyecto :Trabajo Alternativo para el Pedagogo: El Niño Hospitalizado. Este trabajo de tesina de maestría tiene como objeto de estudio investigar las percepciones que los internados y sus acompañantes formalizan respecto al proyecto supradicho, con el intento de, a partir de sus declaraciones, mejorar la calidad de atendimientos educativos implementados. Para la recogida de datos, optamos por la investigación calitativa de observación participante, y cómo recurso metodológico, la entrevista con los niños y los adolescentes internados y sus acompañantes del HULW. Los resultados obtenidos a través de las declaraciones comprueban que el proyecto ha logrado alcanzar el objetivo la cual se propone en el sentido de rescatar la escolarización, la ruptura de la rutina del hospital y mejora de la autoestima del internado.
A criança e o adolescente ao serem hospitalizados experimentam mudanças drásticas em sua vida, rompendo bruscamente com sua rotina em que estavam acostumados como, por exemplo, o convívio com os familiares, com os amigos e sobretudo com a escola. Essa nova realidade a qual o interno precisa enfrentar poderá ocasionar em atraso no seu desenvolvimento cognitivo, social e emocional. Com o intuito de minimizar as possíveis perdas que comprometem o desenvolvimento integral dos internos do Hospital Universitário Lauro Wanderley (HULW) foi criado o Projeto intitulado: Trabalho Alternativo para o Pedagogo: A Criança Hospitalizada. Esse trabalho de dissertação tem como objetivo investigar as percepções que os internos e seus acompanhantes formalizam sobre o referido projeto com a finalidade a partir de seus depoimentos melhorarem a qualidade de atendimentos educacionais implementados. Para coleta dos dados optamos pela pesquisa qualitativa de observação participante e como recurso metodológico a entrevista com as crianças e adolescentes internados e seus acompanhantes do HULW. Os resultados obtidos por meio dos depoimentos comprovam que o projeto tem conseguido alcançar o objetivo a qual se propõe no sentido resgatar a escolarização, a quebra da rotina hospitalar e melhoria da autoestima do interno.

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Dissertations / Theses on the topic 'Adolescents in hospital'

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