Hubungan Pengetahuan dan Sikap Tenaga Kesehatan dengan Perilaku pemberian Teknik Relaksasi dan Teknik Distraksi pada Nyeri Pasien Pasca Operasi Sectio Caesarea di Rumah Sakit Baiturrahim

Sectio caesaria surgery can cause changes in the continuity of body tissues and the aftereffect of delivery of a caesarean section is that the patient will feel pain after 2 hours of operation to 3 days and the pain feels hot in the incision scar. Efforts to reduce pain intensity are using non-pharmacological pain management, namely distraction and relaxation techniques. This study used cross sectional approach by using description correlation design which conducted at Baiturrahim hospital Jambi city, sample were health personnel (Nurse and Midwife), the sampling technique used total sampling. The collecting of data used a questionnaire by using Chi-Square test. The findings indicated that from 21 respondents 13 (61.9%) respondents have sufficient knowledge of health personnel, 14 (71.4%) respondents have Positive attitude of health personnel, 20 (95.2%) respondents have good health personnel behavior in giving distraction and relaxation techniques to pain patients. From the result of chi square test indicated that score p-value 0.381 so that the null hypothesis is accepted, namely there is no correlation between knowledge of health personnel with the behavior of giving distraction and relaxation techniques in postoperative pain patients with sectio caesarea at Baiturrahim hospital. It is expected to Baiturrahim hospital in order to increase services in providing non-pharmacological techniques to reduce pain intensity in post-caesarean section patients

The pattern of traditional and modern bone setting among the people in a selected community in Kano, Nigeria: a comparative study

Background: Bone setting practices contribute largely to alternative medicine almost all over the world. It’s commonly accessible in large parts of rural populations. The aim of the study was to determine the pattern of traditional and modern bone settings among the people in a selected community in Kano, Nigeria.Methods: The study was a descriptive cross-sectional type of study carried out from January to May 2019 to determine the pattern of traditional and modern bone (TBS and MBS) settings among the people residing in Kano, Nigeria. A simple random sampling technique was used to select a total of 222 study participants from the selected community. In this study, a face-to-face interview technique was used to collect the information from the study participants using a semi-structured questionnaire. The data were analyzed using a statistical package for social sciences (SPSS) 22.0 version.Results: In this study, about 34.7% were between 31-35 years and most of the respondents (28.4%) had secondary school level of education. Slightly above nine-tenths (90.1%) of the respondents stated that TBS is more preferable than MBS and the reason for preference were fear of amputation/operation (51.0%), lack of knowledge (32.0%), the attitude of health personnel (28.0%) and fear of the application of plaster of paris (25.0%).Conclusions: The finding of this study reveals more than half of the respondents had enough knowledge of both traditional and modern bone settings. The public should be educated about the modern method of bone setting and the complications of traditional bone setting.

Práticas humanizadoras na Atenção Básica: uma revisão sistemática qualitativa

Objetivos: identificar práticas de humanização na Atenção Básica. Método: revisão sistemática, partindo das seguintes fontes de in-formação: PubMed, CINAHL, Scielo, utilizando-se a palavra-chave primary health care, associada separadamente às seguintes pa-lavras-chave: humanization of assistance (humanização), holistic care/health (cuidado/saúde holístico), patient centred care, user embracement (acolhimento), personal autonomy, holism, attitude of health personnel (atitude dos profissionais). Método: Revisão sistemática qualitativa. Resultados: Foram incluídos 17 estudos identificados entre 2012 e 2018. Os dados foram sistematizados em sete categorias: (a) Oferta de práticas humanizadoras, (b) Difi-cultadores das práticas humanizadoras, (c) Facilitadores das prá-ticas humanizadoras, (d) Necessidade de capacitação sobre as práticas humanizadoras, (e) Vínculo profissional-usuário, (f) Efei-to positivo das práticas humanizadoras no trabalho em equipe e (g) Atitudes e crenças que refletem as práticas humanizadoras. Considerações Finais: As práticas humanizadoras continuam a ser desenvolvidas na Atenção Básica e seus efeitos positivos são re-conhecidos pelos profissionais de saúde. Por isso, investimentos no desenvolvimento dessas práticas e também em pesquisas de-vem continuar, incluindo também as percepções de usuários e dos órgãos gestores.

Álcool, alcoolismo e alcoolista: atitudes dos enfermeiros da Estratégia Saúde da Família

Objetivo: avaliar as atitudes dos enfermeiros da Estratégia Saúde da Família-ESF em relação ao álcool, ao alcoolismo e ao alcoolista e correlacionar as atitudes com as práticas, tempo de formação e atuação. Método: Estudo correlacional, observacional, corte transversal realizado nas ESF de oito municípios do Estado de Minas Gerais. Foram aplicados o questionário de avaliação das práticas e a Escala de Atitudes frente ao Álcool, ao Alcoolismo e ao Alcoolista-EAFAAA. Os dados foram analisados por meio da correlação de Spearman. Resultados: 50 enfermeiros participaram do estudo e apresentaram escore total da EAFAAA de 3,1 (DP = 0,4). As correlações entre a EAFAA e o questionário de práticas foram negativas e de fraca intensidade (-0,23;p=0,107) e com tempo de formação (-0,60;p=0,679) e atuação (0,01;p=0,966) foram de fraca intensidade. Conclusão: Os enfermeiros apresentaram tendências a atitudes negativas e não foram evidenciadas correlações entre a EAFAAA com as características dos enfermeiros.Descritores: Atitude; Atitude do pessoal de saúde; Alcoolismo; Atenção primária à saúde; Enfermagem.ALCOHOL, ALCOHOLISM AND ALCOHOLISM: ATTITUDES OF NURSES OF THE FAMILY HEALTH STRATEGYObjective: To assess the nurses’ attitudes from Family Health Strategy-FHS regarding alcohol, alcoholism, and alcoholics and correlate these attitudes with the nurses’ practices, time since graduation as a nurse and work at the FHS. Method: Correlational, observational and cross-sectional study performed at the FHS in eight cities in the state of Minas Gerais It was applied the practice assessment questionnaire and the Attitude Scale towards Alcohol, Alcoholism and Alcoholist-EAFAAA. Data were analyzed using Spearman correlation. Results: 50 nurses participated in the study and had a total EAFAAA score of 3.1 (SD = 0.4). The correlations between EAFAA and the practice questionnaire were negative and of low intensity (-0.23; p = 0.107) and with time of formation (-0.60; p = 0.679) and performance (0.01; p = 0.966) were of low intensity. Conclusion: Nurses showed tendencies towards negatives attitudes and no correlation was found between EAFAAA and nurses' characteristics.Descriptors: Attitude; Attitude of Health Personnel; Alcoholism; Primary Health Care; Nursing.ALCOHOL, ALCOHOLISMO Y ALCOHOLISMO: ACTITUDES DE LAS ENFERMERAS DE LA ESTRATEGIA DE SALUD DE LA FAMILIAObjetivo: Evaluar las actitudes de los enfermeros de la Estrategia de Salud de la Familia-ESF en relación con el alcohol, alcoholismo y alcoholista y correlacionar las actitudes con las prácticas de los enfermeros, el tiempo de formación y actuación en la ESF. Método: Estudio correlacional, observacional, transversal realizado en la EFS de ocho municipios del estado de Minas Gerais. Fue aplicado el cuestionario de evaluación de la práctica y la Escala de actitud hacia el alcoholismo, el alcoholismo y el alcoholismo-EAFAAA. Los datos se analizaron mediante la correlación de Spearman. Resultados: 50 enfermeros participaron en el estudio y tuvieron un puntaje EAFAAA total de 3.1 (DE = 0.4). Las correlaciones entre EAFAA y el cuestionario de práctica fueron negativas y de baja intensidad (-0.23; p = 0.107) y con tiempo de formación (-0.60; p = 0.679) y rendimiento (0.01; p = 0.966) fueron de baja intensidad. Conclusión: Los enfermeros presentaron tendencias a actitudes negativas y no se encontró correlación entre EAFAAA y las características de las enfermeras.Descriptores: Actitud; Actitud del Personal de Salud; Alcoholismo; Atención Primaria de Salud; Enfermería.

Addressing patient alcohol use: a view from general practice

INTRODUCTION: General practitioners (GPs) have the potential to promote alcohol harm minimisation via discussion of alcohol use with patients, but knowledge of GPs’ current practice and attitudes on this matter is limited. Our aim was to assess GPs’ current practice and attitudes towards discussing alcohol use with their patients. METHODS: This qualitative study involved semi-structured, face-to-face interviews with 19 GPs by a group of medical students in primary care practices in Wellington, New Zealand. FINDINGS: Despite agreement amongst GPs about the importance of their role in alcohol harm minimisation, alcohol was not often raised in patient consultations. GPs’ usual practice included referral to drug and alcohol services and advice. GPs were also aware of national drinking guidelines and alcohol screening tools, but in practice these were rarely utilised. Key barriers to discussing alcohol use included its societal ‘taboo’ nature, time constraints, and perceptions of patient dishonesty. CONCLUSION: In this study there is a fundamental mismatch between the health community’s expectations of GPs to discuss alcohol with patients and the reality. Potential solutions to the most commonly identified barriers include screening outside the GP consultation, incorporating screening tools into existing software used by GPs, exploring with GPs the social stigma associated with alcohol misuse, and framing alcohol misuse as a health issue. As it is unclear if these approaches will change GP practice, there remains scope for the development and pilot testing of potential solutions identified in this research, together with an assessment of their efficacy in reducing hazardous alcohol consumption. KEYWORDS: Primary health care; general practice; alcohol drinking; alcohol-related disorders, attitude of health personnel