Revista Científica Integrada

Interventions for managing preoperative anxiety in patients with brain neoplasms: an integrative review

Adonias da Silva Sampaio Junior, Breno de Oliveira Ferreira — Thu, 27 Feb 2025 00:00:00 -0300

Objective: To identify the interventions used in managing anxiety in patients during the preoperative phase of brain neoplasm surgery. Method: Integrative review conducted in the Embase, Lilacs, PubMed/MEDLINE, Scielo, Scopus, and Web of Science databases in February 2024. The eligibility criteria included full-text studies published in the last 10 years, available free of charge, in English, Portuguese, or Spanish. Studies that did not focus on the preoperative phase and those including populations under 16 years of age were excluded. Results: A total of 7,738 articles were found, with only 10 articles included in the final sample. The main interventions identified were categorized into pharmacological – flupirtine and pregabalin; and non-pharmacological – holistic care, acupuncture, music intervention, virtual reality, perioperative nursing, physician-patient communication, and patient-centered approach. Conclusion: Different interventions have been used to manage preoperative anxiety in patients with brain neoplasms, with emphasis on non-pharmacological approaches, which have shown greater adherence and support due to their cost-effectiveness, minimally invasive nature, and low risk of adverse effects. However, further research is needed to expand the range of interventions available for this population.

Impacts of spirituality on the mental health of university students during the COVID-19 pandemic: a scoping review

Wed, 12 Feb 2025 00:00:00 -0300

Objective: To map the literature on the possible impacts of spirituality on the mental health of university students during the COVID-19 pandemic. Methods: Scoping review according to the Joanna Briggs Institute methodology. An initial limited search was conducted in June 2024 in MEDLINE/PubMed and Scopus to identify articles on the topic. The words in the titles and abstracts of relevant articles and the terms used to describe the articles were used to create a complete search strategy for MEDLINE, EMBASE, Scopus and Web of Science. Results: 14 articles were selected for review, and their contents were summarized in three axes: methodological design; samples and countries in relation to the pandemic context; research objectives and findings in relation to the concepts of spirituality and mental health. Conclusion: Spirituality acts as a protective factor against maladaptive reactions to loss, especially during a pandemic. It functions as a positive coping strategy and reduces avoidance behaviors, reduces anxiety and depression, and contributes to the mental well-being of university students during times of crisis.

Safety of hormonal treatments in women with genitourinary syndrome of menopause and a history of breast cancer: systematic review and meta-analysis

Thu, 10 Jul 2025 00:00:00 -0300

Objective: To analyze the use of hormonal therapy in women with genitourinary syndrome of menopause (GSM) and a history of breast cancer. Methods: This is a systematic review conducted in April 2025, including observational studies and clinical trials published between 2019 and 2024 in the PubMed, Scopus, SciELO, and BVS databases. Studies investigating postmenopausal women diagnosed with GSM, with a history of breast cancer and using hormonal therapy, were included. A meta-analysis was performed using a random-effects model, considering hazard ratios (HR) and their respective confidence intervals. Results: Of the 105 studies identified, 10 met the eligibility criteria, totaling 142,717 women. The most frequent intervention was the use of vaginal estrogen. The meta-analysis revealed a pooled HR of 0.95 (95% CI: 0.87–1.03), suggesting no significant risk for recurrence or mortality. Studies also reported improvement in GSM symptoms without elevation in serum estradiol levels. Conclusion: Evidence suggests that the use of vaginal estrogen in women with GSM and a history of breast cancer is safe when carefully indicated. Clinical decisions should consider the individual profile of each patient, promoting evidence-based interventions that enhance quality of life.

Inadequate safety aspects for the proper functioning of a nightclub: a document analysis

Ruty Rosa de Brito, Cayttano Saul de Sá Zarpellon — Thu, 06 Nov 2025 00:00:00 -0300

Objective: To analyze the inadequate safety aspects present in the design of the Kiss Nightclub, relating them to the failures that contributed to the tragedy that occurred on January 27, 2013, in Santa Maria, Rio Grande do Sul, Brazil. Method: Documentary research was conducted based on academic databases and technical documents, including the technical report issued by CREA-RS, which contains the building’s floor plan. Results: The comparative analysis between the architectural design and the fire safety standards in force at the time revealed several irregularities, such as insufficient emergency exits, absence or inadequacy of the emergency lighting system, inadequate quantity and placement of fire extinguishers, deficient emergency signage, lack of a fire detection and alarm system, use of highly flammable finish materials, and absence of smoke control and exhaust systems. These failures acted cumulatively, contributing to the rapid spread of the fire, the release of toxic gases, and the difficulty of evacuation, resulting in high lethality. Conclusion: The lack of strict compliance with safety standards in environments with large public circulation represents a serious threat to human life and may lead to catastrophic events, reinforcing the importance of the role of civil engineers and regulatory agencies in the development, approval, and maintenance of fire prevention and control projects.

Maternal mortality in Greater São Paulo: an ecological study from 2021 to 2023

Sat, 24 May 2025 00:00:00 -0300

Objective: To analyze the factors associated with maternal mortality in Greater São Paulo, based on the variables of ethnicity, education level, and age group. Method: This is a descriptive ecological study using secondary data from the TabNet platform of DataSUS, with information from the Mortality Information System (SIM) and the Live Birth Information System (SINASC), covering the period from 2021 to 2023. The variables analyzed were ethnicity, educational attainment, and age group of women who died. Statistical analysis was performed using Jamovi software (version 2.3), applying the Chi-Square (χ²) test for independent samples, with a significance level set at p < 0.01. Results: A downward trend in maternal mortality was observed over the analyzed period, with a rate of 70.51 per 100,000 live births in 2021, decreasing to 43.75 in 2023. Conclusion: The predominant profile of maternal deaths in Greater São Paulo consisted of women who were of mixed race (parda), aged between 30 and 39 years, and had 8 to 11 years of schooling, corresponding to incomplete secondary education.

Molecular docking of the phospholipase A2 enzyme with bromine derivatives

Agatha Manzi, Carolina Assis da Silva, Bruno Paes de Carli — Thu, 06 Nov 2025 00:00:00 -0300

Objective: To develop a molecular docking study with the enzyme phospholipase A2 (PLA2) in the presence of compounds analogous to p-bromofenacil bromide with a view to drug repositioning. Methods: The tertiary structure of the target protein from Agkistrodon halys pallas (Viperidae) was obtained from the RCSB PDB database, and the ligands obtained from the PubChem website were 4,4'-dibromobenzyl and 2-bromopropiophenone. After refining the molecules, molecular docking analyses were carried out to evaluate the Gibbs free energy, the distances between atoms, and types of bonds in the active site. Results: The compound 4,4'-dibromobenzyl was found to be related to the active site residue Tyr 52 through hydrophobic interactions. Regarding the compound 2-bromopropiophenone, a hydrophobic interaction with the active site residue Tyr 52 and a hydrogen bond with the residue Gly 32 were observed. Other amino acid residues (Gly 32 and Asp 49) located close to the catalysis region presented hydrophobic interactions. Conclusions: Although the ligand atoms are close to the enzyme's catalytic site, they exhibit hydrophobic interactions and hydrogen bonding. In vitro and in vivo studies are needed to corroborate the theoretical results.

Prevalence of e-cigarette use by medical students in Guarujá: cross-sectional study

Beatriz Oliveira Spina, Caroline Margonato Cardoso Souza — Thu, 07 Aug 2025 00:00:00 -0300

Objective: To analyze the prevalence, knowledge, and level of dependence related to electronic cigarette use among medical students. Methods: This is a descriptive cross-sectional study conducted between April and August 2023 with students from a private university in coastal São Paulo, Brazil. The sample consisted of 182 actively enrolled students, selected by convenience sampling. Data were collected through an electronic questionnaire including sociodemographic variables, frequency of electronic cigarette use, and the Fagerström Test adapted for electronic cigarette. Descriptive and inferential analyses were performed, and associations between electronic cigarette use and gender, age group, and income were tested using the chi-square test (χ²) with JASP software. Results: The prevalence of electronic cigarette use was 26.9%, with a higher concentration among students aged 20 to 24 years and those with a family income above five minimum wages. Among users, 40.8% showed high or very high dependence, and only 17.03% reported an intention to quit. No statistically significant associations were observed between electronic cigarette use and the sociodemographic variables analyzed.Conclusion: This study revealed a high prevalence of electronic cigarette use among medical students, including those with elevated levels of nicotine dependence, highlighting the appeal of these devices even among future healthcare professionals. The findings underscore the urgency of implementing public policies, educational campaigns, and regulatory measures to discourage electronic cigarette use in this population.

Health care networks for hypertensive patients and their association with the attribute of comprehensiveness

Fri, 07 Feb 2025 00:00:00 -0300

Objective: To analyze the components of the health care network for people with high blood pressure in Piauí, Brazil, and their association with the attribute of comprehensiveness of Primary Health Care through the National Health Survey. Methods: A descriptive cross-sectional study, using secondary data from the 2019 National Health Survey, analyzed 147 people aged 18 or over, residing in Piauí and diagnosed with high blood pressure, using module H (medical care) of the National Health Survey, with data collection between February and March 2023; sociodemographic and comprehensiveness of Primary Health Care variables were evaluated, using descriptive, bivariate statistics and logistic regression. Results: There was no association between sociodemographic variables and the comprehensiveness of the services available and provided. For the comprehensiveness of the services available, paying for one's medication stood out as a risk factor, and the chances of having comprehensive services provided increased among users who obtained their medication through the “aqui tem farmácia popular” (popular pharmacy here) through integrative and complementary care practices. The results highlight the importance of considering the operational structure of the health care network when planning and organizing services for people with hypertension. Conclusion: The study revealed that paying for hypertension medications can harm the comprehensiveness of PHC services, but the Brazilian Popular Pharmacy Program and integrative practices improved care, highlighting the need for more research to improve the RAS and health policies.

Analysis of thyroid neoplasms in Brazilian women between 2013 and 2023: epidemiological study

Thu, 10 Jul 2025 00:00:00 -0300

Objective: To analyze epidemiological data on thyroid neoplasms in women in Brazil between 2013 and 2023. Methods: This is an epidemiological, quantitative, and exploratory study carried out with information from SISCAN, SIM, and the ICD-10 Mortality Monitoring Panel, based on the following variables: region and Federative Unit (UF) of diagnosis, age group, therapeutic modality, treatment time, color/race, marital status, and place of death. Results: A total of 39,550 women were diagnosed between 2013 and 2023, with 2023 being the year with the highest number of cases (n = 8,312), with emphasis on the southeast region of the country (43.09%). This neoplasm was more prevalent in women aged between 50 and 54 years old (24%). During the period analyzed, the total number of women who died from the disease was equivalent to 15.09% (n = 5,971) of the number of female diagnoses of thyroid neoplasia. Conclusion: The number of diagnoses of thyroid neoplasia in women increased by 5,541% from 2013 to 2023. However, female mortality in each year remained close to the average value for the period (542 deaths/year). Therefore, primary prevention, through the adoption of healthy lifestyle habits, screening techniques and monitoring of the population at risk, associated with appropriate staging and classification, as well as periodic active surveillance of low-risk nodules, are the safest and most conservative strategies to ensure the quality of life of the population and reduce unfavorable outcomes.

Analysis of morbidity and mortality in the Brazilian prison system: study of trends

Sat, 24 May 2025 00:00:00 -0300

Objetivo: Analisar a morbimortalidade da população prisional brasileira, comparando os períodos pré-pandêmico e pandêmico da Covid-19 para identificar possíveis impactos da crise sanitária. Métodos: Estudo descritivo transversal, com dados secundários extraídos do Banco de Dados Estatísticos do Sistema Penitenciário. Os dados foram analisados por meio de análise descritiva, utilizando o software estatístico Stata. Resultados: Identificou-se um aumento gradativo da população carcerária brasileira, com maior inclinação da população masculina para o encarceramento. A população carcerária masculina é também a que mais adoece e morre dentro do sistema prisional. No tocante à morbidade, a prevalência de sífilis, hepatite e tuberculose apresentaram redução no período pandêmico, enquanto o HIV permaneceu estável. Foram evidenciados os maiores coeficientes de mortalidade para as causas naturais (motivo de saúde), com máximo de 86,51 em 2021 e mínimo 83,37 em 2018. Conclusão: O perfil identificado demonstra diminuição de prevalência de doenças infectocontagiosas e uma permanência de elevados coeficientes de mortalidade no período pandêmico, indicando a necessidade de intervenções mais eficazes para garantir o bem-estar e a saúde da população carcerária

Environmental education in the curriculum of biological sciences courses: a documentary study

Wanessa Cristiane Gonçalves Fialho — Fri, 07 Feb 2025 00:00:00 -0300

Objective: To analyze the inclusion of Environmental Education in the curricular matrix and pedagogical project of a Biological Sciences course. Method: Descriptive, exploratory and documentary study, carried out between February and December of 2023, at a Higher Education Institution in the city of Quirinópolis- GO. Based on the analysis of the syllabuses of the disciplines and curricular matrices of the years 2009, 2015 and 2021, qualitative-quantitative analyses were carried out to verify the number of disciplines and topics that refer to environmental themes. Results: The analyses indicate that the Biological Sciences course presents Environmental Education in its pedagogical project, syllabuses and disciplines, however, in a secondary way, since this theme is not, in general, linked to teaching practice, and, when it appears, it is inserted in few areas of knowledge, such as, for example, Ecology, Botany and some pedagogical disciplines, being, therefore, little treated in an interdisciplinary way in this course. Conclusion: It was found that the insertion of the environmental theme occurs insufficiently and in only some disciplines of the course, compromising the individual's formation in relation to Environmental Education.

Profile of prehospital care in the countryside of Maranhão: a cross-sectional study

Wed, 05 Feb 2025 00:00:00 -0300

Objective: To evaluate the profile of care provided by the Mobile Emergency Care Service in a countryside of Maranhão, between 2021 and 2022. Methods: This is an analytical, descriptive, cross-sectional, and quantitative study conducted between July and September 2023. Data were collected from occurrence reports provided by the SAMU Coordination of Coroatá, Maranhão. The variables analyzed included the year of occurrence, sex, age group, nature of the call, and type of unit. Data analysis was performed using descriptive statistics to describe and summarize the information. The data were organized in Microsoft Excel (version 2016) and analyzed using the Statistical Package for the Social Sciences (SPSS), version 28.0.1. The study was approved by the Research Ethics Committee. Results: A total of 19,331 prehospital occurrences were analyzed, with many users being female (60.14%) and aged 60 years or older (36.08%). Most of the calls were of clinical (77.83%) and obstetric (7.04%) nature, with most occurrences attended by Basic Life Support Units (83.6%). Conclusion: The characterization of the care provided allowed for a better understanding of the profile of prehospital occurrences in the interior of Maranhão. Therefore, it is crucial to ensure the accurate recording of occurrence reports, promote the continuous training of professionals, and strengthen the oversight of professional practice to improve the quality and efficiency of the services provided.

Comparison of the Physio Pro app with existing apps on iOS and Android platforms

Wed, 18 Jun 2025 00:00:00 -0300

Objective: To compare the Physio Pro application with telerehabilitation applications available on Android and iOS platforms. Method: This is a methodological and documentary research study that analyzed the functionalities of applications found in the stores of both platforms, using as criteria the requirements defined by Brazilian experts in musculoskeletal physiotherapy through a Delphi study. Results: Fourteen applications were identified, of which only three simultaneously met the criteria of language (Portuguese), cross-platform availability, and focus on musculoskeletal physiotherapy. Among them, only Physio Pro integrated all essential features: synchronous and asynchronous communication, an exercise library with videos and descriptive texts, and a Portuguese-language interface. Conclusion: Physio Pro stood out from the other applications by offering a broader set of functionalities aligned with the needs of Brazilian clinical practice, providing an accessible solution in Portuguese with interactive resources that support adherence to telerehabilitation treatment.

Perception of community agents about work in the Family Health Strategy: observational study

Thu, 07 Aug 2025 00:00:00 -0300

Objective: To understand community health workers' perceptions of their work in the Family Health Strategy. Methods: This observational study involved 17 community health workers affiliated with Family Health Strategy teams. Data were collected from August 2022 to March 2023 through semi-structured interviews. Quantitative data were analyzed using descriptive statistics, and qualitative data were classified using the Descending Hierarchical Classification (DHS) system, supported by Iramuteq software. Results: Based on the community health workers' reports, it was found that their perceptions of their work are interconnected with social, health, structural, and environmental aspects, revealing factors that influence both the development of care actions and their own health. Therefore, based on semantic similarity, three categories were defined: Community Health Workers' Work, Use of Personal Protective Equipment, and Perceived Occupational Risks. Conclusion: The perceptions of community health workers reflect the challenging reality faced in the region, characterized by a context of high social vulnerability and exposure to occupational hazards. The reports highlight organizational and environmental factors that directly impact professional practice, reinforcing the need for effective interventions to contribute to their mitigation.

Epidemiological profile of maternal mortality in the state of Ceará from 2017 to 2021

Tue, 11 Feb 2025 00:00:00 -0300

Objetivo: Analisar o perfil epidemiológico das mortes maternas nas regiões de saúde do Ceará, Brasil, de 2017 a 2021. Métodos: Estudo transversal, epidemiológico, descritivo de abordagem quantitativa, realizado em setembro de 2023 no banco de dados do Sistema de Informações sobre Mortalidade do Departamento de Informática do Sistema Único de Saúde. Resultados: Identificou-se um total de 497 mortes maternas no período estudado. No ano de 2021 predominou com 129 mortes. Fortaleza foi a região de saúde que teve mais óbitos registrados, com 104 mortes. Observou-se uma prevalência de mortes em mulheres de 30 a 39 anos (n= 199), cor/raça parda (n= 382), solteiras (n= 265) e escolaridade de 8 a 11 anos (n= 210). Os dados revelam predomínio de óbitos maternos por causa direta (n= 273), ocorridos no puerpério, até 42 dias (n= 347), no ambiente hospitalar (n= 457) e que foram investigados com a ficha síntese informada (n= 486). Conclusão: Faz-se necessário o planejamento e implementação de novas estratégias de saúde materna, bem como de políticas públicas mais eficazes, objetivando a diminuição da mortalidade materna.

Attitudes and practices of mothers in emergencies with children who are victims of burns: an evaluation study

Tue, 04 Feb 2025 00:00:00 -0300

Objetivo: Investigar as atitudes e práticas das mães diante de emergências envolvendo crianças vítimas de queimaduras, a fim de incentivar a elaboração, implementação e avaliação de intervenções em saúde. Métodos: Pesquisa avaliativa, de abordagem qualitativa, descritivo-exploratória, realizada em instituições religiosas do município de Floriano, Piauí. A coleta de dados ocorreu entre janeiro e março de 2023. A amostra foi definida por meio da técnica bola de neve, baseada no uso de sequências de referências. Participaram do estudo mães com idade superior a 18 anos, que vivenciaram emergências com queimaduras em crianças de até dez anos incompletos. A análise dos dados foi realizada por meio de estatística descritiva. Resultados: O estudo contou com a participação de 30 mães. Identificou-se um sentimento de culpa quanto à forma de atuação diante do acidente. As práticas mais comuns foram: lavar a lesão com água corrente ou gelada, aplicar produtos como manteiga, óleo de buriti, ovo e pomada, além da busca por atendimento hospitalar imediato em alguns casos. Conclusão: Evidencia-se a necessidade de disseminação de informações em saúde sobre condutas adequadas no manejo de queimaduras infantis, com o objetivo de minimizar práticas ineficazes e potencialmente prejudiciais

Context of maternal mortality among indigenous Brazilian women of reproductive age: ecological study

Thu, 31 Jul 2025 00:00:00 -0300

Objective: To analyze the patterns and contextual determinants of maternal mortality among indigenous women in Brazil from 2020 to 2024. Method: This is an ecological study using data from the Brazilian Obstetric Observatory. The analysis was conducted in a descriptive manner where measures of central tendency were calculated, carried out in the R software. Results: It was observed that brown and black women represent the highest proportions, corresponding to 53% and 12%, respectively. The proportion of indigenous women is significant in the North (58%). Direct deaths predominated, accounting for 52% of cases, while indirect deaths accounted for 45%. The immediate puerperium was the period with the highest concentration of deaths (61%), although 84% of women received care, there were few autopsies (9.7%) and death investigations (22%). Conclusion: The study highlights the urgency of interventions to reduce racial inequalities. By prioritizing cultural and social specificities, public policies can guarantee equitable access to health and prevent avoidable deaths.

Keywords: Intersectionality; Women's Health; Indigenous Population Health; Maternal Mortality; Health Information Systems

Obstetric delays in patients with potentially life-threatening conditions in a referral maternity hospital

Wed, 12 Feb 2025 00:00:00 -0300

Objective: To identify the types of obstetric delays in patients with potentially life-threatening conditions in a referral maternity hospital in a city in northeastern Brazil.Method: Cross-sectional study carried out in the wards of the Sant’Ana Maternity sector, from January to May 2022, with 108 postpartum women admitted to the sector who were in the puerperal period up to 42 days and who suffered some potentially life-threatening condition (PLC), such as hypertensive syndromes and hemorrhagic syndromes. The data collection instrument was a questionnaire prepared by the author of the research, which categorized Delay I – In the decision to seek care (family members/patient); Delay II – For access to care/access; Delay III – For receiving care in the health service. The data were analyzed using Microsoft Excel 2019 and R version 4.1.0 software, and the frequency, mean, and standard deviation of the variables were described. Results: There was a prevalence of delay III, to receive care in the health service, with 33 (30.56%) of the cases, followed by obstetric delay I, decision to seek care (family and patient), in 25 (23.15%) of the participants and obstetric delay II, to access care/service, in 18 (16.67%) of the cases. Conclusion: There was a predominance of delays III and I in the findings of this study; therefore, the reduction of delays, such as the provision of supplies and equipment, a better referral system and the availability of transportation could contribute to the reduction of CPAV, serious maternal outcomes and even maternal deaths.

Temporal analysis of COVID-19 maternal mortality in Brazil in 2022 and 2023: cross-sectional study

Thu, 27 Feb 2025 00:00:00 -0300

Objective: To analyze the mortality and clinical evolution of women of reproductive age (pregnant and postpartum women) with COVID-19 in Brazil during the years 2022 and 2023. Method: This is a cross-sectional, descriptive and exploratory study based on secondary data from the Brazilian Obstetric Observatory on COVID-19 (OOBr). Records of hospitalized women diagnosed with COVID-19 were included, covering demographic, clinical and gestational information. The analyses involved descriptive and bivariate statistics, considering a significance level of p<0.05. Results: Women aged 20-34 and with a high school education predominated among the cases. In terms of skin color, indigenous and black women were more vulnerable, while white women were the majority in absolute numbers. Regionally, the highest concentration was in the Southeast and the lowest in the North. The third gestational trimester had the lowest relative risk (RR=0.067; p=0.011853), followed by the puerperium (RR=0.075). Hospitalization in the ICU and the need for invasive ventilation were associated with a higher relative risk. Evolution to death was significant (RR=0.128; p=0.047329), highlighting the severity of critical cases. Conclusion: Women of reproductive age continue to be a vulnerable group to COVID-19, especially those with risk factors such as heart disease and obesity. There is a need for preventive strategies and specialized care to reduce maternal mortality.

Keywords: COVID-19; Pregnancy; Postpartum Period; Women's Health; Maternal Mortality

Menstrual poverty and the dignity of people who menstruate

Bianka Jaquetti Macri, Juvêncio Borges Silva — Tue, 04 Feb 2025 00:00:00 -0300

Menstrual poverty is a problem that is currently being widely debated. In short, it is the lack of access basic sanitation and personal hygiene items needed during the menstrual period, such as sanitary pads and toilet paper. This problem is experienced by menstruators who don't have enough income to afford these products. Lacking them, they end up using other means to deal with the bleeding during this period, such as tissues and, in cases of greater poverty, breadcrumbs. Because of this, the federal government is studying ways to make menstruation more dignified for people on low incomes. This article aims to introduce concepts about menstruation, menstrual poverty and menstrual dignity. It points to data on menstrual poverty, as well as the measures already adopted to minimize the suffering and rescue the dignity of people in poverty who menstruate and addresses possible solutions to this problem.

Pedagogical workshops for good nursing practices in the care of people with chronic pain

Wed, 30 Jul 2025 00:00:00 -0300

Objective:

To report the experience of in-service continuing education workshops for nurses working in the care of people with chronic pain in primary health care. Method: Between August and October 2022, workshops were held focusing on the topics of "clinical reasoning," "use of ICNP®," and "evidence-based care for people with chronic pain."Experience report: The sessions encouraged critical discussions about nursing diagnoses, the need for structured records, and the importance of standardized terminologies, which enhance communication and improve the quality of care. Problem-posing methodologies enabled the identification of the topics addressed with real-world challenges. Final considerations: The results reinforce the value of continuing education and evidence-based practice in nursing. It is hoped that future work will adopt the methodologies used in this study to improve continuing education in various healthcare settings.

Clinical care with deaf patients who speak brazilian sign language - LIBRAS: comucation strategies

Maria Elisa Galvão, Leonardo Muneratti — Tue, 04 Feb 2025 00:00:00 -0300

Objective: To report the experience of communication strategies between health professionals and deaf patients using Libras, aiming at providing humanized and quality care. Method: This is an experience report carried out at a private university and at the Guilherme Álvaro Hospital, in Santos, São Paulo, in 2023. The activities included simulations of care for deaf patients during an optional Libras course for medical students, discussion groups with representatives of the deaf community, and photographic and film records. Experience report: The strategies involved the use of basic Libras signs for clinical procedures, such as measuring blood pressure, body temperature, and lung auscultation, in addition to the creation of visual codes to express pain levels. The importance of adapted medical prescriptions with visual symbols to facilitate understanding by deaf patients was highlighted. Conclusion: The experience highlighted communicative barriers that impact the quality of care for the deaf population. The need to train health professionals in Libras is highlighted, as well as the adoption of practices that guarantee accessibility, promoting a more humanized and effective relationship in health care.

Keywords: Libras; Health professionals; Care.