RCAAP Repository

PINHEIRO , Heráclito Aragão. O fantasma no castelo do materialismo: uma história do inconsciente Freudiano. 2009. 91 f. Dissertação (Mestrado em Psicologia) – Universidade Federal do Ceará, Departamento de Psicologia, Programa de Pós-Graduação em Psicologia, Fortaleza-CE, 2009.

The coronary reperfusion therapy with percutaneous transluminal coronary angioplasty and stent placement constitutes, now, the preferential treatment to the patient attacked by acute myocardial infarction. In the period after to angioplasty, the patient with infarct demands peculiar cares of the nursing team due cardiac compromising and physical dependence. The identification of the nursing diagnoses addresses the actions attended and delegated by the nurse. The objective of the study was to analyze the nursing diagnoses in patients with acute myocardial infarction submitted to the primary percutaneous transluminal coronary angioplasty with use of coronary stent. Cross sectional study of descriptive-exploratory character, accomplished in a public hospital of Fortaleza-Ce. The population consisted of 51 patients in their first infarct episode that they accomplished angioplasty with success in the placement stent and interned in the cardiac infirmaries. The data were collected by means of interview, physical exam and it consults to the records’ patient during the months of January to August of 2006. The results showed predominance men, brown, with average of 54 year-old age and it lowers education level. It identified high frequency of previous infarct, with artery descending previous left accused by the ischemia and Killip Classification I. They were found, on the average, 11 nursing diagnoses, 28 defining characteristics, 6 related factors and 5 risk factors for patient. The nursing diagnoses of larger frequency were: Risk for infection, Altered dentition , Activity intolerance, Bathing/hygiene self-care deficit, Toileting self-care deficit, Dressing/grooming self-care deficit, Sleep pattern disturbance, Impaired walking and Impaired physical mobility. The variable number of diagnoses presented statistic association with the diagnoses self-care deficits, Impaired walking and Impaired physical mobility. There was significant association between the diagnoses related to the self-care, mobility and locomotion, and of these with the factors related prescribed restrictions of movements, limitation imposed by the retreat of the hem and state of harmed mobility. The data revealed predominance of phenomenons related to the biological order and importance in the identification of the nursing diagnoses in the specific clientele in way to base a nursing care plan of activities returned to the attendance of the physiologic needs of self-care and physical dependence.

REIS , Inês Maria de Oliveira. Os sentidos do adoecer: refazendo o percurso Freudiano. 2008. 144 f. Dissertação (Mestrado em Psicologia) – Universidade Federal do Ceará, Departamento de Psicologia, Programa de Pós-Graduação em Psicologia, Fortaleza-CE, 2008.

Estudos empíricos têm constatado a existência de diferenciais de produtividade e renda per capita entre países e uma tendência à sua redução para os países desenvolvidos. Esta tendência, denominada de Hipótese da Convergência (H-C), tem recentemente ganho relevo em face da queda relativa das taxas de crescimento da produtividade e renda per capita americana desde a segunda metade da década dos 60’S. A análise deste processo, no geral, tem-se dado em duas grandes linhas de pesquisa: uma baseada em modelos econométricos de crescimento econômico e outra na hipótese de catch-up, mais próxima da análise do processo de desenvolvimento econômico. Este trabalho se insere na segunda linha e procura analisar a H-C, a partir da experiência recente da economia americana, as principais razões, primeiro, para sua ocorrência, como a expansão do comércio mundial, produção em massa entre outros. Segundo, para a manutenção, apesar da queda relativa observada, da posição de liderança na economia mundial. Entre os fatores responsáveis por este fato destacase a posição de liderança dos Estados Unidos na área tecnológica, em particular nas indústrias de alta tecnologia (expressa pela participação americana na exportação mundial de produtos considerados de alta tecnologia). Esta liderança inconteste, ao longo do período 1965/88, acentuou-se a partir da segunda metade dos anos 80.

The lack of knowledge on the part of mothers about their children’s ocular health is a common denominator found when they are asked about this theme, mainly concerning the visual stimulation, which is a component of significant value to the newborn babies’ ocular health. Thus, one aimed to apply a handbook highlighting the visual stimulation for mothers of children with risk to visual alterations and to validate material and method for education and health applied to visual stimulation of premature children and/or with risks to visual alterations. Data collection was carried out from April to June, 2005 in three methodological moments. On the first moment, the handbook was analyzed by three experts, on the second one, the handbook was reformulated starting from the suggestions and on the third moment the handbook was applied to the mothers admitted to the kangaroo-mother ward, with record of interviews where the items of evaluation were approached after the reading of the handbook. The data were described according to Bardin (1977) and Nietsche(2000). Referring to the first moment, one suggested changes in the handbook’s back page, with the complete identification of the authors, addition of an item about the obstetric history and another about signs and symptoms of visual alterations; change of a drawing that was over the text making it difficult to read; emphasis on the topic about the participation of parents on the promotion of ocular health to their children; update on the literature; and enlargement of the material created for all the children with risks to visual alterations, not only the premature ones. Next, one carried out the second methodological moment, with the corrections suggested by the experts, being all obeyed. After the thematic analysis of the 12 interviews, one identified four themes: Perception of the handbook, Knowledge of mothers about ocular health, Handbook’s structure and Promotion of the ocular health. We concluded that the handbook facilitated the learning about visual stimulation, as well as it will make that the visual deficit, in case it appears, is noticed as precocious as possible, in the family life. Besides encouraging the stimulation at home as an indispensable factor to the development of the child, be it premature or not. By mentioning the components contemplated by the emancipatory technology, to know: the exercise of critical conscience, citizenship, freedom and autonomy; we affirm that each one of them was present at the application of the handbook about visual stimulation, what makes the handbook, as well as the practice together with the mothers as emancipatory technology.

In this paper, we analyzed the time as a privilege category of subject and society study; aiming to analyze its action as a social solvent when presents itself in the new configurations between time and work in contemporaneity, we performed a theoretical analysis of time category and its new ways of presenting itself in work contemporaneity. Thereunto, we delimitated a few study fields where temporality inserted itself as category, as of Philosophy, Physics, Biology and Sociology, we studied the work Time, the free Time and the leisure Time. Based on these studies, we delimitated a few Psychology study fields of temporality, so we can finally focus in the temporality issue for Psychoanalysis. Once the subjective temporality was delimitated, we could search for the interface between it and the world, finding a temporality marked by social mediation. In this context, we verified the time acting with the work, forming one of the categories which works as social glue. Analyzing the new configurations admitted by the labor temporality, after the work has become predominant social category, we verified that it can lose its society wide glue characteristic and present itself as a social solvent in a few social groups, fortifying other groups’ attachments, helping, thereby, in time ghettos formation related to work.

In response to growing consumption of alcohol and its related problems, exemplified by harmful use and/or dependence, Brazil has been setting public policies such as full attention on alcohol and drugs users which, in turn, highlights the psychosocial care based on a support network organized by the Psychosocial Care Center (PCA), linked to other health services and community groups. Self-help groups as the Alcoholics Anonymous (AA) are becoming increasingly common, as its members organize themselves in order to live and solve their own alcohol related problems. This research aimed to learn, from the experience of handling with alcoholics, how a self-help group develops itself as a social support network. The descriptive study took place in an AA from Fortaleza (CE), with 20 participants aged over 18 years-old, who wished to take part and were affiliated and regularly attending the group meetings for at least one year, and also were in physical and emotional conditions to properly respond the questionnaire. Data were collected through individual interviews, using a semi-structured road map and organized in tables, then grouped in four main categories that emerged from the interviewed testimonies. The analysis process was based on the precepts of Bardin´s Content Analysis. The results shows the diversity of characteristics about social, demographic and historical aspects related to the use of drugs, with a history of heavy use of alcohol and its adverse consequences to the health of the participants, including all sorts of negative interference in all aspects of their lives: personal, family, social and economic. It was reported by the participants the search for spiritual assistance in health services and self-help groups to drug-dependency treatment. It was also emphasized the AA contribution to the Health Promotion, not only because it restores their physical condition, but also by offering them subsidies for empowerment, and giving the possibility of reintegration of those ones previously victimized by social exclusion. The self-help group proved to be an efficient support environment to the participants, permeated by the offer of a program with attainable goals, by working as a space where the participant has a voice, and by its intersectorial ability of articulation within support network groups. Based on the perceived reality, comes the perception about the need of more health professionals engaged in the fight against the use of psychoactive drugs, taking a more decisive role in the construction of policies and practices that meet this condition and provide solutions for it. To the given complexity, this participation requires some key conditions, such as the recognition of the importance of knowledge from other areas and the capability of building partnerships as a strategy for care and social inclusion.

No summary/description provided

Objetivou-se, com este estudo, identificar os fatores de risco para diabetes tipo 2 numa população de adolescentes de escolas particulares da cidade de Fortaleza.Trata-se de um estudo transversal realizado com 794 alunos de 12 a 17 anos nos meses de maio, junho, agosto e setembro de 2007. Doze escolas particulares das seis regionais que compõem a cidade de Fortaleza foram selecionadas. Utilizou-se um formulário onde se registraram dados pessoais, características sociodemográficas, hábitos alimentares e de exercícios físicos dos consultados. Também se mensurou o peso, a altura, a pressão arterial e a glicemia capilar de todos os alunos. Os pais dos alunos responderam sobre os casos de DM2 em familiares através de um questionário enviado aos respectivos domicílios. Os dados sofreram dupla digitação e foram analisados com base em literatura específica. Este estudo atendeu as exigências das Diretrizes e Normas da Pesquisa em Seres Humanos. Dos 794 adolescentes participantes 57,3% eram do sexo feminino e 42,7% do sexo masculino. A idade variou de 12 a 17 anos, com média de 14 anos, sendo a maioria compreendida na faixa etária de 12 a 14 anos (53,4%). A maior parte deles estava entre o 8º e o 9º ano do ensino fundamental (43,6%). Foram investigados os fatores de risco excesso de peso, sedentarismo, antecedentes familiares de DM2 em parentes de primeiro e segundo graus e níveis elevados de pressão arterial e glicemia capilar. Dos adolescentes participantes 23,7% tinham o IMC elevado, 65,1% eram sedentários, 51,1% tinham antecedentes familiares de DM2, 19,7% tinham pressão arterial elevada e 4,9% tinham glicemia capilar fora dos padrões de normalidade. Os dados, em relação ao número de fatores de risco apresentados por cada adolescente, apontam que 10,5% deles não tinham nenhum dos fatores investigados, mostrando que eles não estavam, portanto, expostos ao risco de adquirir DM2. No entanto, 33,8% dos jovens tinham pelo menos um fator, 39,2% dois, 14,2% três e 2,3% quatro fatores associados. Apenas um adolescente tinha os cinco fatores presentes, estando esse jovem, portanto, com grande chance de adquirir a doença. Essa investigação permitiu à enfermagem ter o conhecimento dos fatores de risco para DM2 nos jovens participantes e os resultados encontrados podem proporcionar ao enfermeiro a atuação no ambiente escolar através da proposta e a atuação efetiva na realização de oficinas educativas com o objetivo de incentivar mudanças de comportamento para combater, sobretudo, o excesso de peso e o sedentarismo, contribuindo dessa forma com a promoção da saúde e a prevenção de DM2 naquela população.

This is a quantitative study, which took place in a public maternity of Fortaleza - CE during the months of March and May of 2004. The aim was to describe the implementation of a visual evaluation during the intern of 114 premature newborns (PN) whose gestation age until birth was under 37 weeks. The babies’ mothers gave their permission to be subject of the study. The evaluation questionnaire consisted of three categories: 1) maternal and newborn history, 2) ocular exam and 3) nursing care. The data was analysed with the help of SPSS software 11.0 version and presented through table charts. To analyse the 2x2 tables it was used Fisher’s tests and for the rxc tables, Fisher-Freeman-Halton’s tests, adopting a significance level of 5%. Under the category maternal history, the data showed that the age’s ratio of the mothers was 23 and 3.8 was the average number of pre - natal consultation. Under family history/ophthalmologic, it stood out deflection errors (17%) followed by diabetes (14%) and in a lower frequency, cataract (4%) and glaucoma (1%). Under personal history it stood out high blood pressure (12%) followed by visual disorder (8%). Under newborn history it was found that 71% of PN were born thought caesarean section, also 52% are female and 68% had an apgar lower than seven during the first minute of their lives. 78% were average PN according to the premature classification. It was found that 112 PN used oxigenotherapy in which 71% of them were between the ages of 1 and 10 days. Also 68 PN were under phototherapy in which 53% were between 1 and 5 days old. The prophylaxis against newborn ophthalmologic disease was done in 27% of the premature newborns. As for the external ocular exam, 27% of those babies showed alteration in the eyelid, 16% in the conjunctiva, 14% in the sclera, 9% in the lachrymal duct, 6% in the cornea and 5% in the pupil (opening of the iris). None of the premature newborns showed any alterations on the eyebrow or iris. There was a meaning variation between the sclera and the ophthalmologic medication used (p=0,055). Thirteen premature newborns (11%) showed variation of the extra-ocular movements (physiologic strabismus) and thirteen (11%) had their red reflex altered. It was found a relevant relation among the red reflex, the apgar in the first minute of the newborns’ lives (p=0,041) and the time of oxigenotherapy treatment (p=0,028). The nursing care, based on visual assessment, was noted on the register book, informed to the nursing team, conducted as an specific treatment for the newborns’ vision, transmitted to their parents and other professionals (if one was to be needed). The results showed that the method used was efficient because it emphasizes and identifies factors that may help cooperate treatments against premature visual disorders. Indeed a technology resource contributes to the knowledge and nursing practice for the newborns’ visual health. The evaluation process came to be useful and necessary during a newborn intern period as one of the nursing treatments to reduce children’s ocular disorders.

Spinal cord injury represents great problem in public health, which affects physically the body, leading to paraplegia or tetraplegia, bringing consequences that modify family’s dynamics, which determine a new life style to its members. This context takes family to organize itself and to reconfigure its shapes, in search for understanding the individual and learning how to live with the injury implications. We aimed, in this study, to understand the meaning of caring given by the family to a person with spinal cord injury; to find out the feelings that surround the care relationship of the spinal cord injury person’s family based on the considerations of Jean Watson’s Theory; and to analyze the family attitudes face to caring process. This study is a descriptive type, with a qualitative approach, developed at an institution reference on trauma assistance, settled on Fortaleza-CE. Seven family caregivers participated to this study. The data were collected in September to October 2007, by a semi-structured interview. The speeches were analyzed using the content analysis method. We interpreted and inferred the information supported by Jean Watson’s Transpersonal Caring Theory. We concluded that the caring meaning for the family member’s perception is expressed by difficulties related to knowledge deficit, to the fact of caring is supposed to be an exhaustive activity and to the resignation of the new role of caregiver. About the feelings aroused in response to this neurological lesion, highlighted affection, faith, sadness, anxiety and fear, preoccupation and hope. As attitudes patterns face to caring process, we pointed the aspects linked to responsibility, resignation, non-acceptance and attitudes ambivalence. Thus, we realized that it is also necessary to focus Nursing care on the family of those people affected by spinal cord injury.

NETO, Isaac Vilanova e Silva. A teoria das pulsões em Freud e Lacan: pontos de convergência e de divergência. 2009. 81f. Dissertação (Mestrado em Psicologia) – Universidade Federal do Ceará, Departamento de Psicologia, Programa de Pós-Graduação em Psicologia, Fortaleza-CE, 2009.

No summary/description provided

The modeling of the traffic flow on the urban road infrastructure have become one of the most important tools to analyze the performance of new strategies and policies of traffic control aimed at improving the efficiency of the transportation system. However, to model the traffic flow in a solid way it is essential that the stages of calibration and validation of the simulation model are satisfactorily accomplished. This work presents a procedure, with an eminently practical focus, for the calibration and validation of simulation models to analyze tactical and operational interventions in the urban road network. This procedure comprises the following stages: i) definition of the road network to be modeled; ii) selection of the simulation model; iii) definition of the simulation network; and iv) calibration and validation of the simulation model. After specifying the tasks necessary to develop each one of these stages, this procedure was applied in an area of the city of Fortaleza-Ceará, using a traffic microsimulation software (INTEGRATION) and a mesosimulation package (TransCAD), to compare the calibration processes in each one, emphasizing their specificities. Nowadays, the use of traffic simulation models is not very spread in the Brazilian technical community and there are no calibration and validation procedures to facilitate the use of these programs. The author hopes that the procedure proposed in this research, as well as the discussions about its application, help to diffuse the use of traffic simulation to support the evaluation of interventions that provide a better use of the actual transportation infrastructure.

This study approaches deaf people’s social representations in the concerning to sexually transmissible diseases, due to the difficulty deafness causes in communication and, consequently, in the acquisition of contents on STD, strengthening susceptibility to such diseases. The research was carried out in a basic education deaf school. It aimed at: learning deaf students’ social representations on STD; identifying representations related to information acquirement, ways of STD contamination and prevention; interpreting their own social representations face to others and to themselves. The exploratory study was carried out with stratified sample with students from 6th to 9th grades studying in the three times. To data collection, the researcher used the Word Association Test (WAT), the draw-a-story theme based test survey and reports in field diary. Population consisted of 174 students and the sample of 107. Statiscal Package for Science Program, version 13.0 organized qualitative WAT and survey data. WAT data interpretation was proceeded with correspondence analysis and survey data with content correspondence. Results show that about 50% are male or female, with average age of 21. A little more than a half of them report knowing STD topic, and two are the ways of acquiring such information: alone, through books and magazines, and through other people (friends, neighbors etc) followed by school. Family members reported as responsible for information students highlighted mother, and mother and father together. AIDS is the most known disease, followed by hepatitis B and syphilis. Furthermore, they believe that diseases like dengue, leishmaniasis and yellow fever, that are transmitted by insect bite, are also sexually transmissible. Related to contamination, they have reported genital, oral and anal sex, as well as syringe sharing with drugs use; a significant number of students reported sneezing and cough, mouth kiss and sharing cutlery can improve the risk for STD, because they involve spittle. The primary preventive method students report is condom, and they believe that using condoms is being hygienic. They show to believe that STD have a strong semantic relationship with sex, condom, penis, disease and AIDS, while STD itself is represented by the words/expressions: I don’t, condom, cannot date, disease, sick, weak, penis, vagina, mouth (the three latter as both organs from body and sick organs). The expression “I don’t” shows STD deny for themselves, so it is the other’s sickness. The study is an evidence for the knowledge that deaf students realize STD in couples and sexual organs, that is, the very sexual act.

The implantation of the management systems has always been a challenge for the functioning parts which are responsible for the roads of a region. Such challenge becomes even bigger when the implantation of this kind of management has to be applied to roads which are not paved. It is important to consider, in this case, the bigger extension when compared with roads with some kind of overlay. We may also consider the scarcity of studies and works published in this area which complicates even more its practical application. The present work aims to contribute for the arrangement of the pavement management system (PMS), focusing its first stage, the field survey, besides the posterior analysis of the data obtained. We have as a basis the research accomplished in the USA as the ones by Eaton et al. (1987), we also tried to adapt and innovate new techniques of field survey, aiming to facilitate the achievement of data which must be inserted in methods of evaluation of the bearing conditions of the unpaved roads. The roads AQZ-01, AQZ-02 and AQZ-03, located in the district of Aquiraz, were chosen for the accomplishment of this research, once they had already been used in previous works which followed the same line of research, the management of unpaved roads. As a conclusion for this work, we hope to close this research cycle which was started in 2003 with the studies of Correia (2003), Moreira (2003) and Nunes (2003) and were recaptured in 2006 by Almeida (2006) and Santana (2006); each of them working at a specific stage of a PMS directed to the unpaved roads and that is applicable to the reality of the roads in Ceará and which can also be used by the municipal organs, helping in the management of the roads in general as well as of the unpaved ones.

The prevalence of infections sexually transmitted in adolescents has been presenting high numbers when it comes to the cases of HIV contamination. Among the factors that contribute to the increase of vulnerability the knowledge stands out, sometimes inadequate and inconsistent, what constitutes an important aspect in the adoption of preventive measures against HIV, being the school an important space to investigate what information these adolescents have on this epidemic. Facing this, it was aimed to identify the nursing diagnosis, the deficient knowledge concerning HIV/AIDS in male adolescents. This is a descriptive study of the transversal type with quantitative approach. The population consisted of male adolescents, from 12 to 18 years, of one public school and one private. The sample was composed by 326 students. The data were collected in the months of June and July 2008, through a questionnaire containing the data data referring to the identification of the nursing diagnosis in study. The age averages of the students were of 15.25 and 14.52 years, for thoses in the public and private institutions respectively. Most were single. The diagnosis was identified in 97.2% of the researched, being the inadequate performance in a test the most present defining characteristic. The performance inferior to 80.0% in the indicators used to this evaluation was of 68.4% regarding the knowledge on general aspects of HIV/AIDS; 72.1% to the contamination forms; and the referring percentages to the correct use of the male preservative and the prevention forms were respectively 52.5% and 61.3%. Concerning the referring factors it was frequently found the lack of familiarity with the information resources. Among the means mentioned to the knowledge acquisition on HIV/AIDS, we have the health professionals, the lectures, the hospitals and the teachers. About the searched resources, it was seen that the lectures, the internet, the teachers and the parents are among the most mentioned. The friends were the option of few adolescents. Regarding the referring factor - lack of interest in learning - the students that told never had looked for information justified such conduct mainly because of the lack of opportunity, indifference and because they don’t give importance to the theme. It was concluded that the knowledge deficiencies found were related with the use of the term bearer as reference to the soropositives, the existence of differences between being contaminated and develop or not AIDS, the virus transmission through the sexual act with only one partner without the use of preservative, as well as the contaminated mother to the child, the sexual relationship with vaginal and anal penetration without condom, and through blood donation. About the use of condom, the alternatives that presented smaller percentage of success were referring to the use of lubricants, the storage and the insertion. Therefore, the nursing interventions of educational nature should reinforce the existent knowledge and give priority the found deficits, in a way to focus the nursing actions in the acquisition of favorable results to increase the knowledge of these adolescents regarding HIV/AIDS.

Among the complications caused by infection by the immunodeficiency virus, those which compromise the visual system, that sometimes occur unexpectedly and can cause blindness, are highlighted. This study evaluated the efficacy of an educational technology aiming at the promotion of the eye health of people with HIV/AIDS. This evaluation research was carried out at the outpatient clinic in a referral hospital for treatment of infectious diseases, with 130 patients with HIV/AIDS, between May and August 2010. Data were collected through interview and observation, using three forms which approached, respectively, the socioeconomic profile, understanding of the booklet and accomplishment of self-examination. Predictive Analytics Software (PASW), version 18.0, was used. The association analyses were carried out using the X2 test and the likelihood ratio. Student’s t test was used to compare the averages and, when statistically significant, multiple comparisons were performed with Tukey test. All analysis were considered statistically significant when p<0.05. Of the 130 interviewed participants, 100 (23.1%) were male, 98 (75.4%) single and 76 (58.5%) had completed secondary education. Most, 95 (73.1%), had formal or informal jobs, 59 (45.4%) had incomes up to one minimum wage, with average of R$928.54 (SD= ±R$919.38). The age of the analyzed group varied from 19 to 56 years, with average of 35 ± 8 years. As for the time of diagnosis, 36 (27.7%) had between two and five years, which was the same time of treatment carried out by 51 (39.2%) participants. Concerning the evaluation of the understanding of the text – the adequacy of the booklet regarding the drawings and the difficulty during the use of the referred material, it was observed that most participants evaluated the booklet positively, although there was lack of concordance in relation to some aspects. Participants reported that the language should be simpler and that some of the names used were technical terms, limiting the understanding. Among the examinations carried out, there were lower scores for verification of distant visual acuity, in which 68.4% of the participants presented poor or totally poor conduct. They were related to the non accomplishment of some guidelines, such as hand washing before the start of the evaluation, setting of the optometric scale below and above the height of the eyes and the lack of registering of the findings at the end of each stage. On the other hand, the best performance of the group was observed in the evaluation of the eye movement (45.4%) and of the peripheral vision (38.5%), the latter having its steps executed completely correct. Comparing the results of the eye evaluation found by the group and by the researchers, the only item with significant difference was the one regarding the eyelid examination (p=0.036). It is concluded, therefore, that the booklet for self-examination is efficient, although it still needs to go through some changes for adequacy, both in the writing and in the drawings, as to make its use easier.

A partir de nossa experiência como enfermeira da Estratégia Saúde da Família- ESF, desenvolveu-se este estudo, realizando atividades educativas em saúde mediada por tecnologias educativas, junto a mulheres adultas jovens, assistidas pela ESF, com o intuito de contribuir para o exercício da autonomia e emancipação destas mulheres, estabelecendo-se uma relação dialógica e participativa. OBJETIVO descrever experiências de mudanças comportamentais adotadas por um grupo de mulheres adultas jovens, como resultado da utilização de tecnologias educativas para a promoção da saúde deste grupo de usuárias. METODOLOGIA estudo de abordagem qualitativa, cujo referencial foi Community-based participatory research – CBPR. Formou-se um grupo com onze mulheres adultas jovens (entre 20 e 38 anos), residentes no Conjunto Habitacional Novo Barroso em Fortaleza-CE, com o intuito de desenvolver atividades educativas em saúde e discutir sobre os principais problemas de saúde das mulheres naquela comunidade, planejar e desenvolver ações visando contribuir para a prevenção e promoção da saúde. As três agentes comunitárias de saúde do bairro também participaram do estudo. Ocorreram 16 encontros com o grupo, no período de julho a outubro de 2009. As técnicas e instrumentos de coleta de informações foram: registros dos encontros de grupo, diário de campo da pesquisadora e entrevistas. A coleta e a análise das informações ocorreram de forma simultânea, no decurso dos encontros no grupo de mulheres. Os aspectos éticos foram respeitados, buscando-se nortear corretamente o estudo, tendo sido submetido e aprovado pelo Comitê de Ética em Pesquisa da Universidade Federal do Ceará, sob protocolo nº 153/ 09. RESULTADOS a maioria das participantes mantinha um relacionamento conjugal estável e tinha filhos, possuía renda familiar de até um salário mínimo. Elas escolheram um nome para o grupo que foi Supermulher: a saúde cor-de-rosa. Nos encontros educativos, houve a participação de profissionais, como educadora física, nutricionista e dentista, contribuindo para a prática da interdisciplinaridade. As mulheres sugeriram temas para discussão, como gravidez na adolescência, câncer de mama e infertilidade. O grupo elegeu como tema prioritário em saúde da mulher para aquela comunidade a gravidez na adolescência. Assim empregou-se o conhecimento das participantes para identificar as potencialidades locais e planejar conjuntamente as intervenções que poderiam amenizar a gravidez na adolescência. As mulheres, então, fizeram um filme sobre gravidez na adolescência, que foi apresentado à comunidade no I Encontro de Adolescentes do Novo Barroso. Acredita-se que o estudo contribuiu para o aumento da autonomia, emancipação e fortalecimento da cidadania e consciência crítica dessas mulheres, mediante as evidências percebidas. As mulheres participantes deste estudo já ‘deram marcas’ de mudanças de comportamento, por tudo o que foi evidenciado durante os encontros com o grupo. CONSIDERAÇÕES FINAIS A CBPR mostrou-se uma estratégia positiva para o reconhecimento dos problemas comunitários, envolvimento e mobilização comunitária na superação dessa realidade. Nas práticas educativas, é preciso inovar e criar parceria com a comunidade, sendo para isso necessário ultrapassar os limites físicos do CSF e ir para o território, conhecer a comunidade, as famílias, os sujeitos e as suas necessidades e potencialidades. As tecnologias educativas devem ser utilizadas no processo educativo, no sentido de incluir os sujeitos na aprendizagem e facilitar o diálogo entre saber científico e popular, pois neste estudo foram imprescindíveis para o envolvimento e participação dos sujeitos, assim, favorecendo sua aprendizagem e consequentes mudanças de comportamento.

This is an exploratory and descriptive research, primarily aiming at the analysis of factors that interfere in clean intermittent catheterization (CIC) procedure in children with neurogenic bladder, secondary to myelomeningocele (MMC), under caregiver’s perception. Fifty five 29-days-old to 11 years and 11 months-old children participated in the study. They were engaged to a child general hospital in Fortaleza City – CE; they should be using assisted clean intermittent catheterization (CIC) and they had accomplished the rehabilitation program. Most of children were students (74.5%) and female (58.2%), receiving continued social benefit-cost (78.2%) and their family incomes were until 2 minimum wages. Most of caregivers in the study had 32 to 39 years-old (38.2%), were women (96.4%), married (69.1%), had the Mid Level concluded (58.2%) and did not have outdoor occupation (89.1%). Concerning to the house infrastructure, most of residences had treated water (90.9%), basic sanitation (69.1), bathroom (100%), from 4 to 5 rooms (50.9%), door in the place where the CIC was administered (63.6%) and from 4 to 5 people cohabitating the same environment (47.3). Related to the factors that interfere in the CIC procedure, positively interfered: child’s age (p=0.047); caregiver without outdoor occupation (p=0.038); perception of continued social benefit-cost (p=0.0001); reception of material used in CIC from Municipal District or State (p=0.0001); good caregiver’s visual acuity (p=0.0001) and dexterity (p=0.0001); acceptation from child (p=0.0001) and caregiver (p=0.0001) related to the procedure (p=0.0001); absence of intercurrence during CIC administration (p=0.0001). Related to the negative factors, it is related: urethral sensibility (p=0.002), urinary losses in the intervals of CIC; continuous use of diapers and the presence of urethral sensibility in these children (p=0.0001). Two investigated factors did not present any interference: amount of rooms and number of people cohabitating with child in the house (p=0.0001). These results suggest that the number of variables positively interfering in CIC administration was superior to the negative ones. So, findings are extremely relevant so they enable the inference that the adhesion to CIC is made easy by the presence of such factors.