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Efeito de uma tecnologia educativa na interação mãe-filho durante a amamentação avaliada pela escala interativa de amamentação: ensaio clínico randomizado

2026-07-16T19:26:28Z

Título: Efeito de uma tecnologia educativa na interação mãe-filho durante a amamentação avaliada pela escala interativa de amamentação: ensaio clínico randomizado Autor(es): Santos, Andrêina Cristina Nascimento dos Abstract: Introduction: Exclusive breastfeeding (EBF) is essential for the health of the mother–infant dyad; however, its prevalence remains below national and global recommendations. In this context, educational technologies have emerged as promising strategies to promote breastfeeding and strengthen mother–infant interaction during the breastfeeding process. Objectives: This study aimed to evaluate the impact of an educational technology on the dynamic interaction between mother and child during exclusive breastfeeding. Methodology: This was a randomized controlled clinical trial with a quantitative approach, single-blind, conducted in Primary Health Care units in the municipalities of Itabaiana and Lagarto, Sergipe, Brazil. Pregnant women aged ≥18 years receiving prenatal care were randomly allocated into control and intervention groups. The intervention consisted of an educational serial album combined with postpartum follow-up. Mother–infant interaction was assessed using the Interactive Breastfeeding Scale at five time points: during pregnancy and at 7, 30, 90, and 180 days postpartum. Data were analyzed using descriptive and inferential statistics, including linear mixed-effects models, with a significance level of 5%. A total of 106 pregnant women were recruited, with a final sample of 53 participants. Results: The results demonstrated a stable trajectory of interaction scores over time, with no statistically significant differences between the groups. However, obstetric and sociodemographic variables were associated with interaction scores, particularly pregnancy planning, as mothers with unplanned pregnancies showed higher interaction scores in the immediate postpartum period. Conclusion: It is concluded that the educational technology did not produce significant differences in mother–infant interaction between groups; however, individual factors influenced this process, highlighting the need for personalized approaches in maternal and child care. This study contributes to advancing knowledge by integrating educational technology and systematic assessment of mother–infant interaction in the context of breastfeeding.

Fatores associados às complicações de pele periestoma em um centro especializado em reabilitação

2026-07-14T19:03:25Z

Título: Fatores associados às complicações de pele periestoma em um centro especializado em reabilitação Autor(es): Araújo, Izabelita Alves de Abstract: Introduction: Ostomies are designed to ensure survival, but peristomal skin complications are common among people with elimination stomas and are associated with impaired quality of life. Objective: To evaluate the occurrence and factors associated with peristomal skin complications in people with elimination stomas at a Specialized Rehabilitation Center (CER) in northeastern Brazil. Materials and method: This is a survey-based, crosssectional, and analytical study with a quantitative approach, conducted in two phases: document analysis and either telephone or face-to-face interviews. The forms used were: an instrument developed by the researcher based on the literature to assess the clinicalepidemiological profile and the New General Self-Efficacy Scale (NGSE) to assess selfefficacy. The population consisted of 1,276 users. Users who had cognitive, hearing, or motor deficits that prevented them from understanding the interview or performing self-care were excluded, as well as those who reported having undergone intestinal transit reversal surgery. Data collection began after approval by the Research Ethics Committee in accordance with Opinion No. 6,590,416. Exploratory and bivariate analyses were used to identify variables eligible for inclusion in the multivariate model. Poisson regression was employed to estimate adjusted prevalence ratios of the variables independently associated with the outcome of interest. Results: The sample consisted of 302 individuals who agreed to participate in the study. The predominant sociodemographic characteristics were: female biological sex, cis gender identity, age > 50 years, formal education < 12 years of study, nonwhite skin color, having a partner, living in the metropolitan region, family income of at least one minimum wage, no access to supplementary health care, retired, with access to the internet and religious beliefs. They assessed their health status as good to excellent, did not have hypertension or diabetes mellitus, did not have alcohol or smoking habits. They practiced leisure activities, did not participate in therapeutic support groups or associations, did not have an active sex life, did not bathe in the sea or pool and did not practice physical activity. Neoplasms were the main diagnosis indicating the creation of a stoma. Colostomy was the most prevalent type, as were temporary stomas. Among the complications, the most prevalent was peristomal skin dermatitis, followed by allergy to collecting equipment or adjuvants and granulomas. When analyzing self-efficacy, results between 8 and 30 points were found, with an average of 22.19 ± 5.07. Being over 50 years of age (PRa: 0.79; 95% CI: 0.68-0.92; p-value: 0.002), having adapted to the stoma (PRa: 0.79; 95% CI: 0.68-0.92; p-value: 0.003) and practicing physical activity (PRa: 0.79; 95% CI: 0.65-0.96; p-value: 0.020) were associated with a 21% lower prevalence of the outcome of interest in this study. Conclusions: Self-reported peristomal skin complications over the past six months were present in two-thirds of the sample. The prevalence of this outcome was significantly lower among individuals over 50 years of age, those who reported being adapted to the stoma, and those who engaged in physical activity, with no significant association with self-efficacy. Assessing the occurrence and associated factors of peristomal skin complications may provide support for planning nursing actions in the care of people with stomas.

Plano de parto no pré-natal: percepções do enfermeiro da atenção primária à saúde

2026-07-09T19:01:02Z

Título: Plano de parto no pré-natal: percepções do enfermeiro da atenção primária à saúde Autor(es): Soares, Stefany Karoline de Almeida

Práticas integrativas e complementares em saúde na formação acadêmica: estudo quantitativo transversal com estudantes de cursos de graduação em ciências da saúde

2026-07-09T19:00:39Z

Título: Práticas integrativas e complementares em saúde na formação acadêmica: estudo quantitativo transversal com estudantes de cursos de graduação em ciências da saúde Autor(es): Trindade, Mônica Viviany Silveira Abstract: Introduction: integrative and Complementary Health Practices (ICHP) are important for comprehensive care within the Brazilian Unified Health System (SUS), as established by Law No. 8.080/90. However, studies indicate a lack of knowledge about these practices in the training of health professionals. General objective: To analyze the opinions, attitudes, interests, and use of Integrative and Complementary Health Practices among undergraduate students in Health Sciences programs at a Federal University. Materials and Methods: This was a quantitative, analytical, and exploratory cross-sectional study, with a convenience sample of undergraduate students enrolled in Health Sciences programs at the Federal University of Sergipe. Data were collected online and in person through a self-administered questionnaire (sociodemographic characteristics, lifestyle habits, and ICHP) between December 2024 and May 2025. Descriptive statistical analysis (frequency, mean, and standard deviation) and association tests (Chisquare and Fisher’s exact test) were performed using SPSS software (version 20.0). Results: a total of 290 students participated in the study, most of whom self-identified as Black/Brown (60%), with a mean age of 22.77 years. The majority were female (63.8%), had no children (96.9%), reported a family income of up to two minimum wages (51.4%), did not engage in paid work (91.7%), and did not receive a university scholarship (83.1%). Most participants (72.1%) recognized the health benefits of ICHP, 44.8% had previously used ICHP, and 15.5% reported current use for health care. However, formal academic exposure was low, as 70.3% had not attended courses or disciplines addressing the topic, despite recognizing the importance of learning about ICHP at the university (97.3%). The analysis showed that female sex and the presence of a health condition were significantly associated with greater use of and interest in training in ICHP (p < 0.05). Perceived importance of learning about ICHP at the university was strongly associated with interest in training courses (p < 0.001). In addition, following ICHP-related profiles or groups on social media was significantly associated with participation in academic activities related to ICHP, including disciplines (p < 0.001), extension projects (p < 0.001), and research groups (p < 0.001). Final considerations: The study demonstrated high receptivity, interest, and personal use of ICHP among undergraduate Health Sciences students. However, this enthusiasm contrasts with limited and incipient formal academic training. This curricular dissonance prevents high interest from being legitimized by evidence-based knowledge and highlights the need to restructure curricula to integrate ICHP transversally. Such integration would ensure that future health professionals are able to apply these practices ethically, safely, and comprehensively, in alignment with the principles of the SUS.