Revista gaucha de enfermagem / EENFUFRGS最新文献_第4页

Elements of nutrition education for people with diabetes in primary care: a scoping review. 初级保健中糖尿病患者营养教育的要素：范围综述

Revista gaucha de enfermagem / EENFUFRGS Pub Date : 2026-08-10 eCollection Date: 2026-01-01 DOI: 10.1590/1983-1447.2026.20250289.en

Fábio da Costa Carbogim, Adriana Melo Bothomé, Amanda Damasceno de Souza, André Luiz Silva Alvim, Elaine da Silva Lopes, Giovana Caetano de Araujo Laguardia, Carolina Alves Matos de Menezes, Vilanice Alves de Araújo Püschel

{"title":"Elements of nutrition education for people with diabetes in primary care: a scoping review.","authors":"Fábio da Costa Carbogim, Adriana Melo Bothomé, Amanda Damasceno de Souza, André Luiz Silva Alvim, Elaine da Silva Lopes, Giovana Caetano de Araujo Laguardia, Carolina Alves Matos de Menezes, Vilanice Alves de Araújo Püschel","doi":"10.1590/1983-1447.2026.20250289.en","DOIUrl":"10.1590/1983-1447.2026.20250289.en","url":null,"abstract":"Objective: To map the elements for the planning, implementation/engagement, and monitoring of nutrition education aimed at people with diabetes mellitus in Primary Health Care.Method: A scoping review was conducted according to JBI guidelines. Searches were performed in databases (LILACS, BDENF, MEDLINE, Cochrane, Scopus, Web of Science, EMBASE) and grey literature sources (Google Scholar, BDTD/CAPES, Canadian-Theses-Portal, DiVA, RCAAP, OATD, WHO), with final tracking on May 4, 2025. Study selection was performed by reviewer pairs, independently and blindly, and data analysis by inductive thematic categorization.Results: Twenty-one studies were included, predominantly in English, from middle/high-income countries, and with experimental designs. The analysis defined three categories (planning, implementation/engagement, monitoring) and eight dimensions, highlighting community involvement, cultural adaptation, active methodologies, and continuous follow-up. Gaps persist in type 1 diabetes, long-term monitoring, and research in low-income countries.Conclusion: The findings reinforce the centrality of culturally sensitive, interactive, and interdisciplinary educational approaches that consider the cultural, social, and emotional specificities of the population served, promoting the protagonism of individuals in the self-care process.","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"47 ","pages":"e20250289"},"PeriodicalIF":0.0,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148725388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Meanings attributed to Hope by children with orofacial clefts through dramatic therapeutic play. 唇腭裂儿童通过戏剧治疗游戏赋予希望的意义。

Revista gaucha de enfermagem / EENFUFRGS Pub Date : 2026-08-10 eCollection Date: 2026-01-01 DOI: 10.1590/1983-1447.2026.20250301.en

Mariana Martire Mori, Camila Moraes Garollo Piran, Alana Vitoria Escritori Cargnin, Fernanda Ribeiro Baptista Marques, Armando Dos Santos Trettene, Zaida Borges Charepe, Marcela Demitto Furtado

{"title":"Meanings attributed to Hope by children with orofacial clefts through dramatic therapeutic play.","authors":"Mariana Martire Mori, Camila Moraes Garollo Piran, Alana Vitoria Escritori Cargnin, Fernanda Ribeiro Baptista Marques, Armando Dos Santos Trettene, Zaida Borges Charepe, Marcela Demitto Furtado","doi":"10.1590/1983-1447.2026.20250301.en","DOIUrl":"10.1590/1983-1447.2026.20250301.en","url":null,"abstract":"Objective: To understand the meanings attributed by children with orofacial clefts to the factors that promote and threaten Hope, through Dramatic Therapeutic Play.Method: A qualitative study, grounded in the theoretical-methodological framework of the Hope-Promoting Mutual Help Intervention Model and the theoretical framework of Symbolic Interactionism. It was conducted between March and April 2025 through Dramatic Therapeutic Play with children aged five to nine years old with orofacial clefts, who were receiving care at a support association in Paraná, Brazil. Data were analyzed using inductive thematic analysis. All ethical principles were respected.Results: Sixteen children participated. Among the aspects that promote Hope, the following stand out: treatment experiences, multiprofessional care, family and social support, spirituality, acceptance of one's own condition, and playful strategies. Aspects that threaten Hope were related to dissatisfaction with appearance, negative treatment experiences, lack of emotional support, bullying, and social exclusion.Conclusion: The experience of a child with an orofacial cleft is marked by meanings attributed to their own self-image, the treatment, and the social support received. Care actions and family and social interactions can strengthen or threaten Hope during treatment.","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"47 ","pages":"e20250301"},"PeriodicalIF":0.0,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148726810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Vaccine hesitancy against HPV: adolescents' perspectives. 对HPV疫苗的犹豫：青少年的观点

Revista gaucha de enfermagem / EENFUFRGS Pub Date : 2026-08-10 eCollection Date: 2026-01-01 DOI: 10.1590/1983-1447.2026.20250367.en

Leticia Rodrigues de Jesus de Souza, Gabriela Lorita Mazzetto, Caroline Grespan Forlani, Caroline Izabela Silva, Jaqueline Garcia de Almeida Ballestero, Diene Monique Carlos

{"title":"Vaccine hesitancy against HPV: adolescents' perspectives.","authors":"Leticia Rodrigues de Jesus de Souza, Gabriela Lorita Mazzetto, Caroline Grespan Forlani, Caroline Izabela Silva, Jaqueline Garcia de Almeida Ballestero, Diene Monique Carlos","doi":"10.1590/1983-1447.2026.20250367.en","DOIUrl":"10.1590/1983-1447.2026.20250367.en","url":null,"abstract":"Objective: To analyze elements of HPV vaccine hesitancy from the perspective of adolescents.Method: Qualitative study conducted with 58 middle school students from a public school in São Paulo, developed through focus groups. Deductive content analysis was guided by the 5Cs framework of vaccine hesitancy.Results: Regarding confidence, many adolescents believed the vaccine was safe; however, boys demonstrated limited knowledge about adverse events. In terms of complacency, there was underestimation of risks and confusion about potential complications. Concerning convenience, barriers to access were highlighted, as well as the tendency to seek healthcare services only in situations of illness. In the domain of communication, participants reported difficulty obtaining reliable information and a lack of dialogue with family members. With respect to the sociodemographic context, there was a perception that the vaccine is primarily intended for girls, in addition to migration-related barriers.Conclusion: The findings reveal limited knowledge about HPV and the importance of immunization, combined with barriers related to access and communication. Nevertheless, opportunities were identified to expand adolescents' nowledge, particularly through Nursing, which plays a central role in health education processes.","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"47 ","pages":"e20250367"},"PeriodicalIF":0.0,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148726563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

At the limits of pain: perceptions of health care for people experiencing homelessness. 在痛苦的极限：对无家可归者的医疗保健的看法。

Revista gaucha de enfermagem / EENFUFRGS Pub Date : 2026-07-31 eCollection Date: 2026-01-01 DOI: 10.1590/1983-1447.2026.20250164.en

Marília Bittencourt de Azevedo, Savannah Leitzke Carvalho, Cíntia Nasi, Louise Gabrielle de Mattos, Lisiane Vieira Dos Santos, Saul Ferraz de Paula, Lucas Henrique de Rosso

{"title":"At the limits of pain: perceptions of health care for people experiencing homelessness.","authors":"Marília Bittencourt de Azevedo, Savannah Leitzke Carvalho, Cíntia Nasi, Louise Gabrielle de Mattos, Lisiane Vieira Dos Santos, Saul Ferraz de Paula, Lucas Henrique de Rosso","doi":"10.1590/1983-1447.2026.20250164.en","DOIUrl":"10.1590/1983-1447.2026.20250164.en","url":null,"abstract":"Objective: To understand the health needs and the main forms of access to healthcare among people experiencing homelessness.Method: This is a qualitative study based on the theoretical framework of social phenomenology, conducted in Porto Alegre/RS with 12 participants between October and November 2024. The interviews were subjected to phenomenological analysis.Results: Needs related to sexual practices, nutrition, good physical capacity, spirituality, and self-care management were identified. Drug use to cope with pain and feelings of hopelessness is also highlighted. Drug use is not perceived as a health issue. The \"Consultório na Rua\" (Street Clinic) is the service with the strongest bond with this population, and hospital emergency services are sought during acute situations.Final considerations: The needs are grounded in basic survival, with barriers related to drug use and stigma. The main forms of access to healthcare services occur through the Street Clinic and hospital emergency services.","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"47 ","pages":"e20250164"},"PeriodicalIF":0.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148727862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"I'm happy and terrified by the effective services of SUS": beginning of PrEP. “我对SUS的有效服务感到高兴和恐惧”：PrEP的开始。

Revista gaucha de enfermagem / EENFUFRGS Pub Date : 2026-07-31 eCollection Date: 2026-01-01 DOI: 10.1590/1983-1447.2026.20250139.en

Deise Taurino Ramos, Daila Alena Raencl da Silva, Gisele Cristina Tertuliano, Cristianne Maria Famer Rocha, Denise Taurino Ramos, Deise Lisboa Riquinho

{"title":"\"I'm happy and terrified by the effective services of SUS\": beginning of PrEP.","authors":"Deise Taurino Ramos, Daila Alena Raencl da Silva, Gisele Cristina Tertuliano, Cristianne Maria Famer Rocha, Denise Taurino Ramos, Deise Lisboa Riquinho","doi":"10.1590/1983-1447.2026.20250139.en","DOIUrl":"10.1590/1983-1447.2026.20250139.en","url":null,"abstract":"Objective: To understand the experiences related to the initiation and maintenance, during the first three months, of HIV pre-exposure prophylaxis (PrEP) at a Testing and Counseling Center in a capital city in southern Brazil.Method: Qualitative research, grounded in the interpretivist perspective. The setting was a Testing and Counseling Center. Twenty-eight individuals who initiated prophylaxis participated in the study. Data were generated between 2023 and 2024 using different techniques: semi-structured interviews, participant observation, and medical record review. Thematic content analysis was adopted.Results: Prophylaxis was considered a strategy that enabled the individual management of HIV-related vulnerabilities. However, its effectiveness depends on the organization of healthcare service work processes and on the preparedness of health professionals to qualify access, strengthen therapeutic bonding, and ensure longitudinal care, in order to address multifactorial barriers that affect adherence.Conclusion: Discontinuation was not configured as a homogeneous phenomenon and may be linked to organizational barriers, individual decisions, reconfigurations of the vulnerability context, or temporary clinical indications.","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"47 ","pages":"e20250139"},"PeriodicalIF":0.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148721604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Breaking bad news by pediatric nurses: a scoping review. 儿科护士的坏消息：范围审查。

Revista gaucha de enfermagem / EENFUFRGS Pub Date : 2026-07-27 eCollection Date: 2026-01-01 DOI: 10.1590/1983-1447.2026.20250295.en

Viviane Layse Silva Rosado, Tarcísio Tércio das Neves Júnior, Hellen Anaídh de Oliveira, Bruna Ruselly Dantas Silveira, Ana Teresa Leiros de Azevedo, Erika Simone Galvão Pinto, Carlos Jordão de Assis Silva

{"title":"Breaking bad news by pediatric nurses: a scoping review.","authors":"Viviane Layse Silva Rosado, Tarcísio Tércio das Neves Júnior, Hellen Anaídh de Oliveira, Bruna Ruselly Dantas Silveira, Ana Teresa Leiros de Azevedo, Erika Simone Galvão Pinto, Carlos Jordão de Assis Silva","doi":"10.1590/1983-1447.2026.20250295.en","DOIUrl":"https://doi.org/10.1590/1983-1447.2026.20250295.en","url":null,"abstract":"Objective: To map characteristics of bad news communication by nurses in pediatrics.Method: Scoping review according to JBI and PRISMA-ScR recommendations. Searches were conducted between March and May 2024 in six databases, one virtual library, and seven thesis/dissertation repositories, without temporal or language restrictions. Two independent/blinded reviewers performed the selection, and a third resolved disagreements. Data collection used an instrument adapted from the Cochrane Data Collection form, with descriptive synthesis and analysis according to scientific literature.Results: 31 studies comprised the sample, 13 addressing the communication of bad news to the child/adolescent, 10 to their families, and eight encompassing both audiences. Breaking bad news in pediatrics has specific characteristics, considering the child's developmental stages, family context, and cultural factors. Facilitating factors include the collaboration of the multiprofessional team and the bond established through the nurse's longer contact time with the child/adolescent. Among the difficulties, the lack of preparation, knowledge, self-confidence, experience, and security stand out. The nurse's actions include supporting, welcoming, and encouraging the family and child/adolescent.Conclusion: Breaking bad news communication is a complex practice that requires adaptation to the cognitive and emotional aspects of the child/adolescent and family, and is hindered by limitations in professional preparation.","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"47 ","pages":"e20250295"},"PeriodicalIF":0.0,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors associated with acute pain in the areola-nipple complex during the initial breastfeeding process of primiparous women. 初产妇母乳喂养初期乳晕-乳头复合体急性疼痛的相关因素。

Revista gaucha de enfermagem / EENFUFRGS Pub Date : 2026-07-27 eCollection Date: 2026-01-01 DOI: 10.1590/1983-1447.2026.20250300.en

Mariana Torreglosa Ruiz, Cynthya Viana de Resende, Marianne Guterres Ferreira, Michele Curcino Cavalcanti, Elisa da Conceição Rodrigues, Marialda Moreira Christoffel, Ana Letícia Monteiro Gomes, Ana Maria Linares

{"title":"Factors associated with acute pain in the areola-nipple complex during the initial breastfeeding process of primiparous women.","authors":"Mariana Torreglosa Ruiz, Cynthya Viana de Resende, Marianne Guterres Ferreira, Michele Curcino Cavalcanti, Elisa da Conceição Rodrigues, Marialda Moreira Christoffel, Ana Letícia Monteiro Gomes, Ana Maria Linares","doi":"10.1590/1983-1447.2026.20250300.en","DOIUrl":"https://doi.org/10.1590/1983-1447.2026.20250300.en","url":null,"abstract":"Objective: to identify factors associated with acute pain in the areola-nipple complex during the initial breastfeeding process among primiparous women.Method: a longitudinal study conducted with 102 primiparous women, allocated to two university hospitals, between December 2023 and April 2024. Follow-up was completed in May 2024, with conditions and intentions favorable to breastfeeding. Painful sensations related to breastfeeding were questioned during hospitalization and follow-up in the first two weeks postpartum. Chi-square and Fisher's exact tests were applied, and variables with a p-value ≤ 0.200 were included in the Poisson regression model with robust variance.Results: more than half of the women experienced acute pain in the areola-nipple complex during their Rooming-In, and about a quarter continued to complain of pain in the first 15 days after delivery. Only the variable injury in the areola-nipple complex explained pain during breastfeeding during hospitalization (p<0.001). Both injuries (p<0.001) and breast engorgement (p=0.026) in the first weeks were associated with pain.Conclusion: acute pain in the areola-nipple complex was commonly reported, complications during breastfeeding were factors associated with the sensation of pain. Support and guidance from healthcare professionals are essential to prevent and/or manage adverse outcomes that could prevent primiparous women from successfully establishing exclusive breastfeeding.","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"47 ","pages":"e20250300"},"PeriodicalIF":0.0,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Did QUALIS ended? Proposal of metrics to evaluate the nursing post-graduation scientific productions (2025-2028). QUALIS结束了吗？护理专业毕业后科研成果评价指标建议（2025-2028）。

Revista gaucha de enfermagem / EENFUFRGS Pub Date : 2026-07-27 DOI: 10.1590/1983-1447.2026.20260116.en

João Lucas Campos de Oliveira, Agnes Olschowsky, Ana Karina Bezerra Pinheiro, Antonio José de Almeida-Filho, Francisco Carlos Félix Lana, Luciana Mara Monti Fonseca, Maria Helena Palucci Marziale, Paula Renata Amorim Lessa, Samila Gomes Ribeiro, Regina Aparecida Garcia de Lima

引用次数: 0

Patient experience in hospital care transition: analysis in light of clinical management. 医院护理转型中的患者体验：基于临床管理的分析。

Revista gaucha de enfermagem / EENFUFRGS Pub Date : 2026-07-17 eCollection Date: 2026-01-01 DOI: 10.1590/1983-1447.2026.20250264.en

Vanessa Alves Mendes, Pâmmela Caroline de Arruda Gonçalves, Jonathan Silva Borges, Patrícia Rosa de Oliveira, Carolina Giordani da Silva, Maria Fernanda Baeta Neves Alonso da Costa, Mara Regina Rosa Ribeiro, Gímerson Erick Ferreira

{"title":"Patient experience in hospital care transition: analysis in light of clinical management.","authors":"Vanessa Alves Mendes, Pâmmela Caroline de Arruda Gonçalves, Jonathan Silva Borges, Patrícia Rosa de Oliveira, Carolina Giordani da Silva, Maria Fernanda Baeta Neves Alonso da Costa, Mara Regina Rosa Ribeiro, Gímerson Erick Ferreira","doi":"10.1590/1983-1447.2026.20250264.en","DOIUrl":"https://doi.org/10.1590/1983-1447.2026.20250264.en","url":null,"abstract":"Objective: To analyze the patient experience during the transition of care, at hospital discharge, in light of clinical management.Method: This is a qualitative study conducted with 31 patients at a public university hospital in the Central-West region of Brazil. Data were collected through interviews, mediated by the critical incident technique. The information was processed using IRaMuTeQ® software and subjected to content analysis.Results: The main categories were: challenges in transition and in the logistics of care within the Health Care Network; interpersonal relationships and clinical follow-up in care; and perception of care and satisfaction in the recovery process. Experiences related to the presence of consistent therapeutic bonds, clear communication, a welcoming environment, and coordinated action by multidisciplinary teams were associated with greater satisfaction and trust in care, while communication failures and lack of follow-up were frustrating.Conclusion: The findings highlight the need to improve coordination between healthcare services, especially in logistical and communication aspects. In this context, clinic management emerges as an opportune strategy to promote the integration of care practices, contributing to more effective, continuous, and patient-centered care throughout their journey at different levels of care.","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"47 ","pages":"e20250264"},"PeriodicalIF":0.0,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors associated with folic acid deficiency in pregnant women and its repercussions in the newborn: a cross-sectional study. 孕妇叶酸缺乏的相关因素及其对新生儿的影响：一项横断面研究。

Revista gaucha de enfermagem / EENFUFRGS Pub Date : 2026-07-17 eCollection Date: 2026-01-01 DOI: 10.1590/1983-1447.2026.20250182.en

Tazla Ingride de Souza Lins, Maria de Fátima Costa Caminha, Geyson Alves Marinho, Suzana Lins da Silva, Ilma Kruze Grande de Arruda, Catarina Fernandes de Freitas, Malaquias Batista Filho

{"title":"Factors associated with folic acid deficiency in pregnant women and its repercussions in the newborn: a cross-sectional study.","authors":"Tazla Ingride de Souza Lins, Maria de Fátima Costa Caminha, Geyson Alves Marinho, Suzana Lins da Silva, Ilma Kruze Grande de Arruda, Catarina Fernandes de Freitas, Malaquias Batista Filho","doi":"10.1590/1983-1447.2026.20250182.en","DOIUrl":"https://doi.org/10.1590/1983-1447.2026.20250182.en","url":null,"abstract":"Objective: to estimate the prevalence and identify factors associated with folic acid deficiency among pregnant women receiving care at a maternal-child referral hospital in northeastern Brazil and its repercussions on the newborn.Method: cross-sectional study based on a secondary analysis of the cohort \"Nutrition and infection: the problem revisited in light of the microcephaly outbreak,\" comprising 1,052 pregnant women followed between 2017 and 2019 at a maternal-child referral hospital in northeastern Brazil. Pregnant women with available serum folic acid measurements were included. An ad hoc database was constructed containing sociodemographic, obstetric, nutritional, lifestyle, and neonatal outcome variables. Prevalence estimates were presented with 95% confidence intervals, and associated factors were analyzed using multiple Poisson regression. The final model used the Wald test (p<0.05).Results: the prevalence of folic acid deficiency (≤5.38 ng/mL) was 8.4%. Among these women, 38.6% reported using supplementation. In the multivariable analysis, marital status (p=0.026), second trimester of pregnancy (p=0.020), and absence of supplementation (p<0.001) remained associated with deficiency.Conclusion: folic acid deficiency was associated with lack of supplementation, absence of a partner, and assessment during the second trimester. No neonatal repercussions were observed. The findings reinforce the importance of timely prenatal care and adequate supplementation.","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"47 ","pages":"e20250182"},"PeriodicalIF":0.0,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0