Percorrer por autor "Tostes, Maria Fernanda do Prado"
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- Living With Persistent Respiratory Symptoms of Long COVID: Qualitative Study Among Brazilian Adults 12 Months After Acute InfectionPublication . Santos, Giovana Alves; Laranjeira, Carlos; Carreira, Lígia; Baldissera, Vanessa Denardi Antoniassi; Tostes, Maria Fernanda do Prado; Meireles, Viviani Camboin; Ageno, Rosella Santoro; Salci, Maria AparecidaIntroduction: The majority of those infected with COVID‐19 undergo a brief duration of clinical illness. In certain instances,symptoms endure for months or years after the initial viral exposure—a condition characterized as Long COVID (LC). Theexperience of this illness remains largely unexplored as it has only recently surfaced. This study aims to understand therepercussions of persistent respiratory post‐COVID symptoms in Brazilian adults 12 months after SARS‐CoV‐2 infection.Methods: A constructivist grounded theory study was employed. Data were collected through individual interviews with adultswith persistent respiratory symptoms of Long COVID in Brazil. Data collection took place between September 2023 andFebruary 2024. Data analysis was performed on a constant comparative basis and concurrent with data collection to understandthe findings.Results: Twenty‐four individuals (12 females, 12 males) with a median age of 43.29 ± 9.09 years participated. The data analysisgenerated a central category—living with the long‐term effects of COVID‐19: breathlessness pervades everything—aroundwhich three categories emerged: (1) imbalance between life before and after being infected by COVID‐19; (2) living with acutepost‐COVID respiratory symptoms; and (3) struggling with persistent post‐COVID respiratory symptoms.Conclusion: Our analysis of the perceived needs of individuals with Long COVID underscores the urgent necessity forlegislative reform to acknowledge LC as a disability that requires clear diagnostic criteria. Approaches to treatment andrehabilitation are required to evaluate the extent to which functioning and disability improve. Lastly, this study highlights thecomplex problems encountered by individuals with Long COVID, including employment uncertainties, everyday tasks andsocial relationships.
- Loss and Grief Among Bereaved Family Members During COVID-19 in Brazil: A Grounded Theory AnalysisPublication . Lima, Paola Kallyanna Guarneri Carvalho de; Laranjeira, Carlos; Carreira, Lígia; Baldissera, Vanessa Denardi Antoniassi; Meireles, Viviani Camboin; Baccon, Wanessa Cristina; Dias, Lashayane Eohanne; Ali, Amira Mohammed; Mello, Fernanda Fontes; Tostes, Maria Fernanda do Prado; Salci, Maria AparecidaThe COVID-19 pandemic has resulted in countless losses around the world, profoundly affecting the lives of many people, especially those who faced the death of family members, bringing several negative repercussions to these families and constraining the experience of grief. This study aimed to understand the experience of loss and grief among bereaved individuals who lost family members during the COVID-19 pandemic. This qualitative study was guided by Charmaz’s constructivist grounded theory as a methodological framework. The study adhered to the Criteria for REporting Qualitative research (COREQ) checklist. Data collection took place between May and November 2023 through telephone interviews that were audio-recorded and later transcribed in full. The purposive sample consisted of 21 bereaved family members who had lost their loved ones during the COVID-19 pandemic. Participants were mainly female (n = 16) with a mean age of 55.5 (SD = 16.2). The loss of their family members occurred 12 to 24 months before data collection. The following central phenomenon was identified through the analytical process: “Family experience of loss and grief: between the unspoken goodbye and post-loss adjustment”. This was anchored in the following three categories: (1) Anguish and fear of the unknown; (2) Death by COVID-19—communication of death and lack of goodbyes; and (3) (Re)construction of meaning—support networks and the grieving process. Our findings recommend that policymakers allocate additional resources to grief support services to better prepare for future pandemic events. Furthermore, it is necessary to invest in the implementation of relevant training programs for healthcare professionals, with a family centered approach.
- Prevalence and Predictors of Long Covid in a Cohort of Brazilian Adults 12 Months After Acute Infection: A Cross‐Sectional StudyPublication . Covre, Eduardo Rocha; Laranjeira, Carlos; Carreira, Lígia; Höring, Carla Franciele; Góes, Herbert Leopoldo de Freitas; Baldissera, Vanessa Denardi Antoniassi; Marques, Priscila Garcia; Meireles, Viviane Camboin; Tostes, Maria Fernanda do Prado; Oliveira, Rosana Rosseto de; Paiano, Marcelle; Ageno, Rosella Santoro; Moroskoski, Márcia; Alcaraz, Jesús Puente; Vissoci, João Nickenig; Facchini, Luiz Augusto; Salci, Maria; Chew-Graham, CarolynIntroduction: Since the onset of the pandemic in early 2020, various reports have emerged regarding persistent symptoms associated with Covid‐19. Nevertheless, there is insufficient data on the persistence of symptoms over time. This study sought to estimate the prevalence of persistent symptoms 12 months after Covid‐19 infection and identify predictors of long Covid in adults living in the State of Paraná, southern Brazil, according to the level of severity of Covid‐19 infection. Method: An observational and cross‐sectional survey was conducted with Brazilian adults diagnosed with Covid‐19, as assessed from data available in two official Covid‐19 notification databases in Brazil, using telephone interviews. Descriptive statistics, tests of associations and simple and multiple binary logistic regression analysis were used to identify predictors of long Covid. Results: In total, 1033 adults participated in the study. The overall prevalence of long Covid was 60.3% (n = 623). Prevalence was higher in women (67.7%), people aged between 50 and 59 years (65.8%) and in individuals who received treatment in an Intensive Care Unit (ICU) during the acute phase of Covid‐19 infection (74.4%, n = 241). The risk factors associated with a greater chance of developing long Covid were: female (OR 2.38; 95% CI 1.55; 3.66), living in the Brazilian northwest health macro‐region (OR 2.20; 95% CI 1.21; 4.00), presenting multimorbidity (OR 1.86; 95% CI 1.06; 3.28), having an average of six symptoms in the acute phase of Covid‐19 (OR 1.22; 95% CI 1.17; 1.28) and having received treatment in an ICU (OR 4.86; 95% CI 2.83; 8.35) and inpatient ward (OR 2.45; 95% CI 1.47; 4.09). Conclusions: The results highlight the high prevalence of long Covid and support the formulation of health policies capable of minimising the consequences on the population, on the services offered by professionals and on health systems. Patient or Public Contribution: The study topic's importance was based on the patients' experiences in the author's previous research and the need to develop patient‐centred care.