scholarly journals Desempenho dos serviços de saúde na atenção à tuberculose na estratégia de saúde da família [Health service performance in tuberculosis care in the Family Health Strategy] [Rendimiento de los servicios de salud en la atención a la tuberculosis en la estrategia de salud de la familia]

2018 ◽  
Vol 26 ◽  
pp. e31643
Author(s):  
Keidi Vianna Benetti ◽  
Celia Regina Da Silva Medeiros ◽  
Pedro Miguel Diniz Parreira ◽  
Maria yvone Chaves Mauro ◽  
Maria Helena Do Nascimento Souza ◽  
...  

Objetivo: avaliar o desempenho dos serviços de saúde na atenção à tuberculose, na percepção das equipes da estratégia saúde da família. Método: estudo transversal de abordagem quantitativa, realizado com 210 profissionais das equipes da estratégia de saúde da família de uma área de planejamento do Rio de Janeiro. Foi aplicado o questionário PCATool – tuberculose, no período de agosto a novembro de 2015. Os dados foram tratados e analisados, no programa epi info versão 7.1.5. Projeto aprovado no comitê de ética em pesquisa da Escola de Enfermagem Anna Nery e da Secretaria Municipal de Saúde. Resultados: observou-se que para o diagnóstico de tuberculose o desempenho das unidades foi razoável e para o tratamento o resultado foi satisfatório. Conclusão: o desempenho dos serviços de saúde apresenta fragilidades e atende parcialmente a clientela.ABSTRACT Objective: to evaluate health service performance in tuberculosis care as perceived by family health strategy teams. Methods: in this quantitative, cross-sectional study, the PCATool-tuberculosis was applied between August and November 2015, to 210 professionals from family health strategy teams in a planning area in Rio de Janeiro. Data were processed and analyzed using Epi Info software, version 7.1.5. The project was approved by the research ethics committees of the Anna Nery School of Nursing and Municipal Health Secretariat. Results: the units’ performance was observed to be reasonable in tuberculosis diagnosis, and satisfactory in treatment. Conclusion: health service performance displays weaknesses and meets client needs partially.RESUMENObjetivo: evaluar el rendimiento de los servicios de salud en la atención a la tuberculosis, bajo la percepción de los equipos de la estrategia de salud de la familia. Método: estudio transversal de abordaje cuantitativo, realizado junto a 210 profesionales de los equipos de la estrategia de salud de la familia de un área de planificación de Río de Janeiro. Fue aplicado el cuestionario PCATool –tuberculosis, en el periodo de agosto a noviembre de 2015. Los dados fueron tratados y analizados en el programa epi info versión 7.1.5. Proyecto aprobado en el comité de ética en investigación de la Escuela de Enfermaría Anna Nery y de la Secretaría Municipal de Salud. Resultados: se verificó que, para el diagnóstico de tuberculosis, el rendimiento de las unidades fue adecuado y, para el tratamiento de los resultados, fue satisfactorio. Conclusión: el rendimiento de los servicios de salud presenta fragilidades y atiende parcialmente la clientela.

2016 ◽  
Vol 25 (4) ◽  
Author(s):  
Angela Maria Mendes Abreu ◽  
Pedro Miguel Santos Dinis Parreira ◽  
Maria Helena do Nascimento Souza ◽  
Teresa Maria Mendes Diniz de Andrade Barroso

ABSTRACT The aim of this study was to analyze the profile of consumption of psychoactive substances in the past three months and their association with sociodemographic variables. A cross-sectional study was conducted with users of the Family Health Strategy in the perspective of the brief intervention, in the city of Rio de Janeiro, Brazil. The sample included 1,489 users of the service interviewed throughout a year. The consumption of substances was assessed through the questionnaire Alcohol, Smoking and Substance Involvement Screening Test. Statistical analysis was developed using the software SPSS. The highest prevalence rates in the past three months were found in the male subsample for use of tobacco (56.4%), alcoholic drinks (75.8%), cannabis (16.9%), and cocaine/crack (10.1%). Religion and educational level appear as an important protective factor against the use of drugs. A prevalence of consumption of psychoactive substances among the users of this area within the scope of work of nurses was evidenced.


2018 ◽  
Vol 71 (suppl 5) ◽  
pp. 2258-2263 ◽  
Author(s):  
Ângela Maria Mendes Abreu ◽  
Rafael Tavares Jomar ◽  
Gunnar Glauco de Cunto Taets ◽  
Maria Helena do Nascimento Souza ◽  
Daiane Belisário Fernandes

ABSTRACT Objective: to identify the lifetime use of alcohol and other drugs among users of the Family Health Strategy and apply Brief Intervention to problems related to the use of these substances. Method: a descriptive cross-sectional study where 1,031 users of the Family Health Strategy of the city of Rio de Janeiro answered a form with socio-demographic information and the Alcohol, Smoking and Substance Involvement Screening Test. Statistical analysis with simple frequency distribution was performed. Results: the most commonly used drugs in lifetime were alcohol and tobacco; among the illegal drugs, marijuana, hypnotics and cocaine/crack stood out. Those who received most Brief Intervention were users of tobacco, hypnotics, marijuana, cocaine/crack and alcohol. Conclusion: it is important to detect early problems associated with the use of alcohol and other drugs in Primary Care, since it has the promotion/protection of health and the prevention of diseases as priority health practices.


2017 ◽  
Vol 70 (5) ◽  
pp. 981-987 ◽  
Author(s):  
Tatiana Fernandes Kerches de Abreu ◽  
Fernanda Amendola ◽  
Monica Martins Trovo

ABSTRACT Objective: This article aims to identify the relational technologies used by Family Health Strategy nurses in their daily work when treating patients. Method: Descriptive and cross-sectional study with qualitative approach; conducted between May and July 2015, in three Basic Health Units of the Southern Region of the Municipality of São Paulo, with 19 nurses of the Family Health Strategy. Data were collected through a semi-structured interview, and the speeches were fully transcribed and analyzed according to the technique of content analysis. Results: From the speeches of the participants, three categories emerged, showing the unawareness of the concept, but the valorization of its use; which are the relational technologies used by the participating nurses (communication, listening, empathy and welcoming reception), as well as the report of barriers to the use of relational technologies. Final consideration: Although the nurses value the use of relational technologies, the participants denoted unawareness of the nomenclature and its associated concepts, suggesting superficiality in the understanding and use of these instruments in the context of care in the Family Health Strategy.


2011 ◽  
Vol 5 (2) ◽  
pp. 174
Author(s):  
Dyego Anderson Alves de Farias ◽  
Priscilla Medeiros Neves ◽  
Geraldo Eduardo Guedes de Brito

ABSTRACTObjective: to draw the profile of the hypertensive elderly registered/accompanied in the field of basic health attention. Method: cross sectional study of descriptive characteristic, in which users who were 60 years old or more and who were in the Family Health Strategy program between 2000 and 2009 were analyzed through the HIPERDIA system of João Pessoa-PB city. Data referring to number of hypertensive patients registered in that period and association of hypertension with smoking, sedentary habits and overweigh, classified by sex and age group,  were used. Results: files of 7,156 hypertensive elderly registered/accompanied by HIPERDIA by sex and age group were found, with prevalence of arterial hypertension of 8 % in the period of study. Among these users, 68,4% are female and the age group from 60 to 64 presented the greatest number of hypertensive when both sexes are added (23.6%).  In relation to the presence of associated factors, 49% presented overweigh, 51% had sedentary habits and 15.9% smoked. Conclusion: the hypertensive elderly of João Pessoa showed characteristics which are similar to the other regions of the country. It is necessary to promote and implement public policies towards this population with emphasis on prevention and valorization of the services of Basic Attention. Descriptors: Aged; Hypertension; Primary health careRESUMOObjetivo: traçar o perfil dos idosos hipertensos cadastrados/acompanhados no âmbito da atenção básica de saúde. Método: estudo transversal de cunho descritivo, em que se analisaram por meio do sistema HIPERDIA da cidade de João Pessoa-PB os usuários 60 anos ou mais adscritos a Estratégia de Saúde da Família, entre os anos de 2000 a 2009. Utilizaram-se os dados já tabulados: número de hipertensos cadastrados no período e associação da hipertensão com tabagismo, sedentarismo e sobrepeso estratificados por sexo e faixa etária. Resultados: foram encontrados registros de 7156 idosos hipertensos cadastrados/ acompanhados pelo HIPERDIA por sexo e faixa etária, com prevalência de hipertensão arterial de 8% no período estudado. Destes usuários, 68,4% são do sexo feminino e a faixa etária de 60 a 64 anos apresentou o maior número de hipertensos somado ambos os sexos (23,6%). Quanto à presença de fatores associados, 49% apresentaram sobrepeso, 51% eram sedentários e 15,9% tabagistas. Conclusão: os hipertensos mostraram características semelhantes às demais regiões do país. Faz-se necessário incentivar e implementar políticas públicas voltadas a essa população, enfatizando a prevenção e valorizando os serviços de Atenção Básica. Descritores: Idoso; Hipertensão; Atenção básica; RESUMENObjetivo: trazar el perfil de los ancianos hipertensos registrados/acompañados en el ámbito de la atención básica de salud. Método: estudio transversal de cuño descriptivo, en el que fueron analizados por medio del sistema HIPERDIA de la ciudad de João Pessoa – PB los usuarios de 60 o más años inscritos en la Estrategia de Salud de la familia, entre el año 2000 y el 2009. Fueron utilizados los datos ya procesados: número de hipertensos registrados en el periodo y asociación de la hipertensión con tabaquismo, sedentarismo y obesidad estratificados por sexo y faja etaria. Resultados: fueron encontrados registros de 7156 ancianos hipertensos registrados/acompañados por el HIPERDIA por sexo y faja etaria, con prevalencia de hipertensión arterial de 8% en el periodo estudiado. De estos usuarios el 68,4% son del sexo femenino y los de la faja etaria entre 60 y 64 años presentaron un número mayor de hipertensos de ambos sexos (23,6%). En relación a la presencia de factores asociados el 49% presentaron obesidad, el 51% eran sedentarios y el 15,9% fumadores. Conclusión: los hipertensos mostraron características semejantes a las demás regiones del país. Se hace necesario incentivar e implementar políticas públicas orientadas a dicha población, enfatizando la prevención y dando más valor a los servicios de Atención Básica. Descriptores: Anciano; Hipertensión; Atención primaria de salud.  


2009 ◽  
Vol 17 (4) ◽  
pp. 474-480 ◽  
Author(s):  
Thaís Santos Guerra Stacciarini ◽  
Ana Emilia Pace ◽  
Vanderlei José Haas

This cross-sectional study aimed to describe the most common correct and incorrect self-administration techniques for insulin using disposable syringes by patients cared for by the Family Health Strategy (FHS), relate the findings to sociodemographic variables and also identify the professional responsible for teaching this technique. A total of 169 patients were selected by simple random sampling in 37 FHS units in a city in the state of Minas Gerais, Brazil from August to October 2006. The results identified errors in all the steps recommended by the American Diabetes Association and Brazilian Diabetes Association for the safe administration of insulin, from hand washing to compression on the injection site. The FHS favors the development of interventions focused on the needs of the clientele registered at the unit, stimulating self-care. Results from this study can contribute to the planning of these interventions.


2020 ◽  
Vol 73 (5) ◽  
Author(s):  
Natália Carolina de Sousa ◽  
Francielle Renata Danielli Martins Marques ◽  
Graziele Adrieli Rodrigues Pires ◽  
Marcia Glaciela da Cruz Scardoelli ◽  
Anderson da Silva Rêgo ◽  
...  

ABSTRACT Objectives: to analyze the conicity index in people with hypertension followed in the Brazil’s Family Health Strategy. Methods: cross-sectional study conducted in a medium-sized municipality located in the state of Paraná. Data collection took place in the first semester of 2016. using an adapted and validated instrument. which addresses attributes of Primary Health Care. Sociodemographic and anthropometric variables and blood pressure were used in the study. The analysis of variance and linear regression was used to analyze the variables. Results: a total of 417 people participated in the study. most were women. elderly. married. with less than eight years of education and retired. Conicity index was prevalent in most of the study population. being significantly associated with the group of people with inadequate blood pressure control and high anthropometric parameters. Conclusions: most of the study participants had altered conicity index. especially those with inadequate blood pressure control.


2016 ◽  
Vol 7 (1) ◽  
pp. 52-55 ◽  
Author(s):  
Magda Guimarães de Araujo Faria ◽  
Sonia Acioli ◽  
Cristiane Helena Gallasch

Objetivo: analisar o perfil dos enfermeiros fluminenses atuantes na Estratégia de Saúde da Família on-line participantes de curso de especialização em saúde da família. Metodologia: estudo de abordagem quantitativa, com desenho transversal e observacional, não experimental e de tipo descritivo. A coleta de dados foi feita com 131 sujeitos que responderam ao questionário on-line. Para o tratamento dos dados foi utilizado o programa Statistical Package for the Social Sciences. Resultados: o perfil de enfermeiros fluminenses atuantes na ESF é composto por maioria de mulheres, com faixa etária inferior a 40 anos, oriundas de instituições particulares de ensino e com menos de 10 anos de conclusão da graduação. Conclusão: a ESF é grande empregador das novas gerações da Enfermagem, remetendo à necessidade da adequação das unidades de ensino à formação desses profissionais, considerando a ampliação dessa cobertura.Descritores: Estratégia Saúde da Família, Enfermagem em Saúde Comunitária, Enfermagem em Saúde Pública.PROFILE OF FLUMINENSE NURSES OF FAMILY HEALTH STRATEGY PARTICIPANTS OF SPECIALIZATION COURSEObjective: analyze the profile of Rio de Janeiro nurses who working in the Family Health Strategy on-line participants of the specialization course in family health. Methodology: quantitative approach study with cross-sectional and observational design, not experimental and descriptive type. Data collection was performed with 131 subjects who answered the online questionnaire. For data analysis was used Statistical Package for the Social Sciences Results: the profile of working fluminense nurses in the ESF consists of most women, aged under 40 years, coming from private institutions of education and less than 10 years of completed the undergraduation degree. Conclusion: the ESF is a large employer of the newer generation of nurses. There is a need to adequate the educational facilities for the training of nurses prepared to work in public health.Descriptors: Family Health Strategy, Community Health Nursing, Public Health Nursing.PERFIL DE ENFERMEROS FLUMINENSES DE LA ESTRATEGIA DE SALUD FAMILIAR PARTICIPANTES DE UN CURSO DE ESPECIALIZACIÓNObjetivo: analizar el perfil de las enfermeras de Río de Janeiro que trabajan en el Estregia de Salud Familiar on-line del curso de especialización en salud de la familia. Metodología: estudio cuantitativo con diseño transversal y observacional, no experimental y descriptivo. La recolección de datos se realizó con 131 sujetos que respondieron el cuestionario en línea. Para el tratamiento de los datos se utilizó el programa Statistical Package for the Social Sciences Resultados: se observó que el perfil de las enfermeras de Río de Janeiro que trabajan en la ESF consiste principalmente de mujeres con edades inferiores a 40 años, proveniente de instituciones privadas de educación, y menos de 10 años de la finalización de la graduación. Conclusión: el ESF es el principal empleador de las nuevas generaciones de enfermería, lo que lleva a la necesidad de adecuación de las instalaciones educativas para la formación de enfermeras preparadas para trabajar en la salud pública.Descriptors: Estrategia de Salud Familiar, Enfermería en Salud Comunitaria, Enfermería en Salud Pública.


Author(s):  
Juliana Bento de Lima Holanda ◽  
Solina Richter ◽  
Regiane Bezerra Campos ◽  
Ruth França Cizino da Trindade ◽  
Juliana Cristina dos Santos Monteiro ◽  
...  

Objective: to relate the type of breastfeeding in the women’s sexual function. Method: a cross-sectional study conducted with 150 women in the postpartum period registered in the Family Health Strategy of a large Brazilian municipality. Two instruments were used: one for characterizing sociodemographic, obstetric and breastfeeding variables, and the Female Sexual Function Index for the sexual function. Descriptive data analysis was performed, comparing the variables of interest using the Analysis of Variance, Brown-Forsythe and Tukey tests. Results: there was statistical significance between the groups that practiced different types of breastfeeding in the vaginal lubrication domain (p = 0.015), with the mothers in mixed or partial breastfeeding presenting a higher score for this domain (3.8). Conclusion: there is a difference in the female sexual function between different types of breastfeeding. Women who presented better vaginal lubrication belonged to the mixed breastfeeding group.


2013 ◽  
Vol 4 (2) ◽  
pp. 106
Author(s):  
Alaine Maria Da Costa ◽  
Gislane De Sousa Rodrigues ◽  
Tatiana Maria De Melo Guimarães Dos Santos

Resumo: Objetivou-se refletir e discutir sobre o papel potencial do enfermeiro no enfrentamento do problema da tuberculose junto ao Agente Comunitário de Saúde no Programa de Controle da Tuberculose. Trata-se de pesquisa descritiva, de abordagem quantitativa, com desenho de estudo transversal. A amostra constituiu-se de 121 Agentes Comunitários de Saúde (ACS) da Estratégia Saúde da Família (ESF) - zona urbana de Teresina. Evidenciou-se que 71,1% dos sujeitos admitiram procurar o enfermeiro da ESF em caso de dúvidas frente a casos suspeitos de tuberculose. Ao enfermeiro cabem intervenções pertinentes no controle da tuberculose tanto no âmbito político quanto operativo.Palavras-Chave: Enfermagem, Atenção Básica à Saúde, Tuberculose.The potential role of nurses in addressing the problem of tuberculosis with the Community Health Agent Program Control TuberculosisAbstract: The objective of this study was to reflect and discuss about the potential role of the nurses at the tuberculosis combat, helping the Community Health Agent at the Program of Tuberculosis Control. This is a descriptive study that uses a quantitative approach, with a cross-sectional study design. The group studied was formed of 121 Community Health Agents of The Family Health Strategy in the urban zone of Teresina. It was observed that 71.1% of the agents admitted to need help of a nurse when they have doubts related to suspected cases of tuberculosis. Relevant interventions in tuberculosis control are responsibility of the nurses at a political and an operational scope.Keywords: Nursing, Basic Attention Health, Tuberculosis.El papel potencial de las enfermeras para resolver el problema de la tuberculosis con el control de la Salud de la Comunidad del Agente de Program Tuberculosis.Resumen: Se objetivó con este estudio reflexionar y debatir sobre el papel potencial de los enfermeros en la lucha contra la tuberculosis, junto a los agentes comunitarios de salud en el Programa de Control de la Tuberculosis. Este es un estudio descriptivo que utiliza un abordaje cuantitativo, con un diseño de estudio transversal. El grupo estudiado poseía 121 ACS de la Estrategia Salud de la Familia - zona urbana de Teresina. Se observó que 71,1% de los agentes admiten buscar a un enfermero cuando existen dudas en relación a los casos sospechosos de tuberculosis. Al enfermero, caben las intervenciones pertinentes en el control de la tuberculosis tanto en el alcance político como operacionalPalabras Clave: Enfermería, Atención Básica a la Salud, Tuberculosis.


2019 ◽  
Vol 72 (3) ◽  
pp. 721-727 ◽  
Author(s):  
Hellen Emília Peruzzo ◽  
Eraldo Schunk Silva ◽  
Vanessa Carla Batista ◽  
Maria do Carmo Fernandez Lourenço Haddad ◽  
Aida Maris Peres ◽  
...  

ABSTRACT Objective: to measure the organizational climate in the work of professionals from Family Health Strategy (FHS) teams. Method: a cross-sectional study carried out with 458 professionals belonging to 72 FHS teams in a municipality in Southern Brazil. Data collection occurred between March and July of 2016 with self-application of the Team Climate Inventory (TCI). Data were analyzed by means of a non-parametric ANOVA. Results: “Team Participation” was the best-rated domain (8.11), while “Task orientation” was the worst (7.51). Nurses obtained the highest mean in TCI (8.05), and dentists, the lowest (7.45). Conclusion: TCI is an appropriate and innovative tool for assessing the teamwork climate at the FHS. Identifying fragilities such as “task orientation” and relationships among professional categories of the team supports the planning of actions for organizational climate improvements and teamwork at the FHS.


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