scholarly journals O enfermeiro e a questão da adesão do paciente ao tratamento da hipertensão arterial sistêmica [Nurses and patient adherence to treatment for systemic arterial hypertension] [El enfermero y la cuestión de la adhesión del paciente al tratamiento de la hipertensión arterial sistémica]

2019 ◽  
Vol 27 ◽  
pp. e37193
Author(s):  
Anna Luisa de Oliveira Salles ◽  
Carlos Eduardo Peres Sampaio ◽  
Leonardo Dos Santos Pereira ◽  
Nickson Scarpine Malheiros ◽  
Renan Araújo Gonçalves
Keyword(s):  
Arterial Hypertension ◽  
Rio De Janeiro ◽  
Patient Adherence ◽  
Family Health ◽  
Adherence To Treatment ◽  
Structured Interviews ◽  
Systemic Arterial Hypertension ◽  
Health Strategy ◽  
El Sistema ◽  
Family Health Strategy

Objetivo: identificar os recursos utilizados pelo enfermeiro da estratégia saúde da família (ESF) para estimular a adesão do paciente ao tratamento da Hipertensão Arterial Sistêmica. Método: abordagem qualitativa. O projeto foi aprovado por Comitê de Ética em Pesquisa. A coleta de dados ocorreu no período de abril a agosto de 2017, por meio de entrevista semiestruturada com 10 enfermeiros atuantes em unidades de ESF localizadas no Estado do Rio de Janeiro. Os depoimentos dos sujeitos foram submetidos à análise de conteúdo de Bardin. Resultados: os enfermeiros realizam consultas de enfermagem garantindo a adesão dos participantes em atividades educativas de grupo, como palestras e orientações de enfermagem. Conclusão: o sistema utilizado na adesão ao tratamento é similar entre as unidades de ESF mantendo um padrão preconizado pela literatura.ABSTRACTObjective: to identify the resources used by Family Health Strategy (FHS) nurses to encourage patient adherence to treatment for Systemic Arterial Hypertension. Method: qualitative approach. The project was approved by the research ethics committee. Data were collected between April and August 2017, through semi-structured interviews of 10 nurses working in FHS units in Rio de Janeiro state. The transcriptions underwent Bardin content analysis. Results: the nurses held nursing appointments thus fostering participants’ adherence in group educational activities, such as talks and nursing guidance sessions. Conclusion: the treatment adherence system used is similar among FHS units, maintaining a pattern recommended by the literature.RESUMENObjetivo: identificar los recursos utilizados por el enfermero de la estrategia de salud familiar (ESF) para estimular la adhesión del paciente al tratamiento de la hipertensión. Método: enfoque cualitativo. El proyecto fue aprobado por el Comité de Ética en Investigación. La recolección de datos ocurrió en el período entre abril y agosto de 2017, por medio de entrevista semiestructurada junto a 10 enfermeros que trabajan en unidades de ESF ubicadas en el estado de Río de Janeiro. Las declaraciones fueron sometidas al análisis de contenido de Bardin. Resultados: los enfermeros realizan consultas de enfermería garantizando la adhesión de los participantes en actividades educativas de grupo, como charlas y orientaciones de enfermería. Conclusión: el sistema utilizado en la adhesión al tratamiento es similar entre las unidades de ESF manteniendo un patrón preconizado por la literatura.

scholarly journals Dificuldades enfrentadas pelo portador de hipertensão arterial sistêmica à adesão ado tratamento na Estratégia Saúde da Família

2017 ◽  
Vol 7 (1) ◽  
pp. 23
Author(s):  
Thays Jorgeana Alexandre e Silva ◽  
Elvira Uchoa dos Anjos ◽  
Symara Abrantes Albuquerque de Oliveira Cabral ◽  
Carla Heloisa De Alencar Figueiredo
Keyword(s):  
Health Care ◽  
Arterial Hypertension ◽  
Family Health ◽  
Adherence To Treatment ◽  
Hypertensive Patients ◽  
Systemic Arterial Hypertension ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Lack Of Knowledge

<p>A hipertensão arterial sistêmica (HAS) é considerada um grave problema de saúde pública no Brasil e no Mundo. Sendo considerada um dos maiores fatores de risco para o surgimento de doenças cardiovasculares, renais e cerebrovasculares dentre outras. A terapia anti-hipertensiva é extremamente eficaz em reduzir a pressão arterial. Contudo, o percentual de pacientes que alcançam os alvos terapêuticos é baixo. A não adesão ao tratamento é um dos mais importantes problemas enfrentados, neste sentido, objetivou-se identificar as dificuldades enfrentadas pelo portador de hipertensão arterial sistêmica a adesão do tratamento na Estratégia Saúde da Família (ESF), esta responsável pela Atenção Primária à Saúde, seno ainda o centro das redes de atenção à saúde. Trata-se de um estudo exploratório, descritivo com abordagem quantitativa com a população de 4.772 hipertensos cadastrados no programa HiperDia na secretaria de saúde do município de Cajazeiras, a amostra foi composta de 100 hipertensos. Os resultados demostraram prevalência do sexo feminino (65%), a média de idade ficou entre 59 anos (35%). Quanto aos principais motivos que impedem a adesão ao tratamento 89% referiram falta de conhecimento. Antecedentes familiares o predomínio foi entre irmãos 66%. Existe um déficit de adesão ao tratamento, especialmente por usuárias do sexo feminino, que relatam falta de conhecimento, revelando a necessidade de melhores estratégias de atuação no tocante à educação em saúde.</p><p align="center"><strong><em>Difficulties faced by patients with systemic arterial hypertension and adherence to treatment in the Family Health Strategy</em></strong></p><p align="center"><strong><em> </em></strong></p><p><strong>Abstract</strong><strong>: </strong>Systemic arterial hypertension (SAH) is considered a serious public health problem in Brazil and in the World. It is considered one of the major risk factors for cardiovascular, renal and cerebrovascular diseases, among others. Antihypertensive therapy is extremely effective in lowering blood pressure. However, the percentage of patients reaching therapeutic targets is low. Non-adherence to treatment is one of the most important problems faced. In this sense, the objective was to identify the difficulties faced by patients with systemic arterial hypertension, adherence to treatment in the Family Health Strategy (ESF), which is responsible for Primary Health Care, The center of health care networks. This is an exploratory, descriptive study with a quantitative approach with the population of 4,772 hypertensive patients enrolled in the HiperDia program at the department of health of the municipality of Cajazeiras, the sample was composed of 100 hypertensive patients. The results showed female prevalence (65%), mean age was 59 years (35%). Regarding the main reasons that prevent adherence to treatment, 89% reported lack of knowledge. Family history The predominance was between siblings 66%. The data show that there is a deficit of adherence to treatment, especially by female users, who report a lack of knowledge, revealing the need for better strategies in health education.</p>

scholarly journals Características do acesso à visita domiciliar: visão de enfermeiros

2020 ◽  
Vol 10 (31) ◽  
pp. 57-64
Author(s):  
Luciana Valadão Vasconcelos Alves ◽  
Sonia Acioli ◽  
Vanessa De Almeida Ferreira Corrêa ◽  
Juliana Roza Dias
Keyword(s):  
Rio De Janeiro ◽  
Family Health ◽  
Home Visits ◽  
Structured Interviews ◽  
House Calls ◽  
Cognitive Ergonomics ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
The City

Caracterizar o acesso à visita domiciliar do enfermeiro da Estratégia Saúde da Família, em uma área de planejamento do município do Rio de Janeiro. Estudo descritivo, de abordagem qualitativa, cuja coleta de dados foi realizada por meio de entrevistas semiestruturadas, com 25 enfermeiros. Para análise dos dados utilizou-se a técnica hermenêutica-dialética. O acesso à visita domiciliar ocorre através da demanda de agentes comunitários de saúde, observações na consulta de enfermagem e pelo próprio usuário. São visitas voltadas às principais linhas de cuidado, acamados e com dificuldades de deambulação. O acesso à visita domiciliar do enfermeiro volta-se principalmente a agravos específicos e não às práticas de promoção da saúde. Essas informações podem apoiar a construção de estratégias voltadas à ampliação do acesso dos usuários a visita domiciliar do enfermeiro.Descritores: Saúde da Família, Enfermagem em Saúde Pública, Visita Domiciliar. Analysis of cognitive ergonomics in nursing in hemodialysis clinicAbstract: To characterize the access to home visits by nurses in the Family Health Strategy, in a planning area in the city of Rio de Janeiro. A descriptive study, with a qualitative approach, whose data collection was carried out through semi-structured interviews, with 25 nurses. For data analysis, the hermeneutic-dialectic technique was used. Access to home visits occurs through the demand for community health agents, observations in the nursing consultation and by the user himself. They are visits aimed at the main lines of care, bedridden and with walking difficulties. Access to the nurse's home visit is directed mainly to specific problems and not to health promotion practices. This information can support the construction of strategies aimed at expanding users access to nurses home visits.Descriptors: Family Health, Nurses Public Health, House Calls. Características del acceso a visitas domiciliarias: visión de las enfermeirasResumen: Caracterizar el acceso a las visitas domiciliarias por parte de enfermeras en la Estrategia de Salud Familiar, en un área de planificación en la ciudad de Río de Janeiro. Estudio descriptivo, con enfoque cualitativo, cuya recolección de datos se realizó mediante entrevistas semiestructuradas, con 25 enfermeras. Para el análisis de datos, se utilizó la técnica hermenéutica-dialéctica. El acceso a las visitas domiciliarias se produce a través de la demanda de agentes de salud comunitarios, observaciones en la consulta de enfermería y por el propio usuario. Son visitas dirigidas a las principales líneas de atención, encamadas y con dificultades para caminar. El acceso a la visita domiciliaria de la enfermera se dirige principalmente a problemas específicos y no a prácticas de promoción de la salud. Esta información puede apoyar la construcción de estrategias destinadas a ampliar el acceso de los usuarios a las visitas domiciliarias de las enfermeras.Descriptores: Salud Familiar, Visita Domiciliaria, Enfermería en Salud Pública.

scholarly journals Family health strategy in primary health actions for systemic arterial hypertension patients

2013 ◽  
Vol 17 (4) ◽  
Author(s):  
Rosangela Andrade Aukar de Camargo ◽  
Flávia Roberta dos Anjos ◽  
Maronita Ferreira do Amaral
Keyword(s):  
Arterial Hypertension ◽  
Family Health ◽  
Systemic Arterial Hypertension ◽  
Primary Health ◽  
Health Strategy ◽  
Family Health Strategy

scholarly journals Ressignificação do cuidado às pessoas com hipertensão arterial sistêmica

2018 ◽  
Vol 12 (7) ◽  
pp. 1940
Author(s):  
Patrícia Costa Santos Silva ◽  
Maria de Lourdes Barbosa Negrão ◽  
Fernanda Raphael Escobar Gimenes ◽  
Lucélia Terra Chini ◽  
Marlene Fagundes Carvalho Gonçalves ◽  
...  
Keyword(s):  
Arterial Hypertension ◽  
Family Health ◽  
Cultural Perspective ◽  
Care Model ◽  
Systemic Arterial Hypertension ◽  
Living Space ◽  
Health Strategy ◽  
Family Health Strategy ◽  
Comprehensive Health ◽  
Five Phases

RESUMOObjetivo: analisar a ressignificação do cuidado prestado por uma equipe da Estratégia de Saúde da Família às pessoas com hipertensão arterial sistêmica na perspectiva histórico-cultural. Método: estudo qualitativo em uma Estratégia de Saúde da Família, dividido em cinco fases, com base no planejamento de ações em serviços de saúde e em abordagem histórico-cultural, por meio da técnica de grupo focal e do grupo operativo. Resultados: os dados obtidos nos grupos focal e operativo organizaram-se em temas de acordo com os princípios de Vygotsky: Estratégia de Saúde da Família: espaço vivo para a relação dialógica; O papel do pesquisador e da equipe como mediadores nas interações e Significados atribuídos ao modelo assistencial. Conclusão: a equipe da Estratégia de Saúde da Família conseguiu ressignificar o cuidado prestado às pessoas com hipertensão arterial sistêmica, o que permitiu a reelaboração do modelo assistencial. Descritores: Atenção Primária à Saúde; Hipertensão; Promoção da Saúde; Pesquisa Qualitativa; Enfermagem; Assistência Integral à Saúde.ABSTRACTObjective: to analyze the resignification of the care provided by a Family Health Strategy team to people with systemic arterial hypertension from the historical-cultural perspective. Method: this is a qualitative study conducted in a Family Health Strategy unit divided into five phases and based on the planning of actions in health services and with a historical-cultural approach, through the technique of focal group and the operative group. Results: data obtained in the focal and operative groups were organized according to Vygotsky's principles: Family Health Strategy: living space for the dialogical relationship; the role of the researcher and the team as mediators in the interactions and meanings attributed to the care model. Conclusion: the Family Health Strategy team was able to resignify the care given to people with systemic arterial hypertension allowing the re-elaboration of the care model. Descriptors: Primary Health Care; Hypertension; Health Promotion; Qualitative Research; Nursing; Comprehensive Health Care.RESUMENObjetivo: analizar la re-significación del cuidado prestado por un equipo de la Estrategia de Salud de la Familia a las personas con hipertensión arterial sistémica en la perspectiva histórico-cultural. Método: estudio cualitativo en una Estrategia de Salud de la Familia, dividido en cinco fases, con base en el planeamiento de acciones en servicios de salud y en enfoque histórico-cultural, por medio de la técnica de grupo focal y del grupo operativo. Resultados: los datos obtenidos en los grupos focal y operativo se organizaron en temas de acuerdo con los principios de Vygotsky: Estrategia de Salude de la Familia: espacio vivo para la relación dialógica; El papel del investigador y del equipo como mediadores en las interacciones y Significados atribuidos al modelo asistencial. Conclusión: el equipo de la Estrategia de Salud de la Familia consiguió dar re-significado al cuidado prestado a las personas con hipertensión arterial sistémica, lo que permitió la reelaboración del modelo asistencial. Descriptores: Atención Primaria de salud; Hipertensión; Promoción de la Salud; Investigación Cualitativa; Enfermería; Atención Integral de Salud.

scholarly journals Perception about the Medical Internship at Federal University of Rio de Janeiro by the Service’s Preceptors in Primary Health Care: a Case Study

2017 ◽  
Vol 41 (2) ◽  
pp. 320-326 ◽  
Author(s):  
Salesia Felipe de Oliveira ◽  
Antônio José Ledo Alves da Cunha ◽  
Anete Trajman ◽  
Clotilde Teixeira ◽  
Maria Kátia Gomes ◽  
...  
Keyword(s):  
Health Care ◽  
Rio De Janeiro ◽  
Family Health ◽  
Practical Experience ◽  
Structured Interviews ◽  
Good Relationship ◽  
Health Strategy ◽  
Family Health Strategy ◽  
Student Interns

ABSTRACT Introduction A preceptor is understood as a health care professional with an important role in introducing students and recently graduated doctors into professional practice. However, studies into medical teaching in the Family Health Strategy (FHS) have shown inadequacies in the quality, training and time spent by the tutors with students. In the municipality of Rio de Janeiro (RJ), the expansion of the FHS was belated, resulting in a vacuum of medical students being inserted into the network. Objective To understand the perception of Family Health Strategy physician preceptors regarding their performance with medical student interns from the Federal University of Rio de Janeiro (UFRJ). Methods This is a case study which employed a qualitative method and took place in the city of Rio de Janeiro (RJ). Semi-structured interviews were conducted between September 2011 and March 2012, with 15 preceptors from six Family Clinics receiving UFRJ medical interns. Interviews were recorded, transcribed, read and subjected to thematic content analysis, resulting in the establishment of five categories: encouragement and motivation; appreciation; training; real world versus academic world; teaching-service integration. Results The preceptors report that they feel recognized and encouraged by the students, but do not feel appreciated by the service coordinators, who fail to allocate adequate space and time to their preceptorship activities. A good relationship is established with both tutors and students. The preceptors would like to be trained in preceptorship and to strengthen their ties to UFRJ. They view their time with the students as both precious and challenging, because it stimulates them to rethink their care practices. They recognize in the internship the opportunity for students to gain practical experience of what has been learned in theory. Conclusion The preceptors’ work is supported by the good relationship established between preceptors, tutors and students but efforts are needed to value the professionals who perform this practice.

scholarly journals Referência e contrarreferência de crianças em condição crônica: percepção de mães e profissionais da atenção secundária [Referral and counter-referral of children in chronic condition: perception of mothers and secondary care professionals] [Referencia y contrarreferencia de niños en condicion crónica: percepción de madres y profesionales de la atención secundaria]

2020 ◽  
Vol 28 ◽  
pp. e51186
Author(s):  
Elenice Maria Cecchetti Vaz ◽  
Thayse Da Silva Brito ◽  
Maria Carolina Salustino dos Santos ◽  
Paloma Mayara Vieira de Macena Lima ◽  
Erika Acioli Gomes Pimenta ◽  
...  
Keyword(s):  
Family Health ◽  
Structured Interviews ◽  
Care Services ◽  
Health Strategy ◽  
The Family ◽  
El Sistema ◽  
Family Health Strategy ◽  
Specialized Care ◽  
Referral Form ◽  
State Capital

Objetivo: identificar a efetivação do sistema de referência e contrarreferência de crianças em condição crônica na percepção de mães e profissionais dos serviços especializados. Método: estudo qualitativo, mediante entrevista semiestruturada, com mães e especialistas em centros de atenção especializada de uma capital do Nordeste, entre dezembro de 2018 e março de 2019. Resultados: por ser iniciada na Estratégia Saúde da Família e critério indispensável para a marcação da consulta, a referência é efetiva. Porém, a contrarreferência, não é realizada pela atenção especializada, pois não é exigida na rede de atenção à saúde. Os especialistas não preenchem o formulário de contrarreferência, tornando-a inefetiva, com comprometimento da continuidade do cuidado. Conclusão: a contrarreferência precisa ser reconhecida pelos profissionais de saúde como ferramenta fundamental para um cuidado longitudinal, que atenda às necessidades de saúde da criança em condição crônica.ABSTRACTObjective: to identify the effectiveness of the referral and counter-referral system for children with chronic conditions as perceived by mothers and care personnel of specialized care services. Method: this qualitative study conducted semi-structured interviews of mothers and specialists at specialized care centers of a state capital in Brazil’s Northeast, between December 2018 and March 2019. Results: as referral has been instituted in the Family Health Strategy as indispensable criterion for scheduling appointments, referral is effectively in place. However, the specialized care services are not counter-referring, as this is not required in the health system.  The specialists fail to complete the counter-referral form, making it ineffective and hindering continuity of care. Conclusion: health personnel need to recognize that counter-referral is a tool fundamental to longitudinal care that meets the health needs of children with chronic conditions.RESUMENObjetivo: identificar la efectividad del sistema de referencia y contrarreferencia de niños con condiciones crónicas percibidas por las madres y el personal de atención de los servicios de atención especializada. Método: este estudio cualitativo realizó entrevistas semiestructuradas a madres y especialistas en centros de atención especializada de una capital del estado en el noreste de Brasil, entre diciembre de 2018 y marzo de 2019. Resultados: como referencia se ha instituido en la Estrategia de Salud de la Familia como criterio indispensable para la programación citas, la referencia está efectivamente en su lugar. Sin embargo, los servicios de atención especializada no son contrarreferencia, ya que esto no es requerido en el sistema de salud. Los especialistas no completan el formulario de contrarremisión, lo que lo vuelve ineficaz y dificulta la continuidad de la atención. Conclusión: el personal de salud debe reconocer que la contrarreferencia es una herramienta fundamental para la atención longitudinal que atiende las necesidades de salud de los niños con enfermedades crónicas.

scholarly journals Nurses and the collective care practices within the family health strategy: salud de la familia

2011 ◽  
Vol 19 (3) ◽  
pp. 581-588 ◽  
Author(s):  
Cinira Magali Fortuna ◽  
Silvia Matumoto ◽  
Maria José Bistafa Pereira ◽  
Silvana Martins Mishima ◽  
Lauren Suemi Kawata ◽  
...  
Keyword(s):  
Traditional Approach ◽  
Family Health ◽  
Collective Actions ◽  
Structured Interviews ◽  
Work Processes ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Care Practices ◽  
Analyze Data

This qualitative study identifies and analyzes the practices of nurses regarding collective care interventions in the context of the Family Health Strategy (FHS) and its knowledge development. Semi-structured interviews were held with nurses working in the FHS and thematic analysis was used to analyze data. The theoretical framework was based on the theories of institutional analysis and work processes. The results are arranged into two main themes: Conceptions that support collective care practices and Practices of nurses in collective care. The conclusion is that nurses actively participate both in proposing, coordinating, performing and monitoring these collective actions, though they are still predominantly guided by the traditional approach to health in general and specifically to health education.

scholarly journals Domestic violence against women according to the viewpoint of family health strategy teams

2020 ◽  
pp. 850-855
Author(s):  
Giane Lopes Oliveira ◽  
Ninalva de Andrade Santos ◽  
Juliana Costa Machado ◽  
Vilara Maria Mesquita Mendes ◽  
Roberta Laíse Gomes Leite Morais ◽  
...  
Keyword(s):  
Domestic Violence ◽  
Violence Against Women ◽  
Family Health ◽  
Psychological Violence ◽  
Structured Interviews ◽  
Health Strategy ◽  
The Family ◽  
Domestic Violence Against Women ◽  
Family Health Strategy ◽  
Physical And Psychological Violence

Objective: The study’s purpose has been to understand domestic violence against women under the perception of Family Health teams. Methods: It is a descriptive study with a qualitative approach, which was performed with 24 professionals from Family Health Units located in a municipality from the Bahia State countryside, Brazil. Data collection took place through semi-structured interviews designed according to the thematic content analysis. Results: Physical and psychological violence were the most common forms of domestic violence against women, with alcoholism, jealousy and macho culture as triggers for aggression. Gender and power relations were evidenced in the context of violence. Conclusion: Therefore, it is possible to underline the need for training of the Family Health teams in order to identify and adequately handle cases of domestic violence against women, aiming for comprehensive care.

scholarly journals The 15-minute family interview: a family health strategy tool

2013 ◽  
Vol 47 (3) ◽  
pp. 634-639 ◽  
Author(s):  
Mariana Cristina Lobato dos Santos Ribeiro Silva ◽  
Nancy Jean Moules ◽  
Lucía Silva ◽  
Regina Szylit Bousso
Keyword(s):  
Family Health ◽  
Family Assessment ◽  
Structured Interviews ◽  
Intervention Models ◽  
Condensed Form ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Family Interview ◽  
Three Stages

The 15-minute family interview is a condensed form of the Calgary Family Assessment and Intervention Models (CFAM and CFIM) that aims to contribute to the establishment of a therapeutic relationship between nurses and family and to implement interventions to promote health and suffering relief, even during brief interactions. This study investigated the experience of nurses from the Family Health Strategy (FHS) who used the 15-minute interview on postpartum home. The qualitative research was conducted in three stages: participants' training program, utilization of the 15-minute family interview by participants, and interviews with nurses. The data were collected through semi-structured interviews with eight nurses. The thematic analysis revealed two main themes: dealing with the challenge of a new practice and evaluating the assignment. This work shows that this tool can be used to deepen relationships between nurses and families in the Family Health Strategy.

scholarly journals The purpose of the communication process of group activities in the Family Health Strategy

2011 ◽  
Vol 19 (2) ◽  
pp. 396-402 ◽  
Author(s):  
Leticia Silveira Cardoso ◽  
Marta Regina Cezar-Vaz ◽  
Mara Regina Santos da Silva ◽  
Valdecir Zavarese da Costa
Keyword(s):  
Qualitative Content Analysis ◽  
Participant Observation ◽  
Work Organization ◽  
Family Health ◽  
Communication Process ◽  
Structured Interviews ◽  
Group Activities ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

This study identified the purposes of the communication process in the group activities of the Family Health strategy from the perspective of nurses. Semi-structured interviews were conducted and recorded with 60 nurses and non-participant observation with 19 group activities, analyzed according to qualitative content analysis. Five categories emerged: Health education, Clinical follow-up, Co-responsibilization of patients, Team-Community Interaction, and Work Organization. These categories revealed that the establishment of reciprocal interactions among professionals, patients and families favor health promotion because it encourages the exchange of knowledge among the participants concerning their health experiences.

Sign in / Sign up

Export Citation Format

Share Document