scholarly journals Utilização de benzodiazepínicos em Estratégias Saúde da Família

2020 ◽  
Vol 10 (1) ◽  
pp. 67
Author(s):  
Janaina Ketelly Reis e Souza ◽  
Patricia Pereira Alarcon ◽  
Magda De Mattos ◽  
Ludiele Souza Castro
Keyword(s):  
Medical Records ◽  
Common Mental Disorders ◽  
Adult Population ◽  
Family Health ◽  
Defined Daily Dose ◽  
Mato Grosso ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Benzodiazepine Use

Introdução: Alterações de humor, ansiedade e insônia são os transtornos mentais que mais acometem a população, sendo identificadas com maior frequência na Atenção Primária à Saúde. Para o tratamento desses transtornos, é comum a prescrição de benzodiazepínicos. Objetivo: Quantificar e estabelecer o perfil de utilização de benzodiazepínicos na população adultade duas unidades de Estratégia Saúde da Família em município do Mato Grosso. Métodos: Os dados foram coletados em prontuários que continham registro de uso de psicotrópicos, durante o ano de 2018. Resultados: Foram encontrados 164 pacientes em uso de benzodiazepínicos, dos quais, 82,9% (n=136) eram mulheres. A associação de benzodiazepínicos com outros psicotrópicos representou 66,5%, sendo a amitriptilina a mais prescrita (35,8%). Com relação ao tempo de uso foi observado que a maioria dos pacientes faz uso há mais de 6 meses (93,0%). O clonazepam foi o benzodiazepínico mais prescrito, com 70,7% (n=116) dos registros de uso, nos prontuários. A Dose Diária Definida (DDD) de clonazepam resultou em 3,19 DDD/1.000hab./dia, quando se utiliza a DDD de 8mg, e 25,57 DDD/1.000hab./dia com DDD de 1mg. Conclusão: O uso crônico de benzodiazepínicos em unidades daEstratégia Saúde da Família se mantém como problema de saúde pública, sendo que o acompanhamento adequado destes pacientes é necessário para evitar o uso indiscriminado. Além disso, intervenções que visem proporcionar melhor qualidade de vida aos usuários destes medicamentos devem ser incentivadas.  Introduction: Mood swings, anxiety and insomnia are the most common mental disorders that affect the population and are most frequently identified in Primary Health Care. For the treatment of these disorders, it is common to prescribe benzodiazepines. Objective: Quantify and establish the profile of benzodiazepine use in the adult population of two units of the Family Health Strategy in a municipality in Mato Grosso. Methods: Data were collected from medical records that contained a record of psychotropic use during 2018. Results: Of the 164 patients using benzodiazepines found, 82.9% (n=136) were women. The association of benzodiazepines with other psychotropics represented 66.5%, with amitriptyline being the most prescribed (35.8%). Regarding the duration of benzodiazepine use, it was observed that most patients have been using it for more than 6 months (93.0%). Clonazepam was the most prescribed, with 70.7% (n=116) of the records of use in the medical records. The Defined Daily Dose (DDD) of clonazepam resulted in 3.19 DDD/1,000hab/day, when using DDD 8mg, and 25.57 DDD/1,000hab/day with DDD of 1mg. Conclusion: The chronic use of benzodiazepines in the Family Health Strategy Unitsremains as apublic health problem, and adequate monitoring of these patients is necessary to avoid indiscriminate use. In addition, interventions aimed at providing a better quality of life to users of these drugs should be encouraged.

scholarly journals Family context and incidence of dental caries in preschool children living in areas covered by the Family Health Strategy in Salvador, Bahia State, Brazil

2012 ◽  
Vol 28 (6) ◽  
pp. 1183-1195 ◽  
Author(s):  
Tatiana Frederico de Almeida ◽  
Maria Isabel Pereira Vianna ◽  
Maria Beatriz Barreto de Souza Cabral ◽  
Maria Cristina Teixeira Cangussu ◽  
Fabiana Raynal Floriano
Keyword(s):  
Dental Caries ◽  
Mental Disorders ◽  
Common Mental Disorders ◽  
Family Health ◽  
Preschool Age ◽  
Deciduous Teeth ◽  
Health Strategy ◽  
High Caries Risk ◽  
The Family ◽  
Family Health Strategy

Psychosocial factors influence family care and can jeopardize child development. This study aimed to analyze the association between maternal common mental disorders and incidence of early dental caries in preschool-age children living in areas covered by the Family Health Strategy in Salvador, Bahia State, Brazil, in a cohort design. A total of 472 children were examined and their mothers were interviewed from 2007 to 2008. Incidence of at least one tooth with caries was 21.19%, while 7.84% of the children showed high risk of caries. The results after adjusting for the child's age and maternal schooling showed that maternal common mental disorders were associated with high caries risk in deciduous teeth (adjusted RR = 2.41, 95%CI: 1.05-5.56, among children with 6 or fewer home appliances in the household; adjusted RR = 3.44, 95%CI: 1.06-11.17, among those that brushed twice or less per day). Maternal mental problems were associated with the development of caries in preschoolers.

scholarly journals Elderly health care in the Family Health Strategy and the prevalence of common mental disorders

2016 ◽  
Vol 19 (1) ◽  
pp. 21-33 ◽  
Author(s):  
Venício Aurélio Onofri Júnior ◽  
Vinícius Spazzapan Martins ◽  
Maria José Sanches Marin
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Medical Records ◽  
Common Mental Disorders ◽  
Patient Flow ◽  
Family Health ◽  
Elderly Persons ◽  
Cross Sectional ◽  
Health Strategy ◽  
Family Health Strategy

The aims of the present study were to characterize the reasons for medical appointments and treatment procedures of elderly people in the Estratégia Saúde da Família ("Family Health Strategy") (ESF), with emphasis on mental health, as well as to identify the prevalence of common mental disorders, and compare this with the approaches described in medical records. A descriptive and cross-sectional study of 219 elderly persons was performed by reviewing medical records and applying a Self-Response Questionnaire (SRQ-20). For this population the average number of appointments per year was three, 42.3% of appointments were to obtain a medical prescription, and 70.9% of medical procedures involved the provision of medical prescriptions. There were eight referrals to specialized mental health services. The most prescribed psychiatric drugs were anxiolytics (55%), and antidepressants (29.7%). A total of 19.6% of the elderly persons had scores above seven in the SRQ-20. It was observed that a large proportion of mental disorders were not detected, and there was a failure in the procedures adopted. More investment in patient flow and the definition of assistance criteria for this population is required.

scholarly journals The use of medications by elderly men with polypharmacy: representations and practices

2013 ◽  
Vol 21 (6) ◽  
pp. 1337-1344 ◽  
Author(s):  
Guilherme Oliveira de Arruda ◽  
Silvia Cristina da Silva Lima ◽  
Rogério Dias Renovato
Keyword(s):  
Old Age ◽  
Family Health ◽  
The Elderly ◽  
Elderly Men ◽  
Mato Grosso ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Qualitative Descriptive

OBJECTIVES: this study aimed to investigate and understand the use of medications by elderly men, their representations and the subsequent practices. METHODS: this is a qualitative, descriptive and exploratory study, in which there participated 17 elderly men, with polypharmacy, and assisted under the Family Health Strategy in the Municipality of Dourados in the Brazilian state of Mato Grosso do Sul (MS). RESULTS: the results show that most of the medications are used for treating cardiovascular disorders. The elderly men develop strategies considering the prescription of these, adapting in line with their own perceptions and meanings. From these tactics emerge representations on youth and old age, in which old age is associated with illness. In addition, practices were observed which sought to associate the use of medications with medicinal plants, re-signifying the process of being ill. Different perspectives of masculinity permeate the use of medications, sometimes reinforcing hegemonic conceptions, and sometimes revealing alternate models of masculinity. The woman is present in the care with the use of the medications. CONCLUSIONS: in this context, the health team, above all that of nursing, must assist the elderly man in his practices of medication, taking into account his representations, his protagonism, and the role of the woman as a support in the care.

scholarly journals Assessment of access to and use of primary care in the quilombola community of Ananindeua-Pará-Brazil

2019 ◽  
pp. 31369-31374
Keyword(s):  
Primary Care ◽  
Adult Population ◽  
Quality Care ◽  
Family Health ◽  
Objective Evaluation ◽  
Three Dimensions ◽  
Cross Sectional ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Objective: Evaluation of the use and accessibility of the Family Health Strategy using PCATool for the adult population of a quilombola community. Method: A descriptive cross-sectional, quantitative study had the participation of 92 residents of the Quilombola Community of Abacatal, older than 30 years, in the period from April 2015 to June 2015. For data collection, we used the Instrument for Primary Care Evaluation (PCATool) adult version, which consists of 87 items divided into ten components related to the attributes of Primary Health Care (PHC), for the study three dimensions were used: Degree of affiliation; Degree of use; Degree of accessibility. Results: It was shown that the majority of residents resort to the Family Health Strategy (FHS) when they become ill or need advice about their health; and some declared using other services, negatively assessing the attribute use. As for the availability of services, care and communication with the FHS, the answers were mostly negative. Conclusion: It was evidenced that there is no community recognition of the local FHS as its gateway, as it is not considered resolutive, and the study contributed in the sense that, when assessing it, it is indicated occasionally where it is necessary to move towards the achievement of comprehensive and quality care.

scholarly journals A atuação do enfermeiro na estratégia saúde da família: com foco em pacientes hipertensos

2017 ◽  
Vol 2 (3) ◽  
pp. 7 ◽  
Author(s):  
Carla Monteiro Santos da Silva ◽  
Doralice De Almeida Nascimento Silva ◽  
Luiz Faustino dos Santos Maia
Keyword(s):  
Arterial Hypertension ◽  
Adult Population ◽  
Family Health ◽  
Multiprofessional Team ◽  
Hypertensive Patients ◽  
Unified Health System ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

A Hipertensão Arterial é uma doença crônica que atinge 20% da população adulta, considerada um dos grandes problemas para o Sistema Único de Saúde, devido à grande incidência e morbimortalidade. Descrever a atuação do enfermeiro na assistência prestada aos pacientes hipertensos na estratégia saúde da família. Utilizou-se o método da revisão da literatura científica de forma integrativa. Foi realizada pesquisa eletrônica nas bases de dados da SCIELO, LILACS, REDALYC, utilizando-se os seguintes descritores:  hipertensão arterial, estratégia saúde da família, enfermeiro, em busca de artigos publicados no período de 2009 a 2016. Apresentação dos artigos incluídos na revisão segundo ano de publicação, periódico, autores e seus principais resultados. O enfermeiro como componente da equipe multiprofissional dentro da estratégia saúde da família, atuando na promoção, orientação e prevenção da saúde junto aos pacientes hipertensos. Através deste estudo enfatizamos aos enfermeiros já atuantes e aos que desejam atuar neste segmento, dando visibilidade sobre a importância fundamental do enfermeiro, suas atuações, competências e dificuldades encontradas no programa estratégia saúde da família.Descritores: Hipertensão Arterial, Estratégia Saúde da Família, Enfermeiro. The role of nurses in family health strategy: focusing on hypertensive patientsAbstract: Hypertension is a chronic disease that affects 20% of the adult population, considered one of the great problems for the Unified Health System, due to the great incidence and morbimortality. To describe the role of nurses in the care provided to hypertensive patients in the family health strategy. The method of reviewing the scientific literature was used in an integrative way. An electronic research was conducted in the databases of SCIELO, LILACS, REDALYC, using the following descriptors: arterial hypertension, family health strategy, nurse, searching for articles published in the period from 2009 to 2016. Presentation of articles included in the review second year of publication, periodicals, authors and their main results. The nurse as part of the multiprofessional team within the family health strategy, acting in the promotion, orientation and prevention of health among hypertensive patients. Through this study, we emphasize nurses already active and those who wish to work in this segment, giving visibility to the nurses' fundamental importance, their actions, competencies and difficulties found in the family health strategy program.Descriptors: Arterial Hypertension, Family Health Strategy, Nurse.La actuación del enfermero en la estrategia salud de la familia: con foco en pacientes hipertensosResumen:La Hipertensión Arterial es una enfermedad crónica que afecta al 20% de la población adulta, considerada uno de los grandes problemas para el Sistema Único de Salud, debido a la gran incidencia y morbimortalidad. Describir la actuación del enfermero en la asistencia prestada a los pacientes hipertensos en la estrategia salud de la familia. Se utilizó el método de la revisión de la literatura científica de forma integrativa. Se realizó una investigación electrónica en las bases de datos de SCIELO, LILACS, REDALYC, utilizando los siguientes descriptores: hipertensión arterial, estrategia salud de la familia, enfermero, en busca de artículos publicados en el período de 2009 a 2016. Presentación de los artículos incluidos en la revisión el segundo año de publicación, periódico, autores y sus principales resultados. El enfermero como componente del equipo multiprofesional dentro de la estrategia salud de la familia, actuando en la promoción, orientación y prevención de la salud junto a los pacientes hipertensos. A través de este estudio enfatizamos a los enfermeros ya actuantes ya los que desean actuar en este segmento, dando visibilidad sobre la importancia fundamental del enfermero, sus actuaciones, competencias y dificultades encontradas en el programa estrategia salud de la familia.Descriptores: Hipertensión Arterial, Estrategia Salud de la Familia, Enfermero.

scholarly journals Low risk emergencies: integration analysis between primary care and Emergency Care Unit

2021 ◽  
Vol 45 (131) ◽  
pp. 970-986
Author(s):  
Luana Rodovalho Constantino ◽  
Gisele O’Dwyer ◽  
Vera Lucia Barbosa dos Santos ◽  
Marismary Horsth de Seta
Keyword(s):  
Emergency Care ◽  
Medical Records ◽  
Qualitative Data ◽  
Family Health ◽  
Low Risk ◽  
Sociodemographic Data ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Integration Analysis

ABSTRACT The study aims to analyze the attention given to low risk emergencies in an area of high socioenvironmental vulnerability in Rio de Janeiro, within the scope of the Family Health Strategy and the local Emergency Care Unit. The methodology used relied on a triangulation of data and sources obtained from medical records, direct observation, interviews, and focal groups with managers, workers and users. The service was analyzed according to diagnosis, type of occurrence, and sociodemographic data; the qualitative data was analyzed through thematic analysis, generating the categories: which urgency for which service; territorial issues; access; positive and negative aspects of services. As a result, the Family Health Strategy takes on the function of answering to urgencies. Previous experiences influence the pattern of users’ access. Socio-environmental fragility increases demand, stresses the Strategy’s programmatic service, and can generate risks by the fast treatment at the Emergency Care Unit, which has been a place of hospitalization, due to the scarcity of hospital beds. The two services work with partial integration. The conclusion shows that the levels of satisfaction with the Family Health Strategy indicated by the population and its centrality to the care networks are enhanced by the accommodation of urgencies.

scholarly journals Analysis of Structure, Process and Result Indicators in the Family Health Strategy in Mato Grosso: A Comparative Study

2021 ◽  
Vol 9 (6) ◽  
pp. 95
Author(s):  
Juliane Ferreira Andrade da Fonseca ◽  
Márcia Mello Costa De Liberal ◽  
Patrícia Siqueira Varela ◽  
Paola Zucchi
Keyword(s):  
Primary Care ◽  
Home Visit ◽  
Descriptive Analysis ◽  
Family Health ◽  
Clinical Pathology ◽  
Population Coverage ◽  
Mato Grosso ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

This research aimed to correlate the indicators of Primary Health Care in their structural components with those of the process and with the results in the municipalities of Mato Grosso, Brazil, from 2008 to 2015. This is an evaluative, quantitative, retrospective research with the use of secondary data from information systems. A matrix is composed of components of the structure (potential population coverage) the process (medical consultation, home visit of doctor and nurse, referral to the specialist, and request of clinical pathology exams), and the result (hospitalization rate due to sensitive causes). It was constructed when primary care, the proportion of live births of mothers with seven or more prenatal consultations, and the infant mortality coefficient) and the descriptive analysis and Spearman correlation coefficient (rho) were performed. The study found that population coverage remained high above 83% and the process indicators suggest an improvement in family health strategy, with a reduction of 63.13% in the average referral to a specialist and 49.71% in the request for clinical pathology exams. However, there was a 7.13% reduction in the average home visit during the study period. There is a correlation between the structure and process component and between structure and result. It has been found that with the evolution of the Family Health Strategy, there were changes in some indicators of primary care, but it is not possible to state that there was a change in the care model.

scholarly journals Medication consumption in a Brazilian area covered by the Family Health Strategy: Prevalence and associated factors

2019 ◽  
Vol 23 (2) ◽  
Author(s):  
Letícia Silveira Goulart ◽  
Ingrid Jordana Ribeiro Dourado ◽  
Alyna Araújo e Marcondes ◽  
Aline Marques ◽  
Franciane Rocha de Faria ◽  
...  
Keyword(s):  
Family Health ◽  
Female Gender ◽  
Mato Grosso ◽  
Factors Associated ◽  
Medication Consumption ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
The Mean ◽  
Nursing Professionals

Abstract Objective: The aim of the present study was to determine the prevalence and factors associated with the medication consumption among users registered in the Family Health Strategy (FHS) of Rondonópolis, Mato Grosso State, Brazil. Method: The population was constituted of all adult residents in the area covered by the FHS. The Poisson regression model with robust variance was used to the statistical analysis. Results: There were included 553 participants, of which 72% were women. The mean age was 48 years. The prevalence of medication consumption was about 74.9% (n = 414). The most consumed class medication was drugs that act on the cardiovascular system (42.2%). The factors associated with medication consumption were female gender (PR = 1.21; CI95%: 1.07 - 1.38), diagnosed morbidity (PR = 1.83; CI95%: 1.61 - 2.08) and be bedridden in the last month (PR = 1.14; 95% CI95%: 1.02 - 1.26). Moreover, 72.7% of the interviewees obtained the medicines in public pharmacies. Conclusion and implications for practice: Women, people diagnosed with morbidities and those participants who were bedridden during the last month showed the highest levels of drug consumption. Nursing professionals in promoting the rational use of medications can contribute to integral care to FHS users.

Avaliação cognitiva, socioeconômica e demográfica de idosos cadastrados na estratégia saúde da família da cidade de Mossoró

2019 ◽  
Vol 20 (3) ◽  
pp. 40-46
Author(s):  
Edson Batista Dos Santos Júnior ◽  
Richardson Augusto Rosendo da Silva
Keyword(s):  
Family Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Cognitive, socioeconomic and demographic evaluation applied to elderly assisted by the family health strategy in Mossoró City, Brazil

Avaliação do Perfil Nutricional dos Funcionários das Equipes Estratégia Saúde da Família e Núcleo de Apoio a Saúde da Família do Município de Pedralva – MG/ Evaluation of the Nutritional Profile of Workers from the Family Health Strategy Team and the Supp

1970 ◽  
Vol 4 (3) ◽  
pp. 12-21
Author(s):  
Ana Isabel da Silva Ferreira ◽  
Edna Slob
Keyword(s):  
High Risk ◽  
Nutritional Status ◽  
Dietary Habits ◽  
Family Health ◽  
Abdominal Circumference ◽  
Nutritional Profile ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
The City

Objetivo: Avaliar o perfil nutricional das equipes da Estratégia Saúde da Família e do Núcleo de Apoio a Saúde da Família do município de Pedralva. Materiais e métodos: Estudo descritivo, analítico, transversal, realizado com 42 profissionais que compõem as equipes Estratégias Saúde da Família (ESF) e Núcleo de Apoio a Saúde da Família (NASF) no município de Pedralva/MG. Foram coletados dados antropométricos, como peso, altura e circunferências corporais e aplicado um formulário de frequência do consumo alimentar, para avaliar os hábitos alimentares desses profissionais Resultados: Quanto ao estado nutricional, 40,5% dos funcionários se encontravam eutróficos, 40,5% com sobrepeso e 19% com obesidade. Em relação ao risco de doenças cardiovascular, analisando a circunferência abdominal, 9% não apresentou risco, 24% dos funcionários tinham risco elevado e 67%, risco muito elevado; ao se utilizar a relação cintura quadril, encontrou-se 76% dos funcionários sem risco e 24% com risco. De acordo com o inquérito alimentar, observou frequente consumo de arroz, feijão, salada, salgados e carne, pouco consumo de frutas, legumes e peixes. Conclusão: medidas preventivas devem ser tomadas, a fim de evitar que o quadro atual do perfil antropométrico dessa população se torne ainda mais comprometedor, além de garantir melhoria da qualidade de vida dos mesmos.  Palavras-chave: Avaliação nutricional. Estado nutricional. Inquérito alimentar.  ABSTRACT Objective: To evaluate the nutritional profile of the teams of the Family Health Strategy and Support Center for Family Health in the city of Pedralva. Materials and methods: descriptive, analytical, transversal study performed with 42 professionals that make up the teams of the Family Health Strategy (FHS) and the Support Center for Family Health (NASF) in the city of Pedralva/MG. Anthropometric data such as weight, height and body circumferences were collected and a questionare about the frequency of food consumption was applied to assess the dietary habits of these Professional Results: Regarding nutritional status, 40.5% of employees were normal weight, 40.5% overweight and 19% obese. Regarding the risk of cardiovascular diseases, analyzing abdominal circumference, 9% showed no risk, 24% of employees had high risk and 67%, very high risk; when using the waist-hip ratio, we found 76% of employees with no risk and 24% at risk. According to food survey observed frequent consumption of rice, beans, salad, savory meat and little consumption of fruits, vegetables and fish. Conclusion: Preventive measures should be taken to prevent the current situation of anthropometric profile of this population from becoming even more engaging and also ensure improved quality of life for them.  Keywords: Nutritional evaluation. Nutritional status. Dietary survey. 

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