scholarly journals Nurses' perspective on health education in Diabetes Mellitus Care

2018 ◽  
Vol 71 (suppl 6) ◽  
pp. 2735-2742 ◽  
Author(s):  
Elen Ferraz Teston ◽  
Dandara Novakowski Spigolon ◽  
Edilaine Maran ◽  
Aliny de Lima Santos ◽  
Laura Misue Matsuda ◽  
...  

ABSTRACT Objective: to grasp the perspective of nurses on health education in the process of caring for people with Diabetes Mellitus in Primary Care. Method: a descriptive study of a qualitative nature carried out with 13 nurses from the Family Health Strategy in Southern Brazil. The data were collected in November and December of 2017, through recorded interviews, which were submitted to content analysis, thematic modality. Results: three categories emerged, which show from the perspective of nurses, the influence of structural and assistance characteristics in the development of educational actions; outcomes of these actions, and possibilities to increase their quality as central to the nursing action. Final considerations: there are still gaps in the structuring of public health policies, especially in the process of managing and caring for people with diabetes, which limits quantitatively and qualitatively the development of educational actions in Primary Care.

2018 ◽  
Vol 12 (11) ◽  
pp. 2906
Author(s):  
Juliane Da Silveira Jasmim ◽  
Gisella De Carvalho Queluci ◽  
Amanda Ribeiro Mendonça ◽  
Vinícius Rodrigues de Souza ◽  
Suelem Frian Couto Dias Dias

RESUMO Objetivo: analisar as competências necessárias aos enfermeiros na prática assistencial na Estratégia de Saúde da Família, a partir das fragilidades encontradas na assistência deste profissional. Método: trata-se de estudo qualitativo, descritivo e exploratório, com uma nove enfermeiros e três pacientes diabéticos. Utilizou-se a Metodologia da Problematização para coleta de dados. Realizou-se a análise temática das entrevistas, identificando palavras-chave e discutiram-se em categorias os resultados. Resultados: destacaram-se fragilidades como: falta de adesão aos grupos de apoio e tratamento; não aceitação da doença; percepção defasada da doença e suas complicações. Analisaram-se as competências necessárias para a prática do enfermeiro, a partir do referencial teórico de Perrenoud. Conclusão: considerou=se que houve fragilidade na educação em saúde, sendo necessário que o enfermeiro reflita sobre suas estratégias educativas e desenvolva competências, desde a graduação, que gerenciem a assistência. A divulgação do estudo suscitará maior interesse no desenvolvimento de competência do profissional, contribuindo para uma assistência de qualidade, sendo essencial para a promoção do ensino e pesquisa em enfermagem. Descritores: Diabetes Mellitus; Estratégia Saúde da Família; Educação em Saúde; Educação Baseada em Competências; Enfemagem; Enfermeiros e Enfermeiras.ABSTRACT Objective: to analyze the skills required by nurses in the care practice in the Family Health Strategy, based on the weaknesses found in the care of this professional. Method: this is a qualitative, descriptive and exploratory study, with nine nurses and three diabetic patients. We used the Problem-Solving Methodology for data collection. The thematic analysis of the interviews was carried out, identifying keywords and categorizing the results. Results: weaknesses were highlighted: lack of adherence to support and treatment groups; non-acceptance of the disease; delayed perception of the disease and its complications. The competencies necessary for nurses' practice were analyzed, based on Perrenoud's theoretical framework. Conclusion: it was considered that there was fragility in health education, and it is necessary that nurses reflect on their educational strategies and develop competencies, since graduation, that manage the care. The disclosure of the study will raise greater interest in the development of competence of the professional, contributing to a quality assistance, being essential for the promotion of teaching and research in nursing. Descriptors: Diabetes Mellitus; Family Health Strategy; Health Education; Competency-Based Education; Nursing; Nurses.RESUMEN Objetivo: analizar las competencias necesarias a los enfermeros en la práctica asistencial en la Estrategia de Salud de la Familia, a partir de las fragilidades encontradas en la asistencia de este profesional. Método: se trata de un estudio cualitativo, descriptivo y exploratorio, con nueve enfermeras y tres pacientes diabéticos. Se utilizó la Metodología de la Problematización para la recolección de datos. Se realizó el análisis temático de las entrevistas, identificando palabras clave y se discutieron en categorías los resultados. Resultados: se destacaron fragilidades como: falta de adhesión a los grupos de apoyo y tratamiento; no aceptación de la enfermedad; la percepción desfasada de la enfermedad y sus complicaciones. Se analizaron las competencias necesarias para la práctica del enfermero, a partir del referencial teórico de Perrenoud. Conclusión: se consideró que hubo fragilidad en la educación en salud, siendo necesario que el enfermero reflexione sobre sus estrategias educativas y desarrolle competencias, desde la graduación, que gestionen la asistencia. La divulgación del estudio suscitará mayor interés en el desarrollo de competencia del profesional, contribuyendo para una asistencia de calidad, siendo esencial para la promoción de la enseñanza e investigación en enfermería. Descriptores: Diabetes Mellitus; Estrategia de Salud Familiar; Educación en Salud; Educación Basada en Competencias; Enfermería; Enfermeros.


2015 ◽  
Vol 23 (4) ◽  
pp. 611-619 ◽  
Author(s):  
Maicon Henrique Lentsck ◽  
Thais Aidar de Freitas Mathias

AbstractObjective: to verify the correlation between the rates of hospitalization for primary care-sensitive cardiovascular diseases and the coverage by the Family Health Strategy of residents of the State of Paraná, by regional health divisions, from 2000 to 2011.Method: ecological study developed from data of the Hospital Information System of the Brazilian Unified Health System (SUS) and the Department of Primary Care of the Ministry of Health. The rates of hospitalization for cardiovascular diseases were correlated with the annual coverage by the Family Health Strategy using Pearson's and Spearman's correlation coefficients.Result: there was a strong and negative correlation in the State of Paraná (r=-0.91; p <0.001) and in most regional health divisions, with the highest correlations observed in the Metropolitan and Toledo (r =-0.93; p<0.001) and Paranaguá (r=-0.92, p<0.001) regional health divisions.Conclusion: the results suggest that the increase in the coverage by the Family Health Strategy was an important factor for decrease in the hospitalizations for cardiovascular conditions among residents of the State of Paraná and in most regional health divisions. Other studies should be performed to analyze the factors and causes in regional health divisions where there was no correlation with increase in the Family Health Strategy.


2015 ◽  
Vol 44 (2) ◽  
pp. 85-91 ◽  
Author(s):  
Henri Menezes Kobayashi ◽  
Antonio Carlos Pereira ◽  
Marcelo de Castro Meneghim ◽  
Rívea Inês Ferreira ◽  
Glaucia Maria Bovi Ambrosano

Introduction One of the main problems of the public health services, in which the family oral health team is included, is access by users to dental treatment in primary care, with particular reference to caries disease. Objective The aim of this study was to evaluate the relationship between family risk, for prioritization of home visits and oral health conditions, with a view to providing evidence about the first indicator for organizing the demand for oral health in the Family Health Strategy (FHS). Method The application of family health is based on Form A of the primary care information database SIAB ("Sistema de Informação de Atenção Básica"), used for registering families with the FHS. Eleven dentists examined the oral health conditions of 1165 persons (608 from 12 to 19 years; and 557 from 35 to 44 years of age), classifying them into six codes from A to F. Multinomial logistic regression was used (α=0.05) to analyze the association between family risk variables and oral health situation. Result There was significant association between family risk and presence of caries disease with treatment needs (OR: 2.08, p<0.0001). Conclusion Persons who have family risk would have twice as much chance of presenting caries disease in comparison with those without risk, corroborating the relevance of this element in organizing the demand for oral health.


2020 ◽  
Vol 14 (52) ◽  
pp. 961-973
Author(s):  
João Gabriel Cordeiro de Brito ◽  
Milton Jorge Lobo Barbosa ◽  
Kelmalary Gomes de Araújo ◽  
Dailton Santos Silva

Resumo: Trata-se de uma revisão integrativa da literatura que objetivou descrever a assistência ofertada pela Equipe da Estratégia Saúde da Família á mulheres com Diabetes Mellitus gestacional, evidenciados na literatura científica. A coleta de dados foi realizada nos meses de agosto a setembro de 2020 nas bases de dados Medical Literature Analyses and Retrieval System Online), Literatura Latino-Americana em Ciências da Saúde, Base de Dados de Enfermagem. Foram identificados 382 estudos, sendo a amostra composta por nove estudos. Os dados foram expostos em tabela-síntese e em categorias temáticas e discutidos em conformidade à literatura pertinente. Evidenciou-se a existência de falhas na atenção prestada às mulheres com diabetes gestacional e a importância do papel desempenhando por profissionais que prestam assistência a essas pacientes no âmbito da Estratégia Saúde da Família, favorecendo a prática do autocuidado. Faz-se necessário uma visão holística para essas mulheres com intuito de prevenir os agravos, melhorando a assistência e cuidado com elas. Descritores: Diabetes gestacional. Gravidez. Estratégia de saúde da família. Equipe Multiprofissional. 


10.3823/2463 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Dayse Lôrrane Gonçalves Alves ◽  
Maria Vilani Cavalcante Guedes ◽  
Josualdo Araujo Lima Ribeiro

Objective: To understand how the professionals of the Family Health Strategy (FHS) develop their actions with people who need mental health care. Methods and results: This is an observational and descriptive research, which predominantly had a qualitative approach. The participants of this research were the professionals of the Reference Teams of the Family Health Strategy of a municipality in the interior of Ceará, in this case, doctors, nurses and dental surgeons. The sample was of twenty participants, which was given by theoretical saturation about the object of study. For the data collection, two techniques were used: semi-structured interview and simple observation. This project was submitted and approved by the Research Ethics Committee of the State University of Ceará (CAAE: 44321015.4.0000.55.34 - Report No.: 1,082,101 / 2015). The data were organized through the technique of the Discourse of the Collective Subject. The results showed that health professionals are not yet ready to promote mental health care in primary care, since they still conceive mental health care from the asylum paradigm and, therefore, act based on the prevalence of diagnosis Psychiatric care, individual care, prescription drugs and renewal of prescriptions. Conclusion: In this regard, we emphasize the need to invest in continuing education for professionals in order to train them for the mental health act. Keywords: Mental Health; Primary Health Care; Family Health Strategy.


2018 ◽  
Vol 7 (2) ◽  
pp. 249-261
Author(s):  
Daniela Santos ◽  
Pamela Scarlatt Duraes Oliveira ◽  
Adriana Barbosa Rodrigues ◽  
Sérgio Vinícius Cardoso de Miranda

Objetivo: Buscou-se com o presente trabalho conhecer a percepção do enfermeiro acerca das atividades em Educação em Saúde na Estratégia Saúde da Família. Método: Estudo com abordagem qualitativa, com enfermeiros atuantes em Estratégias Saúde da Família localizadas no município de Montes Claros, Minas Gerais, realizado no mês de setembro de 2016, com aplicação de um questionário semi-estruturado com seis perguntas norteadoras. Resultados: A análise de dados possibilitou a construção de três categorias centrais, a saber: Objetivos e prática da educação em saúde, Estratégia Saúde da Família: porta de entrada e Aspectos facilitadores e dificultadores da educação em saúde. Conclusão: Compreende-se que a Educação em Saúde representa ferramenta ímpar e sempre inovadora no campo da saúde para transformar a vida das pessoas e o processo saúde-doença do indivíduo e comunidade.Palavras-chave: Educação em saúde. Estratégia Saúde da Família. Enfermeiro. NURSES' PERCEPTION ABOUT ACTIVITIES IN HEALTH EDUCATION IN FAMILY HEALTH STRATEGY ABSTRACT: Objective: The aim of this work was to know the nurse's perception about the activities in Health Education in the Family Health Strategy. Method: A qualitative study with nurses working in Family Health Strategies located in the city of Montes Claros, Minas Gerais, Brazil, in September 2016, with the application of a semi-structured questionnaire with six guiding questions. Results: The data analysis allowed the construction of three central categories, namely: Objectives and practice of health education, Family Health Strategy: gateway and aspects of facilitating and hindering health education. Conclusion: It is understood that Health Education represents a unique and always innovative tool in the field of health to transform people's lives and the health-disease process of the individual and community.Keywords: Health Education. Family Health Strategy. Nurse.


2011 ◽  
Vol 5 (11) ◽  
pp. 2660
Author(s):  
Roberta De Souza Pereira da Silva Ramos ◽  
Anna Karla de Oliveira Tito Borba ◽  
Márcia Carrera Campos Leal ◽  
Ana Paula de Oliveira Marques ◽  
Vânia Pinheiro Ramos

ABSTRACTObjective: to identify in scientific publications the health education actions concerned with the elderly population in the Family Health Strategy (FHS). Method: this is an integrative review with search in the scientific literature published from 2000 to 2010 in the databases of the website Virtual Health Library (VHL): LILACS (Latin American and Caribbean Health Sciences Literature), MEDLINE (National Library of Medicine, United States), IBECS (Índice Bibliografico Espanol en Ciencias de la Salud), and SciELO (Scientific Electronic Library Online), besides the specialized area of BIREME – BDENF (Nursing Database), according to the following stages: establishment of the guiding question (What is the importance of the health education actions for the elderly population in the Family Health Strategy?) and aims of the review; establishment of inclusion and exclusion criteria for papers (sample selection); definition of the information to be extracted from the papers selected; analysis of results; presentation and discussion of results; and, finally, presentation of the review. Inclusion criteria: full text available online  and papers concerning health education activities, involving the elderly public, developed in the FHS. For this study, the concept of elderly from the World Health Organization (WHO) was adopted: person aged 60 years or over in developing countries. Results: the final sample consisted of  nine papers, which presented variety of themes, ranging from studies that applied and evaluated the educative activities to those which pointed them proposals. Conclusion: it was found an incipience in papers portraying the performance of educative practices aimed at the elderly population and the predominance of the biomedical paradigm in the health education activities. Descriptors: health education; elderly; Family Health Program.RESUMOObjetivo: identificar em publicações científicas as ações de educação em saúde voltadas para população idosa na Estratégia de Saúde da Família (ESF). Método: trata-se de revisão integrativa com busca na literatura científica publicada de 2000 a 2010 nas bases de dados do sítio Biblioteca Virtual em Saúde (BVS): LILACS (Literatura Latino-Americana e do Caribe em Ciências da Saúde), MEDLINE (National Library of Medicine, Estados Unidos), IBECS (Índice Bibliográfico Español en Ciencias de la Salud) e SciELO (Scientific Electronic Library Online) além da área especializada da BIREME - BDENF (Base de Dados de Enfermagem), cumprindo as seguintes etapas: estabelecimento da questão norteadora (Qual a importância das ações de educação em saúde para população idosa na Estratégia Saúde da Família?) e objetivos da revisão; estabelecimento de critérios de inclusão e exclusão de artigos (seleção da amostra); definição das informações a serem extraídas dos artigos selecionados; análise dos resultados; apresentação e discussão dos resultados; e, por último, apresentação da revisão. Critérios para inclusão: texto completo acessível on-line e artigos de atividades de educação em saúde, voltadas para o público idoso, desenvolvidas na ESF. Para este estudo, adotou-se o conceito de idoso da Organização Mundial de Saúde (OMS): pessoa com 60 anos ou mais em países em desenvolvimento. Resultados: a amostra final consistiu em nove artigos, os quais demonstraram variedade temática, desde estudos que aplicaram e avaliaram as atividades educativas até aqueles que as apontaram como propostas. Conclusão: constata-se uma incipiência em artigos que retratam a realização de práticas educativas voltadas à população idosa e a predominância do paradigma biomédico nas atividades de educação em saúde. Descritores: educação em saúde; idoso; Programa Saúde da Família.RESUMEN Objetivo: identificar en publicaciones científicas las acciones de educación en salud dirigidas a la población anciana en la Estrategia de Salud de la Familia (ESF). Método: esta es una revisión integradora con búsqueda en la literatura científica publicada de 2000 hasta 2010 en las bases de datos del sitio Biblioteca Virtual en Salud (BVS): LILACS (Literatura Latinoamericana y del Caribe en Ciencias de la Salud), MEDLINE (National Library of Medicine, Estados Unidos), IBECS (Índice Bibliográfico Español en Ciencias de la Salud) y SciELO (Scientific Electronic Library Online), además de la área especializada de la BIREME – BDENF (Base de Datos de Enfermería), cumpliendo las siguientes etapas: establecimiento de la cuestión orientadora (¿Cual es la importancia de las acciones de educación en salud para la población anciana en la Estrategia Salud de la Familia?) y objetivos de la revisión; establecimiento de criterios de inclusión y exclusión de artículos (selección de la muestra); definición de las informaciones que serán extraídas de los artículos seleccionados; análisis de los resultados; presentación y discusión de los resultados; y, por último, presentación de la revisión. Criterios para inclusión: texto completo accesible online y artículos de actividades de educación en salud, dirigidas para el público anciano, desarrolladas en la ESF. Para este estudio, fue adoptado el concepto de anciano de la Organización Mundial de la Salud (OMS): persona con 60 años o más en países en desarrollo. Resultados: la muestra final consistió en nueve artículos, los cuales demostraron variedad temática,  desde estudios que aplicaron y evaluaron las actividades educativas hasta aquellos que las apuntaron cómo propuestas. Conclusión: se constata una insipiencia en artículos que retratan la realización de prácticas educativas dirigidas a la población anciana y la predominancia del paradigma biomédico en las actividades de educación en salud. Descriptores: educación en Salud; anciano; Programa Salud de la Familia.


2019 ◽  
Vol 13 (1) ◽  
pp. 148
Author(s):  
Vívian Roselany Ferreira Hipólito ◽  
Laura Maria Feitosa Formiga ◽  
Ana Klisse Silva Araújo ◽  
Lorena Mayara Hipólito Feitosa ◽  
Kathelyn Jane Sousa Carvalho ◽  
...  

ABSTRACTObjective: to know the risks for the onset of osteoporosis in the elderly. Method: this is a quantitative, cross-sectional and descriptive study in the Family Health Strategy (FHS). An instrument covering sociodemographic characteristics, anthropometry, clinical variables and life habits was used for data collection. The results were analyzed through the SPSS software, version 20.0, and the findings were presented in tables. Results: hypertension and diabetes mellitus prevailed. With respect to the family history, it was found that the elderly never had a fracture, did not have genetic factors on osteoporosis and did not use calcium and vitamin D. As for the modifiable factors, a large part of the elderly said not to practice physical activity, nor get exposed to the sun, and they said they ingested much caffeine and milk. Conclusion: the proposed objective was reached and it is hoped that the results found in this study contribute to the construction of knowledge about this disease that has increasingly affected people, helping to elaborate prevention strategies or avoid possible complications. Descriptors: Nursing; Aged; Osteoporosis; Disease Prevention; Health Care (Public Health); Aging.RESUMOObjetivo: conhecer os riscos para o desencadeamento da osteoporose nos idosos. Método: trata-se de estudo quantitativo, transversal e descritivo na Estratégia Saúde da Família (ESF). Utilizou-se, para a coleta de dados, um instrumento composto por características sociodemográficas, antropometria, variáveis clínicas e hábitos de vida. Analisaram-se os resultados por meio do programa SPSS, versão 20.0, e se apresentaram os achados em tabelas. Resultados: prevaleceram-se as doenças hipertensão arterial e diabetes mellitus. Encontrou-se, sobre o histórico familiar, o fato de os idosos nunca terem apresentado fratura, não possuírem fatores genéticos sobre a osteoporose e não fazerem uso de cálcio e vitamina D. Com relação aos fatores modificáveis, grande parte dos idosos afirmou não praticar atividade física, não se expor ao Sol, ingerir bastante cafeína e leite. Conclusão: atingiu-se o objetivo proposto e espera-se que os resultados encontrados contribuam na construção do conhecimento sobre essa doença de crescente acometimento auxiliando a elaboração de estratégias de prevenção ou evitando possíveis complicações. Descritores: Enfermagem; Idoso; Osteoporose; Prevenção de Doenças; Atenção à Saúde; Envelhecimento.RESUMENObjetivo: conocer los riesgos para el desencadenamiento de la osteoporosis en los adultos mayores. Método: se trata de estudio cuantitativo, transversal y descriptivo en la Estrategia Salud de la Familia (ESF). Se utilizó para la recolección de datos, un instrumento compuesto por características sociodemográficas, antropometría, variables clínicas y hábitos de vida. Se analizaron los resultados por medio del programa SPSS, versión 20.0, y se presentaron los hallados en tablas. Resultados: prevalecieron las enfermedades hipertensión arterial y diabetes mellitus. Se encontró, sobre el histórico familiar, el hecho de los adultos mayores nunca haber presentado fractura, no poseer factores genéticos sobre la osteoporosis y no hacer uso de cálcio y vitamina D. Con relación a los factores modificables, grande parte de los adultos mayores afirmo no practicar actividad física, no exponerse al Sol, ingerir bastante cafeína y leche. Conclusión: se consiguió el objetivo propuesto y se espera que los resultados encontrados contribuyan en la construcción del conocimiento sobre esa enfermedad de creciente acometimiento auxiliando la elaboración de estrategias de prevención o evitando posibles complicaciones. Descriptores: Enfermería; Anciano; Osteoporosis; Prevención de Enfermedades; Atención a la Salud; Envejecimento.


10.3823/2275 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Izaias Almeida Belas ◽  
Jorge Henrique Alves da Rocha ◽  
Filipe Melo da Silva ◽  
João Victor Batista Lustosa ◽  
Wendell Soares Carneiro ◽  
...  

Objective: From the perspective of professionals acting in the Family Health Strategy (FHS) in the state of Piauí, Brazil, the aim of this study was to asses the articulated actions of technical-pedagogical and clinical-care support offered by the Family Health Support Centres (FHSC) to the FHS’s professionals. Methodology: This is an analytical census retrospective study, with a cross sectional design developed in a quantitative approach with a descriptive and exploratory nature. The research data was collected through the Program of Improvement in Quality of Access in Primary Care (PIAQ-PC) in Brazil, on its second cycle in 2013, and were analysed by using descriptive statistics. Results: The actions of clinical-care support has been further developed by FHSC, all with frequency greater than 85%. In Piauí, the fields where FHSC has showed to be the nutritional care, rehabilitation and maternal and child care and also non-communicative diseases NCD that showed frequency higher than 85%. Conclusion: The FHSC initiative contributes significantly with their services to the FHS to achieve its goals. However, to make the work of these teams more effective there must be ownership of Primary Care Services by its user and appreciation of it by the managers. The developed actions are being supported and agreed on among the matrix support teams.  Keywords: Primary Health Care; Health  Promotion; Family Health.


10.3823/2376 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Djavan Gomes Leite ◽  
Maurício Caxias De Souza ◽  
Danielle Aurília Ferreira Macêdo Maximino ◽  
Eva Pôrto Bezerra ◽  
Josélio Soares De Oliveira Filho ◽  
...  

Objective: Describe and characterize NASF health practices. Method: It is a review of current literature carried out by consulting the database Lilacs and Virtual Library of SciELO in the period from December 2016 to January 2017. Conclusion: It is concluded that, although the NASF is recognized as a support to the Family Health Strategy (FHS), still does not act in an articulated way, being fundamental that changes take place in the organization of the services and in the conduct of the health professionals who contemplate it. Descriptors: Primary Health Care. Family Health; Public Health Policies. Nursing.


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