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 Common mental disorders in Petrópolis-RJ: a challenge to integrate mental health into primary care strategies

2011 ◽  
Vol 33 (2) ◽  
pp. 150-156 ◽  
Author(s):  
Sandra Fortes ◽  
Claudia S. Lopes ◽  
Luiz A. B. Villano ◽  
Mônica R. Campos ◽  
Daniel A. Gonçalves ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Primary Care ◽  
Mental Disorders ◽  
Family Income ◽  
Common Mental Disorders ◽  
Family Health ◽  
Special Group ◽  
Health Strategy ◽  
Family Health Strategy

OBJECTIVE: Common mental disorders are present in more than 50% of patients attending primary care clinics. The main objectives of this study were to detect whether there is any special group of patients within the Family Health Strategy that should be considered to be in greater risk for common mental disorders and to recommend alternative interventions to aid these patients. METHOD: In 2002, a cross-sectional study on common mental disorders seen at Family Health Strategy centers was conducted in Petrópolis, State of Rio de Janeiro. RESULTS: Common mental disorders were associated with women (OR = 2.90; 95% CI 1.82-4.32), younger than 45 years of age (OR = 1.43; 95% CI 1.02-2.01), with a monthly per capita family income of less than US$40.00 (OR = 1.68; 95% CI 1.20-2.39), and without a partner (OR = 1.71; 95% CI 1.22-2.39). Illiteracy was associated with common mental disorders among patients who were not extremely poor. Social support networks such as going often to church (OR = 0.62; 95% CI 0.43-0.89); participating in artistic and sporting activities (OR = 0.42; 95% CI 0.26-0.70) and having at least four trusted relatives or friends (OR = 0.53; 95% CI 0.31-0.91) was inversely associated with common mental disorders. DISCUSSION: Poor women with little social support represent a special group at risk for common mental disorders in the primary care setting. Some countries have developed special interventions to treat patients with common mental disorders in primary care. CONCLUSION: Mental health care programs could include evidence-based psychosocial interventions to assist women in overcoming the vicious circle of poverty and dealing with their mental disorders.

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.

Quality of Life in Brazil's Family Health Strategy: Common Mental Disorders, Use of Psychotropic Drugs and Sociodemographic Factors

2017 ◽  
Vol 31 (1) ◽  
pp. 68-72 ◽  
Author(s):  
Adriana Inocenti Miasso ◽  
Paulo Celso Prado Telles Filho ◽  
Tatiana Longo Borges ◽  
Assis do Carmo Pereira Junior ◽  
Kelly Graziani Giacchero Vedana ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Disorders ◽  
Psychotropic Drugs ◽  
Common Mental Disorders ◽  
Family Health ◽  
Sociodemographic Factors ◽  
Health Strategy ◽  
Family Health Strategy

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 Mental health in primary health care: health-disease according to health professionals

2019 ◽  
Vol 72 (6) ◽  
pp. 1609-1617
Author(s):  
Sônia Barros ◽  
Maria do Perpétuo Socorro de Sousa Nóbrega ◽  
Jussara Carvalho dos Santos ◽  
Laís Mariana da Fonseca ◽  
Lara Simone Messias Floriano
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Psychosocial Care ◽  
Family Health ◽  
Mental Health Disorder ◽  
Care Model ◽  
Structured Interviews ◽  
Health Strategy ◽  
Family Health Strategy ◽  
Care Health

ABSTRACT Objective: to analyze perceptions of the Family Health Strategy (FHS) professional team about mental health-disorder and to identify health actions developed by the team for people with mental disorders. Method: a qualitative study of a Marxist theoretical framework and a dialectical method. 99 FHS middle and higher level professionals from São Paulo participated. Semi-structured interviews were conducted. Data were submitted to ALCESTE software and Thematic Content Analysis. Results: there were three empirical categories: Training in Mental Health; Perception of the FHS professional about mental health-disorder; and Health actions developed by the FHS team with people with mental disorders. Actions that converge and diverge from the psychosocial care model were identified. Final considerations: there is an effort from professionals to work according to the psychosocial care model, but it is necessary to invest in the Permanent Education in Health of these professionals to overcome barriers and foster successful territorial actions.

scholarly journals Screening and Brief Intervention for the use of alcohol and other drugs

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
Keyword(s):  
Brief Intervention ◽  
Family Health ◽  
Cross Sectional Study ◽  
Screening And Brief Intervention ◽  
Cross Sectional ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Substance Involvement ◽  
Alcohol And Other Drugs

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.

scholarly journals Factors related to negative self-care adherence in individuals with diabetes mellitus

Rev Rene ◽  
2021 ◽  
Vol 22 ◽  
pp. e70902
Author(s):  
Álef Lucas Dantas de Araújo Silva ◽  
Cayane Maria da Silva Santos ◽  
Maria Verônica Gomes de Oliveira ◽  
Waleska de Brito Nunes ◽  
Matheus Figueiredo Nogueira ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Self Care ◽  
Family Health ◽  
Prevalence Ratio ◽  
Cross Sectional ◽  
Negative Attitudes ◽  
Health Strategy ◽  
Care Assessment ◽  
Family Health Strategy

Objective: to detect factors related to negative adherence to self-care in individuals with diabetes mellitus. Methods: observational, cross-sectional, analytical, and exploratory study, conducted with individuals diagnosed with type 2 diabetes mellitus and followed-up by the Family Health Strategy. The sample consisted of 250 participants. The Summary of Diabetes Self-Care Activities Questionnaire was used for self-care assessment. Association tests, prevalence ratio and Poisson regression with robust variance were performed in the analysis. Results: negative attitudes related to self-care increased by 21% for single/divorced/widowed, 20% for retired, 54% for those who did not diet, 28% for those who did not practice physical activity, 24% for hypertensive, 30% for those with dyslipidemia, and 44% for those with retinopathy. Conclusion: socioeconomic factors, behavioral factors, presence of comorbidities and complications related to diabetes mellitus were related to negative adherence to self-care.

scholarly journals Relational technologies as instruments of care in the Family Health Strategy

2017 ◽  
Vol 70 (5) ◽  
pp. 981-987 ◽  
Author(s):  
Tatiana Fernandes Kerches de Abreu ◽  
Fernanda Amendola ◽  
Monica Martins Trovo
Keyword(s):  
Family Health ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Daily Work ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Final Consideration ◽  
Basic Health Units

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.

1990 – Mental health and work of professionals of the family health strategy in a city of bahia, brazil

2013 ◽  
Vol 28 ◽  
pp. 1
Author(s):  
M. Andrade-Nascimento ◽  
G.B. Barbosa ◽  
A.K.S. Correia ◽  
L.M. Mota-Oliveira ◽  
D.F. Martins Jr ◽  
...  
Keyword(s):  
Mental Health ◽  
Family Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Arterial hypertension in the elderly people in the field of health attention

2011 ◽  
Vol 5 (2) ◽  
pp. 174
Author(s):  
Dyego Anderson Alves de Farias ◽  
Priscilla Medeiros Neves ◽  
Geraldo Eduardo Guedes de Brito
Keyword(s):  
Arterial Hypertension ◽  
Family Health ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Age Group ◽  
Cross Sectional ◽  
Primary Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

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.  

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