Analysis of access to hypertensive and diabetic drugs in the Family Health Strategy, State of Pernambuco, Brazil

OBJECTIVE: To evaluate the access to drugs for hypertension and diabetes and the direct cost of buying them among users of the Family Health Strategy (FHS) in the state of Pernambuco, Brazil. METHODS: Population-based, cross-sectional study of a systematic random sample of 785 patients with hypertension and 823 patients with diabetes mellitus who were registered in 208 randomly selected FHS teams in 35 municipalities of the state of Pernambuco. The selected municipalities were classified into three levels with probability proportional to municipality size (LS, large-sized; MS, medium-sized; SS, small-sized). To verify differences between the cities, we used the χ2 test. RESULTS: Pharmacological treatment was used by 91.2% patients with hypertension whereas 85.6% patients with diabetes mellitus used oral antidiabetic drugs (OADs), and 15.4% used insulin. The FHS team itself provided antihypertensive medications to 69.0% patients with hypertension, OADs to 75.0% patients with diabetes mellitus, and insulin treatment to 65.4%. The 36.9% patients with hypertension and 29.8% with diabetes mellitus that had to buy all or part of their medications reported median monthly cost of R$ 18.30, R$ 14.00, and R$ 27.61 for antihypertensive drugs, OADs, and insulin, respectively. CONCLUSION: It is necessary to increase efforts to ensure access to these drugs in the primary health care network.

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Insulin self-administration technique with disposable syringe among patients with diabetes mellitus followed by the family health strategy

Revista Latino-Americana de Enfermagem ◽

10.1590/s0104-11692009000400007 ◽

2009 ◽

Vol 17 (4) ◽

pp. 474-480 ◽

Cited By ~ 12

Author(s):

Thaís Santos Guerra Stacciarini ◽

Ana Emilia Pace ◽

Vanderlei José Haas

Keyword(s):

American Diabetes Association ◽

Family Health ◽

Simple Random Sampling ◽

Cross Sectional Study ◽

Self Administration ◽

Cross Sectional ◽

Health Strategy ◽

The Family ◽

Patients With Diabetes ◽

Family Health Strategy

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

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Riscos para o desencadeamento da osteoporose em idosos

Revista de Enfermagem UFPE on line ◽

10.5205/1981-8963-v13i1a236881p148-154-2019 ◽

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 ◽

...

Keyword(s):

Diabetes Mellitus ◽

Family Health ◽

The Elderly ◽

Cross Sectional ◽

Vitamina D ◽

Health Strategy ◽

Modifiable Factors ◽

The Family ◽

Family Health Strategy ◽

Life Habits

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.

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Articulated Actions of the Family Health Strategy Teams and their Centres of Support in the State of Piauí, Brazil

International Archives of Medicine ◽

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 ◽

...

Keyword(s):

Primary Care ◽

Clinical Care ◽

Family Health ◽

The State ◽

Cross Sectional ◽

Health Strategy ◽

The Family ◽

The Matrix ◽

Family Health Strategy ◽

Care Support

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.

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Correlates of physical activity counseling by health providers to patients with diabetes and hypertension attended by the Family Health Strategy in the state of Pernambuco, Brazil

Primary Care Diabetes ◽

10.1016/j.pcd.2017.04.001 ◽

2017 ◽

Vol 11 (4) ◽

pp. 327-336

Author(s):

Jessyka Mary Vasconcelos Barbosa ◽

Wayner Vieira de Souza ◽

Renan Williams Marques Ferreira ◽

Eduardo Maia Freese de Carvalho ◽

Eduarda Angela Pessoa Cesse ◽

...

Keyword(s):

Physical Activity ◽

Family Health ◽

The State ◽

Health Providers ◽

Physical Activity Counseling ◽

Activity Counseling ◽

Health Strategy ◽

The Family ◽

Patients With Diabetes ◽

Family Health Strategy

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

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2017-0444 ◽

2018 ◽

Vol 71 (suppl 5) ◽

pp. 2258-2263 ◽

Cited By ~ 2

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.

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Hospitalizations for cardiovascular diseases and the coverage by the family health strategy

Revista Latino-Americana de Enfermagem ◽

10.1590/0104-1169.0078.2595 ◽

2015 ◽

Vol 23 (4) ◽

pp. 611-619 ◽

Cited By ~ 2

Author(s):

Maicon Henrique Lentsck ◽

Thais Aidar de Freitas Mathias

Keyword(s):

Primary Care ◽

Cardiovascular Diseases ◽

Family Health ◽

The State ◽

Regional Health ◽

Unified Health System ◽

Health Strategy ◽

The Family ◽

Family Health Strategy ◽

Spearman’S Correlation

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.

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

Rev Rene ◽

10.15253/2175-6783.20212270902 ◽

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.

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Relational technologies as instruments of care in the Family Health Strategy

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2016-0337 ◽

2017 ◽

Vol 70 (5) ◽

pp. 981-987 ◽

Cited By ~ 5

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.

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

Revista de Enfermagem UFPE on line ◽

10.5205/reuol.1194-10319-1-le.0502201104 ◽

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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Cuidado Multiprofissional na Estratégia Saúde da Família a Mulheres com Diabetes Mellitus Gestacional / Multiprofessional Care in the Family Health Strategy for Women With Gestational Mellitus Diabetes

ID on line REVISTA DE PSICOLOGIA ◽

10.14295/idonline.v14i52.2773 ◽

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

Keyword(s):

Diabetes Mellitus ◽

Retrieval System ◽

Medical Literature ◽

Family Health ◽

Health Strategy ◽

The Family ◽

Family Health Strategy

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.

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