NASF's tools and practices in health of physical therapists

Abstract Introduction: With the creation of the Support Center for Family Health (NASF) and the high insertion of physiotherapists in this, it is necessary to have a better knowledge on this category's current work. Objective: To analyze the process of work of physiotherapists at NASF and their education, and the technological tools usage. Methods: Transversal study, descriptive, analytic, enforced by online semi-structured questionnaires to NASF's physiotherapists in Mato Grosso do Sul. The results were analyzed through descriptive statistics and chi-square test (significant level of 5%). Results: 37 physiotherapists (21 cities) participated. Among them, 27% Family-Health/Primary-Health-Care post graduates, and 51.4% in other clinical areas. Most (91,9%) did not receive enough capacitation when joining NASF, and 94.6% consider that did not have enough knowledge to do their activities. The articulation NASF and Family-Health-Strategy team is considered unsatisfactory to 51.3%. Individual rehabilitation is the most carried activity on a daily basis (59.5%), and NASF's tools are used by less than half, except the Amplified Clinic, which is used by 54,1% of physiotherapists. There was a significant association between capacitation to NASF's work and the tools usage of Singular-Therapeutic Project, Territorial Health Project and Support Pact. There was no association between the tools usage and the specialization in Family Health. Conclusion: The assistive and rehabilitator model has been the conductor of physiotherapists' actions. NASF's tools are little used. These results are explained due to the limited knowledge about NASF's attributions, resulting from the small capacitation offer to these activities and the traditional rehabilitator education.

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Functional Dependence among older adults receiving care from Family Health Strategy teams

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/1981-22562019022.190147 ◽

2019 ◽

Vol 22 (5) ◽

Author(s):

Mariano Fagundes Neto Soares ◽

Luciana Colares Maia ◽

Simone de Melo Costa ◽

Antônio Prates Caldeira

Keyword(s):

Older Adults ◽

Functional Dependence ◽

Descriptive Analysis ◽

Family Health ◽

Leisure Activity ◽

Female Gender ◽

Chi Square ◽

Cross Sectional ◽

Health Strategy ◽

Family Health Strategy

Abstract Objective : To evaluate functional dependence among older adults receiving care from Family Health Strategy (FHS) teams, in Montes Claros, Minas Gerais, Brazil, identifying associated factors. Methods : A cross-sectional and analytical study with randomly selected older adults was performed. The instrument used was BOMFAQ (the Brazilian Older Americans Resources and Services Multidimensional Functional Assessment Questionnaire). Data collection was performed by trained staff in the homes of the older adults. Sociodemographic, economic data, living habits, health care, morbidities and Activities of Daily Living (ADL) were evaluated. In addition to descriptive analysis, factors associated with functional dependence were identified using the chi-square test, followed by hierarchical multiple analysis using Poisson regression with robust variance. Results : 1,750 older adults were evaluated. The group was predominantly female, with low schooling. The proportion of the sample considered dependent was 57.0%. The variables associated with functional dependence were: female gender (PR=1.19); age ≥70 years (PR=1.33); schooling ≤4 years (PR=1.19); being unemployed (PR=1.43); not performing physical activity (PR=1.19) or walking (PR=1.15); not listening to the radio as a leisure activity (PR=1.13); not having the habit of reading (PR=1.17); presenting depressive symptoms (PR=1.15); hospitalization in the last six months (PR=1.18); cognitive impairment (PR=1.16); insomnia (PR=1.13); obesity (PR=1.18); falls in the last year (PR=1.11); cataracts (PR=1.09), spinal problems (PR=1.19); urinary incontinence (PR=1.25); poor circulation (PR=1.09) and a negative self-perception of health (PR=1.22). Conclusion : Functional dependence is multifactorial, but is influenced mainly by the health conditions of older adults.

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

Revista Latino-Americana de Enfermagem ◽

10.1590/0104-1169.3004.2372 ◽

2013 ◽

Vol 21 (6) ◽

pp. 1337-1344 ◽

Cited By ~ 4

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.

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Factors associated with the incomplete opportune vaccination schedule up to 12 months of age, Rondonópolis, Mato Grosso

Revista Paulista de Pediatria ◽

10.1590/1984-0462/2022/40/2020300 ◽

2022 ◽

Vol 40 ◽

Author(s):

Patrícia de Lima Lemos ◽

Gilmar Jorge de Oliveira Júnior ◽

Nidyanara Francine Castanheira de Souza ◽

Izadora Martins da Silva ◽

Izabella Paes Gonçalves de Paula ◽

...

Keyword(s):

Univariate Analysis ◽

Family Health ◽

Vaccination Schedule ◽

World Health ◽

Mato Grosso ◽

Factors Associated ◽

Health Strategy ◽

Family Health Strategy ◽

Individual Variables ◽

Health Organization

Abstract Objective: To analyze factors associated with the incomplete timely vaccination schedule up to 12 months of age, in children born in 2015, in the municipality of Rondonópolis, Mato Grosso. Methods: Population survey, August/2017 to February/2018, which used the method proposed by the World Health Organization to collect information about routine vaccination. For analysis of the associated factors, the recommendations of the National Immunization Program of the Ministry of Health were considered. Univariate analysis was performed, and the factors associated with p<0.20 entered in the multiple analysis, with hierarchical entry of individual variables and contextual indicator of concentration of the income extremes. Results: The incomplete timely vaccination schedule up to 12 months was 82.03% (95%CI 78.41–86.63). In the final model, the following remained independently associated: having one or more siblings at home (OR 3.18; 95%CI 1.75–5.76) and not receiving a visit from a community health worker in the last 30 days (OR 1.93; 95%CI 1.04–3.57). Conclusions: It is necessary to implement an active search for children with vaccination delay in relation to the recommended interval for each vaccine, in addition to the need to strengthen the link of the family health strategy and child caregivers.

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

International Journal of Social Science Studies ◽

10.11114/ijsss.v9i6.5383 ◽

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.

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Use of medicines by people bearing arterial hypertension and/or diabetes who were assisted by a family health strategy

Revista de Pesquisa Cuidado é Fundamental Online ◽

10.9789/2175-5361.rpcfo.v13.7427 ◽

2021 ◽

pp. 57-64

Author(s):

Aliny Fernanda K Freitas ◽

Daniele Prado Tormas ◽

Gabriela Neves Paula ◽

Débora Aparecida Silva Santos ◽

Letícia Silveira Goulart

Keyword(s):

Arterial Hypertension ◽

Family Health ◽

Mato Grosso ◽

Health Strategy ◽

Family Health Strategy

Objetivo: Analisar o perfil de utilização de medicamentos por hipertensos e/ou diabéticos de uma Estratégia de Saúde da Família do Sul de Mato Grosso. Métodos: Trata-se de uma pesquisa quantitativa e transversal com usuários cadastrados em uma Unidade Básica de Saúde. Os dados foram coletados em visitas domiciliares. Resultados: Os usuários consumiram uma média de 2,9 medicamentos. Não houve diferença estatística no consumo médio de medicamentos entre homens e mulheres. Os idosos utilizavam mais medicamentos. Os fármacos que atuam no sistema cardiovascular foram os mais consumidos. Conclusão: Os resultados apontam para a necessidade da promoção do uso racional de medicamentos, sobretudo na população idosa.

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Physical therapist insertion in the Family Health Strategy team: the users’ view

Fisioterapia em Movimento ◽

10.1590/0103-5150.028.003.ao07 ◽

2015 ◽

Vol 28 (3) ◽

pp. 485-493 ◽

Cited By ~ 2

Author(s):

Fátima Ferretti ◽

Rosane Paula Nierotka ◽

Cássia Cristina Braghini ◽

Carla Rosane Paz Arruda Teo ◽

Lucimare Ferraz ◽

...

Keyword(s):

Primary Care ◽

Health Care ◽

Physical Therapists ◽

Physical Therapist ◽

Family Health ◽

Theory And Practice ◽

Unified Health System ◽

Health Strategy ◽

The Family ◽

Family Health Strategy

AbstractIntroduction The Family Health Strategy program (FHS) was created with the aim to strengthen primary care through multidisciplinary practices, focused of health care to the family and community. In this sense, the incorporation of other professionals, other than provided in the minimum composition, such as the physical therapist, may contribute to enhance the comprehensiveness of health care.Objective To know how the user perceives the need of a physical therapist in the FHS.Methodology This is a qualitative research of 60 users of a Family Health Center in a city in western Santa Catarina. Data collection was performed at users’ homes by means of an interview. It contained questions about users’ knowledge on physiotherapy and the need to include this professional in the FHS team. Data were analyzed using thematic content analysis.Results Regarding the users’ knowledge about the physical therapist, we could observe that users perceive this professional as the one who works in rehabilitation. As for the need for the physical therapists insertion in the FHS staff, users highlighted that it is important to facilitate access to physical therapy services and to expand the comprehensiveness of health care to the user.Final considerations It is clear that users recognize the role of physiotherapy in primary care, realizing the need for its inclusion in the FHS. This fact emphasizes that it is necessary to (re)consider the training process of this professional, approaching theory and practice of the FHS guidelines and the principles of the Unified Health System.

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Utilização de benzodiazepínicos em Estratégias Saúde da Família

Revista de Saúde Coletiva da UEFS ◽

10.13102/rscdauefs.v10i1.5507 ◽

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.

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Factors associated with frailty syndrome in the rural elderly

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2017-0079 ◽

2019 ◽

Vol 72 (suppl 2) ◽

pp. 14-21

Author(s):

Patrícia Mirapalheta Pereira de Llano ◽

Celmira Lange ◽

Carlos Alberto da Cruz Sequeira ◽

Vanda Maria da Rosa Jardim ◽

Denise Somavila Przylynski Castro ◽

...

Keyword(s):

Low Income ◽

Family Health ◽

The Elderly ◽

Elderly Subjects ◽

Frailty Syndrome ◽

Factors Associated ◽

Health Strategy ◽

The Family ◽

Family Health Strategy ◽

Transversal Study

ABSTRACT Objective: determine the prevalence and factors associated with frailty syndrome (FS) in the elderly in the rural population of Pelotas. Method: Quantitative, analytical, transversal study conducted with 820 elderly subjects registered in the Family Health Strategy (FHS) in the rural area in the municipality of Pelotas, from July to October 2014. Results: among those evaluated, 43.41% showed FS. These factors were consolidated as associated with the condition: low income (PR: 1.54, p ≤ 0.001), low educ. level (PR: 1.45, p ≤ 0.001), nutritional status (obesity) (PR:1.89, p ≤ 0.001), physical inactivity (PR:1.93, p = 0.003), cognitive deficit (PR:2.07, p = 0.005), and poor self-perceived health (PR: 8.21, p ≤ 0.001). Conclusion: the findings may contribute effectively to the establishment of prevention and screening measures for frailty among the elderly by health professionals, especially nurses, aiming to prevent the occurrence of the syndrome and adverse and undesirable outcomes.

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

Escola Anna Nery ◽

10.1590/2177-9465-ean-2018-0228 ◽

2019 ◽

Vol 23 (2) ◽

Cited By ~ 1

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.

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O ENFERMEIRO NA SAÚDE DA FAMÍLIA E A PROMOÇÃO DE SAÚDE E PREVENÇÃO DE DOENÇAS

Enfermagem em Foco ◽

10.21675/2357-707x.2019.v10.n3.2001 ◽

2019 ◽

Vol 10 (3) ◽

Author(s):

Marciana Fernandes Moll ◽

Natália Nunes Boff ◽

Priscila Dos Santos Silva ◽

Tainá Vilhar Siqueira ◽

Carla Aparecida Arena Ventura

Keyword(s):

Health Promotion ◽

Disease Prevention ◽

Family Health ◽

Intervention Strategies ◽

Structured Interviews ◽

Daily Work ◽

Health Strategy ◽

The Family ◽

Family Health Strategy ◽

Transversal Study

Objetivo: descrever as ações do enfermeiro para a promoção de saúde e prevenção de doenças. Metodologia: estudo exploratório, descritivo, transversal, de abordagem qualitativa, realizado com 12 enfermeiros das Estratégias de Saúde da Família de uma cidade do Triângulo Mineiro. Os dados foram obtidos por meio de entrevista individual semiestruturada e foram submetidos à Análise Temática. Resultados: as temáticas identificadas foram: visão dos enfermeiros sobre promoção de saúde e estratégias de intervenção; conhecimento dos enfermeiros quanto à prevenção de doenças e intervenções realizadas para esta finalidade. Conclusão: evidenciou-se a confusão de alguns enfermeiros em distinguir promoção de saúde de prevenção de doenças. Além disso, os dados demonstraram que os enfermeiros enfrentam desafios no cotidiano de trabalho que podem acarretar implicações para a prática.Descritores: Enfermagem; Estratégia Saúde da Família; Promoção em saúde; Prevenção.THE FAMILY HEALTH STRATEGY NURSE AND HEALTH PROMOTION AND DISEASE PREVENTIONObjective: To describe nurses´ actions for health promotion and disease prevention. Methodology: Exploratory, descriptive, and transversal study, using a qualitative approach, carried out with 12 nurses from the family health strategies of a city in the state of Minas Gerais. Data were obtained through semi-structured interviews and were submitted to thematic analysis. Results: The themes identified were: vision of nurses on health promotion and their intervention strategies; Knowledge of nurses regarding the prevention of diseases and the interventions carried out for this purpose. Conclusion: Results showed the confusion of some nurses in distinguishing health promotion and disease prevention. They also face challenges in the daily work that can entail implications for the practice.Descriptors: Nursing, Family Health Strategy, Health Promotion, Prevention.LA ENFERMERA DE LA ESTRATEGIA DE SALUD FAMILIAR Y LA PROMOCIÓN DE LA SALUD Y LA PREVENCIÓN DE LA ENFERMEDADObjetivo: describir las acciones de la enfermera para la promoción de la salud y la prevención de enfermedades. Metodologya: estudio exploratorio, descriptivo, transversal, enfoque cualitativo, realizado con 12 enfermeros de las estrategias de salud familiar de una ciudad del triángulo minero. Los datos se obtuvieron por medio de una entrevista individual semiestructurada y fueron analizados por medio de análisis temático. Resultados: los temas identificados fueron: visión de las enfermeras sobre promoción de la salud y sus estrategias de intervención; El conocimiento de las enfermeras en cuanto a la prevención de enfermedades y las intervenciones llevadas a cabo con este fin. Conclusión: se ha puesto de relieve la confusión de algunas enfermeras en la distinción de la promoción de la salud de la prevención de enfermedades. Enfrentan desafíos en el trabajo diario que resultar en implicaciones para la práctica.Descriptores: Enfermería; Estrategia de Salud Familiar; Promoción de la Salud; Prevención.

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