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

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

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

scholarly journals Maternal breastfeeding: indicators and factors associated with exclusive breastfeeding in a subnormal urban cluster assisted by the Family Health Strategy

2019 ◽  
Vol 95 (3) ◽  
pp. 298-305 ◽  
Author(s):  
Vera A.A.L. Silva ◽  
Maria F.C. Caminha ◽  
Suzana L. Silva ◽  
Vilneide M.S.B.D. Serva ◽  
Pedro T.A.C.C. Azevedo ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Family Health ◽  
Factors Associated ◽  
Urban Cluster ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

scholarly journals ANSIEDADE DOS ENFERMEIROS DA ESTRATÉGIA SAÚDE DA FAMÍLIA

2018 ◽  
Vol 7 (1) ◽  
pp. 234-248
Author(s):  
Juliana Sangaletti ◽  
Luciane Bisognin Ceretta ◽  
Maria Tereza Soratto
Keyword(s):  
Rating Scale ◽  
Family Health ◽  
Final Analysis ◽  
Related Factors ◽  
Daily Work ◽  
Factors Associated ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Microsoft Office

Estudo com objetivo de identificar os fatores associados à Ansiedade do Enfermeiro da Estratégia Saúde da Família (ESF). Pesquisa de abordagem quali-quantitativa, descritiva, exploratória e de campo. O estudo foi desenvolvido com 07 enfermeiros que trabalham em uma Estratégia Saúde da Família de Santa Catarina. Aplicou-se a Escala de Avaliação de Ansiedade de Hamilton e questionário semi-estruturado sobre os fatores relacionados à ansiedade dos Enfermeiros. A análise e interpretação dos dados qualitativos foram organizadas a partir da análise de conteúdo com a categorização dos dados, através da ordenação, classificação e análise final dos dados pesquisados. Na fase de análise de dados quantitativos, as informações foram quantificadas através do Microsoft Office Excel e apresentados por meio de análise quantitativa. Os resultados da pesquisa realizada identificaram que 85,72% dos enfermeiros apresentaram nível de ansiedade leve e 14,28% nível moderado. Os fatores associados à ocorrência de ansiedade nos enfermeiros da ESF vincularam-se principalmente ao excesso de trabalho, seguido da falta de valorização profissional; pressão exercida no processo de trabalho; preocupação e agitação no cotidiano do trabalho. Sendo assim, sugere-se um aprofundamento da pesquisa em relação aos fatores determinantes da ansiedade e as formas de melhor combatê-la no cotidiano do exercício da profissão.Palavras-chave: Ansiedade. Enfermeiro. Saúde do Trabalhador. Estratégia Saúde da Família. ABSTRACT: Study aiming to identify the factors associated with the Anxiety of nurses of the family health strategy. Research of qualitative and quantitative approach, descriptive, exploratory and of field. The study was carried out with 07 nurses who work in a family health Strategy. Applied to anxiety rating scale of Hamilton and semi-structured questionnaire on related factors to anxiety of nurses. The analysis and interpretation of qualitative data were organized from the content analysis with the categorization of the data, by ordering, sorting, and final analysis of the data searched. In the analysis phase of quantitative data, the information was quantified through the Microsoft Office Excel and presented by means of quantitative analysis. The results of the survey have identified that 85.72% of nurses showed mild anxiety level and 14.28% moderate level. The factors associated with the occurrence of anxiety in nurses of  the family health strategy linked mainly to overwork, followed by lack of professional valuation; pressure in the process of work; concern and agitation in the daily work. Therefore, it is suggested a deepening of research in relation to determining factors of anxiety and ways to better combat it in the everyday life of the practice of the profession.Keywords: Anxiety. Nurses. Occupational Health. Family Health Strategy.

scholarly journals Validation of a Booklet on the Use of BI-RADS® in Mammography Examination

2021 ◽  
Vol 15 (1) ◽  
pp. 358-366
Author(s):  
Maria Ivanete Nunes ◽  
Silvia Amélia Prado Burgos Madeira Campo ◽  
Luiz Ayrton Santos Junio ◽  
Eliana Campêlo Lago ◽  
Camila Aparecida Pinheiro Landim Almeid ◽  
...  
Keyword(s):  
Breast Imaging ◽  
Family Health ◽  
Data System ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Specialized Service ◽  
The Individual ◽  
Nursing Professionals ◽  
Breast Assessment

Background: The Breast Imaging-Reporting and Data System (BI-RADS ® ) is an international classification developed to systematize breast assessment, exam interpretation, and the preparation of reports of specific breast imaging exams. Objective: The objective of this study was to validate with experts a booklet directed to medical and nursing professionals in the Family Health Strategy on the categorization of Breast Imaging Reporting and Data System in order to describe the reports of mammography. Methods: This was a technology-validation study of the methodological-development type. The evaluation was performed with 11 experts, including seven radiologists and four mastologists, four men and seven women, with a mean age of 45 years, meantime of being in the profession of 22 years, and an average 15 years of working experience of in the field. Results: The individual, mean, and global Content Validity Index (CVI) was calculated. The booklet was validated with a CVI of 0.89. The suggestions of the experts were analyzed, and some of them were implemented for the final version of the booklet. Conclusion: The booklet was validated and will contribute significantly to the daily activities of medical and nursing professionals in the Family Health Strategy in relation to the interpretation of the mammographic report and the orientation regarding the referral, agility, and qualification of the patient to the specialized service.

scholarly journals Prevalence of and factors associated with frailty in elderly users of the Family Health Strategy

2018 ◽  
Vol 21 (6) ◽  
pp. 680-690
Author(s):  
Ádila de Queiroz Neves ◽  
Ageo Mário Cândido da Silva ◽  
Juliana Fernandes Cabral ◽  
Inês Echenique Mattos ◽  
Lívia Maria Santiago
Keyword(s):  
Family Health ◽  
Factors Associated ◽  
Health Strategy ◽  
Tilburg Frailty Indicator ◽  
The Family ◽  
Family Health Strategy ◽  
Elderly Users ◽  
Frailty Indicator

Resumo Objetivo : analisar a prevalência e fatores associados à fragilidade em idosos usuários da Estratégia Saúde da Família. Método : estudo epidemiológico de corte transversal com 377 idosos. A variável dependente, a fragilidade, foi investigada através do Tilburg Frailty Indicator (TFI). As variáveis independentes foram as sociodemográficas e as condições de saúde (avaliadas através dos instrumentos validados: Escala de Katz, Escala de Lawton, Escala de Depressão Geriátrica - GDS-15, Miniavaliação Nutricional - MAN, CIRS-G e polifarmácia). Foi realizada análise descritiva das variáveis categóricas e numéricas. Na análise bivariada calculou-se as razões de prevalência através do teste qui-quadrado de Mantel Haenszel e, na análise múltipla, utilizou-se a regressão de Poisson. Resultados : a prevalência estimada de fragilidade para a amostra foi de 65,25%. Na análise múltipla as variáveis estado civil (divorciado ou separado, viúvo ou solteiro), presença de sintomas depressivos, dependência em atividades instrumentais de vida diária, estado nutricional (desnutrição/risco de desnutrição) e presença de comorbidades se mantiveram associadas, com significância estatística, à fragilidade. Conclusão : o presente estudo apontou elevada prevalência de fragilidade, ressaltando a importância no conhecimento dessa temática a fim de estimular ações preventivas para minimizar desfechos adversos na população idosa, como hospitalização, quedas, fraturas e morte.

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

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

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

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

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.

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

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

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

scholarly journals Factors associated with glycemic control in people with diabetes at the Family Health Strategy in Pernambuco

2016 ◽  
Vol 50 (6) ◽  
pp. 937-945 ◽  
Author(s):  
Rodrigo Fonseca Lima ◽  
◽  
Annick Fontbonne ◽  
Eduardo Maia Freese de Carvalho ◽  
Ulisses Ramos Montarroyos ◽  
...  
Keyword(s):  
Glycemic Control ◽  
Glycosylated Hemoglobin ◽  
Family Health ◽  
Factors Associated ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Glycosylated Hemoglobin A

Abstract OBJECTIVE Identifying factors associated with glycemic control in people with type 2 Diabetes Mellitus (DM) registered in the Family Health Strategy (FHS) in Pernambuco, Brazil. METHOD Associations between glycemic control (glycosylated hemoglobin A lower or equal to 7%) presented by people with DM and variables related to sociodemographic conditions, lifestyle, characteristics of diabetes, treatment and follow-up of patients by health services were investigated by multiple regression. RESULTS More than 65% of the participants presented inadequate glycemic control, especially those with lower age, longer illness duration, more annual contacts with FHS and complex therapeutic regimen. People with DM without referrals to specialists presented greater glycemic control. Associations with education level and obesity did not remain significant in the multivariate model. CONCLUSION The evolution of diabetes hinders adequate control, however, attention to younger people with DM and referrals to specialists are factors that can improve glycemic control.

scholarly journals Maternal breastfeeding: indicators and factors associated with exclusive breastfeeding in a subnormal urban cluster assisted by the Family Health Strategy

2019 ◽  
Vol 95 (3) ◽  
pp. 298-305 ◽  
Author(s):  
Vera A.A.L. Silva ◽  
Maria F.C. Caminha ◽  
Suzana L. Silva ◽  
Vilneide M.S.B.D. Serva ◽  
Pedro T.A.C.C. Azevedo ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Family Health ◽  
Factors Associated ◽  
Urban Cluster ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

scholarly journals Dimensioning of nursing professionals: implications for the work process in the family health strategy

2019 ◽  
Vol 23 (3) ◽  
Author(s):  
Lucas Cardoso dos Santos ◽  
Juliane Andrade ◽  
Wilza Carla Spiri
Keyword(s):  
Family Health ◽  
Nursing Assistant ◽  
Health Unit ◽  
Working Process ◽  
Work Process ◽  
Management Tools ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Nursing Professionals

ABSTRACT Objective: To report the experience of the construction of nursing dimensioning and its implications for the working process in a Family Health Unit (FHU). Method: Descriptive report, which used the recommendations of Resolution No. 543/2017 of the Federal Nursing Council to dimension the number of nursing professionals from a FHU with two teams in the interior of São Paulo. Results: The dimensioning evidenced the lack of the nurse and nursing assistant and brought implications for the work process, such as systematization of information about nursing staff absences, adequacy and monitoring of the information system and reorganization of the area of service coverage. Conclusion and implications for practice: It is important that nurses use management tools, such as dimensioning, to seek changes in the nursing and staff work and in the improvement of care offered. Staff dimensioning proved to be satisfactory for the adaptations in the work process.

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