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

2009 ◽  
Vol 17 (4) ◽  
pp. 474-480 ◽  
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.

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 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.

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.  

scholarly journals Organizational climate and teamwork at the Family Health Strategy

2019 ◽  
Vol 72 (3) ◽  
pp. 721-727 ◽  
Author(s):  
Hellen Emília Peruzzo ◽  
Eraldo Schunk Silva ◽  
Vanessa Carla Batista ◽  
Maria do Carmo Fernandez Lourenço Haddad ◽  
Aida Maris Peres ◽  
...  
Keyword(s):  
Organizational Climate ◽  
Family Health ◽  
Cross Sectional Study ◽  
Team Climate ◽  
Task Orientation ◽  
Cross Sectional ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Innovative Tool

ABSTRACT Objective: to measure the organizational climate in the work of professionals from Family Health Strategy (FHS) teams. Method: a cross-sectional study carried out with 458 professionals belonging to 72 FHS teams in a municipality in Southern Brazil. Data collection occurred between March and July of 2016 with self-application of the Team Climate Inventory (TCI). Data were analyzed by means of a non-parametric ANOVA. Results: “Team Participation” was the best-rated domain (8.11), while “Task orientation” was the worst (7.51). Nurses obtained the highest mean in TCI (8.05), and dentists, the lowest (7.45). Conclusion: TCI is an appropriate and innovative tool for assessing the teamwork climate at the FHS. Identifying fragilities such as “task orientation” and relationships among professional categories of the team supports the planning of actions for organizational climate improvements and teamwork at the FHS.

Self-injection of insulin: attitudes of a group of individuals with diabetes

2011 ◽  
Vol 5 (3) ◽  
pp. 593
Author(s):  
Alexandra Ezoraide Barros ◽  
Emiliane Nogueira de Souza
Keyword(s):  
Diabetes Mellitus ◽  
Family Health ◽  
Signs And Symptoms ◽  
Insulin Injection ◽  
Cross Sectional Study ◽  
Self Administration ◽  
Cross Sectional ◽  
Health Strategy ◽  
Family Health Strategy ◽  
Diabetes Tipo 2

ABSTRACTObjective: to verify the preparation of diabetic users for self administration of insulin. Method: this is a cross-sectional study carried out with diabetic users of insulin registered at two Basic Health Units (BHU) one with Family Health Strategy the other without. A questionnaire with open and closed questions was used. Data were analyzed using descriptive and analytical statistic. The study was approved by the committee of ethical in investigation of the Associação Cultural e Científica Nossa Senhora de Fátima under the protocol nº 020/09. Results: women (67,5%), average age 61,40±11,99. Most were suffering from type 2 diabetes (95%), and were under treatment with insulin for an average time of about 6,33±6,92 years. Signs and symptoms of decompensated diabetes were recognized by 62,5% of users, 67,5% perform self administration of insulin. Most have some type of questions regarding site rotation for the injection. Alcohol swabs are used as an antiseptic in preparation of the skin prior to insulin injection by most respondents (73,7%). Regarding the reuse of syringes and needles, most users carry out this practice. Conclusion: the results suggest that users need professional monitoring, aiming to reinforce guidance on diabetes and insulin therapy. Descriptors: diabetes mellitus; primary health care;  insulin; community health nursing.RESUMOObjetivo: verificar o preparo do usuário diabético para a autoaplicação de insulina. Método: estudo transversal, realizado com usuários diabéticos, cadastrados em duas unidades básicas de saúde (UBS), uma com Estratégia da Saúde da Família e, a outra, sem. Utilizou-se um questionário com perguntas abertas e fechadas, os dados foram analisados por meio de estatística descritiva e analítica. O estudo foi aprovado pelo Comitê de Ética em Pesquisa da Associação Cultural e Científica Nossa Senhora de Fátima, sob o número 020/09. Resultados: mulheres (67,5%), idade média de 61,40±11,99 anos. A maioria era portadora de diabetes tipo 2 (95%), com uma média de tempo de tratamento com insulina de 6,33±6,92 anos. Os sinais e sintomas de descompensação da diabetes são reconhecidos por 62,5% dos usuários, e 67,5% realizam a autoaplicação de insulina. A maioria apresenta algum tipo de dúvida em relação ao rodízio e locais de aplicação de insulina. A antissepsia é realizada com algodão e álcool para a limpeza local (73,7%). Em relação à reutilização de seringas e agulhas, grande parte dos usuários realiza essa prática. Conclusão: os resultados evidenciam a necessidade de acompanhamento profissional dos usuários, com o intuito de reforçar as orientações acerca da DM e da insulinoterapia. Descritores: diabetes mellitus; atenção primária à saúde; insulina; enfermagem em saúde comunitária. RESUMENObjetivo: verificar el preparo del usuario diabético para la autoaplicación de insulina. Método: estudio transversal, realizado con usuarios diabéticos registrados en dos unidades básicas de salud (UBS), una de ellas con Estrategia de Salud de la Familia. Se utilizo un cuestionario con preguntas abiertas y cerradas. Los datos fueron analizados utilizando estadística descriptiva y analítica.  El estudio fue aprobado por el comité de ética en investigación de la Associação Cultural e Científica Nossa Senhora de Fátima bajo el protocolo nº 020/09. Resultados: media de edad de 61,4±11,99 años, 67% mujeres. La mayoría portador de diabetes tipo 2 (95%), con media de tiempo de tratamiento con insulina de 6,33±6,92 años. Las señales y síntomas de descompensación de diabetes son reconocidos por 62,5% de los usuarios, 67,5% realiza autoaplicación de insulina. La mayoría de los entrevistados (73,7%) realiza la desinfección local con algodón con alcohol. En relación a la reutilización de jeringas y agujas,  gran parte de los usuarios realiza esta práctica. Conclusión: los resultados ponen en evidencia la necesidad de asesoramiento profesional de los usuarios, reforzando las orientaciones acerca de Diabetes Mellitus e insulinoterapia. Descriptores: diabetes mellitus; atención primaria de la salud, insulina; enfermería en salud comunitaria. 

scholarly journals Family health strategy: relevance to the functional capacity of older people

2018 ◽  
Vol 71 (suppl 2) ◽  
pp. 740-746 ◽  
Author(s):  
Carla Silvana de Oliveira e Silva ◽  
Mayke Müller Soares Barbosa ◽  
Lucinéia de Pinho ◽  
Maria Fernanda Santos Figueiredo ◽  
Caroline Oliveira Amaral ◽  
...  
Keyword(s):  
Older People ◽  
Functional Capacity ◽  
Daily Living ◽  
Functional Dependence ◽  
Family Health ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

ABSTRACT Objective: to identify the functional capacity of older people based on their performance on basic activities of daily living. Method: a cross-sectional study, carried out through the record of the Family Health teams working in the urban area of a city in northern Minas Gerais, in 2015. To assess the functional capacity of 373 older people, the Katz Scale was applied, which includes dimensions on the performance of daily living activities. The interviews took place in the participants’ households. Results: of the total participants, 6.9% had some degree of dependence. Those aged over 80 years old and were living without a partner had about three times more chances of presenting higher levels of functional dependence. Conclusion: most older people enrolled in a Family Health Strategy had their functional capacity preserved.

scholarly journals Functional capacity and family dysfunction of the elderly in the family health strategy program in Ceará, Brazil: a cross-sectional study

2020 ◽  
Vol 44 ◽  
pp. e1762019
Author(s):  
Alyne Andrade Silva ◽  
Glauciano de Oliveira Ferreira ◽  
Janiel Ferreira Felício ◽  
Francisca Valúzia Guedes Guerra ◽  
Edmara Chaves Costa ◽  
...  
Keyword(s):  
Functional Capacity ◽  
Family Health ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Family Dysfunction ◽  
Sectional Study ◽  
Cross Sectional ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

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

2015 ◽  
Vol 18 (2) ◽  
pp. 413-424 ◽  
Author(s):  
Maria Nelly Sobreira de Carvalho Barreto ◽  
Eduarda Ângela Pessoa Cesse ◽  
Rodrigo Fonseca Lima ◽  
Michelly Geórgia da Silva Marinho ◽  
Yuri da Silva Specht ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Antihypertensive Drugs ◽  
Family Health ◽  
The State ◽  
Antihypertensive Medications ◽  
Cross Sectional ◽  
Health Strategy ◽  
The Family ◽  
Patients With Diabetes ◽  
Family Health Strategy

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.

scholarly journals Falls of elderly people living in rural areas: prevalence and associated factors

2019 ◽  
Vol 72 (suppl 2) ◽  
pp. 177-183 ◽  
Author(s):  
Fernanda dos Santos ◽  
Celmira Lange ◽  
Patrícia Mirapalheta Pereira de Llano ◽  
Marcos Aurélio Matos Lemões ◽  
Carla Alberici Pastore ◽  
...  
Keyword(s):  
Rural Areas ◽  
Associated Factors ◽  
Multivariate Logistic Regression Analysis ◽  
Family Health ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

ABSTRACT Objective: to identify the prevalence and factors associated with falls in the elderly population living in rural areas. Method: this is a cross-sectional study, carried out in 2014, with 820 older adults recorded in the Family Health Strategy (Estratégia Saúde da Família). The association between the reporting of falls in 12 months and their associated factors was verified by the Chi-square and Fischer’s exact tests and by multivariate logistic regression analysis. Results: the majority of the sample was female (56.1%), white (90.2%) and aged 60-69 years (54.9%). The prevalence of falls was 27.9%, and being female, hypertensive and diabetic was associated to falls. Conclusion: it is the responsibility of health professionals to have a closer look at the elderly who have these chronic diseases, especially within the scope of the Family Health Strategy, which works longitudinally with these patients, in addition to improving nursing care aimed at this population.

scholarly journals Inequalities in access and utilization of dental services: a cross-sectional study in an area covered by the Family Health Strategy

2011 ◽  
Vol 27 (suppl 2) ◽  
pp. s272-s283 ◽  
Author(s):  
Márcia Helena Baldani ◽  
José Leopoldo Ferreira Antunes
Keyword(s):  
Dental Care ◽  
Family Health ◽  
Cross Sectional Study ◽  
Dental Services ◽  
Cross Sectional ◽  
Dental Visits ◽  
Regular Source ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

This cross-sectional study aimed to investigate the presence of inequalities in the access and use of dental services for people living in the coverage area of the Family Health Strategy (FHS) in Ponta Grossa, Paraná State, Brazil, and to assess individual determinants related to them. The sample consisted of 747 individuals who answered a pre-tested questionnaire. Data analysis was performed by chi-square test and Poisson regression analysis, obtaining explanatory models for recent use and, by limiting the analysis to those who sought dental care, for effective access. Results showed that 41% of the sample had recent dental visits. The lowest visit rates were observed among preschoolers and elderly people. The subjects who most identified the FHS as a regular source of dental care were children. Besides age, better socioeconomic conditions and the presence of a regular source of dental care were positively associated to recent dental visits. We identified inequalities in use and access to dental care, reinforcing the need to promote incentives to improve access for underserved populations.

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