scholarly journals Educação em Saúde de Agentes Comunitários de Saúde para Promoção do Uso Racional de Medicamentos

Author(s):  
Artur Eduardo Alves Castro ◽  
Ivair Donizeti Gonçalves ◽  
Alejandra Hortencia Miranda González ◽  
Paulo Henrique D'Alpino

Apesar de o uso de medicamentos ser considerado o principal instrumento terapêutico utilizado no processo saúde-doença, inúmeras são as dúvidas e os riscos quanto à administração de medicamentos, especialmente, quanto à posologia. O presente estudo objetivou revisar a literatura disponibilizada pelo Ministério da Saúde sobre o uso de medicamentos, bem como a atuação dos Agentes Comunitários de Saúde (ACSs) na educação em saúde sobre este tema, e propor uma orientação junto à população em geral por meio de tópicos mais relevantes, que estimulem e despertem a curiosidade e a tomada de decisão pela adesão ao uso racional de medicamentos. Após uma introdução e definições sobre a política nacional de saúde, este artigo considera a importância de identificar tópicos importantes quanto aos riscos da automedicação, incorreta utilização, bem como a interrupção de tratamentos, especialmente, de doenças crônicas. Propôs-se, ainda, o uso de um folheto a ser distribuído no momento da dispensação e nas visitas domiciliares para orientação e controle do uso dos medicamentos em termos de suas posologias. Dessa forma, os ACSs são importantes membros da equipe da Estratégia Saúde da Família para fornecer informações sobre o uso seguro e eficaz de medicamentos pelo vínculo estabelecido com a comunidade, especialmente por meio das visitas domiciliares. Conclui-se que o foco dos ACSs, entre tantas atribuições, enquanto educadores em saúde são fundamentais para o estabelecimento de rotinas seguras e eficazes em relação ao uso de medicamentos utilizados pela comunidade, que certamente refletirá na cura de doenças pontuais e/ou bem-estar de pacientes crônicos. Palavras-chave: Agentes Comunitários de Saúde. Estratégia Saúde da Família. Assistência Farmacêutica. AbstractAlthough drug use is considered the main therapeutic tool used in the health-disease process, there are many doubts and risks regarding the administration of medications, especially regarding dosage. This study aimed to review the literature provided by the Ministry of Health about the use of medicines, as well as the action of Community Health Agents (ACSs) in health education on this topic, and to propose guidance to the general population through more relevant topics to stimulate curiosity, and the decision making by adhering to the rational medicines use. Following an introduction and definitions on national health policy, this article considers the importance of identifying important topics regarding the risks of self-medication, incorrect use, and discontinuation of treatments, especially  regarding chronic diseases. It was also proposed the use of a flyer to be distributed at the time of dispensing and at home visits for orientation and control of the medicines use in terms of their dosages. Thus, ACSs are important members of the Family Health Strategy team to provide information about the safe and effective use of drugs through the established link with the community, especially through home visits. It can be concluded that the focus of ACSs, among many attributions, as health educators are fundamental for the establishment of safe and effective routines regarding the use of medicines used by the community which will certainly reflect in the cure of specific diseases and/or the well-being of chronic patients. Keywords: Community Health Agents, Family Health Strategy. Pharmaceutical Assistance, Medicine.

2015 ◽  
Vol 20 (4) ◽  
pp. 1185-1197 ◽  
Author(s):  
Giovana Renata Gouvêa ◽  
Marco Antônio Vieira Silva ◽  
Antônio Carlos Pereira ◽  
Fábio Luiz Mialhe ◽  
Karine Laura Cortellazzi ◽  
...  

The aim of this study was to evaluate the knowledge of Community Health Agents (CHA) about the oral health/disease process, and compare the results between those who work in Family Health Teams (FHT), with and without Oral Health Teams (OHT). The participants in this study were 162 subjects, representing 66% of the total number of CHA in the municipality, and 81 of them are connected with Family Health Units (FHU) with OHT, and 81 CHS with FHUs without OHT. Data were collected from October to December 2013, by application of a questionnaire, containing personal and professional data, and 12 validated questions about knowledge of the oral health/disease process. The Mann-Whitney test was applied to verify differences between the groups. Statistically significant differences were verified between the groups of CHA when the total scores of questions about the oral health/disease process were analyzed (p < 0.0021). It was concluded that knowledge about the oral health/disease process, of the CHAs connected with a FHU with an OHT was better when compared with that of CHAs connected with a FHU without an OHT.


2017 ◽  
Vol 15 (4) ◽  
pp. 428-434
Author(s):  
Lilian Rigo ◽  
Raíssa Rigo Garbin ◽  
José Lucas Sani de Alcântara Rodrigues ◽  
Laerte Ribeiro Menezes-Júnior ◽  
Luiz Renato Paranhos ◽  
...  

ABSTRACT Objective: To verify the profile of elderly followed up by Family Health Strategy teams and the influence of self-reported chronic diseases on demographic variables, describing self-perception and satisfaction with quality of health. Methods: This is a cross-sectional population- based study carried out with 301 elderly residents in two areas of a city in southern Brazil. Data were collected through a questionnaire based on the Health, Well-Being, and Aging Study adapted by researchers, and a playful scale to assess satisfaction with health. For the statistical analysis, the χ2 test was used (p<0.05). Results: Regarding cognitive assessment, the majority was classified as independent (86.4%), not requiring caregiver assistance to answer the questionnaire. The population was predominantly female (55.8%), White (64.8%), married (51.2%), and catholic (82.1%). A total of 47.5% considered their current health status as regular. Regarding satisfaction with health, 72.4% were happy, even reporting having at least one chronic health problem (58.5%). Conclusion: The presence of chronic diseases was reported by most respondents, and the practice of self-medication is significantly more frequent among the aged. Nevertheless, the degree of satisfaction with their health status was predominantly positive, both related to the previous year and compared to others of the same age.


2021 ◽  
Vol 3 (2) ◽  
pp. 110-116
Author(s):  
Beatriz Bezerra dos Santos

O Agente Comunitário de Saúde (ACS) é o principal elo entre a comunidade e a Unidade de Saúde, no território onde está inserido. Sua dinâmica laboral pode gerar sobrecarga emocional e física que podem impactar negativamente na sua saúde, tornando-se necessária a realização de ações direcionadas à saúde desse trabalhador. Diante disso, o objetivo do presente trabalho é relatar a experiência de sessões de Ginástica Laboral (GL) com ACS de uma Unidade de Saúde da Família no município de Itabuna-BA. As sessões de Ginástica Laboral promoveram bem-estar, valorização da saúde do trabalhador e interação grupal. Ações continuadas de promoção à saúde são imprescindíveis para esses profissionais, que muitas vezes têm sua saúde negligenciada pelo serviço de saúde.      Palavras-chave: ginástica laboral; promoção à saúde; agente comunitário de saúde; saúde do trabalhador; unidade de saúde da família.     Abstract The Community Health Agent (CHA) is the main link between the community and the Health Unit, in the territory where it is inserted. Their work dynamics can generate emotional and physical overload, which can negatively impact their health, making it necessary to carry out actions directed to the health of this worker. Therefore, the objective of the present work is to report the experience of Labor Gymnastics (GL) sessions with CHW from a Family Health Strategy, in the municipality of Itabuna- BA. The Labor Gymnastics sessions promoted well-being, valuing the health of the worker and group interaction. Continued actions to promote health are essential for these professionals, who often have their health neglected by the health service. Keywords: labor gymnastics; health promotion; community health agent; worker's health;  family health strategy.


2013 ◽  
Vol 47 (2) ◽  
pp. 403-413 ◽  
Author(s):  
Lilian G Perez ◽  
Juliet D Sheridan ◽  
Andrea Y Nicholls ◽  
Katherine E Mues ◽  
Priscila S Saleme ◽  
...  

OBJECTIVE: To analyze the strengths and limitations of the Family Health Strategy from the perspective of health care professionals and the community. METHODS: Between June-August 2009, in the city of Vespasiano, Minas Gerais State, Southeastern Brazil, a questionnaire was used to evaluate the Family Health Strategy (ESF) with 77 healthcare professionals and 293 caregivers of children under five. Health care professional training, community access to health care, communication with patients and delivery of health education and pediatric care were the main points of interest in the evaluation. Logistic regression analysis was used to obtain odds ratios and 95% confidence intervals as well as to assess the statistical significance of the variables studied. RESULTS: The majority of health care professionals reported their program training was insufficient in quantity, content and method of delivery. Caregivers and professionals identified similar weaknesses (services not accessible to the community, lack of healthcare professionals, poor training for professionals) and strengths (community health worker-patient communications, provision of educational information, and pediatric care). Recommendations for improvement included: more doctors and specialists, more and better training, and scheduling improvements. Caregiver satisfaction with the ESF was found to be related to perceived benefits such as community health agent household visits (OR 5.8, 95%CI 2.8;12.1), good professional-patient relationships (OR 4.8, 95%CI 2.5;9.3), and family-focused health (OR 4.1, 95%CI 1.6;10.2); and perceived problems such as lack of personnel (OR 0.3, 95%CI 0.2;0.6), difficulty with access (OR 0.2, 95%CI 0.1;0.4), and poor quality of care (OR 0.3, 95%CI 0.1;0.6). Overall, 62% of caregivers reported being generally satisfied with the ESF services. CONCLUSIONS: Identifying the limitations and strengths of the Family Health Strategy from the healthcare professional and caregiver perspective may serve to advance primary community healthcare in Brazil.


2014 ◽  
Vol 24 (2) ◽  
Author(s):  
Daniela Pereira Barroso ◽  
Laurita Antanielle Alves da Silva ◽  
Carlos Alberto Quintão Rodrigues ◽  
Márcio Antônio Ribeiro Vieira ◽  
Maria Fernanda Veloso Silva ◽  
...  

2020 ◽  
Vol 10 (31) ◽  
pp. 57-64
Author(s):  
Luciana Valadão Vasconcelos Alves ◽  
Sonia Acioli ◽  
Vanessa De Almeida Ferreira Corrêa ◽  
Juliana Roza Dias

Caracterizar o acesso à visita domiciliar do enfermeiro da Estratégia Saúde da Família, em uma área de planejamento do município do Rio de Janeiro. Estudo descritivo, de abordagem qualitativa, cuja coleta de dados foi realizada por meio de entrevistas semiestruturadas, com 25 enfermeiros. Para análise dos dados utilizou-se a técnica hermenêutica-dialética. O acesso à visita domiciliar ocorre através da demanda de agentes comunitários de saúde, observações na consulta de enfermagem e pelo próprio usuário. São visitas voltadas às principais linhas de cuidado, acamados e com dificuldades de deambulação. O acesso à visita domiciliar do enfermeiro volta-se principalmente a agravos específicos e não às práticas de promoção da saúde. Essas informações podem apoiar a construção de estratégias voltadas à ampliação do acesso dos usuários a visita domiciliar do enfermeiro.Descritores: Saúde da Família, Enfermagem em Saúde Pública, Visita Domiciliar. Analysis of cognitive ergonomics in nursing in hemodialysis clinicAbstract: To characterize the access to home visits by nurses in the Family Health Strategy, in a planning area in the city of Rio de Janeiro. A descriptive study, with a qualitative approach, whose data collection was carried out through semi-structured interviews, with 25 nurses. For data analysis, the hermeneutic-dialectic technique was used. Access to home visits occurs through the demand for community health agents, observations in the nursing consultation and by the user himself. They are visits aimed at the main lines of care, bedridden and with walking difficulties. Access to the nurse's home visit is directed mainly to specific problems and not to health promotion practices. This information can support the construction of strategies aimed at expanding users access to nurses home visits.Descriptors: Family Health, Nurses Public Health, House Calls. Características del acceso a visitas domiciliarias: visión de las enfermeirasResumen: Caracterizar el acceso a las visitas domiciliarias por parte de enfermeras en la Estrategia de Salud Familiar, en un área de planificación en la ciudad de Río de Janeiro. Estudio descriptivo, con enfoque cualitativo, cuya recolección de datos se realizó mediante entrevistas semiestructuradas, con 25 enfermeras. Para el análisis de datos, se utilizó la técnica hermenéutica-dialéctica. El acceso a las visitas domiciliarias se produce a través de la demanda de agentes de salud comunitarios, observaciones en la consulta de enfermería y por el propio usuario. Son visitas dirigidas a las principales líneas de atención, encamadas y con dificultades para caminar. El acceso a la visita domiciliaria de la enfermera se dirige principalmente a problemas específicos y no a prácticas de promoción de la salud. Esta información puede apoyar la construcción de estrategias destinadas a ampliar el acceso de los usuarios a las visitas domiciliarias de las enfermeras.Descriptores: Salud Familiar, Visita Domiciliaria, Enfermería en Salud Pública.


2018 ◽  
Vol 7 (2) ◽  
pp. 249-261
Author(s):  
Daniela Santos ◽  
Pamela Scarlatt Duraes Oliveira ◽  
Adriana Barbosa Rodrigues ◽  
Sérgio Vinícius Cardoso de Miranda

Objetivo: Buscou-se com o presente trabalho conhecer a percepção do enfermeiro acerca das atividades em Educação em Saúde na Estratégia Saúde da Família. Método: Estudo com abordagem qualitativa, com enfermeiros atuantes em Estratégias Saúde da Família localizadas no município de Montes Claros, Minas Gerais, realizado no mês de setembro de 2016, com aplicação de um questionário semi-estruturado com seis perguntas norteadoras. Resultados: A análise de dados possibilitou a construção de três categorias centrais, a saber: Objetivos e prática da educação em saúde, Estratégia Saúde da Família: porta de entrada e Aspectos facilitadores e dificultadores da educação em saúde. Conclusão: Compreende-se que a Educação em Saúde representa ferramenta ímpar e sempre inovadora no campo da saúde para transformar a vida das pessoas e o processo saúde-doença do indivíduo e comunidade.Palavras-chave: Educação em saúde. Estratégia Saúde da Família. Enfermeiro. NURSES' PERCEPTION ABOUT ACTIVITIES IN HEALTH EDUCATION IN FAMILY HEALTH STRATEGY ABSTRACT: Objective: The aim of this work was to know the nurse's perception about the activities in Health Education in the Family Health Strategy. Method: A qualitative study with nurses working in Family Health Strategies located in the city of Montes Claros, Minas Gerais, Brazil, in September 2016, with the application of a semi-structured questionnaire with six guiding questions. Results: The data analysis allowed the construction of three central categories, namely: Objectives and practice of health education, Family Health Strategy: gateway and aspects of facilitating and hindering health education. Conclusion: It is understood that Health Education represents a unique and always innovative tool in the field of health to transform people's lives and the health-disease process of the individual and community.Keywords: Health Education. Family Health Strategy. Nurse.


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