Vigilância e estímulo do crescimento e desenvolvimento infantil

RESUMOObjetivo: avaliar as ações de vigilância e estímulo, ao crescimento e desenvolvimento da criança. Método: trata-se de um estudo quantitativo, transversal, realizado em 40 unidades da Estratégia Saúde da Família. Realizou-se a coleta de dados e fez-se a análise descritiva com o auxílio do software Epi Info 7. Avaliou-se o grau de conformidade das dimensões estrutura e processo segundo uma matriz de julgamento, e apresentaram-se os resultados em forma de tabela. Resultados: percebeu-se elevada frequência de registro das informações referentes ao crescimento na Caderneta de Saúde da Criança, com exceção daquelas pertinentes ao Índice de Massa Corporal (13,5%); 72,7% destas não continham dados sobre os marcos do desenvolvimento. Classificou-se a dimensão estrutura como não adequada, ao demonstrar um grau de conformidade de apenas 64%, semelhante à dimensão processo, na qual 86% das ações estavam implementadas. Conclusão: observaram-se fragilidades no seguimento das ações de estímulo e vigilância do crescimento e desenvolvimento infantil, denotando que incentivos para a melhoria dos serviços precisam ser realizados. Espera-se que estas informações possam servir para o planejamento e a organização dos serviços de atenção básica. Descritores: Crescimento; Desenvolvimento Infantil; Promoção da Saúde; Atenção Básica; Estratégia de Saúde da Família; Avaliação de Serviços de Saúde.ABSTRACT Objective: to evaluate the actions of surveillance and stimulation, to the growth and development of the child. Method: this is a quantitative, cross-sectional study conducted in 40 units of the Family Health Strategy. The data was collected and the descriptive analysis was carried out with the help of Epi Info 7 software. The degree of conformity of the structure and process dimensions was evaluated according to a judgment matrix, and the results were presented in the form of table. Results: it was noticed a high frequency of registration of information regarding growth in the Child Health Handbook, except for those related to the Body Mass Index (13.5%); 72.7% of them did not contain data on developmental milestones. The structure dimension was classified as not adequate, demonstrating a compliance degree of only 64%, similar to the process dimension, in which 86% of actions were implemented. Conclusion: fragilities were observed following the actions of stimulation and monitoring of child growth and development, denoting that incentives to improve services need to be realized. It is hoped that this information can be used to plan and organize basic care services. Descriptors: Growth; Child development; Health promotion; Basic Attention; Family Health Strategy; Evaluation of Health Services.RESUMEN Objetivo: evaluar las acciones de vigilancia y estímulo, al crecimiento y desarrollo del niño. Método: se trata de un estudio cuantitativo, transversal, realizado en 40 unidades de la Estrategia Salud de la Familia. Se realizó la recolección de datos y se hizo el análisis descriptivo con la ayuda del software Epi Info 7. Se evaluó el grado de conformidad de las dimensiones estructura y proceso según una matriz de juicio, y se presentaron los resultados en forma de tabla. Resultados: se percibió una elevada frecuencia de registro de las informaciones referentes al crecimiento en el Cuaderno de Salud del Niño, con excepción de aquellas pertinentes al Índice de Masa Corporal (13,5%); El 72,7% de ellas no contenían datos sobre los marcos del desarrollo. Se clasificó la dimensión estructura como no adecuada, al demostrar un grado de conformidad de apenas 64%, semejante a la dimensión proceso, en la cual el 86% de las acciones estaban implementadas. Conclusión: se observaron fragilidades en el seguimiento de las acciones de estímulo y vigilancia del crecimiento y desarrollo infantil, denotando que incentivos para la mejora de los servicios necesitan ser realizados. Se espera que estas informaciones puedan servir para la planificación y la organización de los servicios de atención básica. Descritores: Crecimiento; Desarrollo Infantil; Promoción de la Salud; Atención Primaria de Salud; Estrategia de Salud Familiar; Investigación em Servicios de Salud.

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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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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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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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Conicity index in people with hypertension followed in the Brazil’s Family Health Strategy

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2019-0484 ◽

2020 ◽

Vol 73 (5) ◽

Author(s):

Natália Carolina de Sousa ◽

Francielle Renata Danielli Martins Marques ◽

Graziele Adrieli Rodrigues Pires ◽

Marcia Glaciela da Cruz Scardoelli ◽

Anderson da Silva Rêgo ◽

...

Keyword(s):

Blood Pressure ◽

Blood Pressure Control ◽

Family Health ◽

Pressure Control ◽

Cross Sectional Study ◽

Anthropometric Parameters ◽

Cross Sectional ◽

Health Strategy ◽

Family Health Strategy ◽

Conicity Index

ABSTRACT Objectives: to analyze the conicity index in people with hypertension followed in the Brazil’s Family Health Strategy. Methods: cross-sectional study conducted in a medium-sized municipality located in the state of Paraná. Data collection took place in the first semester of 2016. using an adapted and validated instrument. which addresses attributes of Primary Health Care. Sociodemographic and anthropometric variables and blood pressure were used in the study. The analysis of variance and linear regression was used to analyze the variables. Results: a total of 417 people participated in the study. most were women. elderly. married. with less than eight years of education and retired. Conicity index was prevalent in most of the study population. being significantly associated with the group of people with inadequate blood pressure control and high anthropometric parameters. Conclusions: most of the study participants had altered conicity index. especially those with inadequate blood pressure control.

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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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Relationship of the type of breastfeeding in the sexual function of women

Revista Latino-Americana de Enfermagem ◽

10.1590/1518.8345.3160.3438 ◽

2021 ◽

Vol 29 ◽

Author(s):

Juliana Bento de Lima Holanda ◽

Solina Richter ◽

Regiane Bezerra Campos ◽

Ruth França Cizino da Trindade ◽

Juliana Cristina dos Santos Monteiro ◽

...

Keyword(s):

Sexual Function ◽

Statistical Significance ◽

Family Health ◽

Cross Sectional Study ◽

Female Sexual Function ◽

Cross Sectional ◽

Health Strategy ◽

Different Types ◽

Family Health Strategy ◽

Vaginal Lubrication

Objective: to relate the type of breastfeeding in the women’s sexual function. Method: a cross-sectional study conducted with 150 women in the postpartum period registered in the Family Health Strategy of a large Brazilian municipality. Two instruments were used: one for characterizing sociodemographic, obstetric and breastfeeding variables, and the Female Sexual Function Index for the sexual function. Descriptive data analysis was performed, comparing the variables of interest using the Analysis of Variance, Brown-Forsythe and Tukey tests. Results: there was statistical significance between the groups that practiced different types of breastfeeding in the vaginal lubrication domain (p = 0.015), with the mothers in mixed or partial breastfeeding presenting a higher score for this domain (3.8). Conclusion: there is a difference in the female sexual function between different types of breastfeeding. Women who presented better vaginal lubrication belonged to the mixed breastfeeding group.

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Papel potencial do enfermeiro no enfrentamento do problema da tuberculose junto ao Agente Comunitário de Saúde no Programa de Controle da Tuberculose

Enfermagem em Foco ◽

10.21675/2357-707x.2013.v4.n2.522 ◽

2013 ◽

Vol 4 (2) ◽

pp. 106

Author(s):

Alaine Maria Da Costa ◽

Gislane De Sousa Rodrigues ◽

Tatiana Maria De Melo Guimarães Dos Santos

Keyword(s):

Community Health ◽

Potential Role ◽

Family Health ◽

Cross Sectional Study ◽

Tuberculosis Control ◽

Cross Sectional ◽

Health Strategy ◽

Family Health Strategy ◽

Community Health Agent

Resumo: Objetivou-se refletir e discutir sobre o papel potencial do enfermeiro no enfrentamento do problema da tuberculose junto ao Agente Comunitário de Saúde no Programa de Controle da Tuberculose. Trata-se de pesquisa descritiva, de abordagem quantitativa, com desenho de estudo transversal. A amostra constituiu-se de 121 Agentes Comunitários de Saúde (ACS) da Estratégia Saúde da Família (ESF) - zona urbana de Teresina. Evidenciou-se que 71,1% dos sujeitos admitiram procurar o enfermeiro da ESF em caso de dúvidas frente a casos suspeitos de tuberculose. Ao enfermeiro cabem intervenções pertinentes no controle da tuberculose tanto no âmbito político quanto operativo.Palavras-Chave: Enfermagem, Atenção Básica à Saúde, Tuberculose.The potential role of nurses in addressing the problem of tuberculosis with the Community Health Agent Program Control TuberculosisAbstract: The objective of this study was to reflect and discuss about the potential role of the nurses at the tuberculosis combat, helping the Community Health Agent at the Program of Tuberculosis Control. This is a descriptive study that uses a quantitative approach, with a cross-sectional study design. The group studied was formed of 121 Community Health Agents of The Family Health Strategy in the urban zone of Teresina. It was observed that 71.1% of the agents admitted to need help of a nurse when they have doubts related to suspected cases of tuberculosis. Relevant interventions in tuberculosis control are responsibility of the nurses at a political and an operational scope.Keywords: Nursing, Basic Attention Health, Tuberculosis.El papel potencial de las enfermeras para resolver el problema de la tuberculosis con el control de la Salud de la Comunidad del Agente de Program Tuberculosis.Resumen: Se objetivó con este estudio reflexionar y debatir sobre el papel potencial de los enfermeros en la lucha contra la tuberculosis, junto a los agentes comunitarios de salud en el Programa de Control de la Tuberculosis. Este es un estudio descriptivo que utiliza un abordaje cuantitativo, con un diseño de estudio transversal. El grupo estudiado poseía 121 ACS de la Estrategia Salud de la Familia - zona urbana de Teresina. Se observó que 71,1% de los agentes admiten buscar a un enfermero cuando existen dudas en relación a los casos sospechosos de tuberculosis. Al enfermero, caben las intervenciones pertinentes en el control de la tuberculosis tanto en el alcance político como operacionalPalabras Clave: Enfermería, Atención Básica a la Salud, Tuberculosis.

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Organizational climate and teamwork at the Family Health Strategy

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2017-0770 ◽

2019 ◽

Vol 72 (3) ◽

pp. 721-727 ◽

Cited By ~ 1

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.

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Adherence To Diabetes Mellitus Treatments In Family Health Strategy Units

Revista da Escola de Enfermagem da USP ◽

10.1590/s0080-623420140000200009 ◽

2014 ◽

Vol 48 (2) ◽

pp. 257-263 ◽

Cited By ~ 13

Author(s):

Heloisa Turcatto Gimenes Faria ◽

Manoel Antônio dos Santos ◽

Clarissa Cordeiro Alves Arrelias ◽

Flávia Fernanda Luchetti Rodrigues ◽

Jefferson Thiago Gonela ◽

...

Keyword(s):

Physical Activity ◽

Diabetes Mellitus ◽

Drug Therapy ◽

Family Health ◽

Cross Sectional Study ◽

Educational Strategies ◽

Cross Sectional ◽

Health Strategy ◽

Family Health Strategy ◽

Physical Activity Adherence

This cross-sectional study aimed to analyze the adherence to drug and non-drug treatments in 17 Family Health Strategy units. A total of 423 patients with type 2 diabetes mellitus were selected through stratified random sampling in Family Health Strategy units of a city in the state of Minas Gerais, Brazil, in 2010. The results showed that the prevalence rate of adherence to drug therapy was higher than 60% in the 17 units investigated; in relation to physical activity, adherence was higher than 60% in 58.8% units; and for the diet plan, there was no adherence in 52.9% units. Therefore, we concluded that adherence to drug therapy in most units was high and the practice of physical activity was heterogeneous, and in relation to diet adherence, it was low in all units. We recommend strengthening of institutional guidelines and educational strategies, in line with SUS guidelines, so that, professionals may face the challenges imposed by the lack of adherence.  

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