Users’ knowledge and practices about the pap smear in the family health strategy

ABSTRACTObjective: to identify the knowledge and practices of users of a Family Health Unit about the Pap smear. Method: this is about a cross-sectional study, through a survey, with a sample of 101 women, aged between 25 and 59 years, users of the family health service. The collection of data was made through a structured multidimensional questionnaire. Given the ethical aspects of research involving human subjects, the study was approved (CAAE 1955.0.000.308-09) by the Ethics Committee of the Masters in Family Health at the Universidade Estácio de Sá. Results: observed that relationships between friends and relatives (38.0%) are the main sources of information on disease prevention practices. Furthermore, it was noticed that 96,0% of respondents are adequately knowledgeable on the real purpose of the procedure. Regarding the use of this service, it was found that about 90% of women used it in accordance with the practice recommended by the Ministério da Saúde. Conclusion: the family health service displayed a good cervical cancer screening uptake. However, it is estimated that there is a need to strengthen the educational processes with participatory techniques. Descriptors: uterine cervical neoplasm; family health; vaginal smears; health education; cervix neoplasms prevention.RESUMOObjetivo: identificar o conhecimento e as práticas de usuárias de uma Unidade de Saúde da Família frente ao exame de colpocitologia oncótica. Método: estudo transversal a partir de entrevistas, face a face, realizadas com uma amostra de 101 mulheres, com idade entre 25 e 59 anos, usuárias de um serviço de saúde da família. A coleta se deu por meio de um questionário estruturado e multidimensional. Atendendo aos aspectos éticos de pesquisas que envolvem os seres humanos, o estudo foi aprovado (CAAE 1955.0.000.308-09) pelo Comitê de Ética do Mestrado em Saúde da Família, da Universidade Estácio de Sá. Resultados: observou-se que as relações entre amigos e parentes (38,0%) são as principais fontes de informação sobre as práticas preventivas da doença. Percebeu-se ainda que 96,0% das entrevistadas possuíam conhecimento adequado sobre o real objetivo do procedimento. Em relação à utilização deste serviço, constatou-se que cerca de 90% das mulheres utilizam a prática de acordo com o recomendado pelo Ministério da Saúde. Conclusão: o serviço de saúde da família apresentou um bom sistema de captação para a realização da colpocitologia. Contudo, estima-se que haja a necessidade de fortalecimento dos processos educativos com técnicas participativas. Descritores: neoplasias do colo do útero; saúde da família; esfregaço vaginal; educação em saúde; prevenção de câncer de colo uterino.RESUMENObjetivo: identificar los conocimientos y prácticas de los usuarios de una Unidad de Salud de la Familia en comparación con la prueba de Papanicolaou. Método: estudio transversal, con una muestra de 101 mujeres, con edades comprendidas entre 25 y 59 años, las usuarias de un servicio de salud de la familia. La colección se hizo a través de una estructura multidimensional. Teniendo en cuenta los aspectos éticos de la investigación con seres humanos, el estudio fue aprobado (CAAE 1955.0.000.308-09) por el Comité de Ética de la Maestría en Salud de la Familia en la Universidad Estácio de Sá. Resultados: hubo que las relaciones entre amigos y familiares (38,0%) son las principales fuentes de información sobre las prácticas en la prevención de enfermedades. Hubo también que 96,0% de los encuestados tenían conocimiento suficiente sobre el verdadero propósito del procedimiento. En cuanto al uso de este servicio, se constató que alrededor del 90% de las mujeres usan la práctica recomendada por el Ministerio de Salud. Conclusión: el servicio de salud de la familia tenía un sistema de buena colección de realizar la prueba de Papanicolaou. Sin embargo, se estima que existe una necesidad de fortalecer el proceso educativo con técnicas participativas. Descriptores: neoplasias del cuello uterino; salud de la familia; frotis vaginal; educación en salud; prevención de cáncer de cuello uterino.

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Level of information of women enrolled in a family health unit of the Pap test

Revista de Enfermagem UFPE on line ◽

10.5205/reuol.1262-12560-1-le.0509201122 ◽

2011 ◽

Vol 5 (9) ◽

pp. 2237

Author(s):

Ana Maria Beserra da Costa ◽

Ana Wládia Silva de Lima ◽

Maria Da Conceição Cavalcante Lira ◽

Zailde Carvalho dos Santos ◽

Osinez Barbosa de Oliveira

Keyword(s):

Pap Smear ◽

Pap Test ◽

Family Health ◽

Cross Sectional Study ◽

Health Unit ◽

Cross Sectional ◽

The Family ◽

Care Health ◽

Level Of Knowledge ◽

Las Mujeres

ABSTRACTObjective: to evaluate the level of awareness of women enrolled in the Family Health Unit of the municipality of Vitória de Santo Antão - PE, about the Pap smear. Method: cross-sectional study in women aged 15 to 49 years enrolled in USF. The sample consisted of 249 women who were sexually active, spontaneous participation and signature of the TCLE. Data collection occurred from March to May 2010 using a questionnaire during home visits. The analysis was performed using Epi-Info (3.5.1). The proposed study was approved by the Ethics Committee of the Health Sciences Center / UFPE, CAAE No. 0079.0.172.000-10 Results: the concentrated age between 30 to 39 years, with a good level of education, income less than two minimum wages, and early onset of sexual activity and reproduction. The level of knowledge about the Pap smear was considered optimal for a little over half (54.8%) and the motivation to take the exam. 51,8% of the women studied, unaware of the purpose of the examination, but 54% know the requirements to be able to its realization. Conclusion: women often perform the screening test and have knowledge level characterized as great for the motivation and requirements to achieve it, however, are necessary to provide educational autonomy and critical consciousness since most women were not its purpose. Descriptors: women's health; cytology; primary health care; health education.RESUMOObjetivo: avaliar o nível de informação de mulheres cadastradas em Unidade de Saúde da Família (USF) do município da Vitória de Santo Antão – PE, acerca do exame Papanicolau. Método: estudo transversal realizado em mulheres entre 15 a 49 anos, cadastradas na USF. A amostra foi composta de 249 mulheres, que tinham vida sexual ativa, participação espontânea e assinatura do Termo de Compromisso Livre Esclarecido - TCLE. A coleta dos dados ocorreu de março a maio de 2010, através de preenchimento de questionário durante visita domiciliar. A análise foi realizada no software Epi-Info (3.5.1). A realização do estudo foi aprovada pelo Comitê de Ética do Centro de Ciências da Saúde/UFPE, CAAE Nº 0079.0.172.000-10. Resultados: a idade concentrou-se entre 30 a 39 anos, com bom nível de escolaridade, renda menor que dois salários mínimos e início precoce de atividade sexual e reprodutiva. O nível de conhecimento sobre o Papanicolau foi considerado ótimo para pouco mais da metade (54,8%). Quanto à motivação das mulheres estudadas para realizar o exame, 51,8% desconhece a sua finalidade, entretanto 54% sabe os requisitos necessários para sua realização. Conclusão: as mulheres realizam com frequência o exame preventivo e têm o nível de conhecimento caracterizado como ótimo para a motivação e os requisitos para realizá-lo, porém são necessárias ações educativas que proporcionem autonomia e consciência crítica, visto que a maior parte das mulheres desconhecia sua finalidade. Descritores: saúde da mulher; citologia; atenção primária à saúde; educação em saúde.RESUMENObjetivo: evaluar el nível de conciencia de las mujeres incluidas en la Unidad de Salud Familiar (USF) en el município de Vitória de Santo Antão – PE, sobre la prueba de Papanicolaou. Método: estudio transversal en mujeres de 15 a 49 años, registradas en la USF. La muestra consistió en 249 mujeres que eran sexualmente activas, la participación espontânea y la Firma de los Términos del Tratado de libre Informado – (TTLI). La recolección de datos ocurrió entre marzo y mayo de 2010, a través de un cuestionário durantes las visitas domiciliarias. El análisis se realizó com software Epi-Info (3.5.1). El estúdio propuesto fue aprobado por el Comité de Ética del Centro de Ciencias de la Salud / UFPE, CAAE N° 0079.0.172.000-10. Resultados: la edad se concentra entre los 30 y los 39 años.con un buen nivel de educación, ingresos menores a dos salários mínimos y el inicio de la actividad sexual y la reproducción. El nivel de conocimiento sobre la prueba de Papanicolaou se considera óptimo para un poco más de media (54,8%). En cuanto a la motivación de las mujeres estudiadas para el examen, el 51,8% desconoce su propio, aunque el 54% conoce los requisitos necesarios para su realización. Conclusión: las mujeres a menudo realizan la prueba de Papanocolaou y tienen el nível de conocimiento caracterizado como ideal para la motivación y los requisitos para lograrlo, pero las acciones educativas son necesarias para proporcionar y consciência critica, así que la mayoría de las mujeres no saben su proposito. Descriptores: salud de la mujer; la citología; la atención primaria de la salud; educación en 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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Family functioning of elderly with depressive symptoms

Revista da Escola de Enfermagem da USP ◽

10.1590/s0080-623420140000300012 ◽

2014 ◽

Vol 48 (3) ◽

pp. 469-476 ◽

Cited By ~ 6

Author(s):

Rosely Almeida Souza ◽

Gislaine Desani da Costa ◽

Cintia Hitomi Yamashita ◽

Fernanda Amendola ◽

Jaqueline Correa Gaspar ◽

...

Keyword(s):

Depressive Symptoms ◽

Family Functioning ◽

Family Health ◽

Female Gender ◽

Well Being ◽

The Elderly ◽

Cross Sectional Study ◽

Cross Sectional ◽

Dysfunctional Family ◽

The Family

Objective: To classify families of elderly with depressive symptoms regarding their functioning and to ascertain the presence of an association between these symptoms, family functioning and the characteristics of the elderly. Method: This was an observational, analytical, cross-sectional study performed with 33 teams of the Family Health Strategy in Dourados, MS. The sample consisted of 374 elderly divided into two groups (with and without depressive symptoms). The instruments for data collection were a sociodemographic instrument, the GeriatricDepression Scale (15 items) and the Family Apgar. Results: An association was observed between depressive symptoms and family dysfunction, female gender, four or more people living together, and physical inactivity. Conclusion: The functional family may represent effective support for the elderly with depressive symptoms, because it offers a comfortable environment that ensures the well-being of its members. The dysfunctional family can barely provide necessary care for the elderly, which can exacerbate depressive symptoms. 

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

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2017-0078 ◽

2018 ◽

Vol 71 (suppl 2) ◽

pp. 740-746 ◽

Cited By ~ 5

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.

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The Prevalence of Abdominal Adiposity among Primary Health Care Physicians in Bahia, Brazil: An Epidemiological Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18030957 ◽

2021 ◽

Vol 18 (3) ◽

pp. 957

Author(s):

André Luiz Brandão Costa ◽

Magno Conceição das Merces ◽

Amália Ivine Costa Santana ◽

Douglas de Souza e Silva ◽

Rodrigo Fernandes Weyll Pimentel ◽

...

Keyword(s):

Health Care ◽

Primary Health Care ◽

Waist Circumference ◽

Family Health ◽

Cross Sectional Study ◽

Abdominal Adiposity ◽

Cross Sectional ◽

Primary Health ◽

The Family ◽

Primary Health Care Physicians

Background: Labor activities are demanding for workers and can induce occupational stress. Primary health care (PHC) workers have faced problems that can lead to the development of stress and abdominal obesity. The aim of this study was to estimate the prevalence of abdominal adiposity among primary health care physicians in the metropolitan mesoregion of Salvador, Bahia. Methods: This is a cross-sectional study conducted with physicians from the family health units (FHUs) of the metropolitan mesoregion of Salvador, Bahia, Brazil. The number of FHUs corresponded to 41 teams (52 physicians). Anamnesis was performed and a questionnaire was applied. The clinical examination consisted of measuring waist circumference (WC), blood pressure levels (BP), and body mass index (BMI), as well as examining for acanthosis nigricans. Blood samples were collected for biochemical dosages. The data obtained were analyzed by SPSS version 22.0. Results: The sample included 41 physicians (response rate: 78.8%), of which 18 were women (44.0%). The percentage of overweight participants represented by BMI was 31.7%. The hypertriglyceridemia prevalence was 29.2%. HDL-c was low in 48.7% of the participants. The waist circumference measurement revealed a prevalence of abdominal adiposity of 38.8% (women) and 34.8% (men). Conclusions: Medical professionals in PHC are more susceptible to having higher abdominal adiposity, especially female physicians.

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