Home visit by nurses in western towns of Rio Grande do Sul, Brazil west region

2011 ◽  
Vol 5 (4) ◽  
pp. 852
Author(s):  
Vilma Constancia Fioravante Dos Santos ◽  
Naiana Oliveira Dos Santos ◽  
Maiana Pinheiro Dos Santos ◽  
Adriana Roese

ABSTRACTObjective: to discuss the work of professional nurses within the Family Health Strategy (FHS) and the production of second-order data concerning home visit (HV) activities. Method: it is an epidemiological and cross-sectional study. The data collection was carried out in SIAB/DATASUS/MS, and they concerned the number of families registered in each FHS and the number of HVs carried out per year, in the six towns of the Western region of Rio Grande do Sul, in Brazil. The data were collected on February 23, 2010, and the period studied was from 1998 to 2008. Results: there are data from the registers provided by the teams, which do not match the values presented. Through the graphic representation of the data, it was possible to identify a mismatch between the number of HVs carried out and the number of families registered in the period under study. Conclusion: these data are associated with an unreal configuration of FHS in the towns under study. Thus, we will discuss with the Regional Health Coordination concerned in which measure the health care demands have been met and also the benefits of using HV for professional nurses and the community, as well as the use of the indicators produced in the health care area. Descriptors: home visit; primary health care; Family Health Program; family health.RESUMOObjetivo: discutir a atuação do profissional enfermeiro dentro da Estratégia de Saúde da Família (ESF) e a produção de dados secundários referentes às atividades de visita domiciliar (VD). Método: estudo de natureza epidemiológica e transversal. A coleta de dados foi realizada junto ao SIAB/DATASUS/MS, com dados referentes ao número de famílias cadastradas por ESF e número de VDs de enfermagem realizadas por ano, nos seis municípios que fazem parte da região Oeste do Rio Grande do Sul, no Brasil. Os dados foram coletados no dia 23 de fevereiro de 2010, e o período estudado foi de 1998 a 2008. Resultados: existem dados referentes aos registros oferecidos pelas equipes que apontam algumas disparidades entre os valores apresentados. Por meio da representação gráfica dos dados, verifica-se determinada disparidade entre o número de VDs realizadas e famílias cadastradas no período estudado. Conclusão: associa-se a esses dados a não-configuração real da ESF nos municípios estudados. Dessa forma, discutir-se-á, junto à Coordenadoria Regional de Saúde responsável pela região, em que medida as demandas em saúde estão sendo satisfeitas e, também, os benefícios da utilização da VD para os profissionais de enfermagem e a comunidade, bem como a utilização dos indicadores produzidos na área da saúde. Descritores: visita domiciliar; atenção primária à saúde; Programa de Saúde da Família; saúde da família.RESUMENObjetivo: discutir la actuación del enfermero en la Estrategia de Salud de la Familia (ESF) y la producción de datos secundarios referentes a las actividades de visita domiciliar (VD). Metodología: se trata de un estudio de naturaleza epidemiológica y transversal. La recopilación de datos se realizó junto al SIAB/DATASUS/MS, con datos referentes al número de familias registradas por la ESF y al número de VDs de enfermería realizadas por año, en los seis municipios de la región Oeste del Rio Grande do Sul, en Brasil. Los datos fueron colectados en el 23 de febrero de 2010 y el período estudiado fue de 1998 a 2008. Resultados: existen datos referentes a los registros ofrecidos por los equipos que apuntan disparidades entre los valores presentados. Al observar la representación gráfica de los datos, verificase determinada disparidad entre el número de VDs realizadas y de familias registradas en el período estudiado. Conclusión: asociase a estos datos la no configuración real de la ESF en los municipios estudiados. Así, será discutido, junto a la Coordinadoría Regional de Salud responsable por la región, en cual proporción las necesidades de salud están siendo satisfechas y, también, los beneficios de la utilización de la VD para los profesionales de enfermería y la comunidad, así como el uso de los indicadores producidos en el área de salud. Descriptores: visita domiciliar; atención primaria de salud; Programa de Salud de la Familia; salud de la familia.

2020 ◽  
Vol 1 ◽  
pp. 04
Author(s):  
Giovani Sturmer ◽  
Maria Eugênia Bresolin Pinto ◽  
Monica Maria Celestina de Oliveira ◽  
Alessandra Dahmer ◽  
Airton Tetelbom Stein ◽  
...  

No Brasil, a Atenção Primária em Saúde (APS) é porta de entrada no serviço de saúde do Sistema Único de Saúde (SUS). A rede é constituída por unidades de saúde onde profissionais preparados para atuar na prevenção e manutenção da saúde da comunidade buscam atender às necessidades locais de forma equitativa, eficaz e precisa. O objetivo deste estudo é descrever o perfil dos profissionais da APS, vinculados a Especialização em Saúde da Família – UNA-SUS UFCSPA. Foi realizado um estudo transversal com profissionais da saúde não participantes do Programa Mais Médicos, que atuam na APS no Rio Grande do Sul vinculados ao curso, entre 2011 e 2013, para observar as características dos profissionais e o seu vínculo com o trabalho. Entre os 277 avaliados, a maioria são mulheres, enfermeiras, com média de 35 anos, formadas a menos de 10 anos, 88% trabalham em ESF, e 73,1% participam de equipes de saúde bucal. A pós-graduação concluída direcionada para APS foi observada em 30% dos profissionais; e 56,3% estavam no primeiro trabalho em APS, com media de 4,5 anos de atuação; 40,4% tinham outra atividade remunerada (77% médicos). Observou-se que 59% estavam satisfeitos com o tipo de vínculo, e entre a maioria foi observada a satisfação com as condições gerais de trabalho (58,1%), com a estrutura física e com os equipamentos das unidades (58,3%). Observaram-se profissionais com menor idade e pouca especialidade na área, entretanto, todos eles buscando aprimoramento através da Especialização para melhorar sua atuação na APS.Palavras-chave: Atenção Primária à Saúde. Saúde da Família. Profissionais da Saúde.ABSTRACTIn Brazil Primary Health Care (PHC) is the gateway to health service of the Unified Health System. The network consists of health unit where professionals seek to meet local needs fairly and effectively, and it must rely on trained professionals to work in community health prevention and maintenance. The aim of this study is to describe the profile of PHC professionals who are linked to UNA-SUS–UFCSPA’s Specialization Program in Family Health. A cross-sectional study with health professionals who work in PHC in Rio Grande do Sul and were linked to the program between 2011 and 2013 was conducted to observe the characteristics of professionals and their relationship with work. Among the participants (277), the majority are women, nurses with an average of 35 years, professionals for less than 10 years, 88% work in FHS, and 73.1% with oral health team. The completed a graduate degree focused on PHC was observed in 30% of the professionals; 56.3% were working their first job in PHC, with a median of 4.5 years of operation; and 40.4% engaged in another paid activity (77% physicians). It was observed that 59% were satisfied with their type of employment, and most participants showed to be satisfied with their general working conditions (58.1%) and the physical structure and equipment of the health unit (58.3%). Younger professionals and with little expertise in the area were observed, however all of them were seeking development through Specialization to improve their performance in PHC.Keywords: Primary Health Care. Family Health. Health Personnel.


2016 ◽  
Vol 7 (1) ◽  
pp. 81-86 ◽  
Author(s):  
Julia Zancan Bresolin ◽  
Graziele De Lima Dalmolin ◽  
Isolina Maria Alberto Fruet ◽  
Tania Solange Bosi de Souza Magnago ◽  
Amanda Ceschini Rigue

Objetivo: buscou-se analisar a validade e confiabilidade do Moral Distress Scale (MDS), adaptado em amostra de enfermeiros de uma instituição hospitalar. Metodologia: trata-se de uma pesquisa de abordagem quantitativa realizada com 144 enfermeiros de instituição hospitalar da região central do Rio Grande do Sul, através da aplicação do MDS adaptado, validado e normatizado para uso no Brasil. Para análise dos dados, utilizou-se análise fatorial, alfa de Cronbach e estatística descritiva. Resultados: a partir da análise, foi realizado o agrupamento das questões validadas em três fatores associados ao sofrimento moral: falta de competência na equipe de trabalho, negação do papel da Enfermagem como advogada do paciente e condições de trabalho insuficientes. Conclusão: o instrumento utilizado na pesquisa mostrou-se válido e fidedigno na realidade estudada.Descritores: Enfermagem, Moral, Estresse Psicológico, Ética em Enfermagem.VALIDITY AND RELIABILITY OF THE ADAPTED MORAL DISTRESS SCALE IN A SAMPLE OF NURSESObjective: the study aimed to analyze the validity and reliability of the adapted Moral Distress Scale (MDS) in a sample of nurses from a hospital. Methodology: it is a cross-sectional study conducted with 144 hospital nurses from the central region of Rio Grande do Sul, through the application of the MDS adapted, validated and standardized for use in Brazil. For data analysis we used factor analysis, Cronbach alpha and descriptive statistics. Results: the factorial analysis of the instrument allowed the grouping of the issues validated in three dimensions associated with moral suffering: staff’s lack of competence; the nursing denial of their role as patient advocacy; inadequate work conditions. Conclusion: the instrument used in the study proved to be valid and reliable in the studied reality.Descriptors: Nursing, Morale, Stress Psychological. Ethics, Nursing.VALIDEZ Y CONFIABILIDAD DEL MORAL DISTRESS SCALE ADAPTADO EN MUESTRA DE ENFERMEROSObjetivo: el estudio buscó analizar la validez y confiabilidad del Moral Distress Scale (MDS) adaptado en una muestra de enfermeros de una institución hospitalaria. Mertodologia: se trata de un estudio transversal realizado con 144 enfermeros de institución hospitalaria de la región central del Río Grande del Sur, a través de la aplicación del MDS adaptado, validado y normatizado para el uso en Brasil. Para el análisis de los datos, se utilizó el análisis factorial, alfa de Cronbach y estadística descriptiva. Resultados: El análisis factorial del instrumento permitió la agrupación de las cuestiones validadas en tres dimensiones asociadas al sufrimiento moral: falta de competencia del equipo de trabajo; negación del papel de la enfermería como abogada del paciente; conditiones de trabajo insuficientes. Conclusión: el instrumento utilizado en la investigación se mostró válido y fidedigno en la realidad estudiada.Descriptores: EEnfermería, Moral, Estrés Psicológico, Ética en Enfermería.


2017 ◽  
Vol 70 (2) ◽  
pp. 370-375 ◽  
Author(s):  
Caroline Busatto ◽  
Luciana de Souza Nunes ◽  
Andréia Rosane de Moura Valim ◽  
Mariana Soares Valença ◽  
Suzane Frantz Krug ◽  
...  

ABSTRACT Objective: to evaluate the risk of infection and illness caused by Mycobacterium tuberculosis among health care and security staff in prisons in two regions of Rio Grande do Sul (RS). Method: cross-sectional study involving prison staff. An interview and sputum smear microscopy and culture were performed. Latent infection was evaluated according to the result of the tuberculin test (TT), self-referred. Results: among staff who had a TT, 10 (83.3%) in the central region and 2 (16.7%) in the southern region were considered reactors. Length of employment among prison officers who reacted to TT was 15.3 years, and among health care workers, 4.1 years (p = 0.01). No cases of active tuberculosis (TB) were identified. Conclusion: prevalence of latent TB was 27.9%. Length of employment between different professional categories and their working regions was considered a risk factor for latent TB.


2021 ◽  
pp. 095646242097594
Author(s):  
Guilherme B Shimocomaqui ◽  
Craig S Meyer ◽  
Maria L Ikeda ◽  
Elson Romeu Farias ◽  
Tonantzin R Gonçalves ◽  
...  

In 2018, Rio Grande do Sul (RS) had some of the highest HIV/AIDS rates in Brazil, and we did not find any studies about the HIV care and treatment cascade (HCTC) related to this state. We aimed to estimate the indicators of HCTC of RS, Brazil, and associated factors. A cross-sectional study with all people living with HIV (PLWH) in RS between 1 January 2014 and 31 December 2017 was conducted using a national database which registers all HIV notifications, CD4 and viral load laboratory data and antiretroviral therapy (ART) usage in the public health system. We considered sex, age, education, race, year of HIV diagnosis, and health region as predictor factors, and defined linkage to care, retention to care, being on ART, and having undetectable viral load as the HCTC indicators. Descriptive analysis and multivariable logistic regression were performed using Stata 15.2. A total of 116,121 PLWH were diagnosed, 79,959 were linked to care, 72,117 retained in care, 69,219 on ART, and 54,857 had undetectable viral load from 2014 to 2017. We observed greatest attrition for younger age, non-white, and lower education in all HCTC indicators. Women are more likely to have undetectable viral load (OR = 1.04, 95% CI: 1.01–1.07), even though they are less likely to be retained to care (OR = 0.92; 95% CI: 0.89–0.96) and on ART (OR = 0.82; 95% CI: 0.78–0.86). Although all HCTC indicators have increased over the period and the “test and treat” policy indicates improvements in ART and in undetectable viral load outcomes, evidence suggests specific attrition and disparities such as those related to HIV healthcare facilities should be addressed. These findings may be used by researchers, health professionals, and policymakers in order to investigate and implement interventions to better engage PLWH across the HCTC.


2013 ◽  
Vol 18 (12) ◽  
pp. 3705-3714
Author(s):  
Shamyr Sulyvan de Castro ◽  
Alarcos Cieza ◽  
Chester Luiz Galvão Cesar

The scope of this article is to describe persons with disabilities (PwD) being subjected to cancer screening and the relationship between some social variables and inequalities in performing these tests. A cross-sectional study of cancer screening among PwD was conducted in 2007 with 333 participants interviewed in residence in 4 cities of São Paulo. Variables in the practice of cancer screening, disabilities, gender, age, income of main family breadwinner, ethnicity, use of health services, assistance required, private health insurance, and coverage by the family health program were studied. Frequencies, χ²-test, trend χ² percentages and the Odds Ratios (OR) were used for data analysis. 44% of PwD attended at least one cancer screening at the appropriate time. Persons with visual disabilities and with hearing disabilities were subjected to more screening examinations than those with mobility disabilities and women were attended in screening exams more than men. Persons between the ages of 21 and 60 reported cancer screening more frequently than those between 80 and 97 years of age. The outcomes indicate that PwD have different attitudes toward cancer screening according to the type of disability, gender, and age, which were the variables that directly influenced cancer screening exams.


2020 ◽  
Vol 10 (32) ◽  
pp. 194-204
Author(s):  
Leticia Silveira Cardoso ◽  
Letice Dalla Lana ◽  
Cynthia Fontella Sant’Anna ◽  
Josefine Busanello ◽  
Valdecir Zavarese da Costa ◽  
...  

O acidente por queda representa a terceira maior causa de morte no país, fomentando ações multiprofissionais de promoção, proteção e recuperação da saúde. O estudo objetivou conhecer a assistência dos profissionais da Estratégia Saúde da Família nos acidentes por quedas. Trata-se de um estudo exploratório, descritivo-analítico, transversal ao processo de trabalho de 72 profissionais vinculados a oito equipes de Saúde da Família de um município da fronteira oeste do Rio Grande do Sul. As entrevistas foram gravadas, digitalizadas e organizadas em um banco de dados no formato de texto. Os dados foram processados no software IRAMUTEC e analisados pela classificação hierárquica descendente, análise de similitude e nuvem de palavras. Os resultados mostram que os profissionais realizam atendimento das vítimas de acidentes por quedas, de forma diferenciada na assistência e gerência, com ênfase na resolutividade, na pessoa idosa e na continuidade do cuidado na Rede de Atenção à Saúde.Descritores: Acidentes por Quedas, Estratégia Saúde da Família, Equipe de Assistência ao Paciente. Fall accidents: professional assistance in the family health strategyAbstract: Fall accidental represent the third leading cause of death in the country, promoting multiprofessional actions to promote, protect and recover health. The study aimed to know the assistance of professionals of the Family Healht Strategy in falls accidental. This is a exploratory, descripive-analytical study, transversal to the work process of 72 professionals linked to eight Family Health Teams in a municipality on the western dorder of Rio Grande do Sul. The interviews were recorded, digitized and organize in a data base in the IRAMUTEC software and analyzed by descending hierarchical classification, similarity analysis and word cloud. The results show that professionals perform care for victms the falls accidental, in a diferente way in care and managemente, with na emphasis on resolvability, the elderly and continuity of care in the Health Care Network.Descriptors: Accidental Falls, Family Health Strategy, Patient Care Team. Accidentes por caídas: asistencia profesional en la estrategia de salud familiarResumen: Los accidentes por caídas representan la tercera causa de muerte en el país, fomentando acciones multiprofesionales para promover, proteger y recuperar la salud. El estúdio tuvo como objetivo conocer la assistencia de profesionales de la Estrategia de Salud Familiar en accidentes por caídas. Este es um estúdio exploratório, descripptivo-analítico, transversal al proceso de trabajo de 72 profesionales vinculados a ocho equipos de salud familiar de um município en la frontera oeste del Rio Grande do Sul. Las entrevistas fueron grabadas, digitalizadas y organizadas en un base de datos em formato de texto. Los datos se procesaron en el software IRAMUTEC y se analizaron mediante clasificación jerárquica descendente, análisis de similitude y nuble de palavras. Los resultados muestran que los profesionales brindan atención a las víctimas de accidentes debido a caídas, de uma manera diferene en la atención y el manejo, com énfasis en la resolubilidad, los ancianos y la continuidad de la atención en la Red de Atención Médica.Descriptores: Accidentes por Caídas, Estrategia de Salud Familiar, Grupo de Atención al Paciente.


2020 ◽  
Vol 80 (2) ◽  
pp. 410-423 ◽  
Author(s):  
J. C. Lima Melro ◽  
S. A. Fonseca ◽  
J. M. Silva Júnior ◽  
S. P. B. Franco ◽  
M. A. Souza ◽  
...  

Abstract This study aimed to assess diagnosis of Unique Health System (SUS) users profile with regard to herbal medicine. This is a cross-sectional study with observational data collection conducted in the city of Marechal Deodoro, through a semi-structured questionnaire with questions related to socioeconomic data, use, and knowledge of medicinal plants and herbal medicines and satisfaction with the use of medicinal herbs (MH) and interactions of phytotherapeutic drugs (PD). Among the topics, 86.89% of users used herbal medicines often, especially lemon balm (Melissa officinalis L.). It was also observed that the plants are generally used as a sedative (21.74%) and as tea (87.84%). 82.32% of respondents claim to have acquired the knowledge of herbal medicine through a family member and 85.36% make use of medicinal plants without having received any information on the use of MH and PD. 61% of the plants described that coincided with the form of use and therapeutic properties found in the literature. With regard to satisfaction by treatment with MH and PD, it was found that 56.67% are satisfied. Therefore, it is necessary to pay attention to this aspect of usage, in order to avoid possible drug interactions or adverse reactions resulting from the incorrect use.


2020 ◽  
Vol 37 (5) ◽  
pp. 648-654
Author(s):  
Patricia S Chueiri ◽  
Marcelo Rodrigues Gonçalves ◽  
Lisiane Hauser ◽  
Lucas Wollmann ◽  
Sotero Serrate Mengue ◽  
...  

Abstract Background Primary health care (PHC) delivery in Brazil has improved in the last decades. However, it remains unknown whether the Family Health Strategy teams are meeting the health needs of the population. Objectives To describe the reasons for encounter (RFEs) in PHC in Brazil and to examine variations in RFEs according to sex, age and geographic region. Methods This descriptive study is part of a national cross-sectional study conducted in 2016. The sample was stratified by the number of PHC physicians per geographic region. Physicians who had been working for at least 1 year in the same PHC unit were included. For every participating physician, 12 patients aged ≥18 years who had attended at least two encounters were included. Patients were asked about their RFEs, which were classified according to the International Classification of Primary Care. Results In 6160 encounters, a total of 8046 RFEs were coded. Seven reasons accounted for 50% of all RFEs. There was a high frequency of codes related to test results, medication renewal and preventive medicine. RFEs did not vary significantly by sex or geographic region, but they did by age group (P < 0.001). The rates of prescriptions, requests for investigations and referrals to specialized care were 71.1%, 42.8%, and 21.3%, respectively. Conclusion This novel study opened the ‘black box’ of RFEs in PHC in Brazil. These findings can contribute to redefining the scope of PHC services and reorienting work practices in order to improve the quality of PHC in Brazil.


2015 ◽  
Vol 24 (4) ◽  
pp. 1094-1103
Author(s):  
Daiane Porto Gautério-Abreu ◽  
Silvana Sidney Costa Santos ◽  
Bárbara Tarouco Silva ◽  
Silomar Ilha ◽  
Giovana Calcagno Gomes

ABSTRACT This study aimed to characterize the elderly receiving outpatient care in Rio Grande, Rio Grande do Sul state, Brazil, concerning their demographic and socioeconomic characteristics, health condition, medication usage and adherence to medication; to identify their self-reported reasons for adherence/nonadherence to the prescribed medication. A descriptive, cross-sectional study, with a quantitative approach, performed in the outpatient unit of a university hospital in Rio Grande do Sul, Brazil. One hundred seven elderly were interviewed in November of 2013. Data were collected with three instruments. The statistical analysis was descriptive. Among the elderly, 86.9% were adherent to medication. Wanting to feel good was the reason most often reported for adherence to the prescribed medication, and the occurrence of adverse reactions was the most often cited reason for nonadherence. The results of this study can support the development of actions that promote adherence to medication by the elderly.


2019 ◽  
Vol 87 (25) ◽  
Author(s):  
Mirian Adriana Sackser ◽  
Anelise Miritz Borges

Objetivo: Identificar os motivos que levam os pacientes a desistir do tratamento da tuberculose no município de SantaCruz do Sul, a partir da visão dos enfermeiros que atuam em unidades de atenção primária de saúde. Metodologia: Tratase de uma pesquisa descritiva, exploratória, com delineamento qualitativo, realizada em cinco Unidades Básicas de Saúde(UBS) e cinco Estratégias de Saúde da Família (ESF) vinculadas ao município de Santa Cruz do Sul/Rio Grande do Sul. Paraa coleta de dados foi realizada entrevista, utilizando um questionário semiestruturado, gravado, aplicado individualmente.A Análise foi conduzida pela análise de Conteúdo, temática de Bardin 2011. Principais resultados: Foram 10 enfermeirasentrevistadas, metade possuía menos de um ano de experiência na unidade, referiram dificuldades no manejo dos sintomáticos respiratórios como a falta de tempo, recursos humanos e dificuldades de envolver o usuário no tratamento. Naperspectiva das enfermeiras entre os motivos envolvidos no abandono, estão o tempo terapêutico elevado, fatores sociais,e os efeitos colaterais dos medicamentos. Conclusão: A qualificação contínua da equipe sobre o manejo frente a doença,fortalece a assistência em saúde, tornando o usuário mais seguro quanto ao seu autocuidado, reduzindo as chances deabandono do tratamento.Descritores: Tuberculose; Enfermagem; Saúde coletiva; Pacientes desistentes do tratamento Objective: To identify the reasons that lead patients to give up tuberculosis treatment in the municipality of Santa Cruzdo Sul, based on the view of nurses working in primary health care units. Methodology: This is a descriptive, exploratory,qualitative study, carried out in five Basic Health Units (UBS in Portuguese) and five Family Health Strategies (ESF in Portuguese) linked to the municipality of Santa Cruz do Sul/Rio Grande do Sul. For the data collection, an interview was conducted using a semi-structured, recorded questionnaire, applied individually. The analysis was conducted by the analysis ofthe thematic content of Bardin 2011. Main results: Ten nurses were interviewed and half of them had less than one year ofexperience in the unit, they reported difficulties in the management of respiratory symptoms such as lack of time, humanresources and difficulties to involve the user in the treatment. From the perspective of nurses between the reasons involved in the abandonment, are the high therapeutic time, social factors, and the side effects of the medications. Conclusion:Continuous qualification of staff on the front handling the disease, strengthens health care, making the user more secureabout their self-care, reducing the chances of noncompliance.Keywords: Tuberculosis; Nursing; Public Health; Patient Dropouts


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