scholarly journals FOLLOW-UP OF DIABETIC PATIENTS UNDER A PRIMARY CARE PROGRAM IN THE CITY OF RIO BRANCO – ACRE - BRAZIL

2021 ◽  
Vol 1 (1) ◽  
pp. 1-14
Author(s):  
Daniela Neves Fernandes Do Vale ◽  
Luís Eduardo Maggi ◽  
Wagner Coelho de Albuquerque Pereira
Keyword(s):  
Fasting Blood Glucose ◽  
Family Health ◽  
Care Program ◽  
Diabetic Patients ◽  
Ministry Of Health ◽  
Cross Sectional ◽  
Health Strategy ◽  
Patients With Diabetes ◽  
Family Health Strategy ◽  
The City

Aims: Analyze the monitoring of patients with Diabetes Mellitus treated in the Family Health Strategy in the city Rio Branco, Acre State, Brazil. Methods: The study is an observational, analytical, cross-sectional research with a quantitative approach. Held from January 2015 to December 2016, in 12 health units (Family Health Strategy - ESF), in the city of Rio Branco, Acre. For data collection, a simple random drawing of a Family Health Group from each Health segment was carried out. After the drawing, a Verification Form was applied, developed from the recommendations of the Ministry of Health for monitoring diabetic patients. Results: In the 306 records analyzed, there was a predominance of females (68%), with an average age of 61.6 (SD ± 13) years. As for the metabolic control variables, the most prevalent test was fasting blood glucose (85%), with an average of 211.6 mg / dl. Regarding the number of medical consultations per year, in 2015, 216 consultations were carried out, with 36.9% of patients having three or more consultations / year, this number rose to 253 in 2016, with more than 3 consultations/year (48.1%). Metformin was the most used medication (77.8%), followed by Glibenclamide (53.3%) and insulin (22%). Conclusions:  FHS groups in the city of Rio Branco, Acre partially follow the guidelines of the Ministry of Health in monitoring diabetic patients. The motives for that are yet to be evaluates, nevertheless it can have an unfavorable impact on their quality of life.

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

2009 ◽  
Vol 17 (4) ◽  
pp. 474-480 ◽  
Author(s):  
Thaís Santos Guerra Stacciarini ◽  
Ana Emilia Pace ◽  
Vanderlei José Haas
Keyword(s):  
American Diabetes Association ◽  
Family Health ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Self Administration ◽  
Cross Sectional ◽  
Health Strategy ◽  
The Family ◽  
Patients With Diabetes ◽  
Family Health Strategy

This cross-sectional study aimed to describe the most common correct and incorrect self-administration techniques for insulin using disposable syringes by patients cared for by the Family Health Strategy (FHS), relate the findings to sociodemographic variables and also identify the professional responsible for teaching this technique. A total of 169 patients were selected by simple random sampling in 37 FHS units in a city in the state of Minas Gerais, Brazil from August to October 2006. The results identified errors in all the steps recommended by the American Diabetes Association and Brazilian Diabetes Association for the safe administration of insulin, from hand washing to compression on the injection site. The FHS favors the development of interventions focused on the needs of the clientele registered at the unit, stimulating self-care. Results from this study can contribute to the planning of these interventions.

scholarly journals Knowledge, attitudes, and qualification needs of primary health care professionals in the care of dementia

2020 ◽  
Vol 73 (suppl 3) ◽  
Author(s):  
Gislaine Desani da Costa ◽  
Odineide Gomes dos Santos ◽  
Maria Amélia de Campos Oliveira
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Family Health ◽  
Cross Sectional Study ◽  
Dementia Patient ◽  
Cross Sectional ◽  
Health Strategy ◽  
Family Health Strategy ◽  
Diagnosis Of Dementia ◽  
The City

ABSTRACT Objective: To identify the knowledge and attitudes of doctors and nurses in tracking, diagnosing, treating, and monitoring dementias and their educational needs in this area. Method: Cross-sectional study, carried out among 195 doctors and 274 nurses working in teams of the Family Health Strategy (FHS) in the city of São Paulo. The instrument used was Health Care for Dementia: the Primary Care perspective. The data were submitted for descriptive statistics. Results: Among physicians, 64.1% reported routinely diagnosing dementia, but only 23.1% in the mild phase; 89.2% mentioned difficulties in identifying cases of the disease; 94.9%, difficulties in the treatment and monitoring of patients, including the needs to support the caregiver (28.2%); 84.6% of doctors and 79.2% of nurses reported difficulties in monitoring severe cases of the disease. Conclusion: Gaps in knowledge were identified regarding the tracking and diagnosis of dementia, patient monitoring, diagnostic information, and support for the caregiver.

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

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

OBJECTIVE: To evaluate the access to drugs for hypertension and diabetes and the direct cost of buying them among users of the Family Health Strategy (FHS) in the state of Pernambuco, Brazil. METHODS: Population-based, cross-sectional study of a systematic random sample of 785 patients with hypertension and 823 patients with diabetes mellitus who were registered in 208 randomly selected FHS teams in 35 municipalities of the state of Pernambuco. The selected municipalities were classified into three levels with probability proportional to municipality size (LS, large-sized; MS, medium-sized; SS, small-sized). To verify differences between the cities, we used the χ2 test. RESULTS: Pharmacological treatment was used by 91.2% patients with hypertension whereas 85.6% patients with diabetes mellitus used oral antidiabetic drugs (OADs), and 15.4% used insulin. The FHS team itself provided antihypertensive medications to 69.0% patients with hypertension, OADs to 75.0% patients with diabetes mellitus, and insulin treatment to 65.4%. The 36.9% patients with hypertension and 29.8% with diabetes mellitus that had to buy all or part of their medications reported median monthly cost of R$ 18.30, R$ 14.00, and R$ 27.61 for antihypertensive drugs, OADs, and insulin, respectively. CONCLUSION: It is necessary to increase efforts to ensure access to these drugs in the primary health care network.

scholarly journals Avaliação Glicêmica de Pacientes Diabéticos Atendidos na Estratégia Saúde da Família na Cidade de Assaré – CE / Glycemic Evaluation of the Diabetic Patients in the Family Health Strategy in the City of Assaré, State of Ceará

2019 ◽  
Vol 13 (44) ◽  
pp. 221-239
Author(s):  
Maria Thayane Pinto Freire ◽  
José Marcio Andrade ◽  
Helenicy Nogueira Holanda Veras
Keyword(s):  
Diabetes Mellitus ◽  
Family Health ◽  
Diabetic Patients ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
The City ◽  
Diabetes Tipo 2

Diabetes mellitus é uma doença crônica não transmissível que estabelece uma série de limitações aos seus portadores. O estudo teve como objetivo conhecer o perfil e o controle glicêmico de pacientes diabéticos atendidos na Estratégia Saúde da família (ESF) da sede do município de Assaré-CE. Foram avaliadas variáveis sociodemográficas, estilo de vida e clinicas através de resultados dos exames laboratoriais descritos nos prontuários, em 123 pacientes. A coleta dos dados foi realizada nos meses de setembro a novembro de 2018, e os participantes que aceitaram participar da pesquisa responderam ao questionário no momento da entrevista.Os dados demonstram maior proporção de pacientes do sexo feminino com 71,5% (n=88); 57% (n=70) possuíam idade entre 61 a 80 anos; 41% (n=50) com o ensino fundamental incompleto.A respeito dos fatores de risco 19% (n=23) já foram fumantes; 61% (n=75) possuíam familiares de primeiro grau com diabetes, e 123 foram pacientes com diabetes tipo 2; 38% (n=47) tinham mais de 10 anos de diagnóstico; 84% (n=103) faziam uso somente de hipoglicemiante oral. Em relação às características clinicas os resultados também apontaram que a presença de níveis alterados de glicemia e hemoglobina glicada pode ser associada ao tempo de duração da doença. As alterações lipídicas mais comuns no Diabetes mellitus Tipo 2 são a hipertrigliceridemia e a redução do HDL Entre as complicações decorrentes da doença, a grande maioria era hipertensa 67% (n=82). Sugere-se a adesão de medidas promocionais a saúde ao local da pesquisa, visando orientação aos pacientes sobre o auto cuidado. De forma que esses possam somar hábitos saudáveis aos seus conhecimentos, e portanto possam continuadamente obter melhor qualidade de vida. 

Avaliação do Perfil Nutricional dos Funcionários das Equipes Estratégia Saúde da Família e Núcleo de Apoio a Saúde da Família do Município de Pedralva – MG/ Evaluation of the Nutritional Profile of Workers from the Family Health Strategy Team and the Supp

1970 ◽  
Vol 4 (3) ◽  
pp. 12-21
Author(s):  
Ana Isabel da Silva Ferreira ◽  
Edna Slob
Keyword(s):  
High Risk ◽  
Nutritional Status ◽  
Dietary Habits ◽  
Family Health ◽  
Abdominal Circumference ◽  
Nutritional Profile ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
The City

Objetivo: Avaliar o perfil nutricional das equipes da Estratégia Saúde da Família e do Núcleo de Apoio a Saúde da Família do município de Pedralva. Materiais e métodos: Estudo descritivo, analítico, transversal, realizado com 42 profissionais que compõem as equipes Estratégias Saúde da Família (ESF) e Núcleo de Apoio a Saúde da Família (NASF) no município de Pedralva/MG. Foram coletados dados antropométricos, como peso, altura e circunferências corporais e aplicado um formulário de frequência do consumo alimentar, para avaliar os hábitos alimentares desses profissionais Resultados: Quanto ao estado nutricional, 40,5% dos funcionários se encontravam eutróficos, 40,5% com sobrepeso e 19% com obesidade. Em relação ao risco de doenças cardiovascular, analisando a circunferência abdominal, 9% não apresentou risco, 24% dos funcionários tinham risco elevado e 67%, risco muito elevado; ao se utilizar a relação cintura quadril, encontrou-se 76% dos funcionários sem risco e 24% com risco. De acordo com o inquérito alimentar, observou frequente consumo de arroz, feijão, salada, salgados e carne, pouco consumo de frutas, legumes e peixes. Conclusão: medidas preventivas devem ser tomadas, a fim de evitar que o quadro atual do perfil antropométrico dessa população se torne ainda mais comprometedor, além de garantir melhoria da qualidade de vida dos mesmos.  Palavras-chave: Avaliação nutricional. Estado nutricional. Inquérito alimentar.  ABSTRACT Objective: To evaluate the nutritional profile of the teams of the Family Health Strategy and Support Center for Family Health in the city of Pedralva. Materials and methods: descriptive, analytical, transversal study performed with 42 professionals that make up the teams of the Family Health Strategy (FHS) and the Support Center for Family Health (NASF) in the city of Pedralva/MG. Anthropometric data such as weight, height and body circumferences were collected and a questionare about the frequency of food consumption was applied to assess the dietary habits of these Professional Results: Regarding nutritional status, 40.5% of employees were normal weight, 40.5% overweight and 19% obese. Regarding the risk of cardiovascular diseases, analyzing abdominal circumference, 9% showed no risk, 24% of employees had high risk and 67%, very high risk; when using the waist-hip ratio, we found 76% of employees with no risk and 24% at risk. According to food survey observed frequent consumption of rice, beans, salad, savory meat and little consumption of fruits, vegetables and fish. Conclusion: Preventive measures should be taken to prevent the current situation of anthropometric profile of this population from becoming even more engaging and also ensure improved quality of life for them.  Keywords: Nutritional evaluation. Nutritional status. Dietary survey. 

scholarly journals Oral health indicators in primary health care: the understanding and the information recorded by dentist-surgeons

2014 ◽  
Vol 62 (1) ◽  
pp. 37-45
Author(s):  
Patrícia Maria Costa de OLIVEIRA ◽  
Léa Maria Bezerra de MENEZES ◽  
Maria Vieira de Lima SAINTRAIN ◽  
Paulo César de ALMEIDA ◽  
Maria Eneide Leitão de ALMEIDA
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Sampling Error ◽  
Family Health ◽  
Health Indicators ◽  
Ministry Of Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Oral Health Indicators

OBJECTIVE: This study aimed to know the understanding of Oral health indicators recommended by the Ministry of Health by dentists in the family health strategy of the state of Ceará in 2008. METHODS: It is a descriptive, cross-sectional study in which it was used a questionnaire to obtain the data concerning the way information on oral health actions performed in Family Health Care Units and other social spaces are registered, as well as investigate their knowledge about oral health indicators. The calculation of the sample of dentist-surgeons adopted an absolute sampling error of 6.8% and a significance level of 5%, resulting in an initial sample of 175 dentists; however, only 159 participated in this study according to the inclusion criteria. For instance, they should have been working in the service in the period from 2001 to 2007. In all, 32 cities participated in the research, distributed in 18 Regional Health Cells selected by drawing lots. The data were processed in the program SPSS version 17.0 and considered statistically significant the inferential analyses with p < 0.05. RESULTS: it was observed that there are differences between the interpretation of the indicators objectives and the data relating to oral health actions recorded by dentist-surgeons from the Family Health Strategy. They also differ from the guidelines of the Ministry of Health. CONCLUSION: The pregnant present some knowledge about oral health that can be improved by means of educational, preventive and healing programs. This group exert big it influences in the family ambit, could act as agents multipliers and avoiding the child's precocious contamination.

scholarly journals Screening and Brief Intervention for the use of alcohol and other drugs

2018 ◽  
Vol 71 (suppl 5) ◽  
pp. 2258-2263 ◽  
Author(s):  
Ângela Maria Mendes Abreu ◽  
Rafael Tavares Jomar ◽  
Gunnar Glauco de Cunto Taets ◽  
Maria Helena do Nascimento Souza ◽  
Daiane Belisário Fernandes
Keyword(s):  
Brief Intervention ◽  
Family Health ◽  
Cross Sectional Study ◽  
Screening And Brief Intervention ◽  
Cross Sectional ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Substance Involvement ◽  
Alcohol And Other Drugs

ABSTRACT Objective: to identify the lifetime use of alcohol and other drugs among users of the Family Health Strategy and apply Brief Intervention to problems related to the use of these substances. Method: a descriptive cross-sectional study where 1,031 users of the Family Health Strategy of the city of Rio de Janeiro answered a form with socio-demographic information and the Alcohol, Smoking and Substance Involvement Screening Test. Statistical analysis with simple frequency distribution was performed. Results: the most commonly used drugs in lifetime were alcohol and tobacco; among the illegal drugs, marijuana, hypnotics and cocaine/crack stood out. Those who received most Brief Intervention were users of tobacco, hypnotics, marijuana, cocaine/crack and alcohol. Conclusion: it is important to detect early problems associated with the use of alcohol and other drugs in Primary Care, since it has the promotion/protection of health and the prevention of diseases as priority health practices.

scholarly journals Reducing risk factors in overweight adult users of the family health strategy of the Distrito Federal

2013 ◽  
Vol 26 (6) ◽  
pp. 659-668 ◽  
Author(s):  
Caroline Romeiro ◽  
Júlia Aparecida Devidé Nogueira ◽  
Eliane Said Dutra ◽  
Kênia Mara Baiocchi de Carvalho
Keyword(s):  
Waist Circumference ◽  
Fasting Blood Glucose ◽  
Family Health ◽  
Lifestyle Changes ◽  
Control Group ◽  
Standard Family ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Distrito Federal

OBJECTIVE: To evaluate the results of a multidisciplinary program to promote healthy habits on anthropometric and biochemical parameters on participants of the Family Health Strategy of the Distrito Federal. METHODS: The sample consisted of 279 overweight and obese adults of both sexes divided into two groups: intervention (IG, n=198) and control group (CG, n=89). The IG received standard Family Health Strategy care plus a multidisciplinary health promoting program that included dietary interventions and physical activity, called Set Waist Program. The control group received only standard ESF care. Data were collected at baseline and after 4 and 8 months of follow up. Body mass index, waist circumference, fasting blood glucose and lipid profile were assessed. RESULTS: Prevalence of obesity (63.3% to 49.4%, p=0.027) and waist circumference (102.2cm to 94.8cm, p<0.0001) were significantly reduced in IG. Total cholesterol, LDL and HDL-cholesterol were reduced in both groups. CONCLUSION: Reductions in anthropometric measures were maximized through simple interventions that stimulated lifestyle changes. These results suggest that multidisciplinary initiatives such the Set Waist Program can be incorporated into other Family Health Strategy teams to optimize the control of obesity and health promotion. Participant compliance is an issue that deserves further investigation.

scholarly journals Factors related to negative self-care adherence in individuals with diabetes mellitus

Rev Rene ◽  
2021 ◽  
Vol 22 ◽  
pp. e70902
Author(s):  
Álef Lucas Dantas de Araújo Silva ◽  
Cayane Maria da Silva Santos ◽  
Maria Verônica Gomes de Oliveira ◽  
Waleska de Brito Nunes ◽  
Matheus Figueiredo Nogueira ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Self Care ◽  
Family Health ◽  
Prevalence Ratio ◽  
Cross Sectional ◽  
Negative Attitudes ◽  
Health Strategy ◽  
Care Assessment ◽  
Family Health Strategy

Objective: to detect factors related to negative adherence to self-care in individuals with diabetes mellitus. Methods: observational, cross-sectional, analytical, and exploratory study, conducted with individuals diagnosed with type 2 diabetes mellitus and followed-up by the Family Health Strategy. The sample consisted of 250 participants. The Summary of Diabetes Self-Care Activities Questionnaire was used for self-care assessment. Association tests, prevalence ratio and Poisson regression with robust variance were performed in the analysis. Results: negative attitudes related to self-care increased by 21% for single/divorced/widowed, 20% for retired, 54% for those who did not diet, 28% for those who did not practice physical activity, 24% for hypertensive, 30% for those with dyslipidemia, and 44% for those with retinopathy. Conclusion: socioeconomic factors, behavioral factors, presence of comorbidities and complications related to diabetes mellitus were related to negative adherence to self-care.

scholarly journals Anemia in Patients with Type 2 Diabetes Mellitus

Anemia ◽  
2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Jéssica Barbieri ◽  
Paula Caitano Fontela ◽  
Eliane Roseli Winkelmann ◽  
Carine Eloise Prestes Zimmermann ◽  
Yana Picinin Sandri ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Family Health ◽  
Total Sample ◽  
The Body ◽  
Diabetic Patients ◽  
Anemia Of Chronic Disease ◽  
Health Strategy ◽  
Family Health Strategy ◽  
Laboratory Variables ◽  
Prevalence Of Anemia

The objective of this study was to evaluate the prevalence of anemia in DM2 patients and its correlation with demographic and lifestyle and laboratory variables. This is a descriptive and analytical study of the type of case studies in the urban area of the Ijuí city, registered in programs of the Family Health Strategy, with a total sample of 146 patients with DM2. A semistructured questionnaire with sociodemographic and clinical variables and performed biochemical test was applied. Of the DM2 patients studied, 50 patients had anemia, and it was found that the body mass items and hypertension and hematological variables are significantly associated with anemia of chronic disease. So, the prevalence of anemia is high in patients with DM2. The set of observed changes characterizes the anemia of chronic disease, which affects quality of life of diabetic patients and is associated with disease progression, development, and comorbidities that contribute significantly to increasing the risk of cardiovascular diseases.

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