PROGRAMA DE PÓS-GRADUAÇÃO EM SAÚDE DA FAMÍLIA EM REDE NACIONAL (PROFSAÚDE)

UNIVERSIDADE FEDERAL DA PARAÍBA

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2023
Description
  • LILYANNE BARBOZA DE OLIVEIRA VALERIO
  • COVID-19 PREVENTION BEHAVIORS IN PRIMARY CARE AND THE ROLE OF THE COMMUNITY HEALTH AGENT
  • Date: Jun 6, 2023
  • Time: 09:00
  • Show Summary
  • Three years after the new coronavirus disease 2019 (COVID-19) was classified as a Public Health Emergency of International Concern, its end was declared in May 2023. In the year 2020, when vaccines for COVID-19 are still were not available, the effectiveness of non-pharmacological measures (NFM) to prevent the transmission of COVID-19 depended on how well the population was informed about preventing transmission. The Family Health Strategy (ESF) teams played a key role in this process of popular health education with local adequacy of technical-scientific information. This master's conclusion work focused on the degree to which a sample of the population from the territory of an ESF unit in the city of Condado-PE understood and applied the information on MNF for the prevention of COVID-19. From the studies carried out during the construction of the dissertation, two products resulted: an original article and a digital book chapter. The field study was observational and descriptive, with a quantitative approach, with the face-to-face application of a structured questionnaire. The sample profile was an average age of 41.6 years, predominantly female, brown, elementary or high school education, married, with a family income of up to one minimum wage, with water consumption from an artesian well and without basic sanitation. The results referring to the main objective of this study suggest that the participants understood and satisfactorily applied the information on NFM, with the median percentage values ​​of adoption reaching 90%, according to their structured self-report. It was observed that the vast majority of respondents had information about NFM (above 88%). The main sources of information were newspapers and/or internet, television and health professionals, including Community Health Agents (ACS). Newspapers and health professionals were considered the most reliable sources. The government was little cited as a source and to which the lowest level of confidence was attributed. Most demonstrated confidence in the effectiveness of NFM, medium to high perception of risk, and believed that the disease was severe or very severe. Satisfactory adherence to COVID-19 prevention MNF was observed, with the use of a mask as the most used measure (100%) and considered the most important. Total social isolation had the lowest adherence (1.4%).
  • LILYANNE BARBOZA DE OLIVEIRA VALERIO
  • COVID-19 PREVENTION BEHAVIORS IN PRIMARY CARE AND THE ROLE OF THE COMMUNITY HEALTH AGENT
  • Date: Jun 6, 2023
  • Time: 00:09
  • Show Summary
  • Three years after the new coronavirus disease 2019 (COVID-19) was classified as a Public Health Emergency of International Concern, its end was declared in May 2023. In the year 2020, when vaccines for COVID-19 are still were not available, the effectiveness of non-pharmacological measures (NFM) to prevent the transmission of COVID-19 depended on how well the population was informed about preventing transmission. The Family Health Strategy (ESF) teams played a key role in this process of popular health education with local adequacy of technical-scientific information. This master's conclusion work focused on the degree to which a sample of the population from the territory of an ESF unit in the city of Condado-PE understood and applied the information on MNF for the prevention of COVID-19. From the studies carried out during the construction of the dissertation, two products resulted: an original article and a digital book chapter. The field study was observational and descriptive, with a quantitative approach, with the face-to-face application of a structured questionnaire. The sample profile was an average age of 41.6 years, predominantly female, brown, elementary or high school education, married, with a family income of up to one minimum wage, with water consumption from an artesian well and without basic sanitation. The results referring to the main objective of this study suggest that the participants understood and satisfactorily applied the information on NFM, with the median percentage values ​​of adoption reaching 90%, according to their structured self-report. It was observed that the vast majority of respondents had information about NFM (above 88%). The main sources of information were newspapers and/or internet, television and health professionals, including Community Health Agents (ACS). Newspapers and health professionals were considered the most reliable sources. The government was little cited as a source and to which the lowest level of confidence was attributed. Most demonstrated confidence in the effectiveness of NFM, medium to high perception of risk, and believed that the disease was severe or very severe. Satisfactory adherence to COVID-19 prevention MNF was observed, with the use of a mask as the most used measure (100%) and considered the most important.
  • DÉBORA CHARMENE COSTA CAMPOS
  • THE PROFILE OF HEALTH MANAGERS IN PARAÍBA, IN FRONT OF THE WEAKNESSES AND POTENTIALS OF PRIMARY HEALTH CARE
  • Advisor : ANDRE LUIS BONIFACIO DE CARVALHO
  • Date: May 29, 2023
  • Time: 19:00
  • Show Summary
  • Primary Care (PC), as it is considered the priority gateway to the health system and the main strategy for organizing comprehensive care, reveals the need to qualify professional work at this level of care. The management of PC services requires constant qualification, in order to reflect on the optimization of the organizational structure of the services and create opportunities for the effectiveness of health policies and actions. Therefore, the personal, academic and professional characteristics, competences and challenges of the occupants of this position within the scope of Paraíba were investigated, based on the following questions that guided the present study: Who are the professional managers in the municipalities of Paraíba? What are your personal, professional and academic characteristics? What experiences do they accumulate? What are the main challenges? What training needs are pointed out for the performance of your duties? It should be noted that this research is part of a larger initiative that aimed to identify the profile of municipal health managers in the 2017-2020 management cycle, addressing the trajectory and challenges to be faced. This research obtained the following results: It was noticed that the sample was mostly female (69%) with an age group between 31 and 60 years, with a higher prevalence of 41 and 50 years (48.3%); and completed post-graduation (54%). However, most had no experience as health secretaries (55.2%), although they had already been primary care coordinators (37.9%). Another important point observed in the profile of health managers, in addition to the prevalence of being female (69%), is that most have training in nursing (27.6%). With regard to ethnicity, it was observed that the majority declared themselves white (60.7%). Regarding the challenges faced by managers, the guarantee of inputs and medicines was the one that presented the highest prevalence (51.7%), followed by the effectiveness of the state counterpart (48.2%) and the implementation of information systems (41. 3%). It was also observed that retaining physicians and paying the state's compensation represented the highest degree of difficulty (66.6%). On the other hand, the qualification of the work process of the health teams represented a medium degree (58%) compared to the others. In terms of the degree of importance of the factors that influence the profile of managers, personal confidence and management experience were the most important, respectively (89.6%) (82%). While political indication had little importance (51.7%) and kinship was considered irrelevant (48.2%). The potential of decision-making in primary care, self-perceived by managers, lies in the ability to present high personal confidence and experience in management. In order to manage the health professionals in this area who are in a privileged position to know and understand the individual needs of their patients..
  • GABY MARIA CARVALHO DE FREITAS AZEVEDO
  • COMPARATIVE EVALUATION OF THE COMPLETENESS OF HEALTH SERVICES: THE MOST MEDICAL AND THE RESIDENCE IN THE PERCEPTION OF PHYSICIANS WHO PARTICIPATED IN THE TWO PROGRAMS IN RIO GRANDE DO NORTE
  • Date: May 8, 2023
  • Time: 10:00
  • Show Summary
  • Primary Health Care (PHC) in Brazil has been undergoing numerous transformations since its implementation, always seeking improvements in the care of its users. The creation of new policies and public projects aimed at expanding Family and Community Medicine (FCM) and qualification has been quite visible in recent years, experienced in different regions and communities, which demonstrates a certain diversity in the levels of quality of PHC, in especially when it comes to comparing programs. Thus, this research aims to: understand how the attribute of comprehensiveness in health services is worked on in the More Doctors Program (PMM) and in the Medical Residency Program in Family and Community Medicine (PRMFC), under the perception of doctors participating in these programs. This is a descriptive-comparative field study, with a qualitative approach, however, with quantitative descriptions to complement the findings; carried out through participant observation, interview and application of the questionnaire called the Primary Care Assessment Instrument (PCATool-Brasil), both aimed at physicians who worked at the Residence and Mais Médicos, in the municipality of Mossoró in the interior of the state of Rio Grande From north. As a result, two programs with great importance in the qualification of PHC were obtained. The PRMFC is focused on training specialists to work in PHC and greater stimulation of personal and community development, which consequently draws more attention for accumulating more than one training process. Meanwhile, the PMM, focused on filling medical gaps in places where FCM is difficult to provide, brought qualification to PHC with little stimulus to the academic profession and, since its educational axis does not have the same quality as a medical residency. Mais Médicos is often used as a transition to different medical specialties. After an evaluation using the PCATool, it was possible to conjecture that residencies, within the scope of the researched context, continue to be the gold standard of training processes in medicine and are preferred by newly graduated physicians.
2022
Description
  • EDGAR ADOLFO FREITAS COSTA
  • PRODUCTION OF AN EDUCATIONAL BOOKLET ABOUT CARE FOR PEDIATRIC PATIENTS IN THE HOME CARE SERVICE
  • Date: Nov 30, 2022
  • Time: 15:00
  • Show Summary
  • Home Care is a service for patients with specific needs and technologies at home. An epidemiological transition process is observed, with an increase in the prevalence of chronic and degenerative diseases in childhood, provided by the technological increase, in addition, there is an increase in the demand for assistance to infants who need special health care and multidisciplinary monitoring. The studies indicate daily difficulties and challenges in the care provided, related to the complexity of care and the lack of preparation prior to dehospitalization. Authors proposed the construction of printed educational materials to resolve these aspects. This article is an integrative literature review and aims to investigate and understand home care regarding the pediatric age group. This category is mainly composed of preterm infants, children with perinatal sequelae and chronic diseases. This project aims the elaboration of a didactic-instructional material in the form of an educational booklet about the care of pediatric patients assisted by the Home Care Service (HCS) and targets caregivers and family members. It was elaborated from an expanded search in the databases, covering three main axes: care with tracheostomy, gastrostomy and pressure ulcers. The texts that compose the material were suitable for the target audience, as well as the images were intended to be demonstrative of real situations. It is hoped that this material presented can contribute to the daily lives of families and promote autonomy in home care.
  • ISAUNIR VERISSIMO LOPES
  • PRACTICES ASSOCIATED WITH INFORMATION ABOUT COVID-19 PREVENTION BY THE POPULATION ASSOCIATED WITH A FAMILY HEALTH TEAM IN THE RURAL AREA OF ARAÇAGI-PB
  • Date: Jun 27, 2022
  • Time: 09:00
  • Show Summary
  • The favorable perception of non-pharmacological measures (NPM) to prevent the disease caused by the Coronavirus 2019 (COVID-19) and the associated adherence can reduce the number of infected people in the population. Despite considerable scientific and social attention to the impacts of the COVID-19 pandemic in urban areas, little focus has been given to this impact in rural communities, which generally have less accessible health care and higher rates of poverty and low education. The focus of this master's thesis was the NPM of prevention for COVID-19 by the rural community of Canafístula, municipality of Araçagi-PB, with the elaboration of an original scientific article with the results of a field research involving users of the territory from UBS, as well as a technical-educational product in the form of audio content, made available as podcasts for community information. The general objective of the field study was to evaluate the perception and practice of NPF to prevent COVID-19 by users served by the Basic Health Unit (BHI) of Canafístula, through an observational study with a quantitative approach. Primary data were collected through the application of a structured questionnaire in face-to-face interviews at the BHI. The sociodemographic profile revealed a sample with a median age of 41 years, female, black, with elementary/high school education, not married and family income of one minimum wage and precarious sanitation. It was observed that all reported having acquired information on hand hygiene and the use of face masks, while lower percentages were achieved in information on social isolation. It was found that 97% reported adoption of 3 or more MNF prevention, with agreement between the report of information received and the adoption of the corresponding NPF in more than 90% of the sample, except for social isolation. The main source of information was TV, radio and newspaper, followed by digital social media, although the greatest trust was attributed to information from health professionals. Almost half of the sample reported feeling confident in COVID-19 prevention NPFs. On the other hand, only 40% considered the risk of personal or family contagion to be high, but 94% perceived COVID-19 as severe or very serious, which is compatible with the self-report of high adherence to the use of masks and hygiene of the hands. hands in percentages greater than 90%. It was found, through the prevalence ratio, that the practice of partial social isolation, obtaining information about the use of masks and information given by health professionals reduced the chance of COVID-19, while information from friends/neighbors/ relatives increased that chance. The second product of the dissertation was elaborated in pre-production phases (planning, invitation of the interviewees and scripting), production (recording) and post-production (editing of the recorded audio, publication and dissemination). The podcasts had the participation of community leaders, health professionals and managers, in eight episodes that approached, in an accessible way, the prevention measures of COVID-19. It is concluded that the objectives proposed in this dissertation were achieved and, therefore, it can be inferred that the research revealed the perception of COVID-19 as a serious disease, there was confidence in preventive MNF, especially on the part of the health team, although the main source of information have been TV and newspapers. The adoption of MNF was high, around 90%, with the exception of isolation. With the dissemination of podcasts through the radio and the internet, the community will be able to receive informative feedback in the form of popular health education.
  • MARIA NÚBIA DE OLIVEIRA
  • PERCEPTION AND PRACTICE OF GUIDELINES ON NON-PHARMACOLOGICAL PREVENTIVE MEASURES FOR COVID-19 IN THE AREA OF A BASIC UNIT OF HEALTH IN CAMPINA GRANDE- PB
  • Date: Jun 23, 2022
  • Time: 09:00
  • Show Summary
  • The disease caused by the new coronavirus 2019 (COVID-19) has led to a serious global public health crisis that has forced the population to adopt preventive non-pharmacological measures (MNF) for work. I assume that perceptions about COVID-10 are associated with adoption of MNF. The general objective of this dissertation was to analyze how the population of the territory of a basic health unit (UBS) in the city of Campina Grande-PB perceives and applies the information on MNF for the prevention of COVID-19, as well as how to assess the relationship between This perception and sociodemographic variables and diagnosis of COVID-19. A descriptive-cross-sectional field research was carried out with a mixed quanti-qualitative approach in sequential phases. The first phase involved a sample of 70 users from the population attached to UBS for the quantitative phase and, among these, 14 selected forums for the qualitative phase. The collection of data was obtained by structured questionnaire (sociodemographic data; information on MNF; gravity of COVID-19; susceptibility to COVID-19; confidence in MNF) and by unstructured interviews addressing the confrontation, information, and impact of COVID-19. The sample of the first phase was predominantly female (65.2%), white (69.6%) and higher education/post-graduation (62.3%), a profile that was also observed in the sample of 14 participants of the phase qualitative. It was observed that adherence to MNF was high, applying MNF in association, especially hand washing, use of alcohol and facial mask (51/74.2% for each) and isolation (36/52.4%). MNF was reported for the most part by TV and newspapers, and to a lesser extent by friends, relatives, government officials and UBS professionals; 49.2% felt susceptible and 65.2% felt confident in MNF. In the qualitative analysis of the two 14 participants in the second phase, there were more speeches regarding masks, vaccination, and community, in the emerging categories of prevention, perception, information, governance and impact. The respondents reported criticism of the content and insufficient emphasis on information and partial adequacy for their community. The “kit-COVID” arose in a critical tone on the allegation of non-scientificity. Foram reported above all ações de saúde de ambito hospitalar. The impact of COVID-19 occurred due to confrontation, with a negative effect on the family due to distancing, and due to the change in attitude of people not learned from the crisis. The objective of the second article was to determine the perception and application of the main guidelines on MNF for the prevention of COVID-19, and its relationship with sociodemographic variables and diagnosis of COVID-19. The data show that 47.8% were civil servants, representing 58.9% two who had paid work in the sample. It was observed that 51 participants (75%) kept their paid jobs during the pandemic, 44 (86.2%) in face-to-face mode. Adherence to the MNF was discharged, but there was an association with the perception of susceptibility to contagion and gravity of illness with sociodemographic variables and diagnosis of COVID-19. It is concluded that the orientations on the MNF will reach the participants and for this, they must have contributed or have a favorable educational degree from the sample. It was possible to understand how information about MNF was received (TV, jornais), perceived (valued and understood, but considered insufficient) and applied (maioria da amostra). It was concluded that most of the participants perceived the COVID-19 pandemic as a serious illness, demonstrating confidence in the preventive measures recommended and provided, understanding changes in social isolation for themselves and their families as negative, as well as the impact of crise no seu pessoal growth. The sociodemographic characteristics of the sample are probably associated with their answers about the information acquired and the adoption of the MNF
  • NATASHA RIBAS DE FIGUEIREDO ORTIZ ABREU
  • MEDICAL-SCIENTIFIC GUIDELINES IN THE CONTEXT OF THE COVID-19 PANDEMIC: ADVANCES AND CHALLENGES IN THE DISSEMINATION OF HEALTH INFORMATION.
  • Date: Jun 23, 2022
  • Time: 09:00
  • Show Summary
  • The context of the coronavirus pandemic represents the greatest of today's health challenges, impacting on people's relationships, work processes, and health care relationships. The incidence of cases and the number of deaths by COVID-19 are directly associated with prevention measures and the way they have been incorporated by the population to face the disease. Thus, health education actions with the population for co-responsibility in the effective control of the pandemic are essential. The Family Health Strategy shows itself as an essential policy to overcome the challenges imposed in this period, since the characteristics of its work process encompass the different health needs of the population. This research seeks to understand the meanings of prevention and information about the disease in the dynamics of people's lives in their territories. It also aims to discuss the aspects related to the process of construction, management and dissemination of information in Primary Health Care about the coronavirus in a city in the interior of Rio Grande do Norte/Brazil. This work is part of the multicenter study proposed by PROFSAÚDE in partnership with FIOCRUZ, of national scope. It aims to analyze how the population of the territories covered by PHC perceives and translates into everyday practices, in the individual, family and collective spheres, the measures of prevention and control of COVID-19 in the municipality of Nísia Floresta-RN. This is a mixed study of cross-sectional observational approach, designed to understand the meanings of human phenomena that are part of the social reality of the subjects studied. Several aspects influence the perception of individuals about the health-disease process, as well as their health care practices and measures. As a result of the various recommendations, the population understood, interpreted, and adapted to the proposed measures in different ways, directly influencing the control and prevention of the spread of the virus. It is expected that the answers obtained through the study identify potentialities and weaknesses in this orientation process, as well as benefit managers and health workers, subsidizing their actions for the prevention and control of COVID-19 adapted to the local context and needs.
  • FRANCISCO RASIAH LADCHUMANANANDASIVAM
  • FROM THE PATIENT'S PERSPECTIVE, CHARACTERIZATION OF CARE PRIMARY HEALTH PRODUCTS OFFERED TO PATIENTS WITH KIDNEY DISEASE TERMINAL CHRONICLES, IN HEMODIALYSIS, IN
  • Date: Jun 10, 2022
  • Time: 14:00
  • Show Summary
  • Chronic kidney patients on hemodialysis have several clinical, social and psychological problems, in addition to the kidney problem itself. When starting dialysis treatment, the patient usually centers his care in the dialysis clinic and the nephrologist, limiting his care plan to renal dysfunction and its complications, renal replacement therapy and other related clinical problems such as cardiovascular disease. This practice is different from the Ministry of Health's proposal to centralize the care of individuals in primary care, where the family and community health doctor would be the care coordinator. The coordination of care by the Nephrologist ends up segmenting the individual's health care and neglecting other dimensions of the individual, contributing to greater impairment in quality of life and worse screening and control of other pathologies, in addition to the increased risk of iatrogenic diseases. In this sense, a research project was developed that aims to characterize the provision of primary health care for patients with end-stage renal disease, undergoing hemodialysis, in Paraíba, through the patient's perspective. The present master's thesis is a work plan within the umbrella project, and aims to address the health care of women on hemodialysis in the city of João Pessoa, PB and how primary care is offered to this specific population. The thesis is composed of two articles submitted for publication in national literature journals, composed of a review of the current literature on the subject, and an original article, with data collected in the SUS hemodialysis units in the municipality, containing aspects of the perception of women in hemodialysis in relation to the primary care they receive, in addition to a product with information on the prevention of specific neoplasms in females to be distributed in hemodialysis clinics in the city. The original article is a quantitative, descriptive study of a population survey in the form of a structured interview. Women over 18 years of age, with stage G5 chronic kidney disease, undergoing renal replacement therapy, in the hemodialysis modality, undergoing treatment at dialysis clinics located in the city of João Pessoa, PB, were evaluated.
  • ROMULO DE BRITO GUIMARÃES
  • ACCEPTABILITY, ADHESION AND COMPLIANCE WITH MEDICAL-SCIENTIFIC GUIDELINES ON COVID-19 IN A BASIC HEALTH UNIT IN THE MUNICIPALITY OF BAYEUX-PB
  • Date: Jun 8, 2022
  • Time: 13:00
  • Show Summary
  • The new coronavirus pandemic has changed the way of coping with diseases, given its harmful effects on health and the lack of effective medicines and vaccines to eliminate the infection or fight its spread. Therefore, there was a need to implement prevention and control measures that could be practiced by all segments of the population, such as frequent hand washing, use of a face mask and physical distancing. However, adherence to these measures was severely hampered in Brazil due to the high flow of true and false information, as well as the lack of intergovernmental articulation. Despite this difficulty, the Unified Health System, through primary care, has been facing the pandemic crisis, acting in the line of protection, prevention and combating COVID-19. The objective of this study is to analyze the perception and practice of prevention and control measures against COVID-19 by families assisted by a basic health unit in the municipality of Bayeux - PB. This is an observational study with a quantitative approach, based on the collection of primary data with 85 families enrolled in the aforementioned health unit, through interviews based on a structured questionnaire. Based on the responses of each family, data were tabulated and statistical analyzes were performed using the Statistical Package for the Social Sciences (SPSS) software, version 26.0 for Windows. All the results presented were not statistically significant (p > 0.05). The dissertation presents as products an original scientific article and an illustrated booklet for elderly people in primary care regarding the prevention of COVID-19.
  • JULIANA DE ALMEIDA GOLZIO
  • Guidance and practices on prevention and control of Covid-19 by the general population and pregnant women in the territory of the USF Snacks in the municipality of Alhandra - PB
  • Date: May 13, 2022
  • Time: 14:00
  • Show Summary
  • The assessment of the knowledge and perceptions of populations must be carried out when there is an epidemic of an infectious disease with the power to spread as potently as COVID-19 so that the results are consistent products for the public health response. In this context, the COVID-19 pandemic and the unprecedented lockdowns that followed have had a special impact on everyone's relationships and family life. Therefore, understanding how people perceive the risk of the pandemic and its impact on the adoption of protective behaviors guides public health policymakers in taking the necessary measures to limit the magnitude of spread of the disease. This document is the result of the master's thesis, which resulted in three products: two original articles resulting from an observational study with a quantitative approach, entitled: "Behaviours and prevention practices of the general population against COVID-19 in the territory of USF Salgadinho in the municipality of Alhandra - PB" and "Behaviours and practices of prevention against COVID-19 among pregnant women in the territory of the USF Salgadinho, Alhandra - PB" and are part of the multicenter study proposed by the Research and Training Network of the Postgraduate Program in Family Health (PROFSAÚDE) in partnership with the Osvaldo Cruz Foundation (FIOCRUZ), nationwide entitled “Prevention and control of COVID-19: a multicenter study on the perception and daily practices of medical-scientific guidelines by the population of the territories covered of Primary Health Care” and an experience report of an intervention entitled: “Managing, smiling and caring - photographic record ico as a strengthening tool for self-esteem, reception and adherence to prenatal care during the COVID-19 pandemic: an experience report”. The main results of the studies are related to trust and perception about measures to control the contamination of the virus and communication in the pandemic. In addition, it was observed that there was a discontinuity of prenatal consultations for pregnant women and that it is necessary to implement a strategy for greater adherence to this follow-up. It is expected that the answers obtained through the study will identify strengths and weaknesses in the population orientation process.
  • ELBA RAISSA SERAFIM VASCONCELOS BARROS
  • PERCEPTION ABOUT COVID-19 PREVENTION AND CONTROL IN GENERAL POPULATION AND PREGNANT WOMEN IN THE MUNICIPALITY OF AROEIRAS, PB, BRAZIL
  • Date: Apr 29, 2022
  • Time: 10:00
  • Show Summary
  • The pandemic caused by the new coronavirus 2019 (COVID-19) has been causing unprecedented impact on the routine of individuals. New arrangements in the form of leisure, work, study and health care had to be structured, without ignoring precautionary measures against the virus. However, information about the shares of prevention and control of COVID-19 at the beginning of the pandemic caused a lot of discussion and confusion in the population for evidencing the lack of knowledge of science about the disease and its forms of propagation and transmission, as well as the difficulties faced by governments in health management during this critical moment. This research aimed to understand how the population from the territory of a basic health unit in the municipality of Aroeiras (PB) realized information on the prevention and control of COVID-19, what measures to prevention measures were adopted, as well as describing the health conditions of the pregnant women and fetuses in the population studied. In this way, a study was carried out transversal, descriptive of quantitative approach, applying a questionnaire online through the Google Forms platform to users registered at UBS de Aroeiras. Two products resulted from this dissertation: an original article resulting from the mentioned study with the general population and an original article carried out with the pregnant women in the territory. The two works come from a cut of a study multicenter conducted by researchers from FIOCRUZ. The study results with the general population showed the following findings: TV and/or internet newspapers were the most prevalent information sources. Only 7% said they trust the networks and 6% on government officials as a source of information. The most preventive measure used was the face mask. The perception of the severity of the disease was reported by 58% of the participants. As for people who worked in some service essential, 93% were in high school or higher. Were they in elementary school or least 71% of people who had someone in the house who went out to work during the pandemic. The use of alcohol gel was reported as the most important measure to prevent in the opinion of 90% of high school or higher education participants. You results of the study with pregnant women showed the following findings: Adoption to preventive measures was prevalent in the pregnant women studied. only two of fifteen participating pregnant women were affected by covid during pregnancy, both had mild symptoms, however one had premature delivery and died fetal. Only 27% of pregnant women received the covid-19 vaccine during prenatal care.
2021
Description
  • HELOISA MOREIRA ESTRELA DINIZ RAMOS
  • CREATION OF A DIGITAL PLATFORM FOR VOLUNTEER MEDICAL CALL SERVICE IN THE MIDDLE OF THE PANDEMIC BY COVID-19
  • Date: Nov 17, 2021
  • Time: 10:00
  • Show Summary
  • According to the Ministry of Health in 2020, COVID-19 is a disease whose cause is the SARS-CoV-2 virus, and which can promote a condition that evolves both without symptoms, and can also evolve with severe respiratory conditions . According to the World Health Organization (WHO), the percentage of people affected by the virus and evolution without symptoms is the vast majority, a small percentage of cases may need hospital care due to respiratory difficulties, few may require ventilatory support for the treatment of respiratory failure. In a world scenario facing a pandemic as never seen before in humanity, linked to a need for social isolation imposed by the federal, state and municipal governments, as well as the technological advance in which most people have a device or device for communication through the internet, the Corona Central Platform was designed and implemented. The aim of the study was to analyze the process of developing a telemedical service platform aimed at assisting users with suspected signs and symptoms of COVID19. The present study is characterized as applied, qualitative, action-research or interventional research, as it delivers a technological product that fits into the intervention product category that played an important role in containing the coronavirus pandemic. The benefits for society are expansion of Primary Care, the provision of health services in remote areas, prevention, diagnosis and treatment of diseases and others. To validate the platform, further studies are needed with population samples that can legitimize the system, using reference scales and increasing knowledge on the subject in the scientific area.
  • POLYANA CARLA DA SILVA COSTA CABRAL
  • PREVENTION MEASURES FOR HEALTH PROFESSIONALS IN THE PRIMARY CARE OF CAMPINA GRANDE-PARÁÍBA IN THE FAMILY LIFE DURING THE COVID-19 PANDEMIC
  • Advisor : RILVA LOPES DE SOUSA MUNOZ
  • Date: Sep 28, 2021
  • Time: 15:00
  • Show Summary
  • During the disease pandemic by the new coronavirus 2019 (COVID-19), healthcare professionals are dealing with an infection that they do not fully understand. Without any pharmaceutical intervention and vaccination during 2020, the only way to fight COVID-19 was to delay the spread of the disease through non-pharmacological measures (MNF). Isolation of patients, quarantine, social distancing, changes in health care delivery and mass screening were the priority MNFs for dealing with the pandemic. COVID-19 has placed health professionals at particular risk. In Primary Health Care (PHC) services, the uncertain scenario also affected professionals in a crucial way. In this context, the COVID-19 pandemic and the unprecedented blockages that followed had a special impact on relationships and family life. It is believed that many households witnessed significant changes in habits and relationships in family dynamics, and that those were more intense for health professionals, due to the greater risk of contamination and the fear of falling ill and contaminating their family members.
  • MARIA ALBANETE SANTOS DE LIMA
  • ANALYSIS OF THE FAMILY APPROACH FROM THE PERSPECTIVE OF IMPLEMENTING THE PRACTICE IN THE SCENARIO OF THE RESIDENCE OF FAMILY AND COMMUNITY MEDICINE IN THE MUNICIPALITY OF JOÃO PESSOA-PB
  • Advisor : ANDRE LUIS BONIFACIO DE CARVALHO
  • Date: Sep 27, 2021
  • Time: 14:00
  • Show Summary
  • The central theme of this Master's dissertation is a study of how the family approach is carried out in the Family and Community Medicine Residency in the Municipality of João Pessoa. The general objective of the dissertation is an analysis of how the family approach is inserted in the residence from the perspective of implementing this practice with the development of an educational product for residents. The study model for the original article was an exploratory research with a qualitative approach. The sample consisted of residents of the second year of specialization belonging to 4 educational institutions that offer the Family and Community Medicine Residency, with data collected through direct interviews with the completion of a semi-structured form. The content of the booklet was developed based on a literature review, analysis of the results of the field study and discussion with family therapist physicians. The results of the field research were presented in the original article under the title “Analysis of the family approach in the perspective of implementing the practice in the setting of the Family and Community Medicine residency in the city of João Pessoa-PB”. The presentation of the educational product to the residents was the primer on the family approach under the title “Family Approach”. In the field study, 08 residents aged between 26 and 43 years old, graduated between 2012 and 2019, were interviewed. It was observed that residents understand the importance of the family approach for comprehensive health care for users. In their entirety, they agree that it is a fundamental competence for the formation of family doctors, however, 75% of them consider their knowledge and skills to approach families as low or average. After analyzing the interviews, it was concluded that there is little use of family approach tools by residents for numerous reasons, related to the teaching and learning process and the organization of work processes of teams in family health units. From these results found in the field research, an educational booklet for residents was elaborated, dealing with the importance of the family approach, applicability, tools and strategies for its use in the field of practice. Therefore, the objectives of this Dissertation were achieved
  • RACHEL DE ALCÂNTARA OLIVEIRA RAMALHO
  • KNOWLEDGE OF PUERPERAS ABOUT PHARMACOLOGICAL ANALGESIA OF NORMAL DELIVERY IN A PUBLIC MATERNITY IN THE INTERIOR OF RIO GRANDE DO NORTE, BRAZIL
  • Date: Jul 27, 2021
  • Time: 10:00
  • Show Summary
  • The central theme of this Master's Thesis is the knowledge of parturient women in relation to pain relief during labor, as well as the association between the information they have and their shared decision regarding the type of delivery in the maternity hospital of the Ana Bezerra University Hospital (HUAB), from the Federal University of Rio Grande do Norte (UFRN). The general objective of the dissertation was to evaluate the knowledge of parturients about pharmacological analgesia for vaginal delivery and to develop an educational product for pregnant women about pain relief during childbirth. The study model for the original article was descriptive and cross-sectional, with a quantitative approach. The sample consisted of postpartum women attended at the HUAB maternity hospital, with data collected through direct interviews, filling out a structured questionnaire, as well as reviewing medical records. The content of the booklet was developed from a review of the literature, the results of the field study and discussions with anesthesiologists. The results of the field research were presented in the original article under the title “Knowledge of Postpartum Women on analgesia of Normal Childbirth in Public Maternity Hospitals in the Interior of Rio Grande do Norte, Brazil”. The presentation of an educational product for pregnant women was a booklet on analgesia for pain in vaginal birth under the title "Analgesia of Childbirth: Let's Know?", aimed at the target audience of pregnant women, especially users of the HUAB/UFRN maternity hospital, and consistent with the line of research on Education and Health of the Professional Master's Degree in Family Health, PROFSAUDE. In the field study, 99 postpartum women were interviewed, whose profile consisted of young people with an average level of education, mixed race, in a consensual union, low income, without a paid occupation, non-primiparous and with prenatal care. It was observed that 78.8% had normal births and there was a statistically significant relationship between this type of birth and higher education level, income higher than the minimum wage and paid work. It was found that only 22.2% knew about the availability of analgesia for vaginal delivery. The pregnant woman's decision about the type of delivery was also associated with the occurrence of vaginal delivery, but there was no association between knowledge of the existence of analgesia during labor in the maternity ward with the mother's decision or with the performance of vaginal delivery. Based on the study results, it was concluded that the frequency of knowledge about the availability of analgesia for childbirth was low, compatible with results from other developing countries.
  • SHEILA LUCIA SERPA LEAL
  • QUALITY OF COMPLETING THE CHILDREN'S HEALTH BOOKLET
  • Date: May 11, 2021
  • Time: 09:00
  • Show Summary
  • The monitoring of the child's growth has its longitudinality of care in Primary Health Care according to the childcare calendar provided by the Ministry of Health. Throughout the Brazilian territory, we have the Caderneta de Saúde da Criança (CSC), a child health booklet, for recording growth trends and its correct use is a valuable action for observing children in vulnerable situations. This dissertation aims to discuss the monitoring of the growth of children in Brazil and in João Pessoa, Paraíba, based on the observation of the use of CSC by Primary Health Care´s professionals. Thus, there was: i) a Systematic Literature Review on filling the growth curves of CSC in Brazil and ii) a cross-sectional analytical observational study on the use of the instrument in the city of João Pessoa and possible correlations with nutritional deviations. Fifteen articles were included and studied in the Literature Review, all showing unsatisfactory booklet´s filling, thus revealing the weakness in the use of this instrument. The observational analysis carried out locally also corroborated the need for investment in training and awareness of health professionals and the population on the importance of the proper use of CSC, considering that only for the weight-for-age curve of the second year of life, a percentage of adequate filling greater than 50% was found. Without intending to end the discussion, the present study hopes to collaborate to recognize the indispensability of CSC for comprehensive care and health promotion for Brazilian children.
  • LINDALVA COELHO DE CARVALHO
  • Critical Analysis of Cesarean Section Rates in a Tertiary Care Service
  • Date: Feb 26, 2021
  • Time: 16:00
  • Show Summary
  • Cesarean delivery (CD) has been growing rapidly, however, there is no scientific evidence that this increase has contributed to better outcomes. The World Health Organization (WHO) recommends the Cesarean Section Rate (CSR) should vary from 10 to 15%. In 2014, there was an incentive to use the Robson Classification (RC) to guide CSR assessments in countries. Many factors influence decision making during peripartum care on the route of birth. The contemporary discussion revolves around showing characteristics linked to the indication of surgical delivery and the causes related to the excessive choice of CD. The CD can save lives for both women and newborns. In this sense, this dissertation discusses CSR, in the national and local context, as well as the use of the RC for the stratification of women who are submitted to obstetric care in maternal and child care units. It produced: i) a Systematic Literature Review on CSR and the implementation of RC in Brazil; ii) observational analytical cross-sectional study on CSR and women's stratification by RC in a university maternity hospital; iii) an Epidemiological Report of the CSR of the studied hospital service. Without the intention of ending the discussion, it is imperative to question the care models, in order to build more dynamic, participatory and multidisciplinary panoramas. Using the Robson Classification continuously proved to be a good intervention in the sense of monitoring the actions of maternal and child care units. Through this analysis, it is possible to act more quickly, building intervention policies and new clinical protocols to offer an increasingly better assistance to pregnant women. Despite collaborating in the evaluation of services, it was perceived as a limitation of the applicability of RC the number of groups and the absence of characters, within the classification, that differentiate the most clinically prevalent groups of comorbidities and, therefore, are more likely to the CD
2020
Description
  • PABLO RODRIGUES COSTA ALVES
  • Management of kidney diseases in primary health care: reviewing roles and proposing practical roadmaps
  • Date: Nov 5, 2020
  • Time: 17:00
  • Show Summary
  • The chronic kidney disease patient (CKD) has several clinical, social, and psychological challenges, in addition to the kidney disease itself. When commencing treatment with a nephrologist, the patient usually focuses her/his concerns on the specialist in nephrology, limiting her/his care plan to renal dysfunction and its complications, renal replacement therapy (when on dialysis), and related clinical problems such as cardiovascular disease. This practice deviates from the Ministry of Health's proposal to centralize the health needs of individuals in Primary Health Care, whereby the primary care physician (PCP) would be the care coordinator. Contrary to the recommendation of the ministry, several authors suggest that the nephrologist has assumed the role of primary care provider/coordinator, while the PCP has a secondary role or none at all in assisting this group of patients. Several authors point out that the low participation of the PCP in the care of these patients is due to multiple factors, above all due to the fact that nephrologists, PCPs, and patients have doubts about the PCP's skills in managing primary health problems and in coordinating the care of this complex group of patients. The scarcity of resources related to nephrology and CKD, oriented towards the PCP and Primary Health Care (PHC), in the portals of the Ministry of Health and the Department of Primary Health Care, can contribute to the insecurity of the PCP when approaching patients with CKD. In this vein, this paper presents the book titled "How to manage kidney diseases in primary health care" with the proposal of contributing to the continued education of doctors working in PHC. In addition, other products are also introduced: longitudinal follow-up cards of patients with CKD, educational materials for patients with CKD, and an integrative review titled “Coordination of primary care for patients with chronic kidney disease on dialysis: reevaluating roles ”.
2019
Description
  • JANDIRA ARLETE CUNEGUNDES DE FREITAS
  • PERCEPÇÃO DE PROFISSIONAIS DA ESF SOBRE A INSERÇÃO DA RESIDÊNCIA DE MEDICINA DE FAMÍLIA E COMUNIDADE NAS SUAS EQUIPES
  • Date: May 31, 2019
  • Time: 09:00
  • Show Summary
  • O tema central deste estudo e a insercao da residencia de Medicina de Familia e Comunidade em Unidades Basicas de Saude, analisada na perspectiva de profissionais de equipes da Estrategia Saude da Familia. Os objetivos sao descrever e analisar, esta insercao em seu cenario de pratica, a partir da visao dos trabalhadores destas equipes, assim como a contribuicao desta equipe interprofissional sobre a formacao dos residentes. O modelo da pesquisa foi descritivo, com abordagem qualitativa. Os participantes foram 27 profissionais que fazem parte de cinco equipes inseridas em quatro Unidades Basicas de Saude da cidade de Mossoro-RN (tres enfermeiros, uma tecnica de enfermagem, 21 agentes comunitarios de saude, um tecnico de saude bucal e um auxiliar de consultorio dentario. As entrevistas foram realizadas atraves da tecnica do grupo focal, com gravacao em audio, transcricao posterior e realizacao de analise de conteudo proposta por Bardin. Atraves da analise tematica, emergiram as seguintes categorias: residencia e a sua presenca na equipe, residencia e o processo de trabalho, residencia e a comunidade e residencia e a gestao. A pesquisa permitiu uma analise de diversos aspectos relacionados a insercao e atuacao da residencia nas unidades referidas, ressaltando potencialidades e fragilidades neste processo.
  • RANULFO CARDOSO JUNIOR
  • AVALIAÇÃO DA SUPERVISÃO ACADÊMICA NO PROGRAMA MAIS MÉDICOS NA PARAÍBA
  • Date: May 29, 2019
  • Time: 13:00
  • Show Summary
  • A supervisao academica dos medicos vinculados ao Programa Mais Medicos (PMM) para o Brasil e considerada uma estrategia estruturadora do Programa. Entretanto, tem-se pouco conhecimento sobre a supervisao academica na perspectiva dos medicos supervisionados, tampouco se essa difere entre medicos brasileiros e estrangeiros e em que medida a area de atuacao desses profissionais [urbana, rural ou urbana/rural (mista)] influenciou o conceito da referida supervisao Nesse sentido, esta pesquisa teve como objetivo avaliar a referida supervisao na percepcao desses medicos, especificamente, na Paraiba (PMM-PB). Para sua realizacao, utilizou-se metodologia qualitativa documental, a partir do Banco de Dados do inquerito conduzido sobre o PMM-PB, o qual contem informacoes obtidas por questionario semiestruturado sobre a visao deles, no periodo 2015 a 2016. Desse inquerito, foi selecionado um subconjunto de 36 questoes fechadas, dentre as 121 documentadas. Foram pesquisados 251 medicos desse Programa, com faixa etaria entre 25 a 55 anos. As respostas fechadas foram analisadas pelo Chi quadrado e o Teste Exato de Fisher, sendo considerado nivel de significancia de 5% (p< 0,05). A formacao academica tem tempo similar entre os grupos, mas, na pos-graduacao (especializacao ou residencia) na area de saude da familia, os estrangeiros superaram os brasileiros, bem como na experiencia de trabalho na atencao primaria a saude. Com relacao a supervisao academica, independentemente da nacionalidade e da area de atuacao do profissional do PMM-PB, a supervisao academica recebeu conceitos “muito bom e otimo”, atribuidos pela maioria dos medicos do PMM-PB, destacando-se a relacao cordial, a facilidade de acesso ao supervisor, o suporte as decisoes clinicas bem como o seu envolvimento no Programa. Entretanto, foram consideradas insuficientes as acoes da supervisao para resolucao de problemas de gestao.
  • MARIA CELESTE DANTAS JOTHA
  • CLINICAL AND SOCIAL EFFECTS OF CHILDREN WITH CONGENITAL ZIKA VIRUS INFECTION FOLLOWED AT A JOÃO PESSOA REFERENCE CENTER
  • Date: May 29, 2019
  • Time: 11:00
  • Show Summary
  • In 2015, after an unexpected increase in the number of microcephalic newborns associated with a maternal history of exanthematous disease during pregnancy, a new member of the etiological agents responsible for congenital infections was discovered. The vertical: the Zika virus. Congenital infection by the ZZ virus (CVZ), in addition to microcephaly, leads to serious neurological and systemic compositions causing a severe delay in the development of these children. In the present study, we reviewed twenty-nine cases of children diagnosed with congenital infection by Zika virus and microcephaly accompanied at a referral center in the city of João Pessoa. This study aimed to describe the main clinical findings, neurological complications and systemic congenital malformations present in these children and to understand the impact that the pathology causes on the quality of life in the families. The analysis was made through physical and neurological examination of the children when they completed two years of life, review of medical records data and interview of the caregivers to fill out the form with a semi-structured questionnaire contemplating sociodemographic variables and scale application for the WHOQOL-Bref quality of life assessment. Fifty-one percent of the mothers reported the presence of symptoms suggestive of Zika's Fever in the first trimester of pregnancy. With regard to the neurological complications detected, epilepsy was the most relevant, affecting 79% of the cases. The most frequent behavioral alteration was irritability (n = 4). Fifty-one percent of the children presented language at the initial stage of guttural sounds (n = 15) and forty-one percent did not have complete cervical control (n = 12) when assessed at 24 months of life, configuring severe delay in the neurological development expected for the age. Ninety-three percent of the patients had some type of motor impairment. Among those affected, 100% presented motor pattern of spastic tetraparesis. Cardiac, renal and osseous malformations were the main ones found in the study (n = 9). Regarding social data and quality of family life, the results show that the mother plays the role of the main caregiver in ninety percent of the families, a fact that motivated 60% of caregivers to leave work and 25% to lock up their studies. There was a change in reproductive intentions in 55% of the families. Half of the families analyzed experienced some situation of prejudice. Depression and low back pain were the main symptoms cited by caregivers and attributed to the special needs of the child's care with Zika virus. In relation to family income, the main source of financial resources was informal work. Of the families analyzed, forty percent do not have the father figure inserted in their family nucleus. Regarding quality of life, the WHOQOL-Bref values mean values below 50% in all domains analyzed, demonstrating a negative perception of quality of life. Despite the small number of patients analyzed, the data obtained in this study suggests that CVZ generates a strong emotional, physical, economic and social impact in the nucleus of these families. The data of the present study aim to help the construction of the scientific knowledge about the natural evolution of the congenital infection by Zika virus with its clinical and social repercussions, contributing in the incorporation of new evidence to better describe the natural history of this disease.
  • LIGIANE MEDEIROS DIÓGENES
  • ESTILOS DE APRENDIZAGEM DE ESTUDANTES DE CURSOS DE GRADUAÇÃO EM MEDICINA DE MOSSORÓ - RN
  • Date: Apr 30, 2019
  • Time: 14:00
  • Show Summary
  • Os estilos de aprendizagem referem-se a maneira preferencial na qual cada individuo recebe e processa uma informacao transformando-a em conhecimento. Essa habilidade e passivel de ser desenvolvida e abrange aspectos cognitivos, afetivos, fisicos e ambientais. Ao aplicar esta questao ao ensino de medicina, a hipotese principal deste estudo foi de que o estilo de aprendizagem predominante nos estudantes de um curso de medicina que emprega metodologias ativas inovadoras difere do estilo de alunos de escolas com metodologias tradicionais. O objetivo deste estudo e analisar comparativamente o perfil de estilos de aprendizagem de estudantes do curso de medicina da Universidade Federal do Seminario (UFERSA) e do curso de medicina da Universidade Estadual do Rio Grande do Norte (UERN) nos campi de Mossoro-RN, assim como verificar associacoes entre esta variavel primaria com indices de rendimento escolar e variaveis sociodemograficas. Realizou-se estudo observacional e transversal de abordagem quantitativa, com autoadministracao do Inventario de Estilos de Aprendizagem de Kolb a 80 alunos da UERN e 60 da UFERSA cursando os dois primeiros anos da graduacao. O registro do Coeficiente de Rendimento Academico (CRA), a media do Exame Nacional do Ensino Medio (ENEM) e a renda familiar mensal (RFM) foram feitos atraves do autorrelato. A idade variou de 18 a 39 anos, com media e desvio-padrao de 23,2 (±4,4) anos, 54,3% do sexo feminino. O estilo de aprendizagem mais frequente foi o convergente (47,8%), seguido pelo assimilador (32,8%), o menos frequente foi divergente (5%). Nao houve diferencas na distribuicao dos tipos de estilo de aprendizagem entre os estudantes das duas escolas pesquisadas. Observou-se que o CRA, as notas do ENEM e a RFM nao divergiram entre os grupos de alunos classificados em relacao ao estilo de aprendizagem. As notas do Enem se associaram ao CRA (p=0,041) e a idade (p=0,001). Os achados do presente estudo nao corroboram, portanto, a hipotese de que haveria associacao entre rendimento academico expresso pelo CRA e nota do Enem e estilos de aprendizagem na amostra. As preferencias de estilo de aprendizagem sao discordantes de resultados de pesquisas recentes. Contudo, ha grande variabilidade na literatura que, nao obstante, confirma o achado de que todos os estilos estiveram presentes em diferentes proporcoes. As hipoteses deste estudo nao foram corroboradas pelos resultados, que revelaram que o estilo de aprendizagem nao diferiu entre os alunos das duas escolas publicas de medicina de Mossoro que usam diferentes metodologias de ensino, assim como pela ausencia de evidencias de associacoes entre estilos de aprendizagem e indices de rendimento escolar e variaveis sociodemograficas. Espera-se que os resultados possam contribuir para o reconhecimento dos estilos de aprendizagem no contexto da educacao medica fornecendo aos discentes, docentes e coordenadores informacoes que favorecam o aperfeicoamento do processo de ensino e aprendizagem nesse momento desafiador de implantacao de novas metodologias.
  • ALEXANDRE JOSE DE MELO NETO
  • FATORES ASSOCIADOS À INTENÇÃO DE PERMANECER TRABALHANDO NA ATENÇÃO PRIMÁRIA À SAÚDE ENTRE OS MÉDICOS BRASILEIROS DO PROGRAMA MAIS MÉDICOS NA PARAÍBA
  • Date: Apr 29, 2019
  • Time: 16:00
  • Show Summary
  • Como acontece em varios outros paises, no Brasil ha desigualdades regionais e sociais na distribuicao de profissionais medicos, fato que compromete a ampliacao da Estrategia Saude da Familia (ESF). O Programa Mais Medicos (PMM) tem como objetivo suprir esta carencia e tem conseguido sucesso neste processo, porem e incerto se, excluidas as caracteristicas do PMM, os medicos ainda permanecerao na APS. Este estudo identifica caracteristicas relacionadas ao PMM e ao trabalho dos medicos, que aumentam a sua intencao de permanecer trabalhando na APS apos o termino do programa. Metodologia: Trata-se de estudo observacional, transversal, quantitativo, descritivo e analitico, a partir de um banco de dados formado de um questionario online aplicado aos medicos pertencentes ao PMM, na Paraiba, entre dezembro de 2015 e setembro de 2016. Foi realizada analise descritiva, por meio de medias e desvios-padrao, frequencias absolutas e proporcoes. Para a identificacao das variaveis associadas a intencao de permanecer trabalhando na APS apos o programa, calculou-se a razao de prevalencia (RP), atraves do modelo de Poisson, construindo um modelo multivariado. Resultados: Os resultados sao apresentados em 2 artigos. O primeiro aponta, a partir da avaliacao dos medicos, unidades de saude com estrutura fisica, medicamentos e insumos que ainda podem ser melhorados; equipes de saude completas, com vinculos empregaticios frageis, desenvolvendo processos de trabalho dinamicos com planejamento e atividades em grupo; e fragilidade no eixo tecnico-pedagogico das equipes de apoio matricial. Apesar das dificuldades, observa-se a intencao de 83,5% dos medicos (brasileiros e estrangeiros) de permanecerem trabalhando na APS apos o PMM. O segundo artigo aponta que especificamente entre os brasileiros, 78,4% dos medicos tem a intencao de permanecer trabalhando na APS apos o PMM. Observa-se relacao direta entre esta intencao e o aumento da idade dos medicos e de seu tempo de formacao; ter se graduado em outro pais e ter tido boa experiencia com a supervisao do PMM; estar satisfeito com a gestao municipal; e ter interesse em ser preceptor e/ou fazer a Residencia de Medicina de Familia e Comunidade. Consideracoes Finais: O estudo oferece elementos importantes sob a perspectiva dos medicos para varios dos elementos do PMM. Estes dados indicam a importancia para os gestores em saude de qualificar a rede, de forma a reter a presenca de bons profissionais de saude e garantir uma APS de qualidade para a populacao. Os dados permitem ainda avaliar o PMM enquanto politica publica, contribuindo para a qualificacao das politicas de provimento de profissionais de saude para a APS e o SUS como um todo.
  • PHILIPE MENESES BENEVIDES
  • AVALIAÇÃO DA SATISFAÇÃO DOS MÉDICOS DO PROGRAMA MAIS MÉDICOS
  • Date: Apr 29, 2019
  • Time: 14:00
  • Show Summary
  • A escassez de medicos e sua ma distribuicao no Brasil fazem parte do conjunto de desafios para a qualificacao do Sistema Unico de Saude. O Programa Mais Medicos foi instituido buscando-se garantir o efetivo provimento de medicos para as areas prioritarias e reducao das desigualdades regionais. Para garantir a atracao e a fixacao de medicos na Atencao Basica em longo prazo, faz-se necessario estudar a satisfacao destes com o Programa Mais Medicos, a fim de oferecer subsidios para a tomada de decisao dos gestores para acoes futuras com esses fins. Assim, o presente estudo tem como objetivo identificar quais fatores de satisfacao sao mais bem avaliados e quais influenciam na satisfacao geral do medico com PMM no estado da Paraiba. Para tanto, realizou-se uma pesquisa quantitativa a partir de dados secundarios oriundos de um instrumento de avaliacao de satisfacao do medico inserido no Programa Mais Medicos no estado da Paraiba. Este instrumento gerou banco de dados com dados de 249 respondentes, cujos resultados deram origem a analises divididas em dois artigos. No primeiro artigo, a partir de uma analise descritiva e exploratoria do banco, destaca-se que a avaliacao do trabalho dos medicos nos programas demonstra bom nivel de satisfacao, com alta indicacao de permanencia no programa e no trabalho na Atencao Basica. No segundo artigo, a partir da modelagem de equacoes estruturais, e proposto um modelo explicativo da satisfacao do medico do PMM, a partir do qual se observa 49 variaveis indicadoras agrupadas em 6 dimensoes: medicamentos, estrutura, aspectos do Programa Mais Medicos, apoio, impressos e equipamentos. O presente estudo verificou, assim, quais itens mais bem avaliados e estrutura fatorial de um questionario estrategico para outros pesquisadores estudarem a satisfacao do medico que atua em sistemas de saude. Possibilita tambem a gestores buscarem formas de diminuir a rotatividades de profissionais de saude, conseguindo menores custos e oferta de melhor cuidado a saude de uma populacao.
  • ANA FLAVIA SILVA AMORIM ARRUDA
  • AVALIAÇÃO DAS REDES DE SAÚDE ATRAVÉS DA VISÃO DOS MÉDICOS DO PROGRAMA MAIS MÉDICOS DO BRASIL NA PARAÍBA
  • Date: Apr 25, 2019
  • Time: 11:00
  • Show Summary
  • Redes de Atencao a Saude sao arranjos organizativos de acoes e servicos de saude, de diferentes densidades tecnologicas, que integradas por meio de sistemas de apoio tecnico, logisticos e de gestao, buscam garantir a integralidade do cuidado (BRASIL, 2010). O trabalho de saude no formato de Redes e internacionalmente reconhecido como um modelo eficaz quando se pensa em promover saude integralmente e tambem quando se faz necessario equalizar a distribuicao dos servicos em grande area populacional ou territorial com responsabilidade sanitaria e economica. Desenvolver o principio da integralidade foi e continua a ser um grande desafio enfrentado pelo Estado; desafio este, entre outros aspectos, muito relacionado a dificuldade de acesso aos servicos ofertados e a necessidade de coordenacao do cuidado, que implica em permanente comunicacao entre os servicos; para o qual necessitamos de uma atencao primaria funcionante e robusta. O presente trabalho buscou, atraves da visao dos profissionais do Programa mais medicos do Brasil no estado da Paraiba, desenhar o acesso as redes de atencao a saude no estado da Paraiba. Foi possivel tambem desenvolver o perfil socio demografico dos profissionais atuantes no programa assim como caracterizar atraves da impressao destes profissionais, tanto o acesso as redes por macrorregiao de saude quanto a existencia de hierarquizacao do trabalho em saude
  • EDENILSON CAVALCANTE SANTOS
  • AVALIAÇÃO DO ATRIBUTO ACESSO DOS USUÁRIOS HIPERTENSOS A UMA UNIDADE BÁSICA DE SAÚDE
  • Date: Feb 15, 2019
  • Time: 14:00
  • Show Summary
  • A Atencao Primaria a Saude (APS) se apresenta como uma estrategia de reorganizacao do modelo de atencao a saude. O advento da Estrategia Saude da Familia (ESF) aprofundou a responsabilidade sanitaria de equipes de Saude da Familia cujo trabalho se fundamenta em ser referencia de cuidados para a populacao adscrita. A qualidade dos servicos de saude deve ser medida com instrumentos validos e fidedignos. A necessidade do cuidado as pessoas portadoras de Hipertensao Arterial Sistemica (HAS) tem impulsionado a formulacao e implementacao de politicas publicas de saude para o enfrentamento dessas doencas. A presente pesquisa objetivou avaliar o atributo essencial acesso da APS atraves da aplicacao do instrumento PCATool-Brasil versao Adulto aos usuarios hipertensos acompanhados por equipe de Saude da Familia em uma Unidade Basica de Saude do municipio de Campina Grande-PB. Trata-se de um estudo de abordagem quantitativa, de natureza observacional, descritiva do tipo transversal. Foram utilizados os itens A, B e C do instrumento para entrevistar 66 pessoas. Os dados coletados foram analisados indutivamente atraves da analise de conteudo produzido a partir da aplicacao do instrumento, verificando e testando as associacoes entre variaveis e se adotou o nivel de significancia de 5% (p<0,05). A analise dos dados foi feita inicialmente com o calculo dos escores obtidos. Esta pesquisa mostrou que os hipertensos atendidos na UBS estudada avaliaram como satisfatorios o Grau de Afiliacao e a Utilizacao do servico de saude, e como insatisfatorio a Acessibilidade. O Escore Essencial do atributo Acesso de Primeiro Contato alcancou uma pontuacao considerada adequada. Os resultados encontrados neste estudo foram concordantes aos observados na literatura consultada. Constatou-se que a acessibilidade apresenta fragilidades em diversos servicos de saude, inclusive no local deste estudo. Conclui-se que o acesso dos hipertensos na UBS analisada encontra-se adequado segundo os parametros do PCA Tool. Entretanto, e valido salientar que avalicoes deste tipo devem fazer parte da rotina dos servicos de saude para que as debilidades sejam identificadas com a finalidade de que a APS exerca de forma plena os seus atributos.
2018
Description
  • PAULA FALCÃO CARVALHO PORTO DE FREITAS
  • EDUCAÇÃO PERMANENTE OU INTERMITENTE?
  • Date: Dec 20, 2018
  • Time: 09:00
  • Show Summary
  • O trabalho em questao teve como objetivo analisar a implementacao da Politica Nacional de Educacao Permanente em Saude (PNEPS) na Atencao Primaria a Saude (APS) na cidade de Campina Grande, na Paraiba (PB). Para tanto, o estudo foi desenvolvido utilizando-se duas estrategias. A primeira foi realizada por meio de uma revisao na literatura atraves de pesquisas nas bases de dados SciELO, utilizando os seguintes Descritores em Ciencias da Saude (DeCS): Educacao permanente; Atencao Primaria a Saude; Telessaude. Para selecao dos artigos foram estabelecidos os seguintes criterios: artigos em portugues, ingles ou espanhol, com restricao a producao nacional, com titulo relacionado a PNEPS na APS, a partir de 2010 porque, no Brasil, a PNEPS foi iniciada em 2004 e revisada em 2009. A segunda estrategia de analise da politica se deu por meio da avaliacao de sua implementacao em Campina Grande/PB atraves de um questionario aplicado aos medicos da Estrategia de Saude da Familia (ESF). Como resultados obtidos, foram redigidos dois artigos que foram submetidos a Revista Pan-Americana de Saude da Organizacao Pan-Americana de Saude (OPAS). O primeiro seguiu as regras de um artigo de opiniao que concluiu que a PNEPS implementada seria capaz de produzir dialogo e cooperacao entre os profissionais, entre os servicos e entre a gestao, atencao, formacao e controle social, para que essas areas se potencializassem e ampliassem a capacidade de todos para enfrentar e resolver problemas com qualidade. Tambem contribuiria para a analise da equipe a respeito de suas proprias relacoes e de seu processo de trabalho, que e atravessado por instituicoes diversas. O segundo artigo mostrou que apenas 31% dos medicos de Campina Grande que trabalham na Estrategia de Saude da Familia (ESF) conheciam a PNEPS, e apenas um tinha lido realmente a portaria em questao, apesar de apresentar dificuldades para sua utilizacao como todos os outros. Semelhante ao cenario nacional, nao ha apoio da gestao local, o que pode corresponder a questoes micropoliticas, alem de questoes relacionadas a formacao destes profissionais que nao sao expostos ao cotidiano da APS de modo satisfatorio durante a graduacao, o que prejudica a pratica de uma atitude critico-reflexiva necessaria ao agir em saude.
  • MELINA PEREIRA FERNANDES
  • ESTUDO DO TEMPO ENTRE O DIAGNÓSTICO E O INÍCIO DO TRATAMENTO DE CRIANÇAS COM CÂNCER EM UM CENTRO DE REFERÊNCIA DA PARAÍBA
  • Date: Dec 14, 2018
  • Time: 08:00
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  • Essa dissertacao trata-se de um estudo transversal retrospectivo, descritivo, com abordagem quantitativa, atraves da analise de prontuarios e banco de dados do Hospital Napoleao Laureano, referencia no tratamento de cancer na Paraiba. A populacao constitui-se de todos os casos de criancas de 0 a 18 anos, com diagnostico de cancer. O presente estudo pretende avaliar o tempo entre o diagnostico e o inicio do tratamento das criancas com cancer no Estado na Paraiba, no periodo de junho/2013 a junho/2017, bem como o cumprimento da Lei n° 12.732 para os pacientes pediatricos oncologicos. Quanto ao tempo de intervalo entre o diagnostico e o inicio do tratamento, optamos por separar os pacientes em 2 grupos: tumores hematologicos (Leucemias e Linfomas) e tumores solidos (os demais), que correspondem a 104 e 112 criancas, respectivamente. As criancas com tumores hematologicos apresentaram uma media de 6,1 dias (±9,5), mediana de 2 dias (Percentis 0 – 07) com valor minimo de 0 dias e maximo de 37 dias. As criancas com tumores solidos apresentaram uma media de 18,6 dias (±16,6) entre o diagnostico e o inicio do tratamento, mediana de 14 dias (Percentis 07 – 26) com valor minimo de 0 dias e maximo de 77 dias. Observamos em nosso estudo que 98% das criancas iniciaram seu tratamento antes de 60 dias. Com base nesses resultados e das caracteristicas peculiares do cancer infantojuvenil, sugere-se reduzir o tempo maximo do inicio do tratamento preconizado pela Lei 12.732 para este grupo de pacientes.