Áurea Christina de Paula Corrêa

Acesso a serviços de saúde: olhar de usuários de uma unidade de saúde da família

O acesso aos servicos de saude e um direito de todo brasileiro, e guarda relacao com os principios do acolhimento e vinculo. Neste estudo de abordagem qualitativa, que tomou por referencia a Carta dos Direitos dos Usuarios da Saude, objetiva-se analisar a concepcao de usuarios de uma Unidade de Saude da Familia de Cuiaba, Mato Grosso, sobre acesso, acolhimento e vinculo. Realizou-se um estudo de caso, sendo os dados coletados atraves de entrevistas semi-estruturadas, analisados atraves da tecnica de analise tematica. Os resultados apresentam o acesso concebido de forma nem sempre positiva devido a demora no atendimento e baixa resolutividade, induzindo a busca por outros servicos. O desconhecimento de seus direitos como usuarios e a incipiente organizacao da rede de servicos explicam, em alguma medida, a percepcao do usuario, apontando para a necessidade de reorganizacao do servico e da propria rede, como porta de entrada do sistema. Normal 0 21 false false false PT-BR X-NONE X-NONE MicrosoftInternetExplorer4

Estrutura organizacional da atencao pos-parto na estrategia saude da familia

The study aims to describe features of the organizational structure of post-partum care in the Family Health Strategy, based on requirements present in the national health policy relating to the infrastructure, personnel, care actions and management. The study is quantitative, descriptive and cross-sectional, and was undertaken in 55 Family Health Strategy clinics in Cuiaba, Mato Grosso (MT), through interviews and descriptive statistical analysis. The majority of clinics meet the requirements of physical infrastructure and the offer of actions in the post-partum period. There are limitations in the offering of nursing consultations, group education, and oral contraception for use in the post-partum period. Material for the prevention of cervical cancer is not always available in the clinics; neither are doctors. The scheduling of post-partum consultations is not routine and data from the information system is not habitually used in planning this care. It is necessary to invest in improving the organizational structure for post-partum care to improve in quality. 1 Nurse. Masters student on the Post-Graduate Nursing Course at the Federal University of Mato Grosso (UFMT). CuiabaMT. Brazil E-mail: dani_carmo@hotmail.com 2 Nurse. PhD in Nursing. Lecturer on the Under-Graduate and Post-Graduate Nursing Courses at the UFMT. CuiabaMT, Brazil Email: enmandu@terra.com.br 3 Nurse. PhD in Nursing. Lecturer on the Under-Graduate and Post-Graduate Nursing Courses at the UFMT. CuiabaMT, Brazil Email: aureaufmt@gmail.com 4 Nurse. PhD in Health Sciences. Lecturer on the Under-Graduate and Post-Graduate Nursing Courses at the UFMT. CuiabaMT, Brazil Email: tominaka2003@hotmail.com 5 Nurse. Masters in Nursing. Substitute lecturer on the Under-Graduate Nursing Course at the UFMT. CuiabaMT, Brazil Email: renata_teixeirra22@hotmail.com RESEARCH PESQUISA INVESTIGACION Estrutura organizacional da atencao pos-parto na estrategia saude da familia Esc Anna Nery (print)2013 Jul-Sep; 17 (3):446 454 Daniela do Carmo Oliveira1, Edir Nei Teixeira Mandu2, Aurea Christina de Paula Correa3, Janete Tamami Tomiyoshi4, Renata Cristina Teixeira5 Estructura organizacional de la atencion posparto en la estrategia salud de la familia Structure of services; Postpartum period.

A produção científica da enfermagem e as políticas de proteção à adolescência

Este articulo ha sido elaborado con base en la disertacion realizaba para la obtencion del titulo del maestre en enfermeria donde realizamos una analisis de tesis de doctorado en enfermeria y tiene como objetivo presentar la abordaje de las politicas de proteccion a la adolescencia realizaba por los autores de tesis de doctorado en enfermeria mientras la decada de 90, visando contribuir para la reflexion de los profesionales de enfermeria acerca de la importancia de lo conocimiento de las politicas en su practica asistencial. Despues de realizado un examen en los catalogos del Centro de Estudios y Pesquisa en Enfermeria fueran identificadas 12 tesis que constituyeron nuestra muestra y que fueran sometido a la analisis tematica posibilitando la constatacion de que, de modo general, a pesar de muchos autores citaren la legislacion de asistencia y proteccion a la salud de los adolescentes, ellos no realizan reflexiones que puedan contribuir para la adecuacion de la asistencia a lo grupo por los profesionales de enfermeria.This article was elaborated from the dissertation of when we carry through an analysis of thesis of doctorate in nursing, and has as objective to present the boarding of the politics of protection to the adolescence carried through for the authors of these thesis, aiming to contribute for the reflection of nursing professionals on the importance of the knowledge of these policies in their care practice. After a bibliographical survey in the Center of Studies and Research in Nursing it was identified 12 thesis that had constituted our sample and through the thematic analysis we evidence that, in general way, although some authors cite the legislation of assistance and protection to the health of the adolescents they do not carry through reflections that contribute for adequacy of the assistance given to the group for nursing professionals.

A produção de dados para o Sistema de Informação do Pré-Natal em unidades básicas de saúde

The objective of this study was to analyze the process of data production for Information System Prenatal and Birth (SISPRENATAL) in Basic Health Units of Cuiaba, MT, Brazil. This qualitative, exploratory and descriptive study was developed in eight units of Basic Health Coordination, through semi-structured interviews with professionals who worked with SISPRENATAL (nurses, physicians, managers and data entry) and comparative document analysis between system data and the written patient records. Data analysis revealed a lack of definition of the team’s participation in the production of data and different modes of completing forms within the system. Professionals’ knowledge about many aspects of the formswas divergent, completion of the forms was inadequate, and flaws in the computerized system were identified. Measures such as professional training, the review of the system and its forms are indispensible for the production of reliable information about prenatal care in the municipality.

Production of data for the pre-natal information system in basic health units

The objective of this study was to analyze the process of data production for Information System Prenatal and Birth (SISPRENATAL) in Basic Health Units of Cuiaba, MT, Brazil. This qualitative, exploratory and descriptive study was developed in eight units of Basic Health Coordination, through semi-structured interviews with professionals who worked with SISPRENATAL (nurses, physicians, managers and data entry) and comparative document analysis between system data and the written patient records. Data analysis revealed a lack of definition of the team’s participation in the production of data and different modes of completing forms within the system. Professionals’ knowledge about many aspects of the formswas divergent, completion of the forms was inadequate, and flaws in the computerized system were identified. Measures such as professional training, the review of the system and its forms are indispensible for the production of reliable information about prenatal care in the municipality.

Cuidados humanizados: a inserção de enfermeiras obstétricas em um hospital de ensino

Objective: to evaluate the care provided at an Antepartum, Intrapartum, Postpartum (AIP) unit at a teaching hospital following the inclusion of obstetric nurses. Method: transversal study, performed at a AIP unit at a teaching hospital in the capital of the Brazilian state of Mato Grosso. The sample comprised data regarding the 701 childbirths that took place between 2014 and 2016. The data were organized using Excel and analyzed using version 7 of Epi Info software. Results: the results suggest that including obstetric nurses contributed towards qualifying the care provided during labor and childbirth, followed by a reduction in the number of interventions, such as episiotomy caesareans sections, and resulting in encouragement to employ practices that do not interfere in the physiology of the parturition process, which in turn generate good perinatal results. Conclusion: inserting these nurses collaborated towards humanizing obstetric and neonatal care.Objective: to evaluate the care provided at an Antepartum, Intrapartum, Postpartum (AIP) unit at a teaching hospital following the inclusion of obstetric nurses. Method: transversal study, performed at a AIP unit at a teaching hospital in the capital of the Brazilian state of Mato Grosso. The sample comprised data regarding the 701 childbirths that took place between 2014 and 2016. The data were organized using Excel and analyzed using version 7 of Epi Info software. Results: the results suggest that including obstetric nurses contributed towards qualifying the care provided during labor and childbirth, followed by a reduction in the number of interventions, such as episiotomy caesareans sections, and resulting in encouragement to employ practices that do not interfere in the physiology of the parturition process, which in turn generate good perinatal results. Conclusion: inserting these nurses collaborated towards humanizing obstetric and neonatal care.

Necessidades de saúde de mulheres em pós-parto

Objetivo: Distinguir las necesidades de asistencia a mujeres en el posparto y comprenderlas bajo el analisis sociocultural de genero. Metodos: Investigacion cualitativa realizada con trece mujeres en dos areas de la Estrategia Salud de la Familia de Cuiaba, Mato Grosso, en 2012, utilizando la tecnica de entrevista semiestructurada y analisis de contenido. Resultados: Las participantes priorizan las necesidades de promocion del bienestar y seguridad del nino, de compatibilizacion de las tareas domesticas y ritmos diarios. En segun plan, quedaron las necesidades afectivo-sociales, afectivo-conyugales, de alivio de sobrecargas en las tareas laborales, organicas, entre otras, pero ansian, aunque de manera conflictiva y contradictoria, la recuperacion de la autonomia/libertad que tenian antes de la maternidad para cuidar de si mismas. Conclusion: El apoyo de los servicios de salud es fundamental para las mujeres reconocieren la experiencia y comprendieren los aspectos socioculturales implicados en sus necesidades y maneras de cuidar de si mismas.Objective: To distinguish women health needs in the postpartum and understand them under the sociocultural look genre. Methods: Qualitative research in two areas of the Health Strategy Cuiabá family, Mato Grosso, in the year 2012, with thirteen women through semi-structured interviews and content analysis. Results: The participants prioritize the needs to promote wellbeing and security to the child and to reconcile assumed housekeeping and daily rhythms. Put in the background emotional-social, affective-marital needs, relieving burdens on business, organic, among others, but wish, albeit in conflicting and contradictory way, recovering autonomy/freedom which had before maternity to take care of itself. Conclusions: Need the support of health services to recognize the experience and understanding the sociocultural aspects involved in their needs and ways to care for themselves incorporated.Objective: To distinguish women health needs in the postpartum and understand them under the sociocultural look genre. Methods: Qualitative research in two areas of the Health Strategy Cuiabá family, Mato Grosso, in the year 2012, with thirteen women through semi-structured interviews and content analysis. Results: The participants prioritize the needs to promote wellbeing and security to the child and to reconcile assumed housekeeping and daily rhythms. Put in the background emotional-social, affective-marital needs, relieving burdens on business, organic, among others, but wish, albeit in conflicting and contradictory way, recovering autonomy/freedom which had before maternity to take care of itself. Conclusions: Need the support of health services to recognize the experience and understanding the sociocultural aspects involved in their needs and ways to care for themselves incorporated.

Implementação da Política Nacional de Saúde do Homem: o caso de uma capital Brasileira

Objective: To analyze the implementation process of the National Policy for Integral Attention of Mens Health (PNAISH) in Cuiaba using gender as reference, according to Ministry proposal. Methods: This is a qualitative study, conducted with semi-structured interview with Secretary Municipal Health management team members in the period of 2009 to 2013. The Annual Work Plans and Reports Management were analyzed in the same period. The policy analysis was used as methodological tool and implemented the thematic analysis technique. Results: The results showed actions proposal for sexuality and reproduction with a focus on early prostate cancer detection and interaction with private sector companies as strategies for its implementation. Conclusion: The study found that these actions, in general, did not foster the necessary change of vulnerable behaviors related to gender, not occurring effective implementation of PNAISH.Objetivo: Analisar o processo de implementacao da Politica Nacional de Atencao Integral a Saude do Homem (PNAISH) em Cuiaba, tomando por referencia genero, conforme proposta Ministerial. Metodos: Pesquisa de abordagem qualitativa, com realizacao de entrevista semiestruturada com os membros da equipe gestora da Secretaria Municipal de Saude do periodo de 2009 a 2013. Complementarmente foram analisados os Planos de Trabalho Anual e os Relatorios de Gestao do mesmo periodo. Foi utilizada a ferramenta metodologica analise de politica e implementada a tecnica de analise tematica. Resultados: Os resultados evidenciaram a proposicao de acoes voltadas para a sexualidade e reproducao com foco na deteccao precoce do câncer de prostata e a articulacao com empresas do setor privado como estrategias para sua implementacao. Conclusao: O estudo constatou que estas acoes, de maneira geral, nao favoreceram a necessaria mudanca de comportamentos vulneraveis relacionados ao genero, nao ocorrendo a efetiva implementacao da PNAISH.

Fatores associados aos indicadores de necessidades em saúde de homens adultos

ObjectiveTo identify associated factors as indicators of health needs of adult men.MethodsCross-sectional study, type of population-based household survey, conducted with 421 men aged between 20 and 59 years selected at random and systematic way. The research instrument was structured in a form based on the variables of study. For the analysis, we used multiple logistic regression models.ResultsUnemployed men, aged between 30 and 39 years and with lower levels of education reported a greater proportion of self-perceived health as fair/poor, being economic class, an important variable, adjusted for the multiple model. Retired men or on sick leave, aged between 40 and 49 years old and white, had higher frequency of morbidity.ConclusionThe age group and occupational status were associated with self-perceived health and morbidity, the latter being also associated with skin color.

Organizational structure of postpartum care in Family Health Strategy

The study aims to describe features of the organizational structure of post-partum care in the Family Health Strategy, based on requirements present in the national health policy relating to the infrastructure, personnel, care actions and management. The study is quantitative, descriptive and cross-sectional, and was undertaken in 55 Family Health Strategy clinics in Cuiaba, Mato Grosso (MT), through interviews and descriptive statistical analysis. The majority of clinics meet the requirements of physical infrastructure and the offer of actions in the post-partum period. There are limitations in the offering of nursing consultations, group education, and oral contraception for use in the post-partum period. Material for the prevention of cervical cancer is not always available in the clinics; neither are doctors. The scheduling of post-partum consultations is not routine and data from the information system is not habitually used in planning this care. It is necessary to invest in improving the organizational structure for post-partum care to improve in quality. 1 Nurse. Masters student on the Post-Graduate Nursing Course at the Federal University of Mato Grosso (UFMT). CuiabaMT. Brazil E-mail: dani_carmo@hotmail.com 2 Nurse. PhD in Nursing. Lecturer on the Under-Graduate and Post-Graduate Nursing Courses at the UFMT. CuiabaMT, Brazil Email: enmandu@terra.com.br 3 Nurse. PhD in Nursing. Lecturer on the Under-Graduate and Post-Graduate Nursing Courses at the UFMT. CuiabaMT, Brazil Email: aureaufmt@gmail.com 4 Nurse. PhD in Health Sciences. Lecturer on the Under-Graduate and Post-Graduate Nursing Courses at the UFMT. CuiabaMT, Brazil Email: tominaka2003@hotmail.com 5 Nurse. Masters in Nursing. Substitute lecturer on the Under-Graduate Nursing Course at the UFMT. CuiabaMT, Brazil Email: renata_teixeirra22@hotmail.com RESEARCH PESQUISA INVESTIGACION Estrutura organizacional da atencao pos-parto na estrategia saude da familia Esc Anna Nery (print)2013 Jul-Sep; 17 (3):446 454 Daniela do Carmo Oliveira1, Edir Nei Teixeira Mandu2, Aurea Christina de Paula Correa3, Janete Tamami Tomiyoshi4, Renata Cristina Teixeira5 Estructura organizacional de la atencion posparto en la estrategia salud de la familia Structure of services; Postpartum period.