Eliabe Rodrigues de Medeiros

Educação em saúde para a hanseníase: experiência da enfermagem

Leprosy is an infectious disease with late diagnosis and evolves into skin lesions reducing thermal, painful and tactile sensitivity in this regard the Ministry of Health, portrays the importance of educational activities in the health sector as a strategic point for your control. It has been as objective report the experience of undergraduate course students and nursing graduate in the development of health education activities about leprosy. Method: A descriptive study of type experience report on health education in leprosy, developed by graduate and undergraduate students in nursing in a scientific event. Data were organized in the following categories: general concept of leprosy and its historical aspect; Signals and symptons; Diagnosis and treatment; Interactive dynamics. It is noticeable interaction of nursing students in the continuing development of health education, combining scientific knowledge with the empirical knowledge, thus contributing to the elimination of leprosy.

Estudos de avaliação das intervenções de saúde na escola: revisão integrativa de literatura

1 Doutorando, Departamento de Enfermagem, Universidade Federal do Rio Grande do Norte, Natal, RN, Brasil. Bolsista do Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brasil. 2 Especialista em Cardiologia e Hemodinâmica, Aluna do curso de Especialização em Saúde Pública: Enfermagem Oncológica, Escola da Assembleia Legislativa do Rio Grande do Norte, Natal, RN, Brasil. 3 Especialista em Enfermagem do Trabalho, Aluna do curso de Especialização em Docência no Ensino Superior, Escola de Saúde, Universidade Potiguar, Natal, RN, Brasil. 4 Especialista em Enfermagem em Urgência, Emergência e Trauma, Aluna do curso de Especialização em Saúde Pública, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brasil. 5 Mestranda, Departamento de Enfermagem, Universidade Federal do Rio Grande do Norte, Natal, RN, Brasil. 6 PhD, Professor Adjunto, Departamento de Enfermagem, Universidade Federal do Rio Grande do Norte, Natal, RN, Brasil. Estudos de avaliação das intervenções de saúde na escola: revisão integrativa de literaturaABSTRACT Objective: to identify and analyze the available evidence on the strategies used in the studies evaluating health interventions at school. Method: this is an integrative review searching in LILACS, CINAHL, CUIDEN, ScienceDirect, and PubMed. From the pre-defined inclusion and exclusion criteria, there were 121 articles chosen to compose the sample. Results: english studies (97.5%), with a quantitative approach (80.2%), related to the interventions carried out in the Region of the Americas (54.6%) and the European Region (23.1%) predominated. For the most part, they are interventions as programs (70.2%), interested in evaluating results (73.5%) from the value judgment (83.4%). Prevalence of interventions focused on efficacy, effects or impact, and activities carried out on interventions were focused on physical activity, healthy eating, sexual and reproductive health, mental health, and use of tobacco, alcohol, and other drugs. They are worked through activities of clinical monitoring, health promotion and disease prevention. Conclusion: the evidence indicates that the evaluations of health interventions in the school focus the results produced in programs through the judgment of value. The topics most addressed were healthy eating, physical activity, prevention of alcohol and other drugs, among others.

Experience and professional training in the School Health Program

OBJECTIVE To analyze the association between experience and professional training in the School Health Program. METHOD Descriptive, inferential, quantitative and normative study. The data were collected from May to July 2017 through a questionnaire based in the School Health Program, with the participation of professionals from the Family Health Strategy. RESULTS 105 professionals participated in the study. The average time working in the Family Health Strategy and in the School Health Program is 12.1 and 7.2 years, respectively. 94.3% of the professionals feel qualified to perform the activities of the School Health Program, although only 30.5% have participated in training. There is statistical association between experience and professional training. CONCLUSION The professionals who conduct activities in the School Health Program undergo few training processes, but feel qualified to carry out the activities proposed.

Coordination of health care with the community in the clinical management of tuberculosis

OBJECTIVE determine the coordination of Primary Health Care with community resources in the clinical management of tuberculosis. METHOD descriptive study, of quantitative approach, with participation of one hundred health professionals. Part of a questionnaire was used in evaluating local institutional capacity for the model of chronic conditions care, adapted for tuberculosis care. RESULTS the coordination between health units, individuals with tuberculosis, and community organizations; the partnerships between institutions and local health councils/committees showed limited capacity. On the other hand, the component for the participation of the Community Health Agent presented more favorable capacity. CONCLUSION the municipality has unfavorable capacity for coordination of health units and the community. It is reinforced the need to promote these coordinations in search of symptomatic cases in the communities, in the directly observed treatment, and in promoting the association between different social actors.

Clinical information systems for the management of tuberculosis in primary health care

ABSTRACT Objective: to analyze the clinical information systems used in the management of tuberculosis in Primary Health Care. Method: descriptive, quantitative cross-sectional study with 100 health professionals with data collected through a questionnaire to assess local institutional capacity for the model of attention to chronic conditions, as adapted for tuberculosis care. The analysis was performed through descriptive and inferential statistics. Results: Nurses and the Community Health Agents were classified as having fair capacity with a mean of 6.4 and 6.3, respectively. The city was classified as having fair capacity, with a mean of 6.0 and standard deviation of 1.5. Family Health Units had higher capacity than Basic Health Units and Mixed Units, although not statistically relevant. Clinical records and data on tuberculosis patients, items of the clinical information systems, had a higher classification than the other items, classified as having fair capacity, with a mean of 7.3 and standard deviation of 1.6, and the registry of TB patients had a mean of 6.6 and standard deviation of 2.0. Conclusion: clinical information systems are present in the city, mainly in clinical records and patient data, and they have the contribution of professionals linked with tuberculosis patients.Objetivo: analizar los sistemas de información clínica utilizados en el manejo de la tuberculosis em la Atención Primaria de Salud. Método: estudio transversal, descriptivo y cuantitativo, realizado con 100 profesionales de salud con datos recogidos a partir de un cuestionario para evaluar la capacidad institucional local para el modelo de atención a las condiciones crónicas, adaptado para la atención a la tuberculosis. El análisis fue realizado a través de la estadística descriptiva e inferencial. Resultados: los Enfermeros y los Agentes Comunitarios de Salud tuvieron una clasificación razonable con un promedio de 6,4 y 6,3, respectivamente. El municipio fue clasificado con capacidad razonable, con promedio 6,0 y desviación estándar de 1,5. Las Unidades de Salud de la Familia obtuvieron una capacidad superior a las Unidades Básicas de Salud y Unidades Mixtas, a pesar de no haber presentado relevancia estadística. Las historias clínicas y los datos sobre portadores de tuberculosis, ítems de los sistemas de información clínica, obtuvieron mayor clasificación, razonable, con un promedio de 7,3 y desviación estándar de 1,6 y registro de portadores de TB, con promedio de 6,6 y desviación estándar de 2,0. Conclusión: los sistemas de información clínica están presentes en el municipio, principalmente en las historias clínicas y los registros de los pacientes, y cuentan con la contribución de profesionales con vínculo con los portadores de tuberculosis.

Access and Accessibility to the Family Health Program in a Small Municipality

This study aimed to evaluate the population access/accessibility to the Family Health Program (FHP) in a small municipality. This is an impact assessment with quantitative and qualitative approach, developed from a case study in the Municipality of Taipu/RN, Brazil. Data were collected between July 2011 and January 2012 from 72 users of the FHP who responded to a structured questionnaire. Data were analyzed based on the theoretical framework of the program and through descriptive statistics and content analysis. Strict results point that the program coverage has been expanded but this has not been followed by improved access indicators or by the reduction of barriers to accessibility . There has been a substantial increase in available services, but barriers that prevent the user to access the service needs to be the main goal in order to meet health needs.

Vaccination Situation in the First Month of Life of Children of Childhood Education

Introduction: The Brazilian vaccination schedule is a strategy used in disease prevention by providing immunobiologicals to the population and the BCG and Hepatitis B vaccines are the first to be administered shortly after birth. Objective: Describe the vaccination status of BCG and Hepatitis B vaccines in the first month of life of children of childhood education. Methodology: Epidemiological, descriptive and retrospective study, with quantitative approach, conducted from data available in 1,434 copies of childrens immunization cards enrolled in childhood education in the municipality of Natal/RN, Brazil. Data were collected through checklist, categorized by Microsoft Office Excel 2013, exported to statistical software and presented in tables and graphs through simple descriptive statistics. Results: The BCG vaccine showed 98.5% of children with full immunization schedule, 1.2% unvaccinated and 0.8% had record failures. In the case of the hepatitis B vaccine, 98.9% had complete vaccination schedule, 0.6% for unvaccinated children and 0.4% had flaws that prevented their analysis. Final thoughts: The vaccination status of the children had complete immunization schedule rates higher than the target set by the National Immunization Program, but the presence of registry errors prevented the analysis of cards.

Repercussion of Segregation in the Lives of Children Separated by Leprosy

Introduction: Leprosy is a disease that carried the characteristic of incurable and disfiguring for years, causing the social segregation of patients before the family and society. Objective: To describe the repercussion of segregation in the lives of children separated by leprosy who lived in Oswaldo Cruz School. Method: This is an exploratory, descriptive study, with a qualitative approach and with the methodological framework Oral History of Life. Results: The sample consisted of 52 family members of former patients segregated in Hospital Sao Francisco of Assis Cologne Hospital, registered in the Reintegration Movement of People Affected by Leprosy in RN (MORHAN Potiguar). The network was structured from a zero point and consists of five collaborators. Data were collected through individual interviews, and through an instrument with open questions, which were recorded and transcribed. The texts were submitted to thematic content analysis, emerging four themes: broken ties; stigmatized; primary school; leprosy or Hansens disease. Conclusion: It was evidenced that isolation has influenced the lives of the study participants. The historical records lived in the past are still present in the collaborators memory and directly reflected in thinking about leprosy today.