Geraldo Eduardo Guedes de Brito

O PET-Saúde da Família e a formação de profissionais da saúde: a percepção de estudantes

Trata-se de estudo com abordagem qualitativa, cujo objetivo foi analisar a contribuicao do Programa de Educacao pelo Trabalho para a Saude (PET– Saude da Familia) para a formacao dos futuros profissionais de saude de uma universidade publica do Nordeste do Brasil. Foram utilizados dados secundarios do instrumento de avaliacao semestral do programa, respondido por 67 estudantes dos cursos de: Educacao Fisica, Enfermagem, Fisioterapia, Medicina, Nutricao e Odontologia. Os resultados foram sistematizados em duas categorias de analise: o trabalho interprofissional e a integracao ensino-servico. O estudo evidenciou: a importância do trabalho interprofissional e colaborativo, a integracao ensino-servico-comunidade, e a reflexao das praticas impulsionadas pelo PET-Saude da Familia para a mudanca no processo formativo em saude. Estrategias como essa sao essenciais para a formacao e o aperfeicoamento de profissionais para o Sistema Unico de Saude (SUS).

Networks of social support of the families with disabled children

Objective: to analyze the changes which occur in the networks of social support for families with disabled children after their birth. Method: this is about a descriptive, cross-sectional study, from quantitative approach. Data was collected by a questionnaire with thirteen questions and analyzed by the SPPS-15. The study was approved by the Committee of Ethics of University Hospital Lauro Wanderley, protocol number 327/09. The sample study was of sixty families of disabled children registered at Associação de Pais e Amigos dos Excepcionais/APAE, in João Pessoa/PB city. Results: the importance of large families within the networks of social support was verified before and after the childrens births. It was observed a great demand for religious and informative support. It was also observed a lessening of socialization after the birth of disabled children. Lastly it was perceived an outstanding importance of multi-professional support in the treatment of the referred children. Conclusion: results showed the importance of social support for families of disabled children as far as new and future situations are concerned. Descriptors: family relations; social support; rehabilitation; child health; child.

El PET-Salud de la Familia y la formación de profesionales de la salud: la percepción de los estudiantes.

Trata-se de estudo com abordagem qualitativa, cujo objetivo foi analisar a contribuicao do Programa de Educacao pelo Trabalho para a Saude (PET– Saude da Familia) para a formacao dos futuros profissionais de saude de uma universidade publica do Nordeste do Brasil. Foram utilizados dados secundarios do instrumento de avaliacao semestral do programa, respondido por 67 estudantes dos cursos de: Educacao Fisica, Enfermagem, Fisioterapia, Medicina, Nutricao e Odontologia. Os resultados foram sistematizados em duas categorias de analise: o trabalho interprofissional e a integracao ensino-servico. O estudo evidenciou: a importância do trabalho interprofissional e colaborativo, a integracao ensino-servico-comunidade, e a reflexao das praticas impulsionadas pelo PET-Saude da Familia para a mudanca no processo formativo em saude. Estrategias como essa sao essenciais para a formacao e o aperfeicoamento de profissionais para o Sistema Unico de Saude (SUS).

Estado cognitivo dos usuários com AVE na atenção primária à saúde em João Pessoa - PB

O Acidente Vascular Encefalico (AVE) apresenta alta prevalencia em todo o mundo, desencadeando incapacidades neurologicas em adultos. O deficit cognitivo e uma das sequelas mais importantes, sendo dificil o seu reconhecimento, podendo interferir no processo de reabilitacao e acarretar impactos na qualidade de vida dos usuarios acometidos. Objetivo: Estimar a prevalencia de deficit cognitivo em usuarios com AVE na Atencao Primaria a Saude (APS), bem como descrever as caracteristicas sociodemograficas, clinicas e dimensoes cognitivas afetadas. Metodo: Estudo de corte transversal desenvolvido no Municipio de Joao Pessoa-PB com 140 individuos adscritos no Programa Saude da Familia que foram acometidos por AVE nos ultimos cinco anos. Resultados: Mais da metade dos individuos analisados apresenta quadro sugestivo de comprometimento cognitivo (54,9%), nas seguintes dimensoes: memoria de evocacao (70%), atencao e calculo (60%) e ler e executar (60%); alem disso, a maioria era de idosos (73,1%);no que se refere as caracteristicas clinicas do AVE declaram que nos ultimos cinco anos tiveram apenas um episodio (64,2%) desencadeado nos ultimos 13 meses ou mais (76,1%). A metade dos participantes nao soube informar o tipo de AVE (50,7%). Conclusao: As dimensoes cognitivas afetadas pelo AVE precisam de maiores investigacoes, afim de fornecer mais subsidios para melhorar a assistencia prestada no âmbito da APS.Received on November 4, 2011. Accepted on January 26, 2012. ABSTRACT Cerebrovascular Accident orStroke (CVA) has a high prevalence worldwide causing neurological disability in adults. Cognitive deficit is one of the most important consequences, since its recognition is difficult and thus may interfere with the rehabilitation process and lead to impacts on the life quality of affected people. Objective: The goal was to estimate the prevalence of cognitive impairment in stroke among those with Primary Health Care (PHC), as well as to describe the clinical and sociodemographic characteristics, and the cognitive dimensions affected. Method: This was a cross-sectional study carried out in the city of João Pessoa PB with 140 people enrolled in the Family Health Program that had been affected by stroke within the previous five years. Results: Over half of the people studied had manifestations suggesting cognitive impairment (54.9%) in the following dimensions: memory recall (70%), attention and calculation (60%), and read and apply (60%). In addition, the majority was elderly (73.1%) and, regarding the clinical characteristics of stroke, had declared that in the previous five years had had only one episode (64.2%) triggered in the last 13 months or more (76.1%). Also, half of the participants (50.7%) were unable to tell us the type of stroke they had suffered. Conclusion: The cognitive dimensions affected by stroke require further investigation in order to provide more funding to improve the assistance provided under the PHC.

Analysis of impacts from environmental factors evaluated by icf in individuals post-cva

Introduction: The CVA is the second cause of death in Brazil, presenting with serious clinical repercussions and as a public health issue. Live with the disabilities caused by it requires facing daily situations, which can increase the disability, such as the ones imposed by the environment inside or outside home. Objective: Analyze the environmental factors of ICF with a facilitator or barrier for victims of Stroke. Materials and methods: A cross-sectional study, 152 individuals; span of less than 60 months involvement and enrolled in the Family Health Units in Joao Pessoa, Brazil. A questionnaire was used to characterize the socio-economic and clinical form and the Core Set for stroke to identify environmental factors. The data were stored in EpiInfo 7. Associations between environmental factors and the variables age, gender, and marital status verified by chi-square test. Results: Assistive technologies and products or substances for personal consumption were the main factors recognized as facilitators, followed by interpersonal relationships. The most prevalent factors as barriers were the physical structures of public and private spaces, highlighting the physical geography of their residence. It was found that the immediate family was associated with variable marital status, use of products and technology for personal use in daily life was associated with age and, friends partnered with variable gender. Conclusions: The Core Set is shown as a sensitive instrument to capture the barriers and facilitators in population surveys. Their findings point to the need to think about public policy more appropriate for this population.{#}

The PET-Family Health and the education of health professionals: students’ perspectives.

Trata-se de estudo com abordagem qualitativa, cujo objetivo foi analisar a contribuicao do Programa de Educacao pelo Trabalho para a Saude (PET– Saude da Familia) para a formacao dos futuros profissionais de saude de uma universidade publica do Nordeste do Brasil. Foram utilizados dados secundarios do instrumento de avaliacao semestral do programa, respondido por 67 estudantes dos cursos de: Educacao Fisica, Enfermagem, Fisioterapia, Medicina, Nutricao e Odontologia. Os resultados foram sistematizados em duas categorias de analise: o trabalho interprofissional e a integracao ensino-servico. O estudo evidenciou: a importância do trabalho interprofissional e colaborativo, a integracao ensino-servico-comunidade, e a reflexao das praticas impulsionadas pelo PET-Saude da Familia para a mudanca no processo formativo em saude. Estrategias como essa sao essenciais para a formacao e o aperfeicoamento de profissionais para o Sistema Unico de Saude (SUS).

Perfil sociodemográfico e de saúde de idosos do município de João Pessoa – PB - doi: 10.5020/18061230.2012.p86

Objective: To explore the sociodemographic profile and physical health of elderly enrolled in Family Health Units (USF) in the city of Joao Pessoa – PB, Brazil, and the factors associated with self-reported diagnoses in this population. Methods: The sample consisted of 401 elderly aged 60 years or more enrolled in USF, selected through a random drawing of families’ medical charts. A semi-structured questionnaire was applied to collect data. Prevalence rates and their related IC 95% were calculated for sample characterization and chi-square test was used to verify heterogeneity among the proportions. Results: In the assessed population, 67.6% (n=271) were female, 53.6% (n=215) were aged 60-69 and 54.9% (n=220) were married. Regarding health conditions, 50.4% (n=202) self-perceived their health as fine and 52.1% (n=209) displayed some degree of dependence to perform instrumental activities of daily living (IADL). Significant association was found (p>0.005) between the number of self-reported diagnoses and gender, self-rated health, amount of medicine ingestion per day and instrumental activities of daily living. Conclusions: The profile of population reveals predominance of women, aged 60-69 years, married, living with a maximum of five people, the children being the ones with the strongest linkage to the elderly, with just over half of the sample not knowing how to read and write, and total household income in the interval of two and three minimum wages. The elderly also showed independence to perform activities of daily living and light or moderate degree of dependence to perform at least one of the instrumental activities of daily living.