Sandy Yasmine Bezerra e Silva

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.

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.

Conhecimento sobre prevenção de incapacidades em um grupo de autocuidado em hanseníase

The purpose of this study was to assess the knowledge acquired on prevention of disabilities in the control of hanseniasis by the participants in a self-care group in a reference hospital. This was a qualitative study, performed in a reference hospital in infectious diseases in Natal-RN, gathering 16 members of a self-care group in hanseniasis. The data were collected from September to November of 2012, through an open question and adopting the method of content analysis of Bardin to analyze and interpret the obtained answers. The following categories emerged from the findings: care in the prevention of ulcers and dressing; prevention of falls; and socio-economic rehabilitation. The results allowed the observation that the users’ participation in group meetings contributed significantly to the acquisition of knowledge about self-care practices.