Made available in DSpace on 2014-12-17T14:46:59Z (GMT). No. of bitstreams: 1 AnaARQ_DISSERT.pdf: 1628961 bytes, checksum: 76cb55c766edc58ebcd8828acbccae74 (MD5) Previous issue date: 2012-12-14 / This study thus sought to examine knowledge about TB and attitudes of patients families in disease treatment in Primary Health Care in Natal- RN. To this end, a cross-sectional study was undertaken through a questionnaire with families of patients diagnosed with TB and follow up by APS from Natal. The study subjects were recruited from a non-probabilistic way, by convenience, contemplating a sample of 50 families. Among the criteria considered for inclusion of subjects, older than 18 years were considered, as well as residing with the TB patient and in Natal and availability to participate in the research. Data collection was performed by own researcher and an assistant, through a questionnaire with families of patients diagnosed with TB following the double independent digitalization of data. In the analytical phase, was initially conducted an exploratory phase and univariate data, with description of the position measurements (mean, median, mode) and dispersion (confidence interval and standard deviation). In bivariate analysis, it was conducted an intersection of dependent variables of knowledge e and changes of attitude dichotomous, with each of the independent variables, using contingency tables and calculating the chi-square test and, when appropriate, the Fisher exact test. In 2x2 tables, calculated the odds ratio (OR) with confidence intervals of 95% (95% CI). From the selected sample, 43 (86%) subjects were female, average age and median respectively of 46.64 and 46.50 years, 25 (50%) had elementary school. The knowledge expressed by family members about TB was considered satisfactory. However, the lack of interest of the family (54%) in seeking information about tuberculosis; the wrong way of reply in relation to the organism causing the disease (64%); the water content (62%) and contaminated food (54% ) as a means of spreading TB was a weakness identified in the investigation. Regarding the time of transmission, 90% of respondents indicated not know or answered wrong. From investigated independent variables, only two were associated with lack of knowledge of TB, and they did not have religion (OR: 0.146, 95% CI: 0.027 to 0.800) and income below 1, 7 minimum wages (OR: 0.155, 95% CI: 0.029 to 0.813). Thus they seem to exercise a protective effect on this outcome. As for the changes in attitude, most of the found variables had no association with statistical significance, except no internet access (OR: 0.212, 95% CI: 0,048-0, 935). Most attitudes were positive in relation to TB patient. Results have demonstrated weaknesses in TB care, which has taken on a more individual and welfare character. Data not only express health outcomes produced by health services, but also the political and social situation of the families that are affected by TB / A presente investiga??o analisa o conhecimento sobre TB e as atitudes das fam?lias de pacientes em tratamento da doen?a na Aten??o Prim?ria ? Sa?de em Natal/RN. Consiste em um estudo de corte transversal, realizado atrav?s da aplica??o de question?rio junto ?s fam?lias de pacientes diagnosticados de TB e em seguimento pela APS de Natal. Os sujeitos da pesquisa foram recrutados de forma n?o probabil?stica, por conveni?ncia, contemplando uma amostra de 50 familiares. Dentre os crit?rios de inclus?o dos sujeitos, est?o idade acima de 18 anos, residir com o doente de TB em Natal e disponibilidade de participa??o da pesquisa. A coleta de dados foi realizada pela pesquisadora e uma assistente, atrav?s de um formul?rio previamente testado em realidade semelhante, junto aos familiares do doente de TB.Procedeu-se a dupla digita??o independente dos dados. Na etapa anal?tica, inicialmente foi conduzida a fase explorat?ria e univariada dos dados, com descri??o das medidas de posi??o (m?dia, mediana, moda) e dispers?o (intervalo de confian?a e desvio-padr?o). Na an?lise bivariada, os autores efetuaram o cruzamento das vari?veis dependentes e dicot?micas − conhecimento e mudan?as atitudes ,com cada uma das vari?veis independentes, por meio de tabelas de conting?ncia, sendo aplicado o teste qui-quadrado e, quando necess?rio, o teste exato de Fisher. Nas tabelas 2x2, computou-se o odds ratio (OR) com respectivos intervalos de confian?a de 95% (IC 95%). Da amostra selecionada, 43 (86%) sujeitos eram do sexo feminino, com idade m?dia e mediana respectivamente de 46,64 e 46,50 anos; 25 (50%) possu?am o ensino fundamental. O conhecimento expresso pelos familiares sobre a TB foi considerado satisfat?rio. Entretanto, a falta de interesse dos familiares (54%) em procurar informa??es sobre a tuberculose; a forma incorreta da resposta em rela??o ao microrganismo causador da doen?a (64%); a indica??o de ?gua (62%) e alimentos contaminados (54%) como meios de dissemina??o da TB foi uma fragilidade identificada na investiga??o. Em rela??o ao tempo de transmiss?o da doen?a, 90% dos entrevistados indicaram n?o saber ou responderam errado. Das vari?veis independentes investigadas, apenas duas apresentaram associa??o com o n?o conhecimento de TB, sendo elas n?o possuir religi?o (OR: 0,146; IC95% : 0,027-0,800) e renda abaixo de 1,7 sal?rios m?nimos (OR : 0,155; IC95%: 0,029-0,813), parecendo elas exercerem um efeito protetor sobre este desfecho. Quanto ?s mudan?as de atitude, a maioria das vari?veis consideradas n?o teve associa??o com signific?ncia estat?stica, exceto o n?o acesso ? internet (OR: 0,212; IC95%:0,048-0,935). A maioria das atitudes foi positiva em rela??o ao doente de TB. Os resultados demonstram fragilidades na aten??o ? TB, que tem assumido um car?ter mais assistencialista e individual. Os dados n?o somente expressam os resultados sanit?rios produzidos pelos servi?os de sa?de, mas a conjuntura pol?tica e social das fam?lias que s?o acometidas pela TB

Made available in DSpace on 2014-12-17T14:47:03Z (GMT). No. of bitstreams: 1 CarolineENKV_DISSERT.pdf: 3807500 bytes, checksum: a47dd134372904c5d622a5ed69238b91 (MD5) Previous issue date: 2013-11-29 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / One of the Primary Health Care strategies for adolescent health is the growth and development follow-up and the early detection of overweight adolescents. Even though the School Health Program in Brazil proposes to evaluate the nutritional state of the school population in the corresponding community health units, not all cities have adhered to the Program and many nurses do not recognize overweight as a problem in their territory. The objective of the study was to identify the nurse?s participation in the screening of overweight adolescent students in their work territory. Cross sectional study conducted in eight state supported schools of the municipality of Natal/RN and in four Primary Health Units. The total student population was 27.277. A stratified sample was statistically calculated based on the student population of the four city geographical zones: 112 North , 74 West; 108 East; and 78 South, totalizing 372 adolescents. The students were selected by a probability process where eight schools were first selected, two per district, until the number per subsample in each district was reached. Four primary health nurses, responsible for the health units were included. Two instruments were used for data collection, a screening questionnaire and a semi-structured interview form for questioning of the nurses. The content of both instruments was validated. Anthropometric and health data were collected from the students and analyzed with descriptive and analytical statistics. Interview data were transcribed and submitted to content analysis. The nursing diagnosis of overweight was identified in 50 (13,5%) of the adolescents and its association with consumption of foods that have cardiovascular risk (canned foods, pasta and fried food). An association of the nursing diagnosis was identified with family history (diabetes, hypertension, obesity, and kidney disease). The nurses judged that care of overweight adolescents was important but noted difficulties because of the absence of this population in the health units, because of their work overload, and the lack of school articulation. The nurses do not have impacting actions with this population and delegate the responsibility to other professionals. It is concluded that overweight is a nutritional problem relevant to the adolescent school population in Natal/RN, with a 13,5% prevalence and that it is related to food consumption with cardiovascular risk and family health history. The nurses consider overweight as an important public health problem but do not envision ways to maintain linkage with adolescents and with the school to promote the needed care / Uma das principais estrat?gias da enfermagem na Aten??o prim?ria em Sa?de (APS) ? o acompanhamento do crescimento e identifica??o precoce do excesso de peso em adolescentes. Apesar dos incentivos do Programa Sa?de na Escola (PSE) no Brasil, que prop?s avaliar o estado nutricional dos escolares pelas Unidades B?sicas de Sa?de (UBS), ainda n?o h? ades?o de todos os munic?pios e muitos enfermeiros n?o reconhecem o excesso de peso como um problema. O objetivo desse estudo foi identificar a participa??o do enfermeiro da APS no screening de adolescentes escolares com excesso de peso na sua ?rea de atua??o. Estudo transversal, realizado em oito escolas estaduais de Natal-RN e em quatro UBS. A popula??o de alunos das escolas estaduais foi 27.377. Com base em procedimento estat?stico, definiu-se uma amostra estratificada pelas quatro zonas municipais: 112 na Norte, 74 na Oeste, 108 na Leste e 78 na Sul, o que totalizou 372 adolescentes. Na sele??o de alunos, sortearam-se aleatoriamente as escolas e as turmas participantes, at? totalizar o tamanho das subamostras por zona. Participaram quatro enfermeiras respons?veis pelas UBS inclu?das. Dois instrumentos de coleta de dados foram utilizados, um formul?rio para o screening e um roteiro de entrevista semi-estruturada para questionar os enfermeiros. O conte?do dos instrumentos foi validado por especialistas. A coleta de dados com os adolescentes compreendeu a verifica??o de peso, altura e condi??es de sa?de e analisados por meio estat?stica descritiva e anal?tica. Os ?udios das entrevistas foram gravados, transcritos e analisadas quanto ao conte?do. Dentre os adolescentes, 50 (13,5%) foram identificados com o Diagn?stico de Enfermagem (DE) excesso de peso, com associa??o ao consumo de alimentos de risco cardiovascular (embutidos, macarr?o e fritura). Identificou-se associa??o entre o DE e a hist?ria familiar de doen?as (diabetes, hipertens?o, obesidade e doen?a nos rins). As enfermeiras julgaram fundamental a assist?ncia aos adolescentes com excesso de peso, mas apontaram dificuldades devido a pouca procura dessa clientela pelos servi?os de sa?de, pelo excesso de tarefas que realizam nas UBS e pela baixa articula??o com as escolas. Elas se isentaram de condutas de maior impacto e atribu?ram a outros profissionais a responsabilidade maior. Conclui-se que o excesso de peso ? um desvio nutricional relevante na popula??o de adolescentes de escolas estaduais de Natal/RN, com frequ?ncia de 13,5% e que o problema est? relacionado ao consumo de alimentos de risco cardiovascular e ? hist?ria familiar de doen?as. Os enfermeiros consideram o excesso de peso como importante problema de sa?de p?blica, que necessita de assist?ncia de enfermagem, mas n?o vislumbram estrat?gias para manter o v?nculo com o adolescente e com a escola para promover a assist?ncia resolutiva diante esse DE

Made available in DSpace on 2014-12-17T14:47:07Z (GMT). No. of bitstreams: 1 SamillyMDL_DISSERT.pdf: 2432551 bytes, checksum: 39a06155ddac056ef776f3527c721cf7 (MD5) Previous issue date: 2014-08-01 / The therapeutic adherence is still a big problem among people with venous ulcers (VU) because the treatment is long, expensive and demand changes in lifestyle. In this context, this study aims to examine treatment adherence and quality of life (QOL) of people with VU assisted at primary health care. This is an analytical, cross-sectional study with a quantitative approach to treatment and data analysis. The study had the scenario 13 Family Health Units and 02 Units Mixed of Natal. The target population consisted of 44 persons with UV indicated by the teams of the Family Health Strategy between February and April 2014. Three instruments were used: an instrument to characterize the sociodemographic, health and care aspects, the Multidimensional Scale of Adherence Therapy composed of the dimensions: healthy lifestyle, compressive therapy and neurovascular monitoring and the Charing Cross Venous Ulcer Questionnaire (CCVUQ) that evaluates QOL in persons with VU composed by the domains: Total Score, Social Interaction, Domestic Activities, Aesthetics and Emotional State. The study was approved by the Ethics Committee in Research of the Federal University of Rio Grande do Norte, CAAE: 07556312.0.0000.5537. The data concerning the sociodemographic characteristics showed that there was a predominance of females (65.9%), age range as of 60 years (59.1%) and income of up to 1 minimum wage (81.8%). With the characterization of health, it was evident that most people reported chronic diseases (63.6%), sleep more than 6 hours (81.8%), present pain (81.8%), denying alcoholism (86 4%) and smoking (77.3%) and showed a number greater than or equal to 1 (77.3%) recurrences. Concerning the therapeutic adherence was found that in the dimension compressive therapy there poor adherence. No associations between the domains of adherence and sociodemographic and health variables were found. Was observed, however, better adherence among individuals without pain and with higher schooling. When analyzed the averages of the dimensions of therapeutic adherence with the care characteristics there was statistical significance between: adherence to compression therapy and guidance for use of compressive therapy (p = 0.002) and guidance for regular exercise (p = 0.026). Considering the mean of total score of CCVUQ (mean 51.47, SD 18.33) it is observed that the overall QOL of respondents has approximate value of the median of the scale (50). The mean of the domain Social Interaction (mean 44.23, SD 21.38) and Domestic Activities (mean 45.70, SD 23.21) were those who reported better QOL. There were weak correlations but significant between adherence to healthy lifestyle and Domains Total Score (p = 0.012), social interaction (p-value = 0.048), Aesthetics (p-value = 0.025) and Emotional State (0.017) of CCVUQ. From the data analysis it is concluded that among people with UV, there poor adherence to compressive therapy. Furthermore, we found no statistically significant association between treatment adherence and sociodemographic and health characteristics. It is added that there was a correlation between the healthy lifestyle dimension and domains CCVUQ / A ades?o terap?utica ainda ? um grande problema entre pessoas com ?lceras venosas (UV), uma vez que a presen?a dessa les?o demanda um tratamento longo, dispendioso, e altera??es no estilo de vida. Nesse contexto, este estudo tem como objetivo geral analisar a ades?o ao tratamento e a qualidade de vida (QV) das pessoas com UV atendidas na aten??o prim?ria ? sa?de. Trata-se de estudo anal?tico, transversal, com abordagem quantitativa de tratamento e an?lise de dados. O estudo teve como cen?rio 13 Unidades de Sa?de da Fam?lia e duas Unidades Mistas da cidade de Natal. A amostra foi composta por 44 pessoas com UV indicadas pelas equipes da Estrat?gia Sa?de da Fam?lia entre fevereiro e abril de 2014. Utilizaram-se tr?s instrumentos: instrumento de caracteriza??o dos aspectos sociodemogr?ficos, de sa?de e assistenciais; a Escala Multidimensional de Ades?o Terap?utica, composta pelas dimens?es: estilo de vida saud?vel, terapia compressiva e vigil?ncia neurovascular; e o Charing Cross Venous Ulcer Questionnaire (CCVUQ), que avalia QV em pessoas com UV atrav?s de quatro dom?nios: Intera??o Social, Atividades Dom?sticas, Est?tica e Estado Emocional, al?m de gerar um Escore Total. A pesquisa obteve parecer favor?vel do Comit? de ?tica em Pesquisa da Universidade Federal do Rio Grande do Norte, CAAE: 07556312.0.0000.5537. Os dados referentes ? caracteriza??o sociodemogr?fica demonstraram que houve predomin?ncia do sexo feminino (65,9%), da faixa et?ria a partir de 60 anos (59,1%) e renda de at? 1 sal?rio m?nimo (81,8%). A caracteriza??o de sa?de evidenciou que a maioria das pessoas relatou doen?as cr?nicas associadas (63,6%), sono maior que 6 horas (81,8%), presen?a de dor (81,8%) e mais de uma recidiva (77,3%). A maior parte negou etilismo (86,4%) e tabagismo (77,3%). Em rela??o ? ades?o terap?utica verificou-se pior ades?o na dimens?o terapia compressiva. N?o foram encontradas associa??es entre os dom?nios da ades?o e as vari?veis sociodemogr?ficas e de sa?de. Observou-se, no entanto, melhor ades?o entre os indiv?duos sem dor e com maior escolaridade. Ao analisar a rela??o das dimens?es da ades?o terap?utica com as caracter?sticas da assist?ncia observou-se associa??o entre: ades?o ? terapia compressiva e orienta??es para uso de terapia compressiva (p-valor = 0,002) e para exerc?cios regulares (p-valor = 0,026). Considerando a m?dia do escore total do CCVUQ (m?dia 51,47 e DP 18,33) observa-se que a QV geral dos pesquisados tem valor aproximado ao da mediana da escala (50). Os participantes apresentaram melhor qualidade de vida nos dom?nios Intera??o Social e Atividades Dom?sticas. Verificaram-se correla??es significativas, por?m fracas, entre ades?o ao estilo de vida saud?vel e o Escore Total (p = 0,012), Intera??o Social (p = 0,048), Est?tica (p = 0,025) e Estado Emocional (p = 0,017) do CCVUQ. A partir da an?lise dos dados conclui-se que a maior dificuldade de ades?o entre as pessoas com UV refere-se ? terapia compressiva. Observou-se correla??o apenas entre a dimens?o estilo de vida saud?vel e os dom?nios do CCVUQ

Submitted by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2018-09-14T17:36:23Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) pollyanna_oliveira_silva.pdf: 1366051 bytes, checksum: a57e1b503feb9f787735becad9ca235f (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2018-10-01T19:14:51Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) pollyanna_oliveira_silva.pdf: 1366051 bytes, checksum: a57e1b503feb9f787735becad9ca235f (MD5) / Made available in DSpace on 2018-10-01T19:14:51Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) pollyanna_oliveira_silva.pdf: 1366051 bytes, checksum: a57e1b503feb9f787735becad9ca235f (MD5) Previous issue date: 2018 / No contexto das doen?as cr?nicas n?o transmiss?veis, que imperam no novo cen?rio epidemiol?gico, faz-se necess?ria a reformula??o do modelo de assist?ncia e a inclus?o de novas tecnologias com o objetivo de formar redes de aten??o ? sa?de capazes de responder de forma satisfat?ria a essa demanda emergente. Diante desse cen?rio, a Gest?o da Cl?nica traz ferramentas importantes, dentre elas as Linhas-Guia (LG) cujas recomenda??es orientam a pr?tica dos profissionais no manejo de condi??es cr?nicas priorit?rias no Sistema ?nico de Sa?de. Contudo, por motivos de ordem pol?tica e organizacional, a implanta??o dessas ferramentas acontece de forma incipiente, sem a efetividade e perenidade esperadas. O objetivo do estudo foi verificar, nos munic?pios da regi?o de sa?de de Itabira, a interfer?ncia na implanta??o das LG dos seguintes processos de trabalho da Aten??o Prim?ria ? Sa?de: territorializa??o, cadastro populacional, diagn?stico situacional, protocolos municipais, agenda, educa??o permanente, plano de cuidado, conselhos locais de sa?de, acesso e coordena??o da Aten??o Prim?ria. Para isso, a partir de um estudo quantitativo transversal, foi utilizada a metodologia multi-attribute utility theory (MAUT). Os resultados apontam para os processos de trabalho agenda, diagn?stico e acesso, os quais apresentaram uma correla??o de moderada a boa, estatisticamente significativa. Verificou-se a frequ?ncia de implanta??o das LG de forma individualizada, evidenciando um n?mero maior de munic?pios utilizando as LG da gestante, hipertens?o e diabetes. Observou-se ainda que, apesar de estarem sob uma mesma jurisdi??o, existem iniquidades na operacionaliza??o dos processos de trabalho entre os munic?pios. Por fim, foi encontrada uma rela??o direta, moderada (0,55) no que tange aos processos de trabalho da Aten??o Prim?ria e implanta??o das LG. Discute-se que os processos de trabalho citados como tendo melhor correla??o configuram estrat?gias fundamentais para fortalecimento de v?nculos e garantia do continuum do cuidado. As LG usadas mais frequentemente auxiliam os profissionais no manejo das condi??es de sa?de mais comuns e, por consequ?ncia, apresentam maior aplicabilidade na rotina assistencial. Buscou-se entender as iniquidades entre os munic?pios a partir das intera??es socioculturais locais. Os achados, de forma geral, contribuem para com a gest?o no ?mbito da Avalia??o em Sa?de municipal, regional e estadual, evidenciando condicionantes para uma efetiva implanta??o das LG. Al?m disso, fortalece a metodologia MAUT como ferramenta avaliativa na ?rea da sa?de. / Disserta??o (Mestrado Profissional) ? Programa de P?s-Gradua??o em Sa?de, Sociedade e Ambiente, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2018. / In the context of chronic non-communicable diseases, in which prevails over the new epidemiological scenario, it is required to reformulate the assistance model and the inclusion of new technologies aiming healthcare networks capable of responding satisfactorily to this emerging demand. Given this scenario, the clinical management introduces important tools, among them, Linhas-Guia (LG/Guidelines), whose recommendations guide the practice of professionals in the management of priority chronicle conditions at SUS (Brazilian Health Service). However, political and organizational bureaucracy results in a lack of effectiveness and expected longevity of the implantation of these tools in an incipient way. The goal of this study was to verify the interference in the implementation of the Guidelines for the following Primary Health Care work processes in the municipalities under the jurisdiction of the Regional Health Management of Itabira: territorialization, population registry, situational diagnosis, municipal protocols, agenda , permanent education, care plan, local health councils, access and coordination of Primary Care. In this regard, it was used a multi-attribute utility theory (MAUT). The results indicate that the work processes agenda, diagnosis, and access presented a correlation of moderate to good, statistically significant. The frequency of LG implantation was verified in an individualized way, emphasizing a larger number of municipalities using pregnant women, hypertension, and diabetes? LG. It was also detected inequities in the operationalization of work processes between municipalities, even though belonging to the same jurisdiction. Finally, a direct connection, moderate relationship (0.55) was found regarding Primary Care working processes and LG implantation. It argues the work processes cited as having the best correlation constitute fundamental strategies to reinforce the bonds and guarantee the continuum of care. The most frequently used LGs help professionals in the management of the most common health conditions and, consequently, have a greater applicability in the care routine. The aim was to understand the inequities between municipalities based on local socio-cultural interactions. The findings widely contribute to the management, within the scope of Health Assessment, at municipal, regional and state level, highlighting the conditions for an effective implementation of LG. Moreover, it strengthens the MAUT methodology as an evaluation tool in the health area.

?rea de concentra??o: Multidisciplinar. / Submitted by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-09T16:41:29Z No. of bitstreams: 2 Vania_maria_fernandes_nunes.pdf: 4796742 bytes, checksum: 26285373e915a717cb2cd90d41846b4e (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-09T16:42:16Z (GMT) No. of bitstreams: 2 Vania_maria_fernandes_nunes.pdf: 4796742 bytes, checksum: 26285373e915a717cb2cd90d41846b4e (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) / Rejected by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br), reason: alterar nome do arquivo on 2015-01-09T16:42:51Z (GMT) / Submitted by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-09T16:53:19Z No. of bitstreams: 2 vania_maria_fernandes_nunes.pdf: 4796742 bytes, checksum: 26285373e915a717cb2cd90d41846b4e (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-09T16:54:00Z (GMT) No. of bitstreams: 2 vania_maria_fernandes_nunes.pdf: 4796742 bytes, checksum: 26285373e915a717cb2cd90d41846b4e (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-09T16:54:29Z (GMT) No. of bitstreams: 2 vania_maria_fernandes_nunes.pdf: 4796742 bytes, checksum: 26285373e915a717cb2cd90d41846b4e (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) / Made available in DSpace on 2015-01-09T16:54:32Z (GMT). No. of bitstreams: 2 vania_maria_fernandes_nunes.pdf: 4796742 bytes, checksum: 26285373e915a717cb2cd90d41846b4e (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) Previous issue date: 2013 / O objetivo deste estudo foi verificar a implementa??o da Pol?tica de Aten??o ? Sa?de e Seguran?a do Trabalho do Servidor P?blico Federal (PASS) nos ?rg?os referenciados ? Unidade do Subsistema Integrado de Aten??o ? Sa?de do Servidor (SIASS) da Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM) e em outras institui??es p?blicas federais localizadas em cidades que acolhem a UFVJM, um dos campi do CEFET/MG, as ger?ncias e ag?ncias do INSS de Diamantina e Te?filo Otoni. Para tanto, foi realizado um estudo descritivo transversal com 205 indiv?duos (201 servidores ativos e quatro gestores de recursos humanos e, ou diretores), que, em rela??o aos servidores ativos, teve como objetivo conhecer as demandas relacionadas aos planos de sa?de, caracteriz?-los quanto ao absente?smo/doen?a ou acidentes em servi?o e ainda quanto ? insalubridade/periculosidade, al?m de verificar o conhecimento desses servidores em rela??o ?s a??es propostas pela PASS j? implantadas nos referidos ?rg?os. Junto aos gestores de recursos humanos e, ou diretores procurou-se identificar as dificuldades enfrentadas para a implementa??o das a??es propostas por essa pol?tica. Este estudo demonstra a necessidade de cria??o de canais de comunica??o que possibilitem manter os servidores das institui??es envolvidas atualizados em rela??o ?s a??es propostas pela PASS. Aponta a import?ncia do benef?cio da sa?de suplementar e ratifica a relev?ncia da a??o de acompanhamento da qualidade e aprimoramento da assist?ncia prestada pelos planos de sa?de. Confirma que a coopera??o t?cnica entre os ?rg?os p?blicos pode favorecer a resolu??o de quest?es periciais de servidores e aponta que os dados de absente?smo/doen?a s?o similares aos de outros estudos realizados. Apresenta informa??es relacionadas com promo??o e vigil?ncia nos ?rg?os envolvidos e recomenda novos estudos para melhor entendimento dessas a??es. / Disserta??o (Mestrado Profissional) ? Programa de P?s-Gradua??o em Sa?de, Sociedade e Ambiente, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2013. / ABSTRACT The aim of the current study was to verify the implementation of the Policy of Attention to the Health and Safety of Work of Federal Workers (PASS) in public agencies referenced to the SIASS Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM) and other federal institutions located in cities that host UFVJM, as well as one of the campuses of CEFET/MG and the INSS agencies in Diamantina and Te?filo Otoni. A descriptive transversal study was done with 205 individuals (201 active public servants and four human resource managers) which, in regard to the public servants, had the following aims: to find out about demands related to healthcare plans; to characterize the plans as to absenteeism/illness or on-the-job accidents and, further, to examine issues of unwholesomeness and danger in the workplace; and lastly, to verify awareness of these plans in relation to proposed PASS actions already introduced into the abovementioned public agencies. Together with human resource directors, the study sought to identify the difficulties faced in implementing PASS proposals. This study demonstrates the need to establish channels of communication in order to keep public servants updated and involved in regard to any actions proposed by PASS. It also points out the importance of supplementary health benefits and of being aware of the quality of the healthcare plans and any proposed changes to them. Furthermore, the study confirms that technical cooperation among public agencies could aid in the resolution of issues related to public servants and that data regarding absenteeism and illness are similar to other studies. The study presents data related to public agency oversight of these matters and recommends further studies aimed at improving understanding of healthcare-related actions.

Submitted by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2016-08-18T17:48:20Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) luciana_fernandes_amaro_leite.pdf: 6396183 bytes, checksum: d8e9e935aa4ed4f1d340bb04eb9eb939 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2016-08-19T11:47:40Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) luciana_fernandes_amaro_leite.pdf: 6396183 bytes, checksum: d8e9e935aa4ed4f1d340bb04eb9eb939 (MD5) / Made available in DSpace on 2016-08-19T11:47:40Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) luciana_fernandes_amaro_leite.pdf: 6396183 bytes, checksum: d8e9e935aa4ed4f1d340bb04eb9eb939 (MD5) Previous issue date: 2016 / A Doen?a Renal Cr?nica ? um importante problema de sa?de p?blica em todo o mundo porque sua incid?ncia e preval?ncia est?o aumentando, o custo ? elevado e medidas de preven??o precisam ser implementadas. O Inqu?rito Brasileiro de Di?lise Cr?nica mostrou que em julho de 2013, o n?mero total estimado de indiv?duos em di?lise no pa?s foi de 100.397; a taxa anual de mortalidade bruta foi de 17,9% e o n?mero absoluto de indiv?duos em di?lise tem aumentado 3% ao ano nos ?ltimos tr?s anos. Como no Brasil n?o h? dados fidedignos de DRC n?o dial?tica, para fins de programa??o, a Secretaria de Estado de Sa?de de Minas Gerais (SES/MG) estima que 11,6% dos adultos mineiros (com idade igual ou superior a 20 anos) apresentem DRC em um dos seus est?gios. Deste modo, considerando a relev?ncia e o impacto da DRC na sa?de da popula??o brasileira, o presente estudo tem por objetivo central realizar o rastreio desta doen?a em adultos em uma Estrat?gia de Sa?de da Fam?lia da cidade de Diamantina, Minas Gerais, bem como promover a capacita??o dos profissionais m?dicos e enfermeiros deste munic?pio em rela??o ? mesma. Foi realizado, atrav?s de an?lise das fichas do Sistema de Informa??o da Aten??o B?sica, o levantamento de todos os usu?rios com presen?a de algum fator de risco para o desenvolvimento da DRC na ESF Cazuza, Diamantina. Os usu?rios do Sistema ?nico de Sa?de que apresentaram fatores de risco para DRC foram convidados a participar de entrevistas onde foram coletados dados s?cio demogr?ficos, comportamentais, comorbidades e antropom?tricos. Foram coletados materiais biol?gicos (sangue e urina) para realiza??o dos exames de creatinina s?rica e urin?ria, urina rotina e prote?nas totais na urina. O valor da creatinina s?rica foi utilizado para fazer a estimativa da Taxa de Filtra??o Glomerular (TFG) utilizando o nomograma baseado na equa??o Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI). Na urina rotina, especial aten??o foi dada ? presen?a de hemat?ria de origem glomerular tendo como sinais a presen?a de cilindros hem?ticos ou dismorfismo eritrocit?rio. Os resultados dos exames de prote?nas totais na urina e creatinina urin?ria foram utilizados para calcular a rela??o protein?ria/creatinin?ria. Assim foi poss?vel rastrear a presen?a da DRC em 191 indiv?duos. Destes pacientes, 57,6% eram do sexo feminino, 73,8% de ra?a n?o branca, 64,4% possu?a ensino fundamental incompleto, 81,2% eram sedent?rios, 13,1% apresentaram uso abusivo do ?lcool, 63,4% eram hipertensos, 10,0% eram diab?ticos, 35,1% estavam obesos e 18,3% tinham hist?ria familiar de DRC. Com a estimativa da TFG obteve-se 53,4% no est?gio 1. O rastreio para DRC foi positivo para 14,2% dos pacientes. As informa??es obtidas dos pacientes foram utilizadas nas capacita??es no formato de m?dulos de capacita??o para m?dicos e enfermeiros que atuam na Estrat?gia de Sa?de da Fam?lia de Diamantina, MG, sendo que estes treinamentos geraram uma melhora do n?vel de conhecimento dos profissionais participantes de 8,8%. Pode-se concluir a import?ncia da atua??o dos profissionais da aten??o prim?ria a sa?de no controle dos fatores de risco para o desenvolvimento e progress?o da DRC. / Disserta??o (Mestrado Profissional) ? Programa de P?s-Gradua??o em Sa?de, Sociedade e Ambiente, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2016. / Chronic Kidney Disease is an important public health problem all over the world because its incidence and prevalence have been growing, the cost to treat it is high, and prevention measures need to be implemented. The Brazilian Chronic Dialysis Survey has shown that in July 2013 the estimated total number of individuals on dialysis in the Brazil was 100,397; the annual crude death rate was 17.9%, and the absolute number of individuals on dialysis has grown by 3% a year over the last three years. Since there are no reliable data concerning non-dialytic CKD in Brazil, the Health Department of the State of Minas Gerais (Secretaria de Estado de Sa?de de Minas Gerais ? SES/MG), for planning purposes, estimates that 11.6% of the adults born in Minas Gerais (aged 20 or higher) present with CKD in one of its stages. Therefore, considering the relevance and impact of CKD on the health of the Brazilian population, the central aim of this study is to screen for this disease in adults in a Family Health Strategy in the city of Diamantina, state of Minas Gerais, as well as to promote the training of medical professionals and nurses in this municipality as far as CKD is concerned. Upon analysis of the records of the Basic HealthCare Information System, data were compiled on all users presenting any risk factor for the development of CKD in the Cazuza FHS in Diamantina. Users of the Brazilian Unified Health System (SUS) who presented risk factors for CKD were invited to participate in interviews where socio-demographic, behavioral, comorbidity, and anthropometric data were gathered. Biological materials (blood and urine) were collected for serum and urine creatinine, routine urine, and total urine protein tests. The value of serum creatinine was utilized to estimate the Glomerular Filtration Rate (GFR) using the nomogram based on the Chronic Kidney Disease Epidemiology Collaboration(CKD-EPI) equation. In the routine urine test, special attention was given to the presence of hematuria of glomerular origin characterized by the presence of red blood cell casts or dysmorphic erythrocytes.The results of the total urine protein and urine creatinine tests were utilized to calculate the proteinuria/creatinuria ratio. Thus, it was possible to screen the presence of CKD in 191 individuals. Out of these patients, 57.6% were females, 73.8% were non-whites, 64.4% had not completed their primary education, 81.2% were sedentary, 13.1% were alcohol abusers, 63.4% were hypertensives, 10.0% were diabetics, 35.1% were obese, and 18.3% had a family history of CKD. According to the GFR estimate, 53.4% of the individuals are in stage 1. The screening for CKD was positive for 14.2% of the patients. The information obtained from patients was utilized in the training provided to physicians and nurses who work in the Family Health Strategy in Diamantina, MG. This training, carried out in modules, improved by 8.8% the level of knowledge of the professionals who attended it. Hence, it can be concluded that the actions of primary health care professionals are important to control risk factors leading to the development and progression of CKD.

Disponibiliza??o do trabalho em conte?do parcial, conforme Termo de Autoriza??o. / Submitted by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2017-03-14T18:22:05Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) jucimere_fagundes_duraes_rocha_parcial.pdf: 471264 bytes, checksum: 80ddabe1957f2ae1dc9b8f908bc0c288 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2017-03-30T18:26:18Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) jucimere_fagundes_duraes_rocha_parcial.pdf: 471264 bytes, checksum: 80ddabe1957f2ae1dc9b8f908bc0c288 (MD5) / Made available in DSpace on 2017-03-30T18:26:18Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) jucimere_fagundes_duraes_rocha_parcial.pdf: 471264 bytes, checksum: 80ddabe1957f2ae1dc9b8f908bc0c288 (MD5) Previous issue date: 2016 / Criado em 2013, o Programa Mais M?dicos integra um conjunto de pol?ticas de forma??o de recursos humanos para a sa?de com pol?ticas educacionais nos cursos m?dicos, est?mulo ? pesquisa aplicada ao Sistema ?nico de Sa?de e implementa medidas que asseguram a distribui??o de m?dicos em regi?es priorit?rias por meio da chamada imediata de m?dicos brasileiros e estrangeiros. No entanto, desde a cria??o e implanta??o, os ?rg?os de classe m?dica se posicionam de maneira contr?ria, situa??o esta amplamente divulgada na m?dia. Nesse sentido, o presente estudo teve o objetivo de compreender as representa??es sociais da m?dia, dos m?dicos brasileiros, gestores e usu?rios das Estrat?gias de Sa?de da Fam?lia sobre o Programa Mais M?dicos. Para a realiza??o do estudo optou-se pelo estudo tipo b?sico, documental e de campo, explorat?rio, descritivo, transversal com abordagem quantiqualitativa cujo referencial te?rico foi a Teoria das Representa??es Sociais. O cen?rio do estudo foi um munic?pio do norte de Minas Gerais. Os participantes do estudo foram 50 m?dicos brasileiros, 84 gestores e 208 usu?rios das Estrat?gias de Sa?de da Fam?lia e o corpus de an?lise da m?dia televisionada foi composto por 55 mat?rias dos Jornais Nacional e SBT Brasil exibidas no per?odo de janeiro de 2013 a janeiro de 2015. A coleta de dados foi feita utilizando teste de evoca??o de palavra e perguntas abertas. Os dados foram analisados por meio dos Softwares Ensemblesde Programmes Permettant l?Analyse des Evocations 2005 (EVOC?) e Classification Hi?rarchique Classificatoire et Coh?sitive - CHIC? (Vers?o 4.1). Os dados coletados por meio das perguntas abertas foram analisados pela t?cnica de an?lise do conte?do de Bardin. Diante dos achados deste estudo, percebe-se que o Programa Mais M?dicos tem suscitado pol?micas, acirrado debates, controv?rsias, resist?ncia e conflitos ideol?gicos entre os atores sociais. Esse contexto motivou rea??es e provocou a constru??o de representa??es sociais nos atores sociais implicados em sua trama, com interesses diversos e contradit?rios, o que levou ? elabora??o de representa??es sociais sobre o Programa Mais M?dicos divergentes de aceita??o e reprova??o pelos atores sociais envolvidos. / Disserta??o (Mestrado) ? Programa de P?s-gradua??o em Ensino em Sa?de, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2016. / Created in 2013, the Mais M?dicos program encloses a set of policies of health?s human resources training with educational policies in the medical courses, incentivation of applied research on the Sistema ?nico de Sa?de and it implements measures that assure the distribution of doctors in the regions with more priority through the immediate calling of Brazilian and foreign doctors. However, since its creation and implementation, the agencies of the medical class placed themselves in opposition, a situation that was widely shown in the media. In this sense, this present study had as an objective to reveal the social representation of the media, of the Brazilian doctors, the managers, the users of the Estrat?gias de Sa?de da Fam?lia about the Mais M?dicos program. It was opted the basic, documental and field, exploratory, descriptive, transversal study with a quantitative and qualitative approach which the theoretical reference was the Theory of Social Representation. The scenery of the study was a city of the north of Minas Gerais. The participants of the study were 50 Brazilian doctors, 84 managers and 208 users of the Estrat?gias de Sa?de da Fam?lia, and the corpus for the television media analysis was made of 55 news of the National News and the SBT Brazil shown in the period of January of 2013 to January 2015. The data collection was made using the calling forth of words and open questions. The data were analyzed through the Softwares Ensemblesde Programmes Permettant l?Analyse des Evocations 2005 (EVOC?) and Classification Hi?rarchique Classificatoire et Coh?sitive - CHIC? (Version 4.1). The data collected through open questions were analyzed through the technique of content analysis of Bardin. Through the findings of this study, it is noticed that the Mais M?dicos Program has raised controversies, strong debates, polemics, resistance and ideological conflicts among the social actors. This context motivated reactions and provoked the construction of social representations in the social actors involved in the plot, with diverse and contradictory interests what led to the elaboration of a more dichotomy social representations about the Mais M?dicos Program of accepting and reproval of the social actors involved.

Made available in DSpace on 2014-12-17T14:13:53Z (GMT). No. of bitstreams: 1 NadjaSPDR_TESE.pdf: 886215 bytes, checksum: 920fddff7bf323b0b91d52f0af285470 (MD5) Previous issue date: 2013-10-18 / Objective: To evaluate the implementation of the Family Health Strategy (FHS) in Brazilian cities of the Northeast, expanding coverage, analyzing the progress, challenges and innovations. Methods: Multicentric Evaluation Research, Studies Baselines in urban centers, using as a case study method. Selected cases of Aracaju, being capital, advanced coverage with extended team, and Fortaleza, capital coverage incipient and minimal staff. In Fortaleza, purposive sample of 11 Units Primary (APS), 03 managers, 53 professionals and 109 users. In Aracaju, 09 units of APS, 02 managers, 36 professionals, and 90 users. Structured interviews for managers, and structured to professionals and users. Descriptive analysis focusing on the political and institutional dimensions, organization and comprehensive care. Results: There was consensus that the ESF is the preferred port users and acts as inducing changes in care. In the case of Fortaleza, the specificities were: care protocols and community activities aimed at chronic conditions (100%) , with greater participation of doctors and nurses (93%) ; conjunction with more complex services, but the teams reported difficulties with the examination center and experts, the long waits and poor access to local services were the main difficulties reported by users., As innovative practice, the therapeutic group of elderly caregivers mentioned by respondents; There was intersectoral initiatives and teams 87 % of users have participated in meetings about health problems. In the case of Aracaju, care protocols were directed to the lines of care and formulated locally, 85 % coverage of the population with FHS counterpart local financing; employees hired by public tender; 70 % of teams with expertise in public health center for continuing education acting; democratization in management; access technologies, welcoming and computerization in different integrated networks, and evaluation matrix. Conclusions: The ESF has promoted access to health care and inclusion of disadvantaged populations. Different perceptions and practices in the organization of care, with distinct trajectories of reorganization. In the case of Fortaleza, predominance of model programs valuing older, with evidence of advances in care practices and teamwork, but restricted to primary care practices and incipient in public policy perspective. In Aracaju, had network integration with technologies related to the family, in which the ESF is consolidated as public policy. It can be argued that the XII APS expanding coverage, exhibited efficacy, despite the challenges inherent to the different degrees of implementation / Objetivo: avaliar a implementa??o da Estrat?gia Sa?de da Fam?lia (ESF), em metr?poles brasileiras da Regi?o Nordeste, em expans?o de cobertura, analisando os avan?os, desafios e inova??es. M?todo: Pesquisa Avaliativa Multic?ntrica, Estudos Linhas de Base em centros urbanos, usando como m?todo o Estudo de Caso. Selecionados os casos de Aracaju, por ser capital, cobertura avan?ada com equipe ampliada, e, Fortaleza, capital, cobertura incipiente e com equipe m?nima. Em Fortaleza, amostra intencional de 11 Unidades de Aten??o Prim?ria (APS), 03 gestores, 53 profissionais e 109 usu?rios. Em Aracaju, 09 Unidades de APS, 02 gestores, 36 profissionais e 90 usu?rios. Entrevistas semiestruturadas para gestores, e estruturadas para profissionais e usu?rios. An?lise descritiva com enfoque nas dimens?es pol?tico-institucional, organiza??o da aten??o e cuidado integral. Resultados: Houve consenso de que a ESF ? a porta preferencial dos usu?rios e atua como indutora nas mudan?as do cuidado. No caso de Fortaleza, as especificidades foram: protocolos assistenciais e atividades comunit?rias voltadas ?s situa??es cr?nicas (100%), com maior participa??o de m?dicos e enfermeiros (93,3%); articula??o com servi?os de maior complexidade, por?m as equipes referiram dificuldades com a central de exames e especialistas; o longo tempo de espera e o dif?cil acesso aos locais do atendimento foram as principais dificuldades referidas pelos usu?rios; Como pr?tica inovadora, o grupo terap?utico de cuidadores de idosos foi referido pelos entrevistados; N?o havia iniciativas intersetoriais pelas equipes e 87% dos usu?rios n?o participaram de reuni?es sobre problemas de sa?de. No caso de Aracaju, havia protocolos assistenciais voltados ?s linhas de cuidado e formulados localmente; 85% de cobertura populacional da ESF com contrapartida de financiamento local; profissionais admitidos por concurso p?blico; 70% das equipes com especializa??o em sa?de p?blica; centro de educa??o permanente atuante; democratiza??o na gest?o; tecnologias de acesso, acolhimento e de informatiza??o em distintas redes integradas; e, avalia??o matricial. Conclus?es: A ESF promoveu acesso aos cuidados de sa?de e inclus?o de popula??es desfavorecidas. Diferentes percep??es e pr?ticas na organiza??o do cuidado, com trajet?rias distintas de reorganiza??o. No caso de Fortaleza, predom?nio do modelo de programas valorizando idosos, com evid?ncias de X avan?os nas pr?ticas de aten??o e no trabalho em equipe, por?m restritas ao primeiro n?vel de aten??o e com pr?ticas incipientes na perspectiva de pol?tica p?blica. Em Aracaju, havia integra??o em redes com tecnologias voltadas ? fam?lia, em que a ESF se consolida como pol?tica p?blica. Pode-se afirmar que, a APS em expans?o de cobertura, apresentou efic?cia, apesar dos desafios inerentes aos distintos graus de implementa??o

Made available in DSpace on 2014-12-17T14:16:29Z (GMT). No. of bitstreams: 1 SaralySS_DISSERT.pdf: 894946 bytes, checksum: fa169300514c3b0de2cbc9ebdeae0d2e (MD5) Previous issue date: 2012-02-29 / Universidade Federal do Rio Grande do Norte / The aim of this study was to establish the profile of the pharmacist technician responsible for community pharmacies in the city of Natal/RN, featuring personal elements, perceived their role and place of pharmaceutical care, levels of job satisfaction, type and quality of services provided in human and structural framework. To that end, we made an exploratory cross-sectional study applying a questionnaire containing open and closed questions, which was applied to pharmaceutical technicians responsible for community pharmacies in Natal/RN, from September 2010 to September 2011. The sample was established by calculating the simple random sample, with a confidence level of 95% and a significance level of 0.05. To evaluate the satisfaction level of the activities performed by pharmacists in community pharmacies was used Simple Satisfaction Scale (Likert, 1935). To assess the attitudes and perceptions of pharmacists in relation to aspects of pharmaceutical care, we used the Model Attitude toward the object (Fishbein, Ajzen, 1975). The answers were converted into data were analyzed statistically using Epi Info 3.5.2 The results showed that the strengths and weaknesses in relation to the profile of the pharmacist and their activities in community pharmacies in Natal/RN are not different in other cities in the country . The most important aspects were: 51% (n = 90) of the establishments visited, the pharmacist was absent; 46% (n = 80) did not have postgraduate and of those who are or have completed 33% (n = 51) are in the area of Clinical Analysis; 56% (n = 98) 08h for day work and 64% (n = 111) claim that this load influence its performance; 83% (n = 146) receive as salary, the floor pharmacist regarding the state of Rio Grande do Norte; 44% (n = 76) are unhappy about the salary, which is the main difficulty cited; 78% (n = 136) say they are always sought by users and the receptivity of these considered good (52%, n = 91). The activities of higher satisfaction are those related to pharmaceutical care and lower the administrative. As regards attitudes and perceptions, the score was more negative to the question 'if the pharmacist feels working as a team with the doctor', in which 59% (n = 103) responded 'never'. 49% (n = 86) reported being "able" to take questions from users and 39% (n = 68) are 'dissatisfied' with respect to the structure of the practice of pharmacy to pharmaceutical care. Action is needed on the obstacles to the exercise of the pharmacist in the solution and minimize the negative and positive stimulus to / O objetivo do presente estudo foi estabelecer o perfil do farmac?utico respons?vel t?cnico por farm?cias comunit?rias da cidade de Natal/RN, caracterizando elementos pessoais, percep??o do seu papel e da aten??o farmac?utica realizada, n?veis de satisfa??o profissional, tipo de servi?os prestados e qualidade destes em ?mbito humano e estrutural. Para tanto, foi feito um estudo transversal explorat?rio aplicando um question?rio contendo perguntas abertas e fechadas, o qual foi aplicado aos farmac?uticos respons?veis t?cnicos por farm?cias comunit?rias em Natal/RN, no per?odo de setembro de 2010 a setembro de 2011. A amostra foi estabelecida atrav?s do c?lculo da amostra aleat?ria simples, com grau de confian?a de 95% e n?vel de signific?ncia de 0,05. Para avaliar o n?vel de satisfa??o das atividades realizadas pelos farmac?uticos nas farm?cias comunit?rias foi usada a Escala de Satisfa??o Simples (LIKERT, 1935). Para avaliar as atitudes e percep??es dos farmac?uticos com rela??o aos aspectos da aten??o farmac?utica, foi utilizada o Modelo de Atitude em Rela??o ao Objeto (FISHBEIN; AJZEN, 1975). As respostas foram convertidas em dados analisados estatisticamente pelo programa Epi Info 3.5.2 Os resultados mostraram que os pontos positivos e negativos em rela??o ao perfil do farmac?utico e suas atividades nas farm?cias comunit?rias de Natal/RN n?o s?o diferentes em rela??o a outras capitais do pa?s. Os aspectos mais relevantes foram: em 51% (n = 90) dos estabelecimentos visitados o farmac?utico estava ausente; 46% (n = 80) n?o possuem p?s-gradua??o e dos que a fazem ou a conclu?ram, 33% (n = 51) s?o na ?rea das An?lises Cl?nicas; 56% (n = 98) trabalham 08h/dia e 64% (n = 111) afirmam que esta carga hor?ria influencia no seu desempenho; 83% (n = 146) recebem como sal?rio, o piso farmac?utico referente ao estado do Rio Grande do Norte; 44% (n = 76) est?o insatisfeitos quanto ao sal?rio, sendo esta a maior dificuldade citada; 78% (n = 136) afirmam serem sempre procurados pelos usu?rios sendo a receptividade destes considerada boa (52%, n = 91). As atividades de maior satisfa??o s?o aquelas ligadas ? aten??o farmac?utica e as de menor, as administrativas. Quanto ?s atitudes e percep??es, o escore mais negativo foi para a pergunta se o farmac?utico se sente trabalhando em equipe com o m?dico‟, em que 59% (n= 103) responderam nunca‟. 49% (n = 86) relataram estarem aptos a tirarem as d?vidas dos usu?rios; 39% (n = 68) encontram-se insatisfeitos‟ em rela??o ? estrutura da farm?cia para o exerc?cio da aten??o farmac?utica. S?o necess?rias a??es sobre os entraves ao exerc?cio da profiss?o farmac?utica na solu??o e minimiza??o dos pontos negativos e est?mulo aos positivos

Made available in DSpace on 2014-12-17T14:20:13Z (GMT). No. of bitstreams: 1 RosanaLAV.pdf: 1507819 bytes, checksum: 15b7e1ba8865dba5987cca21057dd0af (MD5) Previous issue date: 2009-08-26 / This study approaches the topic of humanization in health that involves the set of policies implemented by the Ministry of Health in Brazil. Its aims are directed towards a reflection on the guiding theoretical and organizing axes of the National Humanization Policy (NHP) and their repercussions on municipal health policy of Natal, Brazil; an analysis of the results of the policy at the local level; knowledge of the views and experiences of the humanization agents in the daily work process and identification of the main challenges of the policy. The empirical field of investigation was the Family Health Strategy (FHS) of the city of Natal. The assumption of the study is that the FHS has produced local experiences with potentialities that must not be wasted, in which there are difficulties and discrepancies between the real and proposed model. The contradictions and challenges in the social and political context of Brazil in the early XXI century and their consequences in the field of health reflect anti-utilitarian aspects anchored strongly in the theoretical concepts of Boaventura de Sousa Santos about the sociology of privations and emergencies as well as of the work of translating. The predominantly qualitative approach collects some complementary quantitative data. The study procedures used were the following: bibliographic research; documental research; interviews; and direct observation. Interpretation of the information obtained was based on documental analysis and on the symbolic cartography of the social representations. Cartographic evidence suggests that practices still take place under dehumanizing conditions that compromise the quality of care given. However, there is a movement aimed at changing the work process that has been strengthening the link and widening the measures developed, incorporating new directions in diversity, integrality and solidarity. The map drawn shows a reality manifested by explicit intentions in a political agenda, by concrete solutions marked by an assortment of difficulties and expressed in the words of the agents and by latent clues identified in successful local experiences, posing many challenges for the consolidation of the proposed changes / Esta pesquisa aborda o tema da humaniza??o na sa?de que integra a agenda da pol?tica de sa?de no Brasil. O pressuposto ? que apesar do contexto social e pol?tico do Brasil neste principio do s?culo XXI e seus reflexos no campo da sa?de, com muitas contradi??es e desafios, o modelo de aten??o da Estrat?gia Sa?de da Fam?lia, mesmo com muitas dificuldades e discrep?ncias entre o real e o proposto, vem produzindo experi?ncias locais com potencialidades que n?o devem ser desperdi?adas. Recorre a marcos antiutilitaristas, ancorando-se mais fortemente nos aportes te?ricos de Boaventura de Sousa Santos, acerca da sociologia das aus?ncias e das emerg?ncias e do trabalho de tradu??o. Seus objetivos est?o direcionados para a reflex?o sobre os eixos te?ricos e organizativos norteadores da Pol?tica Nacional de Humaniza??o-PNH e seus ecos na pol?tica municipal de sa?de de Natal; para an?lise dos marcos da referida pol?tica no n?vel local; para o conhecimento das vis?es e viv?ncias dos agentes da humaniza??o no cotidiano do processo de trabalho e para os principais desafios da pol?tica. Teve como campo de investiga??o emp?rica a Estrat?gia Sa?de da Fam?lia do munic?pio de Natal-RN, utilizando uma abordagem predominantemente qualitativa, apesar de feitos alguns levantamentos quantitativos com um car?ter complementar. Para sua operacionaliza??o, utilizou procedimentos variados, como: a pesquisa bibliogr?fica; a pesquisa documental; e o trabalho de campo onde foram realizadas entrevistas e observa??o direta. A interpreta??o das informa??es obtidas foi fundamentada na an?lise documental e na cartografia simb?lica das representa??es sociais. As evid?ncias cartografadas apontaram que as pr?ticas ainda ocorrem em condi??es desumanizadoras comprometendo a qualidade da aten??o prestada, mas tamb?m a exist?ncia de um movimento de mudan?as no processo de trabalho, que vem fortalecendo o v?nculo e ampliando a??es desenvolvidas incorporando novos sentidos na perspectiva da diversidade, da integralidade e da solidariedade. O mapa delineado mostra uma realidade sinalizada por inten??es explicitadas em uma agenda pol?tica, por situa??es concretas marcadas por dificuldades de diversas naturezas observadas no trabalho desenvolvido e expressadas nas palavras dos agentes, e por pistas latentes identificadas em experi?ncias locais exitosas, que demandam ainda muitos desafios a serem enfrentados para consolida??o das mudan?as propostas