Made available in DSpace on 2014-12-17T14:46:34Z (GMT). No. of bitstreams: 1 SelmaSSO.pdf: 3511274 bytes, checksum: a54476d4b57bf09c9a0cdd92e829a531 (MD5) Previous issue date: 2007-12-28 / This study deals with a historical, descriptive and exploratory approach aiming to recall the origin and trajectory of the Pediatrics Hospital at Universidade Federal do Rio Grande do Norte. This research also deals with the insertion of the nursing department in the same Hospital. This was realized through existing records and discourse collected through interview of professionals-doctors, nurses, midwifes, nursing attendants and psychologists. Thus, a network was established and consisted of qualified informants, composed through reference analysis. Data treatment and analysis was performed based on the collection of oral data. The data was considered according to the font s context, all of which depending on process of comprehension and interpretation. The research was based on the main theme, through oral history used in order to build a historical background. These main themes were then subdivided and other discourses were made present such as: the historical scene, the dream came true and the insertion of nursing, present in the history construction; all of which enabled the research. Thus, in this process, it was possible to identify the most important characters of the origin of children s health services organization and assistance at Rio Grande do Norte. It was possible to perceive that this institution aimed to initiate health services that dealt with an education for future generations. This was observed through the creation of the Faculty of Medicine of Natal and as a consequence, the installation of a Pediatrics Hospital that dealt with medical education. The research made evident that the nursing contributed for a structuring of quality health assistance towards children, even though the resources and working conditions were scarce, extensive work shifts and low professional qualification. It was observed that the there was change in the category s profile, once nurses were introduced in the service. Once this happened, changes in mentality, and innovative processes as well as professional conducts were established. The distinctive relation between acting and doing of doctors and nurses were also dealt with. Thus, the first item is done towards the idealization, projection and prescription. The second issue deals with concretization in realization of something that was not projected and realized, causing suffering and unsatisfaction. At the end, it was possible to confirm that oral history is a very rich element and it is possible through subjects that build history, through their perceptation of the facts and the context in that their are inside / Trata-se de um estudo de enfoque hist?rico, explorat?rio e descritivo visando resgatar a origem e trajet?ria do Hospital de Pediatria da UFRN e a inser??o da enfermagem no mesmo. Este foi realizado a partir dos registros existentes e dos depoimentos colhidos dos profissionais - m?dicos, enfermeiras, parteira, auxiliar de enfermagem e psic?loga. Estabeleceu-se uma rede de informantes qualificados, partindo do marco zero, a qual foi configurada pelas refer?ncias dos entrevistados. O tratamento e a an?lise dos fatos aconteceram com base nas fontes orais coletadas tomando o contexto em que foram vivenciadas para compreend?-las e interpret?-las. Utilizou-se a oralidade na constru??o de uma hist?ria em que as informa??es, baseadas no tema central, foram desdobradas em sub-temas que emergiram do conjunto dos discursos: o cen?rio da hist?ria, do sonho ? realidade e a enfermagem na constru??o da hist?ria, temas que constitu?ram o corpo do trabalho. Nesse processo, identificou-se vultos de grande relev?ncia para a organiza??o da assist?ncia ? crian?a norte-rio-grandense, que deram origem ao sistema de aten??o ? sa?de da popula??o infantil. Percebeu-se a intencionalidade de se criar institui??es de sa?de voltadas para a educa??o de uma gera??o para o futuro. Observou-se a mudan?a desse olhar educacional, a partir da cria??o da Faculdade de Medicina de Natal e, conseq?entemente a estrutura??o de um hospital pedi?trico voltado para o ensino m?dico. Evidenciou-se a contribui??o da enfermagem na constru??o de uma assist?ncia de qualidade ? crian?a, apesar dos escassos recursos, prec?ria condi??es de trabalho, jornadas excessivas e baixa qualifica??o profissional. Observou-se a mudan?a do perfil da categoria, a partir da inser??o das enfermeiras no servi?o e com elas, novas mentalidades, processos inovadores e postura profissional. Constatou-se a distinta rela??o que se estabelece entre o pensar/fazer do m?dico e da enfermagem, o primeiro relacionado ? idealiza??o, proje??o e prescri??o, e o segundo localizado na concretiza??o e na realiza??o de algo que n?o se projetou nem idealizou, podendo ser geradora de insatisfa??o e sofrimento. Enfim, confirmou-se que a riqueza da hist?ria oral decorre da possibilidade dos sujeitos constru?rem a hist?ria, a partir da sua percep??o dos fatos e o contexto no qual est?o inseridos

Made available in DSpace on 2014-12-17T14:46:34Z (GMT). No. of bitstreams: 1 ErikaSGP.pdf: 755755 bytes, checksum: 55465809a490bc9400c75279af58fdff (MD5) Previous issue date: 2008-03-31 / Descriptive and quantitative study, with the objective of review the positive and negative aspects experienced by professionals working in the Family Health Strategy (ESF) of Cear?-Mirim town, at Rio Grande do Norte state. The population included 190 healthcare professionals that integrate the family healthcare staff and the data-collection occurred in a meeting at their workplace, with the implementation of a questionnaire. Results were organized in Microsoft Excel spreadsheet software, with descriptive statistical analysis in tables, graphs and tables through frequencies, averages values and standard deviations. There is a predominance of females (n = 137) and higher rates in almost all professions, and higher average age (38.9%, SD = 7.8) and income wage (average = 10) in the medical category. Regarding the more developed activities, for physicians and nurses are the healthcare actions in the Unit, the oral hygiene for dentists, the immunization for auxiliary nurses (Aux-N), educational meeting for the dental office assistants (ACD), and home visitations to community-based health workers (ACS). About the easiness of work, 93.2% said to be presence of professionals with a personal profile in public healthcare; about the difficulties, 86.8% of professionals cited the unavailability of material, followed by salary range reported by nurses (80.9% ), dentists (80.0%), physicians (73.3%), ACS (83.1%), and Aux-N (90.5%). In relation to working conditions, the unavailability of materials was the most mentioned, with the exception of dentists who reported improvement in wages. We still identify among these difficulties: the drugs availability regarded as first grade obstacle by ACS and physicians, the type of contracts in second grade cited by the ACD and dentists and, in third grade, the salary range cited by dentists and auxiliary nurses. It is concluded that the difficulties and easiness faced by ESF professionals are divergent among themselves. For physicians and nurses, whose healthcare actions become directed to specific groups, the individual and the family, their difficulties relate to the unavailability of materials. For dentists, whose actions more quoted were topical application of fluoride and supervised toothbrush, their greatest difficulty is the salary range. As to the Aux-N, ACD and ACS, for all of them the unavailability of materials has hindered the implementation of their activities in ESF / Estudo descritivo, quantitativo, com o objetivo de analisar as facilidades e dificuldades vivenciadas pelos profissionais da Estrat?gia de Sa?de da Fam?lia (ESF) do Munic?pio de Cear?-Mirim, RN. A popula??o incluiu 190 profissionais de sa?de que integram as equipes de sa?de da fam?lia e a coleta de dados ocorreu no local de trabalho ap?s reuni?o com a aplica??o de um question?rio. Os resultados foram organizados em planilha excel, com an?lise estat?stica descritiva em tabelas, gr?ficos e quadros atrav?s de freq??ncias, m?dias e desvio padr?o. H? predomin?ncia do sexo feminino (n=137) e ?ndices maiores em quase todas as profiss?es, e maior m?dia de idade (38,9% e DP= 7,8) e renda salarial (m?dia = 10) na categoria m?dica. Quanto ?s atividades mais desenvolvidas, para m?dicos e enfermeiros s?o as a??es do cuidado em sa?de na Unidade, higiene bucal para os odont?logos, imuniza??o para os auxiliares de enfermagem (Aux. Enf.) reuni?o educativa para os auxiliares de consult?rio dent?rio (ACD), e visita domiciliar para os agentes comunit?rios de sa?de (ACS). Sobre as facilidades do trabalho, 93,2% referiram ser a presen?a de profissionais com perfil em sa?de s?blica; quanto ?s dificuldades, 86,8% dos profissionais citaram ? indisponibilidade de material, seguidas da faixa salarial referida por enfermeiros (80,9%), odont?logos (80,0%), m?dicos (73,3%), ACS (83,1%) e Aux. e Enf. (90,5%). Em rela??o ?s condi??es de trabalho, a indisponibilidade de materiais foi a mais citada com exce??o dos odont?logos que referiram a melhoria salarial. Identifica-se ainda, entre essas dificuldades: a disponibilidade de medicamentos considerada como grau um de empecilho pelos ACS e pelo m?dico, a modalidade de v?nculo contratual em grau dois citada pelo ACD e o odont?logo; e em grau tr?s, a faixa salarial citada pelos odont?logos e auxiliares de enfermagem. Conclui-se, que ?s dificuldades e facilidades enfrentadas pelos profissionais da ESF s?o divergentes entre si. Para os m?dicos e enfermeiros, cujas a??es em sa?de centralizam-se no atendimento aos grupos espec?ficos, ao indiv?duo e a fam?lia, as suas dificuldades relacionam-se a indisponibilidade de materiais. Para os odont?logos, cujas a??es mais citadas foram aplica??o t?pica de fl?or e escova??o supervisionada, sua dificuldade maior ? a faixa salarial. Quanto ao aux. de enf., ACD e ACS para todos eles, a indisponibilidade de materiais tem dificultado a realiza??o das suas atividades na ESF

Made available in DSpace on 2014-12-17T14:46:34Z (GMT). No. of bitstreams: 1 LibneLRN.pdf: 848892 bytes, checksum: 398a4e64fd30b3f518582e223796fd9d (MD5) Previous issue date: 2008-12-20 / Attention to the health of adolescents, based on paradigm flexneriano, needs to be overcome. Since the International Conference of Ottawa (1986), the literature is developing a discussion of the promotion of health, based on the paradigm of social production in health, suggests a design to overcome the health care traditional practices. Program Health of the Family PSF has this purpose to transmute the model of existing assistance, where the nurse is an essential element to the work done in the program. Around this context, it is our purpose to analyze the practice of nurse of the PSF for the promotion of health of adolescents, produced by a search of descriptive quantitative approach with the inclusion of qualitative data. Interviews were conducted with 9 nurses 3 units of health of the family USF, Mossor?-RN and applied questionnaires with 74 teenagers aged between 15 and 19 years old, with some nearby public schools where USF operate these nurses. The quantitative descriptions were transformed on tables, pictures and graphics using the program Excel (Microsoft) and the qualitative were worked through the technique of analyzing the content of Bardin (2004). The review was realized using the reference to promote health brought by the study. The results show that the most common problems that happen with teenagers are the drugs (33,8%), pregnancy (27,0%) and political problems-socio-economic-cultural issues (24,3%). Adolescents are spontaneous demand and rarely seek the USF. The actions presented by the nurses as, lectures and groups, are nothing comparing to the macro-problems presented by adolescents, and verticalized irregular. The nurses know the promotion of health generally, not explaining how operate it from its daily practice. Concluded that the practice of nurse of the PSF has not yet reach the promotion of health of the adolescent, being necessary to scheduling modules on the subject to continuous training of teams, professionals from USF, as well as teachers and other staff of schools, giving space to the participation of academic. The discussions should be socialized with the community to discuss possibilities of confrontation of the problems, which also require socio-structural changes. This research can contribute as work-diagnosis, which experienced the reality of care in nursing PSF to a specific group / A aten??o ? sa?de do adolescente, baseada no paradigma flexneriano, necessita ser superada. A partir da Confer?ncia Internacional de Ottawa (1986), a literatura vem elaborando a discuss?o de que a promo??o da sa?de, baseada no paradigma de produ??o social em sa?de, sugere uma concep??o sanit?ria que visa superar as pr?ticas assistenciais tradicionais. O Programa Sa?de da Fam?lia - PSF aspira a transmutar o modelo de assist?ncia vigente, sendo o enfermeiro elemento essencial ao trabalho desenvolvido no programa. Ante este contexto, objetivando-se analisar a pr?tica do enfermeiro do PSF para a promo??o da sa?de do adolescente, elaborou-se uma pesquisa descritiva de abordagem metodol?gica quantitativa com a inclus?o de dados qualitativos. Foram realizadas entrevistas com 9 enfermeiros de 3 Unidades Sa?de da Fam?lia USF de Mossor?-RN e aplicados question?rios com 74 adolescentes com idade entre 15 e 19 anos, de escolas p?blicas das adjac?ncias das USF onde atuam esses enfermeiros. As descri??es quantitativas foram transformadas em tabelas, quadros e gr?ficos a partir do programa Excel (Microsoft) e as qualitativas foram trabalhadas atrav?s da t?cnica de an?lise de conte?do de Bardin (2004). A an?lise foi realizada, utilizando-se o referencial de promo??o da sa?de trazido pelo estudo. Os resultados mostram que os problemas mais comuns que acontecem com os adolescentes s?o as drogas (33,8%), a gravidez (27,0%) e problemas pol?tico-s?cio-econ?mico-culturais (24,3%). Os adolescentes constituem demanda espont?nea e raramente buscam as USF. S?o t?midas as a??es dos enfermeiros, palestras e grupos, frente aos macro-problemas apresentados pelos adolescentes, al?m de verticalizadas e irregulares. Os enfermeiros conhecem a promo??o da sa?de genericamente, n?o explicitando como operacionaliz?-la a partir de sua pr?tica cotidiana. Concluiu-se que a pr?tica do enfermeiro do PSF ainda n?o se volta ? promo??o da sa?de do adolescente, sendo necess?ria a programa??o de m?dulos sobre a tem?tica para a capacita??o cont?nua de equipes, profissionais das USF, assim como de professores e demais funcion?rios das escolas, dando espa?o ? participa??o de acad?micos. As discuss?es devem ser socializadas junto ? comunidade para se discutir possibilidades de enfrentamento dos problemas, que tamb?m requisitam mudan?as s?cio-estruturais. Esta pesquisa pode contribuir como trabalho-diagn?stico, no qual se conheceu a realidade assistencial do enfermeiro do PSF a um grupo espec?fico

Made available in DSpace on 2014-12-17T14:46:35Z (GMT). No. of bitstreams: 1 RobertaKSC.pdf: 742228 bytes, checksum: 3e556b639d20cfc4e36deb8ea001fa30 (MD5) Previous issue date: 2008-12-28 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / The model of attention to health in Single Health System (Sistema ?nico de Sa?de SUS) presupposes a human-resources policy which prepares professionals of health to guide the services and sanitary practices. The nurse, a member of health staff, takes over an important role in implementation of principles and standards of SUS, being its professional formation necessary to labor organization in this purpose. In this way this study objectifies to analyse the process of formation of the male nurse in the Politic-Pedagogical Project (Projeto Pol?tico-Pedag?gico PPP) in the perception of learning and teaching of the Faculty of nursing FAEN of the University of The Rio Grande do Norte State UERN. It treats about a descriptive-exploratory study with qualitative and quantitative approach carried out with learning and teaching of the graduation nursing course. In the field research carried out between the months of november, 2006 and february, 2007, were used like instruments the documental research below PPP?s, structured interview directed to the learning and the closed questionnaire applied to the students of eighth and ninth semesters of graduation course. The results of data about the questionnaires elaborated according to National Curricular Patters (Diretrizes Curriculares Nacionais DCN) and the Instrument of Evaluation Course of Graduation MEC were organized according to six lists about the profile of the learning and teaching that participate of the research; of the didactical-pedagogical organization and PPP?s objectives to the just-graduates person to the didactical-pedagogical curriculum organization. For considering the interviews it was adopted thematic analysis of content discribed in lexical analysis by informatical program ALCESTE which provided the organization of the material in five categories: daily problems of SUS consolidation versus nurse formation, dichotomies about FAEN?s nursing course of curriculum versus principles of integralization of graduating process, the just-graduated one from FAEN and its professional insertion united to SUS politic-pedagogical project and the concern about the overcoming of dichotomies of graduation process abilities and necessary competences to the SUS performing nurse. The analysis of informations deriving from documental performance and field research resulted on the verification that, in spite of good intentions, the implementation strategies showed themselves fragile to cope with the rendering of expressed ideal on PPP. There is still a great gap between what?s thought as innovating graduating process and what?s being really implemented / O modelo de aten??o ? sa?de no ?mbito do Sistema ?nico de Sa?de - SUS pressup?e uma pol?tica de recursos humanos que prepare profissionais de sa?de para reorientar os servi?os e pr?ticas sanit?rias. O enfermeiro, membro da equipe de sa?de, assume papel importante na implementa??o dos princ?pios e diretrizes do SUS, sendo sua forma??o profissional necess?ria ? organiza??o do trabalho nesse sentido. Desse modo, esse estudo objetiva analisar o processo de forma??o do enfermeiro para atuar no Sistema ?nico de Sa?de, na percep??o de discentes e docentes da FAEN/UERN. Trata-se de um estudo explorat?rio-descritivo com abordagem quanti-qualitativa, realizado com discentes e docentes do curso de gradua??o em enfermagem. Na pesquisa de campo, realizada entre os meses de novembro de 2006 e fevereiro de 2007, foram utilizados como instrumentos a pesquisa documental sob o texto do Projeto Pol?tico-Pedag?gico - PPP, a entrevista estruturada direcionada aos docentes e o question?rio fechado aplicado aos discentes do oitavo e nono per?odos do curso. Os dados resultantes dos question?rios, elaborados a partir das Diretrizes Curriculares Nacionais DCN e do Instrumento de Avalia??o dos Cursos de Gradua??o MEC foram organizados em cinco tabelas referentes ao perfil dos discentes e dos docentes participantes da pesquisa, ? organiza??o did?tico-pedag?gica e aos Objetivos do PPP; ao Perfil do egresso; ? organiza??o did?tico-pedag?gica do curr?culo. Para a considera??o das entrevistas foi adotada a an?lise tem?tica de conte?do e a an?lise l?xica pelo programa inform?tico ALCESTE, que proporcionou a organiza??o do material em cinco categorias: problemas do cotidiano da consolida??o do SUS versus forma??o do enfermeiro, dicotomias do curr?culo do curso de enfermagem da FAEN versus princ?pios de integraliza??o do processo formativo, o egresso da FAEN e sua inser??o profissional junto ao SUS, o projeto pol?tico-pedag?gico e a preocupa??o com a supera??o das dicotomias do processo formativo, habilidades e compet?ncias necess?rias ao enfermeiro atuante no SUS. A an?lise das informa??es provenientes do referencial te?rico utilizado e da pesquisa de campo resultou na constata??o de que, apesar das boas inten??es, as estrat?gias de implementa??o se mostraram fr?geis para dar conta da concretiza??o do ideal expresso no PPP. Ainda existe um abismo entre o que ? pensado como processo formativo inovador e o que est? sendo realmente implementado

Made available in DSpace on 2014-12-17T14:46:35Z (GMT). No. of bitstreams: 1 DulcianMA.pdf: 2296903 bytes, checksum: 1b8fc8d6f65f47312f361768e8bbb2ae (MD5) Previous issue date: 2008-04-30 / Comprehending social representations of users relatives of Psychosocial Care Centers (CAPS) from Natal-RN, about their participation in the activities of these services, was the purpose of this study. The research instrument used was a semi-structured interview, led to 28 relatives of users of East and West CAPS II, East and North CAPS-ad, involved in the Relative Therapeutic Group, in Relative Meeting, in the Assembly of Users, Technicians and Relatives, according to the therapeutic schedule of each health services, between August to November 2007. Data obtained in family and users identification were characterized with the aid of charts and boards in absolute and/or percentage values. The discursive material from the guide from interviews was submitted to the informational resource ALCESTE (Analyse Lexicale par Contexte d'un Ensemble of Segments of Texte), and analyzed on the basis of the Theory of Social Representations and Central Nucleus Theory. Most of the relatives were women, married, aged over 50 years, who participated for more than two years in CAPS activities, and a coexistence of more than 11 years with the user. From the classification system of ALCESTE were selected categories, identified by: Category 1, Treatment Improvements and Expectations; Category 2, Living User Before and After; Category 3, Activities Relevance, Contradictions and Suggestions; Category 4, Guidelines -- Psychopharmacology and Medicalization; Category 5, Family Participation and Activities; and Category 6, Therapeutic Conditions Thanks, Tips and Vulnerability. The social representation of the family exists in the desire for change, identifying that we need to promote change by the continuity of therapeutic activities and overcome the detected inconsistencies, targeted by strengthening and by the stability of improvements in living and health conditions of users, experienced in CAPS treatment. The central nucleus had corresponded to positive changes in health and living conditions of users, and the peripheral elements were constituted by family conducts before and during treatment, and the expectations of changes in activities, especially in workshops. Despite this family participation be considered important, it still does not meet conditions to promote the inclusion of family, under an emancipating point of view, capable of causing in subject the hope for autonomy, initiative, individual and collective growths, a closer and active involvement in therapeutic activities, in workshops and discussions / Apreender as representa??es sociais dos familiares de usu?rios dos Centros de Aten??o Psicossocial (CAPS) do Munic?pio de Natal-RN, a respeito de sua participa??o nas atividades desses servi?os, foi o objetivo deste estudo. O instrumento de pesquisa utilizado foi entrevista semi-estruturada, dirigida a 28 familiares de usu?rios dos CAPS II Leste e Oeste e CAPSad Leste e Norte, que participavam do Grupo Terap?utico de Familiares, da Reuni?o de Familiares, da Assembl?ia de Usu?rios, T?cnicos e Familiares, segundo a agenda terap?utica de cada servi?o de sa?de, no per?odo de agosto a novembro de 2007. Os dados obtidos na identifica??o dos familiares e usu?rios foram caracterizados com o aux?lio de tabelas e quadros em valores absolutos e/ou percentuais. O material discursivo, proveniente do roteiro das entrevistas, foi submetido ao recurso informacional do ALCESTE (Analyse Lexicale par Contexte d un Ensemble de Segments de Texte) e analisado com base na Teoria das Representa??es Sociais e na Teoria do N?cleo Central. A maioria dos familiares foram mulheres, casadas, com idade superior a 50 anos, que participavam h? mais de dois anos das atividades nos CAPS, e uma conviv?ncia superior a 11 anos com o usu?rio. A partir do sistema de classifica??o do ALCESTE foram elegidas categorias identificadas por: Categoria 1, Tratamento - Melhoras e Expectativas; Categoria 2, Conviv?ncia Usu?rio Antes e Depois; Categoria 3, Atividades Import?ncia, Contradi??es e Sugest?es; Categoria 4, Orienta??es Psicofarmacologia e Medicaliza??o; Categoria 5, Fam?lia - Participa??o e Atividades; e Categoria 6, Condi??es Terap?uticas Agradecimentos, Sugest?es e Vulnerabilidade. A representa??o social dos familiares ancora no desejo por mudan?as, identificando que ? preciso promover mudan?as pela continuidade das atividades terap?uticas e supera??o das inconsist?ncias detectadas, objetivada pelo refor?o e pela estabilidade das melhorias nas condi??es de vida e sa?de dos usu?rios, vivenciadas no tratamento dos CAPS. O n?cleo central correspondeu a mudan?as positivas nas condi??es de sa?de e de vida dos usu?rios, j? os elementos perif?ricos foram constitu?dos pelas condutas familiares antes e durante o tratamento, e, pelas expectativas de mudan?as nas atividades, especialmente as oficinas. Apesar dessa participa??o familiar ser considerada importante, ainda n?o re?ne condi??es para promover a inser??o do familiar, sob um ponto de vista emancipador, capaz de suscitar no sujeito o desejo da autonomia, da iniciativa, do crescimento individual e coletivo, de um envolvimento mais pr?ximo e ativo nas atividades terap?uticas, nas oficinas e nas discuss?es

Made available in DSpace on 2014-12-17T14:46:36Z (GMT). No. of bitstreams: 1 LaianeMR.pdf: 612024 bytes, checksum: 0cd8ac928774fa38e77c559538f0c032 (MD5) Previous issue date: 2007-12-18 / The present work shows an inquiry about the conceptions and practical work of the nursing professionals on the accompaniment of mental sick patients in the Family s Health Strategy, under the approach of the completeness in health. The justification of this research is given by bringing an special attention concerning the subjet to these professionals of health: the gradual abandonment of the traditional manicomial model leads to the insertion of mental patients in the community . The nursing professionals must be prepared to receive these patients in the basic net of health and contribute to help their adaptation and insertion in the social environment as citizen. In this context, considering the entire attention to the mental health, it is important to detach that the assistance to the patient must search his reinsertion in the community by providing programs that develops his sociability. This analytical study was developed using a qualitative approach and a thematic verbal history. Ten nurses of Nova Natal s Health of the Family Unit, of Felipe Camar?o Mista s Unit and of Cidade da Esperan?a s Health Unit contributed for its development . The information was acquired through an instrument research that made possible the accomplishment of the interviews. These ones were set previously and counted on the assent of the participants. The interviews were recorded and analyzed in accordance with the pertinent literature concerning the subject. The aggregation of the information was then discussed. At this moment three thematic axles were defined dividing the categories of analysis. According to the results of the interviews, the practical procedure given to the patients with mental upheaval is resumed by the prescription of psicotroprics medicaments. It doesn t provide an accompaniment by the professionals of health, specifically, nurses, to the patients and their families. The lack of qualification and a multi-professional team emerged as one of the challenges for the implementation of practical procedures towards the patients with mental upheaval. Therefore, the results of this research show the necessity of transformations in the current scene of the mental health in the Family s Health Strategy. These changes can be reached by politics investments on the mental health area, not only financially but by providing human resources that should allow the professionals to exert the completeness procedures / O presente trabalho trata de uma investiga??o em torno das concep??es e das pr?ticas dos enfermeiros no acompanhamento ao doente mental na Estrat?gia de Sa?de da Fam?lia, sob o enfoque da integralidade em sa?de. A justificativa do estudo d?-se por trazer uma contribui??o para a aten??o desse usu?rio na rede b?sica de sa?de mediante a desconstru??o gradativa do tradicional modelo manicomial, trazendo o portador de transtorno mental para a comunidade. Nesse diapas?o, o profissional de enfermagem deve estar preparado para acolher esse usu?rio na rede b?sica de sa?de e contribuir para a sua inser??o no meio social como cidad?o. Nesse contexto, considerando a integralidade da aten??o ? sa?de mental, ? importante destacar que a assist?ncia ao usu?rio deve buscar sua reinser??o na comunidade por meio de programas que facilitem a sua sociabilidade. O estudo de cunho anal?tico, com abordagem qualitativa, utilizando a hist?ria oral tem?tica, teve, como colaboradoras, dez enfermeiras das Unidades de Sa?de da Fam?lia de Cidade Nova, Felipe Camar?o Mista e da Unidade de sa?de da Cidade da Esperan?a.As informa??es foram obtidas atrav?s de um instrumento de pesquisa que possibilitou a realiza??o das entrevistas, as quais foram agendadas, previamente, e contou com o consentimento dos participantes.As entrevistas foram gravadas e,em seguida, transcritas e analisadas de acordo com a literatura pertinente ao assunto. Realizou-se, nesse momento, a agrega??o das informa??es, definindo-se tr?s eixos tem?ticos norteadores, e, destes, categorias de an?lise. De acordo com as falas, p?de-se constatar que a pr?tica voltada para o paciente com transtorno mental na rede b?sica ? a transcri??o de receitas de psicotr?picos n?o havendo um acompanhamento por parte dos profissionais, especificamente, enfermeiros, aos usu?rios e seus familiares. A falta de capacita??o e de uma equipe multiprofissional emergiu como um dos desafios para a implementa??o de pr?ticas voltadas para os usu?rios com transtorno mental. Portanto, os resultados desta pesquisa mostram a necessidade de transforma??es no cen?rio atual da sa?de mental na Estrat?gia de Sa?de da Fam?lia. Essas mudan?as podem ser alcan?adas mediante pol?ticas de investimento na aten??o ? sa?de mental, n?o s? financeira mas de recursos humanos, permitindo, assim, que a integralidade seja exercida na pr?tica dos profissionais

Made available in DSpace on 2014-12-17T14:46:36Z (GMT). No. of bitstreams: 1 CristianeRM.pdf: 5245197 bytes, checksum: e2a591b692b29f0a98a345fa8cdc01ad (MD5) Previous issue date: 2008-05-29 / Quasi-experimental study, prospective with quantitative approach, performed at the Hospital do Cora??o in Natal, aimed at verified the existence of difference between the care given by health professionals to the patients under mechanical ventilation (MV) in the Intensive Care Unit, before and after an educative intervention. The population was of 31 professionals, with data collected between november 05 of 2007 to march 27 of 2008. The results show a yong population, female gender, middle level of education, nursing technique, working between 05 and 09 years on nursing profession, and 01 to 04 years on Intensive Care Unit; almost all, never had an kind of training over prevent pneumonia associated to mechanical ventilation; from those that had training, occur on the work place with duration from 12 to 24 hours. About endotracheal intubation, the cuff was tested with a sterilized syringe had a positive change after a educative intervention, increased from 75,0% to 100,0%; the sterile guide was used on 75,0% before and 100,0% after an educative intervention. Regarding endotracheal suction procedure, was not informed to the patient on 72,7% before, however was informed on 56,7% after; the hands was not previously washed 68,5% before, however was 63,3% after the procedure; mask was used on 74,2 % opportunities before and 76,7% after; the aspiration catheter had adequated size on 98,9% observation before and 100,0% after; the gaze was sterilized on 95,7% before and 100,0% after; the ventilator was connected to the patient during the aspiration intervals on 94,4% observation before and 100,0% after; the ambu bag was clean and protected on 76,1% before and 85,7% after; the aspiration catheter was discarded after be used on 98,9% before and 100,0% after; FIO2 was turned to the begging value on 32,9% observation before and 12,0% after; before the procedure 71,9% professions washed their hands and 73,3% after; before, notes of aspiration results were performed on 70,8% observation and 86,7% after. Regarding devices used on respiratory tract, aspirator flasks were not swapped on 84,6% observations before and 71,0% after; daily l?tex extention change was not performed on 93,6% observation before and 87,1% after; the ambu bag change was not performed on 50,0% observation before even if was duty or unprotected and on 75,8% opportunities was changed, after; nebulization was not prepared with sterile fluids or manipulated aseptically on 65,2% observation before, perhaps was on 71,7% after; before nebulizers were not changed on 65,2% observations, perhaps were on 60,9% after. Concerning ventilator breathing circuits, condense fluids cumulated on circuits were removed on 55,0% opportunities before, and 64,0% after; moisturizer was not filled with sterile water when already had small amount of liquid inside on 78,4% observations before, and 90,2% after; MV circuits were changed on 97,0% observations on presence of visible duty or when presents some kind of failure, before and 98,4% after. About body position, on 51,3% observations the decubitus position change were done before and 78,2% after; fowler position was maitened on 95,5% observations before and 98,2% after; Regarding respiratory physiotherapy, enteral diet was not interrupted before respiratory physiotherapy on 94,9% before and 90,0% after; respiratory physiotherapy devices were not disinfected or sterile on 69,6% observations before but they re on 60,0% after; before the cateter was not tested before introduction enteral diet or medications on 100,0% but after was done on 15,2%. About enteral feeding, intestine motility and measure of stomach contents were not done on 100,0% observations before, but was 15,2% after. We conclude that 05 of 07 valuated procedures in relation to MV, had a significant improvement on quality of care given after educative intervention, when compared before intervention / Estudo quase-experimental, com abordagem quantitativa, delineamento tempo-s?rie e dados prospectivos, realizado no Hospital do Cora??o de Natal, objetivando verificar a exist?ncia de diferen?a entre a assist?ncia prestada pelos profissionais de sa?de aos pacientes sob ventila??o mec?nica (VM) internados na UTI, antes e ap?s uma interven??o educativa. A popula??o fo de 31 profissionais, com dados coletados entre 05 de novembro de 2007 e 27 de mar?o de 2008. Os resultados mostram uma popula??o jovem, entre 20 e 30 anos de idade, do sexo feminino, ensino n?vel m?dio completo, na maioria, t?cnicos de enfermagem, trabalhando entre 05 e 09 anos na profiss?o, e 01 e 04 anos em UTI; a maioria nunca realizou treinamento acerca da preven??o de PAV; dos que realizaram, participaram em eventos da institui??o com dura??o entre 12 e 24 horas. Quanto ? intuba??o endotraqueal, o teste do cuff com seringa est?ril sofreu modifica??o positiva, ap?s a interven??o educativa, aumentando de 75,0% para 100,0%; o fio guia est?ril foi usado em 75,0% das ocasi?es antes e em 100,0% ap?s. Sobre aaspira??o endotraqueal, n?o foi explicado ao paciente sobre esse procedimento em 72,7% das situa??es antes, mas foi em 56,7% das vezes ap?s; a higieniza??o das m?os n?o foi realizada previamente em 68,5% das vezes antes, mas foi em 63,3% ap?s; a m?scara foi utilizada em 74,2% das oportunidades antes e em 76,7% ap?s; o cateter de aspira??o tinha o tamanho adequado em 98,9% das observa??es antes e em 100,0% ap?s; a gaze usada estava est?ril em 95,7% antes e em 100,0% ap?s; o ventilador foi conectado ao paciente durante os intervalos da aspira??o em 94,4% das oportunidades antes e em 100,0% ap?s; o ambu estava limpo e protegido em 76,1% das situa??es antes e em 85,7% ap?s; o cateter de aspira??o foi descartado ap?s o uso em 98,9% das oportunidades antes e em 100,0% ap?s; a extens?o de l?tex foi limpa em 86,5% das observa??es antes e em 93,3% ap?s; a FIO2 foi retornada ao valor inicial em 32,9% das vezes antes e em 12,0% ap?s; a higieniza??o das m?os ao t?rmino do procedimento foi feita em 71,9% das situa??es antes e em 73,3% ap?s; as anota??es referentes ? aspira??o foram feitas em 70,8% das observa??es antes e em 86,7% ap?s. Quanto aos dispositivos, a troca di?ria dos frascos aspiradores n?o foi obedecida em 84,6% das oportunidades antes e em 71,0% ap?s; a troca di?ria da extens?o de l?tex n?o foi realizada em 93,6% das vezes antes e em 87,1% ap?s; o ambu n?o foi trocado em 50,0% das observa??es, embora estivesse sujo e/ou desprotegido antes, mas em 75,8% das oportunidades esse dispositivo foi trocado ap?s; a nebuliza??o n?o foi preparada com flu?dos n?o est?reis e/ou manipulada assepticamente em 65,2% das ocasi?es antes; entretanto em 71,7% das vezes foram realizados ap?s; os nebulizadores n?o foram trocados em 65,2% das situa??es antes, mas foram em 60,9% ap?s. Acerca dos circuitos do VM, o condensado acumulado nos circuitos foi descartado em 55,0% das vezes antes e em 64,0% ap?s; o preenchimento do umidificador com ?gua, n?o foi feito em 78,4% das vezes em que possu?a l?quidos remanescentes antes e em 90,2% ap?s; os circuitos do VM foram trocados em 97,0% das oportunidades em que apresentavam sujidade vis?vel ou estavam defeituosos antes e em 98,4% ap?s. Quanto ? mudan?a de dec?bito, em 51,3% das vezes antes foi realizada e em 78,2% ap?s; a cabeceira do leito do paciente foi mantida elevada em 95,5% das observa??es antes e em 98,2% ap?s. Sobre a fisioterapia, a dieta enteral n?o foi interrompida antes das manobras fisioter?picas em 94,9% das situa??es antes e em 90,0% ap?s; os materiais usados durante a fisioterapia n?o estavam desinfetados e/ou est?reis em 69,6% das observa??es antes, mas estavam em 60,0% ap?s. Quanto ? nutri??o enteral, o teste da sonda antes de iniciar a dieta enteral ou de administrar medicamentos n?o foi realizado em nenhuma das oportunidades antes, entretanto foi em 15,2% ap?s; a motilidade intestinal e aferi??o do conte?do (residual) g?strico n?o foram verificadas em nenhuma das observa??es, mas foi em 15,2%, ap?s. Conclu?mos que, em 05 dos 07 procedimentos avaliados em rela??o ? VM, houve melhora significativa na qualidade da assist?ncia prestada quando comparados ao momento anterior ? interven??o educativa

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2015-12-03T23:35:14Z No. of bitstreams: 1 IsaianeDaSilvaCarvalho_DISSERT.pdf: 5021276 bytes, checksum: 7b072fef12163f4a5b11c723214a11dc (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2015-12-09T22:52:17Z (GMT) No. of bitstreams: 1 IsaianeDaSilvaCarvalho_DISSERT.pdf: 5021276 bytes, checksum: 7b072fef12163f4a5b11c723214a11dc (MD5) / Made available in DSpace on 2015-12-09T22:52:17Z (GMT). No. of bitstreams: 1 IsaianeDaSilvaCarvalho_DISSERT.pdf: 5021276 bytes, checksum: 7b072fef12163f4a5b11c723214a11dc (MD5) Previous issue date: 2014-11-14 / O estudo objetivou avaliar a qualidade da assist?ncia prestada ? m?e e ao filho durante o parto normal em maternidades p?blicas de Natal-RN, Brasil. Para tanto, desenvolveu-se de um estudo transversal, com abordagem quantitativa, em duas maternidades p?blicas municipais que prestam assist?ncia ?s parturientes de risco habitual (maternidades A e B). Participaram do estudo pu?rperas, cujo filho nasceu vivo, pela via transp?lvica, com idade gestacional entre 37 e 42 semanas, in?cio de trabalho de parto espont?neo ou induzido, e que apresentaram condi??es f?sicas e emocionais para responder aos questionamentos propostos. A amostra constituiu-se por 314 pu?rperas atendidas no per?odo de abril a julho de 2014. O instrumento de coleta de dados foi constru?do com base nas recomenda??es da World Health Organization para a assist?ncia ao parto normal e validado por ju?zes avaliadores, tendo a vers?o final obtido concord?ncia ?tima (k=0,96; IVC=0,99). Associado a tais recomenda??es, utilizou-se tr?s indicadores para avaliar a qualidade da assist?ncia ao parto normal: porcentagem de mulheres com trabalho de parto induzido ou submetidas ? cesariana eletiva (Indicador A); porcentagem de mulheres atendidas por um profissional de sa?de qualificado em trabalho de parto e parto (Indicador B); e ?ndice de Bologna (Indicador C). A pesquisa iniciou-se ap?s recebimento de parecer favor?vel do Comit? de ?tica em Pesquisa da Universidade Federal do Rio Grande do Norte sob n? 562.313 e CAAE: 25958513.0.0000.5537. Para an?lise das categorias relacionadas ?s recomenda??es da World Health Organization utilizou-se frequ?ncia absoluta e relativa e os testes Qui-quadradro de Pearson e Exato de Fisher compararam as diferen?as observadas entre as duas maternidades. Ademais, calculou-se a porcentagem dos indicadores A e B e por meio dos resultados obtidos pelo Indicador C a qualidade foi avaliada da seguinte maneira: quanto mais pr?ximo de 5 melhor a qualidade e quanto mais pr?ximo de 0 pior a qualidade, sendo a mediana (2,5) utilizada para classificar a assist?ncia em adequada ou inadequada e o teste U de Mann-Whitney para comparar as diferen?as de m?dias obtidas. Considerou-se em todos os testes estat?sticos n?vel de signific?ncia de 5%. Para as categorias da World Health Organization as diferen?as entre as maternidades foram identificadas quanto ao oferecimento de l?quidos por via oral (p=0,018), est?mulo a posi??es n?o supinas (p=0,002), exist?ncia de partograma (p=0,001), apoio ou acolhimento pelos profissionais de sa?de (p=0,047), infus?o intravenosa (p<0,001), posi??o supina (<0,001), uso de ocitocina (<0,001), restri??o h?drica e alimentar (p=0,002), e o fato do toque ser realizado por mais de 01 examinador (p=0,011), com piores resultados, em geral, para a maternidade B. Os indicadores A e B apresentaram percentuais de 13,09% e 100,00%, respectivamente. A m?dia geral do ?ndicador C foi igual 2,07 (?0,74). Houve diferen?a estatisticamente significativa entre as m?dias das maternidades (p<0,001). Faz-se necess?rio a implementa??o de melhorias e readequa??o do modelo obst?trico vigente, especialmente para a maternidade B, visto nessa institui??o ser evidenciada inadequa??o em diversos aspectos avaliados. / The practices developed in the everyday life of obstetric services are sometimes out of step with the recommendations of the public health policies. Accordingly, this research had the objective of assessing the quality of the care provided to women and children during cases of natural childbirth in municipal public maternity wards of the city of Natal/RN, Brazilian Northeast. We developed a cross-sectional and quantitative study in two maternity wards that provide care actions to pregnant women at regular risk (maternity wards A and B). The participants were 314 puerperal women who were treated during the period between April and July 2014, whose children were born alive, through transpelvic way, with spontaneous or induced beginning of labor and that showed physical and emotional conditions to respond to the proposed questions. The data collection instrument was constructed on the basis of the recommendations of the World Health Organization focused on the care of normal childbirth and validated by skilled judges, and the final version has obtained optimum agreement (k = 0,96; IVC = 0,99). Associated with these recommendations, we used three indicators: percentage of women with induced labor or subjected to elective cesarean section (Indicator A); percentage of women served by a qualified health professional during labor and childbirth (Indicator B); and Bologna Index (Indicator C). The research obtained a favorable opinion of the Research Ethics Committee from the Federal University of Rio Grande do Norte, under the n? 562.313 and Certificate of Presentation for Ethics Appreciation: 25958513.0.0000.5537. The analysis of categories related to the recommendations of the World Health Organization was conducted by means of absolute and relative frequency and the Chi-square Pearson?s and Fisher?s exact tests made the comparison of the differences observed between the two maternity wards. Furthermore, we calculated the percentage of the indicators A and B and with the results of the Indicator C, the quality was assessed as follows: the closer to 5, the better will be the quality, and the closer to 0, the worst will be the quality, and the Mann-Whitney U test was used to compare the differences of the obtained averages. The significance level of 5% was considered in all statistical tests. The differences between the maternity wards were identified with regard to the provision of liquids orally (p=0,018), stimulus for non-supine positions (p=0,002), existence of partograph (p=0,001), support or welcoming by health professionals (p= 0,047), intravenous infusion (p<0,001), supine position (p<0,001), use of oxytocin (p<0,001), food and liquid restriction (p= 0,002) and, lastly, the fact of the touch is performed by more than 1 examiner (p=0,011). The indicators A and B showed percentages of 13,09% and 100%, respectively. The overall average of the Indicator C was equal to 2,07 (? 0,74). There was a statistically significant difference between the averages of the maternity wards (p<0,001). The care actions provided during the process of labor and childbirth is inappropriate, especially in the maternity ward B. It is necessary to implement improvements and redesign the obstetric model in force

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-03-03T19:37:37Z No. of bitstreams: 1 FernandaAparecidaSoaresMalveira_DISSERT.pdf: 2529565 bytes, checksum: 3db18d4214b034b392953296b837e7b4 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-03-07T19:24:43Z (GMT) No. of bitstreams: 1 FernandaAparecidaSoaresMalveira_DISSERT.pdf: 2529565 bytes, checksum: 3db18d4214b034b392953296b837e7b4 (MD5) / Made available in DSpace on 2016-03-07T19:24:43Z (GMT). No. of bitstreams: 1 FernandaAparecidaSoaresMalveira_DISSERT.pdf: 2529565 bytes, checksum: 3db18d4214b034b392953296b837e7b4 (MD5) Previous issue date: 2014-12-11 / O acompanhamento do crescimento e desenvolvimento ? o ponto central do cuidado infantil no servi?o prim?rio de sa?de, em raz?o da sua contribui??o para a redu??o da morbidade e da mortalidade infantil, al?m de promover o desenvolvimento saud?vel. Apesar dessa import?ncia, a unidade de sa?de localizada no munic?pio rural de Parazinho convive com o problema das aus?ncias frequentes das crian?as nas consultas de acompanhamento. Nesse sentido, este estudo objetivou analisar a participa??o das m?es no acompanhamento do crescimento e desenvolvimento das crian?as na Estrat?gia de Sa?de da Fam?lia. Este ? um estudo com vi?s explorat?rio, descritivo com uma abordagem qualitativa, tendo como m?todo a pesquisa-a??o, o qual foi desenvolvido com as m?es que fazem parte do acompanhamento do crescimento e desenvolvimento das crian?as na ?rea rural do munic?pio de Parazinho/RN, no per?odo de maio a outubro de 2014. A coleta de dados foi desenvolvida utilizando as t?cnicas de grupo focal, de observa??o participante e entrevista individual. Os dados foram analisados por meio da an?lise tem?tica de categoriza??o. A pesquisa foi aprovada pelo Comit? de ?tica em Pesquisa, sob o parecer consubstanciado 617.559 e CAAE 28598014.7.0000.5537. Na etapa do diagn?stico situacional, foram realizados dois grupos focais, nos quais participaram ao todo 14 m?es de distintas localidades rurais. A partir das falas, percebeu-se que elas possuem entendimento satisfat?rio a respeito do acompanhamento do crescimento e desenvolvimento da crian?a, caracterizando-o como um momento de aprendizagem. A enfermeira foi mencionada como profissional-chave dessa a??o de acompanhamento. O principal motivo que leva as m?es a abandonarem as consultas ? o acesso ao servi?o de sa?de, devido ? dist?ncia de suas resid?ncias at? a unidade b?sica, ? escassez de transporte p?blico para o deslocamento dos usu?rios e ? demora entre o atendimento e a volta para casa. Como estrat?gia para tentar solucionar esses problemas, com a sugest?o das pr?prias m?es, foi criado o Acompanhamento do Crescimento e Desenvolvimento Itinerante, em que a equipe da ESF se deslocava para as localidades rurais, realizando atividades voltadas para a sa?de da crian?a. As m?es que participaram da a??o aprovaram a iniciativa quanto ? melhoria do acesso e do acolhimento das necessidades de sa?de, apesar de apontarem como insatisfa??es a prec?ria infraestrutura e a pouca privacidade nas consultas. Portanto, apesar das dificuldades encontradas muitas vezes por falta de apoio da gest?o e de envolvimento de alguns profissionais, o Acompanhamento do Crescimento e Desenvolvimento Itinerante se mostrou como uma importante ferramenta na resolu??o do problema do acesso aos servi?os voltados para a sa?de da crian?a. Al?m de funcionar como um espa?o para a realiza??o da educa??o em sa?de, passando a ser, desde ent?o, uma atividade inerente a programa??o da equipe de sa?de da fam?lia naquela localidade. / The accompaniment of growth and development is the central thrust of child care in primary health care in order to contribute to the reduction of infant morbidity and mortality and promote healthy development. Despite its importance, the family health unit located in rural Parazinhocounty experiences the problem of frequent absences of children to follow-up consultations. Thus, this study aims to analyze the participation of mothers in the accompaniment of growth and development of children in the Family Health Strategy. This is an exploratory, descriptive study with a qualitative approach with the method action research, developed with mothers who are part of the monitoring of the growth and development of children in the rural area of the municipality of Parazinho/RN from May to October 2014. Data collection was performed using the focus group techniques, participant observation and individual interviews. Data were analyzed using thematic analysis of categorization. The study was approved by the Research Ethics Committee, under the opinion embodied 617,559 and CAAE 28598014.7.0000.5537. In step situation analysis, were conducted two focus groups, attended by a total of 14 mothers of different rural locations. From the speeches, one realizes that they have a satisfactory understanding of the monitoring of the growth and development of the childwas a learning moment. The nurse was mentioned as key professional that actionof accompaniment. The main reason that mothers to abandon consultations is access to health services, due to the distance from their homes to the basic unit, the shortage of public transport for the movement of users and delay between the service and the back home. As a strategy to try to tackle these problems, at the suggestion of their mothers was created Monitoring of Growth and Development Itinerant, where the FHS team moved to rural locations, performing activities related to children's health. Mothers who participated in the action approved the initiative as improving access and care of health needs, despite indicate dissatisfaction as the poor infrastructure and little privacy in consultations. Therefore, it is concluded that, despite the difficulties encountered often for lack of management support and involvement of some professionals, the monitoring of growth and development itinerant proved to be an important tool in solving the problem of access to services oriented to the health of child, in addition to functioning as a space for the realization of health education, becoming, since then, an activity inherent in family health team schedule.

Made available in DSpace on 2014-12-17T15:16:16Z (GMT). No. of bitstreams: 1 AnaTSNS_DISSERT.pdf: 1742541 bytes, checksum: 876ff103e594fa7d61ebc99b28b10c2c (MD5) Previous issue date: 2012-03-23 / Diabetes Mellitus (DM) affected approximately 171 million people in the world in the year 2000 as described by the World Health Organization (WHO). Because DM is a multisystem disease it can cause several complications especially those related to the cardiovascular system. The Peripheral Arterial Disease (PAD) of the lower limbs and the Diabetic Distal Symmetric Polyneuropathy (DDSP) can affect the DM patient causing consequences as the diabetic foot and eventually amputations. The main objective of this study was to determine the prevalence of PAD and sensorial impairment in 73 type 2 DM (DM2) patients and also assess the impact of PAD on quality of life, level of physical activity and body composition. For clinical assessment it was used: the ankle-brachial index (ABI); quantitative sensorial test for tactile sensibility (ST), pain (SD), vibration (SV); Achilles tendon reflex (RA); quality of life questionnaire (SF-36); modified Baecke physical activity questionnaire and bioelectric impedance. Prevalence of PAD in the studied population was 13.7%. ABI was inversely correlated to age (p=0,03; rh?= -0,26), diabetes duration (p=0,02; rh?= -0,28) and blood pressure (p= 0,0007; rh?= -0,33). There were lower scores for physical health summary on the SF-36 in DM2 patients; however, the presence of PAD predominantly mild did not significantly impact quality of life, body composition or physical activity level assessed by questionnaire. Fourteen patients (19.2%) present bilateral and symmetrical alterations in two or more sensorial tests compatible to DPN diagnosis. Abnormalities in ST, SD and SV were present in 27.3%, 24.6% and 8.2%; respectively. There was association of results from ST abnormalities with RA and mainly with SD, suggesting the importance of 10g monofilament use in DM2 routine assessment. In conclusion, the prevalence of PAD in subclinical DM2 was slightly higher compared to the general population and in agreement to previously published data in DM patients. The PAD severity was predominantly mild and still without repercussion on quality of life and body composition. Our study demonstrated a significant prevalence of both PAD and DPN in DM2 without previous diagnosis of these complications and indicates the necessity of early preventive and therapeutic interventions for this population / O diabetes melito (DM) afetava aproximadamente 171 milh?es de pessoas no mundo no ano 2000 segundo dados da Organiza??o Mundial da Sa?de (OMS). Por ser considerada uma doen?a multissist?mica o DM ? capaz de causar complica??es diversas, principalmente ?quelas relacionadas ao sistema cardiovascular. A doen?a arterial obstrutiva perif?rica (DAOP) de membros inferiores (MMII) e a polineuropatia distal diab?tica (PNDD) podem acometer o paciente diab?tico causando consequ?ncias como o p? diab?tico e eventualmente amputa??es. O objetivo principal deste estudo foi determinar a preval?ncia de DAOP e altera??es de sensibilidade em 73 pacientes diab?ticos tipo 2 (DM2) e avaliar o impacto da DAOP na qualidade de vida, n?vel de atividade f?sica e composi??o corporal desses pacientes. Para as avalia??es cl?nicas foram utilizados: o ?ndice tornozelo-braquial (ITB); testes quantitativos de sensibilidade t?til (ST, monofilamento de 10g), dolorosa (SD), vibrat?ria (SV); reflexo aquileu (RA); question?rio de qualidade de vida SF-36; question?rio de atividade f?sica habitual de Baecke e bioimped?ncia el?trica. A preval?ncia de DAOP na popula??o estudada foi de 13,7%. O ITB correlacionou-se inversamente com a idade (p=0,03; rh?= -0,26), tempo de diagn?stico referido (p=0,02; rh?= -0,28) e press?o arterial (p= 0,0007; rh?= -0,33). Foram encontrados piores ?ndices no sum?rio de sa?de f?sica do question?rio SF-36 nos pacientes diab?ticos, no entanto, a presen?a de DAOP, de magnitude predominantemente leve, n?o ocasionou altera??es significativas na qualidade de vida, composi??o corporal ou grau de atividade f?sica avaliado por question?rio. Quatorze pacientes (19,2%) apresentaram altera??es sim?tricas e bilaterais em dois ou mais testes de sensibilidade, compat?veis com o diagn?stico de NDP. Altera??es na ST, SD e SV estavam presentes em 27,3%, 24,6% 8,2% dos pacientes; respectivamente. Houve associa??o estat?stica entre os resultados da ST com o RA e principalmente com SD, denotando a import?ncia e praticidade da utiliza??o do primeiro m?todo na avali??o de rotina no DM2. Em conclus?o, a preval?ncia de DAOP em pacientes DM2 subcl?nicos foi ligeiramente maior que a apresentada na popula??o geral e compat?vel com estudos anteriores em pacientes DM. O grau de DAOP foi predominantemente leve e ainda sem repercuss?es significativas sobre a qualidade de vida ou composi??o corporal. O presente estudo mostrou que existe preval?ncia relevante tanto de DAOP quanto de PNDD em pacientes DM2 sem diagnostico pr?vio dessas comorbidades, demonstrando a necessidade de interven??es preventivas e terap?uticas precoces para a aten??o desta popula??o