Submitted by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2018-03-23T17:53:05Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) carole_gusmao_almeida.pdf: 2424928 bytes, checksum: 67d863472b7a8b3959f22add291f705d (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2018-03-29T14:01:57Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) carole_gusmao_almeida.pdf: 2424928 bytes, checksum: 67d863472b7a8b3959f22add291f705d (MD5) / Made available in DSpace on 2018-03-29T14:01:57Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) carole_gusmao_almeida.pdf: 2424928 bytes, checksum: 67d863472b7a8b3959f22add291f705d (MD5) Previous issue date: 2017 / O Diabetes Mellitus (DM) ? considerado um problema de sa?de p?blica, os principais fatores de risco para seu desenvolvimento s?o sedentarismo, excesso de peso, tabagismo e alimenta??o inadequada. A necessidade no desenvolvimento de estudos com ?nfase na preven??o prim?ria, controle da incid?ncia e complica??es do DM demonstra a import?ncia deste estudo que teve como objetivo, tra?ar o perfil epidemiol?gico do paciente diab?tico usu?rio da rede p?blica no munic?pio de Diamantina- MG no decorrer do ano de 2015. Os dados foram coletados a partir de 112 prontu?rios armazenados nas ESFs deste munic?pio, onde se constatou que: aproximadamente 50% dos pacientes receberam cerca de 2 consultas ao ano (?ndice considerado baixo), a m?dia de idade destes pacientes era de 63 anos sendo prevalente o sexo feminino e predom?nio do diabetes tipo 2, cerca de 60% destes foram classificados como acima do peso. Foram consumidos em m?dia 5 medicamentos/dia por paciente; 10,7% apresentaram relatos de automedica??o, 30% dos pacientes entre 51-60 anos tiveram algum tipo de rea??o aos medicamentos. A politerapia foi o esquema terap?utico dominante, sendo a metformina associada com glibenclamida os hipoglicemiantes mais utilizados; aproximadamente 25% dos indiv?duos tiveram altera??es na dose do medicamento consumido no decorrer do estudo. Sobre as comorbidades, destacaram-se: hipertens?o, acometendo cerca de 80% dos usu?rios e problemas oftalmol?gicos abrangendo 23% dos usu?rios. Houve elevado ?ndice de pacientes com valor glic?mico alterado e defici?ncia no monitoramento atrav?s de an?lises laboratoriais. Ao todo 17 pacientes apresentaram diabetes de forma descompensada. Averiguou-se atrav?s dos dados defici?ncia na implanta??o de grupos de acompanhamentos coletivos assim como falhas nos registros por meio de prontu?rios, houve tamb?m limita??o na disponibilidade da oferta de acompanhamento atrav?s de equipe multiprofissional. Tais an?lises trouxeram como conclus?o a defici?ncia da equipe em fornecer atendimento integral aos usu?rios do SUS, com falhas na padroniza??o de atendimento e implanta??o das normas preconizadas pelos protocolos fornecidos pela Secretaria de Estado da Sa?de - Minas Gerais. Ressalta-se tamb?m a import?ncia de se registrar os procedimentos o que propiciaria a continuidade de informa??es colaborando para um atendimento ?ntegro ao paciente. / Disserta??o (Mestrado) ? Programa de P?s-gradua??o em Ci?ncias Farmac?uticas, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2017. / Diabetes mellitus (DM) is considered a public health problem, the main risk factors for its development are sedentary lifestyle, excess weight, smoking and inadequate diet. The need in the development of studies with emphasis on primary prevention, control of the incidence and complications of DM demonstrates the importance of this study that aimed to trace the epidemiological profile of the diabetic patient user of the public network in the municipality of Diamantina-MG during the year Of 2015. Data were collected from 112 records stored in the FHS of this municipality, where it was found that: approximately 50% of the patients received about 2 visits per year (index considered low), the mean age of these patients was 63 Being prevalent the female gender and predominance of type 2 diabetes, about 60% of these were classified as overweight. An average of 5 medications / day per patient were consumed; 10.7% presented reports of self-medication, 30% of patients between 51-60 years had some type of reaction to the medications. Polytherapy was the dominant therapeutic regimen, with metformin associated with glibenclamide being the most commonly used hypoglycemic agents; Approximately 25% of subjects had changes in the dose of the drug consumed during the study. On comorbidities, hypertension, affecting about 80% of users and ophthalmological problems, were observed, covering 23% of users. There was a high index of patients with altered glycemic value and deficiency in monitoring through laboratory analysis. Overall, 17 patients presented with decompensated diabetes. It was found through the data deficiency in the implantation of groups of collective follow-ups as well as failures in the registries by means of medical records, there was also limitation in the availability of the offer of accompaniment through multiprofessional team. These analyzes led to the conclusion of the team's failure to provide comprehensive care to SUS users, with failures in standardization of care and implementation of the standards recommended by the protocols provided by the State Health Department - Minas Gerais. It is also important to register the procedures, which would allow for the continuity of information, collaborating for a complete care to the patient.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-02-22T20:38:40Z No. of bitstreams: 1 PolyanaDeOliveiraCacho_DISSERT.pdf: 1111834 bytes, checksum: f6f1f9b3f70bea4a06e693e155b649ed (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-08T23:19:15Z (GMT) No. of bitstreams: 1 PolyanaDeOliveiraCacho_DISSERT.pdf: 1111834 bytes, checksum: f6f1f9b3f70bea4a06e693e155b649ed (MD5) / Made available in DSpace on 2017-03-08T23:19:15Z (GMT). No. of bitstreams: 1 PolyanaDeOliveiraCacho_DISSERT.pdf: 1111834 bytes, checksum: f6f1f9b3f70bea4a06e693e155b649ed (MD5) Previous issue date: 2016-08-31 / O prontu?rio ? o meio de comunica??o mais utilizado em todos os n?veis de assist?ncia na ?rea de sa?de. O seu preenchimento adequado ? fundamental para as Boas Pr?ticas dos Servi?os. Apesar de sua import?ncia, o preenchimento incompleto ainda faz parte da rotina de muitas unidades de assist?ncia. O presente trabalho teve como objetivo conhecer as principais dificuldades no registro de informa??es nos prontu?rios de uma Unidade B?sica de Sa?de, no munic?pio de Natal, na percep??o dos trabalhadores da sa?de. A pesquisa foi transversal de natureza qualitativa. Os dados foram obtidos atrav?s dos registros de ?udios das reuni?es de grupo focais realizadas com dezessete profissionais respons?veis pelo preenchimento de prontu?rios na referida Unidade. A an?lise dos dados foi feita atrav?s do software de an?lise textual Alceste, com ajuda do diagrama de causa efeito. Os resultados demonstraram que os profissionais conhecem a import?ncia do prontu?rio no processo de assist?ncia ? sa?de e valorizam as informa??es para pr?tica cl?nica. As dificuldades encontradas est?o relacionadas com a falta de apresenta??o dos documentos que permitem identificar os usu?rios durante a abertura de novos prontu?rios, falhas nos registros dos sinais vitais e dados antropom?tricos, al?m do grande n?mero de consultas. A resolu??o das dificuldades relatadas depende de v?rios n?veis de gest?o, e perpassam tamb?m pela melhoria do processo de trabalho local, implementa??o de educa??o permanente e empoderamento dos usu?rios atrav?s de um acolhimento mais humanizado. / The record is the most popular means of communication at all levels of care in the health area. Its proper fulfillment is critical to the Good Practices of the Services. Despite its importance, the incomplete filling is still part of the routine of many care units. This study aimed to identify the main difficulties in the registration information in the records of a Basic Health Unit in Natal, in the perception of health workers. The research was cross qualitative. Data were collected through focus group meetings audios records held seventeen professionals responsible for completing records in that unit. Data analysis was performed using the Alceste textual analysis software, with the help of the cause and effect diagram. The results showed that the professionals know the importance of medical records in the care process to health and value information for clinical practice. The difficulties encountered are related to the lack of presentation of documents identifying users through the opening of new records, shortcomings in the records of vital signs and anthropometric data, and the large number of queries. The resolution of the difficulties reported depends on various levels of management, and also run through the improvement of local labor, implementation of continuing education and empowerment of users through a more humanized care.

Submitted by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2018-03-22T20:42:18Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) hellen_lilliane_cruz.pdf: 1979684 bytes, checksum: aeec38f943d5d28b666426a307585456 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2018-03-29T14:04:17Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) hellen_lilliane_cruz.pdf: 1979684 bytes, checksum: aeec38f943d5d28b666426a307585456 (MD5) / Made available in DSpace on 2018-03-29T14:04:17Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) hellen_lilliane_cruz.pdf: 1979684 bytes, checksum: aeec38f943d5d28b666426a307585456 (MD5) Previous issue date: 2017 / A maioria das doen?as cr?nicas s?o consideradas problemas de sa?de p?blica, e s?o conhecidas mundialmente como as principais causas de ?bitos e interna??es hospitalares. A hipertens?o arterial sist?mica e o diabetes mellitus est?o inclu?dos neste grupo, representando as principais causas de morte em todo o Brasil. Considerando seus m?ltiplos fatores, ? necess?rio repensar os modelos assistenciais. Para isso estrat?gias para promover acesso ao cuidado prim?rio, t?m sido desenvolvidas, com o objetivo de garantir a seguran?a do paciente, no uso do medicamento. Portanto, o objetivo deste estudo foi identificar as caracter?sticas dos sistemas de informa??es de sa?de e prontu?rios m?dicos, para analisar os sinais de seguran?a do pacientes com doen?a cr?nica na aten??o prim?ria de Diamantina, Minas Gerais. A pesquisa consistiu em um estudo transversal, descritivo observacional de associa??o e explorat?rio. A an?lise de dados mostra uma cobertura populacional de 94,1%; m?dia consulta m?dica de 0,76 consultas/ano; dentre os atendimentos, 23,1% foram destinados aos usu?rios hipertensos e 7,30% aos diab?ticos; no sistema hospitalar foi registrada 12,2% das interna??es por condi??es sens?veis a aten??o prim?ria sendo a angina respons?vel por 18,9% das interna??es. Nos prontu?rios m?dicos, a m?dia de idade do paciente foi de 62,1 ? 14,3 anos. O n?mero de cuidados b?sicos de enfermagem (95,5%) prevaleceu e as consultas m?dicas foram de 82,6%. A polifarm?cia foi registrada em 54,0% da amostra e a revis?o das listas de medicamentos revelou que 67,0% dos medicamentos inclu?am pelo menos um risco. Os riscos mais comuns foram: intera??o medicamentosa (57,8%), risco renal (29,8%), risco de queda (12,9%) e duplicidade terap?utica (11,9%). Os fatores associados ? hist?ria de erros de medicamentos foram doen?as cr?nicas e polifarm?cia, que persistiram em an?lises multivariadas, com doen?as cr?nicas RP ajustadas, diabetes RP 1.55 (95% IC 1.04-1.94), diabetes / hipertens?o RP 1.6 (95% IC 1.09-1.23) e polifarm?cia RP 1,61 (95% IC 1,41-1,85), respectivamente. Os resultados indicam que a aten??o prim?ria como coordenadora da rede de aten??o ? sa?de de Diamantina, para doen?as cr?nicas, ? complexa e precisa ser reestruturada. Para isso ? necess?rio sincronizar os servi?os de sa?de por meio da transfer?ncia e processamento de informa??es, para alcan?ar o objetivo comum fornecer cuidado continuo e centrado no paciente. / Disserta??o (Mestrado) ? Programa de P?s-gradua??o em Ci?ncias Farmac?uticas, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2017. / Most chronic diseases are some of the main public health problems, and they have been known worldwide to be the main causes for deaths and hospital admissions. Systemic arterial hypertension and diabetes mellitus are included in this group, accounting for the main death causes all over Brazil. Considering their multiple risk factor, it is necessary to rethink the assist models. For this, strategies to promote access to primary care have been developed with objective of ensuring patient safety in the use of the drug. Therefore, the purpose of this study was to identify and determine characteristics of health information systems and medical records, to analyze safety signs of patients with chronic disease in the primary care of Diamantina, Minas Gerais. The research consisted of a cross-sectional study, observational descriptive of association and exploratory. Data analysis shows that a population coverage was 94.1%; the average medical consultation was 0.76 consultations/year; among the visits, 23.1% were for hypertensive and 7.30% for diabetics; in the hospital system, 12.2% of hospitalizations were registered to conditions that were sensitive to primary care, and angina was responsible for 18.9% of admissions. In the medical records, the patients the mean age of patient was 62.1 ? 14.3 years. The number of basic nursing care (95.5%) prevailed and physician consultations were 82.6%. Polypharmacy was recorded in 54.0% of sample, and review of the medication lists by a pharmacist revealed that 67.0% drug included at least one risk. The most common risks were: drug-drug interaction (57.8%), renal risk (29.8%), risk of falling (12.9%) and duplicate therapies (11.9%). Factors associated with medications errors history were chronic diseases and polypharmacy, that persisted in multivariate analysis, with adjusted RP chronic diseases, diabetes RP 1.55 (95%IC 1.04-1.94), diabetes/hypertension RP 1.6 (95%CI 1.09-1.23) and polypharmacy RP 1.61 (95%IC 1.41-1.85), respectively. The results of this study indicate that primary care as the coordinator of health care network of Diamantina, for chronic diseases, is complex and needs to be restructured. For this is necessary to synchronize health services by transferring and processing information, for to achieve the common objective of providing continuous and patient-centered care.

Made available in DSpace on 2014-12-17T15:31:00Z (GMT). No. of bitstreams: 1 EwertonWGB.pdf: 661743 bytes, checksum: 00ecd30c8cac5a4445285f2bdf4508ad (MD5) Previous issue date: 2006-05-19 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / The dental documentation or handbook is a collection of documents produced by the professional with diagnostic and therapeutical purpose where the inherent information to the buccal and general health of patients are registered. The register and proper filling of these documents, taking care of the ethical and legal requirements, provide to the dentist the possibility to contribute with justice in cases of human identification and makes of these documents an essential element of evidence in the ethical processes, administrative, civil and criminal against the dentists. Ahead of this fact, understanding such requirements and the importance of the dentist to register himself adequately, this research verified the knowledge of Natal (RN) City s dentists with relation to the elaboration of the dental handbook, investigating the concepts and the importance attributed to the handbook, identifying the documents more used and filed by these professionals, besides inquiring the legal value of filed documents and the filling time of these ones. The sample was constituted by 124 dentists, who had answered a questionnaire, after having been randomly selected ITom a list of professionals subscribed in the Dentistry Local Council/RN Section. The analysis of the results showed that majority of the participant cit?zens (52,3%) confers to the dental documentation the clinical importance, followed by the legal and forensic-dentistry importance; 59,3% of the searched professionals do not distinguish satisfactorily or they do not observe differences between the dental handbook and the clinical filing card, the X-rays, the dental certificates, the prescriptions, the directions and the receipts; between the documents of common use to cl?nical and specialist ones, the contract of rendering of services and term of ITee and cleared up consent are the documents less used by the professionals. It was still verified, that only 13,1% of the sample register the signature of the patients in the clinical filing card, making it more credibility to be presented in judgement. In the same way, copies of dental certificates and prescriptions evaluated and signed by the patients are filed respectively by only 13,5% and 9,4% ofthe searched professionals and 50% ofthe sample, keep these documents filed for an indeterminate period of time, that is, these professionals have the guard of the handbook and they do not intend to disdain it, although 85,5% of the sample does not recognize the real proprietor of the handbook. It is concluded that a great part of the dentists is unaware about the importance of the dental documentation, and neglect its elaboration, leaving themselves exposed to several kinds of penalties foreseen in the legislation / A documenta??o odontol?gica ou prontu?rio odontol?gico ? uma cole??o de documentos produzidos pelo profissional, com finalidade diagn?stica e terap?utica, onde s?o registradas as informa??es inerentes ? sa?de bucal e geral dos pacientes. O registro e arquivamento correto destes documentos, atendendo as exig?ncias ?ticas e legais, proporcionam ao cirurgi?odentista a possibilidade de contribuir com a justi?a nos casos de identifica??o humana e faz destes documentos um elemento de prova essencial nos processos ?ticos, administrativos, civis e penais contra os cirurgi?es-dentistas. Diante deste fato, entendendo tais exig?ncias e a import?ncia do cirurgi?o-dentista documentar-se adequadamente, esta pesquisa verificou o conhecimento cirurgi?es-dentistas do munic?pio de Natal- RN com rela??o ? elabora??o do prontu?rio odontol?gico, investigando os conceitos e a import?ncia atribu?da ao prontu?rio, identificando os documentos mais utilizados e arquivados por estes profissionais, al?m averiguar o valor jur?dico dos documentos arquivados e o tempo de arquivamento destes. A amostra foi constitu?da por 124 cirurgi?es-dentistas, que responderam um question?rio, ap?s terem sido alocados aleatoriamente a partir de uma lista de profissionais cadastrados no Conselho Regional de Odontologia - RN. A an?lise dos resultados mostrou que maioria dos sujeitos participantes (52,3%) confere ? documenta??o odontol?gica a import?ncia cl?nica, seguida pela import?ncia jur?dica e odontolegal; 59,3% dos profissionais pesquisados n?o distinguem satisfatoriamente ou n?o observam diferen?as entre o prontu?rio odontol?gico e a ficha cl?nica; os documentos mais utilizados s?o a ficha cl?nica, as radiografias, os atestados, as receitas, os encaminhamentos e os recibos; entre os documentos de uso comum a cl?nicos e especialistas, o contrato de presta??o de servi?os e o termo de consentimento livre e esclarecido s?o os documentos menos utilizados por estes profissionais. Verificou-se, ainda, que apenas 13,1% da amostra registra a assinatura dos pacientes na ficha cl?nica, dando-lhe mais credibilidade para ser apresentada em ju?zo. Da mesma forma, c?pias de atestados e receitas avalizadas e assinadas pelos pacientes s?o arquivadas respectivamente por apenas 13,5% e 9,4 % dos profissionais pesquisados e 50% da amostra mant?m estes documentos arquivados por um tempo indeterminado, ou seja, estes profissionais t?m a guarda do prontu?rio e n?o pretendem desprez?-Io, apesar de 85,5% da amostra desconhecer o verdadeiro propriet?rio do prontu?rio. Concluiu-se que uma grande parte dos cirurgi?esdentistas desconhece a import?ncia da documenta??o odontol?gica, e negligenciam a sua elabora??o, deixando-os predispostos as v?rias penalidades previstas na legisla??o