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Previous issue date: 2011-12-15 / The demographic and epidemiological transition process caused by a declining in birth rates and in mortality, also changes occurred in morbidity and mortality is represented by the increasing of the aging population and the raising of chronic diseases. These diseases are characterized by multiple etiologies, risk factors, long latency period, a prolonged evolution, non-infectious origin and it has association with functional impairment and disability. Thus, elderly with chronic non-communicable disease has priority because they belong to a vulnerable group to get affection of comorbidities in aging, with increased demand and spending on health services. This study is aimed to analyse the understanding of elderly people with chronic non comunicable disease in the medium complexity service as a contribution to the improvement of health care in the city of Natal / RN. This is a descriptive and exploratory study with a quantitative approach, carried out at the Specialized Center for Elderly Health Care and at the Pescadores Hospital. The population was composed of 4,180 persons with a sample of 124 elderly aged above 60 years, attended in these medium complexity services. The instrument, a structured form, adapted from a questionnaire for monitoring risk and protective factors for chronic disease of the Ministry of Health. To collect data was was used the interview form containing demographic data, habits, health status and health care services. The results were processed using the Statistical Package for Social Science, version 18.0, analyzed by simple statistics. It was found that most seniors were female, predominantly between 70 and 74 years old, married, with a brown skin tone and Catholic religion, more than half had incomplete basic education, family income between one to two minimum wages and living with their families. Regarding the interviewers lifestyle, 94.4%, of them ate chicken and 97.6%, fruits, it was observed a reduction in smoking, alcoholism habits and physical activity according to the increasing age, 58.1 and 18.5% had insomnia18,5 % used sleeping pills. The elderly (51.6%) reported using services in times of sickness, seeking primary care at first (30.6%), 52% did not receive referral and was looking for free demand (38.7%). The most reported morbidity was hypertension, followed by musculoskeletal disorders. Regarding the difficulties in seeking health services, the delay in treatment and the waiting line were the most cited by the elderly. Almost all of them reported no activities to promote health in these services and those who received individual counseling on chronic diseases. Almost always, the health professionals who care of them, were mostly doctors followed by nurses. Based on the results presented, it is considered that the health services of medium complexity must undergone a more continuous dialogue with other attention level and focus on actions of health promotion and prevention. It is also recommended the necessity for qualified professionals to delivery health care to elderly and the implementation of protocols by a multidisciplinary health team, intending to provide better and continous care for the elderly with chronic diseases. The healthcare professionals who served them, were mostly physicians, followed by nurses. Through the results presented, it is considered that the medium complexity healthcare services need to perform a more continuous dialogue with the other levels of attention focusing attention to the health promotion and prevention actions. It is also recommended the necessity for qualified professionals to delivery healthcare for the elderly, in addition, a protocol implementation for the multidisciplinary health care team, to provide better care, and also the care continuity to elderly with chronic diseases / O processo de transi??o demogr?fica e epidemiol?gica causado pela diminui??o dos ?ndices de natalidade e mortalidade e modifica??o do perfil de morbimortalidade ? representado pelo aumento da popula??o idosa e das doen?as cr?nicas n?o transmiss?veis. Estas doen?as caracterizam-se por etiologia m?ltipla, fatores de risco, per?odo longo de lat?ncia, curso prolongado, origem n?o infecciosa e associa??o com defici?ncias e incapacidades funcionais. Desse modo, a pessoa idosa com doen?a cr?nica n?o transmiss?vel encontra-se em prioridade por tratar-se de um grupo vulner?vel para essas comorbidades no envelhecimento, com aumento da procura e gastos nos servi?os de sa?de. O objetivo deste estudo ? analisar o perfil da pessoa idosa com Doen?a Cr?nica N?o Transmiss?vel atendida em servi?os de m?dia complexidade. Trata-se de um estudo descritivo e explorat?rio, com abordagem quantitativa, realizado no Centro Especializado de Aten??o ? Sa?de do Idoso e no Hospital dos Pescadores. A popula??o foi de 4180 pessoas e com uma amostra aleat?ria simples de 124 idosos com idade igual ou acima de 60 anos, atendidos nesses servi?os de m?dia complexidade. O instrumento, um formul?rio estruturado, adaptado do question?rio de monitoramento para fatores de risco e prote??o para doen?a cr?nica do Minist?rio da Sa?de. Na coleta de dados usou-se a entrevista acompanhada de formul?rio contendo dados sociodemogr?ficos, h?bitos e condi??o de sa?de e o atendimento nos servi?os de sa?de. Os resultados foram processados no programa Statistical Package for the Social Science, vers?o 18.0, analisados atrav?s da estat?stica simples. Identificou-se que a maioria dos idosos era do sexo feminino, com predom?nio entre 70 e 74 anos, casados, de cor parda e cat?licos; mais da metade tinha ensino fundamental incompleto; renda familiar entre 1 a 2 sal?rio m?nimo e residia com a fam?lia. Quanto aos h?bitos de vida, 94,4% consumiam frango e, 97,6% frutas; observou-se haver redu??o do tabagismo, do alcoolismo e da atividade f?sica; 58,1% possu?am ins?nia e 18,5% utilizavam rem?dios para dormir. A procura pelo servi?o de sa?de deu-se devido adoecimento (51,6%), buscando a aten??o prim?ria no primeiro momento (30,6%); 52% n?o receberam encaminhamento e a procura era por livre demanda (38.7%). A morbidade mais referida foi a hipertens?o, seguida das doen?as musculoesquel?ticas. Sobre as dificuldades na procura pelos servi?os de sa?de, a demora no atendimento e as filas foram citadas pelos idosos. Quase todos relataram n?o haver atividades de promo??o ? sa?de nesses servi?os e que recebiam orienta??o individual sobre as doen?as cr?nicas. Os profissionais de sa?de que os atendiam, em sua maioria eram m?dicos, seguidos dos enfermeiros. Mediante os resultados apresentados, considera-se que os servi?os de sa?de de m?dia complexidade precisam exercer de forma mais cont?nua a interlocu??o com os demais n?veis de aten??o e enfocar no atendimento as a??es de promo??o e preven??o ? sa?de. Recomenda-se tamb?m a necessidade de qualifica??o dos profissionais para o atendimento ? pessoa idosa e a implanta??o de protocolos pela equipe multiprofissional de sa?de, de modo a proporcionar melhor atendimento e continuidade do tratamento ? pessoa idosa com doen?as cr?nicas n?o transmiss?veis
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/14756 |
| Date | 15 December 2011 |
| Creators | Medeiros, Silvana Helena Neves de |
| Contributors | CPF:17599750444, http://lattes.cnpq.br/5190926575194616, Fontes, Wilma Dias de, CPF:25155610478, http://lattes.cnpq.br/0984148113725984, Queiroz, Jamerson Viegas, CPF:39367398204, http://lattes.cnpq.br/0037657888703116, Enders, Bertha Cruz, CPF:25444816415, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4781295D6&dataRevisao=null, Menezes, Rejane Maria Paiva de |
| Publisher | Universidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Enfermagem, UFRN, BR, Assist?ncia ? Sa?de |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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