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Previous issue date: 2014-09-15 / O reconhecimento da alimenta??o como determinante e condicionante do processo sa?dedoen?a
exige novas explica??es e interven??es da a??o pol?tica em alimenta??o e nutri??o
e demanda modelo de aten??o ? sa?de pautado na integralidade das a??es e centrado na
promo??o da sa?de. Este estudo, caracterizado como pesquisa-a??o de car?ter
intervencionista, buscou desenvolver estrat?gias para apoiar a inser??o transversal das
a??es de promo??o da alimenta??o saud?vel nas pr?ticas de profissionais de um N?cleo de
Apoio ? Sa?de da Fam?lia e uma Unidade da Estrat?gia Sa?de da Fam?lia no munic?pio de
Natal, capital do Rio Grande do Norte, a partir da an?lise das percep??es e processos de
trabalho dessas equipes. Foram adotadas v?rias estrat?gias metodol?gicas: C?rculo
Hermen?utico Dial?tico, Observa??o Direta, Encontros Tem?ticos Reflexivos e Oficina
?Repensando as pr?ticas educativas para promo??o da alimenta??o saud?vel?. Para registro
de dados, foram utilizados os Di?rios de Pesquisa-DP e de Momentos-DM. A an?lise
ocorreu de forma processual, em conjunto com os participantes da pesquisa, em constante
movimento de reflex?o-a??o-reflex?o, com base na hermen?utica-dial?tica. Quanto aos
resultados, em rela??o ? promo??o da sa?de, evidenciaram-se as seguintes percep??es:
promo??o da sa?de associada ? preven??o de doen?as e agravos; promo??o da sa?de
relacionada ? qualidade de vida e ao bem estar, em suas v?rias dimens?es; promo??o da
sa?de enquanto responsabilidade do Estado; promo??o da sa?de relacionada ?s a??es de
educa??o em sa?de; promo??o da sa?de como express?o da resolutividade e
acessibilidade aos servi?os de sa?de. Quanto ? alimenta??o saud?vel, predominaram as
percep??es referentes aos aspectos nutricionais. No que se refere ? educa??o alimentar e
nutricional-EAN, observou-se predomin?ncia da percep??o de EAN como informa??o,
orienta??o e transmiss?o de conhecimentos para mudan?as de pr?ticas alimentares. No que
diz respeito ao processo de trabalho, observou-se que entre as a??es para promo??o da
sa?de, predominam as atividades educativas, como palestras, rodas de conversas, que na
maioria das vezes, ocorrem de forma fragmentada, sem planejamento conjunto entre as
equipes, variando de acordo com os profissionais e o momento de trabalho em que s?o
realizadas. Os resultados apontaram para a necessidade de reorganiza??o dos processos
de trabalho, na perspectiva da articula??o intra e intersetorial e da constru??o de novas
tecnologias, tais como: Projeto de Sa?de do Territ?rio ? PST, Projeto Terap?utico SingularPTS,
Cl?nica Ampliada e Compartilhada, pr?ticas educativas com metodologias ativas de
ensino-aprendizagem. A partir dos resultados consideramos que se faz necess?rio a
?reforma do pensamento?, por meio de mudan?as na forma??o profissional e do
fortalecimento dos espa?os de educa??o permanente, considerando a complexidade que
envolve a alimenta??o, a educa??o alimentar e nutricional e a promo??o da sa?de. A
reforma do pensamento deve estar articulada e imbricada ? produ??o de saberes e pr?ticas
que favore?am a intersetorialidade, a transversalidade, o di?logo e a postura democr?tica e
solid?ria, com base na constru??o coletiva do saber-fazer. Esperamos que esse estudo
possa contribuir com reflex?es e iniciativas que estimulem a constru??o de pr?ticas que
promovam a alimenta??o saud?vel na Aten??o Prim?ria ? Sa?de, na perspectiva da
integralidade do cuidado e da realiza??o da Seguran?a Alimentar e Nutricional. / The recognition of the food as determinant and health-disease process etching requires new
explanations and interventions of the food and nutrition policy action and demand health care
model based on the completeness of the actions and focused on health promotion. This
study, characterized as research-action of interventionist character, sought to develop
strategies to support the transverse insertion of healthy eating promotion in professionals
practices a core of support for the health of the family and a family health strategy Unit in the
city of Natal, capital of Rio Grande do Norte, from the analysis of perceptions and work
processes of these teams. Several methodological strategies were adopted: Dialectical
Hermeneutical Circle, direct observation, reflective and Thematic Meetings Workshop
"Rethinking the educational practices for promoting healthy eating". For data logging, search
diaries - SD were used and moments. The analysis of procedural form occurred in
conjunction with research participants, in constant movement of reflection-action-reflection,
based on hermeneutics-dialectic. About the results, in relation to the promotion of health,
showed the following insights: health promotion and disease prevention-related harms;
health promotion related to quality of life and well-being, in its various dimensions; health
promotion as a responsibility of the State; health promotion related to the actions of health
education; health promotion as an expression of efficaciousness and accessibility to health
services. Regarding healthy nutrition, predominated the perceptions relating to nutritional
aspects. With regard to food and nutritional education - FNE, it was observed a
predominance of perception of FNE as information, guidance and knowledge transfer for
changes of dietary practices. As regards the working process, it was observed that among
the actions for health promotion, educational activities predominate, such as lectures,
conversations, groups that mostly occur in fragmentary form, without joint planning teams,
varying according to the professionals and the moment of work in which they are carried out.
The results pointed to the need for reorganization of the work processes, in the context of
intra-and intersectoral coordination and the construction of new technologies, such as:
Health project of the territory ? HPT, Unique Therapeutic Project- UPT, Expanded Clinic and
educational practices, Shared with active teaching and learning methodologies. From the
results we believe that it is necessary to "thought reform", from changes in vocational training
and strengthening of the permanent education spaces, whereas the complexity that involves
feeding, food and nutrition education and health promotion. The reformation of thought must
be articulate and closely tied to the production of knowledge and practices that encourage
intersectoral approach, the transversality, dialogue and democratic and supportive attitude,
based on the collective construction of know-how. We hope that this study can contribute
with reflections and initiatives that encourage building practices that promote healthy eating
in primary health care, in terms of completeness of the care and the attainment of food
security and nutrition.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/19993 |
| Date | 15 September 2014 |
| Creators | Lima, Rosana Maria Ferreira de Moura |
| Contributors | 30119308487, http://lattes.cnpq.br/5933901040621573, Amorim, Ana Karenina de Melo Arraes, 02126900436, http://lattes.cnpq.br/9847082748841264, Bosco Filho, Jo?o, 90467345449, http://lattes.cnpq.br/3068285662145237, Souza, Elizabethe Cristina Fagundes de |
| Publisher | Universidade Federal do Rio Grande do Norte, PROGRAMA DE P?S-GRADUA??O EM SA?DE DA FAM?LIA NO NORDESTE, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| 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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