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Previous issue date: 2013-11-29 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / One of the Primary Health Care strategies for adolescent health is the growth and
development follow-up and the early detection of overweight adolescents. Even though the
School Health Program in Brazil proposes to evaluate the nutritional state of the school
population in the corresponding community health units, not all cities have adhered to the
Program and many nurses do not recognize overweight as a problem in their territory. The
objective of the study was to identify the nurse?s participation in the screening of overweight
adolescent students in their work territory. Cross sectional study conducted in eight state
supported schools of the municipality of Natal/RN and in four Primary Health Units. The total
student population was 27.277. A stratified sample was statistically calculated based on the
student population of the four city geographical zones: 112 North , 74 West; 108 East; and 78
South, totalizing 372 adolescents. The students were selected by a probability process where
eight schools were first selected, two per district, until the number per subsample in each
district was reached. Four primary health nurses, responsible for the health units were
included. Two instruments were used for data collection, a screening questionnaire and a
semi-structured interview form for questioning of the nurses. The content of both instruments
was validated. Anthropometric and health data were collected from the students and analyzed
with descriptive and analytical statistics. Interview data were transcribed and submitted to
content analysis. The nursing diagnosis of overweight was identified in 50 (13,5%) of the
adolescents and its association with consumption of foods that have cardiovascular risk
(canned foods, pasta and fried food). An association of the nursing diagnosis was identified
with family history (diabetes, hypertension, obesity, and kidney disease). The nurses judged
that care of overweight adolescents was important but noted difficulties because of the
absence of this population in the health units, because of their work overload, and the lack of
school articulation. The nurses do not have impacting actions with this population and
delegate the responsibility to other professionals. It is concluded that overweight is a
nutritional problem relevant to the adolescent school population in Natal/RN, with a 13,5%
prevalence and that it is related to food consumption with cardiovascular risk and family
health history. The nurses consider overweight as an important public health problem but do
not envision ways to maintain linkage with adolescents and with the school to promote the
needed care / Uma das principais estrat?gias da enfermagem na Aten??o prim?ria em Sa?de (APS) ? o
acompanhamento do crescimento e identifica??o precoce do excesso de peso em adolescentes.
Apesar dos incentivos do Programa Sa?de na Escola (PSE) no Brasil, que prop?s avaliar o
estado nutricional dos escolares pelas Unidades B?sicas de Sa?de (UBS), ainda n?o h? ades?o
de todos os munic?pios e muitos enfermeiros n?o reconhecem o excesso de peso como um
problema. O objetivo desse estudo foi identificar a participa??o do enfermeiro da APS no
screening de adolescentes escolares com excesso de peso na sua ?rea de atua??o. Estudo
transversal, realizado em oito escolas estaduais de Natal-RN e em quatro UBS. A popula??o
de alunos das escolas estaduais foi 27.377. Com base em procedimento estat?stico, definiu-se
uma amostra estratificada pelas quatro zonas municipais: 112 na Norte, 74 na Oeste, 108 na
Leste e 78 na Sul, o que totalizou 372 adolescentes. Na sele??o de alunos, sortearam-se
aleatoriamente as escolas e as turmas participantes, at? totalizar o tamanho das subamostras
por zona. Participaram quatro enfermeiras respons?veis pelas UBS inclu?das. Dois
instrumentos de coleta de dados foram utilizados, um formul?rio para o screening e um
roteiro de entrevista semi-estruturada para questionar os enfermeiros. O conte?do dos
instrumentos foi validado por especialistas. A coleta de dados com os adolescentes
compreendeu a verifica??o de peso, altura e condi??es de sa?de e analisados por meio
estat?stica descritiva e anal?tica. Os ?udios das entrevistas foram gravados, transcritos e
analisadas quanto ao conte?do. Dentre os adolescentes, 50 (13,5%) foram identificados com o
Diagn?stico de Enfermagem (DE) excesso de peso, com associa??o ao consumo de alimentos
de risco cardiovascular (embutidos, macarr?o e fritura). Identificou-se associa??o entre o DE
e a hist?ria familiar de doen?as (diabetes, hipertens?o, obesidade e doen?a nos rins). As
enfermeiras julgaram fundamental a assist?ncia aos adolescentes com excesso de peso, mas
apontaram dificuldades devido a pouca procura dessa clientela pelos servi?os de sa?de, pelo
excesso de tarefas que realizam nas UBS e pela baixa articula??o com as escolas. Elas se
isentaram de condutas de maior impacto e atribu?ram a outros profissionais a responsabilidade
maior. Conclui-se que o excesso de peso ? um desvio nutricional relevante na popula??o de
adolescentes de escolas estaduais de Natal/RN, com frequ?ncia de 13,5% e que o problema
est? relacionado ao consumo de alimentos de risco cardiovascular e ? hist?ria familiar de
doen?as. Os enfermeiros consideram o excesso de peso como importante problema de sa?de
p?blica, que necessita de assist?ncia de enfermagem, mas n?o vislumbram estrat?gias para
manter o v?nculo com o adolescente e com a escola para promover a assist?ncia resolutiva
diante esse DE
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/14807 |
| Date | 29 November 2013 |
| Creators | Vieira, Caroline Evelin Nascimento Kluczynik |
| Contributors | CPF:25444816415, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4781295D6&dataRevisao=null, Monteiro, Akemi Iwata, CPF:08449740487, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4794971Y1&dataRevisao=null, Medeiros, Carla Campos Muniz, CPF:64135667449, http://lattes.cnpq.br/6730680514230870, Enders, Bertha Cruz |
| 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 | Portuguese |
| 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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