Objective: To understand the perception of the Primary Health Care multiprofessional team on the practices of health education and on the role of nurses in the performance of educational activities. Method: Exploratory and descriptive study with a qualitative approach. Data were collected through a semi-structured interview with the participation of 12 professionals from the Family Health Strategy. To analyze the data, we used the technique of content analysis, with thematic approach, proposed by Bardin. Results: Three categories emerged: Perception of the multiprofessional team on health education; Educational practices in Primary Health Care: everyone's task?; and The role of nurses in health education. Final considerations: It was verified that the multiprofessional team perceives health education as being the responsibility of all the professionals. Some professionals consider the nurse as an important educator, others as executor of management and care actions and, to a lesser extent, of educational actions.
Objective:To evaluate the health-related quality of life of adolescents with type 1 diabetes mellitus, associating it with socio-demographic, clinical and biochemical variables.Method:Cross-sectional study with 92 adolescents with type 1 diabetes mellitus. A form containing socio-demographic, clinical and biochemical variables was used, as well as the Diabetes Quality of Life for Youths questionnaire. Descriptive statistics and logistic regression were used for analysis.Results:Regarding socio-demographic variables, economic class showed statistically significant differences in relation to total Health Related Quality of Life (p-value =0.02) and the impact domain (p-value =0.009). However, the impact domain was more compromised. Diabetes-related complications (p-value =0.004), number of hospitalizations (p-value =0.01), number of daily insulin injections (p-value =0.02), glycated hemoglobin (p-value =0.002) and triglycerides (p-value =0.03) were associated with greater impairment of quality of life related to total health and greater dissatisfaction.Conclusion:Single male adolescents with lower level of education and high glycated hemoglobin levels were more likely to have lower health-related quality of life.
O estudo teve como objetivo identificar fatores de risco para diabetes tipo 2 (DM 2) em uma população de adolescentes de escolas particulares de Fortaleza, Brasil. Foram avaliados 794 alunos, de 12 a 17 anos, em doze escolas, nos meses de maio, junho, agosto e setembro de 2007. Aplicou-se um formulário abordando aspectos sociodemográficos, IMC, pressão arterial, glicemia capilar e sedentarismo. Aproximadamente 24% dos participantes tinham o IMC elevado, 65% eram sedentários e 51% tinham antecedentes familiares de DM 2. Naqueles com maior renda, 73,5% tinham antecedentes familiares de DM 2 (p=0,04). Por volta de 39% dos adolescentes apresentavam pelo menos dois fatores de risco para DM 2. A maior parte dos fatores de risco para DM 2, identificados neste estudo, são modificáveis, portanto passíveis de intervenções preventivas no contexto escolar.
RESUMO O objetivo deste artigo foi analisar o escopo de práticas dos Agentes Comunitários de Saúde (ACS) relacionando-o à situação social e de saúde, bem como os elementos facilitadores e os limitantes. Trata-se de um estudo transversal de abordagem mista, e estratégia explanatória sequencial, realizado em quatro municípios do Ceará. No estudo quantitativo, a amostra de 160 ACS foi aleatória com instrumento estruturado. No qualitativo, realizou-se seis grupos focais e entrevistas. Prevaleceram, na amostra, mulheres (139; 86,9%), casadas (111; 69,4%), com renda familiar maior ou igual a 2 salários mínimos (102; 63,7%), nível técnico incompleto (68; 42,5%), da zona urbana (114; 71,3%), atuando como ACS há menos de 10 anos (93; 58,2%). As principais atividades foram visitação domiciliar de grupos prioritários e cadastramento de famílias. Evidenciou-se a complexidade do trabalho, que inclui ações de promoção e vigilância à saúde como pré-natal, imunizações, hipertensão, diabetes, cuidado com idosos, entre outros. Como limitantes das práticas, identificaram-se: deficiência da formação técnica, suporte reduzido no trabalho e violência. Como potencializadores: educação permanente e gestão participativa. O escopo de práticas dos ACS é complexo e abrangente, incluindo a articulação de políticas públicas no território, o que se constitui em uma potencialidade para promoção da saúde de comunidades vulneráveis.
Health indicators associated with poor sleep quality among university students RESUMEN Objetivo: Asociar la calidad del sueño de los universitarios brasileños con los indicadores de salud. Método: Estudio transversal desarrollado con una muestra aleatoria de 662 estudiantes universitarios de Fortaleza, Brasil. Fueron recogidos datos sociodemográficos, indicadores de salud (tabaquismo, alcoholismo, sedentarismo, estado nutritivo y niveles séricos de colesterol) y el Índice de Calidad del Sueño de Pittsburgh mediante un cuestionario autoadministrado. Las muestras sanguí-neas fueron analizadas en un laboratorio clínico y para evaluar la magnitud de las asociaciones se adoptó la Regresión de Poisson. Resultados: En los universitarios que fuman diariamente la ocurrencia de mala calidad del sueño fue superior en su relación con los no fumadores (p<0,001). Sin embargo, la razón de prevalencia fue de aproximadamente 1. Conclusión: Las probabilidades de presentar mala calidad del sueño fueron prácticamente idénticas entre tabaquistas y etilistas. DESCRIPTORES ABSTRACTObjective: to associate the sleep quality of Brazilian undergraduate students with health indicators. Method: A cross-sectional study was developed with a random sample of 662 undergraduate students from Fortaleza, Brazil. The demographic data, Pittsburgh Sleep Quality Index and health data indicators (smoking, alcoholism, sedentary lifestyle, nutritional condition and serum cholesterol) were collected through a self-administered questionnaire. Blood was collected at a clinical laboratory. In order to estimate the size of the associations, a Poisson Regression was used. Results: For students who are daily smokers, the occurrence of poor sleep was higher than in nonsmokers (p<0.001). Prevalence rate values were nevertheless close to 1. Conclusion: The likelihood of poor sleep is almost the same in smokers and in alcoholics.
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