https://repositoriobce.fepecs.edu.br/handle/123456789/1393 2026-02-26T14:07:17Z https://repositoriobce.fepecs.edu.br/handle/123456789/1412 Título: Fatores associados a adesão ao tratamento medicamentoso em idosos em atenção básica à saúde Autor(es): Garcia, Fábio Batista Primeiro Orientador: Amorim, Fábio Ferreira Abstract: The increase in life expectancy with subsequent population aging has a relevant correlation with the higher number of morbidities in the population, especially those related to chronic diseases. Ways to combat the problem include changes in lifestyle, eating habits, regular physical activity, and especially drug therapy. However, there are several factors that interfere with adherence to pharmacological therapy. For this analysis, a cross-sectional study was conducted with elderly people attending the primary health care service of the Goiânia Viva neighborhood, located in the city of Goiânia, Goiás, from July 2018 to January 2019. Elderly were selected from both groups. sexes, aged over 60 years, residing in the area covered by the primary health care services of that region. The research instruments were: 10 point cognitive screener test (10-CS), the Geriatric Depression Scale (GDS), Lawton Scale, Breef Medication Questionnaire, and questionnaire sociodemographic, self-perception and health conditions. An important level of non-adherence was identified that is related to low income and lower education, as well as the level of dependence, cognitive deficit, especially memory; presence of adverse drug reactions; reduced visual acuity; number of associated comorbidities and number of medications; besides, psychiatric illness. Editor: Escola Superior de Ciências da Saúde Tipo: Dissertação 2019-08-24T00:00:00Z https://repositoriobce.fepecs.edu.br/handle/123456789/1411 Título: Uso da informação em saúde como ferramenta para planejamento das ações e tomada de decisão: perspectiva dos profissionais da atenção primária à saúde Autor(es): Prado, Zelia Rodrigues Almeida Gomes Primeiro Orientador: Carvalho, Wania Maria do Espírito Santo Abstract: Introduction: The importance of health information is increasing, especially in the area of public health. Health information should be considered as a tool to know the socioeconomic, demographic and epidemiological reality, and carry out the planning, management, organization and evaluation of services at the different levels that make up the Unified Health System (SUS -Sistema Único de Saúde, portuguese). Health Information Systems are used for the organization and processing of the data collected in health, whose main purpose is to feed health indicators, which makes it possible to know the reality of the population and the possible changes that can occur in it. Objective: to investigate how professionals who work in Primary Health Care (PHC) manage and use health information as a tool for planning actions and decision making. Method: this is a qualitative research, which used Focus Group (GF-Grupo Focal, portuguese) and individual interviews for data collection. Focus group and individual interviews with professionals who hold care and management positions in PHC. The discourses produced were submitted to Thematic Content Analysis. Results: the results indicate the non-use of Information Systems as a tool for planning actions and decision making. They also point out that the professionals are unaware of the systems available in the national and state databases and their functionalities, and the advisable use of health information. They refer to the lack of qualification of professionals for the use of health information. Conclusion: despite the different information systems available, they contribute little to the planning of actions and the consequent decision-making. Two proposals seek to answer the main problems identified, the first being the application of the guidelines pointed out in the research and the monitoring during a certain period of time of the activities carried out. The second, a manual that aims to guide the professional practice of PHC managers and professionals regarding the use of health information. The manual offers theoretical content that should support the work process of managers and teams and seeks to systematize concepts, procedures, work instructions and provide guidance. It presents the main health information systems linked to Primary Health Care, considering those of national and state scope, as well as their characteristics and functionalities and technical guidelines for the operation of the systems. Editor: Escola Superior de Ciências da Saúde Tipo: Dissertação 2024-10-11T00:00:00Z https://repositoriobce.fepecs.edu.br/handle/123456789/1410 Título: Estilo e qualidade de vida de estudantes de cursos de graduação na área da saúde Autor(es): Salviano, Raquel Nogueira Primeiro Orientador: Amorim, Fábio Ferreira Abstract: Introduction: University students face extensive study hours and academic demands that can impact their style and quality of life, affecting student well-being, academic performance and increasing susceptibility to chronic noncommunicable diseases. Objective: To analyze the style and quality of life of undergraduate students in Nursing, Medicine and Dentistry, as well as the factors associated with these conditions. Method: Cross-sectional study with 1.321 students, using a sociodemographic and academic questionnaire, Health-Promoting Lifestyle Profile II (HPLP-II), WHO Quality of Life Assessment (WHOQoL-Bref) and Jenkins Sleep Scale. Collection carried out in April 2024, at a higher education institution in Goiás, Brazil. Results: The mean age of the participants was 22.4 ± 4.8 years. The majority were white, Catholic and lived within 3 km of the university. Only 5.6% had children, 25.6% worked and 29.8% had a minimum family income of up to four months. More than half (52.9%) moved to another city to study, 20% entered through quotas and 54.3% attended high school in public schools. The main comorbidity was psychiatric disorder, and 88.3% had sleep disorders. The average HPLP-II was 2.5, decreasing progressively favorable lifestyle, with greater deficits in “Stress Management”, “Physical Activity”, “Nutrition” and “Health Responsibility”. The average WHOQoL-Bref was 65.4, classifying quality of life as unfavorable, with the most affected domains being “Psychological”, “Physical”, “Environment” and “Social Relationships”. Medicine students obtained better style and quality of life scores than those studying Dentistry and, mainly, Nursing. Living alone and being in the intermediate periods of the course were associated with healthier lifestyles, while low income was related to worse conditions. Lack of religious affiliation, psychiatric disorders and greater distance to university were linked to worse quality of life. Obesity was the main factor associated with sleep disorders. In the qualitative analysis, students associated a healthy lifestyle with “Physical Activity”, “Healthy Eating”, “Adequate Sleep”, “Financial and Social Well-Being” and “Emotional and Mental Balance”. Regarding quality of life, the main components mentioned were “Physical Health”, “Emotional Balance and Well-Being”, “Healthy Food and Habits”, “Freedom and Leisure” and “Security and Stability”. Conclusion: The style and quality of life of health students are impacted by academic and socioeconomic factors. The low quality of life, associated with the high prevalence of psychiatric illnesses and sleep disorders, reinforces the need for interventions to promote health and emotional support. Institutional policies are essential to encourage healthy habits, improve general health and prevent chronic diseases. This Master's Completion Work is the result of the stricto sensu Professional Master's in Family Health Postgraduate Program (PROFSAÚDE). Editor: Escola Superior de Ciências da Saúde Tipo: Dissertação 2024-11-19T00:00:00Z https://repositoriobce.fepecs.edu.br/handle/123456789/1409 Título: Avaliação do nível de conhecimento dos profissionais de saúde sobre as práticas na atenção à saúde de pessoas com deficiência na Atenção Primária à Saúde Autor(es): Monteiro, Isadora Parreira Primeiro Orientador: Correa Filho, Heleno Rodrigues Abstract: Introduction: According to the 2022 Continuous National Household Sample Survey (PNAD), the Brazilian population with disabilities is estimated at 18.6 million people, with a growth trend due to demographic changes such as population aging and the increase in chronic diseases. This significant segment of society is protected by Law No. 13,146/2015, which established the Statute for Persons with Disabilities, defining them as individuals with long-term physical, mental, intellectual, or sensory impairments that, in interaction with barriers, may hinder their full and equal participation in society. Primary Health Care (PHC) is essential for promoting, preventing, and providing continuous health care for the entire population, ensuring universal access. However, several barriers persist, perpetuating inequalities in care and hindering the effective inclusion of persons with disabilities (PWD) in the health system. Objective: To evaluate the physical, structural, and communication accessibility conditions, as well as the practices, knowledge, and care strategies in health units imed at persons with disabilities (PWD). Methodology: This is a descriptive cross-sectional study with a quantitative approach, conducted through the application of a questionnaire to physicians and nurses working in the Family Health Strategy (FHS) in the Southwest Health Region of the Federal District (DF), Brazil. The study was carried out between September 23, 2024, and November 30, 2024, following approval by the Research Ethics Committee. Results: Among the 60 health professionals who responded to the questionnaire, only 14 reported having received any content or coursework related to PWD health care during their undergraduate studies, and nine completed a Brazilian Sign Language (Libras) course. Of these, six were during their undergraduate studies and only one was offered through the Unified Health System (SUS). The average adherence to the instrument's items was 36.2 ± 12.8%, and all domains showed average adherence below 50%. The "Communication" domain showed the lowest adherence. Conclusion: The study highlights that, although significant progress has been made in guaranteeing the right to health for persons with disabilities, important gaps remain that undermine the universality and comprehensiveness of primary health care services. Physical and communication accessibility, professional qualification, and the inclusion of persons with disabilities in health policy planning remain central challenges. Editor: Escola Superior de Ciências da Saúde Tipo: Dissertação 2024-12-26T00:00:00Z