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Search Results: 1 - 10 of 44839 matches for " primary health care "
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Pattern of Alcohol Consumption in Registered Users of a Family Health Unit  [PDF]
Jerssika Karla Sobreira da Silva, Fernanda Jorge Guimarães, Jaqueline Galdino Albuquerque Perrelli, Zailde Carvalho dos Santos, Lorita Marlena Freitag Pagliuca
Health (Health) , 2014, DOI: 10.4236/health.2014.611144
Abstract: The alcohol abuse is associated with a wide range of social, health and legal problems to analyze the pattern of alcohol consumption of users of a Family Health Unit. A descriptive, cross-sectional study with a quantitative approach, conducted with 207 users of a Family Health Unit who responded the Alcohol Use Disorders Identification Test. Data were analyzed with the aid of the STATA/SE 12.0 software. To analyze the association of the variables, the chi-square and Fisher’s exact test were used. Of the participants, 40.6% presented abusive consumption of alcohol, which is strongly associated to the male sex, single, between 18 and 30 years of age, who have no religion and some sort of occupation. There was no relation with monthly income and education. Screening and prevention programs to alcohol abuse are important for the most vulnerable group in the primary health care.
Importance of Primary Health Care in Medicine: Simultaneous Analysis of Two Colleges, under the Vision of Teachers and Students  [PDF]
Sebasti?o Célio Horta Coelho Filho, Thiago Sande Miguel, Nayrton Kalys Cruz dos Anjos, Mateus de Oliveira Reis, Bruna Sande Miguel, Vinicius Sande Miguel, Aline Gabriela Santos Costa, Lilian Costa Brito, Bruno Fonseca dos Santos, Ver?nica Clemente Villar Martini, Daniel Almeida da Costa
Journal of Biosciences and Medicines (JBM) , 2017, DOI: 10.4236/jbm.2017.511002
Abstract: Introduction: The involvement of undergraduate student at the beginning of their training in activities based on Primary Health Care (PHC), provides preventive and health promoting actions, and ensures the evaluation of the vulnerability of communities and people. Objectives: To analyze the opinion of students and teachers of two medicine higher education institutions on the relevance of Primary Health Care in this course. METHODS: Students and teachers should be effectively enrolled in order for the study to be conducted, being chosen in a random manner and without interferences on the part of the researchers so that the work was as reliable as possible. A cross-sectional study was conducted with interviews structured in questionnaires about what they thought about PHC. To some students and teachers of the medical course of Valen?a and Grande Rio University (UNIGRANRIO). Before receiving the questionnaire, all interviewed signed a Free and Informed Consent Term, which included the objectives and methodology of the work. Results: 310 students and 51 teachers participated in the study, where 91.43% of the students and 100% of the teachers affirmed that primary care plays a fundamental role in medical education. 94.86% of students and 97.91% of teachers, claimed that the discipline allows a greater contact between undergraduates and community. When questioned about the encouragement that teachers give to students to pursue a career in PHC, 57.87% of the students and 70.83% of the professors said they lacked in such a stimulus. Conclusion: PHC is still very neglected by governmental policies, educational institutions and by the own teachers, that often, turn they attention only to tertiary medicine and, as a consequence, a discouragement of this area occur. Therefore, a higher PHC value is necessary, allowing a more humane look at the patient, valuing their feelings, anguishes and their pathological framework.
Prenatal of Pregnant Adolescents Performed by Nurses in Primary Health Care  [PDF]
Vania Maria Alves de Sousa, Dafne Paiva Rodrigues, Maria Veraci Oliveira Queiroz, Martha Campos Moura Fé, Dean Douglas Ferreira de Olivindo
Open Journal of Nursing (OJN) , 2016, DOI: 10.4236/ojn.2016.610082
Abstract: This study aims to identify the actions performed by nurses of the Family Health Strategy with the pregnancy cycle of adolescents and analyze if the actions developed by these nurses are focused on risk prevention in pregnancy and childbirth. It is a qualitative and exploratory research in basic health units with 12 nurses. A semi-structured interview technique was applied, and the speeches were analyzed using content analysis. In the analysis of the results, it was identified two thematic categories in which it was noted that nurses during the prenatal make the reception of pregnant adolescents differently and conduct guidelines on examination, signs and symptoms of possible complications during the pregnancy and still emphasize the importance of educational activities as groups of pregnant women to be a chance of coexistence and exchange of experiences, doubts, and anxieties among themselves. It is concluded that the care provided by nurses is fundamental for the pregnant adolescents having prenatal with more quality.
Maternal and Child Care Assessment Focused on Prenatal Care and Birth  [PDF]
Isabelle Christine Fonsêca G. A. Silva, Tainara L?rena dos Santos Ferreira, Dídia de Oliveira Pereira, Joymara Railma Gomes de Assun??o, Paloma Batista Costa, Jovanka Bittencourt Leite de Carvalho, Iris do Ceu Clara Costa, Fábia Barbosa de Andrade
Health (Health) , 2015, DOI: 10.4236/health.2015.71019
Abstract: Objective: This study aims at assessing maternal and child care provided from prenatal to birth, so that it can reveal the weaknesses and potentialities of prenatal program in order to guide the development of strategic plans. Methods: This is an exploratory descriptive study with a quantitative approach, conducted in the city of Santa Cruz, state of Rio Grande do Norte, Brazil, from November 2012 to February 2013. The sample consisted of 200 women, chosen by draw, mothers of children under two years old who had attended the Primary Health Care System. The study used a semi-structured questionnaire used by the Ministry of Health. Our research project was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte, under the approval No. 311.613. Results: It was found that most mothers were rated from good to very good in the quality of care during prenatal and birth. As to the performance of prenatal and birth care services, most women performed those services under the municipality’s Public Health System, and the prenatal care primarily under Basic Health Care Units. Conclusion: In this assessment study, indicators regarding maternal and child care provided during the prenatal period were found to be positive, which contributes to the reduction of maternal and child mortality. The study also shows that Primary Health Care is essential to ensuring an effective, humane and comprehensive health care.
Senior Citizens’ Cultural Activity and Participation in Community Life  [PDF]
Fábia Barbosa de Andrade, Tainara L?rena dos Santos Ferreira, Dídia de Oliveira Pereira, íngrid Katianne Marques Araújo, Joymara Railma Gomes de Assun??o, Isabelle Christine Fonsêca G. A. Silva, Jéssica Isabelle dos Santos Dutra, Aline de Lima Cabral
Health (Health) , 2015, DOI: 10.4236/health.2015.77101
Abstract: Objective: This study has the objective to know the cultural activities of the senior citizen and their participation in community life as encouraged by Primary Health Care professionals. Methods: This is a quantitative study that was performed on 130 senior citizens in the city of Santa Cruz, in the Brazil state of Rio Grande do Norte. Results: The participation of senior citizens in groups is very beneficial because it increases their autonomy and self-esteem, socialization, well-being and consequently, which leads to a higher quality of life. However, there were some failures in the promotion of healthy aging and the adoption of strategic activities. Conclusions: Based on this observation, it is expected that this study can provide resources for the primary health care professionals to try to stimulate senior citizens by carrying out cultural activities that value and increase their potential, quality of life and self-esteem and, thus, promote active and healthy aging.
Lifestyle, Biological Risk Markers, Morbidity and Mortality in a Cohort of Men 33 - 42 Years Old at Baseline, after 24-Year Follow-Up of a Primary Health Care Intervention  [PDF]
Lars-G?ran Persson, Hans Lingfors, Mats Nilsson, Sigvard M?lstad
Open Journal of Preventive Medicine (OJPM) , 2015, DOI: 10.4236/ojpm.2015.53011
Abstract: Objective: To study changes in lifestyle and biological risk markers in a 24-year follow-up study, and occurrences of cardiovascular diseases (CVD), cancer and total mortality from official registers. Design: A 24-year follow-up survey and register study of a cohort of men 33 - 42 years old, examined with a health profile at baseline. With the health profile based on lifestyle, biological risk markers, self-rated mental stress and mental health, the men were separated in different risk groups. Setting: Primary health care center of Habo in Sweden. Subjects: All 757 men, 33 - 42 years old, and living in the community of Habo in Sweden in 1985. Main Outcome Measures: Lifestyle, biological risk markers, morbidity from CVD and cancer, and total mortality. Results: Smoking and physical activity decreased during follow-up time while alcohol consumption increased. Biological risk markers, except diastolic blood pressure, deteriorated significantly with age. Based on three- lifestyle groups, 16 % of the men had a more favorable lifestyle and 19% had a less favorable life-style at follow-up compared with baseline. The men, who had been classified as high-risk, based on the health profile at baseline, had a significantly higher incidence of CVD and cancer in the register study compared to men in a low-risk group. The baseline non-participant group had a significantly higher incidence of CVD and a higher mortality compared to the low-risk group. Conclusion: A health profile with a combination of lifestyle factors and biological risk markers can already at the age of 33 - 42 years predict incidence of CVD and cancer on group level among men after 24 years.
How many systolic and diastolic variables must be measured in elderly patients with symptoms of heart failure?  [PDF]
Jan B. Remmets, Mona K. Olofsson, Hans Stenlund, Kurt O. Boman
World Journal of Cardiovascular Diseases (WJCD) , 2012, DOI: 10.4236/wjcd.2012.22017
Abstract: Objectives: To explore the concordance and the feasibility of obtaining systolic or diastolic variables of left ventricular function in elderly patients with heart failure symptoms. Methods: One hundred twenty four patients with symptoms of heart failure (mean age 77 years, 70% females) were included in a cross-sectional, explorative study. Nineteen echocardiographic variables (7 systolic and 12 diastolic) were measured. Results: Overall, feasibility ranged from 93% to 100% for 15 variables and was 48% for mitral regurgitation dp/dt(MRdp/dt), 66% for the difference between pulmonary AR-dur and mitral A-dur, 81% for the ratio between early and late mitral inflow velocity (E/A), and 76% for tissue Doppler imaging late dia-stolic velocity (TDI A’). Concordance was very good/ good in 83% and poor/missing in 17% of systolic variables, whereas it was very good/good for 67% of diastolic variables and poor/missing for 33%. Factor analysis reduced systolic variables to two factors that explained 69% of the total variance in systolic function. Conclusions: Low feasibility for some and questionable concordance of especially diastolic variables questions the rationale for routinely measuring a high number of echocardigraphic variables. The results of the factor analysis further strengthen the possibility of reducing the number of measured variables. The clinical value of such a reduction needs to be validated.
Featuring the Demand Met by Senior Medical Students in Primary Health Care Units in Southern Brazil  [PDF]
Gilmor José Farenzena, Leris Salete Bonfanti Haeffner, Angela Regina Maciel Weinmann, Bruna Biazi, Alexandre Kieslich da Silva, Maria Rosa Chitolina Schetinger
Creative Education (CE) , 2016, DOI: 10.4236/ce.2016.711161
Abstract: Featuring the demand in Primary Health Care (PHC) units is essential to properly perform health- related diagnosis. In addition, it is an important pedagogical tool used to teach about the real population health needs. This is a cross-sectional study—with random sample—about the care provided by medical students in Southern Brazil, during their Mandatory Internship (MI) period. There was predominance of care given to female patients; 70% were adult or elderly individuals. The Systemic Arterial Hypertension (SAH) was the most diagnosed disease and it was followed by Upper Airway Diseases and by Musculoskeletal Pain. Laboratory tests were requested in less than 20% of the cases and imaging tests were requested in less than 7% of them. The patients were referred to other health care levels in 25% of the cases. The current study helped featuring the epidemiological profile of users in Primary Health Care (PHC) units wherein medical residents of the Federal University of Santa Maria (UFSM-Universidade Federal de Santa Maria) realized their final course activities. Thus, the results of such featuring may help redirecting the didactic and pedagogical activities, which are required to enable a medical training focused on the population health needs.
Longitudinal Care Evaluation in Child Healthcare  [PDF]
Dandara Rayssa Silva de Souza, Tainara L?rena dos Santos Ferreira, Fábia Barbosa de Andrade
Open Journal of Nursing (OJN) , 2016, DOI: 10.4236/ojn.2016.610087
Abstract: Objective: To evaluate the essential attribute of Primary Health Care, longitudinal care, care directed at children from birth to two years old. Methods: This is a descriptive and exploratory study of evaluative character and quantitative approach, conducted with parents/caregivers of 186 children, younger than two years old, patients of primary health care services in the city of Santa Cruz/RN, Brazil. For data collection, the instrument Primary Care Assessment Tools (PCA Tools) was used, and the results of the questions dealing with longitudinal attribute were evaluated. The data were stored and processed in Statistical Package for Social Sciences (SPSS). The study was approved by the Research Ethics Committee of the Health Sciences School of Trairí, under number 348896. Results: The mean age of children in months was 8.21; 84.4% (n = 157) were assisted by the same doctor/nurse every time; in 81.7% (n = 152) of cases the doctor/nurse know the full medical history of the child; 73.7% (n = 137) answered that the professional know their child more as a person than just as someone with a health problem; 48.9% (n = 91) stated that the doctor/nurse do not know their family very well; 86.6% (n = 161) reported finding the doctor/nurse understands what is saying or questioning; 96.2 (n = 179) of respondents said the doctor/nurse answers the questions so that they understand; 96.2% (n = 179) of the interviewed said they feel comfortable telling the concerns or problems of their child to the doctor/nurse; 66.7% (n = 124) claimed that they would not change the service/doctor/nurse to another health service. Conclusion: It is concluded that the attribute was well rated by the mothers of children seen in primary health care services and that they can establish good communication and relationship with the health professionals who treat their children.
Assessment of the Accessibility of Users in Primary Health Care  [PDF]
Tainara L?rena dos Santos Ferreira, Iris do Céu Clara Costa, Fábia Barbosa de Andrade
Open Journal of Epidemiology (OJEpi) , 2016, DOI: 10.4236/ojepi.2016.64020
Abstract: Objectives: The goal of this project was to evaluate the quality of the accessibility of the adult population to services in Primary Health Care, with a view to contribute to the development of measures that will propose improvement in the offered assistance. Methods: This is a quantitative and evaluative study made in the municipality of Santa Cruz, State of Rio Grande do Norte, Brazil, with a sample of 180 people. The study was approved by the Ethics and Research Committee of the Federal University of Rio Grande do Norte under Opinion number 152/2012. Results: It was found that the adult population classified the quality of care from regular to good, showing an association with the waiting time, time spent from the unit to one’s house and the reception. Conclusions: It could be concluded that this study contributes to the development of strategies able to provide a full and equitable care to the adult population in the primary health care network, since this is the gateway to other levels of care, because it aims to promote adult health and prevent diseases.
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