Educação em saúde: percepção dos enfermeiros da atenção básica em Uberaba (MG)

Objective: Identifying the prevalence of Common Mental Disorders and analyzing the influence of sociodemographic, economic, behavioral and reproductive health variables on Common Mental Disorders in women of childbearing age living in the rural area of Uberaba-MG, Brazil. Method: An observational and cross-sectional study. Sociodemographic, economic, behavioral and reproductive health instruments were used, along with the Self-Reporting Questionnaire to identify common mental disorders. Multiple logistic regression was used for multivariate data analysis. Results: 280 women participated in the study. The prevalence of Common Mental Disorders was 35.7%. In the logistic regression analysis, the variables of living with a partner and education level were associated with Common Mental Disorders, even after adjusting for the other variables. Conclusion: Our findings evidenced an association of social and behavioral factors with Common Mental Disorders among rural women. Identification and individualized care in primary health care are essential for the quality of life of these women. DESCRIPTORSWomen; Rural Population; Mental Health; Psychiatric Nursing; Primary Care Nursing.Common mental disorders and associated factors: a study of women from a rural area* Transtorno mental comum e fatores associados: estudo com mulheres de uma área rural Trastornos mentales comunes y factores asociados: estudio de las mujeres en una zona rural INTRODUCTIONCommon Mental Disorders (CMD) are characterized by depression symptoms, states of anxiety, irritability, fatigue, insomnia, difficulty in memory and concentration, and somatic complaints (1) . They manifest as a mixture of somatic, anxious and depression symptoms (2) . Early and correct diagnosis of these disorders is fundamental to avoid physical and psychological damage to the individual and burden to the health system. In this sense, it should be highlighted that actions of the Family Health Strategy (ESF -Estratégia de Saúde da Família) can help in detecting, referring and treating CMD, considering its accessibility and coverage characteristics (3) . Therefore, articulating mental health with the Family Health Strategy (FHS) is relevant (4) . Gender differences are present in CMD, predominantly affecting women (2,(5)(6)(7)(8) . Some Brazilian studies have shown the prevalence of CMD in women in urban areas to be: 33.8% (8) , 37.9% (6) , 41.7% (3) , 52.1% (7) . Considering the few national studies with women in the rural context, the prevalence of CMD in women is high for this population group -56.2% (9) , 44.17%(5) and 43.6% (10) . Literature points out that in rural and urban contexts, several social, cultural and behavioral factors may be related to CMD. Results obtained in several national studies involving urban and rural contexts have revealed a higher prevalence of CMD related to: women (5)(6)(7)(8) , low education levels (9) , low income (7) and to separated, divorced, widowed or single women (6,9) . In relation to the rural context, living conditions associat...

Objective: To analyze the knowledge, potentialities and barriers related to the implantation of the Kangaroo Method in the perception of nurses who work in the maternal-infant units of a school hospital. Method: An exploratory-descriptive research with a qualitative approach, guided by the Policy of Humanized Attention to the Low Weight Newborn, Kangaroo Method. Held between January and March 2018, with eight nurses from a maternal-infant unit. Data was collected between January and March 2018, through semi-structured interviews, transcribed and submitted to Thematic Content Analysis associated with Atlas Ti version eight resources. Results: Three categories emerged: Barriers to the development of the Kangaroo Method; Knowledge about the Kangaroo Method; and Potentialities of the Kangaroo Method. Conclusions and implications for practice: The nurses' speeches revealed partial knowledge, lack of practical experience and barriers related to team resistance and lack of institutional support, although they considered the method with potential benefits to provide bonding and indicate continuing education as a necessary strategy for its implementation.

Objective:To identify, within a multidisciplinary team, the facilitating and hindering aspects for teamwork in a coronary care unit. Method: A descriptive study, with qualitative and quantitative data, was carried out in the coronary care unit of a public hospital. The study population consisted of professionals working in the unit for at least one year. Those who were on leave or who were not located were excluded. The critical incident technique was used for data collection, by means of semi-structured interviews. For data analysis, content analysis and the critical incident technique were applied. Results: Participants were 45 professionals: 29 nursing professionals; 11 physicians; 4 physical therapists; and 1 psychologist. A total of 49 situations (77.6% with negative references); 385 behaviors (54.2% with positive references); and 182 consequences emerged (71.9% with negative references). Positive references facilitate teamwork, whereas negative references hinder it. A collaborative/communicative interprofessional relationship was evidenced as a facilitator; whereas poor collaboration among agents/inadequate management was a hindering aspect. Conclusion: Despite the prevalence of negative situations and consequences, the emphasis on positive behaviors reveals the efforts the agents make in order to overcome obstacles and carry out teamwork.

Objective: To identify depression symptoms and the influence of sociodemographic, economic, behavioral, and reproductive health variables on the score of depression symptoms in women of childbearing age living in the rural area of the municipality of Uberaba, state of Minas Gerais. Methods: Observational, cross-sectional study with 280 women. Beck's Depression Inventory was used. Student's t-test and Pearson correlation were used in the bivariate analysis. Multiple linear regression was used for multivariate analysis. Results: A total of 18.2% of the participants was classified as presenting depression symptoms. The mean score was 8.3 points. Women that reported a "poor" relationship with their partner presented the highest scores of depression symptoms, and the number of children was a predictor of these symptoms. Conclusion: Most participants presented no depression symptoms. Behavioral and reproductive factors were associated with depression symptoms among rural women. ResumoObjetivo: Identificar os sintomas de depressão e a influência de variáveis sociodemográficas, econômicas, comportamentais e de saúde reprodutiva sobre o escore dos sintomas de depressão em mulheres em idade fértil, residentes na área rural do município de Uberaba-MG. Métodos: Estudo observacional e transversal com 280 mulheres. Foi utilizado o Inventário de Depressão de Beck. Na análise bivariada, foram usados o Teste t-Student e correlação de Pearson. Para a análise multivariada, a regressão linear múltipla. Resultados: Entre as participantes, 18,2% foram classificadas com sintomas de depressão. O escore médio foi de 8,3 pontos. As mulheres que tinham convivência "ruim" com o companheiro apresentaram maior escore dos sintomas de depressão e o número de filhos foi preditor desses sintomas. Conclusão: A maioria das participantes não apresentou sintomas de depressão. Fatores comportamentais e reprodutivos estiveram associados com os sintomas de depressão entre as mulheres rurais.

Resumo Objetivo Refletir acerca da gestão em saúde do Sistema Único de Saúde (SUS), na perspectiva de desafios e possibilidades para superar lacunas de coordenação no enfrentamento da COVID-19. Método Trata-se de estudo reflexivo, fundamentado na formulação discursiva sobre a gestão em saúde no SUS organizado nas seguintes seções: introdução com a contextualização da temática, macrodesafios no âmbito do SUS na coordenação da atenção à saúde no enfrentamento da COVID-19, aspectos para subsidiar ações de coordenação da gestão e considerações finais. Resultados Constatam-se desafios na coordenação entre os entes federativos, de financiamento, de consolidação da vigilância em saúde, da regulação, da capacidade instalada e gestão de pessoas que remetem à importância de estabelecer estratégias para o fortalecimento do SUS, principalmente, na coordenação da gestão em saúde. Conclusões e implicações para a prática Destaca-se a relevância da autoridade da gestão regulatória no SUS para a coordenação e sua potencialidade de organização em prover melhores condições de atenção, porém, entende-se que é necessário revistar a territorialidade, o planejamento e o processo de trabalho, como elementos constituintes da vigilância em saúde.

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