UBS) são todos os estabelecimentos de saúde que prestam ações de Atenção Básica (AB) no âmbito do SUS, objetivando atender até 80% das necessidades de saúde da população, reduzindo encaminhamentos para hospitais de referência. A fisioterapia na AB atua na reabilitação de enfermidades a partir do encaminhamento médico, além da prevenção de agravos e promoção à saúde. O presente estudo objetivou verificar o quantitativo de encaminhamentos fisioterapêuticos realizados pelas UBS do município de Gurupi-TO no ano de 2019, na tentativa de identificar a demanda, bem como a disponibilidade de profissional para a celeridade no atendimento. Os dados foram coletados nas dependências da central de regulação da secretaria municipal de saúde após aprovação do relatório quadrimestral pelo Conselho Municipal de Saúde. Contabilizou-se 771 encaminhamentos advindos de 13 UBS, para o atendimento dos 7 profissionais fisioterapeutas lotados na secretaria municipal de saúde. Apesar da ausência de dados sobre o quantitativo de pacientes atendidos, pode-se concluir que a falta de profissionais ainda é entrave para a celeridade dos atendimentos, onde muitas vezes não há disponibilidade necessária para suprir a demanda dos encaminhamentos. Neste sentido, nota-se a delonga nos agendamentos dos encaminhamentos diante das listas de espera de cada UBS.
Introduction:Fibromyalgia is a rheumatic syndrome that mainly affects women, being more common in the age group between 30 and 55 years of age, with reports of diffuse and chronic pain for more than three months. Despite the presence of hyperalgic points called "tender points" there Alves et al.; JAMMR, 31(10): 1-14, 2019; Article no.JAMMR.53660 2 is no evidence of deformities to organs and joints. Its confirmation is clinical after the exclusion of other pathologies. Objective: The objective of this research aims to analyze the clinical picture and sleep quality in patients with fibromyalgia, coming from the School of Physiotherapy Clinic of Gurupi University. Materials and Methods: The research has a qualiquantitative character, consisting of 22 female participants, divided into 2 groups: Experimental Group (EG -11 participants) and Control Group (CG -11 participants), all of whom came from the School of Physiotherapy Clinic of Gurupi University. For the collection of information, questions were used semi-structured, which were: 1) Identification form (preparedby academics to register participants and identify information about the previous history of the disease); 2) Questionnaire of perception of the disease (collected through an interview directed and recorded by undergraduates and later transcribed) and, 3) Pittsburgh's sleep qua-dealing index. The entire protocol was performed after 20 treatment sessions, both for the experimental group and for the control group, according to inclusion and exclusion criteria. The results were descriptively analyzed according to the tabulation in Microsoft Office ® (2010) and inferential with significance p<0.05, through the Program SPSS 18.0. Results: The results show a decrease in the perception of the quality of life, through sleep quality. Discursive findings show the binding of fibromyalgia with depression, chronic pain and discouragement. The statistical results show a picture of little quality of restorative sleep because more than half of the interviewees say they take to sleep, have bad dreams and raise several times during the night. It is noteworthy that most volunteers said they could sleep more than 6 hours a night with sleep efficiency greater than 85%, only half of the sample confirmed eating, between 3 or more times, sleeping medications. Conclusion: The reports analyzed showed the relevance in improving the quality of life of the participants undergoing treatment. However, the statistical data alone did not present a significant differentiation between the participants of the control group and the experimental group. Only when observing, sleep quality tends to be better for participants who are having a physiotherapeutic follow-up. Original Research Article
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