Health Promotion in Care for People With Chronic Non-Transmitable Disease: Integrative Review

Abstract

Objective: to analyze the health promotion practices developed by nurses in the care of people with non-transmittable chronic disease in primary health care, in scientific publications, between 2007 and 2017. Method: an integrative literature review of a qualitative approach, conducted in five databases, in which was read and critical analysis of the studies in order to know the practices of health promotion. Results: 40 articles were selected and organized according to the fields of the Ottawa Charter: public policies, reorientation of health services, creation of personal skills, reinforcement of community action and favorable environments. Thus, most of the experiments were mainly related to two fields of action: development of personal skills and reorientation of the health system. There is a movement towards the development of a health promotion in which the collective, the social determinants of health and multidisciplinarity are advocated. Conclusion: some limits were identified that need to be overcome, among which stands out the inter-sectoral work that needs to grow beyond the health sector.

Health Promotion Conceptions and Expressions in the Training Process of the Multi-Professional Residency

“…This proposal includes the determination of the social factors in the field of health, guiding the mobilization and reinforcement for intervention in health and production of care. 9 Under this prism, the multi-professional residency programs analyzed point to overcoming the biomedical model, as they generate and strengthen attitudes of questioning and confronting this model, problematizing the field of care and health production, from the insertion of the critical view on 9/15 health and aspects arising from the social sciences, which interfere with it. They also contribute by adopting innovative and current pedagogical practices, organizing training based on a process that is not focused on teaching, but on learning, centered on the student and on the development of the skills necessary to achieve the learning objectives; using active and problematizing methodologies that assist in the development of the critical and creative spirit, in the ability to analyze and solve problems, in the communicative, leadership, innovation and adaptation to change, among others; on the decentralized role of the teacher beyond the classroom, permeating the different learning spaces, among them the fields of practice in the reality of the territory and of the health services; and on the flexibility of the curricula and training moments.…”

“…It is considered crucial to pay attention to three aspects that must be considered for this training process from the territory: a) the five action fields -elaboration and implementation of healthy public policies, creation of favorable environments, reinforcement of community action, b) the three strategies -advocacy, mediation and training; and c) the priorities for action to be built locoregionally with the participants of the individuals and collectivity in their territories. 2,9 10/15…”

Reflections on nursing and COVID-19 in light of health education

“…In this context, the exchange of knowledge, based on principles of the Unified Health System (SUS), contributes to social training in health since it is not done "for" the people, but "with" the people (8) . In this way, it is comprehended that the solution to many health problems requires people to understand the situation and be motivated to adopt healthy behaviors that promote their health (9) . Therefore, actions aimed at health promotion conducted by the nursing team require the active participation of people in the modification of living conditions and their way of life.…”

“…Therefore, actions aimed at health promotion conducted by the nursing team require the active participation of people in the modification of living conditions and their way of life. That leads to creating a wholesome culture that supports healthful policies and equity in health services and the development of personal motivations to take control of their health (4)(5)(6)(7)(8)(9) .…”

Atuação do enfermeiro na mudança do estilo de vida de pessoas com hipertensão: revisão narrativa da literatura

“…Estas doenças são de longa duração, desenvolvidas no decorrer da vida. Responsáveis por um número alto de mortes prematuras, as DCNTs além de apresentarem elevado grau de limitação em relação às atividades laborais e de lazer, impactando financeiramente na família, pessoa e sociedade (Becker;Heidmann, 2020).…”