Saúde da criança no Brasil: orientação da rede básica à Atenção Primária à Saúde

Abstract

Abstract

Social network of children with cronic disease: knowledge and practice of nursing

“…According to the results of this study, children with chronic diseases are usually seen by physicians, revealing that in the context of primary health care, the focus on disease and procedures still prevails. These are characteristics of the biomedical care model, and the monitoring of these children when performed in the family health unit, is based on medical care, corroborating the results of other studies (26)(27) . This fact points to the need for reorientation of the nursing care model in primary care, which should consider the comprehensive care provided to patients in their biopsychosocial and family context, whether in acute or chronic illness situations.…”

“…Comprehensiveness is a process that is currently under construction in primary health care; however, in relation to the care of children with chronic conditions, it is incipient and fragmented, requiring a change in the structure of services, and the qualification of professionals (18,26) .…”

“…The difficulty of nurses in establishing a bond with the families of children with chronic diseases has also been emphasized, caused by their not attending the unit, and due to the lack of active search in their territory (18) . In this regard, a study on the care model that drove the care of children with chronic conditions in primary health showed that the community health agents are important allies for this care, due to the constant contact with families in their area, and because they are a link between these families and the health service (26) .…”

Percepção materna do cuidado à saúde da criança na estratégia saúde da família de dois municípios da Paraíba, Brasil

“…Resultados de pesquisas anteriores têm destacado avaliações abaixo do esperado para a atenção à saúde da criança na ESF [12,14,15,16,17], o que foi similarmente constatado nos dois municípios do atual estudo. A compreensão desses achados deve ser reforçada segundo indícios sobre a redução das iniquidades em saúde e melhorias do perl de morbidade, inclusive a hospitalização por condições sensíveis [3,18].…”

“…No entanto, há relatos de estudos nos quais a longitudinalidade tem sido avaliada positivamente [12,15,22,23]. A garantia da longitudinalidade na infância constitui um fator essencial como fonte regular de atenção à saúde associado a maior vínculo e responsabilização [3,18]. Nesse sentido, cabe ressaltar a importância da formação dos prossionais de saúde ser adequada às condições de vida e saúde da população para o alcance desse atributo [3].…”