Medicina Preventiva e Seu Impacto no PSF.
IMPACT OF A PREVENTIVE MEDICINE HOME PROGRAM ON ALIMENTARY HABITS AND OF THE BEHAVIOUR. 2003-2004, SÃO PAULO/BRAZIL.WORK FIELD REPORT PRESENTED AT:
1. V INTERNATIONAL CONGRESS OF NUTRITION, LONGEVITY AND QUALITY OF LIFE; SÃO PAULO/BRAZIL, NOVEMBER 25-27TH, 2004.
2. JORNADAS CIENTÍFICAS UNIVERSIDAD DE CHILE, INTA 2005. POSTER Nº 26. 14 DE ENERO DE 2005.
(1) Tapia M, (2) Portero K, (3) Cartagena Tapia M, (4) Grau L, (5) Ivanovic D.
(1) M.Sc. Public Health LLU, CA/USA; Full-time self-supporting volunteer for the Seventh-Day Adventist Medical-missionary Work, APO & APaC/UCB/DSA, SP/Brazil. (2) Workfield Supervisor: Assistant Prof. UNIMEP-SP/Brazil; M.Sc. Human Nutrition, USP-SP/Brazil; Ph.D. Endocrinology, FMUSP-SP/Brazil. (3) Cientific Colaborator: Assistant Prof. UNASP-SP/Brazil; Pos-graduated on Community Health, and, on Hospital Administration, UNASP-SP/Brazil; Nurse in the Medical Surgical Clinic, Albert Einstein Hospital, SP/Brazil. (4) Coordinator of the LLU (MPH) Program, CA/USA - UNACh, Chillán/Chile; Oftalmo-surgery Doctor. (5) M.Sc. Counsellor Prof. for the LLU (MPH) Program, CA/USA - UNACh, Chillán/Chile; University of Chile Full Professor - INTA.
Scope. Evaluate the impact of a preventive medicine home program (PMHP), on healthful habits and the prevention of non-transmissibles cronic and some acute diseases. Metodology. I Stage: Evaluation of the base situation (BS) of indicators from 384 families (1523 inhabitants), 4 families per street, insered in the area of a Basic Unit of Health, with a low-medium socio-economic level. Were investigated: age group (AG); educational level (EL); body mass index (BMI); prevalence (NM) on the 30 health problems more commonly identified by the local doctors; prevalence on 16 promoters factors of the health (FPS+) and 16 harmful factors of the health (FPS-); weekly frequence on the same habits, (FSH+ and FSH-); the total monthly family comsumption (ICP) on 8 products related with problems of the health. II Stage: From the families researched in the first stage, 2 educators previously qualified, chosen randomly a total of 96 families, being one family of the four researched by street (25%), to apply, biweekly, 4 educational intervention (EI) at home, with a 50 minutes of duration each one. The content of the (EI), exposed on posters, were based on the fisiology applied to the principals diseases, the alimentary and nutrition principles, the exercises, etc. A practical course of healthful cookery were extended at the final of the fourth (EI). III Stage: Similar evaluation to the I Stage, however, starting from the families that assisted the 4 (EI), to finally contrast their indicators investigated at the pre-program (Pre-test) with those at the pos-program (Post-test). Especific estatiscals mesured the level of significance < 0,001. Results. 41 families (162 inhabitants) succed in recieve the 4 (EI) (42,7%). Estatisticaly significant changes for all the variables in study: (FPS+) from 4,5 to 5,87 (+30,44%) (p<0,001); (FPS-) from 12,23 to 10,64 (-12,98%) (p<0,001); (FSH+) from 1,90 to 3,40 (+78,94%) (p<0,001); (FSH-) from 4,52 to 2,55 (-43,59%) (p<0,001); (ICP) from 116,1483 to 56,11213 (-51,69%) (p<0,001); (BMI) from 22,939 to 22,668 (-1,18%) (p<0,001); (NM) from 3,04 to 2,46 (-19,08%) (p<0,001). Conclusion. The (PMHP) can prevent the prevalent diseases, their complications and the reincidence, as well as reduce the health problems, thus improving the quality of life and promoting a healthful longevity on populations.
Keywords. Preventive Medicine; Health Education; Health Promotion; Food Habits; Health Behavior.
PROAGE Saúde em Soluções Empresariais - EPP
12/02/2010-16:37:18