Negative Self-Assessment of Health in Women: Association with Sociodemographic Characteristics, Physical Inactivity and Multimorbidity.

INTRODUCTION: Women present a higher prevalence of negative self-assessment of health (NSAH) when compared to men. However, there is a gap in the literature of factors associated with NSAH in women from developing countries such as Brazil. In addition, few studies have assessed the magnitude of the association between multimorbidity and NSAH in this population. Thus, the aim of this study was to evaluate the association between NSAH and sociodemographic characteristics, lifestyle and multimorbidity in women from the Midwest region of Brazil. METHODS: A study based on data from the National Health Survey, a household survey that investigated health situation, lifestyle and risk factors for chronic diseases in the adult population of Brazil, was held. Sampling was performed in multiple stages. The selected women answered a standardized questionnaire on sociodemographic data, self-assessment of health and potential determinants. Poisson regression was used to analyze the association between NSAH and sociodemographic characteristics, lifestyle and multimorbidity. A significance level of 0.05% was established. RESULTS: The study included 4233 women. The prevalence of NSAH found was 6.0% (95% Confidence Interval [95% CI]: 5.1-7.0%). There was an association between NSAH and advancing age, low schooling, physical inactivity and multimorbidity. Furthermore, there was an association between NSAH and diseases/disorders such as chronic back pain, systemic arterial hypertension, mental disorders, depression, cardiovascular diseases, stroke, cancer, hypercholesterolemia and diabetes mellitus. CONCLUSION: The prevalence of NSAH was low. A strong association was found between this variable and multimorbidity. In addition, increased age, low schooling and physical inactivity were predictors of NSAH in women.

O papel educador do enfermeiro no Programa de Saúde da Família / El papel del educador de enfermero en el Programa Salud de la Familia / Nurse´s role as educators in the Family Health Program

Família é indispensável, podendo estimular o enfermeiro para desempenhar melhor seu papel de educador na assistência aos clientes. O estudo teve como objetivo conhecer as atividades que enfatizam o papel educador do enfermeiro na estratégia Saúde da Família (PSF). Um questionário semi-estruturado foi utilizado para a coleta de dados, ocorrida durante um evento científico da classe. Os dados revelaram que 70 por cento dos enfermeiros entrevistados realizavam atividades como palestras e reuniões de grupo junto aos clientes. Foram discutidos pontos positivos e negativos em relação as ações educativas tais como as competências técnicas e comportamentais do enfermeiro para desempenho do seu papel de educador no PSF. Concluiu-se entre outros aspectos a essência das atividades educativas se assemelha no antigo e novo modelo assistencial; as ações educativas precisam estar vinculadas à realidade da família atendida; que a educação continuada dever ser vislumbrada como ferramenta que pode contribuir para a reorganização dos serviços de saúde(AU)

The continuing education is an essential to help professionais improve themselves. The Family Health Program are indispensable and could stimulate the nurses to discharge better their role as an educator when assisting their clientele. The study aimed at getting to know activities that emphasize the educational role of the nurse in Family Health Program in the State of Goiás. The research was characterized as descriptive and exploratory and had nurses working in the Family Health Program as its population. A semi-structured questionnaire was used to collect the data during a scientific nursing event. The data reveal that 70 per cent of the nurses interviewed carried out activies such as talks or group meetings with their clientele. There were discussions on the positive and negative points of educational actions such as the technical and behavioral competence of the nurses to carry out their educational role in the FHP. In the conclusion it was decided that, among other aspects, the essence of educational actions need to be linked to the reality of the family being attended; and theat continuing education shoud be seen as a tool which could contribute to the reorganization of the health service(AU)

La educación continuada es un proceso esencial que auxilia en el perfeccionamiento de los profesionales. En el Programa Salud de la Familia es indispensable, pudiendo estimular al enfermero para mejor desempeñar su papel de educador, en la aistencia a los clientes. El estudio tuvo como objetivo conocer las actividades que enfatizan el papel educador del enfermero en Programa Salud de la Familia, en el estado de Goiás. Caracterizando como descriptivo exploratorio, tuvo como población enfermeros que actúan en el Programa Salud de la Familia (PSF). Un custionario semi-estructurado fue utilizado para la colecta de datos, realizada durante un evento científico de la clase. Los datos revelaron que 70 por ciento de los enfermeros entrevistados realizan actividades como palestras y reuniones de grupo junto a los clientes. Fueron discutidos puntos positivos y negativos con relación a las acciones educativas tales como las competencias técnicas y comportamentales del enfermero para desempeño de su papel de educador en PSF. Se conclue entre otros aspectos que las actividades educativas son semejantes en el antiguo y en el nuevo modelo asistencial; las acciones educativas precisan estar vinculadas a la realidad de la familia atendida; que la educación continuada debe ser vislumbrada como herramienta que puede contribuir para la reorganización de los servicios de salud(AU)