Manejo do sobrepeso e obesidade em crianças e adolescentes por enfermeiras da estratégia saúde da família: estudo de métodos mistos

• Autor(a) principal: Oliveira, Renata Cardoso
• Data de Publicação: 2021
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UFPB
• Texto Completo: https://repositorio.ufpb.br/jspui/handle/123456789/21711
• topic: Obesidade; Atenção primária à saúde; Enfermagem; Crianças; Adolescentes; Obesity; Primary health care; Nursing; Children; Adolescents; Obesidad; Atención primaria de salud; Enfermería; Niños; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM

Introduction: the prevalence of overweight and obesity in children and adolescents has grown significantly in recent years, requiring adequate management. Objective: to evaluate the management of overweight and obesity in children and adolescents by nurses from the Family Health Strategy. Methodology: a cross-sectional study of convergent mixed-methods for the quantitative and exploratory-descriptive study for the qualitative study, carried out with 98 nurses from the Family Health Strategy of Basic Health Units of a municipality in Northeastern Brazil, between the months of May 2019 and March 2020. The collection of qualitative data took place through semi-structured interviews and quantitative collection through the application of a form. Inductive thematic analysis mediated the qualitative data analysis; and descriptive statistics, quantitative analysis, followed by integration and comparison of results by triangulation. Results: the instrument obtained a Cronbach's alpha value of 0.706, demonstrating satisfactory reliability. The integration of data helped to understand that children over two years old and adolescents, in most cases, are not assisted by nurses. On the other hand, children under two years of age, when assisted, are only measured by their height and weight in anthropometry. Furthermore, there are nurses who do not classify the body mass index according to sex and age. As for the exams, there are nurses who request them, however, they are those related to the routine of childcare. The guidelines on physical activity are carried out in a basic way, and referrals to other services or professionals are not followed up. Final considerations: Overweight and obesity in children over two years old and in adolescents are not frequently evaluated by nurses and, among children under two years old, the management of this morbidity presentes weaknesses. It is necessary to develop specific protocols for this professional category, as well as continuing education related to the management of overweight and obesity among children and adolescents.