Prevalência e fatores associados à prática do aconselhamento para a atividade física em profissionais de saúde

• Autor(a) principal: Souza Neto, João Miguel de
• Data de Publicação: 2018
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UFPB
• Texto Completo: https://repositorio.ufpb.br/jspui/handle/123456789/13058
• topic: Estratégia saúde da família; Pessoal de saúde; Aconselhamento; Atividade motora; Atenção primária à saúde; Family health strategy; Health personnel; Counseling; Motor activity; Primary health care; CNPQ::CIENCIAS DA SAUDE::EDUCACAO FISICA

Health education has been shown to be an effective strategy in promoting physical activity and health. Among health education strategies and promotion of healthy lifestyles, physical activity counseling has been recommended in the context of primary health care. The objective of this study was to analyze the prevalence and associated factors with physical activity counseling among Primary Health Care professionals in João Pessoa (PB). This is a cross-sectional epidemiological study with 591 health professionals (physicians, nurses, nursing technicians and community health workers). 78.6% were female and mean age was 43.9 years old (± 13,9). A total of 43 USFs were selected proportionally by size of UBS (according to the number of teams), sanitary districts (Districts I, II, III, IV and V), keeping representativeness by professional category. Data collection was performed from May to October 2017. Physical activity counselors were considered as performing such practice for at least six months through the stage of behavior change. The independent variables with the following categorizations were: work time in the Family Health Strategy (<5 years vs ≥ 5 years), number of attendances (with excess attendance vs no excess attendance), participation in courses, events and physical activity training (yes vs no), leisure time physical activity (<150min/week vs ≥150min/week), nutritional status (overweight vs. normal weight), perception of barriers to counseling (yes vs no), psychosocial factors (attitude and self efficacy) were calculated using a score based on the sum of items on each scale and for the purpose of analysis, three variables were categorized as low (1st and 2nd tertile) and high (3rd tertile). Sociodemographic variables (age, sex, income and schooling) were considered as potential confounders. Data were tabulated in duplicate in the EpiData 3.1 program. A hierarchical model of binary logistic regression was used to evaluate the possible relationships between the the factors and the outcome. The level of significance was set at p <0.05, and all analyzes were performed in Stata software. Most of the health professionals were married (56.2%), non-white (72.2%), worked in the FHS for more than five years (85.1%), with a workload of less than forty hours a week (90.5%), and had no other job besides the FHS (87.0%). The prevalence of physical activity counseling was 46.2% (95% CI: 55.6 - 73.6), being higher among professionals of higher education (66.1%, 95% CI: 56.8-74.2) compared to medium / technical level (41.6%, 95% CI: 37.2-46.1). The multivariable analysis showed that health professionals with no excess of daily care (OR = 1.59, 95% CI 1.04 - 2.42), with positive health perception (OR = 1.96, 95% CI 1.32 (OR = 1.67, 95% CI, 1.13 - 2.47), who did not report barriers (OR = 3.16, CI% 95 1.99 - 5.03) and high self-efficacy (OR = 1.10, 95% CI 1.01 - 1.20) were more likely to perform physical activity counseling. In summary, it can be concluded that physical activity counseling, although already occurring, is still little accomplished, particularly among health community workers and nursing technicians, characterizing a wasted opportunity for physical activity promotion. Factors associated with counseling by health professionals revealed that developing actions related to work organization, working on health conditions of professionals, as well as strengthening psychosocial factors and reducing barriers to physical activity counseling may contribute to participation of the professionals in the accomplishment of actions of health promotion, in order to promote the improvement of the quality of life of the users.