Alcohol and drugs in adolescence: work process in health in school program

Introduction: Adolescence is characterized as a transition period  between childhood and adult life that imposes great physical, cognitive and psychosocial changes. During that period,  the adolescent is exposed and vulnerable to the consumption of alcohol and drugs,  and has been an scenery where nurses who works in the  School Health  Programs (SHP) interact with them. In this sense, the interaction between education and health can influence adolescents to become questioners of the risks they are exposed and look  together for  better options to improve their quality of life. Objective: To analyse the perception and health practices of Nurses working in the School Health  Programs  of  prevention of alcohol and drugs during adolescence. Methods: This is a descriptive and qualitative study carried out in the city of Juazeiro do Norte, Ceará, Brazil, with 18 nurses participating in the SHP, who implement actions with adolescents in schools. The data collection took place through a semi structured interview and their organization through thematic analysis. Results: The participants affirmed that the importance of their actions and work  is directed  to prevent the use of alcohol and drugs among adolescents, excluding the precepts of health promotion. They pointed out that the interaction between education and health is characterized as an effective strategy in the prevention of damages caused by the use of alcohol and drugs, emphasizing the participation of family members during the process of elaboration, application and continuity. It was also evidenced that the educational practices are performed mostly through lectures, characterizing a work centred on clinical, individual and curative practice. Conclusion: Nurses understand that the interaction between health and education is an effective strategy to prevent the use of alcohol and drugs in adolescents, emphasizing the importance of family participation in the process of construction and support of this context. However, it is possible to identify that the actions developed by these professionals are still restricted to modify some behaviours such as to improve their willing of   sharing  new knowledge

Acompanhamento nutricional de adolescentes no Programa Saúde na Escola

Introduction: Overweight and obesity in childhood and adolescence are important public health problems. In this context, the school has been identified as a favorable environment for carrying out health education programs. The Health at School Program and its important performance stand out. Thus, considering these discussions, they ask: How are the actions developed by the Health at School Program, focused on nutrition, being implemented? Objective: Analyze the teenager monitoring in the School Health Program (PSE in Brazil) opposite actions to the nutritional aspects of adolescents. Methods: This is a descriptive, qualitative study in Juazeiro municipality North-Ce, with the subject 18 nurses of the Family Health Strategy (FHS) inserted in the PES that municipality. Results: Nurses have limited assistance in the face of food practices, which implies in its operations; report having difficulty performing their actions outside the conventional health units and focus on strategies for a food menu. Conclusion: The monitoring of adolescents in the School Health Program ahead nutritional value is still limited to preventive practices involving specific actions, limited to a Sfood education focused on the health problem and not the needs of adolescents.Introdução: O sobrepeso e a obesidade na infância e na adolescência constituem importantes problemas de saúde pública. Nesse contexto, a escola vem sendo apontada como um ambiente favorável para realização de programas de educação em saúde. Destaca-se o Programa Saúde na Escola e sua importante atuação. Assim, considerando essas discussões, questionam-se: Como estão sendo implementadas as ações desenvolvidas pelo Programa Saúde na Escola, voltadas para nutrição? Objetivo: Analisar o acompanhamento do adolescente no Programa Saúde na Escola (PSE) frente a ações voltadas para os aspectos nutricionais dos adolescentes.   Método: Trata-se de um estudo descritivo, qualitativo, realizado no município de Juazeiro do Norte-Ce, tendo como sujeitos 18 enfermeiros da Estratégia Saúde da Família (ESF) inseridos no PSE do referido município. Utilizou-se como técnica para coleta do material a entrevista semiestruturada e organizados seguindo a proposta da análise de conteúdo. Resultados: Evidenciou-se que os enfermeiros tem uma assistência limitada frente às praticas alimentares, o que implica na sua atuação; compreendem a educação em saúde na escola como intervenções pontuais e preventivista, assim como, relatam ter dificuldades em executar suas ações fora das unidades convencionais de saúde e focam em estratégias voltadas para um cardápio alimentar não na perspectiva de promover a saúde, atuando quando o problema é detectado. Conclusão: O acompanhamento dos adolescentes no Programa Saúde na Escola frente aos aspectos nutricionais ainda está limitada a práticas preventivistas, envolvendo ações pontuais, limitadas a uma educação alimentar focada no problema de saúde e não nas necessidades dos adolescentes