Saberes e práticas dos profissionais de saúde na atenção à pessoa com Diabetes Mellitus

Aim: to understand the knowledge and practices of health professionals in primary care for patients with diabetes mellitus and its complications. Method: descriptive qualitative, exploratory study conducted in five health centers in the city of Florianópolis, Santa Catarina. A semi-structured interview was conducted with 22 health professionals linked to the Family Health Strategy and to the Family Health Support Center between December 2014 and May 2015. The results were analyzed from the perspective of conventional content analysis. Results: the knowledge of professionals is formed through an integrated and humanized care, focusing on quality of life. Their care practices are distanced from such knowledge when the person already has the disease. Conclusions: although the participants manifest knowledge that converge with public policies, the clinical practice developed in the assistance of people with DM requires reflection and structuring in order to delay or avoid complications.Objetivo: comprender el conocimiento y las prácticas de los profesionales de salud en la atención primaria a las personas con diabetes mellitus y sus complicaciones. Método: exploratorio, descriptivo, cualitativo; desarrollado en cinco Centros de Salud, de la ciudad de Florianópolis, Santa Catarina. Se realizó entrevista semiestructurada con 22 profesionales de la Estrategia de Salud de la Familia y del Núcleo de Apoyo de la Salud de la Familia, entre diciembre/2014 y mayo/2015. Los resultados fueron analizados a partir de la perspectiva de análisis de contenido convencional. Resultados: el saber de los profesionales se configura por la atención integral y humanizada, con énfasis en la calidad de vida. Sus prácticas asistenciales se distancian de esos saberes cuando la persona ya presenta la enfermedad. Conclusiones: aunque los participantes tengan conocimientos convergentes a los de las políticas públicas, la práctica clínica requiere reflexión y estructuración para retrasar o evitar sus complicaciones.Objetivo: compreender os saberes e as práticas dos profissionais de saúde na atenção primária em relação ao atendimento à pessoa com Diabetes Mellitus (DM) e suas complicações. Método: exploratório descritivo qualitativo, conduzido em cinco centros de saúde do município de Florianópolis, Santa Catarina. Realizada entrevista semiestruturada com 22 profissionais de saúde vinculados à Estratégia Saúde da Família e ao Núcleo de Apoio à Saúde da Família, entre dezembro de 2014 a maio de 2015. Os resultados foram analisados na perspectiva de análise de conteúdo convencional. Resultados: o saber dos profissionais configura-se no atendimento integral e humanizado, com foco na qualidade de vida. Suas práticas assistenciais se distanciam desses saberes quando a pessoa já apresenta a doença. Conclusões: apesar de os participantes manifestarem saberes convergentes com as políticas públicas, a prática clínica desenvolvida na assistência à pessoa com DM exige reflexão e estruturação, a fim de retardar ou evitar complicações

Reliability and validity of the Brazilian-Portuguese version of the Burns Specific Pain Anxiety Scale (BSPAS)

Background: Pain and anxiety are a common problem in all recovery phases after a burn. The Burns Specific Pain Anxiety Scale (BSPAS) was proposed to assess anxiety in burn patients related to painful procedures. Objectives: To assess internal consistency, discriminative construct validity, dimensionality and convergent construct validity of the Brazilian-Portuguese version of the Burns Specific Pain Anxiety Scale. Design: In this cross-sectional study, the original version of the BSPAS, adapted into Brazilian Portuguese, was tested for internal consistency (Cronbach`s Alpha), discriminative validity (related to total body surface area burned and sex), dimensionality (through factor analysis), and convergent construct validity (applying the Visual Analogue Scale for pain and State-Anxiety-STAI) in a group of 91 adult burn patients. Results: The adapted version of the BSPAS displayed a moderate and positive correlation with pain assessments: immediately before baths and dressings (r = 0.32; p < 0.001), immediately after baths and dressings (r = 0.31; p < 0.001) and during the relaxation period (r= 0.31; p < 0.001) and with anxiety assessments (r = 0.34; p < 0.001). No statistically significant differences were observed when comparing the mean of the adapted version of the BSPAS scores with sex (p = 0.194) and total body surface area burned (p = 0.162) (discriminative validity). The principal components analysis applied to our sample seems to confirm anxiety as one single domain of the Brazilian-Portuguese version of the BSPAS. Cronbach`s Alpha showed high internal consistency of the adapted version of the scale (0.90). Conclusion: The Brazilian-Portuguese version of the BSPAS 9-items has shown statically acceptable levels of reliability and validity for pain-related anxiety evaluation in burn patients. This scale can be used to assess nursing interventions aimed at decreasing pain and anxiety related to the performance of painful procedures. (c) 2010 Elsevier Ltd. All rights reserved.State of Sao Paulo Research Foundation (FAPESP