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Abstract(s)
A obesidade, que está na base de muitas doenças crónicas, é considerada a epidemia do século XXI e a segunda causa de morte em Portugal passível de prevenção. A obesidade infantil é uma preocupação crescente a nível mundial e Portugal está nos países cuja prevalência é preocupante. O controlo da incidência e prevalência deste fenómeno na população infantil e escolar, considerada uma meta no âmbito do Plano Nacional de Saúde (PNS) – Revisão e extensão a 2020, serviu como mote para a intervenção local. O Projeto “Alimenta o Trabalho em Rede” surge no âmbito da Unidade Curricular “Estágio”, do Curso de Mestrado em Enfermagem com Área de Especialização em Enfermagem Comunitária, tendo sido desenvolvido no Agrupamento de Centros de Saúde (ACES) Almada-Seixal, na Unidade de Cuidados na Comunidade (UCC) do Seixal e na Unidade de Saúde Familiar (USF) Cuidar Saúde (CS). O objetivo foi contribuir para a diminuição da prevalência do excesso de peso (EP) nas crianças do 2º ano do Ensino Básico, num Agrupamento de Escolas do Concelho do Seixal, utilizando a metodologia do Planeamento em Saúde. A intervenção foi delineada tendo como base o Modelo de Promoção da Saúde de Nola Pender e o Modelo de Intervenção na Prevenção da Obesidade Infantil. O método de recolha de dados foi através da consulta de dados que se traduziu em valores de Índice de Massa Corporal (IMC) das crianças pertencentes à população alvo. A pré obesidade e a obesidade infantil foram os problemas identificados com uma prevalência de EP nas Escolas de 43% e na USF CS de 40%. Para a intervenção foram delineadas sessões de Educação para Saúde (EpS) dirigidas às crianças e aos encarregados de educação, e promovidas boas práticas através da elaboração de um Manual de Registos de Enfermagem e de um documento de encaminhamento das crianças com EP para as Unidades do ACES, como reforço do trabalho em rede. Foi possível envolver 89,5% das crianças do 2º ano na monitorização do IMC, bem como 100% das turmas do 2º ano e 82,5% dos encarregados de educação nas sessões de EpS. Foram encaminhadas 100% das crianças com EP das Escolas para a USF CS. Este Projeto contribuiu assim para a promoção da saúde e para o reforço do trabalho em rede que se revela impactante na prevenção da obesidade infantil.
Obesity, which is the basis of many chronic diseases, is considered the 21st century epidemic and the second leading cause of death in Portugal. Childhood obesity is a growing concern worldwide and Portugal is in the countries whose prevalence is worrying. The control of the incidence and prevalence of this phenomenon in the children and school population, considered a goal in the scope of the National Health Plan - Revision and extension to 2020, served as a motto for local intervention. The " Alimenta o Trabalho em Rede" Project is part of the "Internship" Curricular Unit, of the Master's Degree in Nursing with a Specialization Area in Community Nursing, developed at Agrupamento de Centros de Saúde (ACES) Almada-Seixal, at Unidade de Cuidados na Comunidade (UCC) of Seixal and the Unidade de Saúde Familiar (USF) Cuidar Saúde (CS). The objective was to contribute to the reduction of the prevalence of overweight (OW) in children in the 2nd year of Basic Education, in a School Grouping in the Municipality of Seixal, using the methodology of Health Planning. The intervention was delineated based on the Health Promotion Model of Nola Pender and in the Model of Intervention in the Prevention of Childhood Obesity. The method of data collection was through data consultation that translated into Body Mass Index (BMI) values of children belonging to the target population. Pre-obesity and childhood obesity were the problems identified with a prevalence of OW found in Schools of 43% and USF CS of 40%. For the intervention, Health Education (HE) sessions were designed directed to children and caregivers and promoted good practices through the elaboration of a Manual of Nursing Registers and a document of referral of the children with OW to the Units of ACES, as reinforcement networking. It was possible to involve 89.5% of the children of the 2nd year in the BMI monitoring, as well as 100% of the 2nd year classes and 82.5% of the teachers in the HE sessions. 100% of the children with OW from the Schools were referred to USF CS. This project has contributed to the promotion of health and to the reinforcement of networking that is proving to be impacting in the prevention of childhood obesity.
Obesity, which is the basis of many chronic diseases, is considered the 21st century epidemic and the second leading cause of death in Portugal. Childhood obesity is a growing concern worldwide and Portugal is in the countries whose prevalence is worrying. The control of the incidence and prevalence of this phenomenon in the children and school population, considered a goal in the scope of the National Health Plan - Revision and extension to 2020, served as a motto for local intervention. The " Alimenta o Trabalho em Rede" Project is part of the "Internship" Curricular Unit, of the Master's Degree in Nursing with a Specialization Area in Community Nursing, developed at Agrupamento de Centros de Saúde (ACES) Almada-Seixal, at Unidade de Cuidados na Comunidade (UCC) of Seixal and the Unidade de Saúde Familiar (USF) Cuidar Saúde (CS). The objective was to contribute to the reduction of the prevalence of overweight (OW) in children in the 2nd year of Basic Education, in a School Grouping in the Municipality of Seixal, using the methodology of Health Planning. The intervention was delineated based on the Health Promotion Model of Nola Pender and in the Model of Intervention in the Prevention of Childhood Obesity. The method of data collection was through data consultation that translated into Body Mass Index (BMI) values of children belonging to the target population. Pre-obesity and childhood obesity were the problems identified with a prevalence of OW found in Schools of 43% and USF CS of 40%. For the intervention, Health Education (HE) sessions were designed directed to children and caregivers and promoted good practices through the elaboration of a Manual of Nursing Registers and a document of referral of the children with OW to the Units of ACES, as reinforcement networking. It was possible to involve 89.5% of the children of the 2nd year in the BMI monitoring, as well as 100% of the 2nd year classes and 82.5% of the teachers in the HE sessions. 100% of the children with OW from the Schools were referred to USF CS. This project has contributed to the promotion of health and to the reinforcement of networking that is proving to be impacting in the prevention of childhood obesity.
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Keywords
Trabalho em rede Obesidade infantil Enfermagem comunitária Educação para a saúde Networking Childhood obesity Community nursing Health education