Integralidade do cuidado em usuários de psicotrópicos na Atenção Primária à Saúde: práticas de promoção da saúde e prevenção de doenças.

Abstract

This is a descriptive cross-sectional study whose main theme is the integrality of care from the perspective of the provision of health promotion and disease prevention actions in Primary Health Care (PHC), which sought to analyze, by a family health team in the areas of health promotion and disease prevention. The research was developed with 137 psychotropic users attended by this team. Of the sample, 78.1% were women, 23.4% were 60 or older, and 14.6% did not know how to read or write. Regarding unhealthy living habits, 58.8% were considered inactive physically, 16.8% were using alcohol and 16.1% were smokers. The average number of visits in the last year was 5.9. In the evaluation of the integrality of educational guidelines received, 56.2% received guidelines on low fat / frying, 51.1% on avoiding sugar, 46.7% on reducing salt intake, 63.5% were oriented about the importance of practicing physical activity, 40.9% received guidance on the harmful effects of smoking and 32.9% on alcohol use. The majority (59.1%) were directed to keep the vaccination card updated, but only 17.5% had the card. Only 31.4% were counseled on the importance of using condoms to prevent sexually transmitted infections. The prevalence of receipt of all educational guidelines evaluated in the study was only 6.6% (CI 95% 2.4 – 10.8). The study indicates a lack of educational activities related to promotion and prevention practices, and the challenge remains to guarantee the balance proposed by the integrality. Health teams can review practices and reorganize work processes with a view to promoting more comprehensive care.