Promo??o da alimenta??o saud?vel na aten??o prim?ria ? sa?de: contribui??o para constru??o coletiva do saber-fazer

• Main Author: Lima, Rosana Maria Ferreira de Moura
• Other Authors: 30119308487
• Language: Portuguese
• Published: Universidade Federal do Rio Grande do Norte 2016
• Subjects: CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA: SA?DE DA FAM?LIA NO NORDESTE; Promo??o da sa?de; Educa??o alimentar e nutricional; Cl?nica ampliada; Pesquisa participativa; Integralidade
• Online Access: http://repositorio.ufrn.br/handle/123456789/19993

Submitted by Automa??o e Estat?stica ([e-mail]) on 2016-03-03T20:30:22Z No. of bitstreams: 1 RosanaMariaFerreiraDeMouraLima_DISSERT.pdf: 2702977 bytes, checksum: eeffeaee6f760aaca6f729f00635fe54 (MD5) === Approved for entry into archive by Arlan Eloi Leite Silva ([e-mail]) on 2016-03-08T22:42:35Z (GMT) No. of bitstreams: 1 RosanaMariaFerreiraDeMouraLima_DISSERT.pdf: 2702977 bytes, checksum: eeffeaee6f760aaca6f729f00635fe54 (MD5) === Made available in DSpace on 2016-03-08T22:42:35Z (GMT). No. of bitstreams: 1 RosanaMariaFerreiraDeMouraLima_DISSERT.pdf: 2702977 bytes, checksum: eeffeaee6f760aaca6f729f00635fe54 (MD5) Previous issue date: 2014-09-15 === O reconhecimento da alimenta??o como determinante e condicionante do processo sa?dedoen?a exige novas explica??es e interven??es da a??o pol?tica em alimenta??o e nutri??o e demanda modelo de aten??o ? sa?de pautado na integralidade das a??es e centrado na promo??o da sa?de. Este estudo, caracterizado como pesquisa-a??o de car?ter intervencionista, buscou desenvolver estrat?gias para apoiar a inser??o transversal das a??es de promo??o da alimenta??o saud?vel nas pr?ticas de profissionais de um N?cleo de Apoio ? Sa?de da Fam?lia e uma Unidade da Estrat?gia Sa?de da Fam?lia no munic?pio de Natal, capital do Rio Grande do Norte, a partir da an?lise das percep??es e processos de trabalho dessas equipes. Foram adotadas v?rias estrat?gias metodol?gicas: C?rculo Hermen?utico Dial?tico, Observa??o Direta, Encontros Tem?ticos Reflexivos e Oficina ?Repensando as pr?ticas educativas para promo??o da alimenta??o saud?vel?. Para registro de dados, foram utilizados os Di?rios de Pesquisa-DP e de Momentos-DM. A an?lise ocorreu de forma processual, em conjunto com os participantes da pesquisa, em constante movimento de reflex?o-a??o-reflex?o, com base na hermen?utica-dial?tica. Quanto aos resultados, em rela??o ? promo??o da sa?de, evidenciaram-se as seguintes percep??es: promo??o da sa?de associada ? preven??o de doen?as e agravos; promo??o da sa?de relacionada ? qualidade de vida e ao bem estar, em suas v?rias dimens?es; promo??o da sa?de enquanto responsabilidade do Estado; promo??o da sa?de relacionada ?s a??es de educa??o em sa?de; promo??o da sa?de como express?o da resolutividade e acessibilidade aos servi?os de sa?de. Quanto ? alimenta??o saud?vel, predominaram as percep??es referentes aos aspectos nutricionais. No que se refere ? educa??o alimentar e nutricional-EAN, observou-se predomin?ncia da percep??o de EAN como informa??o, orienta??o e transmiss?o de conhecimentos para mudan?as de pr?ticas alimentares. No que diz respeito ao processo de trabalho, observou-se que entre as a??es para promo??o da sa?de, predominam as atividades educativas, como palestras, rodas de conversas, que na maioria das vezes, ocorrem de forma fragmentada, sem planejamento conjunto entre as equipes, variando de acordo com os profissionais e o momento de trabalho em que s?o realizadas. Os resultados apontaram para a necessidade de reorganiza??o dos processos de trabalho, na perspectiva da articula??o intra e intersetorial e da constru??o de novas tecnologias, tais como: Projeto de Sa?de do Territ?rio ? PST, Projeto Terap?utico SingularPTS, Cl?nica Ampliada e Compartilhada, pr?ticas educativas com metodologias ativas de ensino-aprendizagem. A partir dos resultados consideramos que se faz necess?rio a ?reforma do pensamento?, por meio de mudan?as na forma??o profissional e do fortalecimento dos espa?os de educa??o permanente, considerando a complexidade que envolve a alimenta??o, a educa??o alimentar e nutricional e a promo??o da sa?de. A reforma do pensamento deve estar articulada e imbricada ? produ??o de saberes e pr?ticas que favore?am a intersetorialidade, a transversalidade, o di?logo e a postura democr?tica e solid?ria, com base na constru??o coletiva do saber-fazer. Esperamos que esse estudo possa contribuir com reflex?es e iniciativas que estimulem a constru??o de pr?ticas que promovam a alimenta??o saud?vel na Aten??o Prim?ria ? Sa?de, na perspectiva da integralidade do cuidado e da realiza??o da Seguran?a Alimentar e Nutricional. === The recognition of the food as determinant and health-disease process etching requires new explanations and interventions of the food and nutrition policy action and demand health care model based on the completeness of the actions and focused on health promotion. This study, characterized as research-action of interventionist character, sought to develop strategies to support the transverse insertion of healthy eating promotion in professionals practices a core of support for the health of the family and a family health strategy Unit in the city of Natal, capital of Rio Grande do Norte, from the analysis of perceptions and work processes of these teams. Several methodological strategies were adopted: Dialectical Hermeneutical Circle, direct observation, reflective and Thematic Meetings Workshop "Rethinking the educational practices for promoting healthy eating". For data logging, search diaries - SD were used and moments. The analysis of procedural form occurred in conjunction with research participants, in constant movement of reflection-action-reflection, based on hermeneutics-dialectic. About the results, in relation to the promotion of health, showed the following insights: health promotion and disease prevention-related harms; health promotion related to quality of life and well-being, in its various dimensions; health promotion as a responsibility of the State; health promotion related to the actions of health education; health promotion as an expression of efficaciousness and accessibility to health services. Regarding healthy nutrition, predominated the perceptions relating to nutritional aspects. With regard to food and nutritional education - FNE, it was observed a predominance of perception of FNE as information, guidance and knowledge transfer for changes of dietary practices. As regards the working process, it was observed that among the actions for health promotion, educational activities predominate, such as lectures, conversations, groups that mostly occur in fragmentary form, without joint planning teams, varying according to the professionals and the moment of work in which they are carried out. The results pointed to the need for reorganization of the work processes, in the context of intra-and intersectoral coordination and the construction of new technologies, such as: Health project of the territory ? HPT, Unique Therapeutic Project- UPT, Expanded Clinic and educational practices, Shared with active teaching and learning methodologies. From the results we believe that it is necessary to "thought reform", from changes in vocational training and strengthening of the permanent education spaces, whereas the complexity that involves feeding, food and nutrition education and health promotion. The reformation of thought must be articulate and closely tied to the production of knowledge and practices that encourage intersectoral approach, the transversality, dialogue and democratic and supportive attitude, based on the collective construction of know-how. We hope that this study can contribute with reflections and initiatives that encourage building practices that promote healthy eating in primary health care, in terms of completeness of the care and the attainment of food security and nutrition.