0241/2016 - Características e Demandas Funcionais de Usuários de uma Rede Local de Reabilitação: análise a partir do acolhimento Characteristics and functional demands of patients of a local rehabilitation network: Analysis from the first contact
• Mariana Angélica Peixoto de Souza - Souza, Mariana Angélica Peixoto de - Universidade Federal de Minas Gerais, Programa de pós-graduaçao em Ciências da Reabilitação - <nanapsouza@yahoo.com.br>
Coautor(es):
• Jane Fonseca Dias - Dias, Jane Fonseca - Universidade Federal de Minas Gerais, Curso de Graduação em Fisioterapia - <janefonsecadias@gmail.com>
• Fabiane Ribeiro Ferreira - Ferreira, Fabiane Ribeiro - Universidade Federal de Minas Gerais, Programa de pós-graduação em Ciências da Reabilitação - <fabianerf@hotmail.com>
• Marisa Cotta Mancini - Mancini, Marisa Cotta - Universidade Federal de Minas Gerais, Departamento de Terapia Ocupacional - <marisacmancini@gmail.com>
• Renata Noce Kirkwood - Kirkwood, Renata Noce - Universidade Federal de Minas Gerais, Programa de pós-graduação em Ciências da Reabilitação - <renata.kirkwood@gmail.com>
Um processo de reabilitação bem-sucedido exige planejamento e comunicação eficaz entre profissionais e serviços, desde o acolhimento. O objetivo deste estudo transversal foi traçar o perfil e conhecer as demandas dos usuários de serviços públicos de reabilitação de Belo Horizonte. Foram analisados dados de 516 usuários acolhidos por meio do Protocolo de Levantamento de Problemas para a Reabilitação (PLPR), que permite a coleta de informações sobre a saúde, contexto social e inclui uma Breve Descrição Funcional (BDF) com 25 itens, em 10 domínios. A maioria era mulheres, média de idade de 57 anos e 54% declararam ser o responsável pela renda familiar. Dificuldade grave ou completa foi relatada por 87%, em pelo menos um dos itens da BDF, sendo os domínios Dor e Mobilidade os de maior incapacidade. A demanda por profissionais foi, principalmente, Fisioterapeuta (89%), e Psicólogo (14%); 77% foram indicados para iniciar o tratamento na Atenção Básica (AB) e 21% na Atenção Especializada (AE). Aqueles que iniciaram na AE eram mais jovens; com maior número de qualificadores altos e elevada pontuação na BDF indicando maior limitação/restrição funcional. Espera-se que as informações do PLPR possam contribuir para a organização do fluxo e o planejamento de ações na rede pública de reabilitação.
Palavras-chave:
Serviços de reabilitação
Acolhimento
Avaliação em Saúde
Protocolo
Abstract:
A successful rehabilitation process requires communication among professionals and services. The objective of this cross sectional study was to create the patients’ profile and understand their demands for seeking public rehabilitation services from Belo Horizonte. Data were analyzed from 516 patients who gained entry into the health care system by means of the Protocol for Identification of Problems for Rehabilitation (PLPR). It allows for gathering information related to one’s health and the social context, including a brief functional description (BFD) with 25 items. Most patients were females, mean age of 57 years, 54% declared to be responsible for the family income. Severe or complete difficulty in at least one item from the BDF was reported by 87%. Pain and Mobility domains showed greater disability. The patient’s demand for services referred them mostly to physical therapy (89%), and psychology (14%); 77% were referred to basic care (BC), 21% to specialized care (SC). Those that started rehabilitation in SC were younger, and had increased number of high ratings in item’s qualifiers, indicating increased functional limitation/restriction. It is intended that the PLPR may contribute to the organization of patients’ flow and the planning of actions in the public rehabilitation network.
Keywords:
Rehabilitation Services
First Contact
Health Evaluation
Protocols
Characteristics and functional demands of patients of a local rehabilitation network: Analysis from the first contact
Resumo (abstract):
A successful rehabilitation process requires communication among professionals and services. The objective of this cross sectional study was to create the patients’ profile and understand their demands for seeking public rehabilitation services from Belo Horizonte. Data were analyzed from 516 patients who gained entry into the health care system by means of the Protocol for Identification of Problems for Rehabilitation (PLPR). It allows for gathering information related to one’s health and the social context, including a brief functional description (BFD) with 25 items. Most patients were females, mean age of 57 years, 54% declared to be responsible for the family income. Severe or complete difficulty in at least one item from the BDF was reported by 87%. Pain and Mobility domains showed greater disability. The patient’s demand for services referred them mostly to physical therapy (89%), and psychology (14%); 77% were referred to basic care (BC), 21% to specialized care (SC). Those that started rehabilitation in SC were younger, and had increased number of high ratings in item’s qualifiers, indicating increased functional limitation/restriction. It is intended that the PLPR may contribute to the organization of patients’ flow and the planning of actions in the public rehabilitation network.
Palavras-chave (keywords):
Rehabilitation Services
First Contact
Health Evaluation
Protocols
Souza, Mariana Angélica Peixoto de, Dias, Jane Fonseca, Ferreira, Fabiane Ribeiro, Mancini, Marisa Cotta, Kirkwood, Renata Noce, Sampaio, R. F.. Características e Demandas Funcionais de Usuários de uma Rede Local de Reabilitação: análise a partir do acolhimento. Cien Saude Colet [periódico na internet] (2016/jun). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/caracteristicas-e-demandas-funcionais-de-usuarios-de-uma-rede-local-de-reabilitacao-analise-a-partir-do-acolhimento/15666?id=15666
