A fitoterapia praticada por profissionais de saúde participantes do curso "Plantas Medicinais e Fitoterapia" realizado pela Secretaria Municipal do Verde e do Meio Ambiente de São Paulo (2014/2015)
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Data
2018-06-25
Autores
Haraguchi, Linete Maria Menzenga [UNIFESP]
Orientadores
Carlini, Elisaldo [UNIFESP]
Tipo
Dissertação de mestrado
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Introdução: após a aprovação da Política Nacional de Práticas Integrativas e
Complementares e da Política Nacional de Plantas Medicinais e Fitoterápicos em
2006, foi iniciado o “Curso Plantas Medicinais” e posteriormente ampliado para “Curso
Plantas Medicinais e Fitoterapia” pela Secretaria Municipal do Verde e do Meio
Ambiente da Prefeitura de São Paulo, que visava capacitar e sensibilizar profissionais
de saúde da Atenção Básica e áreas afins da cidade de São Paulo. Objetivo: avaliar
a contribuição deste curso na prescrição e na prática fitoterápica pelos profissionais
de saúde, participantes nas edições ocorridas em 2014 e 2015 e verificar seu impacto
na mudança de comportamento após a capacitação. Métodos: quantitativo (fase I)
com envio de questionário via e-mail para profissionais de saúde egressos do curso,
divididos em sete categorias: biomédicos, cirurgiões-dentistas, enfermeiros,
farmacêuticos, fisioterapeutas, médicos e nutricionistas; e qualitativo (fase II) com
entrevistas semiestruturadas, presenciais e individuais visando obter informações
detalhadas da prática fitoterápica. Resultados: de 165 questionários, 114 foram
respondidos (69,1%). O curso impactou positivamente na aceitação e na aplicação da
fitoterapia pelos profissionais de saúde com um aumento significativo (p<0,001) na
ampliação de atividades relacionadas à fitoterapia (rodas de “chás”, “hortas
medicinais” e capacitação); na aplicação dos produtos à base de plantas como a
camomila ("Matricaria chamomilla"), espinheira-santa ("Maytenus ilicifolia"), valeriana
("Valeriana officinalis"); nas formas de uso (infuso/decocto, cápsula e comprimido); nas
indicações terapêuticas (gastrite/dispepsia, calmante/ansiolítica), bem como no uso
pessoal. Em relação aos aspectos negativos, o curso não impactou positivamente
quanto à notificação de reações adversas. Conclusões: o estudo confirmou a
importância da inclusão dos cursos de Plantas Medicinais e Fitoterapia na graduação
e na pós-graduação, bem como da capacitação técnica e educação permanente para
profissionais de saúde do SUS. O impacto positivo na quase totalidade dos aspectos
avaliados, como o aumento do conhecimento e prescrição de fitoterápicos, confirma
a importância de tais cursos, promovendo assim a efetiva implantação e consolidação
da Fitoterapia no âmbito do Sistema Público de Saúde
Introduction: Following the introduction in 2006 of The National Policy on Integrative and Complementary Practices, and The National Policy on Medicinal Plants and Herbal Medicines, The Medicinal Plants Course was started and later expanded to The Medicinal Plants and Herbal Medicines Course by The Municipal Secretariat for the Environment of The Prefecture of São Paulo with the aim of training and developing awareness among health professionals of The Primary Health Care and related professionals from São Paulo City. Objective: To evaluate the effect of this abovementioned course on the prescribing and Phytotherapy practice by health professionals who attended the course in 2014 and in 2015 and assess its impact on their behaviors after the qualification offered by the course. Methods: Quantitative (Phase I), with a questionnaire being emailed to health professionals who graduated from the course, divided into seven categories: biomedical, dentists, nurses, pharmacists, physiotherapists, doctors and nutritionists. Qualitative (Phase II), with semi-structured, face-to-face individual interviews to obtain detailed information on Phytotherapy practices. Results: Out of 165 questionnaires, 114 responses were received (69.1%). The course had a positive impact on the acceptance and application of Phytotherapy by health professionals with a significant increase (p<0.001) in the expansion of activities related to Phytotherapy (herbal tea meetings, medicinal gardens and capacity building); in the use of herbal products, such as chamomile ("Matricaria chamomilla"), espinheira-santa ("Maytenus ilicifolia"), valerian ("Valeriana officinalis"); in the forms of use (infusion/decoction, capsule and tablets); therapeutic indications (gastritis/dyspepsia, calmative/anxiolytic); and also personal use. In respect of negative aspects, the course did not positively affect the reporting of adverse reactions. Conclusions: The study ratified the importance of the inclusion of Medicinal Plants and Herbal Medicines Courses as part of undergraduate and postgraduate, as well as the technical training and life-long education for SUS health professionals. The positive impact found out in almost all evaluated aspects, such as the increase in the knowledge and in the prescription of herbal medicines, confirms the importance of such courses in promoting the effective adoption and consolidation of Phytotherapy within the Public Health System
Introduction: Following the introduction in 2006 of The National Policy on Integrative and Complementary Practices, and The National Policy on Medicinal Plants and Herbal Medicines, The Medicinal Plants Course was started and later expanded to The Medicinal Plants and Herbal Medicines Course by The Municipal Secretariat for the Environment of The Prefecture of São Paulo with the aim of training and developing awareness among health professionals of The Primary Health Care and related professionals from São Paulo City. Objective: To evaluate the effect of this abovementioned course on the prescribing and Phytotherapy practice by health professionals who attended the course in 2014 and in 2015 and assess its impact on their behaviors after the qualification offered by the course. Methods: Quantitative (Phase I), with a questionnaire being emailed to health professionals who graduated from the course, divided into seven categories: biomedical, dentists, nurses, pharmacists, physiotherapists, doctors and nutritionists. Qualitative (Phase II), with semi-structured, face-to-face individual interviews to obtain detailed information on Phytotherapy practices. Results: Out of 165 questionnaires, 114 responses were received (69.1%). The course had a positive impact on the acceptance and application of Phytotherapy by health professionals with a significant increase (p<0.001) in the expansion of activities related to Phytotherapy (herbal tea meetings, medicinal gardens and capacity building); in the use of herbal products, such as chamomile ("Matricaria chamomilla"), espinheira-santa ("Maytenus ilicifolia"), valerian ("Valeriana officinalis"); in the forms of use (infusion/decoction, capsule and tablets); therapeutic indications (gastritis/dyspepsia, calmative/anxiolytic); and also personal use. In respect of negative aspects, the course did not positively affect the reporting of adverse reactions. Conclusions: The study ratified the importance of the inclusion of Medicinal Plants and Herbal Medicines Courses as part of undergraduate and postgraduate, as well as the technical training and life-long education for SUS health professionals. The positive impact found out in almost all evaluated aspects, such as the increase in the knowledge and in the prescription of herbal medicines, confirms the importance of such courses in promoting the effective adoption and consolidation of Phytotherapy within the Public Health System
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HARAGUCHI, Linete Maria Menzenga. A fitoterapia praticada por profissionais de saúde participantes do curso "Plantas Medicinais e Fitoterapia" realizado pela Secretaria Municipal do Verde e do Meio Ambiente de São Paulo (2014/2015). 113f. 2018. Dissertação (Mestrado em Ciências) - Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, 2018.