A atuação do profissional de Educação Física na Atenção Primária à Saúde no município de São Bernardo do Campo/SP
Data
2022-05-17
Autores
Honorato, Flávio Augusto 
Orientadores
Oliveira, Nara Rejane Cruz de
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
A importância do Profissional de Educação Física (PEF) no campo da Saúde tem se intensificado em virtude do destaque da atividade física (AF) nas políticas públicas de enfrentamento às doenças crônicas não-transmissíveis (DCNT) e da promoção da saúde no cenário nacional e internacional. Nesse contexto, é fundamental que o PEF possua formação e atuação condizente com sua área de atuação, de forma a dar respostas adequadas às demandas específicas existentes. Procurou-se aqui identificar e analisar a atuação dos PEF na Atenção Primária à Saúde (APS) do município de São Bernardo do Campo/SP (SBC/SP). Trata-se de estudo descritivo do tipo qualitativo cujas técnicas de coleta de dados foram a pesquisa documental e a pesquisa de campo. A análise dos dados foi realizada por meio de análise de conteúdo. Na pesquisa documental foram analisadas as Diretrizes Curriculares do curso de graduação em Educação Física; a portaria ministerial 2436/2017; o Caderno de Atenção Básica no. 39; a resolução no 046/2002 do CONFEF; e o livro de recomendações do CONFEF (2017). Na pesquisa de campo foram realizadas entrevistas semiestruturadas com os PEF do Núcleo Ampliado de Saúde da Família e Atenção Básica (NASF-AB) e do Programa De Bem com a Vida (DBV), vinculados ao Departamento de Atenção Básica (DAB). A análise dos dados do primeiro grupo evidencia a atuação no âmbito da prevenção e promoção da saúde, direcionada à determinadas condições de saúde e/ou mudanças comportamento, mediadas pela AF; pelo seu caráter individual e coletivo, foram abordadas ora de modo individual ora compartilhado. Na pesquisa de campo foram encontrados dois modos de atuação distintos: um do período anterior à pandemia, centrada no desenvolvimento de AF e práticas corporais (PC) nas unidades de saúde, por meio de estratégias de grupo, tendo como público-alvo idosos e adultos; outra durante a pandemia, dividida entre a condução de AF e PC para profissionais da UBS e as ações do campo multiprofissional direcionadas ao enfrentamento do problema. Dentre as demandas para o PEF foram encontrados: atividades para as DCNTs (dores crônicas, agravos em saúde mental e obesidade e/ou emagrecimento) e atividades para o bem-estar (dos usuários e dos funcionários). Foram identificadas lacunas curriculares na formação do PEF, preconceito e desvalorização profissional, cuja potencialidade de sua atuação centra-se em propiciar bem-estar, promoção de saúde e prevenção de agravos por meio do aconselhamento, prescrição e oferta de exercícios físicos. Mediante os resultados deste estudo propõe-se a elaboração de uma oficina pedagógica com os PEF com objetivo de (re)discutir coletivamente as possibilidades e desafios de sua atuação na APS e elaborar modos de operacionalizar as diretrizes elaboradas pelo DAB do município a partir dos elementos do cotidiano profissional aqui descritos.
The importance of Physical Education Professionals (PEP) in the field of public health has changed due to the prominence of physical activity (PA) in the public policies to combat chronic non-communicable diseases, and the local and international promotion of healthier life styles. In this context, it is essential that the PEF have a precise college background to perform in its area, in order to provide adequate responses to existing specific demands. Here we sought to identify and analyze the performance of PEP in the Primary Health Public Care center in the city of São Bernardo do Campo/SP (SBC/SP). This is a descriptive study of the qualitative type whose data collection techniques were documentary research and field research. Data analysis was performed through content analysis. In the theoretical corpus we analyzed the Curricular Guidelines of the undergraduate course in Physical Education; ministerial decree 2436/2017; the Primary Care Notebook no. 39; the CONFEF Resolution No. 046/2002; and the CONFEF recommendations book (2017). In the field research, semi-structured interviews were carried out with the PEP of the Expanded Nucleus of Family Health and Primary Care center (NASF-AB) and from the program named “Programa De Bem com a Vida”, linked to the Department of Primary Care inside that center. The analysis of data from the first group evidences the performance in the scope of prevention and health promotion, directed to certain health conditions and/or behavioral changes, mediated by PA; due to their individual and collective character, they were analyzed either individually or shared. In the field research, two distinct modes of action were found: one from the period before the pandemic, focused on the development of PA and body practices (BP) in health care centers, through group strategies, targeting the elderly and adults; the second mode during the pandemic, divided between the conduction of PA and BP for UBS (local Health Care Unit) professionals and the actions of the multiprofessional field aimed at facing the problem. Among the demands for the PEP we listed: activities for chronic pain, mental health problems and obesity and/or weight loss), and activities for the well-being (of users and employees). Curricular gaps were identified in the undergratudate programs, prejudice and professional devaluation, whose potentiality of its performance is centered on providing well-being, health promotion and disease prevention through counseling, prescription and offer of physical exercises. Through this study it is proposed the develop a pedagogical workshop with the PEP in order to (re)discuss collectively the possibilities and challenges of their performance in primary health care center and to elaborate ways to operationalize the guidelines developed by the department of basic care of the municipality from the elements of professional daily life here described.
The importance of Physical Education Professionals (PEP) in the field of public health has changed due to the prominence of physical activity (PA) in the public policies to combat chronic non-communicable diseases, and the local and international promotion of healthier life styles. In this context, it is essential that the PEF have a precise college background to perform in its area, in order to provide adequate responses to existing specific demands. Here we sought to identify and analyze the performance of PEP in the Primary Health Public Care center in the city of São Bernardo do Campo/SP (SBC/SP). This is a descriptive study of the qualitative type whose data collection techniques were documentary research and field research. Data analysis was performed through content analysis. In the theoretical corpus we analyzed the Curricular Guidelines of the undergraduate course in Physical Education; ministerial decree 2436/2017; the Primary Care Notebook no. 39; the CONFEF Resolution No. 046/2002; and the CONFEF recommendations book (2017). In the field research, semi-structured interviews were carried out with the PEP of the Expanded Nucleus of Family Health and Primary Care center (NASF-AB) and from the program named “Programa De Bem com a Vida”, linked to the Department of Primary Care inside that center. The analysis of data from the first group evidences the performance in the scope of prevention and health promotion, directed to certain health conditions and/or behavioral changes, mediated by PA; due to their individual and collective character, they were analyzed either individually or shared. In the field research, two distinct modes of action were found: one from the period before the pandemic, focused on the development of PA and body practices (BP) in health care centers, through group strategies, targeting the elderly and adults; the second mode during the pandemic, divided between the conduction of PA and BP for UBS (local Health Care Unit) professionals and the actions of the multiprofessional field aimed at facing the problem. Among the demands for the PEP we listed: activities for chronic pain, mental health problems and obesity and/or weight loss), and activities for the well-being (of users and employees). Curricular gaps were identified in the undergratudate programs, prejudice and professional devaluation, whose potentiality of its performance is centered on providing well-being, health promotion and disease prevention through counseling, prescription and offer of physical exercises. Through this study it is proposed the develop a pedagogical workshop with the PEP in order to (re)discuss collectively the possibilities and challenges of their performance in primary health care center and to elaborate ways to operationalize the guidelines developed by the department of basic care of the municipality from the elements of professional daily life here described.
Descrição
Citação
HONORATO, Flávio Augusto. A atuação do profissional de Educação Física na Atenção Primária à Saúde no município de São Bernardo do Campo/SP. 2022. 127 f. Dissertação (Mestrado em Ensino em Ciências da Saúde) - Centro de Desenvolvimento do Ensino Superior em Saúde, Instituto de Saúde e Sociedade, Universidade Federal de São Paulo, Santos, 2022.