Banca de DEFESA: CAROLINE EVELIN NASCIMENTO KLUCZYNIK VIEIRA

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
DISCENTE : CAROLINE EVELIN NASCIMENTO KLUCZYNIK VIEIRA
DATA : 16/12/2016
HORA: 09:00
LOCAL: Departamento de Enfermagem
TÍTULO:

Development of a program for nursing care in the prevention and control of adolescents' overweight and obesity

PALAVRAS-CHAVES:

Nursing; Adolescent; Overweight; Obesity; Primary Health Care.

PÁGINAS: 100
GRANDE ÁREA: Ciências da Saúde
ÁREA: Enfermagem
RESUMO:

Overweight and obesity constitute a worldwide public health problem that has increased prevalence among adolescents. In Brazil, the Ministry of Health has designated the prevention and control of the problem to Primary Health Care.  However, no guideline instruments or programs for nursing practice with this school-based population are known. The objective was to develop a nursing care program for prevention and control of overweight and obesity among adolescents in Primary Health Care. Methodology study conducted in four public schools and four Primary Care Health Units in the city of Natal/RN. The participants were: four nurses, representing the four geographic city zones (north, south, east and west); 114 adolescents,; and 40 school teachers. A participative intervention for the prevention and control of overweight and obesity in adolescents was developed, using the six stages of Bartholomew´s Intervention Mapping framework (needs evaluation, construction of objectives for change matrices, definition of theory-based methods and strategies, program development, application planning, implementation, and evaluation). The needs were identified by an integrated review of literature, adolescent and teachers´ focal groups, and semi-structured interviews with the nurses. Data were synthesized using the collective subject discourse method.A total of 41 (36%) adolescents were identified with overweight or obesity and the main needs that emerged for discussion were: bullying, nutritional re-education, and availability of physical exercise. Next, the planner constructed performance objectives matrices, change determinants, and change objectives; these were discussed and modified with the nurses. Theinterventions emerged from the integrative review of nursing interventions with overweight and obese adolescents, and from the NIC intervention “Care for weight reduction (1280)” from the Classification of Nursing Interventions. A total of 41 (36%) adolescents were identified with overweight or obesity and the main needs that emerged for discussion were: discuss bullying, nutritional re-education, and availability of physical exercise. The result was the “School Program for More Health” with various practice strategies. Planners and participants tested and evaluated the practice strategies through implementation whichresulted in the reduction of physical exercise time, from 60 to 45 minutes per class hour. Each target group was encouraged to participate in the adoption and continuation of the Program and a bimonthly evaluation plan was constructed. It is concluded that a participative theory-based interventionthat isprocedurally mapped, and that is developed with public school adolescent students, has implications for nursing practice because of its potential to guide need-focused interventions and enhance the prevention and control of obesity in Primary Health Care. The intervention Program developed represents a scientific and technologic contribution to the advancement of nursing knowledge in health promotion theory.

MEMBROS DA BANCA:
Interno - 346938 - AKEMI IWATA MONTEIRO
Interno - 1675334 - ANA LUISA BRANDAO DE CARVALHO LIRA
Presidente - 347971 - BERTHA CRUZ ENDERS
Externo à Instituição - CARLA CAMPOS MUNIZ MEDEIROS - UEPB
Externo à Instituição - CLAUDIA SANTOS MARTINIANO SOUSA - UEPB
Externo ao Programa - 2306745 - EDILMA DE OLIVEIRA COSTA