Actions of nurses directed at obese teens in primary care

Maria Cristina Pinto de Jesus, Vanessa Augusta Souza Braga, Ana Paula da Silva Pinheiro, Renata Evangelista Tavares Machado, Marcelo Henrique da Silva, Sueli Maria dos Reis Santos, Miriam Aparecida Barbosa Merighi

Abstract


Objective: to identify the scientific production on nurses' actions directed to obese adolescents in Primary Health Care. Method: this is a descriptive bibliographic study, integrative literature review, from the search for indexed publications in the databases between 2010 and 2018: CINAHL, LILACS, MEDLINE, SCOPUS and Web of Science and SciELO Virtual Library. The method of reading and evaluation by level of evidence was used to perform the descriptive analysis of the data, which were presented in a synoptic table. Results: 13 articles were selected. It was evidenced that the actions of nurses directed to obese adolescents in Primary Health Care aimed at stimulating healthy eating, physical activity practice and improving self-esteem for weight reduction through health counseling, use of technologies, involvement family and intersectoral articulation, including the school. Conclusion: there is a need for the development of longitudinal, intersectoral and broad actions. It is important to invest more in the training of nurses in order to perform interventions in the primary care, aimed at obese adolescents, with reference to comprehensive care. Descriptors: Adolescent; Adolescent Health; Obesity; Nursing, Practical; Primary Health Care; Review.

RESUMO

Objetivo: identificar a produção científica sobre ações do enfermeiro dirigidas a adolescentes obesos na Atenção Primária à Saúde. Método: trata-se de um estudo bibliográfico, descritivo, tipo revisão integrativa da literatura, a partir da busca de publicações indexadas nas bases de dados entre 2010 e 2018: CINAHL, LILACS, MEDLINE, SCOPUS e Web of Science e Biblioteca Virtual SciELO. Recorreu-se ao método de leitura e avaliação por nível de evidência para realizar a análise descritiva dos dados, que se apresentaram em quadro sinóptico. Resultados: selecionaram-se 13 artigos. Evidenciou-se que as ações do enfermeiro direcionadas a adolescentes obesos na Atenção Primária à Saúde visaram ao estímulo à alimentação saudável, prática de atividade física e melhora da autoestima para a redução do peso, por meio de aconselhamento em saúde, uso de tecnologias, envolvimento da família e articulação intersetorial, incluindo a escola. Conclusão: aponta-se a necessidade de desenvolvimento de ações longitudinais, intersetoriais e amplas. Torna-se importante maior investimento no treinamento de enfermeiros com vistas à realização de intervenções, no âmbito da atenção primária, voltadas para adolescentes obesos, tendo por referência o cuidado integral. Descritores: Adolescente; Saúde do Adolescente; Obesidade; Enfermagem Prática; Atenção Primária à Saúde; Revisão.

RESUMEN

Objetivo: identificar la producción científica sobre las acciones del enfermero dirigidas a adolescentes obesos en Atención Primaria de Salud. Método: estudio bibliográfico, descriptivo, tipo revisión bibliográfica integradora de la literatura, basado en la búsqueda de publicaciones indexadas en las bases de datos entre 2010 y 2018: CINAHL, LILACS, MEDLINE, SCOPUS y Web of Science y SciELO Virtual Library. El método de lectura y evaluación por nivel de evidencia se utilizó para realizar el análisis descriptivo de los datos, que se presentaron en una tabla sinóptica. Resultados: se seleccionaron 13 artículos. Se evidenció que las acciones de los enfermeros dirigidas a adolescentes obesos en Atención Primaria de Salud tenían como objetivo estimular la alimentación saludable, la práctica de actividad física y la mejora de la autoestima para la reducción de peso a través de asesoramiento en salud, el uso de tecnologías, participación de la familia y articulación intersectorial, incluida la escuela. Conclusión: existe la necesidad de desarrollar acciones longitudinales, intersectoriales y amplias. Es importante invertir más en la capacitación de enfermeros para realizar intervenciones en la atención primaria, dirigidas a adolescentes obesos, con referencia a la atención integral. Descriptores: Adolescente; Salud del Adolescente; Obesidad; Enfermería Práctica; Atención Primaria de Salud; Revisión.


Keywords


Adolescent; Adolescent Health; Obesity; Practical Nursing; Primary Health Care; Review

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DOI: https://doi.org/10.5205/1981-8963.2019.240871



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