http://repositorio.ufc.br/handle/riufc/11274 2026-05-18T22:45:30Z http://repositorio.ufc.br/handle/riufc/86228 Título: Uso excessivo de telas em pré-escolares: análise situacional e contribuições para o cuidado na estratégia de saúde da família Autor(es): Carneiro, Elioneide Paulo Abstract: Excessive screen use has caused negative impacts on child health, particularly affecting child development. Despite the benefits of technology, the inappropriate use of electronic devices may lead to neurocognitive, behavioral, and social impairments. In this context, the role of nurses in guiding families within Primary Health Care becomes essential. Given the above, the objective of this study is to analyze screen use among preschool children in the context of Primary Health Care, through a situational analysis, in order to support care practices within the Family Health Strategy. This is a cross-sectional study with a quantitative approach. A non-probabilistic convenience sample was used, including 43 families with children aged two to five years enrolled in Early Childhood Education Centers linked to a Primary Health Care unit in Fortaleza, Brazil. The study was conducted in a school setting between March and December 2024. Validated questionnaires were used to assess screen time, sleep, and sociodemographic variables. The study was approved by the Research Ethics Committee under protocol number 5,755,168. The results showed a high level of exposure to television and mobile devices during both weekdays and weekends, exceeding recommended limits, while time spent in play activities was moderate. A higher prevalence of screen use was observed among children who do not receive routine visits from Primary Health Care professionals. Most children presented inadequate sleep patterns, especially on weekdays. Excessive screen use was significantly associated with insufficient sleep, particularly excessive television use during the week. Parental practices showed limited encouragement of physical activity and behaviors that favor sedentary lifestyles. Despite adequate hygiene routines and interaction before bedtime, screen exposure remains high, negatively impacting children's sleep. Thus, the study revealed a central maternal role in caregiving, limited home-based care, and high levels of sedentary behavior among children, marked by excessive screen use. Restrictive parental practices and low encouragement of physical activity reinforce this scenario. As a technological product, this study proposes, based on its findings, a preliminary version of a Flowchart for the Evaluation and Management of Excessive Screen Use in child health care (puericulture). The role of nurses and health education during child health consultations is highlighted, focusing on promoting healthy child development and expanding professional awareness of the challenges posed by technology use in early childhood Tipo: Dissertação 2026-01-01T00:00:00Z http://repositorio.ufc.br/handle/riufc/86086 Título: Auriculoterapia para redução da ansiedade em gestores da atenção primária: pesquisa de métodos mistos Autor(es): Oliveira, Pedro Henrique Lima de Abstract: Primary Health Care (PHC) is a structuring axis of the Brazilian Unified Health System (SUS). In this context, PHC managers assume a strategic role, but perform their functions in scenarios marked by high complexity, work overload, institutional pressures, and political instability—factors that contribute to mental illness, particularly anxiety. Given this reality, Integrative and Complementary Health Practices (PICS), especially auriculotherapy, emerge as strategies for mental health care. Auriculotherapy is a practice of Traditional Chinese Medicine with which primary care professionals can strengthen and build a stronger bond between users and the health service. The main objective of this study was to evaluate the effects of auriculotherapy on reducing anxiety among primary care managers, as well as to describe anxiety levels before and after the intervention, understand managers' perceptions of the practice, and analyze their perspectives on the implementation of this PICS for PHC professionals and users. This is a mixed-methods, convergent design study with simultaneous quantitative and qualitative data collection. The study was conducted in the municipality of Trairi, Ceará, Brazil, from September to November 2025. Twenty primary healthcare managers participated in the study. Quantitative data was collected using the Hamilton Anxiety Scale before and after 12 weekly auriculotherapy sessions. Qualitative data was obtained through a semi-structured interview guide and field notes. The quantitative analysis used descriptive statistics, while the qualitative data were analyzed using content analysis techniques, with subsequent integration of the results. The results showed a significant reduction in anxiety in 19 participants; only one continued to have a severe level of anxiety. Of the four professionals, only one remained with moderate anxiety, and the number of participants with mild anxiety decreased from 11 to four. There was an increase in the number of participants classified as having no anxiety, from two to 13. Furthermore, a decrease in physical and emotional pain and functional changes were reported, making this practice recommended for implementation in the population of the municipality studied. It is concluded that auriculotherapy proved to be an effective and viable treatment for reducing anxiety in primary health care managers, contributing to the promotion of mental health in the workplace. The study reinforces the relevance of Integrative and Complementary Health Practices (PICS) as low-tech care methods and points to the need for their expansion and institutionalization within the Brazilian Unified Health System (SUS), especially in the context of primary health care, as a way to improve comprehensive care and strengthen the health of workers. Tipo: Dissertação 2026-01-01T00:00:00Z http://repositorio.ufc.br/handle/riufc/85986 Título: Literacia digital em saúde e fatores associados em pessoas afetadas pela hanseníase: estudo transversal analítico Autor(es): Azevedo, Janaína Saboia Aguiar de Abstract: The aim of the study was to analyze the level of digital health literacy in people affected by leprosy, identify associated factors, and develop a screening protocol applicable in Primary Health Care. This was an observational, cross-sectional, analytical study with a quantitative approach, conducted at the Dona Libânia Dermatology Reference Center, Ceará. The population consisted of people affected by leprosy, aged 18 years or older, receiving follow-up care at the service. The sample size was calculated for a finite population of 216 individuals, considering a 95% confidence level, an expected proportion of 50%, a 5% margin of error, and an additional 10% to account for losses or refusals, resulting in a minimum sample of 155 participants. Sampling was by convenience, with direct selection from the service’s appointment schedules, including patients undergoing multidrug therapy, those being monitored for leprosy reactions, and others under follow-up related to the disease. Sociodemographic, clinical, and functional variables were collected, along with the application of the eHealth Literacy Scale and the Mobile Device Proficiency Questionnaire. Analyses included descriptive statistics, bivariate nonparametric tests, effect size calculation, multiple linear regression, and binary logistic regression with ROC curve analysis. A total of 155 individuals participated in the study, of whom 87% reported owning a smartphone. The mean age was approximately 52 years, with a predominance of males. Incomplete elementary education was the most common educational category, and family income was concentrated between 1 and 2 minimum wages. Regarding the clinical profile, 48.4% of participants had one or more associated comorbidities, and 38.7% used assistive adaptations. Low digital health literacy was observed in 55.5% of the sample, while 48.4% demonstrated high digital proficiency, indicating a discrepancy between operational competence and digital literacy. The literacy scale showed excellent internal consistency (α = 0.97). In bivariate analyses, education level had a large effect on digital literacy (eta² = 0.209), while the presence of comorbidity showed a moderate effect (r = 0.207). In multivariate analysis, age was the main independent predictor of lower digital health literacy (standardized β = −0.315). The linear model showed moderate explanatory capacity, with an adjusted R² of 0.3299, and the logistic model demonstrated excellent discriminatory capacity, with an AUC = 0.849. Based on the findings, the Digital Health Literacy Screening Protocol for Primary Health Care (ProLID-APS) was developed, consisting of five questions, a score ranging from 0 to 10 points, and classification into three risk levels. The study revealed high vulnerability in digital health literacy among people affected by leprosy, highlighting the influence of age and education. The psychometric robustness of the instrument and the good performance of the predictive model supported the development of ProLID-APS, a brief, light-hard technology applicable to Primary Care, with the potential to early identify individuals at risk and support targeted educational interventions. Tipo: Dissertação 2026-01-01T00:00:00Z http://repositorio.ufc.br/handle/riufc/85060 Título: Construção participativa de um manual de orientação do processo de trabalho para agentes comunitários de saúde Autor(es): LIMA, Wallquíria Morais Abstract: The community health agent (CHA) is recognized as responsible for carrying out activities for disease prevention and health promotion, through home or community actions, either individually or collectively. Their main activity is home visits. However, due to the lack of clear boundaries in the responsibilities of these professionals, they are susceptible to high levels of stress, including being held accountable for actions that fall outside their scope of duties. This study is justified because this situation was observed in the municipality where the research took place and because there is no manual guiding the responsibilities of these professionals, which sometimes leads to their work being questioned or carried out inadequately. The general objective is to develop, in a participatory manner, a guidance manual for the work process intended for community health agents. This is a descriptive study with a qualitative approach, developed through participatory action research. Data was collected through discussion circles, guided by a form with leading questions. The statements were analyzed based on the method presented by Bardin, using thematic Content Analysis. The analysis of the material resulted in three non-aprioristic categories: the ACS work process, active search as an ACS responsibility, and manuals and protocols: their contributions to the quality of the work process. The research led to the development of a technical product entitled Guideline Manual for the Work Process of the Community Health Agent, which aims to support and qualify the practices carried out by ACS during home visits. It is organized in a standardized way throughout all sections, containing action flowcharts, ACS responsibilities, frequency of home visits, and important observations for the particularities of each life cycle or health condition. The content of the aforementioned document is composed of 10 (ten) chapters addressing home visits to a new resident, to pregnant and postpartum women, to children, adolescents, women, men, patients with hypertension and/or diabetes, patients with tuberculosis or leprosy, and elderly patients. It also includes a flowchart regarding communication with patients about scheduled tests and appointments. The study made it possible to understand the daily work routine of Community Health Agents (ACS), beyond what is outlined in ministerial documents and the Professional Practice Law of the category, based on the perspectives of the research participants. The technical product developed aims, in addition to systematizing the work of the Community Health Worker (ACS), to clarify all services within the municipality's Health Care Network regarding their responsibilities, as an attempt to reduce demands for tasks that are outside their scope of action and to minimize the workload experienced by these workers. The choice of participatory action research for the development of the manual was seen as a strength in the implementation of this work, as it provided an opportunity to value the worker through participatory management, in which the main people involved in home visit actions were heard. Tipo: Dissertação 2026-01-01T00:00:00Z