Avaliação da estrutura física das unidades básicas de saúde pelos profissionais da estratégia saúde da família.

Abstract

The units of primary health care offer to action and services of basic health to the population. The physical structure of these units is intrinsically linked to the dynamics of the operation, in addition to the satisfaction of all the actors involved. The objective of this study is to analyze the satisfaction of professionals in the Family Health Strategy (FHS) in relation to the physical structure of the primary health care units (UAPS) in the city of Fortaleza / CE. Quantitative, descriptive, observational and cross-sectional study. The sample consisted of 414 higher-level professionals, specifically, 210 nurses and 204 dental surgeons, distributed in 76 UAPS. We applied structured questionnaires, which addressed the following variables: socioeconomic and professional data; ergonomic risks inherent to the duties of nurses and dental surgeons; and the ergonomic situation of the ESF worker. Soon after, a checklist was applied, by a calibrated researcher, who approached the physical characteristics of the UAPS as: quantification, dimensioning and internal characteristics of the environments. Of 414 research participants, 41.4% of the nurses (n = 87) and 38.2% of the dentists (n = 78) pointed out that there were ergonomic risks related to the physical structure of the units with poorly designed furniture. Regarding the work environment, we have 44.3% nurses (n = 93) and 44.1% dentists (n = 90). When related to furniture and basic equipment, while 68.1% of the nurses (n = 143) stated that there was no such basic structure, 52.9% of dentists (n = 108) reported their existence (p <0.001) . The units presented the main environments recommended by the Ministry of Health, such as medical, nursing and dental offices; rooms for procedures, dressings and vaccines; besides a coordination, reception, canopy and toilets. In their ambiences, there is adequate lighting and ventilation, as well as having access to users with special needs. In this way, the professionals pointed out the existence of factors that generate dissatisfaction in the work, such as the presence of occupational hazards, mainly ergonomic, associated to the physical structure of the health units, considering poorly designed furniture and work environment.