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Literacia em saúde em pessoas beneficiárias de rendimento social de inserção de um concelho da Região Centro de Portugal
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Este relatório foi desenvolvido no âmbito da Unidade Curricular de Opção 5: Estágio com Relatório Final em Unidades de Cuidados na Comunidade (UCC) e em Unidades de Saúde Pública (USP), do Mestrado em Enfermagem de Saúde Comunitária, na área de Enfermagem de Saúde Comunitária e Saúde Pública.
O Núcleo Local de Inserção de Águeda integra um enfermeiro da UCC, responsável pelo acompanhamento dos beneficiários do Rendimento Social de Inserção ao longo do contrato. Atendendo à vulnerabilidade socioeconómica desta população, importa avaliar o seu nível de Literacia em Saúde para delinear intervenções ajustadas. Objetivos: analisar as competências do enfermeiro especialista em enfermagem de saúde comunitária e saúde pública desenvolvidas em estágio, avaliar o nível de Literacia em Saúde das pessoas beneficiárias de Rendimento Social de Inserção do Concelho de Águeda, avaliar a adesão aos cuidados de saúde na referida amostra e identificar fatores sociodemográficos e clínicos associados com o nível de Literacia em Saúde. Metodologia: Realizou-se um estudo transversal analítico, com uma amostra de 129 participantes, com média de idades de 44,97±14,93 anos. Utilizou-se um questionário com variáveis de caracterização sociodemográfica e clínica, questões sobre adesão aos cuidados de saúde e a escala HLS-EU-PT-Q16. Os dados foram analisados com recurso ao software Statistical Package for the Social Sciences 29.0, através de estatística descritiva e inferencial, com nível de significância de 5%. Resultados: Verificou-se que 55,1% dos participantes apresentavam Literacia em Saúde problemática ou inadequada. A maioria referiu adesão aos cuidados. Identificaram-se associações com o género e a escolaridade, mas não com a idade, estado civil, índice de massa corporal, adesão aos cuidados ou estilos de vida. Conclusões: Os resultados evidenciaram uma baixa Literacia em Saúde com limitações na procura, avaliação e utilização autónoma da informação em saúde, apesar da adesão favorável aos cuidados. Estes dados sustentam intervenções adaptadas e a definição de ações de saúde nos contratos de inserção.
Palavras-chave: Literacia em Saúde; Populações Vulneráveis; Enfermagem de Saúde Comunitária.
Abstract This report was developed within the scope of the Option 5 Course Unit: Internship with Final Report in Community Care Units (UCC) and Public Health Units (USP), of the Master’s Degree in Community Health Nursing, specialising in Community and Public Health Nursing. The Águeda Local Social Integration Unit includes a nurse from the Community Care Unit, who is responsible for monitoring Social Integration Income beneficiaries throughout the duration of their contract. Given the socioeconomic vulnerability of this population, it is important to assess their Health Literacy level in order to design interventions tailored to their needs. Objectives: analyse the competences of the nurse specialist in community health and public health nursing developed during clinical internship, evaluate the health literacy level of Social Insertion Income beneficiaries in the Municipality of Águeda, assess adherence to healthcare in the referred sample, and identify sociodemographic and clinical factors associated with the level of health literacy. Methodology: An analytical cross-sectional study was conducted with a sample of 129 participants, with a mean age of 44.97 ± 14.93 years. A questionnaire was used, including sociodemographic and clinical variables, questions on adherence to healthcare, and the HLS-EU-PT-Q16 scale. Data were analysed using Statistical Package for the Social Sciences version 29.0, through descriptive and inferential statistics, with a significance level of 5%. Results: A total of 55.1% of participants had problematic or inadequate Health Literacy. Most participants reported adherence to healthcare. Associations were identified between Health Literacy, gender and educational level, but not with age, marital status, body mass index, adherence to healthcare or lifestyle. Conclusions: The results revealed low Health Literacy, with limitations in independently seeking, evaluating and using health information, despite favourable adherence to healthcare. These findings support the implementation of tailored interventions and the definition of health-related actions within social integration contracts. Keywords: Health Literacy; Vulnerable Populations; Community Health Nursing.
Abstract This report was developed within the scope of the Option 5 Course Unit: Internship with Final Report in Community Care Units (UCC) and Public Health Units (USP), of the Master’s Degree in Community Health Nursing, specialising in Community and Public Health Nursing. The Águeda Local Social Integration Unit includes a nurse from the Community Care Unit, who is responsible for monitoring Social Integration Income beneficiaries throughout the duration of their contract. Given the socioeconomic vulnerability of this population, it is important to assess their Health Literacy level in order to design interventions tailored to their needs. Objectives: analyse the competences of the nurse specialist in community health and public health nursing developed during clinical internship, evaluate the health literacy level of Social Insertion Income beneficiaries in the Municipality of Águeda, assess adherence to healthcare in the referred sample, and identify sociodemographic and clinical factors associated with the level of health literacy. Methodology: An analytical cross-sectional study was conducted with a sample of 129 participants, with a mean age of 44.97 ± 14.93 years. A questionnaire was used, including sociodemographic and clinical variables, questions on adherence to healthcare, and the HLS-EU-PT-Q16 scale. Data were analysed using Statistical Package for the Social Sciences version 29.0, through descriptive and inferential statistics, with a significance level of 5%. Results: A total of 55.1% of participants had problematic or inadequate Health Literacy. Most participants reported adherence to healthcare. Associations were identified between Health Literacy, gender and educational level, but not with age, marital status, body mass index, adherence to healthcare or lifestyle. Conclusions: The results revealed low Health Literacy, with limitations in independently seeking, evaluating and using health information, despite favourable adherence to healthcare. These findings support the implementation of tailored interventions and the definition of health-related actions within social integration contracts. Keywords: Health Literacy; Vulnerable Populations; Community Health Nursing.
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Competência profissional Enfermagem de saúde comunitária Literacia em saúde Populações vulneráveis Vulnerabilidade social Portugal Região Centro Community health nursing Health literacy Professional competence Social vulnerability Vulnerable populations