RETROSPECTIVE EVALUATION OF THE THERAPY AMBULATORY SERVICE AT THE HOSPITAL DAS CLÍNICAS OF THE UNIVERSIDADE FEDERAL DE GOIÁS - BRAZIL
Keywords:
nutritional assesment, diet therapy, community health, services, outpatients, food service hospitalAbstract
The aim of this paper is to evaluate, in a restropective analysis, the attendance at the nutrition ambulatory service of the Hospital das Clínicas of the Universidade Federal de Goiás, Brazil, from 1991 to 1995. The purpose of the ambulatory is to give nutritional
orientation to healthy and sick people of the community, and also to the employees and the students of the University. The attendance is done with the use of an individual register that includes a rigorous control of weight and height data, a 24 hours record of diet and behaviour information and a record of the eating frequency. The diet prescription is individual and it is based on the cultural, social and economic conditions of the patient. In the retrospective analysis, nutritional forms were consulted, and data about age, sex, nutritional status, medical diagnosis, associated diseases and number of returning consultations were evaluated. It was observed that 646 patients were attended, of which 26.2% were male and 73.8% were female, and 24.7 % of them aged 19 to 35 years. The main diseases verified were obesity (50.8%) and diabetes (33.3%). Concerning to nutritional status classification, 33.9% of the diabetic clients were overweight and 30.2% were eutrophic. Among the patients whose main complaint was obesity, 68.3% were really classified as obese. It was observed that 40.9%
References
ANSELMO, M.A.C., BURINI, R.L., ANGELELI, A.Y.O., MOTA, N.G.S., CAMPANA, A.O. Avaliação do estado nutricional de indivíduos adultos sadios de classe média: ingestão energética e protéica, antropometria, exames bioquímicos do sangue e testes de imunocompetência. Revista de Saúde Pública, São Paulo, v.26, n.1, p.46-53, 1992.
BLACKBURN, G.L., BISTRIAN, B.R., MAINI, B.S., SCHLAMM, H.T., SMITH, M.F. Nutritional and metabolic assessment of the hospitalized patient.
Journal of Parenteral and Enteral Nutrition, Baltimore, v.1, n.1, p.11-22, 1977.
BRASIL. Lei n.5276, de 24 de abril de 1967. Dispõe sobre a profissão de nutricionista, regulamenta seu exercício e dá outras providências. Diário Oficial [da República Federativa do Brasil], Brasília, p. 4707, 26 abr 1967.
CARSON, C.A., HASSEL, C.A. Educating high-risk Minnesotans about dietary fats blood cholesterol and heart disease. Journal of the American Dietetic Association, Chicago, v.94, n.6, p.659-660,1994.
DEAN, A.G, DEAN, J.A., BURTON, A. H., DICKER, R. C. Epi Info version 5.01 b: a word processing, database, and statistics program for epidemiology on microcomputers. Atlanta : Center for Disease Control,1990. 367p.
DIDIO, R. Princípios básicos para a terapêutica da obesidade. Consenso da Associação Brasileira para Estudo da Obesidade. Arquivos Brasileiros de Endocrinologia e Metabologia, São Paulo, v.39, n.3/4, p.202-204,1995.
DIEKEN, H.A. Educação nutricional. In: KRAUSE, M.V., MAHAN, L.K. Alimentos, nutrição e dietoterapia. 7.ed. São Paulo : Roca,1992. p.373.
FERREIRA, M.C., VEIGA, G. V. da, MARCHIM, J.S. Estudo nutricional de pacientes do Hospital Universitário Júlio Müller, Cuiabá-MT. A Folha Médica, Rio de Janeiro, v.93, n.4, p.217-219,1986.
MOURA, E.C., LEONE, A.L., BENTO, A.L.G., LEONE, C.A.L., SOUZA, L.C., NEVES, J.F., IMPROTA, M.T.W., MILIORINI, M., SORIANO, R. BIANCHIN, S. Avaliação de um serviço básico de saúde: uma abordagem comunitária. Revista de Nutrição da PUCCAMP, Campinas, v.5, n.2, p.101-120,1992.
ORGANIZACIÓN MUNDIAL DE LA SALUD. Medición de1 cambio de1 estado nutricional. Genebra, 1983. 105p.
REBOVICH, E.J., WODARRSKI, L.A., HURLEY, R.S., GREENHALGH, S.R., STOMBAUGH, I.A. Auniversity- -community model for the integration of nutrition research, practice and education. Journal of the American Dietetic Association, Chicago, v.94, n.2, p.179-182, 1994.
ROSADO, L.E.F.P.L., ROSADO, G.P., RIBEIRO, S.M.R., MONTEIRO, J.B.R. O serviço de dietoterapia na divisão de saúde da Universidade Federal de Viçosa (UFV): implantação e funcionamento. Revista de Nutrição da PUCCAMP, Campinas, v. 6, n. 2, p. 133-158,1993.
SAMPAIO, H.A.C., SOUZA, A.M.H. Atuação do nutricionista em consultório: experiência de oito anos em Fortaleza-CE. Revista de Nutrição da PUCCAMP, Campinas, v.4, n.42, p.25-39,1991.
SGAVIOLI, M.E.A. Avaliação crítica da relação paciente/profissional em um hospital de ensino. Revista de Nutrição da PUCCAMP, Campinas, v.6, n. I, p.52-76, 1993a.
________________. Custos do tratamento ambulatorial de obesos no Hospital Universitário da Universidade Federal do Rio de Janeiro (UFRJ).Revista de Nutrição da PUCCAMP, Campinas, v.6, n.2, p.159-183,1993b.
SOWINSKI, S.A., SHEPHERD, S.K., DOWLING, R.A., WAGNER, N.H. Value-added services that increase physicians intent to refer patients to an outpatient nutrition clinic. Journal of the American Dietetic Association, Chicago, v.94, n.5, p.529-532,1994.
WAITZBERG, D.L., FERRINI, N.T. Avaliação nutricional. In: ________________. Nutrição enteral e parenteral na prática médica. 2.ed. São Paulo : Atheneu 1995. p.127.
ZELMANOWICZ, A.M., DELLANDA, L.C. A consulta ambulatorial. In: DUNCAN, B.B., SCHMIDT, M.I., GIUGLIANI, E.R.J. Medicina ambulatorial. 3.ed. Porto Alegre: Artes Médicas,1992. p.31-34.
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Copyright (c) 2023 Maria Luiza Ferreira STRINGHINI, Gersislei Antonia SALADO, Joaquim Tomé de SOUSA, Márcia Armentano Clark REIS, Adriane Cecília Teixeira Oliveira TELES
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