Prevalência de famílias com alto risco de vulnerabilidade e seus impactos nas visitas domiciliares no município de Caicó-RN

Abstract

The Family Health Strategy aims to reorganize and boost actions to promote health and prevent illness and disease, and many of its tasks include home visits. It can be seen that they are sometimes carried out in response to spontaneous and acute demands, thus de-characterizing their preventive role. During the Multiprofessional Residency in Primary Care at the Federal University of Rio Grande do Norte (UFRN) in 2022, the prevalence of HVs carried out without systematization and motivated by the exacerbation of health conditions was observed. The study aims to analyze the prevalence of families at maximum risk of vulnerability through the application of the Coelho and Savassi Family Risk Scale and its impact on home visits carried out by the team of the Basic Family Health Unit located in the municipality of Caicó-RN. This is a descriptive, cross-sectional study with a quantitative approach. A total of 90 families took part. The data was tabulated and processed using IBM SPSS® Statistics 26 software. Using the ERF-CS, it was possible to identify that there is a significant percentage of families at maximum risk (R3) of family vulnerability, with a prevalence of association with the need for family care, physical disability, elderly over 70, DM, illiteracy, drug use in the family, comorbidity, SAH, unemployment, mental disability and association with HVs by higher education professionals. The study made it possible to verify that there is an impact on the reduction of home visits carried out by higher education professionals when there is an area with a prevalence of family vulnerability. The on-site evaluation, using an instrument, made it possible to identify some of the health conditioning factors in the area, to draw up a sociodemographic profile and to stratify the family risk of the participants. For the health team, especially the CHAs, it can help to improve the systematization of home visits in line with the risk of each family.