Atuação de enfermeiros da atenção primária no manejo de pessoas com condições crônicas de saúde

Abstract

Primary Care (PA) has the function of promoting the conduct of the individual in the health system, recognizing their needs and providing resolving actions, which have a positive impact on the health framework. Within this context, there are chronic health conditions, in which nursing is a fundamental work group for coping with. Based on this, this study aimed to identify, in the scientific literature, the role of PA nurses in the management of people with chronic health conditions. This is an integrative review, carried out in six stages, in the Regional Portal database of the Virtual Health Library, consulted in March 2021. The review was conducted by the research question: how do nurses work at primary care in the management of people with chronic health conditions? Studies were identified using the advanced form and the following keywords: "Nursing" or "Nurse" and "Chronic conditions" or "Chronic diseases" and "Primary care" or "Basic care" or "Primary health care ", totaling 1090 publications. From the application of filters: full text, Portuguese, English or Spanish, published in the last five years, there were 278 publications. Of these, the titles and abstracts were read, remaining 14, the which were read in full.The critical analysis allowed the grouping of two categories, the first related to the strategies and actions used by nurses, and the second, related to the weaknesses of the offered actions and the factors that hinder the management of chronic health conditions. Among the strategies used by nurses in the face of chronic conditions, there is the promotion of selfmanagement, group dynamics and the establishment of a bond between nurses and these people. Regarding the weaknesses in the provision of actions for management in PA, the factors are related to unattractive activities centered on the disease. It is evident that nurses working in PA must have both managerial and care skills, in order to establish more attractive actions for people with chronic health conditions. In addition, it is expected that the PA nurse is qualified to give due support to people with chronic health conditions, considering the multifacets that permeate them.