Adolescer Saudável: screening and follow-up of risk at school / Adolescer Saudável: rastreio e seguimento do risco na escola

ABSTRACT

ABSTRACT Objective To characterize adolescents referred to medical consultation based on the screening tool "Perfil de Saúde do Utente Adolescente", and to compare to information gathered from a questionnaire and data assessed during the visit. Methods A retrospective and descriptive study, with analysis of the questionnaires filled out by adolescents and their respective medical records, in the period from January 2013 to June 2016. Results A total of 54 adolescents were seen, 57% male and mean age of 12±1.7 years. In the questionnaire, 37% stated that they had some kind of health problem; 35% would like to change the relationship with their parents; 18% had some concern about safety at school; and 39% made dietary mistakes. Approximately 31% had consumed alcohol, 13% had tried smoking, and 4% had used other drugs. At the first medical appointment, 38% stated they had chronic disease, 11% reported poor family environment, 39% had school problems and 39% made dietary mistakes. About 13% had tried smoking, 24% had tried to consume alcohol, and 2% had tried other drugs. Thirty seven percent of adolescents were referred to adolescent medicine consultation, and 39% to another hospital consultation. Conclusion Many of the biopsychosocial risk items identified through the questionnaire were confirmed during consultation, indicating that it could be a useful screening method for problems linked to the adolescence period.

RESUMO

RESUMO Objetivo Caracterizar adolescentes referenciados à consulta médica a partir do instrumento de triagem Perfil de Saúde do Utente Adolescente e comparar as informações obtidas do questionário e os dados avaliados na consulta. Métodos Estudo retrospectivo e descritivo, com análise dos questionários preenchidos por adolescentes e respectivos processos clínicos da consulta realizada no período de janeiro de 2013 a junho de 2016. Resultados Foram consultados 54 adolescentes, 57% do sexo masculino, com média de idade 12±1,7 anos. No questionário, 37% responderam ter algum problema de saúde; 35% gostariam de mudar a relação com os pais; 18% tinham algum tipo de preocupação com a segurança na escola; e 39% cometiam erros alimentares. Aproximadamente 31% já tinham consumido álcool, 13% já tinham experimentado fumar, e 4% tinham experimentado outras drogas. Na primeira consulta, 38% dos respondentes responderam ter doença crônica, 11% referiram mau ambiente familiar, 39% apresentaram problemas escolares e 39% revelaram erros alimentares. Cerca de 13% experimentaram fumar, 24% consumiram álcool, e 2% experimentaram outras drogas. Foram referenciados à consulta de medicina do adolescente 37% dos adolescentes, e 39% foram direcionados a outra consulta hospitalar. Conclusão Em consulta, confirmaram-se muitos dos itens de risco biopsicossocial identificados por meio do questionário aplicado, o que pode indicar que este é um método útil no rastreio de problemática ligada à adolescência.