Atenção nutricional na atenção primária a saúde : matriciamento e atuação do nutricionista

Abstract

The nutritionist is an important professional in the implementation of health promotion, treatment and rehabilitation actions. The action of the nutritionist in primary health care must be guided by commitment and technical knowledge of the epidemiological reality and strategies and tools for action in public health. Objective: To identify, describe and compare all actions within the competence of nutritionists carried out in Primary Health Care, whether they are actions of individual, collective and territorial nutritional care, carried out directly by the nutritionist or through matrix support. Methodology: This is a descriptive study of systematic literature review. The search was carried out independently by two researchers. The research project is part of the larger project entitled "Obesity in Mato Grosso: coping, control and dialogue - (Research Project Management System: 248/2019)", approved by the University's health research ethics committee Federal of Mato Grosso. Complete and original articles in indexed databases were considered, having as inclusion criteria (1) publications in English, Spanish or Portuguese, from 1990 (regulation of the Unified Health System), which contain in the title or abstract the key words; and (2) articles dealing with secondary or supplementary health care are excluded. Results: The extracted information was tabulated, with description of the work and information of interest. There are five articles, where: (1) the nutritionist developed activities such as a healthy eating workshop and a culinary workshop with the families, in addition to training with community health workers and early childhood education professionals, as well as actions to promote breastfeeding in the period prenatal care, with support in nutritional assistance, in the promotion of well-being and quality of life; (2) the role of the nutritionist in Primary Health Care in a large urban center, in different social contexts, with individual care and group care developed both in the Basic Health Unit and in the Family Health Support Center; (3) the role of the nutritionist in the Family Health Support Centers, as a space for closer contact with people, allowing for the recovery of dimensions that lead to humanization; (4) cooking workshops with the active participation of mothers in food preparation and collective assistance; (5) inclusion of the nutritionist in the Family Health Strategy. Conclusion: Intersectoriality and multi-causality in the role of the Nutritionist in Primary Health Care must be considered.