Abstract
ABSTRACTObjective 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.
Highlights
Adolescence, as a period of the life cycle, is characterized by physical, psychological, and social change, and can be considered a phase of differentiation, with doubts and conflicts associated with the need for discovery and experimentation.[1,2,3,4,5]Child and adolescent development is influenced by school, family, and friends
The Adolescer Saudável project, which ran from 2011 to 2016, sought to promote the link between hospital healthcare and the school environment. It took place through the mass application of a validated questionnaire (Appendix 1) containing an adolescent biopsychosocial risk assessment scale called Perfil de Saúde do Utente Adolescente (PSUA) [Health Profile of Adolescent Users].(6) After obtaining written informed consent, a team composed of two pediatricians with training in adolescent medicine and two intern physicians with specific training in pediatrics, went to school grounds to perform a medical consultation with adolescents identified as at risk
After the quantification of the score obtained on the PSUA, a first consultation was scheduled on the school premises, by the same team, for adolescents considered at risk
Summary
Adolescence, as a period of the life cycle, is characterized by physical, psychological, and social change, and can be considered a phase of differentiation, with doubts and conflicts associated with the need for discovery and experimentation.[1,2,3,4,5]Child and adolescent development is influenced by school, family, and friends. The Adolescer Saudável project, which ran from 2011 to 2016, sought to promote the link between hospital healthcare and the school environment It took place through the mass application of a validated questionnaire (Appendix 1) containing an adolescent biopsychosocial risk assessment scale called Perfil de Saúde do Utente Adolescente (PSUA) [Health Profile of Adolescent Users].(6) After obtaining written informed consent, a team composed of two pediatricians with training in adolescent medicine and two intern physicians with specific training in pediatrics, went to school grounds to perform a medical consultation with adolescents identified as at risk. Psychological, and social variables that may potentiate, in the environment in which they occur, changes that prevent the proper development and socialization of children and youth.[7]
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