Obesity as a social problem: identifying guidance needs of nursing for self-care ; La obesidad como un problema social: la identificación de las necesidades de orientación para los cuidados de enfermerí

Objective: to identify socioeconomic characteristics of clients in outpatient treatment for coronary artery disease, linking them to the risk factors for obesity. Method: this is about a descriptive, cross-sectional, retrospective study. The sample was composed of 30 clients. The research technique was the individual interview in 2009 in Rio de Janeiro. The data were organized by the program Excel, with statistical analysis using the Crosstab. This work was approved by the Protocol 223328 of the Ethics’s Committee of the University Hospital Pedro Ernesto of Rio de Janeiro University. Results: abdominal obesity was prevalent in 93.3% of customers. Of the total, 43% had three or more associated cardiovascular risk factors, while 66.7% are sedentary. Needs found for self-care were: physical perceptions, psychological, personal and environmental. Conclusion: the emotional and behavioral aspects still resistant to change for the adoption of healthy lifestyles. Institutionalize outpatient nursing appointment, adopting a sensitive listening is a strategy that promotes self-care of people. Descriptors: obesity; socioeconomic status; self-care; nursing. RESUMOObjetivo: identificar características socioeconômicas de clientes, em tratamento ambulatorial para doença arterial coronariana, associando-as aos fatores de risco para obesidade. Métodos: Estudo descritivo, transversal, retrospectivo. A amostra intencional foi composta por 30 clientes. A técnica de pesquisa foi a entrevista individual em 2009, no Rio de Janeiro. Os dados foram organizados pelo programa Excel, com análise estatística através do Crosstab. Este trabalho foi aprovado pelo Protocolo nº 223328 do Comitê de Ética do Hospital Universitário Pedro Ernesto da Universidade do Estado do Rio de Janeiro. Resultados: a obesidade abdominal foi prevalente em 93,3% dos clientes. Do total, 43% apresentavam três ou mais fatores de risco cardiovasculares associados, enquanto 66,7% são sedentários. As necessidades encontradas para o autocuidado foram: percepções ...