Educação permanente em saúde: prática de craniopuntura para médicos da atenção básica

Abstract

In 2006, the Ministry of Health launched the National Policy of Integrative and Complementary Practices in the Unified Health System. It’s an humanized approach centered on the integrality of the individual and the acupuncture is one of the therapies used to promote analgesia. Pain is the most prevalent complaint in primary care and access to integrative practices is still not accessible in all services of the country. Thus, there is a need to train physicians trained in the practice of acupuncture and their continuing education, with Yamamoto's craniopuncture technique being practical and effective. General objective: Develop didactic material on Yamamoto's cranioacupuncture (YNSA) containing the bases of Chinese Medicine, mechanism of action of acupuncture, YNSA technique, groups of points used and their indications; secondary objectives: to train primary care family and community physicians to perform the YNSA technique (Yamamoto's craniopuncture) for pain control, to evaluate the training of family and community physicians and to assess physicians' learning about craniopuncture; Materials and methods: cross-sectional, descriptive, qualiquantitative, intervention research. Ten family and community physicians from a city in the interior of São Paulo were invited. Support material was prepared and hybrid theoretical-practical training was carried out using an active methodology on Yamamoto's craniopuncture. Results: Three physicians participated, and among the others, the main reason that prevented participation was the requirement by the Health Department that it be carried out at a time different from the working day. The participants' greatest expectation was to learn about non-pharmacological treatment possibilities and it was found that they had little or no knowledge about acupuncture. The didactic material and the training were evaluated as excellent, however, uncertainty was observed on the part of the participants regarding the application of the craniopuncture technique. After carrying out practical activities with the researcher, there was an improvement in safety. All performed satisfactorily after formative and summative assessment. Conclusion: This study showed the importance of training for insertion of an integrative practice and the interest of physicians. The adherence of the other physicians was compromised, as the manager demanded that participation take place outside working hours.The lack of support from local management proved to be an important difficulty for the insertion of an integrative practice in the municipality. The didactic material and training provided physicians with the use of the technique with their patients and promoted encouragement to continue towards the implementation of integrative practices