Meneses-Gomes de Amorim Annatália, Kay-Nations Marilyn, Socorro-Costa Maria
Coordinación de Gestión de Trabajo y Educación para la Salud del Departamento de Salud del Estado de Ceará, Universidad Federal de Rio Grande do Norte, Fortaleza, Brasil.
Rev Salud Publica (Bogota). 2009 Oct;11(5):754-65.
Understanding feelings, meaning and resilience in patients staying in public hospitals in north-eastern Brazil.
An ethnographic investigation was carried out in Fortaleza, Ceará, Brazil, between January and July 2005 which involved 13 adult patients staying in a general public hospital, using qualitative methods. Free, open and exhaustive observation (by means of ethnographic interviews) was combined with the participants' description of vivid moments in their lives and their observations. The data was organised by thematic categorical analysis and humanisation, psychology and medical anthropology criteria were used for interpreting it.
Multiple feelings were perceived by the patients (both negative and positive ones) regarding their experience of being hospitalised. The meaning of hospital for them covered danger, prison, suffering and learning. They used resilience strategies, ties of solidarity between patients, friends and family members, attitudes, thoughts and personal characteristics and religious faith for confronting their adversities.
The results encouraged us to continue taking steps towards professional practice facilitating harmonious coexistence in the hospital setting and carrying out further studies aimed at increasing patients' resilience.
了解巴西东北部公立医院患者的感受、意义和复原力。
2005年1月至7月间，在巴西塞阿拉州福塔莱萨市进行了一项人种学调查，采用定性方法，涉及13名住在一家普通公立医院的成年患者。通过人种学访谈进行的自由、开放和详尽的观察，与参与者对其生活中生动时刻的描述及其观察相结合。数据通过主题分类分析进行整理，并运用人性化、心理学和医学人类学标准进行解读。
患者对住院经历有多种感受（包括消极和积极的感受）。医院对他们来说意味着危险、牢笼、痛苦和学习。他们运用复原力策略、患者之间以及朋友和家庭成员之间的团结纽带、态度、思想和个人特质以及宗教信仰来应对逆境。
这些结果促使我们继续采取措施，推动专业实践，促进医院环境中的和谐共处，并开展进一步研究以增强患者的复原力。
