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[慢性病患者的就医机会、教育实践与赋权]

[Access, educational practice and empowerment of patients with chronic diseases].

作者信息

Taddeo Patricia da Silva, Gomes Kilma Wanderley Lopes, Caprara Andrea, Gomes Annatália Meneses de Amorim, de Oliveira Giselle Cavalcante, Moreira Thereza Maria Magalhães

机构信息

Departamento de Saúde Publica, Centro de Ciências da Saúde, Universidade Estadual do Ceará, Av. Paranjana 1700, Itaperi, 60740-000 Fortaleza CE, Brazil.

出版信息

Cien Saude Colet. 2012 Nov;17(11):2923-30. doi: 10.1590/s1413-81232012001100009.

Abstract

Empowerment is a process whereby people achieve mastery over their lives, acquiring knowledge to make decisions about their health. Chronic diseases are increasingly common in the health service, requiring the attention of health professionals and empowering those affected by them. The scope of this study was to analyze the perceptions of users with chronic diseases and monitored by the Family Health Program with respect to empowerment. This was a qualitative study in which open interviews and systematic observations were conducted and NVIVO software was used for data analysis. Users indicate the existence of some geographical barriers in access to health, which caused fatigue, discouragement and low continuity of care. It was noted that adherence and practices of care were linked to differentiated service, based on trust and respect for the wishes of users. This includes healthcare guidance and education as key elements to encourage the practice of self-care. It is necessary to restructure the conduct of health professionals involved in the Family Health Strategy because its function is to promote health in a logical intersectoral and interdisciplinary manner.

摘要

赋权是一个过程,通过这个过程人们能够掌控自己的生活,获取有关自身健康决策的知识。慢性病在卫生服务中越来越常见,这需要卫生专业人员的关注并赋予慢性病患者权力。本研究的范围是分析慢性病患者在家庭健康计划监测下对赋权的看法。这是一项定性研究,通过进行开放式访谈和系统观察,并使用NVIVO软件进行数据分析。用户指出在获得医疗服务方面存在一些地理障碍,这导致了疲劳、气馁和护理的低连续性。值得注意的是,护理的依从性和实践与差异化服务相关联,这种服务基于对用户意愿的信任和尊重。这包括将医疗指导和教育作为鼓励自我护理实践的关键要素。有必要重新调整参与家庭健康战略的卫生专业人员的行为,因为其功能是以合理的跨部门和跨学科方式促进健康。

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