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老年人与家庭健康团队之间的沟通:是否具备完整性?

Communication between the elderly person and the family health team: is there integrality?

作者信息

de Almeida Rita Tereza, Ciosak Suely Itsuko

机构信息

Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.

出版信息

Rev Lat Am Enfermagem. 2013 Jul-Aug;21(4):884-90. doi: 10.1590/S0104-11692013000400008.

DOI:10.1590/S0104-11692013000400008
PMID:23970224
Abstract

OBJECTIVE

to verify the forms of communication used in four Primary Health Units with Family Health Program teams in Porto Feliz, São Paulo, and how they impact in the care and control of the health of elderly people.

METHOD

this qualitative study sought to capture the communication between elderly people and healthcare professionals. Interviews were conducted with 20 elderly people of both sexes.

RESULTS

from the discourses and observations, assertive communication and blocked communication emerged as the central analysis themes, the verbal and nonverbal elements of which, unveiled subjectivity of the communication process, of the local culture and of the psychosocial factors positively and negatively contributing to the healthcare for elderly people. The nursing teams of the Family Health Strategy showed forms of communication that favored the adherence of the elderly people to the care and control of their health. Negatives aspects did not have completely prejudicial consequences, however, should be avoided, in order to facilitate integral care to elderly people.

CONCLUSION

it is worth reinforcing the need for improvement of the nursing team and other healthcare professionals regarding health communication as an innovative technology, bringing credibility to the health promotion and prevention programs with elderly users.

摘要

目的

验证圣保罗州费利斯港四个设有家庭健康计划团队的基层卫生单位所采用的沟通形式,以及这些形式如何影响老年人的健康护理与管理。

方法

这项定性研究旨在捕捉老年人与医护人员之间的沟通情况。对20名老年男女进行了访谈。

结果

从访谈话语和观察中发现,肯定性沟通和阻碍性沟通成为核心分析主题,其言语和非言语元素揭示了沟通、当地文化以及心理社会因素在老年人医疗保健方面的主观性,这些因素对老年人医疗保健既有积极影响也有消极影响。家庭健康战略的护理团队展现出有利于老年人坚持健康护理与管理的沟通形式。消极方面虽未产生完全有害的后果,但仍应避免,以便为老年人提供全面护理。

结论

值得强调的是,有必要提升护理团队及其他医护人员在健康沟通方面的能力,将其作为一项创新技术,增强针对老年用户的健康促进和预防计划的可信度。

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