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[巴西圣保罗市公共初级保健系统中与促进健康的身体练习和冥想相关的贡献与挑战]

[Contributions and challenges associated with bodily practices and meditation for health promotion in the public primary care system in the city of São Paulo, Brazil].

作者信息

Galvanese Ana Tereza Costa, Barros Nelson Filice de, d'Oliveira Ana Flávia Pires Lucas

机构信息

Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brasil.

Faculdade de Ciências Médicas, Universidade de Campinas, Campinas, Brasil.

出版信息

Cad Saude Publica. 2017 Dec 18;33(12):e00122016. doi: 10.1590/0102-311X00122016.

Abstract

The article presents an analysis of contributions and challenges associated with bodily practices and meditation for health promotion in the public primary care system. The qualitative study was developed in 16 healthcare units in the city of São Paulo, Brazil, using interviews with 29 health professionals and 36 practitioners of bodily practices and meditation, including participant observation of 31 practices such as Tai Chi, Lian Gong, Qigong, Yoga, Capoeira, Dance, Meditation, Relaxation, Mindfulness, and Body Awareness. There was an improvement in joint pain, mobility, balance, memory, depression, and anxiety, besides greater ease in coping with chronic conditions. Such contributions are related to favoring practitioners' autonomy, building health references through self-awareness; the combination of health promotion and therapeutic care in the approaches; and support for access to cultural goods and community spaces. The challenges identified here were precarious integration with the supply of other health services, lack of supervision and evaluation, and the predominance of a health-sector culture.

摘要

本文对公共初级保健系统中与促进健康的身体练习和冥想相关的贡献及挑战进行了分析。这项定性研究在巴西圣保罗市的16个医疗单位开展,对29名卫生专业人员以及36名身体练习和冥想的从业者进行了访谈,包括对31种练习的参与观察,如太极拳、联功、气功、瑜伽、卡波耶拉舞、舞蹈、冥想、放松、正念和身体觉知。除了在应对慢性病方面更加轻松外,关节疼痛、活动能力、平衡、记忆力、抑郁和焦虑也有所改善。这些贡献与促进从业者的自主性、通过自我认知建立健康参照、方法中健康促进与治疗护理的结合以及对获取文化产品和社区空间的支持有关。这里所确定的挑战包括与其他卫生服务供应的不稳定整合、缺乏监督和评估以及卫生部门文化的主导地位。

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