Universidade de São Paulo, Escola de Enfermagem, Programa de Pós-Graduação em Enfermagem, São Paulo, SP, Brazil.
Universidade Federal de Juiz de Fora, Faculdade de Enfermagem, Departamento de Enfermagem Básica, Juiz de Fora, MG, Brazil.
Rev Esc Enferm USP. 2020 Jun 26;54:e03559. doi: 10.1590/S1980-220X2018049903559. eCollection 2020.
To understand the health care experience of individuals with morbid obesity assisted in public healthcare services.
This was a qualitative study based on Alfred Schütz's social phenomenology, carried out in the medical-surgical clinic of a public hospital in São Paulo, Brazil. Interviews with open questions were conducted between January and April 2017.
Seventeen individuals with morbid obesity participated in the study. The findings revealed care(lessness) experiences of obese individuals in the Brazilian Healthcare System in terms of structure/logistics and human resources. Study participants shared care expectations about health care management and staff, and further considered the Primary Health Care service as a scenario of power to have their obesity-related care needs met.
The findings need to be carefully (re)examined by the healthcare system's micro- and macro management, as well as by health teaching and research personnel, in order to integrate, follow up and qualify care actions towards the prevention and control of obesity in public healthcare services.
了解在公共医疗保健服务中接受协助的病态肥胖个体的医疗体验。
这是一项基于阿尔弗雷德·舒茨的社会现象学的定性研究，在巴西圣保罗的一家公立医院的内科-外科诊所进行。2017 年 1 月至 4 月期间进行了开放式问题的访谈。
17 名病态肥胖个体参与了研究。研究结果揭示了巴西医疗保健系统中肥胖个体在结构/后勤和人力资源方面的护理（疏忽）体验。研究参与者分享了对医疗保健管理和工作人员的护理期望，并进一步将初级保健服务视为满足肥胖相关护理需求的权力场景。
医疗系统的微观和宏观管理以及医疗教学和研究人员需要仔细（重新）检查这些发现，以便整合、跟进和优化公共医疗保健服务中预防和控制肥胖的护理措施。
