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基层医疗专业人员对糖尿病神经病变的认知与实践:社会表征研究

Knowledge and practices of Primary Care professionals on diabetic neuropathy: study of social representations.

作者信息

Andrade Erlon Gabriel Rego de, Rodrigues Ivaneide Leal Ataíde, Braga Sidney de Assis da Serra, Nogueira Laura Maria Vidal, Panarra Bruna Alessandra Costa E Silva, Santos Marcandra Nogueira de Almeida, Pereira Alexandre Aguiar

机构信息

Centro Universitário do Estado do Pará. Belém, Pará, Brazil.

Universidade do Estado do Pará. Belém, Pará, Brazil.

出版信息

Rev Bras Enferm. 2021 Mar 24;74(1):e20190104. doi: 10.1590/0034-7167-2020-0104. eCollection 2021.

DOI:10.1590/0034-7167-2020-0104
PMID:33787771
Abstract

OBJECTIVES

to analyze the knowledge and practices of Primary Health Care professionals about diabetic neuropathy through their social representations.

METHODS

a qualitative, descriptive study, anchored in the procedural aspect of the Theory of Social Representations. It was carried out in four Family Health Units in Belém-Pará, with 31 professionals from four health teams. Data were produced by individual semi-structured interviews, and the corpus was submitted to content analysis.

RESULTS

two thematic categories were defined, showing the participants' understanding and imagination about neuropathy, as well as the biopsychosocial repercussions of this complication in patients' daily lives. The multidisciplinary practices developed in the context of disease treatment/prevention and the consequences of this performance were also shown.

FINAL CONSIDERATIONS

professionals' representations are anchored in neuropathy occurrence due to the deficient standard of care for themselves by patients, which results in the team's surpassing care attitude as an alternative to illness' challenges.

摘要

目的

通过初级卫生保健专业人员的社会表征来分析他们对糖尿病神经病变的认知和实践。

方法

一项定性描述性研究,以社会表征理论的程序方面为基础。该研究在帕拉州贝伦的四个家庭健康单位开展,涉及来自四个健康团队的31名专业人员。数据通过个人半结构化访谈收集,语料库进行内容分析。

结果

定义了两个主题类别,展示了参与者对神经病变的理解和想象,以及这种并发症在患者日常生活中的生物心理社会影响。还展示了在疾病治疗/预防背景下开展的多学科实践及其成效。

最终思考

由于患者对自身护理标准不足导致神经病变发生,专业人员的表征以此为依据,这使得团队采取超越常规的护理态度作为应对疾病挑战的一种方式。

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