Promoção de saúde para portadores de doença de chagas no programa de saúde da família de Votuporanga (SP): perfil clínico, epidemiológico e aspectos biopsicossociais

• Ano de defesa: 2007
• Autor(a) principal: Cesarino, Roberta Alessandra Sanches
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade de Franca; Brasil; Pós-Graduação; Programa de Mestrado em Promoção de Saúde; UNIFRAN
• Palavras-chave em Português: Epidemiologia; Doença de chagas; Programa de saúde da família; Enfermagem; CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA::SAUDE PUBLICA
• Link de acesso: https://repositorio.cruzeirodosul.edu.br/handle/123456789/610

There are, actually, from five to six million people carriers of the barber bug fever in Brazil and most of them in the chronicle stage of the illness. In this exploratory descriptive study a profile of the clinic-epidemiological survey was accomplished, through the interviewing of the barber bug fever carriers registered in the Family Health Program (Programa de Saúde da Família) in the city of Votuporanga-SP, in the month of September, 2006, with the aim of assisting adjustments of the health assistance. Sixty eight barber bug fever carriers participated of the study, the female sex was predominant accounting 68%; the average age varied from 29 to 88 years-old, nevertheless, 85,3% concentrated in the rate from 46 to 75 years-old. With regard to the ethnical, the white color was predominant accounting 58,8%. As to the instruction level, 50% were classified as illiterates and 26,4% functional illiterates. From the investigated professional profile, 40% mentioned being pensioners, and the men presented more precocious pension regarding to women. With regard to the naturalness, 73, 5% were born in the state of São Paulo. According to the local of residence, 69,1% probably contracted the barber bug fever, in the state of São Paulo and 92,6% mentioned that they lived in the rural area. The type of habitation that was most named was the Stud and Mud house (45,6%), followed by the Dirt-wall house (30,9%). With regard to the familiar historical, 54, 4% mentioned having relatives with the barber bug fever and 32,3% mentioned having one or two brothers infected. The clinical figure of the illness most referred was the cardiac one with 39,7%, followed by the indeterminate one with 14,7%, the digestive-cardiac with 11, 8% and the digestive with 8,8 %, and 25% didn’t have this information on their illness. For the cardiac figure, the main symptoms mentioned were: fatigue, palpitation and dyspnea. In the digestive figure, they were: abdominal distention, abdominal pain, intestinal constipation and dysphagia. In the digestive - cardiac figure they were: fatigue, palpitation, abdominal distention, dyspnea, abdominal pain, constipation and dysphagia. The presence of comorbidities associated to the barber bug fever was mentioned by 85,3% of the carriers, and the main one was the arterial hypertension with 66,2%. The carriers of the digestive-cardiac figure of the illness were the ones that had the highest number of undergoing surgeries. Among the cardiovascular risk factors, 27,9% mentioned being tobacco smokers, 73,5% sedentary and 19,1% mentioned presenting dyslipidemia. In 94,7% of the women that presented the cardiac figure, the abdominal circumference was considered as a cardiovascular risk factor. Among the interviewed, 75% mentioned never receiving information about the barber bug fever, from the health professionals and for 46,5% of the carriers, the barber bug fever causes limitations. It is concluded that, the researched group presents low social insertion, decurrently from the impossibility of social mobilization due the low scholarship and the per capita gain and that, the illness causes important physical damage, as much as emotional damages. It is evidenced that the necessity of improved attention from the different health programs, considering the number of associated co-morbidities and the cardiovascular risk factors. These aspects must be considered so that a re-orientation of the nursling practices and the elaboration of full attention models to the barber bug fever carrier.