Detalhes bibliográficos
| Ano de defesa: |
2016 |
| Autor(a) principal: |
Neiva, Tiago Sousa
 |
| Orientador(a): |
Alves, Vicente Paulo
|
| Banca de defesa: |
Não Informado pela instituição |
| Tipo de documento: |
Dissertação
|
| Tipo de acesso: |
Acesso aberto |
| Idioma: |
por |
| Instituição de defesa: |
Universidade Cat??lica de Bras??lia
|
| Programa de Pós-Graduação: |
Programa Strictu Sensu em Gerontologia
|
| Departamento: |
Escola de Sa??de e Medicina
|
| País: |
Brasil
|
| Palavras-chave em Português: |
|
| Área do conhecimento CNPq: |
|
| Resumo em Inglês: |
Introduction: The Brazilian elderly experience an accelerated increase in relative participation in the national age pyramid, from 4.8% in 1991, to 7.4% in 2010. In 2050, it will be almost 30%, which will put the country as one of those which has the highest absolute number of elderly people in the world. They are citizens with the free and inalienable right to use SUS-oriented Primary Health Care/Family Health Unit in an equitable and integral manner. Active and healthy aging is a multifactorial process that has become a priority in health policies in order to reduce the increasing incidence of dependency. It has, among other determinants, self-perception of health (SPH), that is, how the individual perceives the different and multiple facets of health conditions, covering the entire disease-well-being continuum, and acting as a measure of "health optimism". One of the strategies to increase patient satisfaction with health care in PHC is the Person-Centered Clinical Method (PCCM), which allows the patient to experience being the protagonist of the discussion of the problem itself and acting actively in the treatment process. The objective of this study was to compare the self-perception of health among two groups of elderly people living in a family health area, one of them assisted by the medical service of the reference health unit (RHU) (Group 1) - through the Person-Centered Clinical Method (PCCM) - but the other unattended in this RHU (Group 2). Materials and Methods: The sample of this study was obtained by random visit of trained employees to the residences of the elderly within the area of the Family Health Team in the Granja do Torto. The study instrument sought to identify variables about the sociodemographic dimensions, chronic diseases and the use of health services. Results and Discussion: In Group 1, 33 (60%) had no schooling, 44 (80%) had hypertension and the same number of people had altered weight, 16 (30%) had polypharmacy and 47 (85%) had two or more visits in the period evaluated, 70% of the Group had a poor SPH. On the other hand, Group 2, among the 46 participants, 25 elderly (54%) had schooling between 4-7 years old, 22 (47%) were hypertensive, 29 (63%) had altered weight, 6 (13%) used polypharmacy, 34 60%) were consulted two or more times and 53% had a good AP. There were significant intergroup differences in schooling (lower in Group 1), number of medical consultations (higher in Group 1) and presence of SPH (higher in Group 1). Conclusion: the measurement of the potential of PCCM to increase self-perceived health in the elderly attending the PHC may be limited, particularly due to the strong influence of the negative sociodemographic variables and greater presence and consequences of the chronic diseases in the SPH, causing a significant reduction and, therefore, a greater attendance of the elderly in family health units. |
| Link de acesso: |
https://bdtd.ucb.br:8443/jspui/handle/tede/2186
|
Resumo: |
Introduction: The Brazilian elderly experience an accelerated increase in relative participation in the national age pyramid, from 4.8% in 1991, to 7.4% in 2010. In 2050, it will be almost 30%, which will put the country as one of those which has the highest absolute number of elderly people in the world. They are citizens with the free and inalienable right to use SUS-oriented Primary Health Care/Family Health Unit in an equitable and integral manner. Active and healthy aging is a multifactorial process that has become a priority in health policies in order to reduce the increasing incidence of dependency. It has, among other determinants, self-perception of health (SPH), that is, how the individual perceives the different and multiple facets of health conditions, covering the entire disease-well-being continuum, and acting as a measure of "health optimism". One of the strategies to increase patient satisfaction with health care in PHC is the Person-Centered Clinical Method (PCCM), which allows the patient to experience being the protagonist of the discussion of the problem itself and acting actively in the treatment process. The objective of this study was to compare the self-perception of health among two groups of elderly people living in a family health area, one of them assisted by the medical service of the reference health unit (RHU) (Group 1) - through the Person-Centered Clinical Method (PCCM) - but the other unattended in this RHU (Group 2). Materials and Methods: The sample of this study was obtained by random visit of trained employees to the residences of the elderly within the area of the Family Health Team in the Granja do Torto. The study instrument sought to identify variables about the sociodemographic dimensions, chronic diseases and the use of health services. Results and Discussion: In Group 1, 33 (60%) had no schooling, 44 (80%) had hypertension and the same number of people had altered weight, 16 (30%) had polypharmacy and 47 (85%) had two or more visits in the period evaluated, 70% of the Group had a poor SPH. On the other hand, Group 2, among the 46 participants, 25 elderly (54%) had schooling between 4-7 years old, 22 (47%) were hypertensive, 29 (63%) had altered weight, 6 (13%) used polypharmacy, 34 60%) were consulted two or more times and 53% had a good AP. There were significant intergroup differences in schooling (lower in Group 1), number of medical consultations (higher in Group 1) and presence of SPH (higher in Group 1). Conclusion: the measurement of the potential of PCCM to increase self-perceived health in the elderly attending the PHC may be limited, particularly due to the strong influence of the negative sociodemographic variables and greater presence and consequences of the chronic diseases in the SPH, causing a significant reduction and, therefore, a greater attendance of the elderly in family health units. |
