Submitted by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-07-03T21:33:12Z No. of bitstreams: 1 TiagoSousaNeivaDissertacao2016.pdf: 2435940 bytes, checksum: 1aadd1c1c94deb57825d71d8e513f5cd (MD5) / Approved for entry into archive by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-07-03T21:33:38Z (GMT) No. of bitstreams: 1 TiagoSousaNeivaDissertacao2016.pdf: 2435940 bytes, checksum: 1aadd1c1c94deb57825d71d8e513f5cd (MD5) / Made available in DSpace on 2017-07-03T21:33:38Z (GMT). No. of bitstreams: 1 TiagoSousaNeivaDissertacao2016.pdf: 2435940 bytes, checksum: 1aadd1c1c94deb57825d71d8e513f5cd (MD5) Previous issue date: 2016-10-31 / 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. / Introdu????o: Os idosos brasileiros vivenciam um acelerado aumento na participa????o relativa na pir??mide et??ria nacional, de 4,8% em 1991, chegou a 7,4% em 2010. Em 2050, ser??o quase 30%, o que colocar?? o pa??s como um daqueles que possui maior n??mero absoluto de idosos no mundo. S??o cidad??os portadores do livre e inalien??vel direito de utilizar o SUS orientado ?? APS/ESF, de forma equitativa e integral. O envelhecer ativo e saud??vel ?? um processo multifatorial, que tornou-se uma prioridade nas pol??ticas de sa??de afim de reduzir a crescente incid??ncia da depend??ncia. Ele possui, dentre outros determinantes, a auto-percep????o de sa??de (AP), ou seja, como o indiv??duo percebe os diferentes e as m??ltiplas facetas das condi????es de sa??de, cobrindo todo o continuum doen??a-bem-estar, e atuando como uma medida de ???otimismo de sa??de???. Uma das estrat??gias para ampliar a satisfa????o dos pacientes com os cuidados de sa??de na APS ?? o M??todo Cl??nico Centrado na Pessoa (MCCP), que permite ao paciente experimentar ser o protagonista da discuss??o do pr??prio problema e agir ativamente no processo de tratamento. O objetivo desta pesquisa foi comparar a autopercep????o de sa??de (AP) entre dois grupos de idosos que vivem em ??rea de abrang??ncia de uma equipe de sa??de da fam??lia, um deles assistido pelo servi??o m??dico da unidade b??sica de sa??de (UBS) de refer??ncia (Grupo 1) ??? mediante o M??todo Cl??nico Centrado na Pessoa (MCCP) ???, mas o outro n??o atendido nesta UBS (Grupo 2). Materiais e M??todos: A amostra deste estudo foi obtida mediante visita aleat??ria de colaboradores treinados ??s resid??ncias de idosos dentro da ??rea de abrang??ncia da Equipe de Sa??de da Fam??lia da Granja do Torto. O instrumento de estudo buscou identificar vari??veis acerca das dimens??es sociodemogr??fica, doen??as cr??nicas e, uso de servi??os de sa??de. Resultados e Discuss??o: no Grupo 1, dentre os 55 idosos, 33 (60%) apresentaram nenhuma escolaridade, 44 (80%) eram hipertensos e o mesmo n??mero de pessoas apresentavam peso alterado, 16 (30%) faziam uso de polifarm??cia e 47 (85%) realizaram duas ou mais consultas no per??odo avaliado, 70% do Grupo apresentaram ruim AP. J?? no Grupo 2, dentre 46 participantes, 25 idosos (54%) tinham escolaridade entre 4-7 anos, 22 (47%) eram hipertensos, 29 (63%) tinham peso alterado, 6 (13%) usavam polifarm??cia, 34 (60%) consultaram-se duas ou mais vezes e 53% apresentavam boa AP. Verificaram-se diferen??as significativas intergrupos acerca da escolaridade (menor no Grupo 1), n??mero de consultas m??dicas (maior no Grupo 1) e presen??a de Hipertens??o Arterial Sist??mica - HAS (maior no Grupo 1). Conclus??o: a medida das potencialidades do MCCP para incrementar a AP de sa??de em idosos atendidos na ESF pode ser limitada, particularmente, devido ?? forte influ??ncia das vari??veis sociodemogr??ficas negativas e maior presen??a e consequ??ncias das DCNT na AP, causando-lhe redu????o importante e, por conseguinte, uma maior frequenta????o de idosos em unidades de sa??de da fam??lia.