Made available in DSpace on 2014-12-17T15:39:05Z (GMT). No. of bitstreams: 1 AnaIOL_DISSERT.pdf: 3163839 bytes, checksum: 5153814b36c4bfcc26c77240b0c38fd8 (MD5) Previous issue date: 2014-04-11 / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico / National surveys indicate that 6.8 % of the brazilian population is dependent on alcohol and 1 % dependent on illicit drugs, representing a significant portion of the population affected by this issue . Primary Care becomes instrumental in expanding the coverage of this demand and in reducing unnecessary referrals for specialized care. This study aimed to investigate the responsiveness and institutional support of Primary Care Teams in relation to the demands of alcohol and drugs users. The research was conducted in a Family Health Unit in West Sanitary District of Natal City. With quantitative and qualitative nature, our study consisted of two stages. At first, we performed a mapping of alcohol and other drugs abusive use in a sample of the population assisted by Family Heath Teams, using sociodemographic questionnaire and ASSIST (Alcohol, Smoking and Substance Involvement Screening Test). 406 questionnaires were completed. Of these questionnaires, 27.8% are men and 72.2% women, of which 56% are between 20 and 39 years-old, they are housewives, have a stable relationship and are consumers of tobacco (37.6%), marijuana (13%) and especially alcohol (57%). In second stage, two Conversation Circles with Family Health Teams and the referential Family Health Support Center were formed to discuss the data of the mapping realized in the previous phase. The circles, which had participation of 20 of the 37 professional teams from Family Health and 2 from Family Health Support Center, showed a lack of professional training in the subject; inability of the healthcare network in the user embracement; belief of professionals that nothing can be done when matter is alcohol and drugs; and referencing as the only care action performed by teams. Thus we point out the need to support an approach on issues of alcohol and drugs which consider gender issues, investing in Harm Reduction Policy as a possibility of working in this context for recognizing each user in their uniqueness and strategizing with them to promote health in a broad and contextualized way / Pesquisas nacionais indicam que 6,8% da popula??o brasileira ? dependente de ?lcool e 1% dependente de drogas il?citas, representando uma parcela significativa da popula??o atingida por esta problem?tica. A Aten??o Prim?ria torna-se fundamental na amplia??o da cobertura dessa demanda e na diminui??o dos encaminhamentos desnecess?rios para a aten??o especializada. Este estudo objetivou investigar a capacidade de resposta e suporte institucional de equipes de Aten??o Prim?ria em rela??o ?s demandas de usu?rios de ?lcool e drogas. A pesquisa foi desenvolvida em uma Unidade de Sa?de da Fam?lia no Distrito Sanit?rio Oeste de Natal. De natureza quantitativa e qualitativa, nosso estudo foi composto de duas etapas. Na primeira, foi realizado um mapeamento do uso abusivo de ?lcool e outras drogas em uma amostra da popula??o adscrita das equipes de SF, utilizando question?rio sociodemogr?fico e o ASSIST (Alcohol, Smoking and Substance Involvement ScreeningTest). Foram aplicados 406 question?rios. Desses, 27,8% s?o homens e 72,2% mulheres, das quais 56% t?m entre 20 e 39 anos, s?o donas de casa, t?m relacionamento est?vel e consumidoras de tabaco (37,6%), maconha (13%) e principalmente ?lcool (57%). Na segunda etapa foram formadas duas Rodas de Conversa com as equipes de Sa?de Fam?lia e NASF de refer?ncia para a discuss?o dos dados do mapeamento realizado na fase anterior. As rodas, que contaram com a participa??o de 20 dos 37 profissionais das equipes de SF e 2 do NASF, evidenciaram a falta de capacita??o dos profissionais na tem?tica; incapacidade da rede em acolher o usu?rio; cren?a dos profissionais de que nada pode ser feito quando o assunto ? ?lcool e drogas e o encaminhamento como ?nica a??o de cuidado realizada pelas equipes. Diante disso, indicamos a necessidade de fundamentar de forma consistente uma abordagem nas quest?es de uso de ?lcool e drogas que leve em considera??o as quest?es de g?nero, investindo na pol?tica de Redu??o de Danos como uma possibilidade de atua??o nesse ?mbito por reconhecer cada usu?rio em sua singularidade e tra?ar com estrat?gias de promo??o a sa?de de forma ampla e contextualizada

Submitted by PPG Administra??o e Neg?cios (ppgad@pucrs.br) on 2018-08-14T17:33:06Z No. of bitstreams: 1 RENATA_GON?ALVES_SANTOS_SILVA_TES.pdf: 2107724 bytes, checksum: 7cbb840daa69b16de8de7e8d80adc82d (MD5) / Approved for entry into archive by Sheila Dias (sheila.dias@pucrs.br) on 2018-08-15T11:33:14Z (GMT) No. of bitstreams: 1 RENATA_GON?ALVES_SANTOS_SILVA_TES.pdf: 2107724 bytes, checksum: 7cbb840daa69b16de8de7e8d80adc82d (MD5) / Made available in DSpace on 2018-08-15T11:44:50Z (GMT). No. of bitstreams: 1 RENATA_GON?ALVES_SANTOS_SILVA_TES.pdf: 2107724 bytes, checksum: 7cbb840daa69b16de8de7e8d80adc82d (MD5) Previous issue date: 2018-05-25 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Advertising is an important communication tool between companies and consumers. However, in today's scenarios where consumers are increasingly multiconnected and have their attention divided among different technologies, the efficacy of ads might be jeopardized, as those tend to be viewed under conditions of low involvement. Since people's attention is disputed by various attractions, technological or not, marketing communications seek more creative ways to grab their audience. Thus, understanding the way that audio elements, such as the voice, can help to attract the attention of multiconnected consumers might be relevant to marketing communications. One way to try to get consumers' attention towards ads and generate recall is through information (in)congruency. Various theories have been implemented to explain the findings regarding the effects of using congruent or incongruent information in studies about advertising and consumers response, among them, the schema theory, which says that when a new information is received, a person tries to fit the information in mental schema. The results of this study corroborate the theory proposed by Mandler (1982) by providing evidence of better responses to advertisements with incongruent information. Specifically, taking into account the current scenario of intense multiconnectivity, the study shows that when the gender of the announcer?s voice and the product are incongruent, the attention to and recall of the ad are greater in comparison to these elements being congruent. Moreover, when the concurrent activities of the scenario of multiconnectivity are congruent (related), the capability of gaining attention is enhanced. However, this effect does not apply to recall of the ad. Overall, the findings point out a way of gaining attention and ensuring recall of ads especially in the midst of nowadays multiconnectivity. Thus they represent an initial understanding of the effects of the announcer?s voice over notably important variables (attention and recall), considering the current scenario of intense multiconnectivity which leads to low exclusive attention to advertisements. / A publicidade constitui uma ferramenta importante de comunica??o entre empresas e consumidores. Contudo, diante do cen?rio atual, em que os consumidores est?o cada vez mais multiconectados e dividem sua aten??o entre diferentes tecnologias, a efetividade dos an?ncios pode ser prejudicada, devido ? tend?ncia a serem vistos em condi??es de baixo envolvimento. Sendo a aten??o dos indiv?duos disputada por uma infinidade de atra??es, tecnol?gicas ou n?o, as comunica??es de marketing buscam cada vez mais maneiras criativas para atrair sua audi?ncia. Assim, entender a forma como elementos auditivos, a exemplo da voz, conseguem ajudar a atrair a aten??o dos consumidores multiconectados pode ser importante ?s comunica??es de marketing. Uma das maneiras de tentar ganhar a aten??o e proporcionar a lembran?a de an?ncios publicit?rios pelos consumidores ocorre atrav?s da compreens?o sobre a (in)congru?ncia das informa??es. Diversas teorias foram empregadas, a fim de explicar os achados referentes aos efeitos do uso de informa??es congruentes e incongruentes nos estudos envolvendo an?ncios publicit?rios e a resposta dos consumidores. Dentre elas, a schema theory, a qual defende que, quando uma informa??o nova ? recebida por um sujeito, ele tende a encaix?-la em um modelo mental existente. A partir de tr?s estudos experimentais, os resultados deste estudo corroboram a teoria postulada por Mandler (1982), pois evidenciam respostas mais favor?veis ao utilizar informa??es incongruentes em an?ncios publicit?rios. Especialmente, quando se considera o cen?rio atual de intensa multiconectividade, identifica-se que, quando existe incongru?ncia entre o g?nero da voz do anunciante e o produto anunciado, a aten??o dada ao an?ncio e a lembran?a da mensagem comunicada s?o maiores do que aquelas obtidas quando h? congru?ncia entre os elementos do an?ncio. Ainda, se as atividades concorrentes do cen?rio de multiconectividade forem congruentes (relacionadas), a capacidade de atrair aten??o para o an?ncio ? aumentada. Todavia, o mesmo n?o ocorre com a lembran?a do an?ncio. De modo geral, os achados deste trabalho mostram uma forma de atrair a aten??o e proporcionar lembran?a de an?ncios publicit?rios, em particular ao levar em conta o panorama contempor?neo de multiconectividade dos indiv?duos. Assim, d?o um impulso inicial para a compreens?o dos efeitos da voz do anunciante sobre vari?veis (aten??o e lembran?a) especialmente importantes ao considerar o contexto atual de intensa multiconectividade e, portanto, de baixa aten??o exclusiva a an?ncios publicit?rios.

Submitted by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-05-24T12:53:49Z No. of bitstreams: 1 TatianaAlencarSilvaIvanoskiDissertacao2017.pdf: 1134226 bytes, checksum: 5ccc77b3a71b05057fe06561b08c1254 (MD5) / Approved for entry into archive by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-05-24T12:54:04Z (GMT) No. of bitstreams: 1 TatianaAlencarSilvaIvanoskiDissertacao2017.pdf: 1134226 bytes, checksum: 5ccc77b3a71b05057fe06561b08c1254 (MD5) / Made available in DSpace on 2017-05-24T12:54:04Z (GMT). No. of bitstreams: 1 TatianaAlencarSilvaIvanoskiDissertacao2017.pdf: 1134226 bytes, checksum: 5ccc77b3a71b05057fe06561b08c1254 (MD5) Previous issue date: 2017-03-15 / The Specialized Educational Assistance is a service from Special Education that identifies, prepares and organizes resources which help disabled students to overcome the difficulties that arise during the educational process in regular schools. In addition, it allows students to be attended in their specificities to build their identity from the confrontation with the differences and the coexistence with the other. The aim of this work is to carry out an exploratory study on the modalities of specialized educational service provided by private schools in the Federal District to students diagnosed with Attention Hyperactivity Disorder (ADHD) and investigate how this service is being carried out in schools of the private education network. Based on the theoretical framework and literature review, a qualitative research was conducted, with a semi-structured interview, and the data collection was done in seven private schools in Federal District, in the perspective of the inclusion of students with ADHD, whose participants were Counselors and/or Academic Advisors. The work consisted in an investigation of the strategies that are used in each one of these schools in the specialized educational assistance, as well as the factors that hamper the inclusion and learning of those students with ADHD. Also, some issues were discussed such as medicalization of students with this diagnosis, curricular adaptations, family participation, orientation for teachers, continued formation and the contributions that psychoanalysis can bring to professionals who work with these students in order to help them to rethink their practice. By analysing the data, were presented the general characteristics of the sample and the conceptions and practices in the Specialized Educational Assistance in private schools of the Federal District, whose main results point to the need for greater compliance in private schools with the laws that refer to Inclusion, including the implementation of educational strategies that improve the learning of students with ADHD, as well as greater investment and care in the continued formation of the teachers who will work with these students. / O Atendimento Educacional Especializado ?? um servi??o da Educa????o Especial que identifica, elabora e organiza recursos que ajudam os alunos com defici??ncia a superarem as dificuldades que se apresentam ao longo do processo educativo em escolas regulares. Al??m disso, possibilita que o aluno seja atendido em suas especificidades para que possa construir a sua identidade a partir dos confrontos com as diferen??as e da conviv??ncia com o outro. O objetivo deste trabalho ?? realizar um estudo explorat??rio sobre as modalidades de atendimento educacional especializado prestado por escolas particulares do Distrito Federal aos alunos com diagn??stico de Transtorno de D??ficit de Aten????o e Hiperatividade - TDA/H e investigar como este atendimento est?? sendo realizado em escolas da rede particular de ensino. Com base no estudo te??rico e revis??o da literatura, foi realizada uma pesquisa de natureza qualitativa, com entrevista semiestruturada e levantamento de dados em sete escolas particulares do Distrito Federal, na perspectiva da inclus??o de alunos com Transtorno de D??ficit de Aten????o e Hiperatividade ??? TDA/H, cujos participantes eram Orientadores Educacionais e/ou Pedag??gicos. O trabalho consistiu em uma investiga????o das estrat??gias que s??o utilizadas em cada uma dessas escolas no atendimento educacional especializado, bem como dos fatores que dificultam a inclus??o escolar e a aprendizagem desses alunos com TDA/H. Tamb??m foram discutidos temas como a medicaliza????o de alunos com esse diagn??stico, adapta????es curriculares, participa????o da fam??lia, orienta????es aos professores, forma????o continuada e as contribui????es que a psican??lise pode trazer aos profissionais que atuam com esses alunos, de modo a auxili??-los a repensarem a sua pr??tica. Na an??lise dos dados foram apresentadas as caracter??sticas gerais da amostra e as concep????es e pr??ticas no Atendimento Educacional Especializado em escolas particulares do DF, cujos principais resultados apontam para a necessidade de que haja uma maior observ??ncia, nas escolas particulares, das leis que se referem ?? inclus??o, incluindo a implementa????o de estrat??gias educacionais que favore??am o aprendizado de alunos com TDA/H, bem como maior investimento e cuidado na forma????o continuada dos professores que atuar??o com esses alunos.

Submitted by Ricardo Cedraz Duque Moliterno (ricardo.moliterno@uefs.br) on 2015-08-03T21:20:51Z No. of bitstreams: 1 Disserta??o de Mestrado - Carolina Carvalho Almeida.pdf: 799616 bytes, checksum: c1a8dc16216568752b7746cab022a1f9 (MD5) / Made available in DSpace on 2015-08-03T21:20:51Z (GMT). No. of bitstreams: 1 Disserta??o de Mestrado - Carolina Carvalho Almeida.pdf: 799616 bytes, checksum: c1a8dc16216568752b7746cab022a1f9 (MD5) Previous issue date: 2015-03-20 / This research consisted of an epidemiological, descriptive and retrospective study that aimed to evaluate the profile of drug prescriptions for pediatric patients in primary care in Feira de Santana, Bahia, from August 2012 to July 2013, using the drug use indicators recommended by the World Health Organization. The source of data for this study was the second copy of all prescriptions elaborated by physicians in pediatric consultations and retained in basic health units. At the same time we carried out a systematic review of the literature, which consisted of searching the databases MEDLINE, LILACS and SciELO, in January 2014, at original studies that used as methodology the drug use indicators in pediatric patients, sample or population, published in English, Portuguese or Spanish, at primary care services and without time restriction. This systematic review afforded studies to be compared with the results obtained. Four studies were included in none of these was obtained twelve basic indicators. Facility indicators could not be compared because only one of the four studies evaluated. Regarding the profile of prescriptions, it was found that the average number of drugs was 1.9, and 71.4% were prescribed by generic name, 81.6% were present in the Brazilian National List of Essential Medicines 2012 and 76,4% were dispensed. In 32.7% of prescriptions had at least one antibiotic, and 0.2% at least one injectable drug. It was confirmed the shortage of drug use studies in pediatrics with the methodology used and evaluated positively the values found for the drug use indicators in Feira de Santana, but, considering importance in improving the service offered, it is expected that the prescription by generic name, essential drugs and the dispensation of prescription drugs is even closer to 100%; and that antibiotics can be prescribed rationally. / A presente pesquisa consistiu em um estudo epidemiol?gico descritivo e retrospectivo que buscou avaliar o perfil das prescri??es de medicamentos para pacientes pedi?tricos, na aten??o prim?ria em Feira de Santana, Bahia, no per?odo de agosto de 2012 a julho de 2013, utilizando os indicadores do uso de medicamentos recomendados pela Organiza??o Mundial da Sa?de. A fonte de dados desse estudo foi a segunda via de todas as prescri??es elaboradas por m?dicos em atendimentos pedi?tricos e retidas nas Unidades B?sicas de Sa?de. Em paralelo foi realizada uma revis?o sistem?tica da literatura, que consistiu em busca nas bases de dados MEDLINE, LILACS e SciELO, em janeiro de 2014, por trabalhos originais que utilizaram como metodologia os indicadores do uso de medicamentos em pacientes pedi?tricos, amostrais ou populacionais, publicados nos idiomas ingl?s, portugu?s ou espanhol, em servi?os de aten??o prim?ria e sem restri??o de tempo. Essa revis?o sistem?tica permitiu obter trabalhos a serem comparados com os resultados obtidos. Foram inclu?dos quatro estudos, em nenhum destes foi obtido os doze indicadores b?sicos. Os indicadores sobre o servi?o n?o puderam ser comparados pois apenas um dos quatro estudos os avaliou. Com rela??o ao perfil das prescri??es encontrou-se que a m?dia de medicamentos foi de 1,9, sendo que 71,4% foram prescritos pelo nome gen?rico, 81,6% estavam presentes na Rela??o Nacional de Medicamentos Essenciais de 2012 e 76,4% foram dispensados. Em 32,7% das prescri??es havia pelo menos um antibi?tico, e em 0,2% ao menos um medicamento injet?vel. Confirmou-se a escassez de estudos de utiliza??o de medicamentos em pediatria com a metodologia utilizada e avaliou-se positivamente os valores encontrados para os indicadores de uso dos medicamentos em Feira de Santana, por?m considerando-se a import?ncia em se aperfei?oar o servi?o oferecido, espera-se que a prescri??o pelo nome gen?rico, de medicamentos essenciais e a dispensa??o dos medicamentos prescritos seja ainda mais pr?xima de 100%; e que os antibi?ticos sejam prescritos de maneira racional.

Made available in DSpace on 2014-12-17T14:46:42Z (GMT). No. of bitstreams: 1 SeldaGSA_DISSERT.pdf: 1376140 bytes, checksum: 7301bd1a4f08350e07818bc4e5d57677 (MD5) Previous issue date: 2009-10-28 / The aging of the population already is a fact, before considered a phenomenon, today, is part of the reality of the majority of the societies in the world. The present study it has as objective to analyze the practical one of the shelter developed for the team to multidiscipline for the elderly in the Strategy of Health of the Family. One is about a descriptive and explorat?ria inquiry, developed by means of quantitative boarding. The population of this study consisted of nineteen teams that work in the inserted ESF in the urban zone of the city of Sousa-PB, understanding a complete of 133 professionals. The collection of date was carried through through a questionnaire contends closed questions, referring to the partner-demographic date e, specific open questions. The main results indicate that the professionals of Health of the city of Sousa, PB, that had participated of this study had consisted in a complete of 76. Amongst these, 20% are nurses, followed of the odont?logos in 6%; 35% are ACS and technician of nursing with 19%. The age of the interviewed ones meets in the age band enters, 21 and 30 years, in 43%. The majority is of the feminine sex with a 84% total. Already in accordance with civil state 34% is married. If treating to the wage, the doctor has of greater of 12 wages. The participants present the percentile greater of formed time of with referring 33% of 1 the 3 years of formation. E finally, the changeable time of performance, if had detached 39% of the participants with 08 the 11 years. With regard to as if it processes the reception and attendance to the person in the ESF, we can observe that, with priority attendance was prominence with 27% of the participants, followed of a considerate attendance with 26%. Already in relation to the actions that are developed daily in the ESF, these they are come back toward the HIPERDIA with 40%, followed of actions ruled in orientation with 27%. Some actions they are carried through in accordance with the aged necessity of each (13%) and through visits domiciliary (9%). It was asked to them as the shelter was facilitated in the UBS, these had told that it is through the attention that is excused the aged one (35%), and finally, as this made it difficult age, in its majority with 37% they had not wanted to answer, followed of the lack of understanding with 26%. With this study it was possible to conclude that the practical one developed for the professionals of the ESF of the city of Sousa, PB with the elderly, is characterized by an assistance ruled in the clinical aspect, little focused in the actions that to permeate the PNH / O envelhecimento da popula??o j? ? um fato, antes considerado um fen?meno, hoje, faz parte da realidade da maioria das sociedades no mundo. O presente estudo tem como objetivo analisar a pr?tica do acolhimento desenvolvida pela equipe multidisciplinar para a pessoa idosa na Estrat?gia de Sa?de da Fam?lia. Trata-se de uma investiga??o descritiva e explorat?ria, desenvolvida mediante abordagem quantitativa. A popula??o deste estudo constituiu-se de dezenove equipes que trabalham na ESF inseridas na zona urbana do munic?pio de Sousa-PB, compreendendo um total de 133 profissionais. A coleta de dados foi realizada atrav?s de um question?rio contendo quest?es fechadas, referente aos dados s?cio-demogr?ficos e, quest?es abertas espec?ficas. Os principais resultados indicam que os profissionais de Sa?de do munic?pio de Sousa, PB, que participaram deste estudo constitu?ram-se num total de 76. Dentre estes, 20% s?o enfermeiros, seguido dos odont?logos em 6%; 35% s?o ACS e t?cnicos de enfermagem com 19%. A idade dos entrevistados encontra-se na faixa et?ria entre, 21 e 30 anos, em 43%. A maioria ? do sexo feminino com um total de 84%. J? de acordo com o estado civil 34% s?o casados. Se tratando do sal?rio, o m?dico tem o de maior de 12 sal?rios. Os participantes apresentam o maior percentual de tempo de formado com 33% referente de 1 a 3 anos de forma??o. E por fim, a vari?vel tempo de atua??o, se destacaram 39% dos participantes com 08 a 11 anos. Com rela??o a como se processa a recep??o e atendimento ? pessoa na ESF, podemos observar que, o atendimento priorit?rio foi destaque com 27% dos participantes, seguido de um atendimento atencioso com 26%. J? em rela??o ?s a??es que s?o desenvolvidas diariamente na ESF, essas est?o voltadas para o HIPERDIA com 40%, seguidas de a??es pautadas em orienta??es com 27%. algumas a??es s?o realizadas de acordo com a necessidade de cada idoso (13%) e atrav?s de visitas domiciliares (9%). Foi-lhes perguntado como o acolhimento era facilitado na UBS, esses relataram que ? atrav?s da aten??o que ? dispensada ao idoso (35%), e por fim, como este era dificultado, em sua maioria com 37% n?o quiseram responder, seguidos da falta de compreens?o com 26%. Com este estudo foi poss?vel concluir que a pr?tica desenvolvida pelos profissionais da ESF do munic?pio de Sousa, PB com a pessoa idosa, ? caracterizada por uma assist?ncia pautada no aspecto cl?nico, pouco focalizado nas a??es que permeiam a PNH

Made available in DSpace on 2014-12-17T14:46:46Z (GMT). No. of bitstreams: 1 IsabelleKFC_DISSERT.pdf: 1938690 bytes, checksum: 22cd4a4b6a66ab1a100e508363b67a58 (MD5) Previous issue date: 2011-03-29 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / Venous ulcer (VU) is a lower limbs injury resulting from inadequate return of venous blood in feet or legs. Although it is not a deadly disease, it causes chronic wounds, which seriously undermine patients? quality of life (QOL) and sometimes leads to drastic family, social, economic and psychological changes. In this sense, there are several aspects that may influence the venous ulcers patients? QOL. The study?s objective aimed on the association of socio-demographic and health, health care and clinical injury on UV patients‟ QOL. Analytical studies, which consider the complexity of factors involved in changes in UV patients‟ QOL has a cross-sectional and quantitative approach. The HUOL Ethics Committee approved this project (n.279/09). The collection of data lasted a period of 3 months in 2010 and it took place at the clinic of Angiology at Hospital Universit?rio Onofre Lopes (HUOL). The data sample consisted of 60 patients treated by UV angiologists in the HUOL Surgical Clinic. The results were analyzed with SPSS 15.0 by descriptive and inferential statistics. The study was based on UV patients that were predominantly female, average age of 61.4 years, that had low education level and low family income, with occupations requiring long periods of standing or sitting, but mostly retired, unemployed or laid off due to the disease and/or due to chronic diseases associated with the UV. The study took also into consideration patients that used inappropriate products, that were improperly treated by a professional caregiver, that lacked of adequate guidance and compression therapy, that performed no lifting of the lower limbs and regular exercise, that the time of injury were greater than or equal to six months, that were missing specific laboratory tests. The study‟s reference were on recurrent lesions, medium to large lesions area, bed of the lesion (injuries) with fibrin and/or necrosis, with amount of exudate with medium to large, odorless and no signs of infection, with tissue loss between 1st and 2nd degree, without collecting swab or biopsy and with pain. In general, QOL of researched individuals were considered low, the maximum score was 69 points, which the areas that were mostly influenced were the total scores of QOL functional capacity (0.021), emotional (0.000) and social functioning (0.080). Of the 60 individuals, 53.3% had scores between 40 and 69 points in SF-36, and they had the best scores in sociodemographic and health variables (ρ = 0.049). In respect to the assistance and injury characteristics, patients who scored between 40 and 69 points in SF-36 had better scores on these characteristics. By combining the socio-demographic variables, health, and handling characteristics of the injury, we observed a significant difference (ρ = 0.032) when linking them with the QOL total scores. When analyzing separately the domains of the SF-36 scores on the quality of life, we find that the areas that showed statistical significance were functional ability (ρ = 0.035), appearance (ρ = 0.019), emotional (ρ = 0.000), and mental health (ρ = 0.050). Among the socio-demographic characteristics studied, gender and marital status contributed more to the reduction of QOL and among the variables of assistance and the injury, orientation, reference and area of UV contributed the most. By analyzing these five variables all together in accordance with the overall score obtained in the quality of life, we found a significant correlation (ρ = 0.002); with 6.23 times more chances of patients have better QOL in the presence of these five positive factors. By conducting the Mann Whitney U test between all the five demographic variables, health, and clinical care, we found that this combination also proved to be significant (ρ = 0.006). Therefore, patients with these five variables positive tend to have a better QOL. Based on these results, we reject the null hypothesis (H0) and accept the alternative hypothesis (H1) proposed in this study because we noted that the QOL of patients with UV is associated with sociodemographic and health, health care and clinical aspects of the injury / A ?lcera Venosa (UV) ? uma les?o dos membros inferiores resultante do inadequado retorno de sangue venoso nos p?s ou pernas. Embora n?o fatais, tais feridas cr?nicas comprometem seriamente a qualidade de vida (QV) dos doentes trazendo mudan?as por vezes dr?sticas no ?mbito familiar, social, econ?mico e psicol?gico. Nesse sentido, s?o diversos os aspectos que podem estar associados ? QV da pessoa com UV. O estudo teve o objetivo de analisar a associa??o dos aspectos sociodemogr?ficos e de sa?de, de assist?ncia ? sa?de e cl?nicos da les?o na QV dos portadores de UV. Estudo anal?tico, com delineamento transversal e abordagem quantitativa. O projeto obteve parecer favor?vel do Comit? de ?tica do HUOL (n.279/09). A coleta de dados realizou-se no ambulat?rio de angiologia do Hospital Universit?rio Onofre Lopes (HUOL), num per?odo de tr?s meses em 2010. A amostra foi de 60 pessoas com UV atendidos por angiologistas no ambulat?rio de Cl?nica Cir?rgica do HUOL. Os resultados foram processados no programa SPSS 15.0 por estat?stica descritiva e inferencial. Identificamos usu?rios com UV predominantemente do sexo feminino, idade m?dia de 61,4 anos, baixo n?vel de escolaridade e de renda familiar, com profiss?es que exigiam longos per?odos em p? ou sentados, aposentados, desempregados ou afastados do trabalho devido ? doen?a e com doen?as cr?nicas associadas, em uso de produtos inadequados, curativos realizados por profissional ou cuidador sem treinamento, aus?ncia de terapia compressiva e orienta??es adequadas, sem realizar eleva??o de membros inferiores e exerc?cios regulares, com tempo de les?o maior ou igual a seis meses, falta de exames laboratoriais espec?ficos, sem registro no prontu?rio, com les?es recidivantes, ?rea de m?dia a grande, leito da les?o com fibrina e/ou necrose, exsudato com quantidade de m?dia a grande, sem odor e sinais de infec??o, perda tecidual entre grau I e II, sem coleta de swab ou biopsia e com presen?a de dor. Em geral, a QV dos pesquisados foi considerada baixa, com pontua??o m?xima de 69 pontos. Sendo os dom?nios que mais influenciaram nos escores totais da QV a capacidade funcional (0,021), aspecto emocional (0,000) e aspecto social (0,080). Dos 60 pesquisados, 53,3% tiveram pontua??o entre 40 a 69 pontos no SF-36, e apresentaram os escores melhores nas vari?veis sociodemogr?ficas e de sa?de (ρ=0,049). Quanto ?s caracter?sticas da assist?ncia e da les?o, os pacientes que tiveram pontua??o entre 40 a 69 pontos no SF-36 apresentaram escores melhores em tais caracter?sticas. Ao associar as vari?veis sociodemogr?ficas, de sa?de, caracter?sticas da assist?ncia e da les?o, verificamos que houve uma diferen?a significante (ρ=0,032) ao relacion?-las com o escore total da QV. Analisando separadamente os dom?nios do SF-36 com os escores obtidos na QV, verificamos que os dom?nios que apresentaram signific?ncia estat?stica foram a capacidade funcional (ρ= 0,035), aspecto f?sico (ρ= 0,019), aspecto emocional (ρ= 0,000) e sa?de mental (ρ= 0,050). Dentre as caracter?sticas sociodemogr?ficas estudadas, o sexo e estado civil contribu?ram mais para a redu??o da QV; e entre as vari?veis da assist?ncia e da les?o destacam-se as vari?veis: orienta??es, refer?ncia e ?rea da UV. Ao analisarmos o conjunto dessas cinco vari?veis de acordo com o escore geral obtido na QV, verificamos correla??o significativa (ρ= 0,002), sendo 6,23 vezes maior a chance de os pacientes apresentarem melhor QV na presen?a desses cinco fatores positivos. Ao realizarmos o Teste de Mann Whitney U entre o conjunto das cinco vari?veis sociodemogr?ficas, de sa?de, cl?nica e assistencial, verificamos que tal conjunto tamb?m demonstrou ser significativo (ρ=0,006). Portanto, os pacientes que apresentam essas cinco vari?veis positivas tendem a ter melhor QV. Diante dos resultados obtidos, rejeitamos a hip?tese nula (H0) e aceitamos a hip?tese alternativa (H1) proposta no estudo, pois evidenciamos que a QV dos portadores de UV est? associada aos aspectos sociodemogr?ficos e de sa?de, de assist?ncia ? sa?de e dos aspectos cl?nicos da les?o

Made available in DSpace on 2014-12-17T14:46:50Z (GMT). No. of bitstreams: 1 KalyaneKDO_DISSERT.pdf: 3830897 bytes, checksum: e5e6fb62aa3066294d259dd5695ffd67 (MD5) Previous issue date: 2011-12-05 / The research aimed to analyze the feasibility of forming a network of municipal services to prevent and treat child victims of violence from the Basic Health Units in the Family Mossor? / RN. The research is a qualitative approach and was developed in the form of action research. The population was composed of representatives of institutions of the child and primary care professionals. Data were collected through questionnaires, workshops and semi-structured interview. The results were analyzed from data collected through the questionnaire designed to assess the material, lectures, dialogues and assessments with the team and presented in accordance with the findings of the research. The study was approved by the Ethics in Research UFRN with protocol No. 158/2010, CAAE: 0176.0.051.000-10. Situational diagnosis in the participants answered a questionnaire to characterize and then launched the guiding question of the focus group FHS While professional what your perception towards violence against children? It was felt the fear and ignorance on the part of the unit staff on how to prevent and to refer cases of violence against children and adolescents in the area of coverage of the unit and also realized that the professionals felt victims of occupational violence before the violence has reached proportions that the area of the unit. Mind the need to change strategies to work to combat violence, we plan to conduct focus group workshop to complete the questionnaire, training for protection against occupational violence, and meeting with other bodies responsible visor protecting children and adolescents to draw the flowchart of the victims in safety net. The next moment training to fill the notification form professionals were interested in learning and use this tool to combat violence. At the third meeting in Unity, meeting with representatives of the Child Protection Council, the professional unit showed interest in interacting with the agency to expose and combat violence against children and adolescents. Due to difficulties in the physical structure of the unit was not possible to continue the research and planned every moment, and then completed the data collection with interviews with the participating professionals, to assess the meetings. Therefore, it is considered that action research has also achieved its goals because the team was involved in the collective construction of a proposed change in the practices of referral and prevention of violence against children and adolescents. This involvement was favored using the principles Freirian during the course of the study. However, it is assumed that the network was not fully implemented because it is known that it is in a continual process of improvement and must continue evolving with the unit team. / A pesquisa teve como objetivo analisar a constru??o coletiva de uma rede de servi?os municipais para preven??o e tratamento ?s crian?as v?timas de viol?ncia a partir das Unidades B?sicas de Sa?de da Fam?lia em Mossor?/RN. A pesquisa ? de abordagem qualitativa e foi desenvolvida na forma de pesquisa-a??o. A popula??o foi constitu?da por representantes de institui??es de direitos da crian?a e profissionais da aten??o b?sica. Os dados foram coletados atrav?s de question?rios, semin?rios e entrevista semi-estruturada. Os resultados foram analisados a partir dos dados coletados atrav?s do question?rio de avalia??o do material elaborado, palestras dialogadas e nas avalia??es com a equipe e apresentados de acordo com os achados da pesquisa. A pesquisa foi aprovada pelo Comit? de ?tica em Pesquisa da UFRN com protocolo de n? 158/2010, CAAE: 0176.0.051.000-10. No diagn?stico situacional os participantes responderam um question?rio para caracteriza??o e em seguida foi lan?ada a quest?o norteadora do grupo focal Enquanto profissional da ESF qual a sua percep??o frente ? viol?ncia contra a crian?a? Percebeu-se o medo e o desconhecimento por parte dos profissionais da unidade de como prevenir e encaminhar os casos de viol?ncia contra a crian?a e o adolescente existentes na ?rea de cobertura da unidade e, ainda percebeu-se que os profissionais se sentiam v?timas da viol?ncia ocupacional, diante das propor??es que a viol?ncia alcan?ou na ?rea da unidade. Vista a necessidade de mudan?a das estrat?gias para trabalhar o combate a viol?ncia, planejamos no grupo focal realizar oficina para preenchimento da ficha de notifica??o, capacita??o para prote??o contra a viol?ncia ocupacional; e reuni?o com outros ?rg?os respons?veis pala prote??o da crian?a e do adolescente para tra?ar o fluxograma das v?timas na rede de prote??o. No momento seguinte de capacita??o para preenchimento da ficha de notifica??o os profissionais mostraramse interessados em aprender e utilizar esse instrumento de combate a viol?ncia. No terceiro encontro na Unidade, a reuni?o com representantes do conselho tutelar, os profissionais da unidade demonstraram o interesse em se articular com o ?rg?o para denunciar e combater a viol?ncia contra a crian?a e o adolescente. Devido ?s dificuldades na estrutura f?sica da unidade n?o foi poss?vel dar continuidade a pesquisa e a todos os momentos planejados, sendo ent?o finalizada a coleta de dados com a realiza??o de entrevistas com os profissionais participantes, a fim de avaliar os encontros realizados. Diante disso, considera-se que a pesquisa-a??o tamb?m teve seus objetivos alcan?ados, pois houve envolvimento da equipe na constru??o coletiva de uma proposta de mudan?a nas pr?ticas de preven??o e encaminhamento da viol?ncia contra a crian?a e o adolescente. Esse envolvimento foi favorecido pelo uso dos princ?pios freirianos durante o desenrolar do estudo. No entanto, admite-se que a rede n?o foi implantada integralmente, pois sabe-se que ela se constitui em um processo cont?nuo de aperfei?oamento e deve continuar em evolu??o junto ? equipe da unidade.

Made available in DSpace on 2014-12-17T14:46:51Z (GMT). No. of bitstreams: 1 MariaCCG_DISSERT.pdf: 2302501 bytes, checksum: 97cbbe5d4b5a91a6182b0e5e8c2d02fc (MD5) Previous issue date: 2011-12-08 / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico / Tuberculosis (TB) is one of the most important health problems being faced worldwide. In Brazil, the responsibility for the actions of to diagnosis and control of this disease was transferred to the municipalities within the Primary Health Care (PHC), aiming at improvement in epidemiological indicators, requiring reorientation of the practice of family health teams and requiring methodologies to analyze the extent to which components of the PHC are being achieved. Thus, this study aims to analyze the performance of primary care services in the city of Natal-RN for the diagnosis and control of TB, from the perspective of health professionals (doctors and nurses). The study is descriptive, cross-sectional and quantitative. Data collection was conducted from March to July 2011 and involved 121 health professionals working in 52 health units (family health unit, basic health unit and mixed units). The instrument is structured based on the Primary Care Assessment Tool (PCAT), validated and adapted to assess attention to TB in Brazil, and includes questions regarding the Structure and Process components of health services. For quantitative analysis, it was constructed indicators, whose response patterns are followed according to the Likert scale between one and five, which meant the degree of preference relation (or agreement) of the claims. Values between 1 and 3 were considered unsatisfactory for the indicator, between 3 and less than 4, regular, and between 4 and 5, satisfactory. With regard to inputs and equipment, the units had satisfactory condition for form (  = 4.26), consultation (  = 4.02) and basic basket (  = 4.24); regular condition to pot (  = 3.56) and unsatisfactory conditions for transportation tickets (  = 1.50) and sputum smear microscopy (  = 2.42) and X-rays (  = 1.07). In relation to actions, there was satisfactory development for those focused on the individual patient. Actions aimed at the collective level, as the search for respiratory symptoms (RS), monitoring of contacts and guidelines for the community ranged from regular to unsatisfactory (  = 3.16 -  = 1.34). With regard to training, 94,2% received training to identify RS. As regards the time for diagnosis, the median time elapsed between the identification of RS and the beginning of treatment it was 22 days. In relation to the difficulties faced by professionals in the diagnosis of TB, 56,2% reported that they are related only to health services, especially for the failure in the rearguard laboratory and in the specialized services reference, the lack of human and material resources and low performing an active search. The professionals perceive the performance of diagnosis and control of TB, permeated with limitations and barriers to organizational and operational character of various sizes, emerging the need for effective coordination of various sectors and key stakeholders of TB care, to adoption of a new intersectoral strategies that aim to increase the responsiveness of the PHC, providing the best performance in service delivery to the user, family and community, and ensuring effective action and resolving the needs of this population group. / A tuberculose (TB) ? um dos principais agravos ? sa?de a ser enfrentado em ?mbito global. No Brasil, a responsabilidade pelas a??es de diagn?stico e controle dessa doen?a foi transferida aos munic?pios, no ?mbito da Aten??o Prim?ria ? Sa?de (APS), visando melhorias nos indicadores epidemiol?gicos, impondo reorienta??o da pr?tica das equipes de sa?de da fam?lia e requerendo metodologias que analisem em que medida os componentes da APS est?o sendo alcan?ados. Destarte, este estudo tem o objetivo de analisar o desempenho dos servi?os de APS do Munic?pio de Natal/RN para o diagn?stico e controle da TB, sob a perspectiva dos profissionais de sa?de (m?dicos e enfermeiros). O estudo ? descritivo, de corte transversal e quantitativo. A coleta de dados foi realizada de mar?o a julho de 2011, e envolveu 121 profissionais de sa?de, que atuam em 52 unidades de sa?de (USF, UBS e Unidades Mistas). O instrumento de coleta ? estruturado, baseado no Primary Care Assessment Tool (PCAT), validado e adaptado para avaliar a aten??o ? TB no Brasil, e inclui quest?es referentes aos componentes Estrutura e Processo dos servi?os de sa?de. Para an?lise quantitativa, constru?ram-se indicadores, cujos padr?es de respostas s?o seguidos de acordo com a escala de Likert, entre 1 e 5, que significou o grau de rela??o de prefer?ncia (ou concord?ncia) das afirma??es. Os valores entre 1 e 3 foram considerados insatisfat?rios para o indicador; entre 3 e menores que 4, regulares; e, entre 4 e 5, satisfat?rios. No tocante aos insumos e equipamentos, as unidades apresentaram condi??es satisfat?rias, para formul?rio (=4,26), consulta m?dica (  =4,02) e cesta b?sica (  =4,24); condi??o regular para pote (  =3,56); e condi??es insatisfat?rias para vale-transporte (  =1,50), e realiza??o da baciloscopia (  =2,42) e raioX (  =1,07). Em rela??o ?s a??es, observou-se desenvolvimento satisfat?rio para aquelas centradas no indiv?duo doente. As a??es voltadas para o ?mbito coletivo, como a busca de sintom?ticos respirat?rios (SR), controle de comunicantes e orienta??es para comunidade, variaram de regular a insatisfat?rias (  =3,16 -  =1,34). Quanto ? capacita??o, 94,2% receberam treinamentos para identificar SR. No que se refere ao tempo para o diagn?stico, a mediana do tempo decorrido entre a identifica??o do SR e o in?cio do tratamento foi de 22 dias. Em rela??o ?s dificuldades enfrentadas pelos profissionais para o diagn?stico da TB, 56,2% referiram que estas est?o relacionadas somente aos servi?os de sa?de, com destaque para defici?ncia na retaguarda laboratorial e na refer?ncia para os servi?os especializados, o d?ficit de recursos humanos e materiais e a baixa realiza??o de busca ativa. Os profissionais percebem o desempenho das a??es de diagn?stico e controle da TB permeados por limita??es e entraves de car?ter organizacional e operacional de diversas dimens?es, emergindo a necessidade de articula??o efetiva dos diversos setores e atores-chave da aten??o ? TB, para ado??o de novas estrat?gias intersetoriais que visem ? amplia??o da capacidade de resposta da APS, promovendo o melhor desempenho na presta??o dos servi?os ao usu?rio, fam?lia e comunidade, e assegurando a??es efetivas e resolutivas ?s necessidades deste grupo populacional.

Made available in DSpace on 2014-12-17T14:46:51Z (GMT). No. of bitstreams: 1 IllaDC_DISSERT.pdf: 2351170 bytes, checksum: 8112ddeed5d91d971d4e747e0bb37218 (MD5) Previous issue date: 2011-12-09 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / Tuberculosis is a disease of great impact on the world context today. In Brazil, the disease management was directed to the Primary Health Care, due to the determination of the Ministry of Health to decentralize health actions for primary care. Thus, since the actions of diagnosis, treatment and control of the disease should happen in this context, however, there are still many barriers that may hinder the realization of these determinations. This study aims to analyze the development of tuberculosis control activities conducted in the services of primary health care from the patient's vision. This is a descriptive, cross-sectional and quantitative study. The population consists of 517 tuberculosis patients treated in units of Primary Health Care in the city of Natal-RN; the sample consists of 93 TB patients. The collect instrument is structured, based in The Primary Care Assessment Tool (PCAT), validated in Brazil and adapted to assess attention to TB in Brazil, with modifications. This instrument was divided into blocks: the first one describes the socio-demographic information of patients with TB and the second one describes the health services working in control, diagnosis and treatment of TB, and includes issues related to the dimensions of primary care: access, bond, services, coordination of care, guidance to the community and family focus. For quantitative analysis, were built indicators for each item of the instrument. The response patterns are followed according to the Likert scale, which was assigned a value between one and five meant that the degree of preference relation (or agreement) of the statements. Values between 1 and 3 were considered unsatisfactory for the indicator, between 3 and less than 4, regular, and between 4 and 5, satisfactory. The results indicate that 62.37% of patients are male, 27.96% aged 41 to 50 years old, and 34.41% unemployed, with low education and low family income. It was found that the reference hospital services are the front door to the patient (59.14%), and are also the local diagnosis of the disease (72.04%). On access, the conditions satisfactory found are: the number of times the patients need to pick up the health care issue, the marking and the facility to get a consultancy in the HS, assistance provided without harm to the individual's attendance labor and facilities related to the proximity between the residence and services; were considered unsatisfactory conditions related to travel to the HS, and on hours and days of operation of services. As for the cast of services were satisfactory and regular actions related to the request for examination to become viable in the first HS, the availability of pot to perform smear and medicines for the treatment, as well as consultations control and receiving information about the disease and the treatment performed; it is considered unsatisfactory the performance of the home care for patients with TB by the HS that acts as a front door, for implementation of the Directly Observed Treatment (DOT), home visits during treatment, the provision of transportation allowance to the patient and the existence of groups for TB patients. Regarding the coordination of care, resulted in regular the action of referring the patient to other HS to obtain examinations, and as unsatisfactory referral to obtain medications. The relationship bond between patient and health team were considered satisfactory in the majority or regular. As for the family and community focus, is satisfactory only the indicator relating to questions from professionals to the patient about the existence of respiratory symptoms in the family. It is considered that there is need for greater commitment from government entities to the incentives required to TB control, as well as the availability of necessary inputs and training of human resources working in the PHC in the ongoing quest to strengthen primary care, as a place of broader host needs to contact the user with the actions and health professionals. It is recommended the adoption of management mechanisms possible to expand the capacity of the health PHC, promoting the service delivery to the user and ensuring attention to population health. / A tuberculose (TB) ? uma doen?a de grande repercuss?o no contexto mundial atual. No Brasil, o controle da doen?a foi direcionado para a Aten??o Prim?ria ? Sa?de, em virtude da determina??o do Minist?rio da Sa?de de descentralizar as a??es de sa?de para a Aten??o B?sica. Dessa forma, desde ent?o as a??es de diagn?stico, controle e tratamento da doen?a devem acontecer nesse contexto, por?m, ainda existem muitos entraves que podem dificultar a realiza??o dessas determina??es. Este estudo tem o objetivo analisar o desenvolvimento das a??es de controle de TB desenvolvidas nos servi?os de Aten??o Prim?ria ? Sa?de, a partir da vis?o do doente. O estudo ? descritivo, de corte transversal e quantitativo. A popula??o ? constitu?da por 517 doentes de tuberculose em tratamento nas Unidades de Aten??o Prim?ria ? Sa?de no Munic?pio de Natal/RN; a amostra ? formada por 93 doentes de TB. O instrumento de coleta ? estruturado, baseado no The Primary Care Assessment Tool (PCAT), validado no Brasil e adaptado para avaliar a aten??o ? TB no Brasil, com modifica??es. Tal instrumento foi dividido em blocos: o primeiro correspondeu ?s informa??es sociodemogr?ficas do doente de TB e o segundo ?s a??es de controle, diagn?stico e tratamento de TB nos servi?os de sa?de (SS), e inclui quest?es relacionadas ?s dimens?es da aten??o prim?ria: acesso, v?nculo, elenco de servi?os, coordena??o da aten??o, orienta??o ? comunidade e enfoque na fam?lia. Para an?lise quantitativa, constru?ram-se indicadores para cada item do instrumento. Os padr?es de respostas s?o seguidos de acordo com a escala de Likert, ? qual se atribuiu um valor entre 1 e 5, que significaram o grau de rela??o de prefer?ncia (ou concord?ncia) das afirma??es. Os valores entre 1 e 3 foram considerados insatisfat?rios para o indicador; entre 3 e menores que 4, regulares; e, entre 4 e 5, satisfat?rios. Os resultados indicam que 62,37% dos doentes eram homens, 27,96% com faixa et?ria de 41 a 50 anos, sendo 34,41% desempregados, de baixa escolaridade e baixa renda familiar. Verificou-se que os servi?os hospitalares de refer?ncia s?o a porta de entrada para o doente (59,14%), e tamb?m os locais de diagn?stico da doen?a (72,04%). Sobre o acesso, as condi??es encontradas foram satisfat?rias quanto: ao n?mero de vezes em que precisavam busc?-lo at? o atendimento ao problema de sa?de, ? marca??o e ? facilidade para conseguir consulta no SS, ? realiza??o do atendimento sem preju?zos ao comparecimento do indiv?duo ao trabalho, e ?s facilidades referentes ? proximidade entre a resid?ncia e os servi?os; foram consideradas insatisfat?rias as condi??es relacionadas ao deslocamento at? o SS, e sobre hor?rio e dias de funcionamento dos servi?os. No que se refere ao elenco de servi?os, foram satisfat?rias ou regulares as a??es relacionadas ? solicita??o de exames at? a sua viabiliza??o no primeiro SS, ? disponibiliza??o de pote para realiza??o de baciloscopia e de medicamentos para o tratamento, al?m da realiza??o de consultas de controle e recebimento de informa??es sobre a doen?a e o tratamento realizado; considerou-se insatisfat?rias a realiza??o de atendimento domiciliar ao doente de TB por parte do SS que atua como porta de entrada, a realiza??o do Tratamento Diretamente Observado (TDO), de visitas domiciliares durante o tratamento, de oferta de aux?lio-transporte ao doente e de exist?ncia de grupos para doentes de TB. Em rela??o ? coordena??o da aten??o, resultou em regular a a??o de encaminhamento do doente a outros SS para obten??o de exames; e como insatisfat?rio o encaminhamento para obten??o de medicamentos. J? as rela??es de v?nculo entre doente e equipe de sa?de foram consideradas em sua maioria satisfat?rias ou regulares. Quanto ao enfoque familiar e comunit?rio, foi satisfat?rio apenas o indicador referente aos questionamentos dos profissionais ao doente sobre a exist?ncia de sintom?ticos respirat?rios na fam?lia. Considera-se que h? necessidade de maior compromisso dos agentes governamentais para com os incentivos obrigat?rios ao controle da TB, assim como da disponibiliza??o dos insumos necess?rios e capacita??o dos recursos humanos que atuam na APS, na cont?nua busca de fortalecimento da aten??o prim?ria, como lugar do mais amplo acolhimento ?s necessidades de contato do usu?rio com as a??es e os profissionais de sa?de. Recomenda-se a ado??o de mecanismos de gest?o poss?veis de ampliar a capacidade resolutiva da APS, promovendo a presta??o dos servi?os ao usu?rio e assegurando a aten??o ? sa?de da popula??o.

Made available in DSpace on 2014-12-17T14:46:57Z (GMT). No. of bitstreams: 1 RayssaHL_DISSERT.pdf: 1169638 bytes, checksum: aa667397d6455486347551ed4bb0f0d3 (MD5) Previous issue date: 2013-03-26 / Tuberculosis is a serious disease with high incidence and prevalence, and in many countries a priority public health problem, with persisting high epidemiological significance. Seeing the person with tuberculosis it is important to observe his/her self care, as well as the difficulties intertwined in this process, since it can be directly impacting the health/disease process. The aim of this study was to analyze the self care of people with tuberculosis. Descriptive study with qualitative approach, conducted in West Sanitary District of the city of Natal, RN. Data collection occurred through a semi-structured interview guided by questions concerning sociodemographic and about the disease, treatment, and self care, between the months of July to September 2012 and met the ethical precepts of research with human beings. To analyze the results we used the technique of thematic content analysis of Laurence Bardin, through the prism of the theoretical-philosophical self care discussed by Michel Foucault. From the analysis emerged two categories, the first being, Meaning of tuberculosis, with subcategories: tuberculosis as sadness and unhappiness and tuberculosis as a normal issue, and the second, Beware yourself to tuberculosis, which had subcategories: self care as attention to the health care of oneself as satisfaction of basic needs and difficulties to self care. Tuberculosis represents for some people, something really sad, causing psychological suffering, however the other presents as normal. Self care of persons with tuberculosis in this study are related in great part to seek health care and the satisfaction of basic needs. About the difficulties related to the practice of self-care, it is observed that these are tied to food, time for rest, slowness of health services for scheduling appointments and tests, as well as related habits and dependencies in the lives of these people. This study contributed to a reflection of the users with tuberculosis and self care, revealing aspects that healthcare professionals should pay attention to watch these people, being able to see everyday on the run, the need for a space and time for oneself / A tuberculose ? uma doen?a grave, com incid?ncia e preval?ncia elevadas, sendo em muitos pa?ses um problema de sa?de p?blica priorit?rio, persistindo com alta import?ncia epidemiol?gica. Ao vislumbrar a pessoa com tuberculose ? importante observar o seu cuidado de si, bem como as dificuldades imbricadas neste processo, visto que o mesmo pode estar repercutindo diretamente no processo sa?de/doen?a. O objetivo deste estudo foi analisar o cuidado de si da pessoa com tuberculose. Estudo do tipo descritivo e abordagem qualitativa, realizado no Distrito Sanit?rio Oeste do munic?pio de Natal/RN. A coleta dos dados ocorreu por meio de uma entrevista semiestruturada orientada por quest?es relativas aos aspectos sociodemogr?ficos e sobre a doen?a, tratamento e o cuidado de si, entre os meses de julho e setembro de 2012, e atendeu aos preceitos ?ticos de pesquisa com seres humanos. Para a an?lise dos resultados utilizou-se a t?cnica de an?lise de conte?do tem?tica de Laurence Bardin, sob o prisma do referencial te?rico-filos?fico do cuidado de si discutido por Michel Foucault. A partir da an?lise emergiram duas categorias, sendo a primeira, Significado da tuberculose, com as subcategorias: tuberculose como tristeza e infelicidade e tuberculose como algo normal; e a segunda, Cuidado de si com tuberculose, a qual teve as subcategorias: cuidado de si como aten??o para com a sa?de, cuidado de si como satisfa??o de necessidades b?sicas e dificuldades para o cuidado de si. A tuberculose representa, para alguns, algo deveras triste, causando sofrimentos psicol?gicos; entretanto a outros apresenta-se como normalidade. O cuidado de si das pessoas com tuberculose, nesse estudo, ? relativo, em grande parte, ? busca de cuidados com a sa?de e ? satisfa??o de necessidades b?sicas. Sobre as dificuldades relacionadas ? pr?tica do cuidado de si, observa-se que estas est?o atreladas ? alimenta??o, tempo para o descanso, morosidade dos servi?os de sa?de para agendamento de consultas e exames, bem como ligadas aos h?bitos e depend?ncias na vida destas pessoas. Este estudo contribuiu para uma reflex?o dos usu?rios com tuberculose sobre o cuidado de si, revelando aspectos que os profissionais de sa?de devem atentar ao assistir a estas pessoas, sendo poss?vel visualizar, na pressa cotidiana, a necessidade de um espa?o e tempo para si mesmo