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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.
| Identifer | oai:union.ndltd.org:IBICT/oai:bdtd.ucb.br:tede/2186 |
| Date | 31 October 2016 |
| Creators | Neiva, Tiago Sousa |
| Contributors | Alves, Vicente Paulo |
| Publisher | Universidade Cat??lica de Bras??lia, Programa Strictu Sensu em Gerontologia, UCB, Brasil, Escola de Sa??de e Medicina |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da UCB, instname:Universidade Católica de Brasília, instacron:UCB |
| Rights | info:eu-repo/semantics/openAccess |
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