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Sa??de do homem: conhecimento e ades??o ?? estrat??gia de sa??de da fam??lia

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Previous issue date: 2015-01-01 / Introduction: The increased morbidity and mortality of males and decreased life expectancy
of man, and the lack of prevention habits underlie current discussions of Men's Health in
order to seek reflections that bring men to the assistance health through pragmatic change in
men's attitude. Objective: To assess the knowledge and adherence to the Family Health
Strategy and prostate cancer in men Bahian farmers. Methodology: We conducted two semistructured
interviews, where the first had specific issues classified into eight categories: the
participation of men in family health strategy (ESF), knowledge about prostate cancer,
demand for health services, education level the socio - economic, age, marital status and
quality of life. The second interview was conducted by a validated multidimensional
instrument for assessing the quality of life, and the SF 36. Results: The sample 354 men, and
328 (92.7%) farmers, with an average age of 57.94 ?? 11, 74 years (40-87), 282 married
(79.9%) and 288 (81.6%) with an income equal to the minimum wage. The school was found
up to four years of study to 322 men (91.2%). Of the total interviewed 287 subjects (81.1%)
know the unity of the Family Health Strategy, however, the demand on health services is
mainly for Disease Control 188 men (53.3%) and prevention for 139 men 39.5%. The
questioning of the AC Prostate, 340 men (95.80%) have heard about this subject, and 258
people (72.90%) have knowledge of the examinations related to this disease, 149 individuals
(42.10%) already performed the rectal exam and 191 respondents (54.20%) PSA testing, on
demand of men to health services only 15 subjects (4.2%) of the total interviewed seek health
services. Regarding quality of life, there was a significant difference in the field vitality when
compared Group 1 characterized by individuals who are part of the ESF with the Group 2
made up of individuals who are not part of the ESF, we find an average of 62, 50 ?? 18.80 vs.
59.93 ?? 21.09 respectively (p = 0.05). Conclusion: It was found that most men had
knowledge of pathology and examinations necessary for independent prevention education
level. However, when it was discussed the conduct of these tests it was found that half of the
men even though endowed with knowledge, did not perform the tests. The education of men
to the attention of Prostate CA showed no direct relationship, in relation to preventive tests, it
was found that the number of individuals who have not made the digital rectal exam is higher
of that feature up to four years of education. The completion of the examination is not subject
to family income as men despite having knowledge about the theme does not perform the
usual preventive exams. Regarding the quality of life it became clear that the accession of the
man prioritized the actions taken by the health team providing a better quality of life to
participating users. / Introdu????o: O aumento da morbimortalidade do sexo masculino e a diminui????o da
expectativa de vida do homem, bem como a escassez de h??bitos de preven????o fundamentam
as discuss??es atuais acerca da Sa??de do Homem com o intuito de buscar reflex??es que tragam
os homens para a assist??ncia em sa??de por meio de mudan??as pragm??ticas na postura
masculina. Objetivo: Verificar o conhecimento e ades??o ?? Estrat??gia de Sa??de da Fam??lia em
homens lavradores baianos. Metodologia: Foram realizadas duas entrevistas
semiestruturadas, onde a primeira apresentava quest??es especificas classificadas em oito
categorias: a participa????o do homem na estrat??gia de sa??de da fam??lia (ESF), o conhecimento
sobre c??ncer de pr??stata, procura pelos servi??os de sa??de, o n??vel de escolaridade, a condi????o
s??cio ??? econ??mica, a idade, o estado civil e a qualidade de vida por meio de uma segunda
entrevista com o instrumento multidimensional validado para an??lise, o SF 36. Resultados:
Participaram da amostra 354 homens, sendo 328 (92,7%) lavradores, com idade m??dia de
57,94 ?? 11,74 anos (40-87), 282 casados (79,9%) e 288 (81,6%) com renda igual a um sal??rio
m??nimo. A escolaridade encontrada foi de at?? quatro anos de estudo para 322 homens
(91,2%). Do total dos entrevistados 287 indiv??duos (81,1%) conhecem a unidade de Estrat??gia
de Sa??de da Fam??lia, por??m, a procura nos servi??os de sa??de ?? principalmente para controle
de doen??as para 188 homens (53,3%) e preven????o para 139 homens 39,5%. Ao questionar
sobre o CA de Pr??stata, 340 homens (95,80%) j?? ouviram falar sobre este tema, sendo que
258 pessoas (72,90%) tem conhecimento sobre os exames relacionados a esta patologia, 149
indiv??duos (42,10%) j?? realizaram o exame de toque retal e 191 dos entrevistados (54,20%) o
exame de PSA, sobre a procura dos homens aos servi??os de sa??de somente 15 indiv??duos
(4,2%) do total entrevistado procuram os servi??os de sa??de. Em rela????o a qualidade de vida,
verificou-se diferen??a significativa no dom??nio vitalidade, quando compara-se o Grupo 1
caracterizado por indiv??duos que fazem parte da ESF com o Grupo 2 formado por indiv??duos
que n??o fazem parte da ESF, encontrando um valor m??dio de 62,50 ?? 18,80 vs 59,93 ?? 21,09
respectivamente (p= 0,05). Conclus??o: Verificou-se que a maioria dos homens apresentaram
conhecimento acerca da patologia e dos exames necess??rios para a preven????o
independentemente do n??vel de escolaridade. Entretanto, quando foi discutido a realiza????o
destes exames observou-se que metade dos homens ainda que dotado de conhecimento, n??o
realizou os exames. A escolaridade dos homens ao conhecimento do CA de Pr??stata n??o
apresentou rela????o direta, em rela????o aos exames de detec????o precoce, verificou-se que o
n??mero dos indiv??duos que n??o fizeram o toque retal encontra-se maior entre com que
apresentam at?? quatro anos de instru????o. A realiza????o do exame n??o est?? condicionada a
renda familiar j?? que os homens apesar de apresentar conhecimento acerca da tem??tica n??o
realiza os exames habituais de preven????o. Em rela????o ?? qualidade de vida evidenciou-se que ??
ades??o do homem priorizou as a????es desenvolvidas pela equipe de sa??de proporcionando uma
melhor qualidade de vida aos usu??rios participantes.

Identiferoai:union.ndltd.org:IBICT/oai:bdtd.ucb.br:tede/2230
Date01 January 2015
CreatorsCaires, Ediane Santos
ContributorsMelo, Gislane Ferreira de
PublisherUniversidade Cat??lica de Bras??lia, Programa Strictu Sensu em Gerontologia, UCB, Brasil, Escola de Sa??de e Medicina
Source SetsIBICT Brazilian ETDs
LanguagePortuguese
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis
Formatapplication/pdf
Sourcereponame:Biblioteca Digital de Teses e Dissertações da UCB, instname:Universidade Católica de Brasília, instacron:UCB
Rightsinfo:eu-repo/semantics/openAccess

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