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Previous issue date: 2014-12-12 / A les?o medular ocasiona manifesta??es incapacitantes permanentes, afetando a integridade anat?mica, mudan?as corporais e limita??es funcionais pertinentes ao estado de defici?ncia. Objetivou-se analisar a trajet?ria de vida dos pescadores com les?o medular v?timas de acidente por mergulho nas praias do litoral Norte/RN. Trata-se de estudo explorat?rio-descritivo, com dados quantitativos, qualitativos e representacional, desenvolvido em col?nias de pescadores de nove praias do litoral Norte/RN, entre outubro de 2013 a agosto de 2014, ap?s a aprova??o do Comit? de ?tica em Pesquisa da Universidade Federal do Rio Grande do Norte/UFRN, parecer n? 431.891/2013, CAAE 20818913.0.0000.5537. A amostra comp?s-se por pescadores acometidos por les?o medular, definida a partir dos crit?rios de inclus?o e de exclus?o dos participantes. Utilizou-se como instrumento de coleta de dados a entrevista semiestruturada. Analisaram-se os dados quantitativos por meio da estat?stica descritiva, apresentando-os em forma de tabelas, quadros e gr?ficos, utilizando o Microsolft Excel. Submeteram-se os dados das entrevistas ao software Analyse Lexicale par Contexte d`um Ensemble de Segments de Texte (ALCESTE) e ? luz da an?lise da Teoria das Representa??es Sociais e Teoria do N?cleo Central. Esclarece-se e apresentam-se os resultados da pesquisa a partir de quatro artigos, seguindo recomenda??es normativas dos peri?dicos: 1. Caracteriza??o dos pescadores artesanais atendidos em hospital naval v?timas de doen?a descompressiva, em an?lise documental. Dos 28 pescadores artesanais estudados, todos eram do sexo masculino, faixa et?ria de 31 a 40 anos (53,6%) e casados (35,7%). A doen?a descompressiva ocorreu prevalentemente no baixo ver?o (75,0%), litoral Norte (96,4%), tendo como principais agravos a parestesia e dor nos membros superiores (67,9%), seguido de les?o medular (57,1%) e ?bitos de 25,0%. 2. Estresse e ansiedade em pescadores artesanais v?timas de les?o medular. Estudo descritivo: Dos 44 participantes, todos eram do sexo masculino, m?dia de idades de 49,6 anos, ensino fundamental (68,2%), casados (77,3%); com sequela de paraplegia (50,0%). A maioria apresentava estresse (75,0%), encontrando-se na fase de quase exaust?o (33,3%), com sintomas prevalentes de ins?nia (95,5%) nas ?ltimas horas; hipertens?o (97,7%) na ?ltima semana e dificuldades sexuais (95,5%) no ?ltimo m?s. 3. Experi?ncias, mem?rias, scripts, representa??es sociais sobre les?o medular para pescadores v?timas de acidentes por mergulho: A an?lise de 10 entrevistas permitiu a constru??o de tr?s categorias: Incapacidade na coordena??o sens?rio-motora da deambula??o; Ressignifica??o da defici?ncia e o sentido da depend?ncia e Autonomia e adapta??o limitante. 4. Representa??es sociais de pescadores artesanais v?timas de les?o medular: repercuss?es na trajet?ria de vida. A an?lise de 31 entrevistas sob a ?tica da compreens?o das Representa??es Sociais da les?o medular permitiu a constru??o de sete categorias: Tratamento: limita??es e expectativas; Les?o Medular: antes e depois; Aposentadoria: uma realidade ainda distante; Defici?ncia: depend?ncia, incapacidade e vulnerabilidade; Supera??o e autonomia; Sentimentos do eu: perdas f?sicas e recome?o; Vida e trabalho: impedimentos, planos e mudan?as. Conclui-se esse estudo com o alcance dos objetivos, cuja tem?tica ? relevante para a sa?de p?blica de homens pescadores. Sugere-se medidas de preven??o, promo??o e recupera??o da sa?de do homem pescador, al?m das condi??es seguras, saud?veis e dignas como compromisso das pol?ticas de sa?de. / Spinal cord injury causes permanent disabling manifestations, affecting the anatomic
integrity, bodily changes and functional limitations related to the disability state. It was aimed
to analyze the social
representation, stress level and experiences of fishermen victims of
spinal cord injury caused by diving accident in the Northern beaches of Brazil. It is a
descriptive
-
exploratory study with quantitative, qualitative and representational data
developed i
n fishermen?s villages in nine beaches of Northern shore/RN, between October
2013 to August 2014, after the approval of the Ethics Committee in Research of the
Universidade Federal do Rio Grande do Norte, under the number 431.891/2013, CAAE
20818913.0.0000
.5537. The sample was composed by 44 fishermen with spinal cord injury,
defined from inclusion and exclusion criteria of the participants. It was used as instrument to
collect the data a semi structured interview. Quantitative data was analyzed by descrip
tive
statistics, showing the data through table, boxes and graphics by Microsoft Excel. Data from
interviews were submitted to the software called Analyse Lexicale par Contexte d?un
Ensemble de Segments de Texte (ALCESTE) using the analysis of the Social R
epresentation
Theory and Center Core Theory. It is shown the outcomes of the research through four
articles, following the normative recommendations of the journals. Participants of the study
were all male, age mean 49,6 years, elementary school (68,2%), m
arried (77,3%); paraplegia
sequel (50,0%). Most of them showed stress (75,0%), almost in the exhaustion stage (33,3%),
prevalent insomnia symptoms (95,5%) in the last hours; hypertension (97,7%) in the last
week and sexual troubles (95,5%) in the last mont
h). Decompressive illness caused spinal
cord injury (57,1%), occurred prevalently in low summer (75,0%), northern shore (96,4%),
having as main consequences the paresthesia and pain in the upper and lower limbs (67,9%),
followed by death (25,0%). Interview
analysis under the understanding of Social
Representation of spinal cord injury allowed the appearance of seven categories: Treatment:
limitation and expectative; Spinal Cord injury: before and after; Retirement: reality yet to
come; Disability: dependenc
y, incapacity, vulnerability; Overcoming and autonomy; Self
feelings: physics losses and new start; Life and labor: impediments, plans and changes. The
center core of the representation is found in the first category by the expectative and limitation
on th
e treatment, meanwhile the outskirt elements are in seventh and third categories. Physics
limitation for fishing activities and retirement expectative is the most outstanding of the
structure. Social representation concerning spinal cord injury is found in
a transaction moment
between before and after with the prevented fishing activity, coping of the situation with the
potential remaining. The anchoring is established in the desire for changes related to the
improvements of life and health conditions exper
ienced day by day through faith. This study
finishes pointing out the range of the objectives, which topic is relevant for public health of
fishermen. It is suggested prevention measures, promotion and health recovery of fishermen,
besides safe, healthy an
d worthy conditions as a compromise of social and health politics.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/19968 |
| Date | 12 December 2014 |
| Creators | Cavalcante, Eliane Santos |
| Contributors | 04960360330, http://lattes.cnpq.br/9242337504601387, Faro, Ana Cristina Mancussi e, 05549899809, http://lattes.cnpq.br/2650299863314215, Farias, Francisca Luc?lia Ribeiro de, 04304900382, http://lattes.cnpq.br/3124165737602160, Torres, Gilson de Vasconcelos, 51326728415, http://lattes.cnpq.br/1944547152815226, Freire, Izaura Luzia Silv?rio, 81369417420, http://lattes.cnpq.br/6319638660319803, Miranda, Francisco Arnoldo Nunes de |
| Publisher | Universidade Federal do Rio Grande do Norte, PROGRAMA DE P?S-GRADUA??O EM ENFERMAGEM, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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