Suchergebnisse

Objective: identifying strategies of care developed with children in mental distress and describing the concept of families and professionals about these care practices. Method: a qualitative study conducted in July and August 2013 with professionals and families of children enrolled in CAPSi in Campina Grande. The material was analyzed by means of the proposed of Bardin, from which emerged the following category: The care strategies used in CAPSinho (little CAPS). Result: care practices developed were: the play activities of social integration, sensory stimulation, play group, among others. Family members and professionals emphasized the positive aspects of strategies developed in the service; however, they mentioned as a barrier the absence of some professionals. Conclusion: although it has been noticed changes in the behavior of children, the development of these practices of care requires a planning and monitoring geared to the needs of children, making it essential working with a multidisciplinary team.

Objective: to understand the access of lesbians, gays, bisexuals and transvestites/transsexuals to the Basic Family Health Units. Methods: qualitative research held with 54 patients. A semi-structured interview and the free association test were used. The data were processed by the software IRaMuTeQ® and submitted to the technique of Content Analysis in the thematic modality. Results:six categories emerged: Silencing regarding sexual orientation and gender identity – access is facilitated as they do not reveal themselves; Invisibility and indifference to legal political references - antagonism between the paradigm thought and executed; Homophobic manifestations and effects on access - restricted use of the service; Embarrassment and distancing - removal and search for private services; Des (humanized) and unethical practices - lack of awareness, secrecy; and Stigma and access - permanence of stigmata between Acquired Immunodeficiency Syndrome and homosexuality. Conclusion: the access to health services is limited with intolerance, constraints, exclusionary and aerial positions. ; Objetivo: compreender o acesso de lésbicas, gays, bissexuais e travestis/transexuais às Unidades Básicas de Saúde da Família. Métodos: pesquisa qualitativa, realizada com 54 usuários(as). Utilizou-se entrevista semiestruturada e o teste de associação livre de palavras. Os dados foram processados pelo software IRaMuTeQ®, submetidos à técnica de Análise de Conteúdo. Resultados: emergiram seis categorias: Silenciamento quanto à orientação sexual e identidade de gênero -o acesso é facilitado desde que não se revelem; Invisibilidade e indiferença aos marcos políticos legais- antagonismo entre o paradigma pensado e executado; Manifestações homofóbicas e efeitos no acesso - uso restrito do serviço; Constrangimento e distanciamento - afastamento e busca por serviços privados; Práticas des(humanizadas) e antiéticas - falta de sensibilização, sigilo; e Estigma e acesso - permanência de estigmas entre Síndrome de Imunodeficiência Adquirida e homossexualidade. Conclusão: o acesso desta população aos serviços de saúde é limitado, permeado por intolerância, constrangimentos e posicionamentos aéticos e excludentes.

Objective: Describe the knowledge of the elderly about vulnerabilities to HIV/Aids. Methods: An integrative review held in LILACS, SciELO and BDENF. Results: 11 publications were found showed five thematic categories about knowledge regarding: the concept of HIV/AIDS; access to information; preventive measures; the transmission of HIV; prevention behavior. Discussion: The survey revealed reduced level of knowledge of the elderly about the subject, insufficient to generate behaviors of protection against the virus. It was observed that the aspects related to HIV/AIDS in the elderly have been not so much reputed by some public health policies and by health professionals. Conclusion: These findings raise the achievement of health actions that consider the vulnerability to HIV/AIDS in the elderly population.

A pesquisa objetivou analisar a relação entre as singularidades do doente com história de abandono do tratamento de tuberculose e a atenção dispensada pela equipe de saúde da família à luz do conceito de vínculo. A construção do material empírico deu-se por meio de entrevistas gravadas, no período de julho a setembro de 2008, utilizando-se a História Oral Temática. Foram entrevistados nove usuários que tiveram o abandono como critério de encerramento para o tratamento da tuberculose em dois municípios da região metropolitana de João Pessoa, Paraíba, Brasil. O estudo foi realizado conforme a técnica da análise do discurso. Identificou-se que uma relação terapêutica, com partilha de compromissos e valorização do usuário, fortalece o vínculo e produz a democratização da gestão do cuidado. Por outro lado, uma relação vertical, com vínculo fragilizado, opõe-se ao propósito de uma prática inter-subjetiva na perspectiva da co-gestão do cuidado. ; This study aimed to analyze the relation between the singularities of the sick subject with the history of dropping out of the tuberculosis treatment and the care given by the family health team in light of the bonding concept. The empirical material was built through recorded interviews, in the period from July to September of 2008, using the Thematic Oral History methodology. Interviews were taken with nine users whose drop out was the criteria for closing the treatment to tuberculosis in two municipalities of the metropolitan region of João Pessoa, Paraíba, Brazil. The analysis was performed according to the discourse analysis technique. The study identified that a therapeutic relation, sharing commitments and the user's valuation, strengthens the bonding and produces the care management democratization. On the other hand, a vertical relation, with fragile bonding, is opposed to the purpose of an intersubjective practice in the perspective of the care co-management. ; La investigación objetivó analizar la relación entre las singularidades del enfermo con historial de abandono del tratamiento de la tuberculosis y la atención dispensada por el equipo de salud familiar a la luz del concepto vincular. La construcción del material empírico se realizó a través de entrevistas grabadas, en el período de julio a setiembre de 2008, utilizándose la Historia Oral Temática. Fueron entrevistados nueve usuarios que consideraron al abandono como criterio de cierre para el tratamiento de la tuberculosis, en dos municipios de la región metropolitana de João Pessoa, Paraíba, Brasil. El análisis se realizó de acuerdo a la técnica de análisis del discurso. Se identificó que una relación terapéutica, con reparto de compromisos y valorización del usuario, fortalece el vínculo y produce una democratización de la gestión de atención. Asimismo, una relación vertical, con vínculo fragilizado, se opone al propósito de una práctica intersubjetiva en la perspectiva de la cogestión de la atención.

Objective: To analyze the strengths and weaknesses of practicing managers who develop actions related to the control of tuberculosis in the metropolitan region of João Pessoa-PB. Method: We performed a descriptive, exploratory qualitative study between May and July 2009, with a sample consisting of eight professionals. Results: showed that the scenario of action for those who play the actions of tuberculosis control is fraught with controversies and difficulties that leverage the existing weaknesses. Conclusion: to observe the performance of the actors / managers visualizes disarticulation of service, often lack of knowledge of the true script of action, lack of profile to step in and, above all, health teams extras, ie, uncommitted and disqualified to live the starring role in combating this condition.

Objectives: identifying the content related to sexuality that has been worked in the school environment and analyzing the knowledge of students about the mode of transmission and prevention of HIV/Aids. Method: this is a descriptive study (survey) that was conducted with 54 students enrolled in the ninth year of the second segment of elementary education at two public schools in João Pessoa - Paraíba. The data were analyzed in the Software Statistic 9.0 Statsof. Results: In School A, it was given a special attention related to body hygiene (44,0%). At school B there was prevention of sexually transmitted diseases (58,6%), HIV infection/Aids (51,7%) and condom use (44,8%). Conclusion: the information directed to self-care must transcend the limits of prevention and hygienisation, incorporating extensive, inclusive and reflective methodologies, which promote healthy sexual experience and consequent reduction of vulnerability to HIV/Aids.

The objective of this study was to recognize the working process of the matrix supporters who work in the Family Health Strategy. It is a qualitative research, developed in a Sanitary District, located in one of the towns of the metropolitan region of João Pessoa – PB. It was observed that the matrix supporters is considered an articulator and facilitator of the process of work of the team who is opposite to the management. He develops activities which are managerial from the assessment of the process of work of each sector of the service and encourages the development of spaces of co-management. Another activity related to the assistential dimension which is guided by the proposal of the expanded health clinics. We so conclude that, the work of the matrix supporters configures a strategy of management that corroborates with the strength of the building up of an integral and humanized care according to what advocates the SUS (Brazilian Government Health System).

Objective: To analyze the factors that influences the performance of family health teams (FHT) in caring for the elderly in view point of two levels of management (micro and meso). Method: Survey that was conducted in João Pessoa-PB, involving 250 health professionals. Data were collected by primary source, using a questionnaire containing questions related to the evaluation of health services in elderly care. Results: The components of the micro-management, 22,8% said lack of improvement to work with the elderly, low supply of group activities (26,4%), displacement of the teamwork (18,8%) and somewhat humanized practices (16,4%). Among the components of meso-management were mentioned inadequacy and unavailability of materials and human resources (16,4%/12,4%), inaccessibility (28,4%), low agreement with the principle of integrality (9,6%). Conclusion: Increase the capacity of resolution of FHT and enhance the specific functions of micro-management requires technological adaptation/structural units, investment in training, social inclusion the elderly.

Objetivou-se conhecer a percepção dos coordenadores do Programa de Controle da Tuberculose quanto à utilização do Sistema de Informação de Agravos de Notificação (SINAN) como instrumento da estratégia DOTS (Directly Observed Treatment). Estudo de natureza qualitativa utilizou a entrevista semi-estruturada com oito coordenadores do Programa de Controle da Tuberculose de seis municípios paraibanos. Os resultados evidenciaram que os municípios utilizam o SINAN para avaliação das ações de controle da tuberculose, apontando como dificuldades, deficiência do preenchimento das fichas de notificação de tuberculose; precária infra-estrutura de informática; qualificação insuficiente de recursos humanos; falta de integração entre profissionais de diferentes setores; deficiência do fluxo da informação entre unidades de saúde/municípios. Considerando que a qualidade da informação pode comprometer o monitoramento dos resultados de tratamento dos pacientes e conseqüentemente a eficácia da estratégia DOTS, conclui-se que é fundamental o compromisso político da gestão para superar as fragilidades identificadas. ; El estudio tuvo como objetivo conocer la percepción de los coordinadores del Programa de Control de la Tuberculosis en lo que se refiere a la utilización del Sistema de Informação de Agravos de Notificação (SINAN) como instrumento de la estrategia DOTS (Directly Observed Treatment). Se trata de un estudio de naturaleza cualitativa que utilizó la entrevista semi-estructurada con ocho coordinadores del Programa de Control de la Tuberculosis de seis municipios del estado de Paraíba. Los resultados evidenciaron que los municipios utilizan el SINAN para evaluar las acciones de control de la tuberculosis, apuntando como dificultades, la deficiencia del llenado de los registros de notificación de tuberculosis; la precaria infraestructura de informática; la calificación insuficiente de recursos humanos; la falta de integración entre profesionales de diferentes sectores; y, la deficiencia del flujo de la información entre las unidades de salud/municipios. Considerando que la calidad de la información puede comprometer el monitoreo de los resultados del tratamiento de los pacientes y consecuentemente la eficacia de la estrategia DOTS, se concluyó que es fundamental el compromiso político de la administración para superar las fragilidades identificadas. ; This article had the purpose to understand the perception of the coordinators of the Tuberculosis Control Program regarding the use of the Notification Aggravation Information System - Sistema de Informação de Agravos de Notificação (SINAN) as an instrument of the DOTS (Directly Observed Treatment) Strategy. This qualitative study used semi-structured interviews, with eight coordinators of the Tuberculosis Control Program in six cities of the state of Paraíba. The results showed that the cities use the SINAN to evaluate actions to control tuberculosis, pointing to difficulties such as failure to fill out the tuberculosis notification sheets, precarious computer infrastructure, insufficient qualification of human resources, lack of integration between professionals from different sectors and deficiencies in the information flow between healthcare units and cities. Considering that the quality of the information can jeopardize the monitoring of the results of treatments for patients, and consequently the efficiency of the DOTS strategy, it is concluded that the political commitment of the administration is fundamental to overcome the identified weaknesses.