1671/2012 - Afeto, proximidade, frequência e uma clínica hesitante: bases do “vínculo” entre pacientes com síndrome de Down e a Atenção Primária à Saúde? Affect, proximity, frequency and an hesitant clinical practice: basis of the "bond" between Down‘s syndrome patients and the Primary Health Care?
• Débora Gusmão Melo - Melo, D.G. - São Carlos, SP - Universidade Federal de São Carlos - <dgmelo@ufscar.br>
Coautor(es):
• Bruno José Barcellos Fontanella - Fontanella, B.J.B. - Universidade Federal de São Carlos - <bruno@ufscar.br>
• Cesar Seiji Setoue - Setoue, C.S. - Universidade Federal de São Carlos - <csetoue@gmail.com>
Área Temática:
Políticas em Saúde
Resumo:
A Política Nacional de Atenção Integral em Genética Clínica preconiza que famílias e indivíduos com doenças genéticas sejam acompanhados na Atenção Primária à Saúde (APS). Neste trabalho investigamos as representações sociais de profissionais que trabalham em Unidades de Saúde de Família (USF) sobre o "vínculo" entre eles e os pacientes com síndrome de Down, considerando que esta expressão concentra atualmente significados relevantes no cotidiano clinico e gerencial dos serviços. Dezesseis profissionais foram entrevistados, tendo a amostra sido fechada por saturação teórica. Os enunciados proferidos pelos participantes expressaram saberes baseados sobretudo nas ideias de habilidades afetivas, de proximidade física e de frequência de comparecimento dos pacientes às USF. Habilidades clínicas de outras dimensões, notadamente as cognitivas, não parecem fundamentar a noção de "vínculo". Os resultados sugerem a necessidade de educação profissional continuada e de estabelecimento de diretrizes e linhas de cuidado para as síndromes genéticas mais comuns no âmbito da APS.
Palavras-chave:
Vínculo
Síndrome de Down
Atenção primária à saúde
Relações profissional-paciente
Psicologia social
Abstract:
The National Policy of Comprehensive Care in Clinical Genetics defends that families and individuals with genetic disorders must receive continuous assistance at the Primary Health Care (PHC). In this study, we investigate the social representation of professionals working in Family Health Care Units (FHCU) based on the "bond" between them and Down syndrome patients, bearing in mind that such expression currently contains relevant meanings in the clinical practice and service management routine. Sixteen practitioners were interviewed, and the sample was defined by theoretical saturation. The statements given by the participants expressed knowledge based mainly on affective skills, physical proximity and patients frequency of attendance at the Family Health Care Unit (FHCU). Clinical skills of other natures, especially cognitive, do not appear to justify the notion of "bond". The results indicate the need of continuous professional education and definition of guidelines and care approaches to the most usual genetic syndromes in the context of Primary Health Care (PHC).
Keywords:
Bond
Down syndrome
Primary health care
Professional-patient relations
Social psychology
Affect, proximity, frequency and an hesitant clinical practice: basis of the "bond" between Down‘s syndrome patients and the Primary Health Care?
Resumo (abstract):
The National Policy of Comprehensive Care in Clinical Genetics defends that families and individuals with genetic disorders must receive continuous assistance at the Primary Health Care (PHC). In this study, we investigate the social representation of professionals working in Family Health Care Units (FHCU) based on the "bond" between them and Down syndrome patients, bearing in mind that such expression currently contains relevant meanings in the clinical practice and service management routine. Sixteen practitioners were interviewed, and the sample was defined by theoretical saturation. The statements given by the participants expressed knowledge based mainly on affective skills, physical proximity and patients frequency of attendance at the Family Health Care Unit (FHCU). Clinical skills of other natures, especially cognitive, do not appear to justify the notion of "bond". The results indicate the need of continuous professional education and definition of guidelines and care approaches to the most usual genetic syndromes in the context of Primary Health Care (PHC).
Palavras-chave (keywords):
Bond
Down syndrome
Primary health care
Professional-patient relations
Social psychology
Melo, D.G., Fontanella, B.J.B., Setoue, C.S.. Afeto, proximidade, frequência e uma clínica hesitante: bases do “vínculo” entre pacientes com síndrome de Down e a Atenção Primária à Saúde?. Cien Saude Colet [periódico na internet] (2012/set). [Citado em 24/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/afeto-proximidade-frequencia-e-uma-clinica-hesitante-bases-do-vinculo-entre-pacientes-com-sindrome-de-down-e-a-atencao-primaria-a-saude/11269?id=11269&id=11269
