Grupo estratégico de promoção da saúde: uma pesquisa participativa sobre a autonomia de pessoas vivendo com diabetes
Diabetes requires changes in the lives of those who become diagnosed with it, requiring healthy living habits, regular physical activity and even self-administration of medications. Sometimes, it requires a certain self-control that involves the ability to recognize options and make decisions: in...
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Formato: | doctoralThesis |
Idioma: | por |
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Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/25753 |
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Resumo: | Diabetes requires changes in the lives of those who become diagnosed with it, requiring
healthy living habits, regular physical activity and even self-administration of medications.
Sometimes, it requires a certain self-control that involves the ability to recognize options and
make decisions: in this sense, the exercise of personal autonomy is necessary. Discussion on
autonomy pays attention to the respect for people's choices, even in the face of restraining
situations. Certainly, working with practices of autonomy in chronic diseases are still quite
challenging. The purpose of this study was to compose health promotion strategies, based on
a Strategic Health Promotion Group (GEPS), to help create the conditions for the exercise of
people's autonomy regarding health care dealing with a disease chronic condition. The
research is participatory, with a qualitative approach based on reflexivity. A previous consent
was necessary to form a sixteen people group diagnosed with diabetes. Different topics were
discussed, and the analysis of narratives produced in the meetings resulted in three thematic
axes: a) Recognizing diabetes; b) Living with diabetes, and c) Exercising autonomy and
protagonism. These axes formed three respective textual summaries, which were evaluated
and validated by the participants in other three meetings. An interpretative exercise unfolded
these summaries. Results demonstrate how participant´s experiences are related to the impact
of diabetes diagnosis, provoking a moment of instability in the recognition of their ways of
taking care of their own health, implying in the adoption of new meanings for their life habits.
The recognition of this chronic condition transforms the way they come to live with diabetes, deriving in diverse personal strategies of self-control, self-care and adaptation. Sharing
experiences facilitates the recognition of choices to the subject, stimulating their autonomy
and protagonism. Shared care in a co-management process is critical to the longitudinality of
diabetes care. In conclusion, the study emphasizes that the Strategic Group for Health
Promotion extends the possibilities of self-care management and provokes reflections on
health workers and health promotion practices, becoming an important tool for the health
collective management. Group strategies, when directed towards the subject´s autonomy, tend
to strengthen Primary Health Care and to achieve its essential attributes. |
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