Rev. APS. 2018; out./dez.; 21 (4) Artigo originalRev. APS. 2018; out./dez.; 21 (4): 534 -550Contribuições de um sistema tecnológico para a construção de ecomapas na atenção aos usuários hipertensos e diabéticos: estudo de caso com equipes NASF Contribuições de um sistema tecnológico para a construção de ecomapas na atenção aos usuários hipertensos e diabéticos: estudo de caso com equipes nasf 535 Rev. APS. 2018; out./dez.; 21 (4): 534 -550 semiestruturadas, analisadas por meio da técnica de análise de discurso. Os entrevistados consideraram o uso do HCmaps como potencializador e facilitador do seu processo de trabalho no NASF, na medida em que permite o (re)conhecimento do território. Foi possível também conceber uma nova forma de construir e interpretar Ecomapas, proporcionando que se tornasse em "Ecomapas vivos". PALAVRAS-CHAVE: Mapeamento Geográfico. Tecnologia. Atenção Primária à Saúde. Hipertensão. Diabetes. ABSTRACTThe mapping of networks, social support and family connections with the community allows an amplified clinical examination in the scope of Primary Health Care and consequently new therapeutic approaches. Technological tools can be added to the work of multiprofessional teams for the construction of ecomaps. These enable a better understanding of health territories, contributing to recommendations that go beyond changes in life habits for patients afflicted by chronic diseases. The objective of this study was to analyze the contributions given by a technological system to the construction of Ecomaps by NASF professionals for the caring of hypertensive and/or diabetic patients. This is an experimental case study on the use of the HCmaps application by NASF professionals from the Sanitary District I, in the city of Recife/PE. The professionals used HCmaps to identify the factors that interfere in the feeding and physical activity of hypertensive and diabetic patients. Subsequently, the NASF workers were submitted to semistructured interviews, analyzed through the discourse analysis technique. The interviewees considered the use of HCmaps as a potentiator and facilitator of their work process in NASF, insofar as it allows the knowledge and recognition of the territory. It was also possible to design a new way to construct and interpret Ecomaps, allowing it to become "Living Ecomaps". INTRODUÇÃOAo utilizar-se da abordagem familiar, a equipe multiprofissional da Atenção Básica (AB) 1 busca o fortalecimento do vínculo desta com os usuários, bem como de todos os equipamentos sociais que fazem parte daquele território. Uma vez que o processo de trabalho em saúde engloba o objeto do trabalho, os instrumentos, a finalidade e os agentes que o executam, 2 o uso de dispositivos tecnológicos, como programas e aplicativos estão sendo cada vez mais incorporados pelos trabalhadores de saúde, por facilitar a inserção destes nas atividades propostas. Como exemplos que vêm sendo utilizados no Sistema Único de Saúde (SUS) 3,4,5 destacam-se E-SUS e Telessaúde. O Núcleo de Apoio à Saúde da Família (NASF) surge para au...
e18229 Background: Cancer patients suffer from burden symptoms and adverse events which compromise quality-of-life. Early palliative care involvement of metastatic non-small cell lung cancer patients has demonstrated increased overall survival. Advanced Support for Quality-of-Life in Oncology - ASQO - addresses cancer and its treatment complications aiming a safe cure or symptom control and dignified death. Measure cancer patients' background and interest about their disease is critical for planning care. To study the point of view of cancer patients about ASQO and compare private and public Brazilian health insurance cancer patients. Methods: An interview was performed and SPSS was used to find means and rates. The protocol was approved by Federal University of Pernambuco ethics committee and all patients signed informed consent Results: 48 patients were interviewed, 28 at Hospital das Clinicas Federal University of Pernambuco and 20 at ÓNKOS Oncology. Attached tables show demographic data and patients’ background, interest and opinion. The topics on which more and less patients’ background were “Chances of cure” (85%) and “Fertility” (25%); Fertility (59%) and participation in clinical research (40%) were the subjects for which more and less patients wanted additional information; Among those patients who wanted additional information about any topic, the theme on which more and less comments were made were “Pain” (100%) and individualization of treatment (10%); Goals of treatment (89%) and fertility (41%) were the subjects that more and less patients were satisfied with the information received Conclusions: In Brazil, the majority of cancer patients don’t have the opportunity to discuss treatment goals and fertility is not widely discussed with them. This translated into highest percentage of interest in the subject and a higher degree of dissatisfaction with the information received, despite median age of 58 years in the study population. The high prevalence of uncontrolled pain reflected in 100% of responders have made additional comments, indicating a need for health professionals education to adequately manage this symptom. Clinical trial information: CAAE 50921215.8.0000.5208.
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