The way of life systemic hypertension patients under the care of a family healthcare unit : dialectics of the subjective and objective. / Modo de vida de portadores de hipertensão arterial sistêmica assistidos em uma unidade de saúde da família: dialética do subjetivo e objetivo.

AUTOR(ES)

Leise Rodrigues Carrijo Machado

DATA DE PUBLICAÇÃO

2006

RESUMO

This study intended to identify, in the way of life of hypertensive patients, connections which could clarify their compliance of hypertension treatment, to understand dialectical relationship of the assistance offered by a Family Healthcare Program expressed through contradictions and coincidences in the patientsway of life, and to create an educative program according to the emancipatory pedagogy based on Paulo Freires conception of emancipatory education, with themes related to hypertensive patientsrequired needs. The phenomenon "way of life" was grasped on the grounds of the theoretical and methodological aspects of the historical and dialectical materialism. The interviews, held with 11 hypertensive patients, were submitted to the analysis of the speech procedures, which showed the way of life of these patients. It can be represented by the following: beliefs, feelings, beyond-individual, under-control pressure, out-of-control pressure and hypertension causes These categories were analyzed according to dialectical categories - the subjective and the objective - and the health-illness-care process. Hypertensive patientsdaily life shows many contradictions related to the treatment needed and the illness not assumed as it is; the need of changing habits and human values which oppose to these changes; the real impossibility of controlling pressure levels due to daily life conditions such as nervousness and financial and familiar problems. Once many contradictions in these patientsway of life have been identified, this study sugests the improvement of the acceptance of hypertension treatment by means of emancipatory education, according to Paulo Freires theory. Nursing has to accept this reality, approach to it, and ethically change its own practice in order to show hypertensive patients under the care of nurses a better way towards their autonomy.

ASSUNTO(S)

medidas métodos e teorias hipertensão saúde do adulto measurements methods and theories nursing hypertension educação em saúde adult health enfermagem health educacion

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