Health promotion on physical therapy care in a reference heart hospital / Práticas de promoção da saúde no atendimento fisioterapêutico em uma instituição hospitalar de referência em cardiologia

AUTOR(ES)
DATA DE PUBLICAÇÃO

2009

RESUMO

Cardiovascular disease presents high index of morbi-mortality in Brazil and over the world. Health promotion actions are essential for control and prevention of cardiovascular diseases. The potential of the physical therapists in health promotion is great, however is still little explored. The objective of this research was to identify and describe the actions related to the health promotion on physical therapy practice in a Brazilian heart hospital. The perceptions of professionals and patients in this context were also evaluated. The present study used qualitative methodology in institution case-report. We used methodological triangulation, and as it collects of data, observation and half-structuralized interviews with physiotherapists (n=8) and patients (n=7) of the institution. After the thematic analysis, two thematic axes were emerged: The vision of the professionals front to the health promotion and Health promotion actions and the patients self-care: coexisting with a chronic illness. Seven health promotion activities had been identified and were offered to the patients of the institution in which the paper of the physical therapists was well established. Activities had a restricted focus on prevention and disease. Several professionals had difficulty in defining the health promotion, confusing with the prevention, thinking the health as disease absence. According to perception of the professionals, there were a greater self-care by the patients, and they were interested to know about its illness, through communication vehicles and with questions in daily treatment. In relation to the difficulties that patients told regarding changes in lifestyle or adhesion to the treatment, the time lack appeared as one obstacle to the practical of physical activity. It was observed in some professionals interviews that physical alterations of patients were factors that difficulties the visits to the hospital. After we observed that the participation of health promotion activities in the hospital, the patients had noticed an improvement in its knowledge about how to live with the new adaptations that must be incorporated in its daily. It highlights the involvement of the physical therapist in addition to its rehabilitative activities, making its treatment more complete, but professionals must expand their concept of health for heart patients need a closer follow-up due to their multiple needs.

ASSUNTO(S)

educação em saúde physical therapy (specialty) health promotion promoção da saúde fisioterapia (especialidade) health education qualitative research pesquisa qualitativa

ACESSO AO ARTIGO

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