ABSTRACT
Esta pesquisa objetivou desvelar as percepções dos participantes dos grupos comunitários das Estratégias de Saúde da Família em relação à vivência e a convivência nesses espaços sociais. Trata-se de uma pesquisa exploratória descritiva com abordagem qualitativa. Os sujeitos foram os participantes de dois grupos comunitários, um grupo de cinesioterapia e outro de convivência da Unidade de Saúde da Família Lomba do Pinheiro, no bairro lomba do Pinheiro, no município de Porto Alegre. Para a coleta de dados utilizou-se uma entrevista gravada semiestruturada. As entrevistas foram realizadas nos meses de agosto e setembro de 2015, respeitando os aspectos éticos. Na interpretação dos dados, empregou-se a análise de conteúdo proposta por Bardin. As categorias identificadas foram: a construção do saber em saúde; o fortalecimento da rede social; e você no comando. A partir dessas categorias foi possível refletir sobre pontos que emergiram como: tecnologia das relações/leve de trabalho como os grupos na perspectiva sociocultural; os desafios e avanços das práticas de grupos comunitários no Programa Saúde da Família; as mudanças das concepções de saúde que enfatizam a cultura da doença e a cronificação de processos patológicos pelas concepções de troca saberes, consideração do saber popular, promoção de estreitamento de vínculos afetivos entre equipes de saúde e usuários, usuários e comunidade, e equipes de saúde e comunidade. Esse trabalho conseguiu apontar as atividades de grupos comunitários como uma ferramenta de trabalho apta para transformar o trabalho da equipe de saúde e que caminha na busca do desenvolvimento das relações, entre profissionais e usuários, mais horizontalizados. Promovendo uma prática de atenção à saúde mais humana ao ser humano, com vinculação, empatia, possibilitando o compartilhamento de saberes e de decisões
This study aimed to reveal the participants' perceptions of community groups of the Family Health Strategy in relation to the experience and coexistence in these social spaces. It is a descriptive exploratory research with a qualitative approach. Subjects were participants of two community groups, one group of kinesiotherapy and other coexistence Health Unit Lomba do Pinheiro Family, bump in the neighborhood Pinheiro in the municipality of Porto Alegre. To collect data, we used a semi-structured interview recorded. Interviews were conducted in August and September 2015, respecting the ethical aspects. In interpreting the data, we used the content analysis proposed by Bardin. The identified categories were: the construction of knowledge in health; strengthening social network; and you in charge. From these categories was possible to reflect on points that have emerged as technology relations / light work as the groups in the sociocultural perspective; the challenges and advances of community groups practice in the Family Health Program; the changing health concepts that emphasize the culture of illness and chronicity of pathological processes by conceptions of knowledge exchange, consideration of popular knowledge, promotion of closer emotional bonds between health-members teams, community-users and health teams - community. This workcould point the community group activities such as a work tool able to transform the work of the health team and who walks in the pursuit of development of relations between professionals and users, more level. Promoting a practice more attention to human health to humans, with bonding, empathy, enabling the sharing of knowledge and decisions.
ABSTRACT
To investigate the effect of lipid accumulation index on islet βcell function in middle-aged and elderly people.A total of 10 109 subjects were enrolled in the community residents of Dalian City,aged≥40 years, from July to December 2011, according to enrollment and exclusion criteria.The relationship between lipid accumulation index(LAP)and homeostasis model assessment for βcell function(HOMA-β)was described by curve fitting model, and the effect of LAP on HOMA-βwas proved by correlation and linear regression analysis.The relationship between LAP and HOMA-βshowed an inverted U trend.With the increase of LAP,HOMA-βincreased gradually, following then entered the plateau, and then decreased slowly.According to the LAP quartile classification,each category was analyzed separately as a separate data.Spearman correlation results showed that HOMA-βwas positively correlated with LAP in Q1 group, not in Q2 and Q3 group, while in Q4 group, it was negatively correlated.Multivariate linear regression analysis showed that LAP could enter the equation in group Q1 and group Q4 after adjustment of age, sex, systolic blood pressure, diastolic blood pressure, low density lipoprotein-cholesterol,and high density lipoprotein-cholesterol(all P<0.05).With the increase of LAP,pancreatic β-cell secretion activity increases compensatorily,then decreases to decompensation and finally to the process of weakening secretion.
ABSTRACT
Este trabalho tem como objetivo investigar a rede de atendimento comunitário a idosos em Florianópolis (SC), por meio da estratégia dos Grupos de Convivência para Idosos (GCI), apresentando seu processo de criação e de desenvolvimento histórico e sociocultural, assim como a evolução no número de grupos e de idosos participantes. Realizou-se uma pesquisa bibliográfica, descritivo-exploratória e de levantamento, com abordagens qualitativa e quantitativa dos dados. Aplicaram-se entrevistas semiestruturadas com quatro assistentes sociais que participaram do processo de implementação da estratégia de GCI na cidade. Constatou-se a criação formal desses grupos, vinculada e impulsionada, principalmente, por órgãos governamentais da área da assistência social, sendo que, ao longo dos anos, o número de GCI e de participantes aumentou expressivamente em Florianópolis (SC).
This study aims to investigate the community service network for the elderly in Florianópolis (SC), through the strategy of Community Centers for the Elderly (CCEs), presented their process of creation and history and socio-cultural development, including also the increase in the number of groups and elderly participants. We conducted a literature search, descriptive and exploratory and survey with qualitative and quantitative approaches to data. They were applied semi-structured interviews with four social workers who participate in the implementation process of CCEs strategy in the city. the formal establishment was found these groups, bound and driven mainly by government agencies of the social assistance area, and, over the years, the number of CCEs and participants increased significantly in Florianópolis (SC).
Este trabajo tiene como objetivo investigar la red de atención comunitaria a ancianos en Florianópolis (SC), a través de la estrategia de los Grupos de Convivencia para los ancianos (GCI), presentando su proceso de creación y de desarrollo histórico y sociocultural, así como la evolución en el número de grupos y de ancianos participantes. Se realizó una investigación bibliográfica, descriptiva-exploratoria y de levantamiento, con abordajes cualitativo y cuantitativo de los datos. Se aplicaron entrevistas semiestructuradas con cuatro asistentes sociales que participaron en el proceso de implementación de la estrategia de GCI en la ciudad. Se constató la creación formal de estos grupos, vinculada e impulsada, principalmente, por organismos gubernamentales del área de la asistencia social, siendo que a lo largo de los años, el número de GCI y de participantes aumentó expresivamente en Florianópolis (SC).
Subject(s)
Humans , Male , Female , Aged , Aged, 80 and over , Social Participation/psychology , Senior Centers/organization & administration , Policy Making , Public Policy , Qualitative ResearchABSTRACT
OBJECTIVE: In Brazil, older adults frequently participate in community groups. However, the influence of this participation on physical activity levels has not been fully investigated. It is known that both regular physical activity and social support are beneficial for health. The aim of this study is to evaluate the association between participation in community groups and physical activity among older adults from Florianópolis, Brazil. METHODS: The sample consisted of 1062 adults with a mean age of 71.9 (±7.6) years. Among these individuals, 293 subjects participated in community groups and 769 did not. A questionnaire to collect sociodemographic data and the long version of the International Physical Activity Questionnaire were used for the assessment. RESULTS: The prevalence of active older adults was 66.6 percent among participants in community groups and 58.4 percent among non-participants. Participation in these groups was significantly associated with being more physically active in the transportation and domestic domains, but with being less physically active in the leisure-time domain. Some changes in these associations were observed when the sample was stratified by age, gender, body mass index, and health status. With respect to total physical activity, participation in community groups was associated with being more physically active in only two strata (subjects younger than 70 years and women). CONCLUSION: The results of this study indicate that older adults who participate in community groups are characterized by a greater probability of being more physically active. However, longitudinal studies are needed to determine whether participation in community groups facilitates the adoption of physically active behavior.