RESUMO
Dor no joelho é uma condição reconhecida pelo elevado impacto funcional na população idosa. O conhecimento sobre as características dessas demandas na Atenção Primária à Saúde (APS) é escasso, o que dificulta o planejamento de linhas de cuidados destinadas ao manejo da dor nessa população. O objetivo foi investigar características da dor no joelho em idosos usuários da atenção primária à saúde, segundo aspectos sociodemográficos. Foi realizado estudo transversal com 201 idosos em três unidades de saúde selecionadas aleatoriamente. Dor no joelho foi classificada em crônica (>três meses) e aguda (
Knee pain is a condition recognized for its high functional impact in the older population. Knowledge about the characteristics of these demands in Primary Health Care (PHC) is scarce, which makes it difficult to plan lines of care aimed at pain management in this population. The objective of this study was to investigate characteristics of knee pain among older adults users of primary health care, according to sociodemographic aspects. A cross-sectional study was carried out with 201 older adults in three randomly selected health units. Knee pain was classified as chronic (>3 months) and acute (<3 months). The Analog Pain Scale was applied to assess the intensity, scored from 0 to 10, and questions about the impact of pain on daily life and demand for health services. Gender, age, presence of a partner, and education were recorded. Chronic knee pain was reported by 39.8% of participants; 24.9% reported functional impact and 23.9% sought a health service. Presence of pain (p=0.021) and functional impact (p=0.016) were more frequent among those who did not have a partner and the search for health services was more frequent among those with higher education. Acute knee pain was reported by 37.8% of participants, mean pain intensity was 2.4 (SD:3.6), and was associated with higher education and not having a partner. The demand for care for older adults with knee pain in PHC is high and is characterized as being functionally impactful and stimulating the demand for health services, in addition to being unequal in terms of education and the presence of a partner.
RESUMO
The access to health information is one of the rights of the user of the public health care system, but it is little respected in health services. This study investigates the problem from the perspective of the female clientele. A qualitative study was carried out with a sample of seventeen low-income mothers, which reside in the outskirts of the Federal District. The mothers are frequent users of the health care services, but their adherence to prescribed conducts depends on social and economic factors and how they perceive the various alternatives at their hand. Access to health information is hampered by the mother's low level of instruction, use of folklore medicine, faulty communication and lack of receptive/nurturing environment, indifference to social rights on the part of health providers.
O acesso à informação em saúde é um dos direitos do usuário do sistema público de saúde, porém este direito é pouco respeitado nos serviços de saúde. Este estudo investiga a problemática a partir da ótica da clientela feminina. Realizou-se um estudo qualitativo com uma amostra de dezessete mães, de baixa renda, residentes na periferia do Distrito Federal. As mães são usuárias freqüentes dos serviços de saúde, mas sua adesão às condutas prescritas depende de fatores socioeconômicos e de como elas percebem as várias alternativas a seu alcance. O acesso à informação em saúde é dificultado pelo baixo grau de escolaridade da mãe, uso de crendices populares, comunicação deficitária e falta de acolhimento/vínculo, descaso com os direitos sociais por parte dos profissionais de saúde.
El acceso a la información en salud es un derecho del usuario del sistema publico de salud, todavía este derecho es muy poco respetable en los servicios de salud. Este trabajo investiga el problema bajo la perspectiva de las mujeres. Fue hecho un estudio cualitativo con una muestra de 17 mujeres, de baja escolaridad que viven en la periferia del Distrito Federal. Las madres son usuarias frecuentes de los servicios de salud, pero su adhesión a las conductas prescritas dependen del factores socioeconómicos y del como ellas perciben las varias alternativas al su alcance. El acceso a la información en salud es dificultado por el bajo grau de escolaridad de la madre, uso de creencias populares, comunicación deficitaria y falta de la acogida/vínculo, irresponsabilidad con los derechos sociales por parte de los profesionales de la salud.