Percepções e movimentos da pessoa idosa com tuberculose antes do ingresso no sistema formal de saúde.

• Ano de defesa: 2013
• Autor(a) principal: Santos, Ana Rita Bizerra do Nascimento
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal da Paraí­ba; BR; Enfermagem; Programa de Pós-Graduação em Enfermagem; UFPB
• Palavras-chave em Português: Tuberculose; Pessoa idosa; Agente comunitário de saúde; Elderly; Tuberculosis; Perception; Health Service; CIENCIAS DA SAUDE::ENFERMAGEM
• Link de acesso: https://repositorio.ufpb.br/jspui/handle/tede/5118

With the prolongation of life, have been observed changes in the profile of illness in the population and modifications in social demands. In developing countries, like Brazil, technological advances related to health, have secured an increase in life expectancy with guarantee for additional years of life quality. Parallel to the increasing of the elderly number in population, it has shown a displacement in de incidence of TB cases for the age group corresponding to the elderly population. This study objected to analyze the perceptions and movements of elderly people affected by tuberculosis in relation to the actions and knowledge manifested before confirmation of diagnosis and the search for formal health system, in the city of João Pessoa (PB). This is a research of evaluate kind, which utilized secondary database, collected in the period from December 2010 to February 2011, by means of semi-directed interviews, conducted with seven elderly with TB. The method of analysis utilized for the treatment of information was the content analysis, in the thematic modality, which enabled the identification of two thematic units: suspecting TB and first measures taken by the elderly and care for elderly with TB before the diagnosis confirmation. The study revealed to the first unit, that the elderly related classic symptoms of the disease to health problems of low complexity. The simplified perception led them to a wrong move, since it, when searching health services for diagnostic elucidation, evidenced measures of self-care with self-medication, made through the use of medicinal plants, homemade remedies and allopathic medications. Perceptions and actions led to de delay in diagnosis of the disease, it obtained only by force of worsening symptoms. About the second thematic unit, the study revealed to exist fragilities in relation to the organization of health services in the search for respiratory symptoms, since this active search happens in a secondary way to home visits. The Community Health Agent, seen as the protagonist of health promotion, considered the link between health services and the community, was not identified as actor in suspected cases of disease in the subjects. The research has also showed that although existing the decentralization of actions to control the TB for the services of basic attention in health, the elderly affected by the disease do not move toward these services, addressing more complex levels to the gateway system of Health attention. The entrance door for the system for the elderly with TB is the reference hospital, which contradicts the logical of care organization that has the basic attention as ordinator of the health attention. It is emphasized the importance of family care as first support that the elderly have to reach when suspecting the disease, that the health teams should develop actions that consider not only the elderly with TB, but their family and the social reality in which they are in. Regarding the Community Health Agents, it is recommended actions directed to the qualifications of these professionals to better implementation of control actions of the disease and in the identification of symptoms in symptomatic respiratory. Therefore, it is expected that there is a bond formation between professionals and elderly with TB, in order to guarantee them access for the diagnosis of the disease through primary care, considered a gateway for formal health service.