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Análisis y reflexión sobre modelos teóricos del proceso salud-enfermedad

Cadernos De Saude Publica - CAD SAUDE PUBLICA 01/1992; 8(3). DOI: 10.1590/S0102-311X1992000300005
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    ABSTRACT: Home care for the elderly has a great ally in the family caregiver, in general a spouse. However, these spouses frequently have health complaints themselves. To understand the meaning of health for elderly spouses who are caregivers, to know the changes in their health after taking this role and to learn how they take care of their own health, the authors developed an exploratory qualitative study in which elderly spouses caregivers were perso- nally interviewed. The speeches were analyzed according to the Discourse Analysis on Collective Subject. The result is that they understood health as having energy, showing no symptoms, needing no doctor, depending on no one and requiring no care. They took care of their own health through diet control, respect to routines and personal habits, performance of their daily activities, physical activities and medical control. The changes noticed after becoming caregivers were tiredness, stress, preoccu- pation, development of sym- ptoms and illnesses, increase of health risks and changes in routine and in self-esteem.
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    [Show abstract] [Hide abstract]
    ABSTRACT: Home care for the elderly has a great ally in the family caregiver, in general a spouse. However, these spouses frequently have health complaints themselves. To understand the meaning of health for elderly spouses who are caregivers, to know the changes in their health after taking this role and to learn how they take care of their own health, the authors developed an exploratory qualitative study in which elderly spouses caregivers were personally interviewed. The speeches were analyzed according to the Discourse Analysis on Collective Subject. The result is that they understood health as having energy, showing no symptoms, needing no doctor, depending on no one and requiring no care. They took care of their own health through diet control, respect to routines and personal habits, performance of their daily activities, physical activities and medical control. The changes noticed after becoming caregivers were tiredness, stress, preoccupation, development of symptoms and illnesses, increase of health risks and changes in routine and in self-esteem.
    Revista da Escola de Enfermagem da U S P 01/2007; 40(4):493-500. · 0.39 Impact Factor
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    ABSTRACT: RESUMEN El método epidemiológico es considerado la forma estándar de estudiar los problemas de salud pública. Debido a la complejidad de los problemas sa-nitarios, en las últimas décadas algunos autores llamaron al uso de métodos cualitativos. En este ensayo se muestra que el uso complementario de mé-todos cuantitativos y cualitativos es conservador y limitado, por lo que se sugiere que la salud pública requiere utilizar diversas aproximaciones epis-temológicas, y no solo conjugar métodos cuantitativos y cualitativos. El caso de los plaguicidas y los efectos en la salud humana es usado como ejemplo para mostrar los aportes y limitaciones de diferentes modelos teóricos en salud pública (sanitarista, biomédico, epidemiológico clásico, higienista-pre-ventivo, ecologista, epidemiológico social, económico, material-histórico y neoconservador), así como para poner en evidencia la necesidad de usar diferentes aproximaciones epistemológicas. Se concluye que una aproxima-ción integradora permitirá que la salud pública sea más pluralista y demo-crática. Palabras Clave: Investigación cualitativa, conocimiento, salud pública, pla-guicida (fuente: DeCS, BIREME).
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