RESUMENFrente a los cambios en la organización de la atención básica, se torna necesario reflexionar sobre las contribuciones de enfermería en el ámbito asistencial. Este artí-culo tiene como objetivo revisar los conceptos de autonomía e necesidades de salud, y revisar sus aplicaciones en las diferentes propuestas para sistematización de la asistencia de enfermería. Se realizó una revisión bibliográfica sobre: sistematización de la asistencia de enfermería, autonomía y necesidades de salud, en las bases LILACS y BDENF. Los resultados indican que la autonomía contempla las vertientes profesionales y del paciente. Con respecto al tema necesidades, se verifican las vertientes necesidades biológicas y sociales, que se interceptan con la psicológica para abarcar las necesidades biopsicosociales. Se comprobó que la aplicación de los conceptos analizados, no están presentes en todos los sistemas de clasificación de enfermería, sin embargo, los que más se aproximan son los proyectos de CIPE y CIPESC. DESCRIPTORES

resumoA ampliação das ações de promoção da saúde na Estratégia Saúde da Família pode contribuir para a construção da integralidade, mas, ainda persistem lacunas de tecnologias para instrumentalizar os profissionais a analisarem os potenciais de saúde da população. O objetivo deste estudo é sintetizar as contribuições do WHOQOL-bref para instrumentalizar ações de promoção da saúde na Estratégia Saúde da Família. Foi realizada uma metassíntese qualitativa a partir de pesquisas realizadas pelo grupo Modelos tecnoassistenciais e a promoção da saúde com o uso do WHOQOL-bref e sua interface com a promoção da saúde. As sínteses das cinco pesquisas mostraram que existem relações conceituais entre os domínios do WHOQOL-bref e a promoção da saúde, legitimando este como um instrumento para a promoção da saúde. A utilização do WHOQOL-bref pode facilitar o vinculo e o cuidado longitudinal na Estratégia Saúde da Família. resumenLa ampliación de las acciones de promoción de salud en la Estrategia Salud de la Familia puede contribuir en la construcción de la integralidad, pero aún persisten lagunas de tecnologías para instrumentalizar que los profesionales analicen los potenciales de salud de la población. El objetivo de este estudio es sintetizar las contribuciones del WHOQOL-bref para instrumentalizar acciones de promoción sanitaria en la Estrategia Salud de la Familia. Se realizó una metasíntesis cualitativa a partir de investigaciones realizadas por el grupo Modelos tecno-asistenciales y la promoción de salud con el uso del WHOQOL-bref y su relación con la promoción de la salud. Las síntesis de las cinco investigaciones demostraron que existen relaciones conceptuales entre los dominios del WHOQOL-bref y la promoción de la salud, legitimándolo como instrumento para la promoción sanitaria. La utilización del WHOQOL-bref puede facilitar el vínculo y el cuidado longitudinal en la Estrategia Salud de la Familia.

In Brazil, since the inception of the Brazilian National Health Care System (SUS), Health Promotion has been a priority among its tasks, composing a line of integrated care for individuals. However, there is still the lack of training for professionals to capture and work with the subjective dimensions. Thus, the need arises for instruments to indicate the actions of health promotion in clinical practice with a broader vision. This work was chosen as the theoretical basis of the perspective of Health Promotion of Labonte, articulates the approach for biomedical and behavioral health interventions and adds that environmental and socio-emotional, is intrinsic to the disease process. This study aimed to verify and describe the limits and possibilities of the "WHOQOL-bref "to identify the dimensions of" health and wellness "proposed by Labonte. For methodology, the Delphi technique was used, and consisted of consulting a group of subject matter experts through a questionnaire passed among all respondents. On-line banks of theses and dissertations from USP and Unicamp, were consulted to select the experts and to seek works with the descriptor "WHOQOL"and "health promotion", during the last three years. After reading the summary of these works, experts were chosen whose themes had a closeness with the focus of this study. Fourteen researchers were chosen for the theme "health promotion" and eighteen researchers were chosen for the theme "quality of life". Seven researchers agreed to participate in the survey in the area of "quality of life" and nine in the area of "health promotion". For each question of the "WHOQOL-bref, excluding the first and second questions, the researchers were asked whether they were related to one or more areas of "health and welfare" of Labonte: "Vital Energy", "Project Life and Community Life". Each participant received an e-mail that contained a letter explaining the survey and the areas of Labonte, for any possible association with the issues that were on site http://qlqt.ipdsc.com.br as the Delphi survey. After collecting the data for each question of the "WHOQOL-bref "an equivalency index was applied to each area of Labonte. A consensus was considered when an area obtained an equivalency higher than 80% in a question in both research groups. A new round of questions was worked in areas that were higher than 25% and less than 80% in both research groups. Therefore, it took two rounds of questions to achieve the result. The instrument "WHOQOL-bref was perceived as an auxiliary tool of choice for capturing the dimensions of health promotion, for 83.3% of the questions that had to do with the dimensions of Health and Welfare of Labonte. It also had a higher relation in the areas of Vital Energy and Community Life (42.10% both) and lower relation in the area Life Project (15.8%). This study demonstrated the need for more studies to prove and improve the relationship of the instrument within the areas of health and well being of Labonte as well as its use in clinical practice contemplating broa...

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