Objective:The aim of this paper is to understand the experience of smokers in view of unsuccessful attempts to quit smoking. Method: This study is based on social phenomenology. Between November and December of 2014, nine interviews were conducted with people that had attempted to quit smoking. The content of these interviews was analyzed and discussed based on the related literature. Results: Unsuccessful attempts to quit smoking are related to tobacco addiction; cigarettes are seen as a support to cope with everyday stressful situations. Attempts to quit the smoking habits were based on the need of health improvement and insistence of family and friends. Smokers reported the use of habit cessation strategies learned in support groups, but they also express expectation of specialized psychological support. Conclusion: The study points out the need to expand the strategies of approaching smokers, and reinforcing psychological support in order to achieve success in the attempt to quit smoking.

Resumo Objetivo Compreender a experiência de reganho de peso após a cirurgia bariátrica. Métodos Pesquisa qualitativa realizada em um Hospital Público da cidade de São Paulo. A coleta de dados foi realizada entre março a maio de 2017, por meio de entrevistas com dezessete participantes e encerrada quando o conteúdo dos depoimentos responderam ao objetivo do estudo. A análise dos significados foi norteada pelo referencial teórico-filosófico de Alfred Schütz e estudiosos da fenomenologia social. Resultados O referencial adotado possibilitou desvelar quatro categorias que traduzem os motivos existenciais do agir de pessoas com reganho de peso após cirurgia bariátrica: “sentimento de fracasso frente ao reganho de peso; “aspectos emocionais que contribuem para o reganho de peso”, “impacto do reganho de peso na saúde física e mental” e “expectativas frente ao reganho de peso”. Conclusão Os resultados deste estudo permitem ressaltar a importância da escuta qualificada e o acolhimento das questões subjetivas que levam em conta a relação que cada paciente estabelece com a obesidade e com a cirurgia bariátrica. Os aspectos da experiência de reganho de peso destacados no grupo social estudado podem subsidiar a melhoria das práticas profissionais, o incremento do ensino, pesquisa e do conhecimento em saúde.

The aim of this study was to understand the experience and expectations of women having a school-age child with Down Syndrome. Participants were ten mothers of children with this syndrome who attended a mainstream school and were interviewed in June 2011. The following categories emerged from the testimonies: 'coping with challenges', 'search for balance', 'future projection of the child with Down Syndrome' and 'conciliation among being a woman, worker and mother to a child with Down Syndrome'. The women feel overburdened by the need to conciliate multiple roles. They are concerned with not knowing who will take care of their child in the future, do not have time to take care of themselves and everything related to the personal life is referred to as a postponed desire. Despite nuances of particularities, these women's experiences represent a typical behavior that characterizes the action of women having a child with Down syndrome.

Aim: understand the experience of women in the postoperative period of bariatric surgery. Method: qualitative study based on Social Phenomenology of Alfred Schütz. The study included eight women, whose testimonies were obtained in the period October-December 2012 through interviews with open questions. Results: The category "Rescue of everyday activities" reveals that surgery allowed the control of chronic diseases associated with obesity, autonomy for self-care and daily activities, the rescue of self-esteem and social inclusion. The category "Challenges" shows that women live with the need to adopt healthy eating habits that can enable the achievement and maintenance of the desired weight. Conclusion: Although this study evidences a gain in quality of life of the "bariatriczied" woman, it also underscores the need for a shared and longitudinal care with this clientele by a multidisciplinary team, due to the chronic nature of obesity.

A minha família, em especial ao Ailton, pelo carinho e incentivo de sempre. Às mulheres que participaram das entrevistas, pela disposição em compartilhar as suas experiências. À Prof.ª Dr.ª Solange Abrocesi Iervolino, pela atenção e disponibilidade em participar da banca de defesa. Aos integrantes do Grupo de Pesquisa em Enfermagem com Abordagens Fenomenológicas pelas contribuições e acolhimento. A Luciana Mazorra, pelo apoio e encorajamento de todos os momentos. A Rachel Rochael, pela confiança e contribuição para meu crescimento pessoal e profissional. A Francisca e seu filho Claudinho, pela amizade e carinho.

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Objective: to understand the path taken in the public health system by people with morbid obesity in the search for bariatric surgery. Method: qualitative research based on the social phenomenology of Alfred Schütz, with 17 hospitalized morbidly obese people, with a scheduled date for bariatric surgery. The phenomenological interview with open questions was used and the statements were analyzed in the light of the theoretical-methodological framework and literature related to the theme. Results: the participants were able to schedule bariatric surgery by referring friends, family and public people. The waiting list for the procedure generated anguish and anxiety due to fear of surgery, weight gain, risk of worsening health and physical limitations, but it helped prepare for its performance. The experience lived in the search for bariatric surgery led these people to want continuity of care in the Basic Health Unit, after the surgery, by professionals trained to meet their needs. Conclusion: the aspects inscribed in the path of people in search of bariatric surgery signal the need to strengthen the assistance-related flows of the public health system and to invest in professional training to reduce the social inequalities in access to bariatric surgery and increased quality of services.

Abstract Objective: To understand the health care experience of individuals with morbid obesity assisted in public healthcare services. Method: This was a qualitative study based on Alfred Schütz’s social phenomenology, carried out in the medical-surgical clinic of a public hospital in São Paulo, Brazil. Interviews with open questions were conducted between January and April 2017. Results: Seventeen individuals with morbid obesity participated in the study. The findings revealed care(lessness) experiences of obese individuals in the Brazilian Healthcare System in terms of structure/logistics and human resources. Study participants shared care expectations about health care management and staff, and further considered the Primary Health Care service as a scenario of power to have their obesity-related care needs met. Conclusion: The findings need to be carefully (re)examined by the healthcare system’s micro- and macro management, as well as by health teaching and research personnel, in order to integrate, follow up and qualify care actions towards the prevention and control of obesity in public healthcare services.