O objetivo do estudo foi caracterizar os casos de lesões na mão relacionadas ao trabalho atendidos no Setor de Terapia da Mão do Hospital Maria Amélia Lins, em Belo Horizonte, MG. Foram analisados 711 protocolos de avaliação dos pacientes atendidos de janeiro 2004 a dezembro 2005, dos quais 238 corresponderam a acidentes do trabalho, com 87% de homens e média de idade 34 anos. Em 45% dos casos, a lesão foi no lado direito, sendo o não-dominante mais acometido (52%). Manutenção e/ou reparação (35%) e serviços e/ou comércio (33%) foram as categorias ocupacionais com maior índice de acidentes e as máquinas o principal agente causador (57%). Tendão (29%) e osso (23%) foram as estruturas mais lesadas, sendo atingidos principalmente os dedos (73%) e as mãos (18%). A grande maioria dos pacientes (80%) levaram de 2 a 60 dias após o acidente para iniciar a reabilitação e a mediana do tempo de tratamento foi 55 dias. As associações da ocupação do paciente com o agente causador e com a estrutura lesada foram significativas (p<0,05), bem como as associações entre agente causador e estrutura lesada e dessa com o tempo decorrido entre a lesão e início da reabilitação. Tipo de lesão e agente causador estavam associados ao tempo em reabilitação, explicando porém apenas 6,7% de sua variabilidade. Essas características das lesões ocupacionais das mãos devem ser consideradas no planejamento das ações de prevenção e de melhoria dos serviços de saúde.
The new healthcare measures proposed by the Brazilian National Humanization Policy stress the patients’ welcoming, which constantly seeks to recognize the needs of clients and the forms of satisfying these needs. Studies have demonstrated the importance of humanized care, in which listening to the client is a valuable tool for assessing the efficacy of the service of-fered to a particular population. The aim of the present study was to describe how clients per-ceive the manner in which they are received at a hand rehabilitation clinic and to analyze the most important factors. A qualitative approach was adopted, with semistructured interviews in which clients were asked about how they were received at the clinic in terms of access, posture, and technique. Content analysis consisted of arranging, classifying and analyzing the results. Twelve patients from a public hospital in the city of Belo Horizonte, Minas Gerais, Brazil, participated in the study. The patients considered good reception to be the most hu-manized manner of being received–– with care, politeness, and fondness. Communication between therapist and client proved to be important in building a trusting relationship, generating client satisfaction and favoring progress in the treatment. It was evident that a warm reception was a valuable therapeutic instrument for the rehabilitation professional. Having listening skills and revealing oneself to be sensitive to the needs of the client helps reduce the natural fear and anxiety experienced at the beginning of physical therapy treatment and facili-tates the entire process.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.