A promoção da saúde de crianças em espaço hospitalar: refletindo sobre a prática fisioterapêutica

Abstract

Analisa-se a inserção da promoção de saúde na prática do profissional fisioterapeuta em ações voltadas para a atenção à saúde integral da criança em um ambiente hospitalar. Estudo de foco qualitativo, baseado na perspectiva hermenêutica-dialética. Para coleta dos dados, utilizaram-se as técnicas de observação participante e entrevista semiestruturada, e análise a partir de princípios do método de interpretação de sentidos. O estudo foi realizado com fisioterapeutas do Instituto Nacional de Saúde da Mulher, Criança e Adolescente Fernandes Figueira. Três eixos temáticos sintetizam a discussão dos resultados: a criança como foco da fisioterapia; a promoção da saúde por parte da fisioterapia pediátrica em ambiente hospitalar; e desafios da fisioterapia para a promoção da saúde das crianças. Este estudo aponta para algumas peculiaridades da prática fisioterapêutica, destacando seus limites e possibilidades, voltada para a promoção da saúde.

A Fisioterapia para novos atores: disputas e inovações para atenção às crianças cronicamente adoecidas

“…At the professional encounter with children, health professionals are provoked towards childhood memories and sensibilities, personal experiences to sustain their limits in practice 18 . At the same time, contents of knowledge, professional curricula and practical learning that do not seem to be considered in physiotherapy courses in the pediatric context 6,11 are triggered as necessary. The term "encounter" used here gains concept outlines when associated with Goffman's' 19 discussion of social interactions and the perspectives of encounters in face-to-face relationships.…”

“…Sá and Gomes 6 recognize that the physiotherapeutic practice, firmly based on the biomedical model, centered on the disease and not the subject, does not favor comprehensive healthcare to the chronically ill children. Physiotherapeutic actions are focused on the aggravation of base diseases, in the clinic and the measurements, with no margin for health promotion and extended health care.…”

“…Moreover, as another point of dialogue between the stigma of chronicity in children and vocational training, we emphasize that pediatric specialization is seen with less value within professional training. Sá and Gomes 6 point out that the pediatric specialty is deemed a "minor" area in Physiotherapy, poorly valued by physiotherapists themselves. Moreira and Souza 9 point out that pediatrics and psychiatry are perceived as minor specialties by their practitioners because they develop with subjects who are given the status of minors, more complicated because they carry the mark of dependence, incapacity, unexpectedness, violence, transgression, and spontaneity, namely, children and the demented.…”

Care opportunities for premature infants: home visits and telephone support

“…Being a qualitative research, the search and inclusion of participants was completed when the results generated meanings to understand the phenomena in depth, richness and complexity (14) . reinterpretation and explanation of the contents (15) without using data analysis software. Caring for premature infants at home requires careful assessment, considering family characteristics, emotional state of caregivers, stress levels, adaptation strategies, forms of home organization and the need for personal and professional support (16) .…”