Health literacy of older people in primary care

Abstract

Objective: To analyze how elderly people linked to health education groups of a primary care unit seek, understand and share information, aiming to maintain and promote health throughout life. Methods: Qualitative descriptive study, conducted with 30 elderlies linked to three groups of health education during the second semester of 2009. The data collection was performed through interviews and thematic analysis with the assistance of the NVivo software. Results: Five categories of analysis were elaborated -Interest/concern in health, search, understanding, sharing and impact of information on the elderly. Conclusions: The health literacy in the groups developed in an individual perspective, focused on the prevention and treatment of injuries, respecting the history and knowledge of the subjects and appreciating the possibilities of exchange among them. The results support the planning, implementation and improvement of actions in health education with older people in primary care. Keywords: Health education; Health literacy; Health of the elderly RESUMO Objetivo: Analisar como pessoas idosas vinculadas a grupos de educação em saúde de uma unidade básica de saúde buscam, compreendem e partilham informações a fim de manter e promover a saúde ao longo da vida. Métodos: Pesquisa descritiva de caráter qualitativo, realizada com 30 idosos ligados a três grupos de educação em saúde, no segundo semestre de 2009, cuja coleta de informações deu-se por meio de entrevistas e análise temática, com o apoio do software NVivo. Resultados: Foram elaboradas cinco categorias de análise -interesse/preocupação em saúde; busca, compreensão partilha e repercussão das informações para o idoso. Conclusões: A alfabetização em saúde nos grupos desenvolveu-se em uma perspectiva individual, voltada à prevenção e tratamento de danos, respeitando a trajetória e conhecimento dos sujeitos e valorizando possibilidades de trocas entre os mesmos. Os resultados apoiarão o planejamento, implementação e aprimoramento de ações de educação em saúde com idosos na atenção básica à saúde. Descritores: Educação em saúde; Alfabetização em saúde; Saúde do idoso RESUMEN Objetivo: Analizar cómo las personas ancianas vinculadas a grupos de educación en salud de una unidad básica de salud buscan, comprenden y comparten informaciones a fin de mantener y promover la salud a lo largo de la vida. Métodos: Se trata de una investigación descriptiva de carácter cualitativo, realizada con 30 ancianos ligados a tres grupos de educación en salud, en el segundo semestre del 2009, cuya recolección de informaciones se llevó a cabo por medio de entrevistas y análisis temático, con el apoyo del software NVivo. Resultados: se elaboraron cinco categorías de análisis -interés/preocupación en salud; búsqueda, comprensión, compartir y repercusión de las informaciones para el anciano. Conclusiones: La alfabetización en salud en los grupos se desarrolló en una perspectiva individual, volcada a la prevención y tratamiento de los daños, respetando la trayectoria y conocimiento ...

Condições do letramento funcional em saúde de um grupo de idosos diabéticos

“…This assertive arises from the scientific evidence explored in national and international databases on FHL, where it was observed that in Brazil and specifically in the scientific production of nursing, studies to assess this aspect, especially with the elderly, are little known. In the period from 2005 to 2014, they found only two studies performed by nurses in Brazil with elderly (in the South), using an assessment protocol from a Canadian model and qualitative analysis method (10)(11) . The FHL is a complex nature theme, multidimensional and interdisciplinary.…”

Letramento funcional em saúde na perspectiva da Enfermagem Gerontológica: revisão integrativa da literatura

“…As a consequence, these individuals will be empowered in terms of self-care, and will learn to see FHL as a process that is established is several stages, as demonstrated in the model created by Sorensen et al 15 In addition, this review also addressed the different strategies that nurses can use in their daily activities to prove the impact of FHL on the quality of health assistance and above all, basic healthcare services. 18 The main limitation of this literature review was the scarcity of scientific production on FHL among the elderly population of Brazil. This limitation may have hindered a more in-depth discussion of FHL in this population, although it is hoped that these results will encourage future studies on this theme.…”

“…18,28 Concerning the specific theoretical body of nursing and the assessment perspective of FHL, nursing care is significant, since it involves possible Nursing Diagnoses (ND). These can be used in situations involving a risk to the health of an elderly individual due to inadequate FHL, such as in the case of the control/lack of control of diseases of the endocrine system or diabetes (Figure 2).…”

“…16,17 In Brazil, this subject has not been studied in great detail and requires greater investment in order to strengthen and improve healthcare strategies and practices. 18 For comparative purposes, 60% of the population of Canada exhibit inadequate FHL, and this figure rises to 88% among the elderly population. 19 The World Health Organization (WHO), through the Commission on Social Determinants of Health, identified FHL as one of the social determinants of health, since it can contribute to an improvement in the individual's ability to access, understand, assess and communicate information in a manner that will improve their own health, as well as that of their family and community.…”

“…8 There is an expectation that this concept, which is based on the preexisting competence of individuals in the health environment and the results of its application, could drive future projects/interventions to instruct the elderly in relation to preventative measures and health promotion. 18 This segment concerned itself with investigating and divulging the subject of FHL, questioning the trends of scientific production in the area of gerontological nursing. Therefore, the aim of the present study was to perform an integrative literature review on the theme of functional health literacy from the perspective of gerontological nursing.…”