Health care of elderly people with disabilities living in rural settings: perspective of community agents
DOI:
https://doi.org/10.4025/ciencuidsaude.v22i0.65777Keywords:
Elderly, Rural health, Community Health Workers, Disabled people, Nursing researchAbstract
Objective: to apprehend the perspective of Community Agents on health care of elderly people with disabilities living in rural settings. Method: quantitative-qualitative study, whose data collection was initially performed with 276 people with disabilities living in rural settings, through questionnaires applied from August 2018 to July 2019. From this total, only the elderly were selected to be part of the cut of this research, totaling a sample of 54 individuals. After analyzing the quantitative data through a statistical program, 18 Community Health Agents who assisted these elderly in their micro rural areas were interviewed. The interviews were conducted from July to August 2021, analyzed by the Thematic Content Analysis. Results: it was possible to verify the presence of chronic diseases in the elderly, in addition to dependence on public health services, far from homes. The Community Health Agents reported their actions of attention to the elderly with disabilities, highlighting the importance of the collaboration of the multidisciplinary team to meet this population. Conclusion: it appears that the care to this population stratum, in rural communities, focuses on the Community Health Agent, indicating the need for new research on the subject
Downloads
Download data is not yet available.
References
1. Cabral R, Dellaroza MSG, Carvalho BG, Zani AV. Elderly care in Primary Health Care from the perspective of health professionals. Ciênc., Cuid. Saúde. 2019;18(2): e45026. DOI: https://doi.org/10.4025/ciencuidsaude.v18i2.45026
2. Machado WCA, Pereira JS, Schoeller SD, Júlio LC, Martins MMFPS, Figueiredo NMA. Comprehensiveness in the care network regarding the care of the disabled person. Texto Contexto Enferm. 2018;27(3):e4480016. DOI: https://doi.org/10.1590/0104-07072018004480016
3. Guo C, Chang J, Zheng X, Wang L. Utilization rate of healthcare service of the elderly with disabilities - China, 1987-2014. China CDC Weekly. 2020;2(28):516-19. DOI: https://doi.org/10.46234/ccdcw2020.140
4. Maeyama MA, Brusamarello A, Cardoso C, Munaro CA, Oliveira IC, Pegoretti ML. Saúde do Idoso e os atributos da Atenção Básica à Saúde. Braz J Dev. 2020;6(8):55018-36. DOI: https://doi.org/10.34117/bjdv6n8-063
5. Costa LA, Carneiro FF, Almeida MM, Machado MFAS, Dias AP, Menezes FWP, et al. Estratégia Saúde da Família rural: uma análise a partir da visão dos movimentos populares do Ceará. Saúde debate. 2019;43(spe8):36-49. DOI: https://doi.org/10.1590/0103-11042019S803
6. Cardoso LS, Bonow CA, Xavier DM, Cezar-Vaz MR. Occupational risks in agricultural work and the negotiation for the health of rural workers Rev. Enferm UFSM. 2021;11(e43):1-21. DOI: https://doi.org/10.5902/2179769248096
7. Nascimento HG, Figueiredo AEB. Family Health Strategy and older adults with dementia: care provided by health professional. Ciênc. Saúde Colet. 2021;26(1):119-28. DOI: https://doi.org/10.1590/1413-81232020261.40942020
8. McCollum R, Gomez W, Theobald S, Taegtmeyer M. How equitable are community health worker programmes and which programme features influence equity of community health worker services? A systematic review. BMC Public Health. 2016;16(419):1-16. DOI: https://doi.org/10.1186/s12889-016-3043-8
9. Lima JG, Giovanella L, Fausto MCR, Almeida PF. O processo de trabalho dos agentes comunitários de saúde: contribuições para o cuidado em territórios rurais remotos na Amazônia, Brasil. Cad. Saúde Pública. 2021;37(8):e00247820. DOI: https://doi.org/10.1590/0102-311X00247820
10. Nakata LC, Feltrin AFS, Chaves, LDP, Ferreira JBB. Concept of health care network and its key characteristics: a scoping review. Esc. Anna Nery. 2020;24(2):e20190154. DOI: https://doi.org/10.1590/2177-9465-EAN-2019-0154
11. Schenker M, Costa DH. Advances and challenges of health care of the elderly population with chronic diseases in Primary Health Care. Ciênc. Saúde Colet. 2019;24(4):1369-80. DOI: https://doi.org/10.1590/1413-81232018244.01222019
12. Minayo MCS. O desafio do conhecimento: pesquisa qualitativa em saúde. 14ª ed. São Paulo: Hucitec: 2014.
13. Silva RS, Fedosse E. Condições de vida e saúde de pessoas com deficiência intelectual envelhecentes. Braz J Dev. 2020;6(6):36776-89. DOI: https://doi.org/10.34117/bjdv6n6-278
14. Macedo E, Ulrich V, Bós AMG, Bós AJG. Fatores relacionados à autopercepção do estado de saúde em idosos residentes no meio rural do Brasil. Sci. Med. 2018;28(3):ID29698. DOI: https://doi.org/10.15448/1980-6108.2018.3.29698
15. Scursel C, Fiorentin L, Cechet SRS, Cetolin SF, Beltrame V. Multimorbidade e polifarmácia em idosos residentes no perímetro rural do município de Seara-SC. Braz J Dev. 2021;7(1):7308-23. DOI: https://doi.org/10.34117/bjdv7n1-494
16. Franco MT, Wypyszynski RM, Bisognin E, Schaly R, Martins RB, Ianiski VB. Capacidade funcional de idosos adscritos em uma Estratégia Saúde da Família do meio rural. RBCEH - Rev. Bras. Ciênc. Envelhecimento Hum. 2018;15(1):62-75. DOI: https://doi.org/10.5335/rbceh.v15i1.7781
17. Kshatri JS, Palo SK, Bhoi T, Barik SR, Pati S. Prevalence and patterns of multimorbidity among rural elderly: findings of the AHSETS study. Front Public Health. 2020;8:582663. DOI: https://doi.org/10.3389/fpubh.2020.582663
18. Buso ALZ, Viana DA, Alves LMS, Dias FA, Oliveira DVD, Antunes MD, et al. Fatores associados à qualidade de vida dos idosos octogenários da zona rural de Uberaba/MG. Cad. Saúde Colet. 2020;28(2):231-40. DOI: https://doi.org/10.1590/1414-462X202000020193
19. Arruda NM, Maia AG, Alves LC. Desigualdade no acesso à saúde entre as áreas urbanas e rurais do Brasil: uma decomposição de fatores entre 1998 a 2008. Cad. Saúde Pública. 2018;34(6):e00213816. DOI: https://doi.org/10.1590/0102-311X00213816
20. Fonseca RBG. O perfil do Agente Comunitário de Saúde e sua feminização. Enferm. Bras. 2019;18(3):430-6. DOI: https://doi.org/10.33233/eb.v18i3.2723
21. Assis AS, Castro-Silva CR. Agente comunitário de saúde e o idoso: visita domiciliar e práticas de cuidado. Physis. 2018;28(3):e280308. DOI: https://doi.org/10.1590/S0103-73312018280308
22. Ceccon RF, Soares KG, Vieira LJES, Garcia Júnior CAS, Matos CCSA, Pascoal MDHA. Primary Health Care in caring for dependent older adults and their caregivers. Ciênc. Saúde Colet. 2021;26(1):99-108. DOI: https://doi.org/10.1590/1413-81232020261.30382020
23. Malta EMBR, Araújo DD, Brito MFSF, Pinho LD. Práticas de profissionais da Atenção Primária à Saúde (APS) no cuidado a idosos com demência. Interface (Botucatu). 2020;24(suppl 1):e190449. DOI: https://doi.org/10.1590/Interface.190449
24. Bolognesi AA, Santos BP, Rezende KTA, Silva PSM. A região rural do território de uma USF: as políticas de saúde, a organização e a mobilidade social. CIAIQ2019 [Internet]. 2019 [citado em 2022 out 30];2:1508-18. Disponível em: https://proceedings.ciaiq.org/index.php/CIAIQ2019/article/view/2345/2255
25. Lu S, Wu Y, Mao Z, Liang X. Association of formal and informal social support with health-related quality of life among Chinese rural elders. Int. J. Environ. Health Res. Public Health. 2020;17(4):1351. DOI: https://doi.org/10.3390/ijerph17041351.
2. Machado WCA, Pereira JS, Schoeller SD, Júlio LC, Martins MMFPS, Figueiredo NMA. Comprehensiveness in the care network regarding the care of the disabled person. Texto Contexto Enferm. 2018;27(3):e4480016. DOI: https://doi.org/10.1590/0104-07072018004480016
3. Guo C, Chang J, Zheng X, Wang L. Utilization rate of healthcare service of the elderly with disabilities - China, 1987-2014. China CDC Weekly. 2020;2(28):516-19. DOI: https://doi.org/10.46234/ccdcw2020.140
4. Maeyama MA, Brusamarello A, Cardoso C, Munaro CA, Oliveira IC, Pegoretti ML. Saúde do Idoso e os atributos da Atenção Básica à Saúde. Braz J Dev. 2020;6(8):55018-36. DOI: https://doi.org/10.34117/bjdv6n8-063
5. Costa LA, Carneiro FF, Almeida MM, Machado MFAS, Dias AP, Menezes FWP, et al. Estratégia Saúde da Família rural: uma análise a partir da visão dos movimentos populares do Ceará. Saúde debate. 2019;43(spe8):36-49. DOI: https://doi.org/10.1590/0103-11042019S803
6. Cardoso LS, Bonow CA, Xavier DM, Cezar-Vaz MR. Occupational risks in agricultural work and the negotiation for the health of rural workers Rev. Enferm UFSM. 2021;11(e43):1-21. DOI: https://doi.org/10.5902/2179769248096
7. Nascimento HG, Figueiredo AEB. Family Health Strategy and older adults with dementia: care provided by health professional. Ciênc. Saúde Colet. 2021;26(1):119-28. DOI: https://doi.org/10.1590/1413-81232020261.40942020
8. McCollum R, Gomez W, Theobald S, Taegtmeyer M. How equitable are community health worker programmes and which programme features influence equity of community health worker services? A systematic review. BMC Public Health. 2016;16(419):1-16. DOI: https://doi.org/10.1186/s12889-016-3043-8
9. Lima JG, Giovanella L, Fausto MCR, Almeida PF. O processo de trabalho dos agentes comunitários de saúde: contribuições para o cuidado em territórios rurais remotos na Amazônia, Brasil. Cad. Saúde Pública. 2021;37(8):e00247820. DOI: https://doi.org/10.1590/0102-311X00247820
10. Nakata LC, Feltrin AFS, Chaves, LDP, Ferreira JBB. Concept of health care network and its key characteristics: a scoping review. Esc. Anna Nery. 2020;24(2):e20190154. DOI: https://doi.org/10.1590/2177-9465-EAN-2019-0154
11. Schenker M, Costa DH. Advances and challenges of health care of the elderly population with chronic diseases in Primary Health Care. Ciênc. Saúde Colet. 2019;24(4):1369-80. DOI: https://doi.org/10.1590/1413-81232018244.01222019
12. Minayo MCS. O desafio do conhecimento: pesquisa qualitativa em saúde. 14ª ed. São Paulo: Hucitec: 2014.
13. Silva RS, Fedosse E. Condições de vida e saúde de pessoas com deficiência intelectual envelhecentes. Braz J Dev. 2020;6(6):36776-89. DOI: https://doi.org/10.34117/bjdv6n6-278
14. Macedo E, Ulrich V, Bós AMG, Bós AJG. Fatores relacionados à autopercepção do estado de saúde em idosos residentes no meio rural do Brasil. Sci. Med. 2018;28(3):ID29698. DOI: https://doi.org/10.15448/1980-6108.2018.3.29698
15. Scursel C, Fiorentin L, Cechet SRS, Cetolin SF, Beltrame V. Multimorbidade e polifarmácia em idosos residentes no perímetro rural do município de Seara-SC. Braz J Dev. 2021;7(1):7308-23. DOI: https://doi.org/10.34117/bjdv7n1-494
16. Franco MT, Wypyszynski RM, Bisognin E, Schaly R, Martins RB, Ianiski VB. Capacidade funcional de idosos adscritos em uma Estratégia Saúde da Família do meio rural. RBCEH - Rev. Bras. Ciênc. Envelhecimento Hum. 2018;15(1):62-75. DOI: https://doi.org/10.5335/rbceh.v15i1.7781
17. Kshatri JS, Palo SK, Bhoi T, Barik SR, Pati S. Prevalence and patterns of multimorbidity among rural elderly: findings of the AHSETS study. Front Public Health. 2020;8:582663. DOI: https://doi.org/10.3389/fpubh.2020.582663
18. Buso ALZ, Viana DA, Alves LMS, Dias FA, Oliveira DVD, Antunes MD, et al. Fatores associados à qualidade de vida dos idosos octogenários da zona rural de Uberaba/MG. Cad. Saúde Colet. 2020;28(2):231-40. DOI: https://doi.org/10.1590/1414-462X202000020193
19. Arruda NM, Maia AG, Alves LC. Desigualdade no acesso à saúde entre as áreas urbanas e rurais do Brasil: uma decomposição de fatores entre 1998 a 2008. Cad. Saúde Pública. 2018;34(6):e00213816. DOI: https://doi.org/10.1590/0102-311X00213816
20. Fonseca RBG. O perfil do Agente Comunitário de Saúde e sua feminização. Enferm. Bras. 2019;18(3):430-6. DOI: https://doi.org/10.33233/eb.v18i3.2723
21. Assis AS, Castro-Silva CR. Agente comunitário de saúde e o idoso: visita domiciliar e práticas de cuidado. Physis. 2018;28(3):e280308. DOI: https://doi.org/10.1590/S0103-73312018280308
22. Ceccon RF, Soares KG, Vieira LJES, Garcia Júnior CAS, Matos CCSA, Pascoal MDHA. Primary Health Care in caring for dependent older adults and their caregivers. Ciênc. Saúde Colet. 2021;26(1):99-108. DOI: https://doi.org/10.1590/1413-81232020261.30382020
23. Malta EMBR, Araújo DD, Brito MFSF, Pinho LD. Práticas de profissionais da Atenção Primária à Saúde (APS) no cuidado a idosos com demência. Interface (Botucatu). 2020;24(suppl 1):e190449. DOI: https://doi.org/10.1590/Interface.190449
24. Bolognesi AA, Santos BP, Rezende KTA, Silva PSM. A região rural do território de uma USF: as políticas de saúde, a organização e a mobilidade social. CIAIQ2019 [Internet]. 2019 [citado em 2022 out 30];2:1508-18. Disponível em: https://proceedings.ciaiq.org/index.php/CIAIQ2019/article/view/2345/2255
25. Lu S, Wu Y, Mao Z, Liang X. Association of formal and informal social support with health-related quality of life among Chinese rural elders. Int. J. Environ. Health Res. Public Health. 2020;17(4):1351. DOI: https://doi.org/10.3390/ijerph17041351.
Downloads
Published
2023-04-05
Issue
Section
Original articles
How to Cite
Health care of elderly people with disabilities living in rural settings: perspective of community agents. (2023). Ciência, Cuidado E Saúde, 22. https://doi.org/10.4025/ciencuidsaude.v22i0.65777
