Retextualização da bula de medicamentos
Data
2022-12-13
Autores
Vieira, Aylla Karolline Nunes 
Orientadores
Elias, Vanda Maria da Silva
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Esta pesquisa tem como tema um estudo sobre a retextualização da bula de medicamentos
e o seu principal objetivo é identificar e analisar estratégias usadas no processo de
retextualização referente a esse tipo de produção. Quatro questões orientam a
investigação: 1) Quais as principais estratégias envolvidas na retextualização da bula de
medicamento do profissional da saúde para a bula do paciente, na perspectiva das
recomendações de órgãos oficiais da Saúde para as indústrias farmacêuticas? 2) Quais as
principais estratégias envolvidas na retextualização da bula realizada oralmente por
pacientes? 3) Quais as principais estratégias envolvidas na retextualização da bula
realizada oralmente por agente da saúde? 4) O que os dados revelam sobre a
retextualização e a atividade de leitura e compreensão da bula nos contextos de interação
referidos nas questões anteriores? Os dados para análise foram coletados por meio de
entrevistas semiestruturadas a seis pacientes idosos e agente de saúde, todos residentes na
comunidade São João de Sene, município de Tanque do Piauí (PI). Com a ancoragem
teórica de estudos sobre o texto desenvolvidos na Linguística Textual em sua abordagem
sociocognitiva e interacional, especialmente sobre o processo de retextualização
(MARCUSCHI, 2010, [2001]) , bem como de estudos sobre a bula de medicamentos, a
análise dos dados ocorreu em três etapas: 1ª) comparação e análise das bulas de
medicamento nas versões endereçadas ao profissional de saúde e ao paciente; 2ª)
descrição e análise das estratégias de retextualização da bula empregadas por pacientes
idosos e agente de saúde; 3ª) discussão das estratégias de retextualização relacionadas a
fatores implicados na leitura e compreensão da bula. Resultados relacionados ao processo
de retextualização, na perspectiva das indústrias farmacêuticas, indicam o uso das
estratégias de acréscimo, eliminação, substituição e reordenação tópica/subtópica na
reformulação da bula, visando a interesses e necessidades de pacientes. Em se tratando
das atividades retextualizadoras realizadas oralmente pelos participantes idosos da
pesquisa, os resultados obtidos revelam o uso destacado das estratégias de acréscimo,
eliminação e substituição com objetivos distintos que, no conjunto, dizem muito sobre a
compreensão que esses leitores têm da bula, particularmente, da parte alusiva à finalidade
do medicamento e dosagem a ser tomada. Da análise das práticas retextualizadoras de
agente da saúde em interação com pacientes, os resultados apontam, sobretudo, o uso de
estratégias de acréscimo, eliminação e substituição, com o intuito de que pacientes
entendam e sigam as recomendações contidas na bula. De modo geral, o conjunto dos
resultados obtidos com esta pesquisa permite reforçar o pressuposto assumido neste
trabalho de que a retextualização é um processo dependente da leitura e compreensão do
texto base, demandando, por conseguinte, atenção a conhecimentos múltiplos dos
envolvidos no movimento interacional.
This research has as its theme a study on the retextualization of the medication leaflet´s and its main objective is to identify and analyze strategies used in the retextualization process referring to this type of production. Four questions guide the investigation: 1) What are the main strategies involved in the retextualization of the health professional's medication leaflet to the patient's leaflet, in the perspective of the recommendations of official Health bodies for the pharmaceutical industries? 2) What are the main strategies involved in the retextualization of the leaflet performed orally by patients? 3) What are the main strategies involved in the retextualization of the medication leaflet´s out orally by a health agent? 4) What do the data reveal about the retextualization and the activity of reading and understanding the medication leaflet´s in the interaction contexts referred to in the previous questions? Data for analysis were collected through semi-structured interviews with six elderly patients and a health agent, all residents of the São João de Sene community, in the municipality of Tanque do Piauí (PI). With the theoretical anchoring of studies on the text developed in Textual Linguistics in its socio-cognitive and interactional approach, especially on the process of retextualization (MARCUSCHI, 2010, [2001]), as well as studies on the medication leaflet´s, data analysis took place in three stages: 1) comparison and analysis of the medication leaflet´s inserts in the versions addressed to the health professional and to the patient; 2) description and analysis of strategies for retextualizing the leaflet used by elderly patients and health agents; 3) discussion of retextualization strategies related to factors involved in reading and understanding the leaflet. Results related to the retextualization process, from the perspective of the pharmaceutical industries indicate the use of addition, elimination, substitution and topical/subtopical reordering strategies in the reformulation of the package leaflet, aiming at the interests and needs of patients. Regarding the retextualizing activities carried out orally by the elderly research participants, the results obtained reveal the prominent use of addition, elimination and substitution strategies with different objectives that, as a whole, say a lot about the understanding that these readers have of the leaflet, particularly, the part alluding to the purpose of the medication and dosage to be taken. From the analysis of the retextualizing practices of AS in interaction with patients, the results point out above all the use of addition, elimination and substitution strategies, with the intention that patients understand and follow the recommendations contained in the booklet In general, the set of results obtained from this research reinforces the assumption assumed in this work that retextualization is a dependent process of reading and understanding the base text, therefore demands attention to the multiple knowledge of those involved in the interactional movement.
This research has as its theme a study on the retextualization of the medication leaflet´s and its main objective is to identify and analyze strategies used in the retextualization process referring to this type of production. Four questions guide the investigation: 1) What are the main strategies involved in the retextualization of the health professional's medication leaflet to the patient's leaflet, in the perspective of the recommendations of official Health bodies for the pharmaceutical industries? 2) What are the main strategies involved in the retextualization of the leaflet performed orally by patients? 3) What are the main strategies involved in the retextualization of the medication leaflet´s out orally by a health agent? 4) What do the data reveal about the retextualization and the activity of reading and understanding the medication leaflet´s in the interaction contexts referred to in the previous questions? Data for analysis were collected through semi-structured interviews with six elderly patients and a health agent, all residents of the São João de Sene community, in the municipality of Tanque do Piauí (PI). With the theoretical anchoring of studies on the text developed in Textual Linguistics in its socio-cognitive and interactional approach, especially on the process of retextualization (MARCUSCHI, 2010, [2001]), as well as studies on the medication leaflet´s, data analysis took place in three stages: 1) comparison and analysis of the medication leaflet´s inserts in the versions addressed to the health professional and to the patient; 2) description and analysis of strategies for retextualizing the leaflet used by elderly patients and health agents; 3) discussion of retextualization strategies related to factors involved in reading and understanding the leaflet. Results related to the retextualization process, from the perspective of the pharmaceutical industries indicate the use of addition, elimination, substitution and topical/subtopical reordering strategies in the reformulation of the package leaflet, aiming at the interests and needs of patients. Regarding the retextualizing activities carried out orally by the elderly research participants, the results obtained reveal the prominent use of addition, elimination and substitution strategies with different objectives that, as a whole, say a lot about the understanding that these readers have of the leaflet, particularly, the part alluding to the purpose of the medication and dosage to be taken. From the analysis of the retextualizing practices of AS in interaction with patients, the results point out above all the use of addition, elimination and substitution strategies, with the intention that patients understand and follow the recommendations contained in the booklet In general, the set of results obtained from this research reinforces the assumption assumed in this work that retextualization is a dependent process of reading and understanding the base text, therefore demands attention to the multiple knowledge of those involved in the interactional movement.