Mulheres da Lida: percepções de trabalhadoras rurais sobre vida, trabalho e saúde em rodas de Terapia Comunitária Integrativa na Atenção Primária a Saúde em Eldorado-SP
Data
2023-02-14
Autores
Lima, Elza Domingues de 
Orientadores
Kinker, Fernando Sfair
Tipo
Dissertação de mestrado
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ISSN da Revista
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Resumo
Trata-se de uma pesquisa realizada no município de Eldorado-SP, com trabalhadoras rurais. Essas mulheres acessavam o serviço de saúde tardiamente, resultando numa condição de vulnerabilidade para o adoecimento; muitas eram arrimo de família. O estudo propôs verificar as perspectivas das trabalhadoras sobre sua condição de vida, trabalho e saúde, utilizando uma estratégia de cuidado interventivo: a Terapia Comunitária Integrativa. Esta metodologia, considerada uma Prática Integrativa e Complementar de Saúde, possibilita inclusão, sendo possível desenvolver ações preventivas e de promoção de saúde, ampliar o olhar sobre o autocuidado, além da prevenção dos agravos. O campo da pesquisa foi o território da Estratégia da Saúde da Família Itapeúna, área rural no município de Eldorado-SP. Este estudo proporcionou a descoberta de um cotidiano rural onde as protagonistas passavam por situações de desigualdade, desvalorização e subordinação. Foram realizadas quatro rodas de Terapia Comunitária, duas com temas livres e duas temáticas que foram analisadas, categorizadas e codificadas, utilizando-se a técnica da análise temática de conteúdo. Os dados foram coletados nas fichas de registro das rodas de terapia, sendo este instrumento avaliado ao término da intervenção. A coleta de informações demonstrou que as trabalhadoras rurais enfrentavam conflitos relacionais: família, trabalho e serviços de saúde. A habilidade de superação dessas mulheres se apoiava na busca do reforço familiar, na espiritualidade, comunidade e redes de apoio. A mudança ocorrida após a pesquisa foi evidenciada através da conquista de um base de atendimento da ESF naquele local, movimento iniciado pelas participantes e equipe da Estratégia da Saúde da Família. A pesquisa, de caráter qualitativo e interventivo, teve por objetivo a investigação científica, territorial de uma realidade vivenciada por trabalhadoras rurais, numa região de Eldorado (SP), no Vale do Ribeira, “mulheres da lida”, num contexto de vulnerabilidade social e de saúde. Utilizou-se a TCI como estratégia provocativa para modificação do contexto existencial, o que facilitou a identificação das dificuldades e facilitadores para potenciais mudanças, uma metodologia desenvolvida numa perspectiva de socialização, interação, trocas e construções coletivas.
This is a survey carried out in the municipality of Eldorado-SP, with rural workers. These women accessed the health service late, resulting in a condition of vulnerability to illness; many were breadwinners. The study proposed to verify the workers' perspectives on their life, work and health conditions, using an interventional care strategy: Integrative Community Therapy. This methodology, considered an Integrative and Complementary Health Practice, enables inclusion, making it possible to develop preventive actions and health promotion, broaden the look on self-care, in addition to the prevention of injuries. The research field was the territory of the Itapeúna Family Health Strategy, a rural area in the municipality of Eldorado-SP. This study provided the discovery of a rural daily life where the protagonists went through situations of inequality, devaluation and subordination. Four Community Therapy circles were held, two with free themes and two themes that were analyzed, categorized and coded, using the thematic content analysis technique. Data were collected from the therapy circles' registration forms, and this instrument was evaluated at the end of the intervention. The collection of information showed that rural workers faced relational conflicts: family, work and health services. These women's ability to overcome was based on the search for family reinforcement, spirituality, community and support networks. The change that occurred after the research was evidenced by the achievement of an ESF service base in that location, a movement initiated by the participants and the Family Health Strategy team. The research, of a qualitative and interventional nature, aimed at the scientific investigation, territorial of a reality experienced by rural workers, in a region of Eldorado (SP), in the Ribeira Valley, "women of the deal", in a context of social vulnerability and of health. TCI was used as a provocative strategy for modifying the existential context, which facilitated the identification of difficulties and facilitators for potential changes, a methodology developed in a perspective of socialization, interaction, exchanges and collective constructions.
This is a survey carried out in the municipality of Eldorado-SP, with rural workers. These women accessed the health service late, resulting in a condition of vulnerability to illness; many were breadwinners. The study proposed to verify the workers' perspectives on their life, work and health conditions, using an interventional care strategy: Integrative Community Therapy. This methodology, considered an Integrative and Complementary Health Practice, enables inclusion, making it possible to develop preventive actions and health promotion, broaden the look on self-care, in addition to the prevention of injuries. The research field was the territory of the Itapeúna Family Health Strategy, a rural area in the municipality of Eldorado-SP. This study provided the discovery of a rural daily life where the protagonists went through situations of inequality, devaluation and subordination. Four Community Therapy circles were held, two with free themes and two themes that were analyzed, categorized and coded, using the thematic content analysis technique. Data were collected from the therapy circles' registration forms, and this instrument was evaluated at the end of the intervention. The collection of information showed that rural workers faced relational conflicts: family, work and health services. These women's ability to overcome was based on the search for family reinforcement, spirituality, community and support networks. The change that occurred after the research was evidenced by the achievement of an ESF service base in that location, a movement initiated by the participants and the Family Health Strategy team. The research, of a qualitative and interventional nature, aimed at the scientific investigation, territorial of a reality experienced by rural workers, in a region of Eldorado (SP), in the Ribeira Valley, "women of the deal", in a context of social vulnerability and of health. TCI was used as a provocative strategy for modifying the existential context, which facilitated the identification of difficulties and facilitators for potential changes, a methodology developed in a perspective of socialization, interaction, exchanges and collective constructions.
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Citação
LIMA, Elza Domingues de. Mulheres da Lida: percepções de trabalhadoras rurais sobre vida, trabalho e saúde em rodas de Terapia Comunitária Integrativa na Atenção Primária a Saúde em Eldorado-SP. 2023. 118 f. Dissertação (Mestrado Profissional em Saúde da Família (ProfSaúde)) - Instituto de Saúde e Sociedade, Universidade Federal de São Paulo, Santos, 2023.