Visita domiciliar na estratégia Saúde da Família: ação prioritária de cuidados aos sujeitos com Diabetes Mellitus 2

Abstract

The study object of this research was the practice of a home visit, a priority, for the care of subjects / users with DM 2 in Primary Health Care in the Unified Health System (SUS), in Manaus. The community-oriented approach to health psychology focuses on territorial, multiprofessional and biopsychosocial processes implicated in health / disease conditions and integral health care. The main objectives were: A) to investigate the health care practice of a UBSF, in Manaus, focused on the situations of home visits as a priority action for subjects / users highlighting the psychosocial aspects in this care action; B) To analyze the practice of home visits performed with those subjects with DM2 in comorbidity with SAH, inserted in the HIPERDIA program; C) To study two significant examples of users in experiences of suffering / illness of DM2 and SAH in home care.The method used was that of the participant observation that made possible the implication of the researcher in the daily life of the research field (UBSF). The analysis of the results, with a descriptive-exploratory characteristic, showed precariousness in the living conditions of the users in the assigned territory. Of the twenty-one subjects / users visited, sixteen were related to the HIPERDIA program. Thus, nine visits to subjects with DM 2, three with DM 2 in comorbidity with hypertension and three with hypertension. The remaining five were related to other illness processes. In general, these tendencies tended to follow a logic more focused on the biomedical model, with some social nuances. However, in the speech of the users visited, we could see implicit psychosocial problems, often little worked in the care relationship and yet not adequately articulated with the biomedical symptomatology. The case studies specifically exemplified this care dynamics, also revealing an empathic relationship between professionals and users. In addition to showing that the family care network, when collaborative, contributed to the improvement of the user's quality of life and self-care. In the final considerations, we emphasize the importance of health psychology as a scientific contribution to APS and the practice of home visits in the UBSF.