http://repositorio.ufc.br/handle/riufc/11273 Thu, 13 Aug 2026 03:12:08 GMT 2026-08-13T03:12:08Z http://repositorio.ufc.br/handle/riufc/87466 Título: Autocuidado e consciência corporal de agentes comunitárias de saúde: produções sociopoéticas Autor(es): Aragão, Jane Ribeiro Abstract: Community Health Agents (CHAs) are fundamental professionals in the Family HealthStrategy (FHS), within the context of Primary Health Care (PHC). In addition to acting as a link between the community and health services, these women assume diverse social roles, prioritizing care for others. Understanding body awareness as a fundamental path to self-care, this study aimed to produce concepts about self-care based on the body awareness of CHAs. The chosen method was sociopoetics, a qualitative approach that considers research participants as co-researchers, constituting a research group responsible for the collective production of knowledge. The research group consisted of fifteen CHAs from the César Cals de Oliveira Primary Health Care Unit in Fortaleza, Ceará. Data production took place in five workshops: one negotiation workshop, three concept production workshops, and one counteranalysis workshop. The data were produced through bodily experiences, guided meditation, and artistic resources, and analyzed using classificatory, cross-sectional, researcher-group, and philosophical analyses. The concepts produced were termed "confetti," understood in sociopoetics as concepts traversed by affects. The confetti produced were Accelerated Body, Forgotten Body, Supporting Body, Controlling Body, Shaking, Faith Body, Body/Head, Sense Body, Inhabited Body, and Freedom Body. These confetti were organized into four blocks. The first brought together Accelerated Body, Forgotten Body, Supporting Body, and Controlling Body, related to daily life, the demands of the Community Health Agents (CHAs), and the ways in which they experience care, the body, and their routines. The second grouped the confetti Shaking and Faith Body, expressing strategies used to cope with life's hardships. The third presented the confetti Body/Head, related to psychic suffering and the relationship between body and mind. The fourth section brought together the concepts of Body Sense, Inhabited Body, and Body Freedom, associated with bodily perceptions and the understanding of self-care as a possibility for change in the relationship with oneself. It concludes that body awareness fostered the production of new meanings about self-care, broadening the understanding of the Community Health Agents (CHAs) regarding self-care and health in a holistic way. These reflections have repercussions not only on a personal level, but also on the care relationships developed in the territory and on the strengthening of Family Health Strategy (FHS) practices, contributing to more sustainable ways of caring for the community. Tipo: Dissertação Thu, 01 Jan 2026 00:00:00 GMT http://repositorio.ufc.br/handle/riufc/87466 2026-01-01T00:00:00Z http://repositorio.ufc.br/handle/riufc/87273 Título: Comparação de ferramentas de avaliação de risco e vulnerabilidade em pacientes idosos da atenção domiciliar Autor(es): Santos, Brena Ferreira dos Abstract: Population aging is a global phenomenon—accelerating rapidly in developing countries like Brazil—driven by increased life expectancy, declining fertility rates, and reduced mortality. This demographic shift triggers an epidemiological transition characterized by the prevalence of chronic non-communicable diseases, which require continuous, comprehensive care with an emphasis on preserving functional capacity. Although the National Health Policy for the Elderly adopts functionality as a key health indicator, its implementation across Basic Health Units (UBS) remains uneven. Multidimensional assessment is crucial for the early identification of vulnerability and the guidance of individualized therapeutic plans, yet it is not yet standard practice in many services. The primary objective of this study is to analyze the risk and vulnerability of elderly individuals receiving home-based care using the following scales: VES 13, IVCF-20, and the Risk and Vulnerability Scale for Home Care in Primary Health Care (APS) developed by Ribeiro and Fiúza. The study also describes the sociodemographic and clinical profile of the population linked to the Bacumixá UBS and compares the aforementioned scales. This is a descriptive, cross-sectional, quantitative study conducted in the catchment area of the Bacumixá UBS in Trairi, Ceará (CE), involving a sample of 36 homebound elderly patients. Data collection was carried out by the lead researcher during home visits, utilizing a sociodemographic and clinical questionnaire alongside the VES-13, IVCF-20, and Ribeiro and Fiúza scales. The homebound elderly population was found to have the following profile: the majority were over 75 years old (75%), female (63.9%), and retired (97.2%); most had a family income of 1–4 minimum wages (91.7%) and were illiterate (61.1%). It was also observed that hypertension was the most common comorbidity (97.2%), with polypharmacy (38.9%) being prevalent. All individuals evaluated exhibited some degree of dependence regarding instrumental activities of daily living, and more than one-third showed dependence for basic activities of daily living. Regarding the Ribeiro and Fiúza Risk and Vulnerability Scale, the following risk profile was obtained: 5.6% low risk, 44.4% medium risk, 25% high risk, and 25% very high risk; the domains predominating in the final score composition were functional dependence, polypharmacy, mobility, sarcopenia, urinary incontinence, and palliative care, with values ranging from moderate to strong. As for the IVCF-20, the following risk classification was obtained: 44.4% medium risk and 55.6% high risk; the domains predominating in the final score were functionality, depressive symptoms, cognition, mobility, gait, urinary incontinence, vision problems, and polypharmacy, with values also considered moderate to strong. Regarding the comparison between the scales, a moderate-to-strong correlation was observed in equivalent domains, with a very strong equivalence concerning the final classification of the IVCF-20 and the Ribeiro and Fiúza Risk and Vulnerability Scale. It is concluded that the scales used are important tools for managing home visits in Primary Health Care (PHC). As this is an initial study, further research with a broader scope, larger sample sizes, and different contexts is needed to better establish the correlation between the scales. Tipo: Dissertação Thu, 01 Jan 2026 00:00:00 GMT http://repositorio.ufc.br/handle/riufc/87273 2026-01-01T00:00:00Z http://repositorio.ufc.br/handle/riufc/87139 Título: Sofrimento emocional em adultos com diabetes assistidos na Atenção Primária Autor(es): Coelho, Silvana Maria Araújo Abstract: Diabetes mellitus (DM) is a chronic disease characterized by insufficient insulin production or impaired insulin utilization. Adherence to treatment may be hindered by psychosocial factors, particularly emotional distress, making it essential to understand these aspects in order to develop interventions that help patients overcome barriers and improve treatment adherence. This study aimed to assess emotional distress among adults with diabetes receiving care in primary healthcare settings. A descriptive, cross-sectional study with a quantitative approach was conducted. Data were collected using a questionnaire consisting of two sections: sociodemographic and clinical information. In addition, the Depression, Anxiety, and Stress Scale (DASS-21), a validated instrument for assessing psychological distress, was administered. Statistical analyses were performed using the Mann– Whitney U test. Data were organized in electronic spreadsheets and analyzed using descriptive statistics, as well as association, comparison, and correlation tests, adopting a significance level of 5%. For categorical variables with three or more categories, the Kruskal–Wallis test was applied. Effect sizes for the Mann– Whitney U tests were estimated using the correlation coefficient r (r = Z/√N), whereas epsilon-squared (ε²) was calculated for Kruskal–Wallis analyses. The sample consisted of 194 participants assisted by the Family Health Strategy in the municipality of São Gonçalo do Amarante, Ceará, Brazil. The findings demonstrated that emotional distress among individuals with diabetes was primarily associated with hypertension and poor glycemic control, while weaker associations were observed with socioeconomic factors and excess body weight. In contrast, sex, age, educational level, insulin therapy, physical activity, oral antidiabetic medication use, and the presence of comorbidities showed no significant association with the psychological outcomes investigated. These results suggest that specific clinical factors exert a greater influence on emotional distress than isolated sociodemographic characteristics. Tipo: Dissertação Thu, 01 Jan 2026 00:00:00 GMT http://repositorio.ufc.br/handle/riufc/87139 2026-01-01T00:00:00Z http://repositorio.ufc.br/handle/riufc/87138 Título: Burnout e fatores associados em profissionais da Atenção Primária à Saúde Autor(es): Firmiano, Chiara Santabaya Colares Abstract: Burnout Syndrome is associated with physical and mental exhaustion resulting from excessive workload or chronic stress and is influenced by anxiety-related conditions and mood disorders. Among healthcare professionals, those working in Primary Health Care exhibit the highest rates of this syndrome. This study aimed to analyze the factors associated with and the prevalence of Burnout syndrome among Family Health Strategy professionals working in Primary Health Care in a municipality in the countryside of Ceará, Brazil. A cross-sectional, observational, and quantitative study was conducted using a structured individual sociodemographic questionnaire containing employment-related variables, the Depression, Anxiety, and Stress Scale (DASS-21), a validated instrument for assessing anxiety, depression, and stress symptoms, and the Maslach Burnout Inventory (MBI), Human Services Survey (HSS) version, validated for Portuguese-speaking populations. Data were organized in electronic spreadsheets and analyzed using descriptive and inferential statistics, including association, comparison, and correlation tests, adopting a significance level of 5%. Statistical analyses were performed using the Statistical Package for the Social Sciences (SPSS), version 21. The sample consisted of 109 professionals affiliated with the Family Health Strategy and multiprofessional teams, including both higher education and mid-level/technical healthcare workers. The findings revealed a Burnout Syndrome prevalence of 5.5%, with a high frequency of emotional exhaustion among participants. Moderate correlations were identified between Burnout Syndrome, depression, anxiety, and stress, as well as significant associations with sociodemographic and professional characteristics. Greater emotional exhaustion was observed among nurses, physicians, physical education professionals, and psychologists. This study contributes to the understanding of Burnout Syndrome in Primary Health Care by identifying associated factors and early indicators that may support preventive interventions. Furthermore, it resulted in the development of an educational booklet aimed at promoting mental health, preventing occupational illness, and strengthening continuing education initiatives regarding Burnout Syndrome within Primary Health Care settings. Tipo: Dissertação Thu, 01 Jan 2026 00:00:00 GMT http://repositorio.ufc.br/handle/riufc/87138 2026-01-01T00:00:00Z