Teses de Doutorado

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https://ri.ucsal.br/handle/123456730/22

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Browsing Teses de Doutorado by Author "Amorim, Ivonete Barreto de"

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    Relações familiares e integralidade da saúde da mulher no climatério: significações construídas por usuárias e profissionais de saúde
    (Universidade Catolica de Salvador, 2015-02-03) Pires, Vilara Maria Mesquita Mendes; Rabinovich, Elaine Pedreira; http://lattes.cnpq.br/1594550972937138; Alcântara, Miriã Alves Ramos de; http://lattes.cnpq.br/4186283459709800; Fernandes, Marcos Henrique; Bastos, Ana Cecília de Sousa Bittencourt; Amorim, Ivonete Barreto de
    Brazilian population demographics outlines reveal that women tend to overcome men population contingent shortly, due to the higher lifespan, which brings consequences to the family ways of life and drives the development of researches towards to issues experienced by women in such context. A crescent number of women enter in climacteric, a female transition period between the reproductive and the non reproductive phase, privileged by the national policy for women integral healthcare. The general objective of this research is to analyze the climacteric phase under the aegis of integrality according to women attended in Family Health Unities. The specific objectives constituted in understanding the meaning of climacteric, the biopsychosocial factors experienced by women during this phase of their vital cycle and to identify the actions developed by health professionals from Family Health Teams to the women that experience the climacteric. The ethics of the research with human beings was respected, and the research project was approved by CEP. This is a qualitative study based on the Philosophical Hermeneutics, which has guided it, providing assumptions that allowed an interpretative approach to the empirical corpus. The field research was performed in Family Health Unities and at the homes of users living in the city of Jequié-BA. Seven health professionals and 10 climacteric women participated in this study. Data was collected based on the semi structured interview registered in audio and in field diary. Interviews analysis contemplated a Conceptual Map, which revealed relationships between the meaning nuclei that allowed the identification of the categories and subcategories. The results are presented from the categories - the woman facing the strange (giving a meaning to the climacteric); the climacteric towards the female contexts (perceptions of sexuality in climacteric; my body changed: and so what?; family: a locus to change); the health service and the climacteric woman: the users’ speech (who takes care of me?); woman health attention in climacteric: the health professional speech (the meaning of climacteric; giving a meaning to integrality; and the health service and the climacteric woman: the health professional look). The discussion shows that climacteric is still a little discussed subject in health area, but for women it means changes in their bodies, families, sexuality, acceleration of aging and they do not feel assisted in their complaints. For health professionals, climacteric is still a subject little studied by them, and they attribute it to deficiencies in their college education, which make them not feel prepared to develop health actions to the climacteric women and also to provide an integrative attention. It is highlighted the need of rebuilding the concept of climacteric, recognizing its subjectivity, feelings and emotions that are moving the women. The formation of Acquaintance Groups must be considered and it must be intensified the attention to the climacteric in PNAISM. It is required a profile change in the organization structure of the health attention, making real the integrality as an action articulated to a professional education policy, answering the needs of the climacteric women.
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    A responsabilidade de educar e de cuidar: quando a deficiência segrega mães-cuidadoras de estudantes com TEA
    (Universidade Católica do Salvador, 2017-09-12) Coutinho, Maria Angélica Gonçalves; Bastos, Ana Cecília de Sousa Bittencourt; http://lattes.cnpq.br/7406825750662792; Caldeira, Bárbara Maria Santos; Rabinovich, Elaine Pedreira; Sá, Sumaia Midlej Pimentel; Amorim, Ivonete Barreto de
    This is an investigation about on the dynamics of the care betwen mothers who care of students with autism spectrum disorder (ASD). The objective of the study is to elucidate how / what is the dynamic of care among mothers, analyzing the convergent and divergent processes of care, after the National Policy of Inclusion of Special Education in the Perspective of Inclusive Education / 2007. Was investigated the problem: how the segregation imposed by care and disability if relate historically and socially with the everyday experiences of mothers who caregives about protection, education and care of children and adolescents with asd? The hypothesis of the research was based on the idea that mothers caregivers of children and adolescents with ASD suffer social segregation over time. There is a speech at the Centro de Atendimento Educacional Especializado Pestalozzi da Bahia (CAEEPB) that are them responsible for not inclusion or greater difficulty in educational inclusion of their children / students. In this intricate complex of multifaceted relationships, I believe in the relation of proximity with the other, in moral ties, and in the recognition of the situation of disadvantage (restriction, silence, discrimination and confinement), as conditions that reaffirm the understanding of the stereotyped role of the mother caregiver. The option for the qualitative methodology was made to value the narratives of the families and the ethnographic aspect of the insertion of the researcher in the field. Were participating in the study 05 mothers caregives of students with ASD at CAEEPB, all the families are beneficiaries of the Benefício de Prestação Continuada - BPC na escola Program a direct income transfer policy that aims to promote citizenship and the educational inclusion of theirs beneficiaries, with zero and eighteen years. Were used semi-structured interview and field diary scripts in data collection. After reading and analyzing the data, the interpretations lead to believe in the physical and emotional overload with the activity of caring as a factor of depression and social isolation. The special school is considered support for care and social insertion. The ethics of care is linked to the ethics of justice and the effective recognition of difference and the promotion of equality; the transfer of responsibility from caring to mothers / families maintains the condition of main caregiver of the disability; the poverty of the support network and the demands for care, provision, protection and visibility, with the inclusive policy impose on mothers the profession of care.