Definição Padrão de regulação e integração à vida diária de um regime terapêuti-
co para tratamento de doenças e suas sequelas que é insatisfatório para alcançar as metas específicas de saúde.
Características definidoras
n Escolhas na vida diária ineficazes para atingir as metas de saúde
n Expressão de desejo de controlar a doença
n Expressão de dificuldade com os regimes prescritos
n Falha em agir para reduzir fatores de risco
n Falha em incluir regimes de tratamento à vida diária
Fatores relacionados n Barreiras percebidas n Benefícios percebidos n Complexidade do regime terapêutico n Complexidade do sistema de atendimento de saúde n Conflito familiar n Conflitos de decisão
n Déficit de apoio social
n Déficit de conhecimento
n Demandas excessivas (p. ex., individuais, familiares)
n Dificuldades econômicas
n Gravidade percebida
n Impotência
n Número inadequado de indícios à ação
n Padrões familiares de cuidados de saúde
n Regime
n Suscetibilidade percebida
Referências
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210
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212
Domínio 1: Promoção da saúdeDomínio 1: Promoção da saúde Classe 2: Controle da saúde
Definição Padrão de regulação e integração à vida diária de um regime terapêutico
para o tratamento de doenças e suas sequelas que é suficiente para alcançar os obje- tivos relacionados à saúde, e que pode ser fortalecido.
Características definidoras
n Descreve redução de fatores de risco
n Escolhas do dia a dia adequadas para o atendimento das metas (p. ex., tratamento, prevenção)
n Expressa desejo de controlar a doença (p. ex., tratamento, prevenção de sequelas)
n Expressa pouca dificuldade com o regime de tratamento prescrito
n Não há aceleração inesperada dos sintomas da doença
Referências
Banister, N.A., Jastrow, S.T., Hodges, V., Loop, R., & Gillham, M.B. (2004). Diabetes self-management training program in a community clinic improves patient outcomes at modest cost. Journal of the American Dietetic Asso-
ciation, 104(5), 807-810.
Benavides-Vaello, S, Garcia, A.A., Brown, S.A., & Winchell, M. (2004). Using focus groups to plan and evaluate diabetes self-management interventions for Mexican Americans. Diabetes Educator, 30(2), 238, 242-244, 247- 250.
Bodenheimer, T., Lorig, K., Holman, H., & Grumbach, K. (2002). Patient self-management of chronic disease in primary care. Journal of the American Medical Association, 288(19), 2469-2475.
Blyth, F.M., March, L.M., Nicholas, M.K., & Cousins, M.J. (2005). Self-management of chronic pain: a population- -based study. Pain, 113(3), 285-292.
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Gerontology Series B: Psychological Sciences and Social Sciences, 55B(5), 283-294.
Curtin, R.B., Sitter, D.C.B., Schatell, D., & Chewning, B.A. (2004). Self-management, knowledge, and functioning and well-being of patients on hemodialysis. Nephrology Nursing Journal, 31(4), 378-396.
Deakin, T., McShane, C.E., Cade, J.E., & Willams, R.D. (2005). Group based training for self-management strate- gies in people with type 2 diabetes mellitus. Cochrane Database of Systematic Reviews, 18(2), CD003417. DeWalt, D.A., Pignone, M., Malone, R., Rawls, C., Kosnar, M.C., George, G., Bryant, B., Rothman, R.L., & Angel, B. (2004). Development and pilot testing of a disease management program for low literacy patients with heart failure. Patient Education and Counseling, 55(1), 78-86.