8Th IUHPE Conference on Health Promotion and Education

Em Turim, Italia, 9 a 13 de setembro.

Link para o sítio da conferência: www.hp08torino.org/

Nosso resumo:

PROPOSAL OF AN INTERDISCIPLINARY SERVICE MODEL IN HEALTH PROMOTION

Vedovato GM1, Oliveira AC2, Nascimento AB2, Motta CG3, Ramalho CC3, Sampaio P3, Sanches PP3, Ranzani OT4, Otsubo EY3, Ferreira Júnior M4, Chaves EC2, Jorge MIE1, Paiva V3

1Nutrition Department – School of Public Health – Sao Paulo University
2Department of Doctor-Surgical Nursing – School of Nursing –Sao Paulo University
3Department of Social Psychology – Psychology Institute – Sao Paulo University
4Healthy Lifestyle Promotion Center – Medical School – Sao Paulo University

INTRODUCTION

Understanding the Health Promotion as the articulation of actions that involve the strengthening of individual and collective capacities acting on the overall framework of the state and on uniqueness and autonomy of the subject, there is the need for interdisciplinary work that offers a new look to the health professional, so that the subject is not upheld in a fragmented manner. Founded on the conceptions of Health Promotion and Interdisciplinarity, was developed by the Academic League for the Promotion of Health (ALPH) of the University of Sao Paulo Medical School – Hospital das Clínicas (USPMS-HC), a protocol proposal allowing the performance of "health promoters" to the autonomy of the subject in the development of continuous transformations on their level of health and living conditions.

OBJECTIVE

Propose a Model of Care for the Health Promotion founded on the interdisciplinary.

METHODS

A systematic review was conducted between the years 1990 and 2006 in databases Lilacs, Scielo and Medline, using as a matter of experience reporting on individual care for the Health Promotion. Based on previous works, a Model was developed with the aim of: provide common language to health professionals; consolidate the interdisciplinary care; identify demands about harmful life-styles that hinder the possibility of full health of the person who seeks the service; and locating the subject as a co-participant in their own process of promoting health. The development and implementation of this Model required the development of an instrument of diagnosis and intervention, which was applied at the USPMS-HC by ALPH, formed by students of Medicine, Nursing, Nutrition and Psychology at the University of Sao Paulo. The pilot project of the instrument was applied in the period from 10/01/2006 to 08/01/2007, with the participation of 16 subjects referred by the Healthy Lifestyle Promotion Center of USPMS-HC. And since then, appears to be operating under supervision of teachers and professional from USPMS-HC.

RESULTS

Assuming the design that the Model is based on interdisciplinary proposal designed to enable the subject about the seizure of how he relates with itself and with its everyday universe, was developed an instrument for diagnosis and intervention, composed of four modules and applied by a multidisciplinary pair academics. The first module referred to the collection of socio-demographic data and the survey of information about ways of live and work. The second is basically structured on points: how the subject describe itself, the detailing of a habitual day and one day of rest, the exposure of their forms of relationships and social networks of support; presentation of satisfactory or unsatisfactory aspects in the process of their health. The third, included a diagram for evaluation of six major spheres that make up the lifestyle (diet, physical activity, sleep and rest, work, entertainment and relationships), so that the subject is likely front with aspects of change, identifying life in context of what would be the barriers and facilitators of this dynamic process. At the end of the first meeting, the person must indicate an initial priority in search of health, signed in one of six areas suggested. The fourth module referred to the appointment of a interdisciplinary discussion with the supervisors about the case and the proposal to be presented to the subject, namely routing approach with group or individual in accordance with the criteria defined by the interdisciplinary team together with the subject.

CONCLUSIONS

There are no scientific studies that report the development of instrumental technology in Health Promotion. The proposed model charged a more complex, dynamic, participatory and comprehensive Health Care, encouraging interdisciplinary and co-responsible attitude of the subject.