The perspective of deaf patients on health care

The perspective of deaf patients on health care
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聋人患者对医疗保健的看法

DOI:
10.1590/1982-0216/20212320620
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发表时间:
2021
期刊:
影响因子:
--
通讯作者:
S. Carvalho
S. Carvalho
中科院分区:
--
文献类型:
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作者:
R. Rezende;L. Guerra;S. Carvalho

文献摘要

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摘要目的:了解聋人对这一人群医疗保健需要改善的看法。方法:对124名聋人进行了一项观察性横断面研究,他们回答了一份半结构问卷,以描述样本的特征(年龄、性别和沟通方式),并收集对以下开放问题的答案:“您对改善聋人的医疗保健有什么建议吗?”--答案是书面的或用巴西手语(Libras)回答的。对样本进行了描述性分析,并进行了定量和定性的内容分析(主题-范畴),以确定公开问题答案中内容的类别和出现频率。结果:样本的平均年龄为44岁(标准差15岁,最小18岁,最大70岁),65%是女性,78%使用天秤座进行交流。大多数参与者(83%)以书面形式回答了这一公开问题。确定了六个主题类别:1)需要改进;2)沟通障碍;3)促进健康;4)自主;5)成就;6)法律。结论:本研究结果提示聋人的卫生保健工作有待改进。被研究的聋人的观点是基于他们获得自主性、克服沟通障碍和获得信息的愿望,旨在促进健康。
ABSTRACT Purpose: to learn the deaf people’s perspective on the improvements needed in this population’s health care. Methods: an observational, cross-sectional study conducted with 124 deaf people who answered a semi-structured questionnaire to characterize the sample (age, sex, and means of communication) and collect answers to the open question: “Do you have any suggestion to improve the health care for the deaf?” - which was answered either in writing or in the Brazilian Sign Language (Libras). A descriptive analysis was conducted to characterize the sample, as well as a quantitative and qualitative content analysis (thematic-categorical), to identify categories and occurrence frequency of the content in the answers to the open question. Results: the sample’s mean age was 44 years (standard deviation 15, minimum 18, and maximum 70 years), 65% were women, and 78% used Libras to communicate. Most of the participants (83%) answered the open question in writing. Six theme categories were identified: 1) Needed improvements; 2) Communication barriers); 3) Health promotion; 4) Autonomy; 5) Achievements; and 6) Law. Conclusion: the results reveal a need for improvements in the health care of deaf people. The perspective of the studied deaf population is based on their desire to gain autonomy, overcome communication barriers, and have access to information, aiming at health promotion.