Service and communication capacity of doctors and nurses to deaf patients in primary health care, in a city from Minas Gerais, Brazil: cross-sectional study
DOI:
https://doi.org/10.32385/rpmgf.v39i4.13649Keywords:
Primary health care, Communication, Sign languages, Deafness, Compliance and adherence to treatmentAbstract
Introduction: The professional-patient bond is based on communication that respects verbal and subjective aspects. However, Brazilian Sign Language (LIBRAS) is not understood by most health professionals, compromising the quality of care for deaf patients.
Objective: To evaluate the care of deaf patients by doctors and nurses in primary health care (PHC) in a city in the south of Minas Gerais and the professional’s ability to effectively establish a communicative interaction with a deaf patient, meeting their needs.
Methods: Quantitative, field, observational, and descriptive cross-sectional study, with a sample of 69 doctors and nurses working in PHC in a municipality in the south of Minas Gerais, Brazil. The questionnaire was adapted to the view of health professionals.
Results: It was observed that 86.9% (n=60) of the professionals have «Nothing/Almost nothing» in the LIBRAS domain, making it impossible to understand the deaf patient’s complaint, observed in 43.5% (n=30) of the interviewees. Thus, because of this communication difficulty, the demand for health professionals by the deaf is not significant, since 33.3% (n=23) of professionals never or rarely saw them.
Conclusion: It is concluded that communication is the main barrier in professional-deaf patient interaction, making it difficult to create a bond, diagnostic information, and treatment adherence.
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Resende AP, Vital FM, editors. A convenção sobre os direitos das pessoas com deficiência comentada [Internet]. Brasília: CORDE; 2008. Available from: https://www.gov.br/governodigital/pt-br/acessibilidade-digital/convencao-direitos-pessoas-deficiencia-comentada.pdf
Santos EM, Shiratori K. As necessidades de saúde no mundo do silêncio: um diálogo com os surdos [The necessities of health in the world of silence: a dialogue with the deaf people]. Rev Eletr Enferm. 2004;6(1):68-76. Portuguese
Secretaria de Educação Especial. Educação especial: deficiência auditiva (Vol. I). Brasília: Ministério da Educação e do Desporto; 1997.
Fuzikawa AK. O método clínico centrado na pessoa: um resumo [Internet]. Belo Horizonte; 2019. Available from: https://www.nescon.medicina.ufmg.br/biblioteca/imagem/3934.pdf
Stewart M, Brown JB, Weston WW, McWhinney IR, McWilliam CL, Freeman TR. Medicina centrada na pessoa: transformando o método clínico. 3ª ed. Porto Alegre: Artmed; 2017.
Vieira DK, editor. Pessoas com deficiência e doenças raras: o cuidado na atenção primária. Rio de Janeiro: Fiocruz; 2019. ISBN 9788575416303
Cotta BS, Araújo AM, Souza AC, Oliveira AP, Lages KS. A dificuldade no atendimento médico às pessoas surdas [The difficulty in providing medical care for deaf people]. Rev Interdisc Ciênc Méd. 2019;3(1):3-9. Portuguese
Shimazaki ME. A atenção primária à saúde. In: Oficinas de qualificação da atenção primária à saúde em Belo Horizonte [Internet]. Belo Horizonte: Escola Pública do Estado de Minas Gerais; 2009. Available from: https://www.nescon.medicina.ufmg.br/biblioteca/imagem/3930.pdf
Porto & Porto semiologia médica (Vol. 1). 8ª ed. Rio de Janeiro: Guanabara Koogan; 2019.
Britto FR, Samperiz MM. Communication difficulties and strategies used by the nurses and their team in caring for the hearing impaired. Einstein. 2010;8(1):80-5.
Chaveiro N, Barbosa MA, Porto CC. Literature revision about the attendance of deaf patient by health professionals. Rev Esc Enferm USP. 2008;42(3):567-72.
Costa LS, Almeida RC, Mayworn MC, Alves PT, Bulhões PA, Pinheiro VM. O atendimento em saúde através do olhar da pessoa surda: avaliação e propostas [Health care from the deaf’s point of view: evaluations and proposals]. Rev Soc Bras Clin Med. 2009;7(3):166-70. Portuguese
Pires HF, Almeida MA. A percepção do surdo sobre o atendimento nos serviços de saúde [The perception of deaf patients regarding health care services]. Rev Enferm Contemp. 2016;5(1):68- 77. Portuguese
Oliveira HR, Lopes KS, Pinto NM. Percepção da equipe de enfermagem acerca da assistência prestada ao deficiente auditivo. Enferm Integrada. 2009;(2)1:165-75.
Steinberg AG, Barnett S, Meador HE, Wiggins EA, Zazove P. Health care system accessibility: experiences and perceptions of deaf people. J Gen Intern Med. 2006;21(3):260-6.
Pereira AA, Passarin NP, Nishida FS, Garcez VF. ‘Meu sonho é ser compreendido’: uma análise da interação médico-paciente surdo durante assistência à saúde [‘My dream is to be understood’: ana analysis of the doctor-deaf patient interaction during health care]. Rev Bras Educ Med. 2020;44(4):e121.
Oliveira YC, Celino SD, Costa GM. Comunicação como ferramenta essencial para assistência a saúde dos surdos [Communication as an essential tool for deaf people’s health care]. Physis. 2015;25(1):307-20. Portuguese
Santos AS, Portes AJ. Perceptions of deaf subjects about communication in primary health care. Rev Lat Am Enfermagem. 2019;27:e3127.
Strobel KL. Surdos: vestígios culturais não registrados na história [dissertation]. Santa Catarina: Universidade Federal de Santa Catarina; 2008. Available from: http://repositorio.ufsc.br/xmlui/handle/123456789/91978
Portaria nº 2.436, de 21 de setembro de 2017: política nacional de atenção básica [homepage]. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2017/prt2436_22_09_2017.html
Souza MC, Araújo TM, Reis Jr WM, Souza JN, Vilela AB, Franco TB. Integralidade na atenção à saúde: um olhar da equipe de saúde da família sobre a fisioterapia [Integral health assistance: a look to physiotherapy from the point of view of the family health team]. Mundo Saúde. 2012;36(3):452-60. Portuguese
Rocha G. Você sabe o que é equidade? [homepage] UNA-SUS; 2015. Available from: https://www.unasus.gov.br/noticia/voce-sabe-o-que-e-equidade
Nobrega JD, Munguba MC, Pontes RJ. Atenção à saúde e surdez: desafios para implantação da rede de cuidados à pessoa com deficiência [Deafness and health care: challenges to the implementation of the care network for the disabled]. Rev Bras Promoç Saúde. 2017;30(3):1-10. Portuguese
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