Um homem também chora: vivências pós acidente com material biológico de profissionais de saúde que trabalham em um serviço especializado em HIV/Aids de Santos – São Paulo
Data
2023-08-10
Autores
Parola, Gustavo Barbosa 
Orientadores
Zihlmann, Karina Franco
Tipo
Tese de doutorado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Introdução: a experiência de acidente com material biológico gera preocupação e demandas de cuidado específicas, entretanto, quando envolve profissionais de saúde que cuidam de pessoas que vivem com HIV/Aids (PVHA), há necessidade de se considerar repercussões ainda mais complexas. Objetivo: a pesquisa buscou compreender as repercussões dos acidentes de trabalho com material biológico de profissionais de saúde de um serviço especializado em HIV/Aids, considerando aspectos pessoais, familiares, sociais e impactos na capacidade laboral. Método: realizou-se uma pesquisa qualitativa na Coordenadoria de Controle de Doenças Infectocontagiosas (CCDI) da Secretaria Municipal de Saúde de Santos – SP, na qual ocorreu um levantamento deste tipo de acidente com profissionais de saúde que cuidam de PVHA nesta coordenadoria atualmente, considerando a ocorrência do acidente no período de 2000 a 2019. Deste modo, o pesquisador principal realizou uma entrevista individual em profundidade e construção da técnica de história de vida de sete profissionais de saúde identificados nesse contexto. As entrevistas foram categorizadas pela técnica de Análise de Conteúdo temática. Foi realizada uma pesquisa documental nos prontuários de acidente de trabalho do serviço para subsidiar a composição dos contextos e desfechos do acidente. Resultados: foram identificados e entrevistados sete profissionais de saúde que trabalham atualmente na coordenadoria especializada em HIV/Aids de Santos-SP e que sofreram acidente com material biológico entre 2000 e 2019. Foram construídas três categorias gerais de análise temática: concepções sobre saúde; situações profissionais vivenciadas e aspectos relativos ao acidente de trabalho. Por sua vez, as histórias de vida dos participantes revelaram que a experiência com o acidente foi marcante e que aspectos pessoais, como medos e expectativas, interferiram no modo como cada um reagiu inicialmente e posteriormente ao ocorrido. Foram observados nos discursos lacunas de conhecimento e comportamentos de risco em relação à questão dos acidentes com material biológico, bem como as referências à insuficiência no acolhimento, sobretudo emocional, e a ausência de participação nas capacitações sobre a temática oferecidas no serviço. O PCDT-PEP não traz indicações diretas sobre a importância do apoio/suporte emocional nestes casos. Considerações finais: espera-se que esta pesquisa ofereça subsídios para repensar protocolos e processos de cuidado de profissionais de saúde que trabalham em serviços especializados em HIV/Aids e que sofreram acidente com material biológico, levando em conta não só os aspectos biomédicos da exposição, mas também o suporte aos aspectos subjetivos, visando ao cuidado integral em saúde destes trabalhadores. Nesse sentido, busca-se a construção de um cuidado realmente profícuo, um cuidado que vislumbra a noção de proteger a dignidade daquele que cuida, alcançando, assim, sua felicidade e realização de suas capacidades de modo saudável.
Introduction: the experience of accidents with biological material generates specific concern and care demands, however, when it involves health professionals who care for people living with HIV/AIDS (PLWHA), there is a need to consider even more complex repercussions. Objective: the research sought to understand the repercussions of work accidents with biological material of health professionals of a specialized service in HIV/AIDS, considering personal, family, social aspects and impacts on work capacity. Method: a qualitative research was conducted at the Infectious Diseases Control Coordination (CCDI) of the Municipal Health Department of Santos - SP, in which there was a screening of this type of accident with health professionals who take care of PLWHA in this coordination currently, considering the occurrence of the accident in the period from 2000 to 2019. Thus, the principal researcher conducted an in-depth individual interview and construction of the life history technique of seven health professionals identified in this context. The interviews were categorized by the thematic Content Analysis technique. A documentary research was carried out in the medical records of work accidents of the service to support the composition of the contexts and outcomes of the accident. Results: seven health professionals who currently work at the coordination specialized in HIV/AIDS in Santos-SP and who suffered an accident with biological material between 2000 and 2019 were identified and interviewed. Three general categories of thematic analysis were constructed: conceptions about health; experienced professional situations and aspects related to work accidents. In turn, the participants' life stories revealed that the experience with the accident was remarkable and that personal aspects, such as fears and expectations, interfered in the way each one reacted initially and later to what happened. The speeches were observed in the gaps of knowledge and risk behaviors in relation to the issue of accidents with biological material, as well as references to insufficiency in welcoming, especially emotional, and the absence of participation in training on the theme offered in the service. The PCDT-PEP does not provide direct indications about the importance of emotional support/support in these cases. Final considerations: it is expected that this research will offer subsidies to rethink protocols and care processes of health professionals who work in specialized services in HIV/AIDS and who have suffered accidents with biological material, considering not only the biomedical aspects of exposure, but also the support to subjective aspects, aiming at the integral health care of these workers. In this sense, we seek the construction of a truly fruitful care, a care that envisions the notion of protecting the dignity of the one who cares, thus achieving their happiness and realization of their capacities in a healthy way.
Introduction: the experience of accidents with biological material generates specific concern and care demands, however, when it involves health professionals who care for people living with HIV/AIDS (PLWHA), there is a need to consider even more complex repercussions. Objective: the research sought to understand the repercussions of work accidents with biological material of health professionals of a specialized service in HIV/AIDS, considering personal, family, social aspects and impacts on work capacity. Method: a qualitative research was conducted at the Infectious Diseases Control Coordination (CCDI) of the Municipal Health Department of Santos - SP, in which there was a screening of this type of accident with health professionals who take care of PLWHA in this coordination currently, considering the occurrence of the accident in the period from 2000 to 2019. Thus, the principal researcher conducted an in-depth individual interview and construction of the life history technique of seven health professionals identified in this context. The interviews were categorized by the thematic Content Analysis technique. A documentary research was carried out in the medical records of work accidents of the service to support the composition of the contexts and outcomes of the accident. Results: seven health professionals who currently work at the coordination specialized in HIV/AIDS in Santos-SP and who suffered an accident with biological material between 2000 and 2019 were identified and interviewed. Three general categories of thematic analysis were constructed: conceptions about health; experienced professional situations and aspects related to work accidents. In turn, the participants' life stories revealed that the experience with the accident was remarkable and that personal aspects, such as fears and expectations, interfered in the way each one reacted initially and later to what happened. The speeches were observed in the gaps of knowledge and risk behaviors in relation to the issue of accidents with biological material, as well as references to insufficiency in welcoming, especially emotional, and the absence of participation in training on the theme offered in the service. The PCDT-PEP does not provide direct indications about the importance of emotional support/support in these cases. Final considerations: it is expected that this research will offer subsidies to rethink protocols and care processes of health professionals who work in specialized services in HIV/AIDS and who have suffered accidents with biological material, considering not only the biomedical aspects of exposure, but also the support to subjective aspects, aiming at the integral health care of these workers. In this sense, we seek the construction of a truly fruitful care, a care that envisions the notion of protecting the dignity of the one who cares, thus achieving their happiness and realization of their capacities in a healthy way.
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Citação
PAROLA, Gustavo Barbosa. Um homem também chora: vivências pós acidente com material biológico de profissionais de saúde que trabalham em um serviço especializado em HIV/Aids de Santos – São Paulo. 2023. 162 f. Tese (Doutorado Interdisciplinar em Ciências da Saúde) - Universidade Federal de São Paulo, Instituto de Saúde e Sociedade, Santos, 2023.