{"id":15678,"date":"2022-12-16T22:15:35","date_gmt":"2022-12-17T01:15:35","guid":{"rendered":"https:\/\/www.ufrgs.br\/levi\/?page_id=15678"},"modified":"2022-12-17T07:42:23","modified_gmt":"2022-12-17T10:42:23","slug":"letramento","status":"publish","type":"page","link":"https:\/\/www.ufrgs.br\/levi\/letramento\/","title":{"rendered":"LETRAMENTO"},"content":{"rendered":"\t\t
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Publicado em 16 de dezembro de 2022.<\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\n\t\t\t\t\tAs crian\u00e7as com necessidades especiais em sa\u00fade (CRIANES) demandam cuidados especializados e acessam servi\u00e7os de sa\u00fade diversas vezes ao longo dos anos. S\u00e3o crian\u00e7as com alguma condi\u00e7\u00e3o complexa em sa\u00fade que demandam cuidados espec\u00edficos para a manuten\u00e7\u00e3o da vida, tais cuidados podem estar relacionados com1,2,3<\/sup>:\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Uso de dispositivos tecnol\u00f3gicos em sa\u00fade como: traqueostomia, uso de ventila\u00e7\u00e3o invasiva, uso de sondas para alimenta\u00e7\u00e3o e para medica\u00e7\u00e3o, uso de cateter venoso central;<\/span><\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Uso de medica\u00e7\u00f5es para manuten\u00e7\u00e3o da vida;<\/span><\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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Necessidade de atendimento para estimula\u00e7\u00e3o motora e ou funcional<\/span><\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\n\t\t\t\t\tSendo assim, as CRIANES dependem de pessoas aptas para realizar esses cuidados ap\u00f3s a alta hospitalar de uma forma segura em seu domic\u00edlio4<\/sup>. Para isso, o familiar\/cuidador deve ser capaz de assimilar as informa\u00e7\u00f5es sobre o estado de sa\u00fade da CRIANES, compreender como administrar as medica\u00e7\u00f5es (dose e hor\u00e1rios), aprender habilidades complexas, como: aspira\u00e7\u00e3o de traqueostomia ou troca de curativos. Cuidados que requerem responsabilidade e iniciativa de buscar ajuda em situa\u00e7\u00f5es de emerg\u00eancia e risco3,4<\/sup>.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\tTudo isso n\u00e3o depende apenas da capacita\u00e7\u00e3o t\u00e9cnica do cuidador realizada pelos profissionais em sa\u00fade, mas requer habilidade de compreens\u00e3o, alfabetiza\u00e7\u00e3o (leitura) e \u201cnumeramento\u201d (utiliza\u00e7\u00e3o de n\u00fameros) para ter entendimento sobre os cuidados de alta complexidade que ir\u00e3o assumir durante os cuidados em casa. Assim, o cuidador precisa ser capaz de compreender essas orienta\u00e7\u00f5es e p\u00f4r em pr\u00e1tica e para isso, \u00e9 importante ter algum grau de instru\u00e7\u00e3o. Por isso, a alfabetiza\u00e7\u00e3o em geral \u00e9 necess\u00e1ria para assimilar as informa\u00e7\u00f5es3,5<\/sup>.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\n\t\t\t\t\tTodavia, o tratamento da CRIANES depende n\u00e3o s\u00f3 do cuidador ser capaz de ler e escrever, dependente do quanto essas informa\u00e7\u00f5es possuem significado e como esse cuidador busca a compreens\u00e3o sobre o estado de sa\u00fade da CRIANES3,5<\/sup>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\tSurge assim, a import\u00e2ncia do letramento em sa\u00fade que envolve a compreens\u00e3o da doen\u00e7a, do tratamento, habilidades de gerir os cuidados, compet\u00eancia para acessar e interpretar informa\u00e7\u00f5es e a capacidade de o indiv\u00edduo fazer julgamento sobre essas informa\u00e7\u00f5es para a promo\u00e7\u00e3o, preven\u00e7\u00e3o e cuidado3,5,6<\/sup>.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\tDiante disso, a alfabetiza\u00e7\u00e3o em geral \u00e9 importante para o cuidador dar continuidade aos cuidados no domic\u00edlio, mas \u00e9 diferentemente do letramento em sa\u00fade. O primeiro, precede o segundo e o letramento em sa\u00fade est\u00e1 relacionado com a capacidade de interpretar informa\u00e7\u00f5es, saber buscar informa\u00e7\u00f5es sobre sa\u00fade e aplicar o conhecimento adquirido no autocuidado em sa\u00fade5,6<\/sup>.\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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E como o letramento em sa\u00fade pode ser avaliado?<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\n\t\t\t\t\tExistem instrumentos que avaliam o grau de letramento em sa\u00fade dos indiv\u00edduos em diferentes contextos, atrav\u00e9s de instrumentos validados que identificam o n\u00edvel do letramento em sa\u00fade, que podem ser aplicados por profissionais de sa\u00fade. Essas ferramentas s\u00e3o \u00fateis para avaliar a compreens\u00e3o sobre as instru\u00e7\u00f5es e capacidade para o cuidado. Os mais utilizados s\u00e3o6<\/sup>:\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Test of Functional Health Literacy in Adults<\/strong> (TOFHLA), esse instrumento avalia letramento em pesquisas em sa\u00fade (pode ser aplicado em vers\u00e3o completa ou curta).<\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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O Rapid Estimate of Adult Literacy in Medicine<\/strong> (REALM), uma ferramenta mais pr\u00e1tica para avaliar o grau de letramento em sa\u00fade.<\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Portanto, \u00e9 essencial que o Enfermeiro compreenda a import\u00e2ncia de incentivar o letramento em sa\u00fade dos cuidadores das CRIANES para a ades\u00e3o e o sucesso do tratamento, evitando as reinterna\u00e7\u00f5es por intercorr\u00eancias ou eventos adversos no domic\u00edlio. Sugere-se que a avalia\u00e7\u00e3o do n\u00edvel do letramento em sa\u00fade dos cuidadores seja incorporada ao planejamento da alta hospitalar da CRIANES, qualificando a assist\u00eancia de enfermagem para um cuidado seguro al\u00e9m dos muros nosocomiais.<\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Refer\u00eancias:<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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  1. McPherson M, Arango P, Fox H, Lauver C, McManus M, Newacheck PW, et al. A New Definition of Children With Special Health Care Needs. Pediatrics. 1o de julho de 1998;102(1):137\u20139.<\/li>
  2. G\u00f3es FGB, Cabral IE. Discursos sobre cuidados na alta de crian\u00e7as com necessidades especiais de sa\u00fade. Revista Brasileira de Enfermagem. fevereiro de 2017;70(1):163\u201371.<\/li>
  3. Settoon C, Evans AK. Health literacy rates among pediatric tracheostomy caregivers. International Journal of Pediatric Otorhinolaryngology. mar\u00e7o de 2021; 142:110560.<\/li>
  4. Barreiros CFC, Gomes MA de SM, Mendes J\u00fanior SC do S. Crian\u00e7a com necessidades especiais de sa\u00fade: desafios do sistema \u00fanico de sa\u00fade no s\u00e9culo XXI. Revista Brasileira de Enfermagem. novembro de 2020.<\/li>
  5. S\u00f8rensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health. dezembro de 2012;12(1):80.<\/li>
  6. Weiss BD. Quick Assessment of Literacy in Primary Care: The Newest Vital Sign. The Annals of Family Medicine. 1o de novembro de 2005;3(6):514\u201322.<\/li><\/ol>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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    Como citar:<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    LEIMAN, S.H; VACCARI, A. A import\u00e2ncia do Letramento em Sa\u00fade para o cuidado da CRIANES.\u00a0<\/strong>Blog LEVi@enf2022(viewed Dezembro 2022) Avaliable from: https:\/\/www.ufrgs.br\/levi\/letramento<\/a><\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

    Publicado em 16 de dezembro de 2022. As crian\u00e7as com necessidades especiais em sa\u00fade (CRIANES) demandam cuidados especializados e acessam servi\u00e7os de sa\u00fade diversas vezes ao longo dos anos. S\u00e3o crian\u00e7as com alguma condi\u00e7\u00e3o complexa em sa\u00fade que demandam cuidados espec\u00edficos para a manuten\u00e7\u00e3o da vida, tais cuidados podem estar relacionados com1,2,3: Uso de dispositivos…
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