Sopro de vida: experiência com a doença pulmonar obstrutiva crônica na pobreza urbana de Fortaleza, Ceará, Brasil
Autor(a) principal: | |
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Data de Publicação: | 2008 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3501 |
Resumo: | This is an anthropological study on the experience of living with chronic obstructive pulmonary disease (COPD) for low-income individuals in the city of Fortaleza, Ceará State, Brazil. From March to November 2006, we conducted case studies of six patients, using ethnographic interviews, illness narratives, and participant-observation during hospital treatment and home visits. Thematic context analysis and contextualized semantic analysis were used to link individual experience to system of significance, actions taken, and structural constraints. Based on the findings, COPD provokes subjective sensations, signs, and meanings. The diagnosis "smothers" patients, provoking hardships and limitations in their manual, sexual, domestic, family, and leisure activities. Lay strategies used to confront acute shortness of breath and low self-esteem include: avoiding direct contact with the patient's "phlegm", quitting or reducing smoking, treating symptoms with home remedies and popular body therapies, remaining calm during attacks, rejecting imposed therapies, and surrendering one's self to spiritual powers. Thus, the subjectivity of illness cannot be excluded from the measurement of the "global burden of disease" in Northeast Brazil. |
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Sopro de vida: experiência com a doença pulmonar obstrutiva crônica na pobreza urbana de Fortaleza, Ceará, BrasilDoença Pulmonar Obstrutiva CrônicaEnfermidadeAntropologia CulturalThis is an anthropological study on the experience of living with chronic obstructive pulmonary disease (COPD) for low-income individuals in the city of Fortaleza, Ceará State, Brazil. From March to November 2006, we conducted case studies of six patients, using ethnographic interviews, illness narratives, and participant-observation during hospital treatment and home visits. Thematic context analysis and contextualized semantic analysis were used to link individual experience to system of significance, actions taken, and structural constraints. Based on the findings, COPD provokes subjective sensations, signs, and meanings. The diagnosis "smothers" patients, provoking hardships and limitations in their manual, sexual, domestic, family, and leisure activities. Lay strategies used to confront acute shortness of breath and low self-esteem include: avoiding direct contact with the patient's "phlegm", quitting or reducing smoking, treating symptoms with home remedies and popular body therapies, remaining calm during attacks, rejecting imposed therapies, and surrendering one's self to spiritual powers. Thus, the subjectivity of illness cannot be excluded from the measurement of the "global burden of disease" in Northeast Brazil.Trata-se de estudo antropológico de pessoas com a doença pulmonar obstrutiva crônica vivenciada na pobreza urbana de Fortaleza, Ceará, Brasil. De março a novembro de 2006, conduzimos com seis pacientes o estudo de casos, a entrevista etnográfica, a narrativa da enfermidade, e a observação participante no atendimento hospitalar e visitas domiciliares. Utilizamos a análise de conteúdo temática e a interpretação semântica contextualizada para interligar a experiência individual aos sistemas de significação, ações tomadas e condicionantes estruturais. Conclui-se que a doença pulmonar obstrutiva crônica provoca sensações, sinais e significados subjetivos. O diagnóstico torna a vida "um sufoco", surgindo limitações e privações de atividades laborais, sexuais, domésticas, familiares e de lazer. Evitar o contato direto com "o catarro" do doente, deixar de fumar ou diminuir a freqüência e evitar fumaça, tratar os sintomas com remédios caseiros e terapias corporais populares, manter a calma durante as crises, rejeitar restrições categóricas e impostas e entregar-se às forças espirituais são estratégias leigas para enfrentar o cansaço, a crise e a baixa auto-estima. A subjetividade da enfermidade, portanto, jamais pode ser excluída na medição da "carga global da doença" no nordeste brasileiro.Reports in Public HealthCadernos de Saúde Pública2008-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3501Reports in Public Health; Vol. 24 No. 12 (2008): DecemberCadernos de Saúde Pública; v. 24 n. 12 (2008): Dezembro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3501/7087https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3501/7088Pinto, Juliana Maria de SousaVieira, Luiza Jane Eyre de SouzaNations, Marilyn K.info:eu-repo/semantics/openAccess2024-03-06T15:27:39Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/3501Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:04:01.895358Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Sopro de vida: experiência com a doença pulmonar obstrutiva crônica na pobreza urbana de Fortaleza, Ceará, Brasil |
title |
Sopro de vida: experiência com a doença pulmonar obstrutiva crônica na pobreza urbana de Fortaleza, Ceará, Brasil |
spellingShingle |
Sopro de vida: experiência com a doença pulmonar obstrutiva crônica na pobreza urbana de Fortaleza, Ceará, Brasil Pinto, Juliana Maria de Sousa Doença Pulmonar Obstrutiva Crônica Enfermidade Antropologia Cultural |
title_short |
Sopro de vida: experiência com a doença pulmonar obstrutiva crônica na pobreza urbana de Fortaleza, Ceará, Brasil |
title_full |
Sopro de vida: experiência com a doença pulmonar obstrutiva crônica na pobreza urbana de Fortaleza, Ceará, Brasil |
title_fullStr |
Sopro de vida: experiência com a doença pulmonar obstrutiva crônica na pobreza urbana de Fortaleza, Ceará, Brasil |
title_full_unstemmed |
Sopro de vida: experiência com a doença pulmonar obstrutiva crônica na pobreza urbana de Fortaleza, Ceará, Brasil |
title_sort |
Sopro de vida: experiência com a doença pulmonar obstrutiva crônica na pobreza urbana de Fortaleza, Ceará, Brasil |
author |
Pinto, Juliana Maria de Sousa |
author_facet |
Pinto, Juliana Maria de Sousa Vieira, Luiza Jane Eyre de Souza Nations, Marilyn K. |
author_role |
author |
author2 |
Vieira, Luiza Jane Eyre de Souza Nations, Marilyn K. |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Pinto, Juliana Maria de Sousa Vieira, Luiza Jane Eyre de Souza Nations, Marilyn K. |
dc.subject.por.fl_str_mv |
Doença Pulmonar Obstrutiva Crônica Enfermidade Antropologia Cultural |
topic |
Doença Pulmonar Obstrutiva Crônica Enfermidade Antropologia Cultural |
description |
This is an anthropological study on the experience of living with chronic obstructive pulmonary disease (COPD) for low-income individuals in the city of Fortaleza, Ceará State, Brazil. From March to November 2006, we conducted case studies of six patients, using ethnographic interviews, illness narratives, and participant-observation during hospital treatment and home visits. Thematic context analysis and contextualized semantic analysis were used to link individual experience to system of significance, actions taken, and structural constraints. Based on the findings, COPD provokes subjective sensations, signs, and meanings. The diagnosis "smothers" patients, provoking hardships and limitations in their manual, sexual, domestic, family, and leisure activities. Lay strategies used to confront acute shortness of breath and low self-esteem include: avoiding direct contact with the patient's "phlegm", quitting or reducing smoking, treating symptoms with home remedies and popular body therapies, remaining calm during attacks, rejecting imposed therapies, and surrendering one's self to spiritual powers. Thus, the subjectivity of illness cannot be excluded from the measurement of the "global burden of disease" in Northeast Brazil. |
publishDate |
2008 |
dc.date.none.fl_str_mv |
2008-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3501 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3501 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3501/7087 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3501/7088 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html application/pdf |
dc.publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
dc.source.none.fl_str_mv |
Reports in Public Health; Vol. 24 No. 12 (2008): December Cadernos de Saúde Pública; v. 24 n. 12 (2008): Dezembro 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
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1798943362001141760 |