Processo de trabalho do enfermeiro no atendimento a pessoa vivendo com HIV/AIDS na estratégia saúde da família

Abstract

Care for the person living with the human immunodeficiency virus or the Acquired Immunodeficiency Syndrome is a specificity considering that it is a complex object of care that requires multiple knowledge, due to the involvement of issues that go beyond clinical knowledge and advance to the Social and affective demands. Considered as a public health problem, with an incidence rate in progression, in surveillance by a multidisciplinary team, it is incumbent on nurses to exercise care by developing their work process in health care levels considering this reality. The aim of this study was to analyze the work process of the nurse practitioner in the care of people living with HIV / AIDS (PLHA) in the family health strategy (FHS) of the city of Parnamirim / RN. This is an exploratory, descriptive study of a qualitative approach of the case study type carried out in the Family Health Strategy of the city of Parnamirim, where data were collected with 33 nurses working in the referred service through a semi-structured interview. The Bardin content analysis method was used and the project was approved by the Ethics and Research Committee of the Federal University of Rio Grande do Norte under opinion no. 1,442,712 and CAAE: 51842215.1.0000.5537. The results of this study were: the majority of females (87.8%), young adults - 20 and 40 years old (72.7%), and postgraduate students (78.8% %) And a work bond (75.7%). The working process that stands out is watching / intervening, with teaching / learning and managing nuances and absence of investigating. With regard to PLHA care, the actions taken are focused on promotion (lectures at the Basic Health Unit (UBS), waiting room and the health program at the school), prevention (delivery of condoms) and diagnosis Rapid tests for syphilis and HIV). The process points to the necessity of directing in relation to the horizontality of the relations with the orientation of an interdisciplinary project that glimpses the perspective of health care network. The main possibilities for forming a network of attention seized in the face of the reality of Parnamirim is the existence in the territory of the municipality of the Specialized Attention Service, availability of the rapid test in the UBS and the existence of communication between existing services. On the other hand, the difficulty with the infrastructures for health education moments, the partial lack of knowledge of the PLHA in the area of action of the ESF, the rotation of the professionals in the ESF, the confidentiality, the operationalization of the reference system and counterreference, and the absence of training for Taking care of PLHA are factors that weaken the integral and horizontal care to the focused public. The research considers weaknesses and possibilities regarding PLHA care in basic health care, especially regarding integral care and recognizes that it still raises questions about the care to this population after the diagnosis as a way to improve the access of PLHA in the spaces of Existing services.