Repercussões da telessaúde na continuidade do cuidado às pessoas com adoecimento crônico durante a pandemia de covid-19

Abstract

Currently, in this moment, how caregivers' actions and strategies have brought to the center of the debate on health and technologies, among them, between the care for the accomplishment of the activities, because with the compulsory isolation, people have acquired other habits that are little areas, some few areas, became sedentary, anxious, and therefore, more exposed and to diseases. This problem has gained an aggravating factor, because, according to, as people in chronic situations have a greater potential for seriousness, if the WHO worsens a Covid-19 virus. The general objective: To understand the repercussions of remote care offered to people who experience the problem of immunity in times, offered by Covid-19, offered by the Hiperdia Program. Specific Objectives: 1- Know self-care behaviors of health program participants in times of the Covid-19 pandemic; 2- To describe the repercussions of telehealth offered by the Hiperdia Program team to people with chronic diseases; 3- Evaluate the positive aspects and the continuity of maintenance through telehealth for people with chronic diseases. Methodology: This is a qualitative study, with a participatory approach developed in a virtual process, of the Municipal Program for Hypertension and Diabetes-Hiperdia, of the Centro de Saúde Extensão do Bosque, located in the municipality of Rio das Ostras, RJ, in the period from October 2021 to January 2022. We included 15 participants with diagnoses of systemic arterial hypertension and/or diabetes mellitus, linked to the remote monitoring program of instant messages and calls to smartphones (which are virtually excluded and were removed from people from other population groups, without the possibility to participate in the activities of the real group) serious comorbidities that are difficult to follow up. This project was approved by UERJ and has the project on Plataforma Brasil with 39 nº32824399.1.2828204/2021. A data collection form collected through an online form was composed of a semi-structured online form, being chosen through an interview carried out by telephone contacts. The method of organization and categorization was by means of Bardin and the treatment of the data by the software Interface de R pour les Analysis Multidimensionnelles de Textes et de Questionnaires (IRAMUTEQ). Remote repercussions in times of the Covid-19 pandemic; Self-care behaviors during the pandemic and Safety in the process of self-care and control of the coronavirus. Conclusion: World of difficulties imposed by the health framework as educational health and self-care actions well received by the participants who were able to know acquired, demonstrating that their needs were sensibly met. The remote guarantee guaranteed, making the service preserve health, with autonomy, autonomy and life.