Itinerários terapêuticos: reabilitação dos usuários da atenção básica que sofreram acidente vascular cerebral

Abstract

Introduction: Stroke is currently considered the most disabling disease in the world, being a major public health problem in Brazil and worldwide. It was considered the second leading cause of death in the year 2019, worldwide. More than half of those affected by stroke need rehabilitation of its sequelae, to minimize the impact of the injury and restore a certain degree of functional independence, increasing their quality of life and reducing the burden generated by the disease. However, access to rehabilitation services is considered deficient by the World Health Organization (WHO) and users who suffer a stroke find it difficult to access the rehabilitation network. Objectives: This study aims to understand the Therapeutic Itineraries covered by users of Primary Care who suffered a stroke, in the field of rehabilitation. Methods: This is a qualitative and descriptive study, carried out with 4 users affected by stroke and their caregivers, who live in the area of a USF in a certain neighborhood in the city of Salvador. After selecting the participants, semi-structured interviews were conducted with the users and their caregivers and the data were analyzed based on Content Analysis. Results: The results showed that the search for rehabilitation occurred predominantly on their own and through a support network and the family, in public services, within or close to the territory. Difficulties in accessing services were related to family issues and the problems of the services themselves, and Primary Care played an important role in monitoring injuries and risk factors, with spaces for post-stroke rehabilitation. Conclusion: Primary Care individuals who suffer a stroke in their territory find it difficult to access the rehabilitation network, especially outside their territory. It is concluded from this study that the family support network and public service was essential for access to the rehabilitation network, with previous follow-up in PC being a favorable factor for greater success in the search for services.