Banca de DEFESA: PAULO HENRIQUE DA COSTA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : PAULO HENRIQUE DA COSTA
DATE: 15/09/2025
TIME: 13:30
LOCAL: videochamada: https://meet.google.com/zzn-vgxm-pqp
TITLE:

COLLECTIVE DISCOURSE OF PATIENTS HOSPITALIZED DUE TO CORONARY SYNDROMES

KEY WORDS:

Acute Coronary Syndrome. Public Health. Noncommunicable diseases. Health-Disease Process.

PAGES: 90
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

Introduction: Cardiovascular diseases are a major public health problem, ranking among the leading causes of morbidity and mortality worldwide, with a considerable increase in the number of people seeking hospitalization for treatment and care. Heart disease itself evokes feelings of fragility, vulnerability, and an awareness of finitude.
Understanding the experiences of people hospitalized for coronary syndromes, based on the Discourse of the Collective Subject (DSC), enables the improvement of care and public policies, considering that illness involves emotional, psychological, and social dimensions that influence the perception of one's own health. Objective: To analyze the discourse of patients hospitalized for coronary syndromes in a high-complexity private hospital, in light of Lefevre and Lefevre's Discourse of the Collective Subject. Methodology: This is a descriptive and exploratory study with a qualitative approach, conducted at the Hospital do

Coração in Natal, Rio Grande do Norte. Sampling was intentional for convenience, limited by theoretical saturation. Patients aged 18 or older hospitalized for coronary syndromes were included, totaling 15 participants interviewed between November 2024 and January 2025. The data obtained were analyzed using the DSC technique and discussed in light of the literature relevant to the study's themes within the Public Health field. Results: The interviewees were between 34 and 85 years old, mostly mixed-race, married, and male.
Regarding education, incomplete elementary school was predominant; two had completed
higher education, and three had no formal education. Regarding religion, Catholicism prevailed, followed by Protestantism. Access to hospital care occurred primarily through private service regulations linked to the Unified Health System (SUS). The analysis resulted in nine collective discourses, constructed from the key expressions and central ideas of the statements. Discussion: The experiences of patients affected
by coronary syndromes reveal changes in daily life, perceptions of the disease and self-care, as well as social, emotional, and spiritual repercussions. Health care practices
reveal a certain neglect of preventive actions, in addition to reflecting gender issues and the influence of social determinants of health. Illness emerged as an
experience that disrupts routine and challenges the perception of bodily invulnerability, imposing
limitations and demanding a new understanding of self-care, with a redefinition of the
relationship with the body and health. The discourses also highlighted the impact of the disease on
work and identity, eliciting feelings of uselessness in the face of the interruption
of production. Perceptions of aging were associated with family, autonomy,
functional decline, and a collective imagination linked to inactivity, loss, and dependence.
Spirituality, in turn, was identified as a resource for coping with uncertainty,
finiteness, and suffering. Conclusions: Hospitalization for coronary syndromes profoundly affects physical, emotional, social, and spiritual dimensions, changing perceptions of health, work, and meaning in life. The experiences reported reinforce the importance of family support, faith, and humanized care, as well as the need for care policies and practices that integrate biomedical and psychosocial aspects into treatment.

 

COMMITTEE MEMBERS:
Presidente - 1652946 - RAFAELA CAROLINI DE OLIVEIRA TAVORA
Interna - 2507055 - CRISTIANE DA SILVA RAMOS MARINHO
Externa à Instituição - RENATA CARDOSO OLIVEIRA - UEPB