Principio de integralidad en una UTI: espacio e relaciones entre profesionales de salud y usuarios

Resumen

The principle of integrality in the Single Health System represents a desirable attribute in all levels of attention in health. In this perspective, the objective of this study is to understand how this principle is perceived in the assistance to users of a public Intensive Care Unit (ICU). It’s a qualitative research of comprehensive approach, based in integrality references and some concepts of Michel Foucault. This study was conducted in a public ICU in 2007, through the technique of participant observation. For the data analysis, was used the content study proposed by Minayo. According to the proposed objective, we identified that the ICU’s area and the relationships between health professionals and patients are aspects which challenge the respect to this principle in the intensive therapy studied. We conclude that for attendance to integrality the  ICU’s users, becomes necessary the reorganization of health practices in order to rescue the compromise with this users, so to consider in the health assistance the aspects bio-psycho-social, in order to valorize other dimensions, which are damaged besides biological dimension.