Health promotion: discourses and conceptions in primary health care

Abstract Background Although initially the term health promotion is used to characterize a level of care of preventive medicine, it has been resignifying over time. Objective This study aimed to identify knowledge about the health promotion of health workers in the city of Criciúma - SC. Method This is a descriptive observational study with a qualitative approach, which included 123 professionals from 28 Family Health Strategies and 1 Family Health Support Center and at the Municipal Health Secretary. The thematic analysis of content analyzed the data, divided into three phases and using descriptive statistics, using the software Atlas.ti, with the insertion of documents, excerpts of the speech, codes, grouping by proximity thematic and visualization networks. Results Data generated 137 quotations, 11 codes that were grouped into 4 categories: a preventive model [36,6%], an educational model [29,2%], a positive health model [28,5%] and a model of articulation, participation and social control [5,8]. Conclusion the understanding of health workers about health promotion is predominantly related to the preventive view, mainly related to the prevention of risk factors and diseases.研究背景 尽管“健康促进（health promotion）”一词最初被用于描述预防医学的照护层级，但随着时间推移，其内涵已被重新界定。 研究目的 本研究旨在探明巴西圣卡塔琳娜州克里西乌马市（Criciúma - SC）医护人员对健康促进的认知现状。 研究方法 本研究为采用质性研究范式的描述性观察研究，共纳入来自28个家庭健康策略（Family Health Strategies）机构、1家家庭健康支持中心（Family Health Support Center）及市卫生局（Municipal Health Secretary）的123名医护人员。研究采用主题内容分析法处理数据，分为三个阶段，并结合描述性统计方法，使用Atlas.ti软件开展分析，具体操作涵盖文档导入、访谈话语片段提取、编码构建、按主题邻近性分组及可视化网络构建。 研究结果 本次研究共生成137条引述，提炼出11个编码，并将其归为4大类：预防型模式（占比36.6%）、教育型模式（占比29.2%）、积极健康型模式（占比28.5%），以及协调、参与与社会控制型模式（占比5.8%）。 研究结论 医护人员对健康促进的认知主要围绕预防视角展开，尤其聚焦于风险因素与疾病的预防。