Educação Do Doente Terapêutico No Tratamento Da Diabetes
-
Upload
tatiana-souza -
Category
Documents
-
view
19 -
download
1
description
Transcript of Educação Do Doente Terapêutico No Tratamento Da Diabetes
-
Rev Port Cardiol. 2013;32(Supl. I):32-34
0870-2551/$ - see front matter 2013 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier Espaa, S.L. Todos os direitos reservados.
www.revportcardiol.org
Portuguese Journal of Cardiology
Revista Portuguesa de
Cardiologiawww.revportcardiol.org
ISSN 0870-2551
Revista Portuguesa de
Portuguese Journal of Cardiology
O que o cardiologista deve saber sobre diabetes: investir no capital vascular
CardiologiaVolume 32 r4VQMFNFOUP* "CSJM2013
rgo Oficial da Sociedade Portuguesa de Cardiologia
O QUE O CARDIOLOGISTA DEVE SABER SOBRE DIABETES: INVESTIR NO CAPITAL VASCULAR
Educao do doente teraputico no tratamento da diabetes
Jos Manuel Boavida
Endocrinologista, Director do Programa Nacional para a Diabetes, Lisboa, Portugal
PALAVRAS-CHAVEDiabetes; Empowerment; Educao teraputica; 5HODomRSURVVLRQDOde sade e pessoa FRPGRHQoDFUyQLFD
Resumo $VFRPSOLFDo}HVWDUGLDVGDGLDEHWHVWLSRHWLSRSRGHPVHUHFD]PHQWHHYLWDGDVRXUHWDUGDGDVXWLOL]DQGRXPDLQWHUYHQomRDFWLYDHDVWHUDSLDVGLVSRQtYHLV$LQGDDVVLPDSHUFHQWDJHPGHSHVVRDVFRPGLDEHWHVTXHDGHUHPjWHUDSrXWLFDSURSRVWDSHORVSURVVLRQDLVGHVD~GHpEDVWDQWHEDL[D$VSHVVRDV FRPGLDEHWHV RXTXDOTXHU RXWUDGRHQoD FUyQLFDSUHFLVDPGH VHU HQYROYLGDV QR VHXSUySULRWUDWDPHQWR8PFRQKHFLPHQWREiVLFRGDGRHQoDpPXLWRLPSRUWDQWHPDVSDUDDPXGDQoDGHFRPSRUWDPHQWRVpIXQGDPHQWDOXPUHIRUoRGDVDWLWXGHVDSURSULDGDVHXPSURFHVVRFRQWtQXRGHPRWLYDomRGDSHVVRDFRPGRHQoDVFUyQLFDVeQHFHVViULRHGXFDUDVSHVVRDVSURYLGHQFLDQGROKHVIHUUDPHQWDVHskillsSDUDJHULUDVXDSUySULDGRHQoDWRUQDQGRRVDXWyQRPRVFDSDFLWDQGRRV1R0RGHORGHHGXFDomRWHUDSrXWLFDDSHVVRDFRPGRHQoDGHL[DGHVHURREMHFWRHSDVVDDVHUXPGRVLQWHUYHQLHQWHVGRSURFHVVRWRUQDVHSDUWHGDHTXLSDHSDUWHGDVROXomR6RFLHGDGH3RUWXJXHVDGH&DUGLRORJLD3XEOLFDGRSRU(OVHYLHU(VSDxD6/7RGRVRVGLUHLWRVreservados.
Therapeutic patient education in diabetes management
Abstract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empoweringWKHP,QWKH7KHUDSHXWLF3DWLHQW(GXFDWLRQPRGHOWKHSDWLHQWLVQRORQJHUWKHREMHFWEXWLQVWHDGRQHRIWKHDFWRUVLQWKHSURFHVV+HEHFRPHVSDUWRIWKHWHDPDQGSDUWRIWKHVROXWLRQ*RDOVDUHDJUHHGDVDUHVXOWRILQSXWRIWKHSDWLHQWVGHVLUHVGHWDLOVRIKLVGDLO\OLIHKLVSHUFHSWLRQVDQGWKH+&3VELRPHGLFDOREMHFWLYHV7KHSDWLHQWWDNHVFDUHRIKLPVHOIDQGZLOOVWHSE\VWHSEHFRPHDZDUHRIWKHFRQVHTXHQFHVRIKLVDFWLRQVLQFROODERUDWLRQZLWKKLVKHDOWKWHDP6RFLHGDGH3RUWXJXHVDGH&DUGLRORJLD3XEOLVKHGE\(OVHYLHU(VSDxD6/$OOULJKWVUHVHUYHG
KEYWORDSDiabetes; (PSRZHUPHQW7KHUDSHXWLFHGXFDWLRQ5HODWLRQEHWZHHQKHDOWKFDUHSURIHVVLRQDOVDQGSHRSOHZLWKFKURQLFdisease
Correio electrnico:MPERDYLGD#QHWFDERSW
Spiritual VirusNotahttp://ac.els-cdn.com/S0870255113700453/1-s2.0-S0870255113700453-main.pdf?_tid=fa5bd67a-f914-11e4-9f9a-00000aab0f6b&acdnat=1431483102_e36a44a10c48767c798d1b9087dcff1b
ou
http://www.sciencedirect.com/science/article/pii/S0870255113700453
-
(GXFDomRGRGRHQWHWHUDSrXWLFRQRWUDWDPHQWRGDGLDEHWHV
Educao teraputica na gesto da diabetes
7RGRVQyVVDEHPRVTXHDGLDEHWHVWLSRSRGHVHUSUHYHQtYHODWUDYpVGDPXGDQoDGRVHVWLORVGHYLGDHWDOYH]FRPDDMXGDGHalguma medicao). As complicaes tardias da diabetes tipo HWLSRSRGHPLJXDOPHQWHVHUHYLWDGDVRXDWUDVDGDVDWUDYpVGHXPDLQWHUYHQomRDFWLYDHXWLOL]DQGRDVWHUDSLDVGLVSRQtYHLV$LQGDDVVLPDSHUFHQWDJHPGHSHVVRDVFRPGLDEHWHVRXFRPGRHQoDVFUyQLFDVHPJHUDOTXHVHJXHPDWHUDSrXWLFDSURSRVWDSHORSURVVLRQDOGHVD~GHpPXLWRLQIHULRUDRH[SHFWiYHO3RUH[HPSORHGDVSHVVRDVFRPGLDEHWHVWLSRDGPLWHPIDOKDUGLDULDPHQWHDOJXPDVGDVVXDVLQMHFo}HVGHLQVXOLQDRDXPHQWRGDDFWLYLGDGHItVLFDItVLFRRXDDGHUrQFLDDXPSODQRDOLPHQWDUDGHTXDGRWrPSHUFHQWDJHQVDLQGDPDLVEDL[DV$HYLGrQFLDpFODUDDPDLRUSDUWHGDVYH]HVDVSHVVRDVVDEHPFRPRID]HUVDEHPRTXHGHYLDVHUIHLWRHDWpTXHUHPID]rORPDVVLPSOHVPHQWHQmRRID]HP2HQYROYLPHQWRGDVSHVVRDVFRPGLDEHWHVRXFRPRXWUDGRHQoDFUyQLFDQRVHXSUySULRWUDWDPHQWRWHUiTXHVHUDERUGDGRQDEDVHGHVWDVSUHPLVVDV2 FRQKHFLPHQWR pPXLWR LPSRUWDQWH SDUD DV SHVVRDV FRPGRHQoDV FUyQLFDVPDV R UHIRUoR GDV DWLWXGHV DGHTXDGDV HXPSURFHVVRFRQWtQXRGHPRWLYDomRVmRIXQGDPHQWDLVSDUDDPXGDQoDGHKiELWRVHFRPSRUWDPHQWRVeQHFHVViULRHGXFDUDV SHVVRDV IRUQHFHQGROKHV IHUUDPHQWDV H DSWLG}HV SDUDJHULUHPDVXDSUySULDGRHQoDSURPRYHQGRDVXDDXWRQRPLDHDVXDFDSDFLGDGHGHGHFLVmRVREUHDVGLFXOGDGHVGHJHVWmRda sua situao (empowerment), HPERUD VHMD REYLDPHQWHHVVHQFLDOXPDFRQWtQXDGLVSRQLELOLGDGHGRVSURVVLRQDLVGHVD~GHSDUDRDFRPSDQKDPHQWR$FWXDOPHQWHWHPRVGLIHUHQWHVWLSRVDQWLGLDEpWLFRVRUDLVFRPIRUPDVGLIHUHQWHVGHDFomRHGHLQVXOLQDVFRPSHUVGLIHUHQWHVGHDEVRUomRHGHDFWXDomRYiULRVJOXFyPHWURVTXHGmRJOLFHPLDVHPVHJXQGRVHFRPSLFDGDVSUDWLFDPHQWHLQGRORUHVHSODQRVDOLPHQWDUHVHGHH[HUFtFLRItVLFRPDLVDGDSWiYHLVDRHVWLORGHYLGDGHFDGDSHVVRD0DVIDOWDXPDFRLVDDHGXFDomRWHUDSrXWLFD(VWHFRQFHLWRFULDGRSRU-HDQ3KLOLSSH$VVDOSRGHVHUGHQLGRFRPRVHQGRRSURFHVVR concebido para treinar as pessoas com doena crnica nas aptides de auto-gesto ou de adaptao do tratamento sua doena particular () permitindo ao doente (ou grupo de doentes e suas famlias) gerir o tratamento da sua doena e prevenir complicaes evitveis, enquanto mantm ou melhoram a sua qualidade de vida.$(GXFDomR7HUDSrXWLFDGHYHVHUFHQWUDGDQDSHVVRDFRPDGRHQoDHVHUEDVHDGDQXPDUHODomRPDLVKRUL]RQWDOHQWUHDSHVVRD FRPDGRHQoDHRSURVVLRQDOGH VD~GHTXDQGRFRPSDUDGD FRP D UHODomR FOiVVLFD 6DEHPRV KRMH TXHDQDOLVDURVVLQWRPDVGDVSHVVRDVGLDJQRVWLFDUDVGRHQoDVHSUHVFUHYHUDWHUDSLDDGHTXDGDMiQmRpVXFLHQWH4XDQGRDV SHVVRDV H RV SURVVLRQDLV GH VD~GH VH HQFRQWUDP QDFRQVXOWD D VXD LQWHUDFomR SRGH IDFLOLWDU RX FRQWUDULDU DDGHVmRjWHUDSLDRXDRVFRQVHOKRVGDGRV
A educao teraputica
$ IRUPDomR LQLFLDO GD JUDQGH PDLRULD GRV SURVVLRQDLV GHVD~GHpIRFDGDQXPDSHUVSHFWLYDDJXGDGDGRHQoDEDVHDGDHPVLQDLVRXVLQWRPDVTXHOHYDPDGLDJQyVWLFR1HVWHPRGHORRPpGLFRpUHVSRQViYHOSHORGLDJQyVWLFRSHORWUDWDPHQWRHSHORVUHVXOWDGRVpXPPRGHORFHQWUDGRQRSURVVLRQDOGHVD~GHTXH VDEHRTXH ID]HUTXDQGRH FRPR7XGRRTXHDVSHVVRDVGRHQWHVWrPGHID]HUpVHJXLUDVLQGLFDo}HVGRV
SURVVLRQDLV H RV EHQHItFLRV IXWXURV VHUmR PDLRUHV TXH RLPSDFWRTXHHVVDVPHGLGDVWHUmRQRVHXTXRWLGLDQR1R HQWDQWR TXDQGR QRV UHIHULPRV D GRHQoDV FUyQLFDVHVWH PRGHOR VLPSOHVPHQWH QmR IXQFLRQD e QHFHVViULDXPDFRPSUHHQVmRJOREDOGDSHVVRDFRPDGRHQoDHGDVXDGLPHQVmRSVLFRVVRFLDOe QHFHVViULR SDVVDU GR PRGHOR FOiVVLFR FHQWUDGR QRPpGLFR SDUD XP PRGHOR FHQWUDGR QD SHVVRD GRHQWHatravs da educao teraputica e do empowerment.
Este empowermentVHJXQGR%RE$QGHUVRQEDVHLDVHHPWUrVSRQWRVSULQFLSDLV
4XDVHGRVFXLGDGRVHPGLDEHWHVVmRSUHVWDGRVSHORVSUySULRVHQmRSRUSURVVLRQDLVGHVD~GH&RP D VXD H[SHULrQFLD RV PpGLFRV H HQIHUPHLURV GHFXLGDGRVHPGLDEHWHVSRGHPIRUQHFHUHGXFDomRHDSRLRSVLFROyJLFRPDVQmRFRQVHJXHPFRQWURODUDGRHQoD$ SUREDELOLGDGH GH DOJXpP FRPHoDU H PDQWHU JUDQGHVDOWHUDo}HV QR VHX HVWLOR GH YLGD p EDVWDQWH UHGX]LGD VHHVWDV DOWHUDo}HV QmR WrP TXDOTXHU VLJQLFDGR SDUD DSHVVRDFRPDGRHQoDRXQmRIRUHPHVFROKLGDVSRUHOD
1HVWHPRGHORH[LVWHXPDWURFDGHFRQKHFLPHQWRVHRSRGHUHDUHVSRQVDELOLGDGHVVmRSDUWLOKDGDVImplica uma transferncia real, planicada e organi]ada de competncias do educador para a pessoa doente, com o objectivo de transformar progressivamente a sua dependncia em responsabilidade e parceria com a equipa de prossionais de sa~de,PSOLFD HP SULPHLUR OXJDU D UHGHQLomR GH SDSpLV HUHVSRQVDELOLGDGHH HP VHJXQGR OXJDU R HVWDEHOHFLPHQWRGHXPDUHODomRGHFRODERUDomRHHVStULWRGHHTXLSDHQWUHRVSURVVLRQDLVGHVD~GHHDSHVVRDGRHQWH(VWH PRGHOR HYLWD D IUXVWUDomR P~WXD GR SURVVLRQDOGH VD~GH TXH QmR FRQVHJXH FRQYHQFHU D SHVVRD GRHQWHHD VHJXLUDV VXDV LQVWUXo}HVHFRQVHOKRVGDSHVVRDFRPGLDEHWHV TXH QmR WHP FRQWUROR VREUH D VXD GRHQoD H VHVHQWHREULJDGDDDWLQJLUREMHFWLYRVTXHQmRFRQVLGHUDFRPRVHXVHSURPRYHXPWUDEDOKRGHHTXLSDHFLHQWHEDVHDGRQDH[SHULrQFLDHFRQKHFLPHQWRVGHDPEDVDVSDUWHV2 PpWRGR GHYHUi VHU LQWHUDFWLYR H HQYROYHU D SHVVRDGRHQWH QD UHVROXomR GRV SUREOHPDV H HP OLGDU FRP DVVLWXDo}HV GR TXRWLGLDQR WHQGR HP FRQVLGHUDomR DV VXDVQHFHVVLGDGHVSVLFRVVRFLDLVHFXOWXUDLV
Promover o empowermentGDVSHVVRDVQmRTXHUHUiGL]HUDEDQGRQiODV DR VHXGHVWLQRPDV VLP FULDU XPD UHODomRGH DFRPSDQKDPHQWR FRQWtQXD7HUi TXH VHU XPSURFHVVREDVWDQWHLQGLYLGXDOXPDYH]TXHFDGDSHVVRDOLGDFRPDVXDGRHQoDGHIRUPDGLIHUHQWH$HGXFDomRWHUDSrXWLFDpSRUWDQWRXPSURFHVVRFRPSOH[RFRPLQ~PHUDVYDULiYHLVHQYROYHQGRDSHVVRDGRHQWHHDVXDIDPtOLD H RV SURVVLRQDLV GH VD~GH PpGLFRV HQIHUPHLURVGLHWLVWDVQXWULFLRQLVWDVSVLFyORJRVVLRWHUDSHXWDVSURIHVVRUHVGHHGXFDomRItVLFDSRGRORJLVWDVDVVLVWHQWHVVRFLDLVHWF
2SURVVLRQDOGHVD~GH2SURVVLRQDOGHVD~GHGHYHQHJRFLDURVREMHFWLYRVDDWLQJLUPRWLYDUDSHVVRDGRHQWHDDGDSWDURVVHXVKiELWRVHDWLWXGHVDSRLDUHUHIRUoDUTXDLVTXHUPXGDQoDVTXHSRVVDPWHURFRUULGRDVVHJXUDUOKHXPDUHGHGHVXSRUWHPDUFDo}HVGHFRQVXOWDVWHOHIRQHVGHXUJrQFLDDSRLRVSRVVtYHLVRXYLURVVHXVPHGRVH[SHFWDWLYDV H TXHVW}HV RX G~YLGDV WHU HP FRQWD DV VXDV
-
34 -RVp0DQXHO%RDYLGD
FUHQoDV H SHUFHSo}HV DMXGiOR D DGTXLULU FRQKHFLPHQWRVQHFHVViULRVSDUDJHULUDVXDGRHQoDDMXGiORDVHUDXWyQRPR2HVWDEHOHFLPHQWRGHXPDUHODomRHQWUHRSURVVLRQDOGHVD~GH H D SHVVRD FRP GRHQoDV FUyQLFDV SRGH QmR VHU XPDWDUHIDIiFLO'HYHVHUEDVHDGDQDFRPXQLFDomR LQIRUPDQGRDSHVVRDGRHQWHGRTXHHVWiDDFRQWHFHURTXHLPSOLFDXPDHVFXWDDFWLYDXPDDWHQomRLQFRQGLFLRQDOSRVLWLYDHXPDFRHUrQFLDGHDWLWXGHVFRQJUXrQFLDSRUSDUWHGRSURVVLRQDOGHVD~GH$HPSDWLDDSDUWLOKDGHLGHLDVHDUHIRUPXODomRVmRWpFQLFDVIXQGDPHQWDLVSDUDDFULDomRGHVWDUHODomR&RQKHFHUDSHVVRDSRGHVHUXPGRVIDFWRUHVIXQGDPHQWDLVSDUDDPRWLYDUDDFHLWDUDVXDVLWXDomRHPHOKRUJHULUDVXDGRHQoDFUyQLFD
A pessoa doente
4XDOTXHU SHVVRD HQTXDQWR LQGLYtGXR DSUHVHQWD LQ~PHUDVYDULiYHLV LQDWDV H DGTXLULGDV GXUDQWH R SURFHVVR GHDSUHQGL]DJHP DR ORQJR GD YLGD TXH SRGHP LQWHUIHULU QDDGHVmRDRWUDWDPHQWR(VWDVYDULiYHLVLQFOXHPDSHUVRQDOLGDGHDV FUHQoDV RVPHGRV RVSUHFRQFHLWRV R locus GHFRQWURORHRVKiELWRVGHYLGD(PUHODomRjVGRHQoDVFUyQLFDVPDLVHVSHFLFDPHQWHDVSHVVRDVWrPFUHQoDVUHODFLRQDGDVFRPDVD~GH LGHLDV HSHUFHSo}HVQmR VyGD VXDGRHQoDHGR VHXWUDWDPHQWRPDVWDPEpPGDPHGLFLQDHGRVPHGLFDPHQWRV1R PRGHOR FOiVVLFR QHQKXP GHVWHV IDFWRUHV p WLGR HPFRQVLGHUDomR 'D SDUWH GDV SHVVRDV GRHQWHV DSHQDV VHHVSHUDXPDDGHVmRREHGLHQWHjVLQGLFDo}HVGRVSURVVLRQDLVGHVD~GH1RHQWDQWRDVHYLGrQFLDVPRVWUDPTXHPHQRVGHPHWDGHGHODV UHVSHLWDPDVSUHVFULo}HV(VWiSURYDGRTXHR FRQKHFLPHQWRGD VXD VLWXDomRpPXLWR LPSRUWDQWHPDVQmRpVXFLHQWHSDUDSURYRFDUPXGDQoDVQRVKiELWRVHQRVFRPSRUWDPHQWRVGRVHXTXRWLGLDQR1RPRGHORGHHGXFDomRWHUDSrXWLFDDVSHVVRDVWrPXPSDSHODFWLYRHRV IDFWRUHVSVLFRVVRFLDLV VmRH[WUHPDPHQWHLPSRUWDQWHV 6HJXQGR $QQH /DFURL[ XPD SHVVRD TXDQGRHQIUHQWD R IDFWR GH WHU XPD GRHQoD FUyQLFD WDO FRPR DGLDEHWHVSDVVDSRUTXDWURIDVHVDQWHVGHDDFHLWDUFKRTXHH QHJDomR WHPSRUiULD UHYROWD QHJRFLDomR WULVWH]D HGHSUHVVmR7RGDVHVWDVIDVHVVmRPDUFDGDVSRUWLSRVGLIHUHQWHVGHHPRo}HVPHGRVHTXHVW}HVTXHGHYHPVHUFRQVLGHUDGDVH VHU LQWHJUDGDVQDVHVWUDWpJLDVGRVSURVVLRQDLVGH VD~GHGXUDQWHQDVFRQVXOWDVHQRDFRPSDQKDPHQWR$SHVVRDGRHQWHQmRpPDLVRREMHFWRPDVXPGRVDFWRUHVQRSURFHVVR(OHWRUQDVHSDUWHGDHTXLSDHSDUWHGDVROXomR2VREMHFWLYRVVmRDFRUGDGRVHPUHVXOWDGRGRVVHXVGHVHMRVGRV GHWDOKHV GD VXD YLGD GLiULD GDV VXDV SHUFHSo}HV HGRVREMHFWLYRVELRPpGLFRVGRVSURVVLRQDLV GH VD~GH XPSURFHVVRGHQHJRFLDomRRQGHDPEDVDVSDUWHVVHGHYHPRXYLUXPDjRXWUD(VWDUHODomRWHUDSrXWLFDpRIDFWRUFHQWUDOSDUDVHSDVVDUGHXPDQmRDGHVmRDXPDSDUWLFLSDomRDFWLYDQRWUDWDPHQWR$SHVVRDGRHQWHWRPDFRQWDGHVLSUySULDHDSRXFRHSRXFR WRPDUiFRQVFLrQFLDGDVFRQVHTXrQFLDVGDVVXDVDWLWXGHVHPFRODERUDomRFRPRVSURVVLRQDLVGHVD~GH6HUi TXH D SDUWLFLSDomR DFWLYD QR WUDWDPHQWR VLJQLFDDGHVmR DR WUDWDPHQWR" 1mR QHFHVVDULDPHQWH PDV p XPERPSRQWRGHSDUWLGD
Instrumentos da educao teraputica
$HFiFLDGRWUDWDPHQWRGHSHQGHGDHGXFDomRWHUDSrXWLFDHHVWDHGXFDomRH[LJHXPDFRPSDQKDPHQWRHVSHFLDOL]DGRDORQJR
SUD]RFRPHVWUDWpJLDV LQWHUDFWLYDV(VWDVHVWUDWpJLDVDSHQDVSRGHP VHU DGTXLULGDV DWUDYpV GD IRUPDomR SURVVLRQDO GRVSURVVLRQDLVGHVD~GHPpGLFRVHQIHUPHLURVVLRWHUDSHXWDVSVLFyORJRVQXWULFLRQLVWDVGLHWLVWDVDVVLVWHQWHVVRFLDLV$ ODFXQDSVLFRSHGDJyJLFDQD IRUPDomRSURVVLRQDOGRVSURVVLRQDLVGHVD~GHHVWiDFRPHoDUDGLPLQXLUSHUPLWLQGRFXLGDGRVPpGLFRVPDLVKXPDQL]DGRVHHFLHQWHV$PDLRUHFiFLDQRWUDWDPHQWRGDVGRHQoDVFUyQLFDVH[LJHR
Concluso
A diabetes mellitus HQTXDQWR PRGHOR SDUD GRHQoDVFUyQLFDVWHPGHPRQVWUDGRDIDOWDGHHFiFLDGRVPRGHORVDFWXDOPHQWHDGRSWDGRVSHODPDLRULDGRVPpGLFRVHRXWURVSURVVLRQDLVGHVD~GH1RTXHGL] UHVSHLWD jV GRHQoDV FUyQLFDV RQGHDPDLRUSDUWH GR FXLGDU p IHLWR SHOD SUySULD SHVVRD GRHQWH DHYROXomRGDPHGLFLQDWUDGLFLRQDOPHQWHIRFDGDQDGRHQoDDJXGDHEDVHDGDHPVLQWRPDVItVLFRVFULRXXPDQHFHVVLGDGHGHUHGHQLomRGRPRGHORGHFXLGDGRVGHVD~GH2FRQFHLWRGHHGXFDomRWHUDSrXWLFDUHFRQKHFHRSDSHOGD (GXFDomR HQTXDQWR XP PHLR WHUDSrXWLFR FRPHIHLWRV DGLFLRQDLV jVPHGLGDV WHUDSrXWLFDV FRQYHQFLRQDLVAtravs do empowerment DV SHVVRDV WrP GH DVVXPLU DVVXDV UHVSRQVDELOLGDGHV H DMXGDU D GHQLU RV REMHFWLYRVWHUDSrXWLFRVGHXPPRGRLQIRUPDGRDVVLPFRPRHVFROKHUDVHVWUDWpJLDVDSURSULDGDVSDUDRVDWLQJLU1HVWHQRYRFHQiULRRVSURVVLRQDLVGHVD~GHQHFHVVLWDPGHDGDSWDURVHXSDSHOQDUHODomRWHUDSrXWLFDSDUDHYLWDUDIUXVWUDomRGHREWHQomRGHPDXVUHVXOWDGRVQDVXDSUiWLFDFOtQLFD$SHVDUGHDFUHGLWDUPRVQDWHFQRORJLDQDIDUPDFRORJLDQDHYLGrQFLDFLHQWtFDQDPDQLSXODomRJHQpWLFDQmRGHYHPRVHVTXHFHUDFRPSOH[LGDGHGDQDWXUH]DKXPDQD2VFXLGDGRVPpGLFRV WHUmR GH VHU VHPSUH IRFDGRV QD SHVVRD TXH HVWiGRHQWH QR VHX FRQWH[WR IDPLOLDU FXOWXUDO H VRFLDO (VWHpRGHVDRSDUD WRGRVRVSURVVLRQDLVGH VD~GHQR IXWXURVHUHP FDSD]HV GH LQWHJUDU R FRQKHFLPHQWR ELRPpGLFR QRFRQKHFLPHQWRGDVFLrQFLDVKXPDQDVTXHWHQWDPFRPSUHHQGHUJOREDOPHQWHRKRPHPHDVXDFRPSOH[LGDGH
&RQLWRGHLQWHUHVVHV2DXWRUGHFODUDQmRKDYHUFRQLWRGHLQWHUHVVHV
%LEOLRJUDDUHFRPHQGDGD%DVLF&XUULFXOXPIRU+HDOWK3URIHVVLRQDOVRQ'LDEHWHV7KHUDSHXWLF(GXFDWLRQ'LDEHWHV(GXFDWLRQ6WXG\*URXS
',YHUQRLV -) *DJQD\UH 5$SUHQGUH j pGXTXHU OH SDWLHQW DSSURFKHSpGDJRJLTXH&ROOHFWLRQeGXFDWLRQGXSDWLHQW3DULV0DORLQH
)XQQHOO00$QGHUVRQ50$UWRIHPSRZHUPHQW$PHULFDQ'LDEHWHV$VVRFLDWLRQ
/DFURL[$$VVDO-3/eGXFDWLRQWKpUDSHXWLTXHGHVSDWLHQWV 1RXYHOOHV DSSURFKHV GH ODPDODGLH FKURQLTXH &ROOHFWLRQeGXFDWLRQGXSDWLHQWQGHG3DULV0DORLQH
:+2(XURSH7KHUDSHXWLF3DWLHQW(GXFDWLRQ&RQWLQXLQJHGXFDWLRQSURJUDPPHVIRUKHDOWKFDUHSURYLGHUVLQWKHHOGRISUHYHQWLRQRIFKURQLFGLVHDVHV5HSRUWRID:RUNLQJ*URXS&RSHQKDJHQ'HQPDUN:+2