Aline da Costa Viegas

Cuidado integral de enfermagem ao paciente oncológico e à família

Aim: to identify actions provided by the nursing team aiming a comprehensive care of cancer patients and their families. Method: this is a qualitative, descriptive and exploratory study, developed in an outpatient oncology unit of a large hospital. Study subjects were six professionals of the nursing staff. It was used a semi-structured interview for data collection. The data were analyzed and interpreted according to the thematic analysis. Results: in this study the following themes emerged: nursing guidelines for cancer patients and their families and the strategies of the nursing team aiming a comprehensive care to the patient and family. Final Thoughts: it is expected that this study contributes to the development of actions that help cancer patients and their families in coping with the disease.

Consequences attributed to kidney transplantation: critical incident technique

This study aimed to describe the consequences experienced in the life of a person with kidney transplantation. This is a descriptive and qualitative approach, using the Critical Incident Technique, in which the interview content was analyzed, in an attempt to isolate the consequences of the kidney transplantation, showing positive and/or negative references. When confronted with what kidney transplantation provided to peoples life, the independence from the hemodialysis machine, the existence of a quiet and normal life, the sensation of well-being, and the possibility of performing activities were demonstrated. In compensation, the transplantation provided changes that led them to another reality. Although some changes in the life of these people occurred, the process of transplantation did not represent significant change, which could install suffering.

As inter-relações da rede social do homem com câncer na perspectiva bioecológica: contribuições para a enfermagem

Objetivou-se conhecer as caracteristicas das inter-relacoes da rede social do homem com câncer em tratamento quimioterapico. Estudo qualitativo que utilizou como referencial teorico o Modelo Bioecologico de Bronfenbrenner e o metodo de Insercao Ecologica. Participaram tres homens com câncer atendidos em um servico de quimioterapia, entre abril e setembro de 2010, realizando-se, em media, seis encontros com cada sujeito. Os dados contidos nas entrevistas foram submetidos a analise tematica. Constatou-se que, para o fortalecimento das relacoes e desenvolvimento do homem com câncer, sao necessarias caracteristicas positivas em sua rede social, como: presenca, comunicacao, compartilhar, confianca, respeito, interesse e protecao, formas de apoio amadurecidas ao longo do tempo que influenciam na vida das pessoas de maneira saudavel. Os profissionais de saude, ao conhecerem a rede e as caracteristicas de suas inter-relacoes, poderao intervir conjuntamente com a pessoa no fortalecimento de seus vinculos apoiadores e na mudanca significativa de suas relacoes fragilizadas.

Representações sociais do processo de adoecimento dos pacientes oncológicos em cuidados paliativos

Aim: to know social representations of the process of becoming ill as an oncological patient under palliative care in the home context. Method: this is a qualitative, exploratory and descriptive study, which was developed with ten oncological patients under palliative care, from May to July 2015. Moscovici’s Social Representations Theory and thematic analysis were used. Results: the process of becoming ill brings losses and restrictions in what concerns daily life and earning capacity. In order to cope with it, the support network comes from family, social network, spirituality, and health providers. There has been some modifications in what concerns social representations that associate cancer to death, with treatment evolution and improvement of cancer prognosis. Therefore, the participants felt hopeful about cure. Final considerations: It was observed that being sick with cancer in palliative care can influence negatively due to restrictions in daily life and in productive capacity; In addition to modifying the social representation that associates cancer with death and, regardless of the stage of the patients presence, they presented hope of healing, associated or not with the faith.

Expectativas sociais vivenciadas pelo adulto jovem com a doença renal crônica

Objective: to point out the social expectations experienced by teenagers with chronic kidney disease. Methods: it is a qualitative, exploratory and descriptive study, which used the theoretical perspective of Geerts and Leininger. It was performed from June to August of 2013, having 8 teenagers as participants, who were under hemodialysis. Results: it was noticed that the informants’ lives were related to their social expectations relative to this stage, with influences of values, beliefs, rules, and lifestyles. Thus, it was highlighted that the teenager life was constituted by the desire of a family formation, the performance of labor activities, studies, and leisure. Final Conclusions: as a lived stage by a teenager consists in a period marked by events and achievements, which have decisions and important choices, it is accentuated the necessity of a human, welcoming, and comprehensive professional attention. Descriptors: chronic disease; renal insufficiency; chronic; young adult; nursing. 1 Article drawn from the dissertation: The experience of chronic kidney disease for young adults on hemodialysis: a cultural perspective, in 2013, the Graduate Program in Nursing at the Federal University of Pelotas. 2 Nurse, Master of Science. PhD student of the Graduate Program in Nursing at the Federal University of Pelotas (UFPel). E-mail: alinecviegas@hotmail.com. 3 Nurse, PhD in Nursing. Lecturer, School of Nursing (FEN) and the Graduate Nursing UFPel Program. E-mail: romaniz@terra.com.br. 4 Nurse, Post-PhD in Nursing. Professor of Cleft Graduate Nursing UFPel Program. E-mail: eschwartz@terra.com.br. 5 Nurse, Master of Science. PhD student of the Graduate Nursing UFPel Program. Nurse City of Pelotas. E-mail: bi.santos@bol.com.br. 6 Nurse. Attention Oncology health specialist. Master in science. State Coordination of Health Nurse of the Rio Grande do Sul. E-mail: michele.rodriguesmatos@gmail.com. 7 Nurse. PhD student of the graduate program in nursing from UFPel. Nurse of Municipal Pelotas. E-mail: xenia.monfrim@bol.com.br. ISSN 2175-5361. DOI: 10.9789/2175-5361.2016.v8i3.4850-4856 Viegas AC; Muniz RM; Schwartz E; et al. Social expectations experienced by young adults... J. res.: fundam. care. online 2016. jul./set. 8(3): 4850-4856 4851 RESUMO Objetivo: apontar as expectativas sociais vivenciadas pelo adulto jovem com a doença renal crônica. Métodos: trata-se de um estudo qualitativo, exploratório e descritivo, utilizando-se da perspectiva teórica de Geertz e Leininger. Foi realizado no período de junho a agosto de 2013, com oito adultos jovens que estavam em tratamento hemodialítico. Resultados: percebeu-se que a vida dos informantes estava relacionada com as expectativas sociais referentes a essa etapa, com influência dos valores, crenças, normas e modo de viver. Dessa maneira, evidenciou-se que a vida do adulto jovem foi constituída pelo desejo de formação da família, de realizar atividades laborais, de estudos e de lazer. Conclusões: como a etapa vivenciada pelo adulto jovem consiste em um período marcado por acontecimentos e realizações, havendo decisões e escolhas importantes, salienta-se a necessidade de uma atenção profissional humana, acolhedora

Foi/não foi tudo o que pensava: facilidades e dificuldades após o transplante renal

Objetivo: Conhecer as facilidades e as dificuldades que as pessoas com doenca renal cronica vivenciam apos o transplante renal. Metodologia: Estudo qualitativo e descritivo, realizado com 20 pessoas transplantadas renais em um municipio do Sul do Brasil, de maio a julho de 2013. Utilizaram-se entrevistas semiestruturadas, analisadas conforme a tecnica dos incidentes criticos. Resultados: As principais facilidades foram apresentadas na categoria “Aproximacao do viver ‘normal’: facilidades decorrentes do transplante renal”, estando relacionadas a libertacao da dialise, a restricao alimentar e hidrica, entre outras. As dificuldades foram apresentadas na categoria “Permanencia da condicao cronica e a necessidade de cuidados”. Consideracoes finais: As facilidades e as dificuldades dependem da vivencia de cada pessoa. Os profissionais da saude necessitam entender e promover acoes de saude que favorecam a singularidade e o contexto do transplantado renal. Palavras-chave: Insuficiencia renal cronica. Transplante de rim. Acontecimentos que mudam a vida. Enfermagem.

Descobrindo o Mundo Estomizado: Vivência das Pessoas com o Dispositivo

Objetivo: Conhecer a vivencia das pessoas estomizadas por câncer colorretal, identificando as mudancas no cotidiano e as estrategias de enfrentamento utilizadas. Metodologia: Estudo descritivo, exploratorio, de abordagem qualitativa, com oito pessoas estomizadas cadastradas no Programa de Assistencia ao Estomizado de uma cidade no sul do Rio Grande do Sul. A coleta de dados ocorreu no mes de setembro de 2010, por meio de entrevista semiestruturada, as quais foram gravadas e transcritas na integra. Resultados: Foram abordadas as seguintes tematicas: as mudancas no cotidiano do portador de estomia, sendo evidenciado o isolamento social, a impossibilidade de realizar as atividades diarias, como o trabalho e os afazeres domesticos, aposentadoria precoce, frequencia da dor, a construcao de uma nova imagem, aceitacao e autocuidado. Nas estrategias utilizadas para o enfrentamento da estomia por câncer foi demonstrado que o apoio da familia, dos amigos, do enfermeiro estomaterapeuta e dos grupos, aliado a crenca religiosa, e elemento importante nesse processo. Conclusao: Entende-se que a assistencia integral a pessoa estomizada requer esforcos de uma equipe multiprofissional, pois o processo de aceitacao e enfrentamento da nova condicao e complexo. Nesse sentido, exige a participacao de toda a equipe profissional envolvida, em especial do enfermeiro, a fim de construir um planejamento discutido e compartilhado em todo o periodo perioperatorio.

Consequências atribuídas ao transplante renal: técnica dos incidentes críticos

This study aimed to describe the consequences experienced in the life of a person with kidney transplantation. This is a descriptive and qualitative approach, using the Critical Incident Technique, in which the interview content was analyzed, in an attempt to isolate the consequences of the kidney transplantation, showing positive and/or negative references. When confronted with what kidney transplantation provided to peoples life, the independence from the hemodialysis machine, the existence of a quiet and normal life, the sensation of well-being, and the possibility of performing activities were demonstrated. In compensation, the transplantation provided changes that led them to another reality. Although some changes in the life of these people occurred, the process of transplantation did not represent significant change, which could install suffering.

Consecuencias atribuidas al trasplante de riñón: técnica de los incidentes críticos

This study aimed to describe the consequences experienced in the life of a person with kidney transplantation. This is a descriptive and qualitative approach, using the Critical Incident Technique, in which the interview content was analyzed, in an attempt to isolate the consequences of the kidney transplantation, showing positive and/or negative references. When confronted with what kidney transplantation provided to peoples life, the independence from the hemodialysis machine, the existence of a quiet and normal life, the sensation of well-being, and the possibility of performing activities were demonstrated. In compensation, the transplantation provided changes that led them to another reality. Although some changes in the life of these people occurred, the process of transplantation did not represent significant change, which could install suffering.

Escala de avaliação da dor: percepção dos enfermeiros em uma Unidade de Terapia Intensiva Neonatal

Aim: to identify the perceptions of nurses in relation to the use of an instrument to assess pain in preterm infants. Method: qualitative, exploratory and descriptive research conducted in a Neonatal Intensive Care Unit, in a University Hospital in Pelotas, Rio Grande do Sul. The study included four nurses, in the period of October to November 2010. Data were collected through semi-structured interviews and analyzed according to thematic analysis. Results: the following categories were addressed: Scale to assess pain in premature newborns: perception of nurses, and Pain Scale and premature newborns: implementation. Conclusion: nurses do not know the new technologies used to measure pain; however, all nurses demonstrated committment to a humanized assistance, as they reported being interested in the inclusion of this instrument of assessment