Promoção do conforto no seio familiar da mulher submetida a mastectomia
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2015
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Edições Lusófonas
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O carcinoma da mama é uma das doenças oncológicas que mais exaspera sofrimento e medo de morte por parte da mulher e sua família, podendo levar à necessidade de realizar mastectomia. Sendo um processo cirúrgico que acarreta a mutilação, causa sofrimento sobre a auto-percepção que a mulher tem do corpo, e neste contexto, o apoio da família e dos enfermeiros é fundamental. Este estudo pretende identificar desconfortos causados pela mastectomia na mulher e seus familiares e cuidados de enfermagem que promovem o respetivo conforto, respondendo à questão “Como promover o conforto no seio familiar da mulher mastectomizada?”. Trata-se de uma abordagem qualitativa, de caracter exploratório-descritivo, com uma amostra não probabilística, intencional. Foram realizadas cinco entrevistas, semiestruturadas e áudio-gravadas, numa Associação de foro oncológico, a mulheres mastectomizadas há mais de um ano, que vivenciaram o processo em contexto familiar. Os dados recolhidos foram analisados segundo o método de análise de conteúdo de Bardin.
Como achados emergiram as categorias: Sentimentos verbalizados pelas mulheres mastectomizadas, Impacto pós-mastectomia, Estratégias adotadas e o Papel do Enfermeiro pós e pré-mastectomia. Este estudo permitiu adquirir conhecimentos e ferramentas para a intervenção da enfermagem, na promoção do conforto destas mulheres e suas famílias.
Breast cancer is one of the most feared oncological diseases and also one that causes great suffering on women and their families. In some cases this disease may require a mastectomy. As a surgical procedure that involves mutilation, a mastectomy changes women’s perception of their own bodies, causing a great deal of suffering In this context, therefore, the support of their families and nurses is absolutely crucial. This study aims to identify discomforts caused by mastectomy in women and the promotion of respective comfort by their families and nursing care, while answering the question: “How to promote familial comfort for mastectomized women?” The study consists of exploratory-descriptive qualitative research with an intentionally non-probabilistic sample. Five semi-structured and recorded audio interviews were conducted in an oncological association to women who have been mastectomized for more than one year and who have lived the process in a familial context. The collected data were investigated according to Bardin’s content analysis method. This analysis resulted in the following categories: spoken feelings by women mastectomized, post-mastectomy impact, adopted strategies, and the role of nurses. On the perspective of a future nurse, this study allowed for the acquisition of tools for the active intervention for promotion of the comfort for these women and their families.
Breast cancer is one of the most feared oncological diseases and also one that causes great suffering on women and their families. In some cases this disease may require a mastectomy. As a surgical procedure that involves mutilation, a mastectomy changes women’s perception of their own bodies, causing a great deal of suffering In this context, therefore, the support of their families and nurses is absolutely crucial. This study aims to identify discomforts caused by mastectomy in women and the promotion of respective comfort by their families and nursing care, while answering the question: “How to promote familial comfort for mastectomized women?” The study consists of exploratory-descriptive qualitative research with an intentionally non-probabilistic sample. Five semi-structured and recorded audio interviews were conducted in an oncological association to women who have been mastectomized for more than one year and who have lived the process in a familial context. The collected data were investigated according to Bardin’s content analysis method. This analysis resulted in the following categories: spoken feelings by women mastectomized, post-mastectomy impact, adopted strategies, and the role of nurses. On the perspective of a future nurse, this study allowed for the acquisition of tools for the active intervention for promotion of the comfort for these women and their families.
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MEDICINA, MEDICINE, CANCRO DA MAMA, BREAST CANCER, MASTECTOMIA, MASTECTOMY, CUIDADORES FAMILIARES, FAMILY CAREGIVERS, CUIDADOS DE ENFERMAGEM, NURSING CARE, ESTUDOS DE CASO, CASE STUDIES