O impacto da atuação dos enfermeiros na perspectiva dos cuidadores de idosos com demência / El impacto de la ejecución de las enfermeras en vista de los cuidadores de personas mayores con demencia / The impact of nurses’ performance in the view of the caregivers of elderly with dementia

Objective: describing the opinion of the people who are taking care of seniors with dementia about the actuation of the nursing in their benefit and identifying the results of the nursing aid in the opinion of the people who are taking care of seniors with dementia. Method: it is an exploratory and descriptive research with a qualitative approach. The subjects are the people who are taking care of senior with dementia enrolled in the “Nursing Outreach Program in Health Care of the Elderly and Their Caregivers”, Niterói-Rio de Janeiro/Brazil. In this study was used a semi-structured interview. Results: it was submitted to a content analysis and there were constructed eight categories: the quality of the nursing service in the opinion of the people who are taking care of senior with dementia; they teach to taking care; they inform about the disease; the importance of the relationship between the professional and people who are taking care; change of feelings; change of experiences; the patience as essential element in taking care and acceptance of the disease. Conclusion: it was concluded that through the relationship between nurses and the people who are taking care of those seniors, the life perspective of those people and the seniors with dementia can change positively, improving their quality of life.

Objetivo: descrever a visão dos cuidadores de idosos com demência sobre a atuação da enfermeira em seu benefício e identificar os resultados desta assistência. Método: consiste numa pesquisa exploratória, descritiva, de campo com abordagem qualitativa. Os sujeitos foram os cuidadores de idosos com demência, inscritos no Programa de Extensão “A Enfermagem na Atenção à Saúde do Idoso e Seu Cuidador”. A pesquisa foi realizada em Niterói-Rio de Janeiro/Brasil. Utilizamos a entrevista semiestruturada, submetida à análise de conteúdo. Resultados: foram construídas oito categorias: A qualidade do atendimento da enfermeira na visão dos cuidadores; Ensinam a cuidar; Informam sobre a doença; A importância da relação profissional-cuidador; Mudança de sentimentos; Troca de experiências; Paciência como elemento essencial no cuidar e Aceitação da doença. Conclusão: através da relação enfermeira-cuidador a perspectiva de vida do cuidador e do cuidado do idoso com demência pode mudar positivamente, melhorando a qualidade de vida do mesmo.

Objetivo: describir la visión de los cuidadores de ancianos con demencia en el labor de las enfermeras en su beneficio y para identificar los resultados de esta ayuda. Método: consiste en una investigación exploratoria, descriptiva, de campo con un enfoque cualitativo. Los sujetos fueron los cuidadores de ancianos con demencia matriculados en programas de extensión “La Enfermería en la atención a la salud de las personas mayores y sus cuidadores". La investigación se realizó en la ciudad de Niterói-Rio de Janeiro/Brasil. Hemos utilizado la entrevista semiestructurada, objeto de análisis de contenido. Resultados: fueron construidos ocho categorías: la calidad de la atención de la enfermera en la visión de los cuidadores; enseñan el cuidado; Informar acerca de la enfermedad; la importancia de relación profesional/tutor; cambio de sentimientos; el intercambio de experiencia, paciencia como un elemento clave en el cuidado y la aceptación de la enfermedad. Conclusiones:a través de la relación enfermera y cuidador, la perspectiva de la vida del cuidador y el cuidado de los ancianos con demencia pueden cambiar positivamente, mejorando la calidad de vida de los mismos.

Sentidos de saude e modos de cuidar de si elaborados por homens usuarios de Unidade Basica de Saude - UBS / Significances of health and ways of taking care of oneself prepared by male frequenters of Basic Health Units - UBS

A pesquisa objetivou compreender os sentidos de saúde e modos de cuidar de si elaborados por homens usuários de Unidade Básica de Saúde (UBS) em Manaus. A proposta constituiu-se como pesquisa qualitativa que abordou, através de entrevistas semiestruturadas, homens usuários e profissionais de saúde de uma UBS localizada na periferia de Manaus, Amazonas. Os dados foram analisados através das técnicas de Tematização, Análise do Conteúdo e Processualidade do Sentido fundamentadas pela abordagem Construcionista Social discutida por Spink. A pesquisa revelou as multifaces da questão de gênero, as quais demonstram que os homens "não são todos iguais", existem masculinidades. Os homens entrevistados no serviço de saúde demonstraram que possuem sentidos de saúde que comungam entre si, mas que também se diferem por inúmeras dimensões. A pesquisa refletiu que a pluralidade dos sentidos de saúde e as performances de cuidado de si conferem à saúde o caráter humano e reivindicam o protagonismo dos usuários na construção do sistema de atenção integral à saúde. Apontam-se indicadores que podem contribuir para intervenções em saúde para a ampliação da visibilidade de homens nesses serviços e consequentemente a capacidade dos serviços em lidar com eles.

The research sought to understand the significances of health and ways of taking care of oneself prepared by male frequenters of a Basic Health Unit - UBS in Manaus. The method used was qualitative research through semi-structured interviews with male frequenters and healthcare professionals of a UBS located in the outskirts of Manaus in the state of Amazonas. Data were analyzed using techniques of Thematization, Content Analysis and Significance Processing based on the Social Constructivist approach proposed by Spink. The research revealed the multifaceted issues of gender, which show that men "are not all equal," as there are various types of masculinities. The men interviewed in the health service showed that there are significances of health that they share with each other, but they also differ in many dimensions. The survey reflected that the plurality of significances of health and the ways of taking care of oneself confer a human character upon health and claim the proactive role of frequenters in the construction of a system of comprehensive health care. They point to indicators that can contribute to interventions in health for increasing the visibility of men in the health services and consequently the ability of the services to deal with them.

Enfermeiras cuidando: análise conceitual / Caring nurse: conceptual analysis

Este estudo descritivo tem o objetivo de analisar o conceito de cuidar praticado por enfermeiras no cotidiano hospitalar, utilizando fundamentos teóricos que permitiram refletir no empírico o marco conceitual percebido por enfermeiras, clientes internados e seus acompanhantes. O referencial teórico partiu de conceitos de cuidar da linha humanística e de bases filosóficas contemporâneas que permitiram a compreensão analítica de conceitos emergidos da prática das enfermeiras. Utilizou-se o referencial teórico de Chinn, Kramer (1995), com método para a formação de conceito, a partir da interação entre palavras ou outros símbolos, objetos, sentimentos, valores, atitudes, associados para formar o significado da idéia proposta. Investigou-se 07 (sete) enfermeiras que se encontravam trabalhando em unidades clínicas e cirúrgicas e 06 (seis) clientes internados com seus respectivos acompanhantes. O estudo foi realizado em dois hospitais da rede pública da cidade de Fortaleza, Ceará, no período de 07 a 23/07/99. Optou-se pela observação participante e entrevista como métodos de coleta de dados. Como resultados da realidade estudada, observou-se que embora a enfermeira de hoje perceba a necessidade de projetar uma Enfermagem mais humanizada, longe de atitudes puramente mecanicistas, ainda presta um cuidar reducionista e fragmentado, ainda precisando encontrar estratégias práticas para organizar esse cuidar de forma humanizada, superando o modelo tradicional na saúde, educação, ainda tão vigente. E para nortear a profissão sob este prisma, é urgente a busca de ações contextualizadas com o modo de vida das pessoas que estão recebendo o cuidado; no entanto, faz-se necessário a integração entre profissionais, clientes e famílias, para se entender e poder validar o cuidar pleno.

This study is about the analysis of concept of taking care that nurses have in the hospital daily, with a reflection of theconceptual mark noticed in the empiric. The theoretic foundation arises from the humanistic conceptual line andcontemporary philosophical bases that allowed our analytic understanding. In the conceptual analysis was used thetheoretical reference of Chinn, Kramer (1995), that presents a method for concept formatting, based on interactionsbetween words, or other symbols, objects, feelings, values and attitudes associated due to form the proposal ideameaning. The investigation was developed with 07 nurses that were working in medical surgery clinical units and 06patients and their family. The study was developed in the 02 public hospital in the city of Fortaleza ? Ceará, in theperiod of 07 to 23 July ? 1999. It comprises participant observations and interview. Results evidenced that though thenurse of today knows the necessity to project a better Nursing care, far away from a mechanics actions, a reducionistand fragment care, but still need to find strategies for to organize the humanistic Nursing care, to overcome thetraditional model in health and education valid. For to point the profession northwards is necessary giving sense to thecontexted actions with the persons life that were receiving the care, but is important the integration between professions,patients and families for we to understand and we can validate the humanistic Nursing care in its fullness.

The Effects of Phone Counseling on Maternal Role in Primiperous Mothers / 아동간호학회지

The main purpose of this study was to identify the effect of phone counseling carried out to promote the role of the primiperous mothers. The data were collected from march 20 to may 30, 1998. The subjects for the study were the mothers of 60 first bon neonates admitted to and discharged from Sam-sung Medical Center's neonatal ward. Thirty subjects were assigned to the experimental group and thirty to the control group. A measure of maternal identity as well as level of self confidence in taking care of an infant after giving birth was taken. Informational supportive nursing was then provided to the mothers through phone counseling for a total of four times at 2~3 days, 7~8days, 12~13days and 18~1days after discharged. The level of self confidence in taking care of an infant was then remeasured. The control group was not provided with supportive nursing through phone counseling instead the level of confidence in taking care of an infant was measured at 3 weeks. Taking previous study documentary evidence into consideration the researcher developed a supportive nursing telephone counseling program that provided both informational and emotional support suitable to primiperous mothers. A semantic differential scale developed according to Osgood and translated and adapted by Koh Hyo-Jung was used as the maternal self identity measurement tool. The tool used to measure self confidence in taking care of infant was the developed by Bak Mi Suk which includes 13 items from Pharis's self confidence scale The data were analyzed using x2-test, t-test and paired t-test. The result of the study are as follows 1. First hypothesis The level of self confidence in taking care of an infant for the group of primiparas who received phone counseling in the postpartum period would be higher than that of the primiparas who did not receive phone counselling : As the experimental group's level of self confidence in taking care infants was significantly higher than that of the control group this hypothesis is accepted 2. Second hypothesis The level of maternal identity will be higher for the group of primiparas who received phone counseling than that of primiparas who did not received phone counseling As the experimental group's level of maternal identity was significantly higher than that of the control group this hypothesis is accepted In looking at the results of the study as a whole, it can be concluded that emotional and informational nursing support provided through phone counselling is an effective strategy in promoting the role of new mothers.