ABSTRACT
Objetivo: Explorar el rol del profesional de enfermería de unidades oncológicas en el acompañamiento del proceso de duelo en familiares de personas con cáncer.Método: Estudio con metodología cualitativa con enfoque de estudio narrativo. Participaron 10 profesionales de enfermería oncológica. Se utilizó la entrevista semiestructurada y se realizó un análisis de contenido temático según Thomas, logrando la saturación de datos.Resultados: Diez profesionales de enfermería con al menos 2 años de experiencia en el área de oncología aportaron su vivencia de 6 hospitales de Santiago de Chile. Se obtuvieron 8 categorías emergentes, 6 de ellas se centran en las funciones de los profesionales de enfermería a lo largo del proceso de enfermedad, una categoría enfatiza en los factores que influyen en su quehacer profesional y una categoría destaca las características de los profesionales al realizar el acompañamiento.Conclusiones: Las/os enfermeras/os desarrollan sus funciones del rol en base a la contención, educación, protección del bienestar, soporte, guía, entre otras, las cuales comienzan en el momento del diagnóstico de cáncer y perduran durante todo el proceso de la enfermedad hasta el momento de fallecimiento; sin embargo, no se realiza un apoyo formal durante el transcurso del duelo de las familias. (AU)
Objetive: To explore the professional role of oncology nurses in bereavement support for cancer patient relatives.Methods: A qualitative study with a narrative approach. Ten oncology nurses were included in the study. A semi-structured interview was performed and a thematic content analysis was carried out according to Thomas, achieving data saturation.Results: Ten nursing professionals with at least 2 years of experience in the area of oncology contributed their experience at 6 hospitals in Santiago de Chile. Eight categories emerged from the analysis: 6 of them focused on nursing functions throughout the disease process, 1 category emphasized the factors that influence professional work, and 1 category highlighted the characteristics of professionals when performing the accompaniment.Conclusions: Nurses develop their role functions regarding patient relatives based on containment, education, welfare protection, support and guidance, among others, which begin at the moment of cancer diagnosis and last throughout the course of disease until death. However, there is no formal support during a familys bereveament process. (AU)
Subject(s)
Humans , Male , Female , Young Adult , Adult , Neoplasms , Nurse's Role , Palliative Care , Grief , Interviews as Topic , FamilyABSTRACT
INTRODUCTION: Main cardiovascular parameters such as heart rate (HR), blood pressure, and myocardial oxygen consumption (MOC) are tightly regulated by a multifactorial, nonlinear control system. Increased HR because of physical activity is often accompanied by an increase in blood pressure. Postural changes have an effect on the baroreceptors, and stretching exercises and isometric contractions modulate muscle mechanoreceptors eliciting increases in blood pressure. However, a hot environment increases the core temperature inducing vasodilation and plasma volume changes that might contribute to a drop in blood pressure. During the practice of Bikram yoga, all these factors converge and little is known about the resulting changes in blood pressure and MOC. METHODS: Sixteen apparently healthy female volunteers, regular practitioners of Bikram yoga, were evaluated during a 90 min session. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured immediately after each posture and HR was measured continuously during the practice. RESULTS: HR and estimated MOC increased significantly over baseline during the exercise (+62.3% and +63.6%, respectively). HR mean value across the entire Bikram yoga session was 126.6 ± 14.3 bpm reaching a maximum of 168.1 ± 20.2 bpm. SBP was not significantly increased over baseline at any time during the practice with a mean value of 117.0 ± 10.1 mmHg and DBP was significantly decreased over baseline most of the time (-10.1%, mean 71.2 ± 7.3 mmHg) with particular decline toward the end of the practice during the floor postures. CONCLUSIONS: DBP during the practice of Bikram yoga was significantly different from that previously reported for nonheated Hatha yoga for normotensive subjects. Further studies evaluating the same group at both conditions are needed to better characterize the magnitude of the changes in HR, SBP, DBP, and MOC.
