Saúde sexual de mulheres com estomia na perspectiva da teoria de Nola Pender

• Main Author: Martins, Vilma Villar
• Publication Date: 2013
• Format: Master thesis
• Language: por
• Source: Biblioteca Digital de Teses e Dissertações da UERJ
• Download full: http://www.bdtd.uerj.br/handle/1/11297
• topic: Nursing hehabilitation; Health promotion; Sexual health; Comprehensive health care of women; Surgical stomas; Enfermagem em reabilitação; Promoção da saúde; Saúde sexual; Assistência integral à saúde da mulher; estomas cirúrgicos; Nursing hehabilitation; health promotion; Sexual health; Comprehensive health care of women; Surgical stomas; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM

The object of this study consists of repercussion of the intestinal stoma by cancer in promoting women's sexual health. The investigation about promoting sexual health of women with stoma becomes challenging due to the condition imposed by surgery, in interface with the social, historical and cultural constructs related to the social roles that may influence the way women promote their sexual health. This research had the following objectives: to know the biological, psychological and sociocultural aspects before and after performing the definitive intestinal stoma in women; to analyze the repercussions of the stoma in promoting women's sexual health, and to propose nursing care strategies to women with stoma to self-promote sexual health, considering the Nola Pender s Health Promotion Theory. It is a qualitative approach research, whose subjects are fourteen women with definitive intestinal stoma, after they were affected by cancer. The theoretical-methodological reference used was Nola Pender s Health Promotion which, from the identification of the biopsychosocial and behavioral factors, seeks to stimulate healthy attitudes, with a view to well-being as proposal for health promotion. The setting was the Municipal Rehabilitation Center Oscar Clark, located in the municipality of Rio de Janeiro. For data production, the semi-structured interview technique was carried out using a pre-established script, based on Nola Pender diagram. The content analysis of the accounts obtained allowed the classification in three categories: a) sociocultural, psychobiological and behavioral profile of women with stoma: a pre- and post-surgery characterization; b) knowledge, influences and feelings of the woman with stoma on promoting sexual health after the surgery; c) result of behavior for the promotion of sexual health after the stoma: a process in progress. The factors to determine the behavior to promote sexual health involved the biological conditions, especially as a consequence of the side effects of the radiation therapy, in addition to a complex process surrounded by social factors, including the stigma, the gender inequalities, and the power relationships, among other values to guide the human behavior. The changes experienced required women to develop strategies to face the new situation with the need for behavioral adaptations to life and promotion of sexual health. Such adaptations reflected an occasional learning, at experienced person s level, which went through lack of guidance on health issues and sociocultural issues. Therefore, the experience of sexuality was considered the main obstacle for the promotion of sexual health. In turn, the behaviors towards the prevention of chronic conditions to sexual health were noticed as actions that offer most benefits. In this scenario, the nursing appointment becomes a relevant instrument in clinical and educational assistance. This study contributes for a deeper knowledge on the sexual health promotion for women with stoma and indicates proposals for the participation of the nurse in the assistance to these persons.