A mastectomized woman submitted to chemotherapy treatment: a behavioral study according to Roy's adaptative model perspectives
Autor(a) principal: | |
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Data de Publicação: | 2002 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista Brasileira de Cancerologia (Online) |
Texto Completo: | https://rbc.inca.gov.br/index.php/revista/article/view/2259 |
Resumo: | A woman with breast cancer experiences psychological conflicts and emotional disturbances before the beginning of the treatment. It was aimed: to know the stimuli that act in the mastectomized woman in chemotherapy treatment; to identify her forms of behavior when facing these stimuli, establishing nursing diagnoses; and to elaborate nursing interventions, in order to help the woman in promoting of adaptative responses. This case study was carried out with a mastectomized woman who attended the mastectomized women support group of Ceara’s Federal University, using as theoretical reference Roy’s adaptative model. Data were collected at a form, over four home visits. The behavior and stimuli evaluation pointed to the following diagnoses: sleep disorder related to pain and environmental modifications; pain related to secondary cancer disorder; altered nutrition; skin damage; anxiety related to the idea of jeopardized self-image; disturbance in the corporal image related to appearance changes secondary to the chemotherapy; and social isolation related to the deformed appearance and to the rejection fear secondary to cancer. After nursing interventions, the main results were: sleeping and nutrition problems improvement; use of artifices due to the corporal image improvement and friends and family frequent visiting. The client has developed in a satisfactory way, presenting adaptative behaviors gradually. Roy’s nursing process provided the stimuli identification, making possible the planning of more specific interventions. |
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A mastectomized woman submitted to chemotherapy treatment: a behavioral study according to Roy's adaptative model perspectivesMulher mastectomizada em tratamento quimioterápico: um estudo dos comportamentos na perspectiva do modelo adaptativo de RoyNeoplasias MamáriasQuimioterapiaDiagnóstico de EnfermagemComportamentoAdaptação PsicológicaRelações Enfermeiro-PacienteBreast NeoplasmsChemotherapyNursing DiagnosisBehaviorPsychological AdaptationNurse-Patient RelationsA woman with breast cancer experiences psychological conflicts and emotional disturbances before the beginning of the treatment. It was aimed: to know the stimuli that act in the mastectomized woman in chemotherapy treatment; to identify her forms of behavior when facing these stimuli, establishing nursing diagnoses; and to elaborate nursing interventions, in order to help the woman in promoting of adaptative responses. This case study was carried out with a mastectomized woman who attended the mastectomized women support group of Ceara’s Federal University, using as theoretical reference Roy’s adaptative model. Data were collected at a form, over four home visits. The behavior and stimuli evaluation pointed to the following diagnoses: sleep disorder related to pain and environmental modifications; pain related to secondary cancer disorder; altered nutrition; skin damage; anxiety related to the idea of jeopardized self-image; disturbance in the corporal image related to appearance changes secondary to the chemotherapy; and social isolation related to the deformed appearance and to the rejection fear secondary to cancer. After nursing interventions, the main results were: sleeping and nutrition problems improvement; use of artifices due to the corporal image improvement and friends and family frequent visiting. The client has developed in a satisfactory way, presenting adaptative behaviors gradually. Roy’s nursing process provided the stimuli identification, making possible the planning of more specific interventions.A mulher portadora de câncer de mama vivencia conflitos psicológicos e distúrbios emocionais antes do início do tratamento. Objetivou-se conhecer os estímulos que atuam na mulher mastectomizada em tratamento quimioterápico, identificar os comportamentos desta frente aos estímulos estabelecendo os diagnósticos de enfermagem e elaborar intervenções de enfermagem com vistas a auxiliar a mulher na promoção de respostas adaptativas. O estudo de caso foi realizado com uma mulher mastectomizada, inserida no grupo de auto-ajuda à mulher mastectomizada, da Universidade Federal do Ceará, utilizando como referencial teórico o modelo de adaptação de Roy. Os dados foram coletados em quatro visitas domiciliares, por meio de um roteiro de levantamento de dados. A avaliação dos comportamentos e estímulos possibilitou a elaboração dos seguintes diagnósticos: distúrbio no padrão de sono relacionado à dor e modificações no ambiente; dor relacionada a distúrbios secundários ao câncer; nutrição alterada; integridade da pele prejudicada; ansiedade relacionada à ameaça ao autoconceito; distúrbio na imagem corporal relacionado às mudanças na aparência, secundárias à quimioterapia; e isolamento social relacionado à aparência desfigurada e ao medo de rejeição secundários ao câncer. Por meio das intervenções de enfermagem, os principais resultados foram: melhora do problema do sono e da nutrição; utilização de artifícios para melhora da imagem corporal e visitas freqüentes a amigos e familiares. A cliente evoluiu de maneira satisfatória, apresentando gradualmente comportamentos adaptativos. O processo de enfermagem de Roy proporcionou a identificação de estímulos, possibilitando o planejamento de intervenções mais específicas.INCA2002-03-29info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/225910.32635/2176-9745.RBC.2002v48n1.2259Revista Brasileira de Cancerologia; Vol. 48 No. 1 (2002): Jan./Feb./Mar.; 21-28Revista Brasileira de Cancerologia; Vol. 48 Núm. 1 (2002): ene./feb./mar.; 21-28Revista Brasileira de Cancerologia; v. 48 n. 1 (2002): jan./fev./mar.; 21-282176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/2259/1409Melo, Elizabeth MesquitaAraujo, Thelma Leite de Oliveira, Taciana Cavalcante de Almeida, Diva Teixeira de info:eu-repo/semantics/openAccess2021-11-29T20:39:54Zoai:rbc.inca.gov.br:article/2259Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:39:54Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false |
dc.title.none.fl_str_mv |
A mastectomized woman submitted to chemotherapy treatment: a behavioral study according to Roy's adaptative model perspectives Mulher mastectomizada em tratamento quimioterápico: um estudo dos comportamentos na perspectiva do modelo adaptativo de Roy |
title |
A mastectomized woman submitted to chemotherapy treatment: a behavioral study according to Roy's adaptative model perspectives |
spellingShingle |
A mastectomized woman submitted to chemotherapy treatment: a behavioral study according to Roy's adaptative model perspectives Melo, Elizabeth Mesquita Neoplasias Mamárias Quimioterapia Diagnóstico de Enfermagem Comportamento Adaptação Psicológica Relações Enfermeiro-Paciente Breast Neoplasms Chemotherapy Nursing Diagnosis Behavior Psychological Adaptation Nurse-Patient Relations |
title_short |
A mastectomized woman submitted to chemotherapy treatment: a behavioral study according to Roy's adaptative model perspectives |
title_full |
A mastectomized woman submitted to chemotherapy treatment: a behavioral study according to Roy's adaptative model perspectives |
title_fullStr |
A mastectomized woman submitted to chemotherapy treatment: a behavioral study according to Roy's adaptative model perspectives |
title_full_unstemmed |
A mastectomized woman submitted to chemotherapy treatment: a behavioral study according to Roy's adaptative model perspectives |
title_sort |
A mastectomized woman submitted to chemotherapy treatment: a behavioral study according to Roy's adaptative model perspectives |
author |
Melo, Elizabeth Mesquita |
author_facet |
Melo, Elizabeth Mesquita Araujo, Thelma Leite de Oliveira, Taciana Cavalcante de Almeida, Diva Teixeira de |
author_role |
author |
author2 |
Araujo, Thelma Leite de Oliveira, Taciana Cavalcante de Almeida, Diva Teixeira de |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Melo, Elizabeth Mesquita Araujo, Thelma Leite de Oliveira, Taciana Cavalcante de Almeida, Diva Teixeira de |
dc.subject.por.fl_str_mv |
Neoplasias Mamárias Quimioterapia Diagnóstico de Enfermagem Comportamento Adaptação Psicológica Relações Enfermeiro-Paciente Breast Neoplasms Chemotherapy Nursing Diagnosis Behavior Psychological Adaptation Nurse-Patient Relations |
topic |
Neoplasias Mamárias Quimioterapia Diagnóstico de Enfermagem Comportamento Adaptação Psicológica Relações Enfermeiro-Paciente Breast Neoplasms Chemotherapy Nursing Diagnosis Behavior Psychological Adaptation Nurse-Patient Relations |
description |
A woman with breast cancer experiences psychological conflicts and emotional disturbances before the beginning of the treatment. It was aimed: to know the stimuli that act in the mastectomized woman in chemotherapy treatment; to identify her forms of behavior when facing these stimuli, establishing nursing diagnoses; and to elaborate nursing interventions, in order to help the woman in promoting of adaptative responses. This case study was carried out with a mastectomized woman who attended the mastectomized women support group of Ceara’s Federal University, using as theoretical reference Roy’s adaptative model. Data were collected at a form, over four home visits. The behavior and stimuli evaluation pointed to the following diagnoses: sleep disorder related to pain and environmental modifications; pain related to secondary cancer disorder; altered nutrition; skin damage; anxiety related to the idea of jeopardized self-image; disturbance in the corporal image related to appearance changes secondary to the chemotherapy; and social isolation related to the deformed appearance and to the rejection fear secondary to cancer. After nursing interventions, the main results were: sleeping and nutrition problems improvement; use of artifices due to the corporal image improvement and friends and family frequent visiting. The client has developed in a satisfactory way, presenting adaptative behaviors gradually. Roy’s nursing process provided the stimuli identification, making possible the planning of more specific interventions. |
publishDate |
2002 |
dc.date.none.fl_str_mv |
2002-03-29 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artigos, Avaliado pelos pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/2259 10.32635/2176-9745.RBC.2002v48n1.2259 |
url |
https://rbc.inca.gov.br/index.php/revista/article/view/2259 |
identifier_str_mv |
10.32635/2176-9745.RBC.2002v48n1.2259 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/2259/1409 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
INCA |
publisher.none.fl_str_mv |
INCA |
dc.source.none.fl_str_mv |
Revista Brasileira de Cancerologia; Vol. 48 No. 1 (2002): Jan./Feb./Mar.; 21-28 Revista Brasileira de Cancerologia; Vol. 48 Núm. 1 (2002): ene./feb./mar.; 21-28 Revista Brasileira de Cancerologia; v. 48 n. 1 (2002): jan./fev./mar.; 21-28 2176-9745 reponame:Revista Brasileira de Cancerologia (Online) instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) instacron:INCA |
instname_str |
Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
instacron_str |
INCA |
institution |
INCA |
reponame_str |
Revista Brasileira de Cancerologia (Online) |
collection |
Revista Brasileira de Cancerologia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
repository.mail.fl_str_mv |
rbc@inca.gov.br |
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1797042250058825728 |