Saúde sexual de mulheres com estomia na perspectiva da teoria de Nola Pender
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da UERJ |
Texto Completo: | http://www.bdtd.uerj.br/handle/1/11297 |
Resumo: | 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. |
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Penna, Lucia Helena Garciahttp://lattes.cnpq.br/0727898826298943http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4246159P7Martins, Vilma Villar2021-01-06T14:33:03Z2013-06-062013-02-25MARTINS, Vilma Villar. Saúde sexual de mulheres com estomia na perspectiva da teoria de Nola Pender. 2013. 179 f. Dissertação (Mestrado em Enfermagem) - Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2013.http://www.bdtd.uerj.br/handle/1/11297The 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.O objeto deste estudo são as repercussões do estoma intestinal por Câncer na promoção da saúde sexual de mulheres. A investigação sobre a promoção da saúde sexual da mulher com estoma torna-se instigante frente à condição imposta pela cirurgia, em interface com os constructos sócio-histórico-culturais relacionados aos papéis sociais, os quais podem influenciar na forma como as mulheres promovem sua saúde sexual. Esta pesquisa teve por objetivos: conhecer os aspectos biológicos, psicológicos e socioculturais anteriores e posteriores à confecção do estoma intestinal definitivo em mulheres; analisar as repercussões do estoma na promoção da saúde sexual de mulheres; e propor estratégias de cuidar de enfermagem às mulheres com estoma para autopromoção da saúde sexual, considerando a Teoria de Promoção da Saúde de Nola Pender. Trata-se de uma pesquisa com abordagem qualitativa, tendo como sujeitos 14 mulheres com estomia intestinal definitiva, após terem sido acometidas por Câncer. O referencial teórico-metodológico utilizado foi a Promoção da Saúde de Nola Pender, o qual, a partir da identificação dos fatores biopsicossociais e comportamentais, busca incentivar atitudes saudáveis, visando ao bem-estar como proposta de promoção da saúde. O cenário foi o Centro Municipal de Reabilitação Oscar Clark, localizado no município do Rio de Janeiro. Para a produção dos dados foi realizada a técnica de entrevista semiestruturada, utilizando um roteiro pré-elaborado, com base no diagrama de Nola Pender. A análise de conteúdo dos discursos obtidos permitiu criar três categorias: a) perfil sociocultural, psicobiológico e comportamental de mulheres com estoma: uma caracterização antes e após a cirurgia; b) conhecimentos, influências e sentimentos da mulher com estoma sobre a promoção da saúde sexual após a cirurgia; c) resultado do comportamento para promoção da saúde sexual após o estoma: um processo em construção. Os fatores determinantes do comportamento para a promoção da saúde sexual envolveram as condições biológicas, especialmente em decorrência dos efeitos colaterais da radioterapia, além de um processo complexo permeado por fatores sociais, incluindo o estigma, as desigualdades de gênero, as relações de poder, dentre outros valores que norteiam o comportamento humano. As mudanças experienciadas requereram das mulheres o desenvolvimento de estratégias de enfrentamento à nova situação, com a necessidade de adaptações comportamentais para a vivência e promoção da saúde sexual. Tais adaptações refletiram em um aprendizado pontual, da ordem do vivido, o qual perpassou pela falta de orientação em saúde e pelas questões socioculturais. Com isso, a vivência da sexualidade foi considerada a principal barreira para a promoção da saúde sexual. Já os comportamentos direcionados à prevenção de agravos à saúde sexual foram percebidos como as ações que mais proporcionam benefícios. Neste cenário, a consulta de enfermagem apresenta-se como um instrumento relevante na assistência clínica-educativa. Este estudo contribui para um aprofundamento do conhecimento acerca da promoção da saúde sexual de mulheres com estoma e sinaliza propostas para a atuação do enfermeiro na assistência a essas pessoas.Submitted by Boris Flegr (boris@uerj.br) on 2021-01-06T14:33:03Z No. of bitstreams: 1 Vilma Villar Martins.pdf: 1691328 bytes, checksum: f31ddd7802611474a8fdc84cb224b8f4 (MD5)Made available in DSpace on 2021-01-06T14:33:03Z (GMT). No. of bitstreams: 1 Vilma Villar Martins.pdf: 1691328 bytes, checksum: f31ddd7802611474a8fdc84cb224b8f4 (MD5) Previous issue date: 2013-02-25Coordenação de Aperfeiçoamento de Pessoal de Nível Superiorapplication/pdfporUniversidade do Estado do Rio de JaneiroPrograma de Pós-Graduação em EnfermagemUERJBRCentro Biomédico::Faculdade de EnfermagemNursing hehabilitationHealth promotionSexual healthComprehensive health care of womenSurgical stomasEnfermagem em reabilitaçãoPromoção da saúdeSaúde sexualAssistência integral à saúde da mulherestomas cirúrgicosNursing hehabilitationhealth promotionSexual healthComprehensive health care of womenSurgical stomasCNPQ::CIENCIAS DA SAUDE::ENFERMAGEMSaúde sexual de mulheres com estomia na perspectiva da teoria de Nola PenderSexual health of women with ostomy in theory pespective of Nola Penderinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UERJinstname:Universidade do Estado do Rio de Janeiro (UERJ)instacron:UERJORIGINALVilma Villar Martins.pdfapplication/pdf1691328http://www.bdtd.uerj.br/bitstream/1/11297/1/Vilma+Villar+Martins.pdff31ddd7802611474a8fdc84cb224b8f4MD511/112972024-02-26 16:23:32.822oai:www.bdtd.uerj.br:1/11297Biblioteca Digital de Teses e Dissertaçõeshttp://www.bdtd.uerj.br/PUBhttps://www.bdtd.uerj.br:8443/oai/requestbdtd.suporte@uerj.bropendoar:29032024-02-26T19:23:32Biblioteca Digital de Teses e Dissertações da UERJ - Universidade do Estado do Rio de Janeiro (UERJ)false |
dc.title.por.fl_str_mv |
Saúde sexual de mulheres com estomia na perspectiva da teoria de Nola Pender |
dc.title.alternative.eng.fl_str_mv |
Sexual health of women with ostomy in theory pespective of Nola Pender |
title |
Saúde sexual de mulheres com estomia na perspectiva da teoria de Nola Pender |
spellingShingle |
Saúde sexual de mulheres com estomia na perspectiva da teoria de Nola Pender Martins, Vilma Villar 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 |
title_short |
Saúde sexual de mulheres com estomia na perspectiva da teoria de Nola Pender |
title_full |
Saúde sexual de mulheres com estomia na perspectiva da teoria de Nola Pender |
title_fullStr |
Saúde sexual de mulheres com estomia na perspectiva da teoria de Nola Pender |
title_full_unstemmed |
Saúde sexual de mulheres com estomia na perspectiva da teoria de Nola Pender |
title_sort |
Saúde sexual de mulheres com estomia na perspectiva da teoria de Nola Pender |
author |
Martins, Vilma Villar |
author_facet |
Martins, Vilma Villar |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Penna, Lucia Helena Garcia |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/0727898826298943 |
dc.contributor.authorLattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4246159P7 |
dc.contributor.author.fl_str_mv |
Martins, Vilma Villar |
contributor_str_mv |
Penna, Lucia Helena Garcia |
dc.subject.eng.fl_str_mv |
Nursing hehabilitation Health promotion Sexual health Comprehensive health care of women Surgical stomas |
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 |
dc.subject.por.fl_str_mv |
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 |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
description |
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. |
publishDate |
2013 |
dc.date.available.fl_str_mv |
2013-06-06 |
dc.date.issued.fl_str_mv |
2013-02-25 |
dc.date.accessioned.fl_str_mv |
2021-01-06T14:33:03Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/masterThesis |
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masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
MARTINS, Vilma Villar. Saúde sexual de mulheres com estomia na perspectiva da teoria de Nola Pender. 2013. 179 f. Dissertação (Mestrado em Enfermagem) - Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2013. |
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http://www.bdtd.uerj.br/handle/1/11297 |
identifier_str_mv |
MARTINS, Vilma Villar. Saúde sexual de mulheres com estomia na perspectiva da teoria de Nola Pender. 2013. 179 f. Dissertação (Mestrado em Enfermagem) - Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2013. |
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http://www.bdtd.uerj.br/handle/1/11297 |
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BR |
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Centro Biomédico::Faculdade de Enfermagem |
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Universidade do Estado do Rio de Janeiro |
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