Tensão do papel de cuidador: aplicabilidade das intervenções de enfermagem da NIC em cuidadores familiares de idosos dependentes

• Autor(a) principal: Pereira, Maria Auxiliadora
• Data de Publicação: 2015
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UFPB
• Texto Completo: https://repositorio.ufpb.br/jspui/handle/tede/7587
• topic: Enfermagem; Nursing; Intervenções de Enfermagem; Cuidador; Idoso; Estudos de validação; Nursing interventions; Caregiver; Elderly; CIENCIAS DA SAUDE::ENFERMAGEM

Introduction: The care toward the elderly has aroused the interest of professionals in the area of health, in particular, of the nurses, for studies involving the impact physical, psychological and emotional generated on the caregiver by care process. In spite of this, there are still significant gaps in research whose focus are nursing interventions aimed at improving the well-being of caregivers in our context. Objective: This study aims to analyze the applicability of the proposed interventions for Nursing Intervention Classification (NIC) for the nursing diagnosis of NANDA-I Tension on the role of caregiver evidenced in family caregivers of dependent elderly. Method: Methodological study, using methods of validation, structured in three consecutive stages and interdependent. In the first, participated in seven nurses Service Homecare of João Pessoa - Paraíba, for identification, according to the clinical experience, the applicability of 30 interventions and 300 activities proposed by NIC for the family caregiver with evidence of diagnosis in study. In the second step, 30 nurses specialists, selected by means of the criteria of Fehring, analyzed, according to the judgment of relevance, the activities of each intervention indicated by clinicians as more applicable to those caregivers. The third step was performed with 11 family caregivers with evidence of Tension on the role of caregiver to confirm the applicability of these interventions in clinical practice. This study was approved by the Research Ethics Committee of the Center for Health Sciences of the Federal University of Paraiba (CCS/UFPB), under the Certificate of Presentation for Ethical Appreciation (CAAE) 26450713.6.0000.5188 and the data were collected in the months of June 2014 to January 2015, observing the ethical aspects for research with human beings, recommended by Resolution 466/2012, of the National Health Council. Results and discussion: The assistencials nurses count 12 interventions that achieved a mean ≥ 0.80: Caregiver Support; Home Maintenance Assistance: Counseling; Support System Enhancement; Presence; Respite Care; Coping Enhancement; Health System Guidance; Energy Management; Guilt Work Facilitation; Family Involvement Promotion and Anticipatory Guidance. The activities indicated as the most applicable by nurses were those with a mean greater than or equal to 0.50, which totaled 226, these being analized by specialists who proposed, among other things, changes in some of the wording and the exclusion of 16 of them, remaining 210 activities. The clinical verification of the interventions were tested, by means of case studies, involving 11 family caregivers of dependent elderly, noting that the predominance of interventions Caregiver Support; Energy Management; Coping Enhancement; and Family Involvement Promotion, thus allowing the confirmation of its applicability. Final remarks: It is expected with this study is to contribute with new investigations, with the development of standardized language of nursing for the diagnosis, interventions/activities and, especially, collaborate with nurses and with the family caregiver in the process of taking care of dependent elderly.