Aspectos psicológicos em usuários de prótese ocular

Detalhes bibliográficos
Autor(a) principal: Botelho, Nara Lucia Poli [UNIFESP]
Data de Publicação: 2003
Outros Autores: Volpini, Marcos, Moura, Eurípedes Da Mota
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1590/S0004-27492003000500018
http://repositorio.unifesp.br/handle/11600/1852
Resumo: PURPOSE: To evaluate psychological disturbances caused by acquired unilateral anophthalmia, the struggle for aesthetic recuperation on use of the ocular prosthesis, as well as involved interpersonal factors and psychosocial reintegration of these patients. METHOD: Thirty (30) patients with acquired unilateral anophthalmia without any other deformities in the orbital region and users of ocular prosthesis (16 males, 14 females) aged between 12 and 66 years, mean age 31.6 years, were submitted to an ophthalmic examination and psychological evaluation through a standardized questionnaire focusing on 66 questions lasting two hours in the period from January, 2000 to March, 2001. RESULT: The highest incidence of acquired anophthalmia (47%) was in the age ranging from 0 to 6 years old. Seventy (70)% of the patients are in the process of elaboration of their loss (n=21). The most used mechanisms of defense in the current situation were rationalization, repression, denial and displacement. Thirty (30)% accept the present situation. After the triggering event (TE) 36% manifested a depressive state 64% of whom got over the symptoms of depression. Sixty percent (60%) adapted the ocular prosthesis right after the surgical treatment while 40% adapted it two or more years after the TE. Aesthetically 70% are satisfied while 30% are unsatisfied. Fifty-three (53)% show low self-steem, 37% distorted self-image. CONCLUSION: An integration among various elements of the multidisciplinary team made up of surgeons, ocularists, psychologists and support from family and friends is fundamental during the whole process of mourning due to the loss. A positive attitude towards the person dealing with the issue minimizes the loss in all of its aspects, offering recovery of interpersonal aspects and psychosocial reintegration as he/she is given adequate resources to become more secure. The prosthesis has two functions: on the one hand it returns to the patient self-image and self-steem allowing his/her exposure without discrimination, which allows his psychosocial reintegration. On the other hand it becomes an instrument, which removes the possibility of the loss to be lived in its totality, which contributes to behavior of repression of the patients instead of acceptance of the new reality - mainly when the prosthesis is adapted after the TE. There is no direct relationship between the obtained aesthetic result and the degree of satisfaction of the patients. Prejudice is another important factor because it may interfere or not in the rehabilitation.
id UFSP_0dd948b6a6c3eb44a068ad161e4cb4d8
oai_identifier_str oai:repositorio.unifesp.br/:11600/1852
network_acronym_str UFSP
network_name_str Repositório Institucional da UNIFESP
repository_id_str 3465
spelling Aspectos psicológicos em usuários de prótese ocularPsychological aspects in ocular prosthesis usersEye, artificialOrbital implantsAnophthalmosEye enucleationPrejudiceAdultAdolescentMaleFemaleOlho artificialImplantes orbitáriosAnoftalmiaEnucleação ocularPreconceitoAdultoAdolescenteMasculinoFemininoPURPOSE: To evaluate psychological disturbances caused by acquired unilateral anophthalmia, the struggle for aesthetic recuperation on use of the ocular prosthesis, as well as involved interpersonal factors and psychosocial reintegration of these patients. METHOD: Thirty (30) patients with acquired unilateral anophthalmia without any other deformities in the orbital region and users of ocular prosthesis (16 males, 14 females) aged between 12 and 66 years, mean age 31.6 years, were submitted to an ophthalmic examination and psychological evaluation through a standardized questionnaire focusing on 66 questions lasting two hours in the period from January, 2000 to March, 2001. RESULT: The highest incidence of acquired anophthalmia (47%) was in the age ranging from 0 to 6 years old. Seventy (70)% of the patients are in the process of elaboration of their loss (n=21). The most used mechanisms of defense in the current situation were rationalization, repression, denial and displacement. Thirty (30)% accept the present situation. After the triggering event (TE) 36% manifested a depressive state 64% of whom got over the symptoms of depression. Sixty percent (60%) adapted the ocular prosthesis right after the surgical treatment while 40% adapted it two or more years after the TE. Aesthetically 70% are satisfied while 30% are unsatisfied. Fifty-three (53)% show low self-steem, 37% distorted self-image. CONCLUSION: An integration among various elements of the multidisciplinary team made up of surgeons, ocularists, psychologists and support from family and friends is fundamental during the whole process of mourning due to the loss. A positive attitude towards the person dealing with the issue minimizes the loss in all of its aspects, offering recovery of interpersonal aspects and psychosocial reintegration as he/she is given adequate resources to become more secure. The prosthesis has two functions: on the one hand it returns to the patient self-image and self-steem allowing his/her exposure without discrimination, which allows his psychosocial reintegration. On the other hand it becomes an instrument, which removes the possibility of the loss to be lived in its totality, which contributes to behavior of repression of the patients instead of acceptance of the new reality - mainly when the prosthesis is adapted after the TE. There is no direct relationship between the obtained aesthetic result and the degree of satisfaction of the patients. Prejudice is another important factor because it may interfere or not in the rehabilitation.OBJETIVO: Avaliar os aspectos psicológicos decorrentes da anoftalmia unilateral adquirida, a luta pela recuperação estética com o uso de prótese ocular, assim como os fatores interpessoais envolvidos e a reintegração psicossocial destes pacientes. MÉTODO: Trinta pacientes portadores de anoftalmia unilateral adquirida, sem outras deformidades órbito-palpebrais e usuários de prótese ocular, sendo 16 do sexo masculino e 14 feminino, com idade variando de 12 a 66 anos, idade média 31,6 anos foram submetidos a exame oftalmológico e avaliação psicológica, por meio de questionário padronizado e semidirigido de 66 questões, com duração média de 2 horas no período de janeiro/2000 a março/2001. RESULTADOS: A maior incidência de anoftalmia adquirida (47%) está na faixa etária de 0 a 6 anos. Setenta por cento dos pacientes estão em processo de elaboração da perda (n=21) e os mecanismos de defesa mais utilizados em face da situação instalada foram racionalização, repressão, negação e deslocamento. Trinta por cento aceitam a realidade atual. Após o evento desencadeador (ED) 37% manifestaram estado depressivo, tendo desaparecido os sintomas em 64% deles. Sessenta por cento adaptaram a prótese ocular (PO) logo após o tratamento cirúrgico ao passo que 40% adaptaram-na 2 ou mais anos após o ED. Esteticamente 70% estão satisfeitos ao passo que 30% estão insatisfeitos. Cinqüenta e três por cento revelam auto-estima rebaixada e 37% auto-imagem distorcida. CONCLUSÃO: A integração entre os vários elementos da equipe multidisciplinar constituída por cirurgiões, protéticos, psicólogos e o apoio da família é fundamental durante todo o processo de luto instalado pela perda. Atitude positiva para com a pessoa acometida facilita a vivência da perda em sua totalidade, o que proporcionará a reestruturação dos aspectos interpessoais e reintegração psicossocial da pessoa, pois os recursos de enfrentamento delas estarão fortalecidos. A prótese exerce dupla função, pois de um lado devolve ao paciente sua auto-imagem e auto-estima, possibilitando sua reintegração psicossocial, enquanto por outro lado, pode tornar-se um instrumento que afasta a possibilidade da perda ser vivenciada em sua totalidade, contribuindo para que esses indivíduos adotem atitudes de repressão diante da realidade instalada. Não há relação direta entre o resultado estético obtido com o grau de satisfação do paciente. O preconceito é outro fator importante, pois pode interferir ou não na reabilitação do sujeito, dependendo do comportamento que apresente diante da sociedade.Universidade Federal de São Paulo (UNIFESP) Santa Casa de Misericórdia de São Paulo Departamento de OftalmologiaHospital Sírio LibanêsSanta Casa de Misericórdia de Santo Amaro Setor de Plástica OcularUniversidade de São Paulo Faculdade de Medicina Hospital das ClínicasUNIFESP, Santa Casa de Misericórdia de São Paulo Depto. de OftalmologiaSciELOConselho Brasileiro de OftalmologiaUniversidade Federal de São Paulo (UNIFESP)Hospital Sírio LibanêsSanta Casa de Misericórdia de Santo Amaro Setor de Plástica OcularUniversidade de São Paulo (USP)Botelho, Nara Lucia Poli [UNIFESP]Volpini, MarcosMoura, Eurípedes Da Mota2015-06-14T13:30:08Z2015-06-14T13:30:08Z2003-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion637-646application/pdfhttp://dx.doi.org/10.1590/S0004-27492003000500018Arquivos Brasileiros de Oftalmologia. Conselho Brasileiro de Oftalmologia, v. 66, n. 5, p. 637-646, 2003.10.1590/S0004-27492003000500018S0004-27492003000500018.pdf0004-2749S0004-27492003000500018http://repositorio.unifesp.br/handle/11600/1852porArquivos Brasileiros de Oftalmologiainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-04T10:12:42Zoai:repositorio.unifesp.br/:11600/1852Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-04T10:12:42Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Aspectos psicológicos em usuários de prótese ocular
Psychological aspects in ocular prosthesis users
title Aspectos psicológicos em usuários de prótese ocular
spellingShingle Aspectos psicológicos em usuários de prótese ocular
Botelho, Nara Lucia Poli [UNIFESP]
Eye, artificial
Orbital implants
Anophthalmos
Eye enucleation
Prejudice
Adult
Adolescent
Male
Female
Olho artificial
Implantes orbitários
Anoftalmia
Enucleação ocular
Preconceito
Adulto
Adolescente
Masculino
Feminino
title_short Aspectos psicológicos em usuários de prótese ocular
title_full Aspectos psicológicos em usuários de prótese ocular
title_fullStr Aspectos psicológicos em usuários de prótese ocular
title_full_unstemmed Aspectos psicológicos em usuários de prótese ocular
title_sort Aspectos psicológicos em usuários de prótese ocular
author Botelho, Nara Lucia Poli [UNIFESP]
author_facet Botelho, Nara Lucia Poli [UNIFESP]
Volpini, Marcos
Moura, Eurípedes Da Mota
author_role author
author2 Volpini, Marcos
Moura, Eurípedes Da Mota
author2_role author
author
dc.contributor.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
Hospital Sírio Libanês
Santa Casa de Misericórdia de Santo Amaro Setor de Plástica Ocular
Universidade de São Paulo (USP)
dc.contributor.author.fl_str_mv Botelho, Nara Lucia Poli [UNIFESP]
Volpini, Marcos
Moura, Eurípedes Da Mota
dc.subject.por.fl_str_mv Eye, artificial
Orbital implants
Anophthalmos
Eye enucleation
Prejudice
Adult
Adolescent
Male
Female
Olho artificial
Implantes orbitários
Anoftalmia
Enucleação ocular
Preconceito
Adulto
Adolescente
Masculino
Feminino
topic Eye, artificial
Orbital implants
Anophthalmos
Eye enucleation
Prejudice
Adult
Adolescent
Male
Female
Olho artificial
Implantes orbitários
Anoftalmia
Enucleação ocular
Preconceito
Adulto
Adolescente
Masculino
Feminino
description PURPOSE: To evaluate psychological disturbances caused by acquired unilateral anophthalmia, the struggle for aesthetic recuperation on use of the ocular prosthesis, as well as involved interpersonal factors and psychosocial reintegration of these patients. METHOD: Thirty (30) patients with acquired unilateral anophthalmia without any other deformities in the orbital region and users of ocular prosthesis (16 males, 14 females) aged between 12 and 66 years, mean age 31.6 years, were submitted to an ophthalmic examination and psychological evaluation through a standardized questionnaire focusing on 66 questions lasting two hours in the period from January, 2000 to March, 2001. RESULT: The highest incidence of acquired anophthalmia (47%) was in the age ranging from 0 to 6 years old. Seventy (70)% of the patients are in the process of elaboration of their loss (n=21). The most used mechanisms of defense in the current situation were rationalization, repression, denial and displacement. Thirty (30)% accept the present situation. After the triggering event (TE) 36% manifested a depressive state 64% of whom got over the symptoms of depression. Sixty percent (60%) adapted the ocular prosthesis right after the surgical treatment while 40% adapted it two or more years after the TE. Aesthetically 70% are satisfied while 30% are unsatisfied. Fifty-three (53)% show low self-steem, 37% distorted self-image. CONCLUSION: An integration among various elements of the multidisciplinary team made up of surgeons, ocularists, psychologists and support from family and friends is fundamental during the whole process of mourning due to the loss. A positive attitude towards the person dealing with the issue minimizes the loss in all of its aspects, offering recovery of interpersonal aspects and psychosocial reintegration as he/she is given adequate resources to become more secure. The prosthesis has two functions: on the one hand it returns to the patient self-image and self-steem allowing his/her exposure without discrimination, which allows his psychosocial reintegration. On the other hand it becomes an instrument, which removes the possibility of the loss to be lived in its totality, which contributes to behavior of repression of the patients instead of acceptance of the new reality - mainly when the prosthesis is adapted after the TE. There is no direct relationship between the obtained aesthetic result and the degree of satisfaction of the patients. Prejudice is another important factor because it may interfere or not in the rehabilitation.
publishDate 2003
dc.date.none.fl_str_mv 2003-10-01
2015-06-14T13:30:08Z
2015-06-14T13:30:08Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/S0004-27492003000500018
Arquivos Brasileiros de Oftalmologia. Conselho Brasileiro de Oftalmologia, v. 66, n. 5, p. 637-646, 2003.
10.1590/S0004-27492003000500018
S0004-27492003000500018.pdf
0004-2749
S0004-27492003000500018
http://repositorio.unifesp.br/handle/11600/1852
url http://dx.doi.org/10.1590/S0004-27492003000500018
http://repositorio.unifesp.br/handle/11600/1852
identifier_str_mv Arquivos Brasileiros de Oftalmologia. Conselho Brasileiro de Oftalmologia, v. 66, n. 5, p. 637-646, 2003.
10.1590/S0004-27492003000500018
S0004-27492003000500018.pdf
0004-2749
S0004-27492003000500018
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv Arquivos Brasileiros de Oftalmologia
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 637-646
application/pdf
dc.publisher.none.fl_str_mv Conselho Brasileiro de Oftalmologia
publisher.none.fl_str_mv Conselho Brasileiro de Oftalmologia
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
_version_ 1814268405331525632