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Resumo(s)
Ter um familiar dependente dos cuidados de outrem implica que o sistema familiar se
adapte, fortaleça a linha de resistência e reponha o equilíbrio. É muitas vezes um
familiar próximo que se torna o cuidador informal (CI). A assunção do papel de
prestador de cuidados no domicílio, sujeita o cuidador a um elevado stress, com
efeitos negativos na sua saúde física e mental.
Neste sentido, foi desenvolvido este projeto de intervenção em enfermagem
comunitária, cujo objetivo foi capacitar os cuidadores informais (CIs) de pessoas
dependentes (PDs), pertencentes à Equipa de Cuidados Continuados Integrados
(ECCI) do Seixal, de forma a adquirirem conhecimentos sobre estratégias
compensatórios da sobrecarga, melhorando assim, a sua qualidade de vida.
Com base na metodologia do Planeamento em Saúde e na teoria dos Sistemas
de Betty Neuman, desenvolveu-se um projeto de intervenção comunitária dirigido aos
CIs. Foi feito o diagnóstico de situação de saúde aplicando um questionário com a
escala de Sobrecarga do cuidador (ESC) adaptada. Da análise dos resultados
recolhidos e de acordo com o referencial teórico, elaboraram-se os diagnósticos de
enfermagem com base na identificação dos stressores, fatores de sobrecarga, que
ameaçam o equilíbrio do sistema CI. A aplicação das competências de enfermeiro
especialista em enfermagem comunitária possibilitou o desenvolver de estratégias de
capacitação dos CIs, que através da educação para a saúde (EpS), adquiriram
conhecimento de autocuidado ao nível das variáveis fisiológica, psicológica e
sociocultural do sistema cliente.
Having a family member who is dependent on medical care implies adaptation, resilience and balance setting of its family. Often, this care rests on a close family member who becomes the informal caregiver (IC). The assumption that this care is taken at the family home subjects the informal caregiver to high stress loads, with immediate negative effects on its mental and physical health. With this in mind, this intervention research project on community health nursing was developed with the objective of better enabling informal caregivers with the task of taking care of their loved ones, by sharing with them strategies that aim to compensate possible physical and mental overload and thus better quality of life of all involved. The dependent subjects are under the care of Equipa de Cuidados Continuados Integrados (ECCI) in Seixal. Based on the Health Planning methodology and on the The Neuman Systems Model, the reasearch project was developed with a comnunitary intervention directed on the informal caregivers. A diagnosis on their health situation was conducted with the use of an adapted Zarit Burden Interview (ESC). From the analysis of obtained results and according to the theoretical references, several nursing diagnoses were proposed based on the identified stress factors of each IC. The use of spetiality nursing competences in community health nursing made possible the development of strategies to better capacitate the IC, who through Health Education, have acquired care knowledge on physiological, psychological, and socio-cultural of himself and others.
Having a family member who is dependent on medical care implies adaptation, resilience and balance setting of its family. Often, this care rests on a close family member who becomes the informal caregiver (IC). The assumption that this care is taken at the family home subjects the informal caregiver to high stress loads, with immediate negative effects on its mental and physical health. With this in mind, this intervention research project on community health nursing was developed with the objective of better enabling informal caregivers with the task of taking care of their loved ones, by sharing with them strategies that aim to compensate possible physical and mental overload and thus better quality of life of all involved. The dependent subjects are under the care of Equipa de Cuidados Continuados Integrados (ECCI) in Seixal. Based on the Health Planning methodology and on the The Neuman Systems Model, the reasearch project was developed with a comnunitary intervention directed on the informal caregivers. A diagnosis on their health situation was conducted with the use of an adapted Zarit Burden Interview (ESC). From the analysis of obtained results and according to the theoretical references, several nursing diagnoses were proposed based on the identified stress factors of each IC. The use of spetiality nursing competences in community health nursing made possible the development of strategies to better capacitate the IC, who through Health Education, have acquired care knowledge on physiological, psychological, and socio-cultural of himself and others.
Descrição
Palavras-chave
Enfermagem em saúde comunitária Cuidadores Carga de trabalho Cuidados de enfermagem
