Loading...
Publication
A perceção de autoeficácia do membro da família prestador de cuidados no processo de tomar conta de um doente com cancro coloretal
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 220.97 KB | Adobe PDF |
Advisor(s)
Abstract(s)
Objetivo: Descrever a evolução da perceção de Autoeficácia do membro da família prestador
de cuidados (MFPC) face ao processo de tomar conta de um doente com cancro coloretal.
Métodos: Estudo prospetivo longitudinal, onde foram avaliados MFPC de doentes com cancro coloretal
em tratamento curativo ou paliativo. Os participantes foram avaliados em três momentos
distintos; no início do percurso terapêutico (M1); três meses após (M2) e seis meses após (M3). Em
M1 foram avaliados 41 cuidadores, em M2 88 cuidadores e em M3 98 cuidadores.
Resultados: Os MFPC dos doentes com cancro coloretal da amostra foram na sua maioria mulheres,
casadas e reformadas, com um nível de escolaridade baixo. Ao longo do tempo estes MFPC apresentaram
um nível de autoeficácia de “medianamente competentes” para a realização das atividades
inerentes ao processo de tomar conta. Contudo na avaliação da perceção de autoeficácia face à
dependência para tomar a medicação e cuidar da colostomia foram os domínios onde os cuidadores
apresentam níveis mais baixos de perceção de autoeficácia. Ao avaliarmos a perceção de
autoeficácia em função dos processos de cuidar, os cuidadores percecionam menos competência
para “trabalhar com a pessoa dependente” e “negociar com os serviços de saúde”. Os MFPC que
percecionam maior autoeficácia ao longo do tempo e face ao processo de tomar conta do doente
dependente com cancro coloretal tendem a ser os que cuidam de doentes menos dependentes,
que utilizam mais recursos, os que cuidam há mais tempo, os mais novos e com mais escolaridade.
Conclusões: A avaliação da perceção de autoeficácia constitui um indicador importante para os enfermeiros
na monitorização da transição para o exercício do papel de membro da família prestador
de cuidados de um doente com cancro coloretal
Aim: To describe the evolution of the perception of Self-efficacy of the family member caregiver (MFPC) during the process of taking care of a patient with colorectal cancer. Methods: A prospective longitudinal design was chosen to evaluate MFPC of colorectal cancer in curative or palliative treatment. Participants were assessed in three separate times that could globally reproduce the different moments of multimodal treatment in colorectal cancer, namely: M1 – after multidisciplinary team treatment decision (without any treatment); M2 – three months after M1 (which generally includes neoadjuvant therapy and surgery in cases of rectal cancer; surgery in colon cancer cases; the beginning of the adjuvant treatment in patients without distant metastasis; patients in palliative treatment); M3 – six months after M1 (which generally includes patients in adjuvant or palliative treatment). In M1 were evaluated 41 caregivers, 88 caregivers in M2 and in M3 98 caregivers. Results: the MFPC who took part in the sample were mostly women, married and retired, with a low level of schooling. Over time these MFPC presented a level of self-efficacy “averagely competent“ for to carry out the activities related to taking care process. However the perception of self-efficacy for to take medication and take care of the colostomy were areas where caregivers had lower levels of self-efficacy perception. When evaluating the perception of self-efficacy depending on the processes of care, the caregivers perceived less competence to “working together with the ill person” and “navigation the healthcare system”. The MFPC that perceived greater self-efficacy over time tend to be those caring for less dependent patients, using more resources, those who care for longer, the younger caregivers and with more schooling. Conclusions: The evaluation of the perception of self-efficacy is an important indicator for nurses in monitoring the transition of exercising the role of a familiar caregiver for a patient with colorectal
Aim: To describe the evolution of the perception of Self-efficacy of the family member caregiver (MFPC) during the process of taking care of a patient with colorectal cancer. Methods: A prospective longitudinal design was chosen to evaluate MFPC of colorectal cancer in curative or palliative treatment. Participants were assessed in three separate times that could globally reproduce the different moments of multimodal treatment in colorectal cancer, namely: M1 – after multidisciplinary team treatment decision (without any treatment); M2 – three months after M1 (which generally includes neoadjuvant therapy and surgery in cases of rectal cancer; surgery in colon cancer cases; the beginning of the adjuvant treatment in patients without distant metastasis; patients in palliative treatment); M3 – six months after M1 (which generally includes patients in adjuvant or palliative treatment). In M1 were evaluated 41 caregivers, 88 caregivers in M2 and in M3 98 caregivers. Results: the MFPC who took part in the sample were mostly women, married and retired, with a low level of schooling. Over time these MFPC presented a level of self-efficacy “averagely competent“ for to carry out the activities related to taking care process. However the perception of self-efficacy for to take medication and take care of the colostomy were areas where caregivers had lower levels of self-efficacy perception. When evaluating the perception of self-efficacy depending on the processes of care, the caregivers perceived less competence to “working together with the ill person” and “navigation the healthcare system”. The MFPC that perceived greater self-efficacy over time tend to be those caring for less dependent patients, using more resources, those who care for longer, the younger caregivers and with more schooling. Conclusions: The evaluation of the perception of self-efficacy is an important indicator for nurses in monitoring the transition of exercising the role of a familiar caregiver for a patient with colorectal
Description
Keywords
Familiar cuidador Cancro coloretal
Citation
onco.news > ano ViI ∙ n.º 26 ∙ mar-Jun 2014
Publisher
Associação de Enfermagem Oncológica Portuguesa