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O conforto da pessoa com doença hemato-oncológica :
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| 8.57 MB | Adobe PDF |
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Advisor(s)
Abstract(s)
As doenças hemato-oncológicas são crónicas, graves e transportam a vivência de
diversos problemas físicos, emocionais, sociais e espirituais. As suas terapêuticas
incluem tratamentos agressivos e prolongados, que levam a internamentos hospitalares
frequentes e demorados. Estes aspetos, geradores de desconforto, justificam a
implementação do projeto de intervenção: o conforto da pessoa com doença hemato oncológica: intervenções de enfermagem. Para responder à questão de investigação,
quais as intervenções de enfermagem promotoras de conforto, na pessoa com doença
hemato-oncológica, num serviço de internamento hospitalar, procedeu-se à revisão
scoping. Este projeto tem como finalidades, desenvolver competências técnicas,
científicas e relacionais como enfermeira especialista e mestre em parceria com a
pessoa com doença hemato-oncológica, na promoção do seu conforto e contribuir para
a melhoria da qualidade dos cuidados de enfermagem a estes doentes em internamento
hospitalar. O presente relatório ancorou-se na Teoria do Conforto de Kolcaba (2003) e
descreve o desenvolvimento de competências, através da prática crítico-reflexiva das
atividades desenvolvidas. Para avaliar o conforto da pessoa com doença hemato oncológica foi aplicado o HCQ-PT-DC© (Querido, 2012) e um questionário aos
enfermeiros, para identificar as intervenções promotoras de conforto mobilizadas na sua
prática clínica. A análise dos dados, revela que estes doentes apresentam bons níveis
de conforto total, sendo que os valores médios de conforto são mais elevados no estado
de tranquilidade e mais baixos no estado de alívio. Nos contextos de conforto, os valores
médios indicam maior conforto no contexto sóciocultural e menor no físico. A partir da
análise do questionário, os enfermeiros desenvolvem intervenções de enfermagem que
promovem o alívio físico, utilizando os recursos do seu contexto. A avaliação do conforto
é realizada recorrendo aos instrumentos disponíveis, avaliando o resultado destas
intervenções pela comunicação verbal e não verbal do doente. A norma de orientação
clínica, intervenções de enfermagem promotoras de conforto à pessoa com doença
hemato-oncológica, resulta da implementação do projeto de intervenção e permitirá
introduzir na CIPE® as intervenções promotoras de conforto, que podem ser mobilizadas
pelos enfermeiros na avaliação do conforto da pessoa com doença hemato-oncológica.
Hemato-oncological diseases are chronic, serious and carry the experience of several physical, emotional, social and spiritual problems. Its therapies include aggressive and prolonged treatments, which lead to frequent and long hospital stays. These aspects, which generate discomfort, justify the implementation of the intervention project: the comfort of the person with hemato-oncological disease: nursing interventions. To answer the research question, which nursing interventions promote comfort, in the person with hemato-oncological disease, in a hospital inpatient service, a scoping review was carried out. This project aims to develop technical, scientific and relational skills as a specialist nurse and master in partnership with the person with hemato-oncological disease, in promoting their comfort and contributing to improving the quality of nursing care for these inpatients hospital. This report is anchored in Kolcaba's Theory of Comfort (2003) and describes the development of skills, through the critical-reflexive practice of the activities developed. To assess the comfort of the person with hemato-oncological disease, the HCQ-PT-DC© (Querido, 2012) and a questionnaire were applied to nurses to identify the comfort-promoting interventions mobilized in their clinical practice. Data analysis reveals that these patients have good levels of total comfort, with average comfort values being higher in the state of tranquility and lower in the state of relief. In comfort contexts, the average values indicate greater comfort in the socio-cultural context and less in the physical. From the analysis of the questionnaire, nurses develop nursing interventions that promote physical relief, using the resources of their context. The assessment of comfort is performed using the available instruments, evaluating the result of these interventions through the patient's verbal and non-verbal communication. The standard of clinical guidance, nursing interventions that promote comfort to people with hemato-oncological disease, results from the implementation of the intervention project and will allow the introduction of CIPE® interventions that promote comfort, which can be mobilized by nurses in assessing the comfort of person with hemato-oncological disease
Hemato-oncological diseases are chronic, serious and carry the experience of several physical, emotional, social and spiritual problems. Its therapies include aggressive and prolonged treatments, which lead to frequent and long hospital stays. These aspects, which generate discomfort, justify the implementation of the intervention project: the comfort of the person with hemato-oncological disease: nursing interventions. To answer the research question, which nursing interventions promote comfort, in the person with hemato-oncological disease, in a hospital inpatient service, a scoping review was carried out. This project aims to develop technical, scientific and relational skills as a specialist nurse and master in partnership with the person with hemato-oncological disease, in promoting their comfort and contributing to improving the quality of nursing care for these inpatients hospital. This report is anchored in Kolcaba's Theory of Comfort (2003) and describes the development of skills, through the critical-reflexive practice of the activities developed. To assess the comfort of the person with hemato-oncological disease, the HCQ-PT-DC© (Querido, 2012) and a questionnaire were applied to nurses to identify the comfort-promoting interventions mobilized in their clinical practice. Data analysis reveals that these patients have good levels of total comfort, with average comfort values being higher in the state of tranquility and lower in the state of relief. In comfort contexts, the average values indicate greater comfort in the socio-cultural context and less in the physical. From the analysis of the questionnaire, nurses develop nursing interventions that promote physical relief, using the resources of their context. The assessment of comfort is performed using the available instruments, evaluating the result of these interventions through the patient's verbal and non-verbal communication. The standard of clinical guidance, nursing interventions that promote comfort to people with hemato-oncological disease, results from the implementation of the intervention project and will allow the introduction of CIPE® interventions that promote comfort, which can be mobilized by nurses in assessing the comfort of person with hemato-oncological disease
Description
Keywords
Enfermagem oncológica Conforto do paciente Hospitalização Doenças hematológicas Cuidados de enfermagem