Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2015-12-15T16:54:19Z No. of bitstreams: 1 KalinaSiqueiraDeMoura_DISSERT.pdf: 2433729 bytes, checksum: e2157793e57363ddd0d49b18efbe2d1b (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2015-12-28T16:22:22Z (GMT) No. of bitstreams: 1 KalinaSiqueiraDeMoura_DISSERT.pdf: 2433729 bytes, checksum: e2157793e57363ddd0d49b18efbe2d1b (MD5) / Made available in DSpace on 2015-12-28T16:22:22Z (GMT). No. of bitstreams: 1 KalinaSiqueiraDeMoura_DISSERT.pdf: 2433729 bytes, checksum: e2157793e57363ddd0d49b18efbe2d1b (MD5) Previous issue date: 2014-06-09 / O presente estudo objetivou compreender a viv?ncia de ser um cuidador familiar de paciente com Acidente Vascular Cerebral (AVC). A relev?ncia do estudo deve-se a exist?ncia comprovada de um elevado n?mero de cuidadores de pacientes incapacitados, em decorr?ncia do AVC, e que n?o v?m sendo objeto de investiga??o no ?mbito acad?mico, conforme refere ? literatura. Trata-se de uma pesquisa de natureza qualitativa, cujo fio condutor se pautou na hist?ria oral de vida, conforme a fundamenta??o te?rica e operacional de Meihy. Assim sendo, foram evidenciadas as seguintes etapas: a comunidade de destino, composta por todos os cuidadores familiares de pacientes com AVC; a col?nia, formada por cuidadores familiares de pacientes com AVC e que foram atendidos pelo Servi?o de Atendimento Domiciliar (SAD) do Hospital Jos? Pedro Bezerra (HJPB), na cidade do Natal/RN; a rede foi constitu?da por seis cuidadores que atendiam os crit?rios de inclus?o, e como ponto zero o primeiro volunt?rio do grupo. A popula??o foi composta por todos os cuidadores familiares atendidos pelo SAD, do HJPB tendo sido abordados atrav?s de entrevistas. Para a realiza??o da pesquisa emp?rica contou com a anu?ncia dessa institui??o e aprova??o do Comit? de ?tica em Pesquisa da Universidade Federal do Rio Grande do Norte conforme CAAE n? 24569413.0.0000.5537 e, sobretudo, com a aquiesc?ncia dos colaboradores em participar da investiga??o, assinando o Termo de Consentimento Livre e Esclarecido. Do material emp?rico foram identificadas cinco categorias de an?lise: O sentido de ser cuidador; O que mudou na vida do cuidador; Os sentimentos emergem na rela??o do cuidar; O distanciamento de familiares e amigos; Dificuldades enfrentadas pelo cuidador. Os resultados evidenciam que a vida do cuidador passa por profundas transforma??es no ?mbito da fam?lia bem como, em todas as esferas da vida. Para os cuidadores, assumir o cuidado de um familiar com AVC significa ren?ncia e doa??o, comprometendo, algumas vezes, os projetos individuais e da fam?lia como um todo. Al?m disso, ressaltam o enfrentamento de dificuldades no ?mbito da assist?ncia e humaniza??o na sa?de, informa??o, sobrecarga f?sica e emocional, al?m de problemas de ordem financeira. Apesar de todas as adversidades que comprometem a vida do cuidador foi poss?vel identificar atitudes de resili?ncia entre os cuidadores, tornando o seu fazer cotidiano menos ?rduo e com mais leveza. Espera-se, portanto, que essa pesquisa possa contribuir para uma melhor orienta??o dos profissionais junto aos cuidadores. / The present study aimed to understand the experience of being a family caregiver of a patient with Cerebrovascular Accident (CVA). The relevance of the study is to prove existence of a large number of caregivers of incapacitated patients, due to the CVA and it is not an academic research object, according to the literature. It is a qualitative research, which the guiding principle is the oral history of life, according to the theoretical foundation and operating of Meihy. Therefore, the following steps were highlighted: the target community, composed of all family caregivers of CVA patients; the colony, composed by family caregivers of CVA patients assisted by Home Care Service (HCS) of the Hospital Jos? Pedro Bezerra (HJPB), in the city of Natal/RN; the network was composed of six caregivers who met the criteria for inclusion, and as zero point the first volunteer group. The population was composed of all family caregivers of patients attended by the HCS, of the HJPB having been addressed through interviews. For the empirical research there was the consent of that institution and approval by the Ethics Committee in Research of the Federal University of Rio Grande do Norte as CAAE 24569413.0.0000.5537 and, above all, with the acquiescence of employees in participating in the investigation, signing an informed consent. Of the empirical material, five categories of analysis were identified: the sense of being a caregiver; what has changed in the life of the caregiver; the feelings emerge in the relationship of care; the distance from family and friends; difficulties faced by the caregiver. The results show that the caregiver's life goes through profound transformations within the family as well as in all spheres of life. For the caregivers, assuming the care of a relative with CVA means renunciation and donation, compromising sometimes the individual projects and the family as a whole. In addition, they point out the confrontation of difficulties within the the assistance and humanization in healthcare, information, physical and emotional overload, as well as financial problems. Despite all the adversities that compromise the caregiver's life, it was possible to identify attitudes of resilience among caregivers, making them their daily life less strenuous and with more lightness. It is expected, therefore, that this research can contribute to a better orientation of professionals with the caregivers

Made available in DSpace on 2014-12-17T14:46:33Z (GMT). No. of bitstreams: 1 MariadeFatimaMS.pdf: 269670 bytes, checksum: 01e566a6cbbb5d27eef0eb0f71132c2b (MD5) Previous issue date: 2008-04-18 / This study is an analysis of opportunities and challenges of health assistance migration from hospitals to home care from the approach of the Domiciliary Internment Program (PID) in Natal / RN. The research aims to identify the ways that the multidisciplinary team act and know the stories of these professionals about the situation experienced in the transition between the instituting and instituted on home care modalities. PID has as a prior focus the elderly person in stable medical conditions, not to replace the hospital care, but to offer a therapeutic support turned to the exercise of their autonomy and coexistence with the situation of diseases. The home in their internal coexistence rules preserves own customs. As the hospital care migrates to the home care, it happens in the confrontation and rationality negotiation and becomes something new, that is going to be directed by an instituting dimension. In the view of New History, that suggests an interdisciplinary approach and interprets the problems on its time and from the technique of thematic oral history, it can be seen that working in interdisciplinary team is able to incorporate new values in the way of healthcare assistance, it longs for maintaining the maximum functional capacity of patients, it presents results as the prevention of diseases, costs reduction in connection with the Hospital Service, empowers and expands the possibilities for the patient recovery by aligning with the daily life and the opportunity of the patient being assisted by a multiprofessional team, interacting on the concrete reality. Therefore, PID is in line with the contemporary demands and as an instrument to be considered in the review of a wider concept of the health-disease process / O presente estudo trata de uma an?lise sobre as possibilidades e desafios da migra??o do cuidado em sa?de do hospital para o domic?lio a partir da abordagem sobre o Programa de Interna??o Domiciliar-PID em Natal/RN. Busca identificar as formas de atua??o da equipe multiprofissional e conhecer as hist?rias dos profissionais da equipe sobre a trajet?ria vivenciada na transi??o entre o institu?do e o instituinte nas formas de cuidado domiciliar. O PID tem como foco priorit?rio a pessoa idosa em condi??es cl?nicas est?veis, n?o para substituir a aten??o hospitalar, mas oferecer um suporte terap?utico voltado para o exerc?cio de sua autonomia e conviv?ncia com a situa??o da doen?a presente. O domic?lio em suas normas internas de conviv?ncia preserva costumes pr?prios. Na medida em que o cuidado hospitalar migra para o domic?lio, ele se d? no confronto e na negocia??o das racionalidades e passa a ser algo novo, ou seja, passa a orientar-se por uma dimens?o instituinte. Sob a ?tica da Hist?ria Nova que prop?e uma abordagem interdisciplinar e interpreta os problemas ? luz do seu tempo e a t?cnica da hist?ria oral tem?tica pode-se constatar que o trabalho em equipe interdisciplinar ? capaz de incorporar novos valores ao modo de cuidar em sa?de, prima pela manuten??o da capacidade funcional m?xima do doente, apresenta resultados como a preven??o de agravos, redu??o de custos em rela??o ao Servi?o Hospitalar, amplia e potencializa as possibilidades de recupera??o do doente, pela aproxima??o com a vida cotidiana e pela oportunidade do doente ser cuidado por uma equipe mulprofisssional interagindo sobre a realidade concreta. Portanto, o PID est? em sintonia com as demandas contempor?neas e se apresenta como um instrumento a ser considerado na revis?o de um conceito mais abrangente do processo sa?de-doen?a