Made available in DSpace on 2014-12-17T14:46:50Z (GMT). No. of bitstreams: 1 SueniaSMX_DISSERT.pdf: 1506804 bytes, checksum: e19da1d457fc43b9cffcb6bedf264524 (MD5) Previous issue date: 2011-12-09 / Reconstruct, from listening, the life histories of a chronic renal patient, submitted to hemodialysis, is the objective of this investigation. How methodological procedure,we worked with oral history of life, ,according Meihy, within a qualitative approach. For this, we had the approval of the Ethics Committee in Research of Hospital Universit?rio Onofre Lopes (HUOL), under protocol no 591/2011. As instrument to approach the patient, we did interviews with open questions, conducted in the patient's house. There were five meetings, in which we hear his story, experiences and ways of coping during their course of illness and treatment. The analysis was based on the collaborator's narratives, anchored in studies dealing with oral history, of human subjectivity, highlighting the resilience, as indicated Cyrulnik. Her story leads us to conclude that despite the adversities of life and suffering, there is in humans, the strength to navigate the streams and be happy. This is the lesson that leaves us the collaborator this study. / Reconstruir, a partir da escuta, a trajet?ria de vida de uma paciente renal cr?nica, submetida ao tratamento hemodial?tico, constitui o objetivo desta investiga??o. Como procedimento metodol?gico, trabalhamos com a hist?ria oral de vida, conforme Meihy, dentro de uma abordagem qualitativa. Para isto, tivemos a aprova??o do Comit? de ?tica em Pesquisa, do Hospital Universit?rio Onofre Lopes (HUOL), sob protocolo de n?. 591/2011. Como instrumento de abordagem da paciente, fizemos entrevistas com quest?es abertas, realizadas na casa da paciente. Foram cinco encontros, nos quais escutamos sua hist?ria, experi?ncias e formas de enfrentamento, durante sua trajet?ria de adoecimento e tratamento. A an?lise foi pautada nas narrativas da colaboradora, ancorada em estudos que tratam da hist?ria oral, da subjetividade humana, com destaque para a resili?ncia, conforme assinala Cyrulnik. Sua hist?ria nos leva a concluir que, apesar das adversidades da vida e do sofrimento, existe, no ser humano, a for?a de navegar nas torrentes e conseguir ser feliz. Essa ? a li??o que nos lega a colaboradora deste estudo.

Objetivos: Conocer las experiencias de maternidad en mujeres peruanas adultas del nivel socioeconómico medio-alto que fueron madres en su adolescencia. Material y método: Estudio cualitativo desarrollado con 9 mujeres peruanas adultas que fueron madres en su adolescencia y cuyas edades estuvieron comprendidas entre los 42 a 46 años. Se aplicó la estrategia de la entrevista no estructurada y la información recolectada fue analizada utilizando la técnica del análisis temático. Resultados: Los principales hallazgos revelan que las participantes construyen en la actualidad una imagen de madres resilientes, protectoras y valientes. Esto se ha logrado, según refieren, porque en el proceso del embarazo y la crianza de sus hijos vivenciaron acontecimientos que cambiaron su vida: se casaron, dejaron de estudiar y tuvieron que asumir, en algunos casos, el rol de la figura paterna. Por otra parte, las mujeres reconocen que pensamientos y emociones como la inseguridad, desconfianza y tristeza han estado presentes en el inicio de su maternidad y fueron importantes para afrontar el cuidado de sus hijos. Conclusiones: Ser madre en la adolescencia, aún en contextos socioeconómicos medio y alto, está sujeta a dificultades personales y familiares. A pesar de estas circunstancias, las mujeres que participaron en el estudio han enfrentado la maternidad en su adolescencia y construyeron una figura de madres resilientes. En el inicio de la maternidad se reconocen pensamientos y emociones que fueron afrontándose en la medida que se construía el vínculo del cuidado con sus hijos. / Aim: Become aware of the maternity experiences of Peruvian adult women of the medium-high socioeconomic level who become mothers in their adolescence. Material y method: Qualitative research conducted on 9 Peruvian adult women who became mothers in their adolescence whose age ranged from 42 to 46 years. The unstructured interview strategy was applied, and the findings were analyzed using the thematic analysis technique. Results: The main findings reveal that the participants currently build an image of resilient, protective and courageous mothers. This has been achieved, according to them, because during pregnancy and their offspring upbringing they experienced events that changed their lives: they got married as well as the need to interrupt their studies and assume in some of the cases the role of both parents in the absence of a father figure. Otherwise, women identify that thoughts and emotions such as insecurity, mistrust and sadness had been since the beginning of their maternity and were important to cope with the care of their children. Conclusions: Even in medium and high socioeconomic contexts, being a mother in adolescence mean to confront emotional, family and professional difficulties. Despite the circumstances, the women who participated in the study had been coping with maternity in their adolescence and they built a resilient mother figure. At the beginning of their maternity thoughts and emotions were recognized as women had been coping with it while they were building a family bond care with their children. / Tesis

Aid relief workers active in complex humanitarian emergencies often develop mental health issues, due to the complex context of these settings and several workplace stressors. In order to cope with these problems, aid relief workers rely on organizational preparation and support, and social support. However, there is a gap between the needs for and availability of preparation and support, which has negative effects on their mental health. This qualitative study provides a phenomenological review of the experiences of aid relief workers active in these complex humanitarian emergencies, with regard to mental health issues, levels of preparation, organizational support and social support. For this study, interviews with five aid relief workers in different fields were conducted to research the effects of working in complex humanitarian emergencies on their mental health, and how preparation and support, or the lack thereof, influences their psychological resilience. The results show that organizational preparation and support, and social support have a positive impact on the psychological resilience of aid relief workers. However, the availability of and access to adequate preparation and support often lacks, which has negative consequences for their mental health. Therefore, this study provides recommendations to humanitarian NGO’s to improve their mental health support, and explores how the psychological resilience of aid relief workers in complex humanitarian emergencies can be improved.