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Previous issue date: 2014-11-07 / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico - CNPq / O processo de an?lise de conceito examina criteriosamente a descri??o e os usos de
uma palavra ou termo, possibilitando a padroniza??o da linguagem, al?m de fornecer
representatividade ? profiss?o, e facilitar o trabalho das taxonomias. Assim, o objetivo
do trabalho foi analisar o conceito do diagn?stico de enfermagem autocontrole ineficaz
da sa?de em pacientes submetidos ? hemodi?lise. Estudo de an?lise de conceito,
baseado no modelo Walker e Avant e operacionalizado atrav?s da revis?o integrativa
da literatura. As bases de dados pesquisadas foram: SCOPUS, CINAHL, PUBMED,
LILACS e COCHRANE, com os descritores: Self-management, Adherence e
Hemodialysis. Os crit?rios de inclus?o estabelecidos foram: artigos publicados nos
?ltimos 5 anos, artigos completos dispon?veis gratuitamente nas bases de dados
selecionadas; artigos dispon?veis nos idiomas Portugu?s, Ingl?s ou Espanhol; e
artigos que abordam o conceito autocontrole da sa?de, os antecedentes e os
consequentes. E os de exclus?o: editoriais, cartas ao editor, teses e disserta??es. O
levantamento dos artigos ocorreu nos meses de janeiro a mar?o de 2014. A amostra
inicial foi de 16785 artigos, sendo 11748 na PUBMED, 4767 na Scopus, 174 na
CINAHL, 70 na Cochrane e 26 na LILACS. Ap?s a aplica??o dos crit?rios, foram
selecionados 76 artigos, sendo 19 na CINAHL, 18 na PUBMED, 30 na Scopus e nove
na LILACS. Na an?lise dos dados, tendo em vista que o conceito buscado na literatura
foi autocontrole da sa?de, realizou-se a interpreta??o para o diagn?stico autocontrole
ineficaz da sa?de, atrav?s da transposi??o para a nega??o dos atributos,
antecedentes e consequentes identificados. Ressalta-se que termos identificados na
literatura como caracter?sticas definidoras e fatores relacionados do diagn?stico em
estudo foram acrescentados ? pesquisa, mesmo n?o sendo poss?vel a transposi??o
para o termo oposto. Os resultados mostram que o conceito elaborado para o
diagn?stico autocontrole ineficaz da sa?de foi: Inabilidade do paciente para controlar
h?bitos e alcan?ar as metas terap?uticas acordadas com os profissionais, resultando
em complica??es ? sa?de. Foram identificados 33 antecedentes, relacionados a
aspectos sociais, psicol?gicos e da terap?utica, e 16 consequentes, envolvendo
aspectos fisiol?gicos, sociais, psicol?gicos e da terap?utica. Dessa forma, conclui-se
que o conceito autocontrole ineficaz da sa?de ? amplo e envolve aspectos individuais
do paciente, da terap?utica e da rela??o entre o paciente e os profissionais. Acreditase
que o estudo contribuiu para o aprimoramento desse diagn?stico na clientela renal,
al?m de ser uma base importante para o crescimento do corpo cient?fico da
enfermagem, subsidiando o desenvolvimento de tecnologias pr?prias da ?rea / The concept analysis process carefully examines the description and uses of a word
or term, enabling the standardization of language, in addition to providing
representation to the profession, and facilitate the work of taxonomies. The aim of the
study was to analyze the concept of nursing diagnosis ineffective self-health in patients
undergoing hemodialysis. Study concept analysis, based on Walker and Avant model
and operationalized through integrative literature review. The databases searched
were: SCOPUS, CINAHL, PUBMED, LILACS and COCHRANE, with descriptors: Selfmanagement,
Adherence and Hemodialysis. The inclusion criteria were: articles
published in the last five years, complete articles are available free in selected
databases; articles available in Portuguese, English or Spanish; and articles that
address the self-concept of health, the antecedents and the consequent. And
Exclusion: editorials, letters to the editor, theses and dissertations. The survey of the
articles occurred in the months from January to March 2014. The initial sample of
16785 articles, with 11748 in PUBMED, 4767 in Scopus, 174 in CINAHL, the Cochrane
70 and 26 in LILACS. After applying the criteria, 76 articles were selected, 19 in
CINAHL, 18 in PUBMED, 30 in Scopus, and 9 in LILACS. In analyzing the data, given
that the concept was sought in the literature was self-health, was held interpretation to
ineffective self-health diagnosis through the transposition in the denial of the attributes,
antecedents and consequences identified. It is noteworthy that the terms identified in
the literature as defining characteristics and related factors of the diagnosis under
study were added to the survey, not even the transposition into opposite term is
possible. The results show that the concept developed for the inefficient self-health
diagnosis was: the patient's inability to control habits and achieve the negotiated with
professionals therapeutic targets, resulting in health complications. 33 antecedents
relating to social, psychological and therapeutic aspects and 16 consequential,
involving physiological, social, psychological and therapeutic aspects were identified.
Thus, it is concluded that the ineffective self-health concept is broad and involves
individual patient factors and the therapeutic relationship between patient and
professionals. It is believed that the study contributed to the improvement of diagnosis
in renal clientele, besides being an important base for the growth of the scientific body
of nursing, subsidizing the development of own technology area
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/19612 |
| Date | 07 November 2014 |
| Creators | Silva, Fernanda Beatriz Batista Lima e |
| Contributors | 64194892372, http://lattes.cnpq.br/4545130167501174, Feij?o, Alexsandra Rodrigues, 70495742368, http://lattes.cnpq.br/8649283681727209, Enders, Bertha Cruz, 25444816415, http://lattes.cnpq.br/7658846319631166, Coura, Alexsandro Silva, 06483617488, http://lattes.cnpq.br/5597558131874152, Guedes, Nirla Gomes, 91803268387, http://lattes.cnpq.br/3155866747356509, Lira, Ana Luisa Brand?o de Carvalho |
| Publisher | Universidade Federal do Rio Grande do Norte, PROGRAMA DE P?S-GRADUA??O EM ENFERMAGEM, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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