Objective: to understand the meaning of sexuality by rural elderly women. Method: a qualitative exploratory and descriptive research, carried out through interview at the home with 26 rural elderly women, aged between 60 and 69 years. The data were analyzed by the thematic content analysis technique of Bardin. Results: understanding sexuality is linked to the construction of sexual and/or loving relationship, and positive and negative factors that interfere with the exercise of sexuality: good relationship with the spouse, physical and mental benefits, chronological age, health problems, no spouse, sexual disinterest and fear of relating for fear or disappointment. Final considerations: there is a decline in the maintenance of sexuality linked to the end of the reproductive period, to the advancing age and the low social perspective that is common for rural elderly women.

RESUMO: O objetivo deste trabalho foi relatar uma experiência de implementação da Terapia Comportamental para incontinência urinária como uma estratégia para melhorar o controle urinário e qualidade de vida da mulher idosa. Os dados foram coletados em 12 prontuários de mulheres que apresentavam diagnóstico de incontinência urinária mista ou de esforço e são apresentados descritivamente. Três pacientes obtiveram diminuição da frequência e seis pacientes zeraram as perdas. Oito pacientes referiram que os exercícios perineais foram o elemento da terapia que mais ajudou. Seis pacientes referiram que a terapia comportamental melhorou a auto-estima e o autocuidado. Seis pacientes relataram que a Terapia Comportamental ajudou a lidar com o problema. Conclui-se que este procedimento deve ser valorizado como uma ação de enfermagem para a prática clínica em decorrência de sua efetividade observa. ABSTRACT:The aim of this study was presente to assess the experience of implementation of behavioral therapy for urinary incontinence as a strategy to improve bladder control and quality of life in elderly women. Data were collected from medical records of 12 women who were diagnosed with mixed or stress incontinence. Data are presented descriptively. Three patients had decreased frequency and six patients zeroed losses. Eight patients reported that perineal exercises were the part of therapy that helped most. Six patients reported that behavioral therapy improved self-esteem and self-care. Six patients reported that behavioral therapy helped them to cope with the problem. It is concluded that this procedure should be valued as a nursing action for clinical practice because of its effectiveness notes. RESUMEN: El objetivo de este estudio fue evaluar la experiencia de la aplicación de la terapia comportamiental para la incontinencia urinaria como una estrategia para mejorar el control de la vejiga y la calidad de vida de las mujeres de edad avanzada. Los datos fueron recogidos de las historias clínicas de 12 mujeres que fueron diagnosticados con incontinencia mixta o de estrés y se presentan de manera descriptiva. Tres pacientes presentaron disminución de la frecuencia y seis pacientes a cero pérdidas. Ocho pacientes informaron de que los ejercicios perineales formaban la parte de la terapia que más las ha ayudado. Seis pacientes reportaron que la terapia comportamental mejora de la autoestima y el autocuidado. Seis pacientes reportaron que la terapia le ayudó a hacer frente al problema. Se concluye que este procedimiento debe ser valorado como una acción de enfermería para la práctica clínica debido a su eficacia observada.

Objective: To understand the transitions experienced, and the conditions and expected response patterns to changes in sexuality of the spouse-caregiver of the elderly, during progression of the dementia process. Method: A qualitative research study, conducted at the neurogeriatric clinic between May of 2014 and May of 2015. An intensive, individual interview was administered to 12 elderly caregivers. Thematic content analysis was applied, using the theoretical model of Transition Theory. Results: Seven categories emerged, involving relationship and conjugal sexuality; disease repercussions; care and professional approach; attitudes, beliefs and social imagery of sexuality and care; family relationship and redefi ning of sexuality. Final considerations: Family development and marital life, the aspects of formation and development of sexuality, the specifi cs that involved living and caring for the other were understood, with successive events and changes infl uenced by old age, dementia, beliefs and social imagery. Descriptors: Dementia; Nursing Theory; Sexuality; Nursing Care; Elderly. RESUMO Objetivo: compreender as transições vivenciadas, suas condições e os padrões de resposta esperados a mudanças na sexualidade do cônjuge-cuidador do idoso em processo demencial. Método: pesquisa de abordagem qualitativa, realizada no ambulatório de neurogeriatria, entre maio de 2014 e maio de 2015. Aplicou-se a entrevista individual e intensiva a 12 cônjuges-cuidadores de idosos. Fezse a análise de conteúdo temática, com aplicação do modelo teórico da Teoria das Transições. Resultados: emergiram sete categorias, que envolveram relação e sexualidade conjugal; repercussões da doença; o cuidado e a abordagem profi ssional; atitudes, crenças e imaginário social de sexualidade e cuidado; relação familiar e ressignifi cação de sexualidade. Considerações fi nais: compreendeu-se a construção de vida familiar e conjugal; os aspectos de formação e desenvolvimento da sexualidade; as especifi cidades que envolvem viver e cuidar do outro, com sucessivos acontecimentos e mudanças infl uenciados pela velhice, por processo demencial, crenças e imaginário social. Descritores: Demência; Teoria de Enfermagem; Sexualidade; Cuidados de Enfermagem; Idoso. RESUMEN Objetivo:Comprender las transiciones experimentadas, sus condiciones y patrones de respuesta esperados em el cambio de la sexualidad de los cónyuges cuidadores de ancianos em proceso de demencia. Método: investigación cualitativa, llevada a cabo em la clínica neurogeriatrica entre mayo de 2014 y mayo de 2015. Se aplicó una entrevista individual e intensiva a 12 cónyuges cuidadores de los ancianos. Se hizo análisis de contenido temático com el modelo teórico de la Teoría de las Transiciones. Resultados: siete categorias surgieron, que implican relación conyugal y la sexualidad; repercusiones de la enfermedad; atención y enfoque profesional; las actitudes, creencias y imágenes sociales de la sexualidad y el cuidado; relaciones familiares y Therapeutic nursing care: transition in s...

Objective: To analyze the relationship between personality traits and self-care in family caregivers of elderly people with Alzheimer's. Methods: Cross-sectional study, with 118 family caregivers of elderly people with Alzheimer's, participating in two centers for Elderly Health Care in the period from May to December 2015. Results: 38.1% of caregivers had low neuroticism; 46.6% had average extraversion; 45.8% had an average opening; 36.4% showed high kindness and 40.7% of caregivers showed high conscientiousness. Measurement of the Appraisal of Self Care Agency Scale-Revised - ASA-R - factor “Tendo Poder” - average of 4.07 / standard deviation 0.81; “Developing Power” - average of 4.17 / standard deviation of 0.63 and “Missing Power” - average of 2.81 / standard deviation 1.11, showing greater variation. There was a significant and negative influence of Neuroticism on the “Lacking Power” factor. Conclusion: It is necessary to know the profile, the personality traits and the specific valuation of the self-care scale in its dimensions to direct assistance.

Objetivo: verificar existência de associação entre traços de personalidade do cuidador de idoso com demência e funcionalidade familiar. Método: estudo seccional com a participação de 118 cuidadores de idosos com demência em dois serviços de geriatria. Foram investigadas as seguintes variáveis: funcionalidade familiar (escala de APGAR de família); sociodemográficas; comprometimento cognitivo do idoso (escala GDS); traços de personalidade do cuidador (inventário NEO-FFI-R); sobrecarga (inventário de sobrecarga de Zarit); sintomas depressivos (escala CES-D). A regressão beta e a modelagem de caminho foram usadas para verificar a hipótese de influência destas variáveis sobre a funcionalidade familiar. Resultados: A regressão beta apontou um modelo preditivo no qual as variáveis “não dividir o cuidado”, “comprometimento cognitivo do idoso”, “sintomas depressivos do cuidador” e “conscienciosidade” influenciam a funcionalidade familiar. A modelagem de caminho mostrou que os traços de personalidade dos cuidadores influenciam fortemente sobrecarga e sintomas depressivos. Conclusão: O estudo contribuiu para ressaltar a importância de aprimorar a assistência ao cuidador do idoso com demência. Os resultados apontam para a necessidade de estudos de intervenção que considerem a personalidade, o apoio familiar e a saúde psicológica do cuidador, visando a elaboração de protocolos específicos e mais eficazes.

Objective: to analyze the proposal of an action plan created by nurses to deal with difficulties in caring for the elderly. The aim of the present study was therefore to analyze the difficulties that family caregivers find in relation to access to services, material resources and the support network when meeting the care needs of the elderly in accordance with Brazilian public policy. Method: the methodology of participatory research and content analysis proposed by Bardin was used. The context was the Geriatric service of a university hospital. The group of co-researchers included eight nurses and 12 caregivers of elderly people with dementia. Results: the following categories emerged from the analysis: contradictions and work proposals. The contradictions category revealed reflections about the difference between the proposed care for the elderly and the reality of a lack of care and the precarious conditions of health services. This situation leads to overburdening of caregivers. The work proposals refer to the strategies used by nurses to establish a relationship of support to family caregivers to cope with the difficulties involved in care for the elderly. Conclusion: nurses recognize that they are professionals capable of receiving, listening to and managing the needs of family caregivers of the elderly, thus promoting the health of the elderly and the caregivers themselves, preparing the family of the patient for home care and coping with difficulties experienced in elderly care.

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Urinary in continenceis a problem that affects both men and women, being more prevalent in elderly women. Behavioral therapy is an approach developed by nurses to control incontinence and involves several dimensions of the human being, including sexual. The objective is to report the experience of implementing behavioral therapy for urinary incontinence based on Jean Watson's Theory of Transpersonal Care. Six women participated in the study monitored from July to November 2020. All patients reported improvement in in continence symptoms, five of whom had no involuntary loss of urine. It is not necessary to refer them for surgical treatment or drug therapy. There was an improvement in the elderly woman's self-esteem and engagement for self-care. The study revealed that it is possible to control the urinary incontinence of elderly women and consequently, contribute to the quality of life reduce the cost and value the relationship of the elderly woman with yours exuality.