Strategies to promote self-esteem, autonomy and self-care practices for people with chronic wounds

Abstract

This is a qualitative study of an exploratory nature that aims to identify the strategies used by nurses in primary care, in situations involving nursing care, to promote self-esteem, autonomy and self-care practices for people with chronic wounds. The study included eight nurses. Data were collected by means of a focus group in July 2012. The thematic analysis technique was used to identify the following categories: Nursing care from the perspective of comprehensiveness; Recovering support networks: family and social movements; Multidisciplinary work; Autonomy and nurses. It was concluded that the presented strategies value, above all, the social environment of these individuals, the family, religion and the nurse's approximation to the realities of people with chronic wounds. Descriptors: Nursing care. Primary health care. Nursing. Wound healing. RESUMOTrata-se de um estudo qualitativo de caráter exploratório, com o objetivo de identifi car as estratégias utilizadas por enfermeiros da atenção básica, nas situações que envolvem o cuidado de enfermagem para promover a autoestima, a autonomia e o autocuidado das pessoas com feridas crônicas. Participaram do estudo oito enfermeiros. A coleta de dados foi realizada por meio de grupo focal, realizado em julho de 2012. Para análise dos dados, utilizou-se a técnica de Análise Temática, que permitiu a identifi cação das categorias: Cuidado de enfermagem na perspectiva da integralidade; Resgate das redes de apoio: família e movimento sociais; Trabalho multiprofi ssional; e Autonomia do Enfermeiro. Concluiu-se que as estratégias apresentadas valorizam, principalmente, o ambiente social desses indivíduos, a família, a religião e a aproximação do e nfermeiro com a realidade de vida das pessoas com feridas crônicas. Descritores: Cuidados de enfermagem. Atenção primária à saúde. Enfermagem. Cicatrização. RESUMENSe trata de un estudio cualitativo de carácter exploratorio, con el objetivo de identifi car las estrategias utilizadas por las enfermeras de atención primaria, en las situaciones que implican los cuidados de enfermería para promover la autoestima, la autonomía y el autocuidado para las personas con heridas crónicas. El estudio incluyó a ocho enfermeras. La recolección de datos se realizó a través del grupo focal realizado en julio de 2012. Para el análisis de datos, se utilizó la técnica de análisis temático que permitió la identifi cación de las categorías: Cuidado de enfermería a la vista de la exhaustividad; Rescate de las redes de apoyo: la familia y el movimiento social; Trabajo multidisciplinario; La autonomía y la enfermera. Llegamos a la conclusión de que las estrategias presentadas valor, sobre todo el entorno social de estas personas, la familia, la religión y el enfoque de la enfermera con la realidad de la vida de las personas con heridas crónicas. Descriptores: Atención de enfermera. Atención primaria de salud. Enfermería. Cicatrización de heridas.Bedin LF, Busanello J, Sehnem GD, Silva FM, Poll MA 62Rev Gaúcha Enferm. 2014 set;35(3):61-67.

Integralidade no cuidado de enfermagem às pessoas com úlceras cutâneas

“…39,46,[50][51][52] It is essential that teams question what skin ulcers represent to users, the impacts they cause, the repercussions on life, expectations and demands for care, since the best scientific evidence and technological procedures are not enough: it is vital to establish a dialogical, with sensitive and active listening, bonding, trust, attention to emotions, beliefs and social, cultural and economic issues. 15, [33][34]37,45,54 Health education is at the heart of primary health care; it is a light, present and effective tool whose purpose is to sensitize, revive and gradually modify harmful behaviors or establish adherence to health care such as balanced nutrition, glycemic monitoring and foot care from daily examination of the foot and the use of therapeutic footwear. 36,50 Interdisciplinarity and teamwork in health care become a major challenge to be won due to the assistance model that is perpetuated.…”

“…It is important to highlight that the same object defined by integrality in other articles as integral care was found, also presenting in the following ways: basic care; multidisciplinary work; user-centered care; subject in the collective context; holism; individualized care; Community level; primary care; individualized assistance; Health education; transformation of lived practices; self-care; autonomy and interdisciplinary interventions. [24][25][26][27][32][33][34][35][36][37][38] This study evidenced a few publications that strengthen the practice of Nursing in the perspective of integrality in the area of attention to people with cutaneous ulcers pointing dichotomy between theory, law, practice and assistance legitimacy. 20 The results reveal a defense to a care plan centered on the resoluteness of skin healing based on scientific evidence and performed by multidisciplinary team.…”

Health Promotion in Care for People With Chronic Non-Transmitable Disease: Integrative Review

“…These constitute a support network, in particular religious movements, and community associations, as people's behavior is influenced by the beliefs and values apprehended in this context. [27][28] It is identified that nurses perform health promotion practices in people with CNTDs, especially in elderly groups, in the community. 28 In an experience report, it was observed the use of health resources in the coverage area, which were of interest to obtain a favorable outcome for the person with a CNTD.…”

“…36,[47][48][49][50][51] In addition to the use of technologies during group educational activities, such as: Games, dynamics, conversation wheels, audio-visual material, posters, illustrations and informational pamphlets. 27,36,40,52 One highlights the use of the educational games technique in the activities of the Hypertension and Diabetes Program -HIPERDIA. In addition to the possibility of promoting autonomy, linking the person to the service and expanding the knowledge about their health and disease process, thus contributing to changes in self-care habits.…”

Experiência de pessoas adultas e idosas frente à adesão aos cuidados com a úlcera varicosa

“…One study carried out in a city in the southern region in Brazil identified strategies used by primary health care nurses to promote self-esteem, autonomy, and self-care of patients with chronic wounds. It emphasized the importance of multidisciplinary work in the perspective of comprehensiveness and valuation of the social environment, including family and religion, so care planning for this population may be established in order to help them assume their responsibility in the disease control (19) .…”