Conforto na perspectiva de familiares de pessoas internadas em Unidade de Terapia Intensiva

Abstract

ABSTRACT:This study aimed at understanding the meaning of comfort to the families of people in intensive care units. It consists of a qualitative study carried out in the intensive care unit of a hospital in Salvador-Bahia. Fourteen family members were interviewed. The authors utilized the theoretical principles of symbolic interactionism and the technique of qualitative data analysis. Results indicated that the categories Safety, Receptiveness, Information, Proximity, Social and Spiritual Support, Convenience and Integration expressed the meaning of comfort, which was comprised of reliability in terms of technical-scientific competence and a supportive and sensitive attitude of the team, chance of recovery, access to information and the opportunity to be close to the patient, support of people in their social life, spiritual sources and the environmental structure of the hospital, preservation of self-care and routine activities. It was concluded that the family is important as objects and subjects of the actions in healthcare and must be the focus in public health policies and programs in Brazil. DESCRIPTORS: CONFORT EN LA PERSPECTIVA DE FAMILIARES DE PERSONAS EN UNIDAD DE TERAPIA INTENSIVARESUMEN: Se objetivó con el estudio comprender el significado de confort para familiares de personas en Unidad de Terapia Intensiva. Esta investigación cualitativa fue realizada en la Unidad de Terapia Intensiva general de un gran hospital, en Salvador-Bahia, Brasil. Catorce familiares fueron sometidos a la encuesta. Se utilizó la teoría del Interaccionismo Simbólico y se empleó la técnica de análisis de datos cualitativos. Las categorías Seguridad, Acogida, Información, Apoyo social y espiritual, Proximidad, Comodidad e Integración consigo y con el cotidiano expresaron los significados de confort que involucró la confianza de la competencia técnico científica y actitud solidaria y sensible del equipo, oportunidad de recuperación, acceso a la información y posibilidad de acercarse al pariente, apoyo de personas del entorno social, de fuentes espirituales y de la estructura ambiental del hospital y preservación del cuidado personal y actividades habituales. Se concluye que la familia es importante como objeto y sujeto de acciones en salud y debe estar enfocada en las políticas y programas de salud pública en Brasil. DESCRIPTORES:Familia. Atención a la salud. Enfermería de la familia.

Comfort of the patient's family in an Intensive Care Unit related to welcoming

“…In a study on the care of nurses for families (17) , the flexible visit was the intervention most often practiced, confirming it as a way to promote comfort as described in other studies (11) . It was noted that 72.8% of the sample considered themselves to be very or totally comfortable when realizing that the professionals did not insist on their leaving immediately at the end of the visit.…”

“…The first was a demographic and clinical data form containing closed questions about the inpatient and the family. The second was a scale to measure the Level of Comfort of Family of ICU Patients, related to welcoming, which consisted of 12 statements based on previous qualitative research (11) . In this investigation comfort indicators (items, statements) were identified that supported the definition of seven dimensions of the comfort phenomenon, including the welcoming dimension.…”

Enfrentamento, Dificuldades e Práticas de Autocuidado de Pacientes com Doença Renal Crônica Submetidos à Diálise Peritoneal

“…Ainda, no que se referem às dificuldades do tratamento no domicílio, certos sujeitos da pesquisa mencionaram que possuem dificuldades com alguns membros de suas famílias, devido às limitações impostas pela condição clínica. Isso afeta toda família, pois há uma quebra do equilíbrio familiar e assim precisarão também se adaptar ao convívio com um familiar que ficou doente e precisa de cuidados (9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20) .…”

Vivências de familiares no cuidado à pessoa idosa hospitalizada: do visível ao invisível

“…Na prática, o acolhimento impõe uma postura ética. Não pressupõe hora ou profissional específico para fazê-lo, implica simplesmente respeitar, aceitar e valorizar aqueles que acompanham o ente hospitalizado (Freitas et al, 2012). Constitui-se, portanto, como uma ação de inclusão que deve ser ampliada a partir da identificação, compreensão e resolução das diversas demandas apresentadas pelo familiar acompanhante, o que irá melhorar a qualidade do serviço hospitalar.…”