Representações sociais sobre a alimentação por sonda obtidas de pacientes adultos hospitalizados

Abstract

This study aimed to identify and understand adult patients' representations on tube feeding. Data were collected through interviews with sixteen patients who were using feeding tubes, which were analyzed through discourse analysis and Social Representation Theory. We identified a sequence in which representations are reorganized and redefined through experience, in order to turn this treatment tolerable. This sequence begins when patients face the need of a feeding tube, followed by the experience of its use and finally, when deciding about continuing its use or not, when going home. Some representations contribute to treatment adherence and others to its rejection. Getting to know positive and negative ideas about this treatment makes it possible to approach these patients in a more direct way, with a view to better adherence and satisfaction.

The Denied Pleasure of Eating: A Qualitative Study with Functionally Diverse People in Spain

“…Some had reorganised their daily routines to accommodate their new feeding needs. The study conducted by Block et al [ 41 ] stressed the relationship between food, society, and culture, suggesting that pleasurable eating experiences were closely associated with positive relationships with food—psychological, physical, emotional, and social [ 42 ]. This study pointed out that a reduction in or loss of eating-derived pleasure had a significant impact on people’s physical and mental well-being, and also affected their social relationships—an issue also noted among the participants in our study.…”

“…As well as having an effect on their bodies, these tools also symbolised and made them even more aware of the changes that had taken place in their lives. Barbosa et al [ 42 ] have also noted how these new feeding techniques eventually contribute to changes in the patients’ social representations.…”

Terapia Nutricional Enteral Domiciliar: Interface Entre Direito Humano À Alimentação Adequada E Segurança Alimentar E Nutricional

“…O enfermo no domicílio evita a segregação da família, contribuindo para melhoria da saúde, e resgata a posição da família como importante unidade de cuidado de seus membros. 44 Na área do cuidado nutricional, as características da alimentação e cultura alimentar da família são importantes para propor orientações dietéticas, que garantam que as necessidades nutricionais sejam atingidas. 45 A NE, na maioria das vezes, não é desejada, e sim imposta pela situação de doença.…”

Identificação do perfil nutricional e ocorrência de complicações gastrointestinais em pacientes hospitalizados submetidos à Terapia Nutricional Enteral

“…A baixa ingesta oral pode estar associada à doença de base, dores, náuseas, vômitos, ansiedade, inapetência, disfagia, depressão, incapacidade funcional, tratamentos agressivos como cirurgias, rádio e quimioterapia, e até mesmo pelo ambiente hospitalar. Diante desse cenário, o diagnóstico do estado nutricional se faz relevante e a terapia nutricional enteral (TNE) se mostra de extrema importância, contribuindo para a recuperação e manutenção do estado nutricional (BARBOSA;FREITAS, 2005).…”