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Intervenções de Enfermagem na adesão da criança e família ao regime terapêutico da Diabetes Tipo I
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Abstract(s)
A presente monografia enquadra-se na disciplina de Projeto de Graduação do 4ºano da
Licenciatura de Enfermagem da Universidade Fernando Pessoa intitulada “Adesão da criança e
família ao regime terapêutico da Diabetes Mellitus Tipo I” tem como objetivo analisar quais as
intervenções de enfermagem que se realizam na consulta aos familiares e às crianças com a
doença crónica I em prol da adesão ao regime terapêutico, conhecer as principais dificuldades que
estes profissionais sentem na realização da consulta e quais os principais sentimentos expressos
pela criança e família face ao diagnóstico.
Desenvolveu-se um estudo do tipo exploratório- descritivo, inserido numa abordagem qualitativa,
usando uma amostra probabilística constituída por enfermeiros. O método de colheita de dados
utilizado foi a entrevista semi-estruturada.
O impacto da doença crónica tanto na criança como nos pais leva muita das vezes a uma desordem
biológica, psicológica ou cognitiva. Há necessidade de uma adaptação familiar perante o estado
de saúde da criança o que muitas vezes constitui-se um percurso longo e difícil pois toda a rotina
familiar vai ter como foco a nova condição de saúde da criança. No momento do diagnóstico os
principais sentimentos expressos são: a culpa, o medo, a revolta e a tristeza.
Constatou-se que os enfermeiros têm um papel fundamental para a gestão, adesão e educação da
diabetes. Foi possível através do estudo verificar que apesar das formações contínuas que estes
profissionais frequentam ao longo da sua carreira ainda existem barreiras para o seu exercício
profissional tais como a falta de privacidade, o número elevado de doentes e a disponibilidade de
tempo.
The present monograph falls under the discipline of Graduation Project of the 4th Degree of Nursing Degree, Fernando Pessoa University entitled "Adherence of the child and family to the therapeutic regimen of Diabetes Mellitus Type I" aims to analyze which nursing interventions are performed in consultation with family members and children with chronic disease I in favor of adherence to the therapeutic regimen, to know the main difficulties that these professionals feel in the consultation, and what are the main feelings expressed by the child and the family in relation to the diagnosis. An exploratory-descriptive study was developed, inserted in a qualitative approach, using a probabilistic sample of nurses. The data collection method used was the semi-structured interview. The impact of chronic illness on both the child and the parents often leads to a biological, psychological or cognitive disorder. There is a need for a family adaptation to the state of health of the child which often constitutes a long and difficult route because the whole family routine will focus on the new health condition of the child. At the time of diagnosis the main feelings expressed are: guilt, fear, revolt and sadness. It was verified that the nurses have a fundamental role for the management, adhesion and education of diabetes. It was possible through the study to verify that despite the continuous training that these professionals attend throughout their career there are still barriers to their professional practice such as the lack of privacy, the high number of patients and the availability of time.
The present monograph falls under the discipline of Graduation Project of the 4th Degree of Nursing Degree, Fernando Pessoa University entitled "Adherence of the child and family to the therapeutic regimen of Diabetes Mellitus Type I" aims to analyze which nursing interventions are performed in consultation with family members and children with chronic disease I in favor of adherence to the therapeutic regimen, to know the main difficulties that these professionals feel in the consultation, and what are the main feelings expressed by the child and the family in relation to the diagnosis. An exploratory-descriptive study was developed, inserted in a qualitative approach, using a probabilistic sample of nurses. The data collection method used was the semi-structured interview. The impact of chronic illness on both the child and the parents often leads to a biological, psychological or cognitive disorder. There is a need for a family adaptation to the state of health of the child which often constitutes a long and difficult route because the whole family routine will focus on the new health condition of the child. At the time of diagnosis the main feelings expressed are: guilt, fear, revolt and sadness. It was verified that the nurses have a fundamental role for the management, adhesion and education of diabetes. It was possible through the study to verify that despite the continuous training that these professionals attend throughout their career there are still barriers to their professional practice such as the lack of privacy, the high number of patients and the availability of time.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa para obtenção do grau de Licenciada em Enfermagem
Keywords
Intervenção de enfermagem Adesão ao regime terapêutico Criança Família Diabetes tipo I Nursing intervention Adherence to the therapeutic regimen Child Family Type I diabetes