A reconstrução da autonomia face ao autocuidado após um evento gerador de dependência

: estudo exploratório no contexto domiciliar

Abstract

Health is facing a new paradigm, driven by a need for socio-economic change, where self-care is seen as a hidden resource in society, to overcome the failure of health systems in an aging population.Nursing fits perfectly into this model because it maintains the attitude of partnering with clients / families to help them reach and improve the health project that outlined by investing in research to develop scientific knowledge as a basis for professionalisation nursing care focused on customer responses.Following this route option is to study the phenomenon of self-care, restricting it to the satisfaction of the activities of daily living that are common to all people. The research in this area, although very large in some specific areas, proved to be low on the existence of substantive studies to explain the phenomenon of loss of autonomy regarding self-care in home care after an event resulting in dependency.Faced with such evidence, there was a qualitative study, exploratory and descriptive, adopting a methodology to generate a Grounded Theory in order to explore the phenomenon in domestic settings, hoping that the knowledge developed may help to improve nursing care.The selection of participants was held in the hospital (the hospital stay after the event resulting in dependency), and the data collection started (using the technique of participant observation) after his return home, opting for individuals with dependence, for the first time in self-care on the activities of daily living.The study shows that in situations of vulnerability in relation to self, individuals are forced to start the transition process. In these situations, several factors emerge from intrinsic attributes (the subject's psychological status, and knowledge) and extrinsic factors (social support, economic status, society, and tradition) to the subject that interfere with this experience, resulting in responses (process indicators) that are used by nurses to adapt the therapeutic nursing. Finally, the results are denouncing a salutary experience of transition, which are no longer the starting point for a new reality.

Date of Award	2010
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Abel Avelino Paiva e Silva (Supervisor) & Maria Alice Correia de Brito (Supervisor)