Terapêuticas de enfermagem promotoras da adaptação em mulheres com cancro da mama

Abstract

In search for further significant nursing care, we developed an adaptation monitoring tool for the above mentioned – "adaptation monitoring instrument for women with breast cancer" – and set a nursing interventions panel promoting it. In terms of methodological options to achieve such monitoring instrument, we walked a path anchored on the principles of methodological profile studies. In order to define the nursing interventions panel to promote these women’s adaptation we used procedures to generate consensus, beginning with material available in literature and in what was available in the information systems and nursing documentation of an institution specialized in assisting patients with oncological diseases, namely breast cancer. The measuring instrument covers key areas within the scope of the subject and is clearly developing as regards chronic diseases and breast cancer, in particular. It consists of five dimensions that characterize women’s adaptation, as soon as they are diagnosed, from a nursing perspective. The identified dimensions refer to: i) Optimism; ii) Hope; iii) Role playing; iv) Communication/expression of feelings; v) Plan Compliance. Results regarding the validity and accuracy of the instrument built, are quite encouraging and robust, which broadens its enormous research potential and clinical use. The agreed and identified panel of nursing interventions consists of nursing interventions that potentially promote adaptation to breast cancer, imbued with dominant intents to empower women so as to "prevent complications," to develop "self-care skills" as well as "therapeutic regimen management. " According to our reading and standardized posture, the identified intents are very aligned with helping people in transition – the aim of nursing. Both the monitoring instrument and the interventions panel agreed represent an effort to formalize nursing knowledge associated with the field at stake in this study.

Date of Award	1 Jun 2018
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Célia Samarina Vilaça de Brito Santos (Supervisor) & Filipe Miguel Soares Pereira (Supervisor)