Banca de DEFESA: CARLOS JORDÃO DE ASSIS SILVA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : CARLOS JORDÃO DE ASSIS SILVA
DATE: 20/12/2019
TIME: 09:30
LOCAL: Departamento de Enfermagem
TITLE:

Human responses, culture, and self-care of indigenous elders: a mixed methods study.

KEY WORDS:

Gerontological nursing; Indigenous health; Transcultural Nursing; Nursing Process; Self care.

PAGES: 140
BIG AREA: Ciências da Saúde
AREA: Enfermagem
SUMMARY:

INTRODUCTION: The process of human aging is global and is also present among indigenous peoples, however, in Brazil, information on the health and self-care culture of indigenous older people is still scarce and fragmented. It is perceived the importance and necessity about the knowledge of human responses in nursing and the self-care culture in health of this population, as it enables a qualified, systematized and culturally congruent nursing care. OBJECTIVE: To analyze the human responses in nursing and the health self-care culture of indigenous elderly. METHOD: This is an exploratory and descriptive study with a mixed method approach, convergent parallel type. Quantitative and qualitative data were collected concurrently, with equal weighting for both data. Data integration was performed, in which the results of quantitative and qualitative data were mixed and produced mutually supported information. Finally, concerning the theorization was used Theory of Diversity and Universality of Cultural Care, which is the theoretical perspective that led the whole study. The study population consisted of indigenous indigenous people, Potyguara ethnicity, living in the indigenous community of Amarelão, João Câmara, Rio Grande do Norte. In the quantitative approach, a Nursing Consultation was held with 51 participants, and in the qualitative approach phase, a semi-structured interview with 17 indigenous elderly in August 2019. Data obtained from the Nursing Consultation were analyzed following two steps: phase I - data analysis and synthesis; phase II - establishment of nursing diagnoses using the NANDA-I taxonomy (2018-2020); a posteriori were submitted to statistical analysis using the Statistical Package for Social Sciences (SPSS) program. Absolute and relative frequencies were used and Fisher's Q-Square and Exact Test were applied. Qualitative data were analyzed from thematic content analysis. The research was submitted to the Ethics and Research Committee of the Federal University of Rio Grande do Norte and the National Research Ethics Committee under the CAAE: 07990219.7.0000.5537, being approved by the opinion nº. 3.475.904. RESULTS: Regarding nursing diagnoses, 38 were identified, being prevalent: Impaired dentition 98.0%), Risk of impaired skin integrity (66.7%), Chronic pain (64.7%), Risk of poor fluid volume (54.9%), Impaired Swallowing (45.1%), Impaired Ambulation (45.1%), Sleep Pattern Disorder (43.1%), Stress Urinary Incontinence (41.2%), Fall Disc (35.3%) and Sexual Dysfunction (33.3%). Concerning the qualitative data, three thematic categories were identified: 1) Meaning of health in the conception of indigenous elderly; 2) Indigenous experience of becoming ill and 3) Indigenous self-care practices. CONCLUSION: Based on the convergences and combinations of qualitative and quantitative results, it was noticed that among the human responses most present in the indigenous elderly are those resulting from factors that influence the decrease in functionality and independence of the elderly, corroborated by the participants' statements. Regarding self-rated health, reported problems relate to limiting conditions that also interfere with the performance of daily activities. Regarding self-care practices, the use of medicinal plants for disease prevention and treatment was evidenced, as well as the performance of domestic activities, manual labor and autonomy in problem solving, as ways of obtaining health, that is, an active aging. However, the medicalization in this unique ethnic health-disease process is present in the statements of the elderly, citing the dependence on the use of drugs, including psychotropic drugs, is also evidenced by the quantitative data, which points to reflections on abusive use, self-medication. and the indiscriminate prescription of medications. The quantitative data also revealed a low presence of preventive practices adopted by the group, or that makes it evident, an influence of the curative medical model absorbed in the self-care practices of this population, fruit of the contact with a non-indigenous society by health services.

BANKING MEMBERS:
Externa ao Programa - 3055823 - ANA ANGELICA REGO DE QUEIROZ
Externo à Instituição - JOSÉ LUÍS GUEDES DOS SANTOS - UFSC
Interna - 2613771 - LUCIANE PAULA BATISTA ARAUJO DE OLIVEIRA
Interna - 387.055.368-55 - MÔNICA CRISTINA RIBEIRO ALEXANDRE D'AURIA DE LIMA - UFRN
Presidente - 347635 - REJANE MARIA PAIVA DE MENEZES