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:

          BACKGROUND: The human aging process is a worldwide phenomenon and also exists among indigenous people, however, in Brazil, information about the health conditions and self-care culture of indigenous elderly people is still scarce and fragmented. Researching about the human responses and the self-care culture in this population is needed as it enables a qualified, systematized and culturally congruent nursing care. OBJECTIVE: To analyze human responses in nursing and the self-care culture of indigenous elderly. METHOD: This is an exploratory and descriptive study with a mixed method approach, of 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, Leininger's Theory of Culture Care Diversity and Universality was used, which is the theoretical perspective that conducted this research. The study population consisted of indigenous people of Potyguara ethnicity, living in the indigenous community of Amarelão, João Câmara, Rio Grande do Norte. In the quantitative approach, a Nursing Consultation with 51 participants was held, and in the qualitative approach phase, a semi-structured interview with 17 indigenous elderly was performed 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 North American Nursing Diagnosis Association Internacional (2018-2020). Statistical analysis was performed 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 the prevalent ones: Impaired dentition (98.0%), Risk of impaired skin integrity (66.7%), Chronic pain (64.7%), Risk of deficient fluid volume (54.9%), Impaired Swallowing (45.1%), Impaired Ambulation (45.1%), Sleep Pattern Disorder (43.1%), Stress Urinary Incontinence (41.2%), Discus falls (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, the human responses most present in the indigenous elderly are those resulting from factors leads to decrease in their functionality and independence, 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, which is, an active aging. However, the medicalization is still present in this unique ethnic health-disease process, shown in the statements of the elderly, when citing the dependence on the use of drugs, including psychotropic drugs. This finding is also evidenced by quantitative data, which points to necessary reflections on the abusive use, self-medication and indiscriminate prescription of drugs for this population. The quantitative data also revealed a low presence of preventive practices adopted by the group, which makes evident the influence of the medical-curative model absorbed in the self-care practices of this population, as a result of contact with non-indigenous society through 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