ABSTRACT
O objetivo desta pesquisa foi analisar as percepções e os comportamentos dos familiares frente ao paciente em estado de coma na Unidade de Terapia Intensiva (UTI). Estudo descritivo, realizado com 15 familiares de pacientes em coma internados em UTI, por meio de entrevista e observação participante, em agosto/setembro de 2011. Análise de conteúdo, segundo Minayo, evidenciou familiares satisfeitos com o atendimento e com a equipe, tendo consciência do estado de saúde do seu familiar internado, apresentando forte sentimento de impotência e sofrimento vivenciado pela situação, porém com esperança, encontrando conforto na espiritualidade. Manifestaram contato verbal e não verbal com o paciente e resgate do passado. A observação identificou os contatos não verbais mais manifestados pelo toque e carinho. Concluiu-se que a percepção mais evidenciada foi a satisfação com o atendimento e a equipe e o comportamento mais evidenciado a emoção. Os achados indicam uma assistência humanizada, atendendo à Política Nacional de Humanização.
The objective of this descriptive study was to analyze perceptions and behaviors of relatives in face of coma patients in the Intensive Care Unit (ICU). Subjects were 15 relatives of coma patients in the ICU by means of interviews and participant observation in August/September of 2011. The content analysis, as per Minayo, revealed the relatives were satisfied with the service and the health team, were aware that the health condition of the patient, with strong feelings of helplessness and suffering caused by the situation, but also expressing hope and finding comfort in spirituality. The expressed verbal and non-verbal contact with the patients and remembered the past. The observation identified the non-verbal contacts represented through caress and affection. In conclusion, the most evidenced perception was the satisfaction towards the health team and the most evidenced behavior was emotion. The findings indicate humanized care, complying with the National Policy of Humanization.
Se objetivó analizar las percepciones y comportamiento de familiares frente al paciente en coma internado en Unidad de Terapia Intensiva (UTI). Estudio descriptivo, realizado con 15 familiares de pacientes en coma internados en UTI, mediante entrevistas y observación participante, en agosto/setiembre de 2011. Análisis de contenido según Minayo, evidenció familiares satisfechos con la atención y el equipo, siendo conscientes del estado de salud del familiar internado, presentando fuerte sentimiento de impotencia y sufrimiento experimentado por la situación, aunque con esperanza, encontrando refugio en la espiritualidad. Manifestaron conocimiento verbal y no verbal con el paciente y rescate del pasado. La observación identificó como contactos no verbales más manifestados el tacto y la caricia. Se concluye en que la percepción más evidenciada fue la satisfacción con la atención y el equipo, y el comportamiento más expresado fue la emoción. Los hallazgos indican una atención humanizada, conforme la Política Nacional de Humanización.
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Coma/nursing , Coma/psychology , Family , Intensive Care UnitsABSTRACT
Management of severely brain-injured patients constitutes a social, economical, and ethical dilemma as well as a real challenge for the medical staff, as it requires specific expertise. The aim of this article is to explore the aspects of nursing care in patients recovering from coma such as difficulty of diagnosis, residual perception, clinical assessment, care and management, and communication with the patient and the family. The nursing care of patients with disorder of consciousness must be particular and specific for various reasons such as the difficult diagnosis, the problem of unconsciousness or lack of demonstration of consciousness, extremely complex clinical assessment, daily management with total dependence, communication with patients that requires special attention and training by health professionals, and communication with the family of these patients that requires more sensitivity and full involvement by the team.
Subject(s)
Coma/nursing , Persistent Vegetative State/nursing , Coma/diagnosis , Communication , Diagnosis, Differential , Humans , Nursing Assessment/methods , Persistent Vegetative State/diagnosis , Professional-Family RelationsABSTRACT
This is a hermeneutic phenomenological study based on the Van Manen's framework, that aimed to distinguish the meanings of the experiences lived in the state of coma and its impact on the being and living process. It was developed with four participants, three males and one female. Based on the analysis of the information three themes were identified: the unexpected as reality; the singularity of the modified states of consciousness, and the transformation of the being and living process. The coma emerged as an unexpected and unique process, permeated by different and modified states of consciousness; and possibly the unconsciousness as a state of inner life; and having a great impact on the life process of the participants. Finally we addressed some implications for the nursing care.
Subject(s)
Coma/nursing , Coma/psychology , HumansSubject(s)
Coma/ethnology , Coma/nursing , Cultural Diversity , Family/ethnology , Geriatric Nursing , Nursing, Supervisory , Aged , Dominican Republic/ethnology , Humans , Male , New York CityABSTRACT
Se estudian 50 casos de pacientes ingresados en la Unidad de Terapia Intensiva, en el período comprendido entre diciembre de 1981 a septiembre de 1983. Se analizan los cuidados de enfermería generales y específicos del paciente en coma y se llega a la conclusión que sin ellos la mortalidad por esta entidad estuviera muy elevada y que dichos cuidados forman parte del tratamiento básico
Subject(s)
Infant , Child, Preschool , Humans , Coma/nursing , Intensive Care UnitsSubject(s)
Coma/nursing , Adolescent , Child , Child, Preschool , Coma/etiology , Critical Care , Humans , InfantABSTRACT
Un niño en estado de coma debe ser considerado como una urgencia médica, por lo tanto, es un caso de ingreso en las unidades de cuidados intensivos. Así ponemos a su servicio todos los recursos tanto humanos como materiales. La enfermera, como miembro esencial del equipo de salud, es un técnico muy importante en el cuidado y tratamiento de estos pacientes, pues éste es el niño más indefenso con el cual se enfrentará en toda su carrera, ya que al desaparecer su vida de relación y persistir sólo la vegetativa la enfermera asume la responsabilidad de la vida del paciente. Todos conocemos la importancia de los niños en nuestra sociedad socialista, por lo cual, recalcamos, el colectivo de terapia se debe caracterizar por su alto grado de humanidad, nivel científico, destreza y habilidades para que siempre sea un verdadero seguro en la vida de los pacientes en coma