RESUMEN
Introducción: La elevada tasa de mortalidad en las Unidades de Cuidados Intensivos por enfermedades sin posibilidades terapéuticas introdujo los cuidados paliativos en este escenario. En este contexto, la labor de la enfermera se hace primordial para posibilitar a los pacientes y familiares una atención biopsicosocial y espiritual, con la promoción de una asistencia integral que debe basarse en teorías como la Teoría del Final de la Vida Pacífico. Objetivo: Conocer la actuación de la enfermera en los cuidados paliativos en la Unidad de Cuidados Intensivos a la luz del Teoría del Final de la Vida Pacífico. Métodos: Estudio con enfoque cualitativo realizado con 14 enfermeras de la Unidad de Cuidados Intensivos Inmunológica de un hospital privado de la ciudad de Salvador, Bahía, Brasil. El período de recogida de datos se realizó entre noviembre de 2018 y mayo de 2019, mediante entrevista con guion semiestructurado; se analizaron a través de la técnica de Análisis de Contenido de Bardin y se discutieron a la luz de la Teoría del Final de Vida Pacífico. Resultados: Surgieron cuatro categorías: Comprensión de las enfermeras sobre los cuidados paliativos en la unidad de cuidados intensivos. Percepción y actuación de las enfermeras en la comodidad del paciente en Cuidados Paliativos. La enfermera permite la proximidad a la familia. La enfermera permite que el paciente esté en paz. Conclusión: La actuación de la enfermera en cuidados paliativos se dirige a los cuidados terminales e implica en promover el confort, acciones de aproximación familiar y actitudes que dignifiquen el proceso de morir(AU)
Introduction: The high mortality rate in intensive care units due to diseases without therapeutic possibilities introduced palliative care in this setting. In this context, the nurse's work becomes paramount to enable patients and families a biopsychosocial and spiritual care, with the promotion of a comprehensive care that should be based on theories such as the peaceful end of life theory. Objective: To know the nurse's performance in palliative care in the intensive care unit under the peaceful end of life theory. Methods: A study with a qualitative approach was carried out with fourteen nurses from the immunological intensive care unit of a private hospital Salvador City, Bahia, Brazil. Data collection covered the period between November 2018 and May 2019, using the semistructured interview. They were analyzed through Bardin's content analysis technique and discussed under the peaceful end of life theory. Results: Four categories emerged: nurses' understanding of palliative care in the intensive care unit, nurses' perception and performance concerning patient comfort in palliative care, the nurse allows proximity to the family, and the nurse allows the patient to be at peace. Conclusion: The nurse's performance in palliative care is directed to terminal care and involves promoting comfort, family approach actions and attitudes that dignify the dying process(AU)
Asunto(s)
Humanos , Enfermería de Cuidados Paliativos al Final de la Vida/métodos , Atención de Enfermería/métodos , Teoría de EnfermeríaRESUMEN
Objective: to evaluate the factors associated with emotion regulation in men with internet access living in Brazil during the COVID-19 pandemic. Method: an epidemiological survey, conducted with 1015 men. An electronic form was applied containing sociodemographic and occupational characteristics, support and coping strategies, as well as emotional and behavioral aspects. Emotion regulation was assessed using the Emotion Regulation Questionnaire. Results: The prevalence values observed were 44.6% for Low Cognitive Reappraisal and of 47.1% for High Emotional Suppression. The following factors were identified as associated: (a) with Low Cognitive Reappraisal: being aged 30 years old or more, practicing physical activity, worrying about social distancing and having positive emotions and feelings; and (b) with High Emotional Suppression: being heterosexual, non-white race/skin color, having security support or public administration, not sanitizing food, worrying about lack of physical activity and not having negative emotions. Conclusion: the adoption of emotion regulation strategies was associated with individual, contextual and emotional/behavioral characteristics. Masculinity ideals seem to exert an influence on these relationships.
