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Introdução: O conforto é um elemento chave na prestação de cuidados de enfermagem ao doente Paliativo. Confortar assume-se como um ato complexo. Promover conforto é estar atento a todas as manifestações de distress, ter em conta todas as dimensões do ser humano e providenciar medidas para alívio do sofrimento (Morse, 2000).
Podemos constatar que não existe uma definição clara para o conceito do conforto contudo, é unânime que este emerge como, uma necessidade ao longo da vida, na saúde e na doença pelo que, proporcionar o conforto é uma das principais funções e um desafio para a prática dos cuidados de enfermagem (Ribeiro; Costa 2012).
Objetivo: O objetivo deste estudo é compreender a perceção do enfermeiro no que diz respeito ao conforto da Pessoa em final de vida em contexto domiciliário, identificando qual a conceção de conforto para o enfermeiro, quais as necessidades confortadoras e quais as intervenções dirigidas à pessoa em fim de vida.
Material e Métodos: Foi realizado um estudo descritivo de abordagem qualitativa, através de entrevistas semi-estruturadas a 8 participantes. A metodologia utilizada para o tratamento de dados foi a análise de conteúdo. (Bardin, 2014)
Resultados: Relacionado com o tema central os achados fizeram sobressair três domínios. A Conceção do Conforto está relacionada com expressões afetivas e físicas, com enfoque para a sua multidimensionalidade; no Domínio das Necessidades Confortadoras encontrámos as necessidades (física, psicoespiritual, sociocultural e ambiental); acerca das Intervenções Confortadoras concluímos que os atores baseiam-se nas necessidades, desenvolvendo-as em duas categorias: Intervenções farmacológias e não farmacológicas.
Conclusão: O principal contributo deste estudo é explorar o fenómeno do conforto no que respeita à pessoa em fim de vida em contexto domiciliário, reforçando a importância que o enfermeiro assume na implementação de cuidados confortadores. Assente numa abordagem humanista-afetiva, o processo de conforto é mediado pela interação enfermeiro-doente/família.
Introduction: Comfort is the main key in the provision of nursing care to the palliative patient. To comfort is a complex act. To promove comfort is being attentive to all the manifestations of distress, to take into account all the dimensions of the human being and to provide ways to relieve suffering (Morse, 2000). We can see that there is no clear definition for the concept of comfort. However, it is unanimous that it emerges as a lifelong need, both in health and illness, so that providing comfort is one of the main functions and a challenge for the practice of nursing care. (Ribeiro; Costa 2012). Aim of the research: The aim of this research is to understand the nurses' perceptions regarding the comfort of the Person at end-of-life, in a domicile, identifying what is the comfort conception for the nurse, what are the comforting needs and what are the interventions directed to the person at the end-of-life. Approach and Method: In this experiment, it was used a descriptive study of qualitative approach, through semi-structured interviews to 8 participants. The methodology used for the data processing was the content analysis (Bardin, 2014). Results: Related to the main key, foundings were obtained in three domains. The comfort conception is related to affective and physical expressions, emphasizing its multidimensionality; in the Domain of Comfort Needs we found the needs (physical, psycho-spiritual, sociocultural and environmental); related to the Comfort Interventions, we can conclude that actors are based on the needs, developing them into two categories: pharmacological and non-pharmacological interventions. Conclusions: The main contribution of this study is to explore the phenomenon of comfort regarding to the end-of-life person, in a home context, reinforcing the importance that the nurse takes in the implementation of comfort care. Based on a humanistic-affective approach, the comfort process is mediated by the nurse-patient/family interaction.
Introduction: Comfort is the main key in the provision of nursing care to the palliative patient. To comfort is a complex act. To promove comfort is being attentive to all the manifestations of distress, to take into account all the dimensions of the human being and to provide ways to relieve suffering (Morse, 2000). We can see that there is no clear definition for the concept of comfort. However, it is unanimous that it emerges as a lifelong need, both in health and illness, so that providing comfort is one of the main functions and a challenge for the practice of nursing care. (Ribeiro; Costa 2012). Aim of the research: The aim of this research is to understand the nurses' perceptions regarding the comfort of the Person at end-of-life, in a domicile, identifying what is the comfort conception for the nurse, what are the comforting needs and what are the interventions directed to the person at the end-of-life. Approach and Method: In this experiment, it was used a descriptive study of qualitative approach, through semi-structured interviews to 8 participants. The methodology used for the data processing was the content analysis (Bardin, 2014). Results: Related to the main key, foundings were obtained in three domains. The comfort conception is related to affective and physical expressions, emphasizing its multidimensionality; in the Domain of Comfort Needs we found the needs (physical, psycho-spiritual, sociocultural and environmental); related to the Comfort Interventions, we can conclude that actors are based on the needs, developing them into two categories: pharmacological and non-pharmacological interventions. Conclusions: The main contribution of this study is to explore the phenomenon of comfort regarding to the end-of-life person, in a home context, reinforcing the importance that the nurse takes in the implementation of comfort care. Based on a humanistic-affective approach, the comfort process is mediated by the nurse-patient/family interaction.
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Palavras-chave
Conforto Fim de vida Domicílio Enfermeiro Cuidados paliativos Comfort End-of-life Domicile Nurse Palliative care