Resumo O objetivo do presente estudo foi compreender os sentidos subjetivos atribuídos pelos cuidadores familiares de idosos dependentes do cuidado ofertado no domicílio, por meio de uma investigação qualitativa multicêntrica que reúne entrevistas em profundidade com 84 cuidadores familiares em oito localidades no Brasil. Utilizou-se o referencial teórico metodológico hermenêutico-dialético. Na leitura das entrevistas emergiram as seguintes categorias que serviram de base para as análises: 1. Movimentos de inibição de emoções e sentimentos; 2. Presença de processos de simbiose e de dependência emocional na relação entre idoso e familiar; 3. Contentamento em cuidar do idoso dependente; e 4. Renúncia a projetos de vida atuais e futuros. Os resultados apontam vivências marcadas por processos de simbiose, dependência emocional e estresse psíquico. A dependência gera sofrimento e sentimentos de desespero, impotência, impaciência, mas também de solidariedade e empatia. A renúncia ao trabalho profissional, a desvalorização social da atividade de cuidador familiar, o isolamento social, o cuidado “descuidado” de si e os conflitos familiares influenciam a subjetividade dos cuidadores. A formulação de políticas públicas precisa considerar as vivências socioafetivas dos cuidadores familiares de idosos dependentes, para nelas incluir o cuidado de quem cuida.

Objective. To describe the importance of the Statement of Assent for children and adolescents invited to participate in a clinical study and their main reactions to its explanation. Methods. This is an exploratory descriptive qualitative study of 17 children and adolescents, who were invited to participate in a clinical study in the field of oncology in a hospital located in Rio de Janeiro (Brazil). Data were analyzed using thematic analysis. Results. Two thematic units were generated after data interpretation: signing the statement of assent, in which participants felt their main role when faced with the possibility of expressing their agreement or not to take part in the study; and understanding of the study, when they showed that they understood the steps of the study by asking pertinent questions to clarify their doubts. Children and adolescents understood the steps of the study contained in the Statement of Assent, were interested and asked questions to clarify their doubts about the study. Conclusion. The Statement of Assent was important for participants understanding the study and having autonomy over their participation. As the statement strengthened the main role of children and adolescents in the research process, the conclusion was that its use in studies involving the pediatric population should be encouraged.

Evidências científi cas da prática da violência contra a pessoa idosa: revisão integrativa Scientifi c evidence of the violence against the older adult: an integrative review Evidencias científi cas de la práctica de violencia contra personas mayores: revisión integradora

Objectives: to identify feelings, experiences, and expectations of kidney transplant patients, generated from the diagnosis of chronic renal disease until the post-transplant period, highlighting the challenges for nurses to incorporate individualized care to cope throughout the disease process. Methods: qualitative, descriptive research, carried with seven kidney transplant patients, in the city of Manaus, State of Amazonas. The data analysis followed the methodological referential of Bardin’s content analysis. Results: the diagnosis of the disease was experienced negatively, and hemodialysis was described as an imprisonment and health decline. The transplant meant an improvement in quality of life. The main difficulties were lack of a specialized hospital and low immunity. Conclusions: the nurses’ approach of chronic renal patient and with the renal transplantation favored the discovery of solutions facing the demands of the disease and allowed greater capacity to implement individualized care, surrounding a relationship of trust and respect.

ResumoO Diabetes mellitus tipo 2 (DM2) é uma doença que exige mudanças drásticas no estilo de vida, advindos daí sentimentos de incapacidade, desmotivação e aparecimento de fatores estressores, dificultando o controle glicêmico. Porém, indivíduos com DM2, que desenvolvem alta autoestima e resiliência, conseguem manter boa qualidade de vida. A autoestima diz respeito à imagem que se tem de si, enquanto a resiliência é a capacidade de superação das adversidades. Esse estudo partiu do pressuposto que indivíduos com DM2 autoconfiantes e resilientes enfrentam mais positivamente as adversidades. O objetivo foi identificar a autoestima e a resiliência de indivíduos com DM2, a fim de compreender suas capacidades de enfrentamento diante da doença. O estudo é um recorte do macro projeto intitulado "Efeitos das Práticas de Promoção de Saúde em pessoas com Diabetes tipo 2". É um estudo transversal, do tipo exploratório-descritivo, de abordagem quantitativa, realizado no bairro de Petrópolis em Manaus (AM), com 27 indivíduos diabéticos (100% do universo) acompanhados pela Pastoral da Saúde, com margem de erro de 5% e coeficiente de confiança de 95%. Utilizou-se a Escala de Autoestima de Rosenberg (EAR). Os dados foram apresentados em tabelas de frequências absolutas simples(fi) e relativas(%), calculando-se média, mediana e desvio-padrão (DP). Os resultados mostraram média/DP de 61,3 ±11,19 anos; 100% dos indivíduos alcançaram padrão de autoestima e resiliência acima no nível de corte (20 pontos), com média/DP de 33,25±3,799 pontos. Concluimos que houve presença em alto nível de autoestima e resiliência nos indivíduos do grupo estudado. Palavras Artigo Original • Original Paper AbstractDiabetes mellitus type 2 (T2DM) is a disease that requires drastic changes in lifestyle, resulting from feelings of incapacity, lack of motivation and appearance of stressors, making glycemic control difficult. However, individuals with T2DM, who develop high self-esteem and resilience, manage to maintain a good quality of life. Self-esteem concerns self-image, while resilience is the ability to overcome adversity. This study was based on the assumption that self-confident and resilient individuals with T2DM face adversities more positively. The objective was to identify the self-esteem and resilience of individuals with DM2, in order to understand their coping abilities in the face of the disease. The study is a cut of the macro project entitled "Effects of Health Promotion Practices on People with Type 2 Diabetes mellitus". It is a crosssectional, exploratory-descriptive, quantitative approach, conducted in the Petrópolis neighborhood of Manaus, AM, with 27 diabetic individuals (100% of the sample) followed by the Pastoral Health Care, with a margin of error of 5% and coefficient of confidence of 95%. The Rosenberg Self-Esteem Scale (RSES) was used. The data were presented in tables of simple (fi) and relative (%) absolute frequencies, calculating mean, median and standard deviation (SD). The results showed a mean / SD of 61.3 ± 11.19 years...