Adaptação biopsicossocial de pacientes que vivenciam a hemodiálise

Abstract

Fernandes MA, Ibiapina ARS, Fernandes RO, et al.

Meaning and Dimensionality of State of Comfort in Patients With Chronic Hemodialysis Kidney Disease

“…20 It is essential to emphasize that the state of calm, related to the environment, has two aspects, in which there are those who lose their calm in the hemodialysis environment, associating the environment of the hemodialysis room with the fear of the unknown, to the complications, due to the dialysis process itself, which causes dread and tranquility and there are others, who think differently and associate the room environment with a place of safety, in which discomforts can be promptly sanated by the team. 16,21 These ideas corroborate Kolcaba's philosophical assumptions, which attest that in stressful health care situations, unmet needs for comfort should be met by nurses. Thus, it is understood that the nursing team achieves the function by comforting patients during hemodialysis sessions, by ensuring an environment free of risks and damage and promoting comfort measures.…”

“…In this case, the state of calm is not contemplated by the intervening noise factor. 21 This is because the reality investigated here is characterized by being closed environment, with constant presence of alarms from hemodialysis machines, air conditioning sound, conversations between staff and patients or among patients themselves, television on, among other interferences, resulting in amplified reverberation, which promotes obstacles to the reach of comfort, unhealthy repercussions to patients exposed to this context.…”

“…Noise is presented in another study, in which it is pointed out that the effects of exposure to excessive noise in the clinical environment are not limited to hearing damage, which may induce increased fatigue and stress and sleep disorders. 21 Study on comfort of women victims of acute myocardial infarction found that noise is present in other scenarios, presented in the form of daily buzz, caused by conversation among health professionals. Therefore, silence needs to be preserved, as a means of providing tranquility for hospitalized people.…”

Influência Da Espiritualidade Na Qualidade De Vida De Idosos Hemodialíticos

“…Considera-se notável como muitos pacientes portadores de Insuficiência Renal Crônica geralmente procuram força na fé ou então já buscam uma autoadaptação no que diz respeito ao tratamento para não ter que sofrer com as demais limitações que, obrigatoriamente, deverão passar por conta dos problemas ocorridos pela doença. Permite-se, assim, pela capacidade de lidar realisticamente com os problemas e com a fé, a manifestação de reações positivas que são reinterpretadas para dar sentido à vida, de ter esperança e estar em paz em meio a esses problemas 27 .…”