0120/2019 - Demência, familiares cuidadores e serviço de saúde: O cuidado de si e do outro. Dementia, family caregivers and health service: The care of yourself and the other.
O estudo buscou conhecer a percepção dos familiares cuidadores acerca do cuidado ao idoso com demência realizado por eles e pela ESF. A pesquisa qualitativa analítica-descritiva foi realizada através de entrevistas semi-estruturadas, com cinco familiares cuidadores usuários de uma unidade de atenção primária organizada pela ESF, localizada no município do Rio de Janeiro. O material coletado foi submetido à análise de discurso da Escola Francesa. Análise dos sintomas que impactam na rotina e nos sentimentos do cuidador gerando mudanças consideráveis; O histórico familiar, a forma da família lidar com situações difíceis e o apoio ao avesso representado pela falta de suporte dos outros familiares e do Estado intensificam os problemas relacionados ao cuidado; A abdicação de si, o isolamento e as interpretações subjetivas negativas são produtores e agravantes de sofrimento psíquico do familiar cuidador; A ESF apesar de suas limitações acolhe o idoso com demência e o cuidador, mas não é considerada referência de cuidado pelos familiares cuidadores. Para os familiares cuidadores, o que intensifica os desafios do cuidado é a situação de abandono experienciada por eles, impactando como uma dinâmica subjetiva de opressão e abdicação de si, levando a conflitos que refletem na situação de cuidado.
Palavras-chave:
Demência, Idosos, Familiares cuidadores, Serviço de saúde, Atenção primária.
Abstract:
The study sought to know the perception of the family caregivers about elderly care with dementia carried out by them and the FHS. Qualitative analytical-descriptive research was carried out through semi-structured interviews, with five family caregivers users of a primary care unit organized by the FHS, located in the city of Rio de Janeiro. The collected material was submitted to the discourse analysis of the French School. Analysis of the symptoms that affect the routine and the feelings of the caregiver generating considerable changes; Family history, family coping with difficult situations, and support for backwardness represented by lack of supportother family members and the State intensify care-related problems; Self-abdication, isolation, and negative subjective interpretations are the producers and aggravators of the psychic distress of the family caregiver; The FHS, despite its limitations, welcomes the elderly with dementia and the caregiver, but it is not considered a reference of care by the family caregivers. For family caregivers, what intensifies the challenges of care is the situation of abandonment experienced by them, impacting as a subjective dynamics of oppression and abdication of self, leading to conflicts that reflect in the care situation.
Keywords:
Dementia, elderly, family caregivers, public health service and Family Clinic
Dementia, family caregivers and health service: The care of yourself and the other.
Resumo (abstract):
The study sought to know the perception of the family caregivers about elderly care with dementia carried out by them and the FHS. Qualitative analytical-descriptive research was carried out through semi-structured interviews, with five family caregivers users of a primary care unit organized by the FHS, located in the city of Rio de Janeiro. The collected material was submitted to the discourse analysis of the French School. Analysis of the symptoms that affect the routine and the feelings of the caregiver generating considerable changes; Family history, family coping with difficult situations, and support for backwardness represented by lack of supportother family members and the State intensify care-related problems; Self-abdication, isolation, and negative subjective interpretations are the producers and aggravators of the psychic distress of the family caregiver; The FHS, despite its limitations, welcomes the elderly with dementia and the caregiver, but it is not considered a reference of care by the family caregivers. For family caregivers, what intensifies the challenges of care is the situation of abandonment experienced by them, impacting as a subjective dynamics of oppression and abdication of self, leading to conflicts that reflect in the care situation.
Palavras-chave (keywords):
Dementia, elderly, family caregivers, public health service and Family Clinic
Nascimento, HG, Figueiredo,A.E.B.. Demência, familiares cuidadores e serviço de saúde: O cuidado de si e do outro.. Cien Saude Colet [periódico na internet] (2019/mai). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/demencia-familiares-cuidadores-e-servico-de-saude-o-cuidado-de-si-e-do-outro/17194?id=17194
