Women's Autonomy with Kidney Disease on Peritoneal Dialysis at Home

Autonomía de mujeres con enfermedad renal para diálisis peritoneal en casa

Autonomia de mulheres com doença renal para a diálise peritoneal no domicílio

Rodrigues, Luiza Pereira Vargas - Zillmer, Juliana Graciela Vestena - Cordeiro, Franciele Roberta - Vasconcelos, Tássia Racki
Detalles Bibliográficos
2021
Autonomia Pessoal
Insuficiência Renal Crônica
Diálise
Saúde da Mulher
Pesquisa Qualitativa
autonomía personal
insuficiencia renal crónica
diálisis
salud de la mujer
personal de salud
investigación cualitativa
personal autonomy
renal insufficiency
dialysis
women's health
health personnel
qualitative research
Portugués
Universidad Católica del Uruguay
LIBERI
https://revistas.ucu.edu.uy/index.php/enfermeriacuidadoshumanizados/article/view/2337
https://hdl.handle.net/10895/3736
Acceso abierto
Resumen:
Sumario:Introduction: Peritoneal dialysis is a complex treatment because it requires both a strict therapeutic regimen and a greater development of autonomy to manage it. Objective: To analyze the construction of the autonomy in women with chronic kidney disease to perform peritoneal dialysis at home. Material and Method: This is a qualitative study, theoretically supported by Paulo Freire's concept of autonomy. Fourteen women on peritoneal dialysis participated in the study. The data were produced in a nephrology service in the Southern Region of Brazil, from April 2013 to June 2014, through semi-structured and open interviews, organized in the Ethnograph v6 program and submitted to content analysis. Results: Four categories were identified that describe the construction of women's autonomy, which are: Emergence of the disease: search for care and diagnosis, need to perform peritoneal dialysis in the hospital; Care transition: support and assistance for returning home, and managing peritoneal dialysis at home. Conclusion: The construction of women's autonomy occurred during the illness process and continued when they returned home with self-management of dialysis. Still, it was evidenced that the recognition of the own body and constant evaluation of the dialysis had a key role in the empowerment of such women and help them to decide on the treatment.