CARE, DISEASE AND HEALTH: SOCIAL REPRESENTATIONS AMONG PEOPLE ON DIALYSIS TREATMENT

Nascimento, Maria Elisa Brum do; Mantovani, Maria de Fátima; Oliveira, Denize Cristina de

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Original Article • Texto contexto - enferm. 27 (1) • 2018 • https://doi.org/10.1590/0104-07072018003290016 copy

CARE, DISEASE AND HEALTH: SOCIAL REPRESENTATIONS AMONG PEOPLE ON DIALYSIS TREATMENT¹ 1 Artigo extraído da tese - Representação social dos cuidados à saúde de pessoas com doença renal crônica: elementos para autogestão, apresentada ao Programa de Pós-Graduação em Enfermagem Universidade Federal do Paraná (UFPR), em 2015.

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to analyze and compare the representational structure of health care and illness among people undergoing dialysis.

Method:

qualitative research guided by the Theory of Social Representations in its structural approach, with 165 participants, including adults, of both sexes undergoing hemodialysis and peritoneal dialysis in four nephrology services in Curitiba and its surrounding region. The data were collected between June 2014 and May 2015, through free evocations of the terms "disease care" and "health care" and treated through the Ensemble of Pemettant Programs L'Analyse des Evoctions software and four quadrants analysis.

Results:

the results show that the representations of health care and disease share disease content, but it has a distinct organization, health with the focus of life habits and biomedical dimension, and the disease emphasizes the evaluative aspect.

Conclusions:

the representations of health care and disease interact with behaviors, attitudes and positions of care and provide elements to understand and support individual resources and adjustment of the disease.

DESCRIPTORS:
Chronic renal failure; Adult health; Renal dialysis; Social Psychology; Nursing

AOE^* * OME: average order of evocations;	<3			≥3
Freq^† † Freq: total frequency of the term evoked. Med	Term evoked	Freq^† † Freq: total frequency of the term evoked.	*AOE^ * OME: average order of evocations;**	Term evoked	Freq^† † Freq: total frequency of the term evoked.	*AOE^ * OME: average order of evocations;**
³ 29	Nutrition/Diet	81	2,259	Controlled-diet	48	3,354
	Fluid Control	55	2,545	Medication	35	3,171
	Dialysis	35	2,914
	Hygiene	31	2,097
< 29	Care	27	2,519	Family support	22	3,455
	Salt Control	19	2,842	Transplant	14	3,714
				Blood pressure control	13	3,231

AOE^* * AOE: average order of evocations;	<3			≥3
Freq^† † Freq: total frequency of the term evoked. Med	Term evoked	Freq^† † Freq: total frequency of the term evoked.	*AOE^ * AOE: average order of evocations;**	Term evoked	Freq^† † Freq: total frequency of the term evoked.	*AOE^ * AOE: average order of evocations;**
≥ 23	Nutrition/Diet	72	2,167	Medication	45	3,156
	Physical exericse	35	2,971	Controlled Diet	33	3,152
	Medical Monitoring	27	2,926	Physical exercise	27	3,259
				Hygiene	26	3,423
				Fluid Control	23	3,174
< 23	Periodic examinations	21	2,714	Work	21	3,762
	Correct Medication	16	3,000	Family Support	20	4,050
	Care	15	2,533	Life	17	3,235
	Correct Diet	14	2,714	Rest	16	3,375
	Treatment	13	1,846	Blood pressure control	14	3,214
	Well-being	12	2,417	Blood pressure control	14	3,214
	Doing Treatment	11	2,091	Calmness	12	3,583

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br

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[1] Correspondence: Maria Elisa Brum do Nascimento. Rua Comendador Macedo, 365 ap. 84, 80060-030 - Centro, Curitiba, Paraná. E-mail: melbrum.brum@gmail.com