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

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. Mater...

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Bibliografiske detaljer
Hovedforfatter: Rodrigues, Luiza Pereira Vargas (author)
Andre forfattere: Zillmer, Juliana Graciela Vestena (author), Cordeiro, Franciele Roberta (author), Vasconcelos, Tássia Racki (author)
Format: article
Sprog:portugisisk
engelsk
Udgivet: 2021
Fag:
Online adgang:https://revistas.ucu.edu.uy/index.php/enfermeriacuidadoshumanizados/article/view/2337
https://hdl.handle.net/10895/6286
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Summary: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.