303 resultados para estratégias de enfrentamento

em Repositório Institucional UNESP - Universidade Estadual Paulista "Julio de Mesquita Filho"


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Este artigo é parte de uma pesquisa qualitativa mais abrangente que utilizou como referencial teórico-metodológico a Grounded Theory e o Interacionismo Simbólico, resultando no modelo teórico denominado Entre o sofrimento e a esperança: a reabilitação da incontinência urinária como componente interveniente. Com a intenção de comunicar todo o conhecimento produzido, apresenta-se parte desse modelo, referente ao processo de enfrentamento da incontinência urinária por mulheres sem perspectivas de acesso ao tratamento cirúrgico, após falha dos procedimentos conservadores. Ao inter-relacionar os componentes (categorias e subcategorias) relativos à experiência dessas mulheres, buscando compará-los e analisá-los para compreender a interação entre eles, notou-se vulnerabilidade moral e psicossocial no movimento da experiência do grupo, suscetibilizando-o a riscos à saúde e ao comprometimento da qualidade de vida. Pesquisas são necessárias para aprofundar a compreensão de experiências em que haja barreira ao tratamento cirúrgico por descrédito do profissional médico sobre sua efetividade.

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O câncer é uma doença que traz indagações para a pessoa que passa por essa experiência e transtornos dos mais variados, podendo gerar estresse que é inevitável e faz parte da vida humana. Para manejar o estresse há diferentes formas de adaptação a uma situação. O sucesso desse manejo vai depender das estratégias de coping (enfrentamento), definido como um processo utilizado para controlar as demandas da relação indivíduo-ambiente que serão elaboradas pelo indivíduo. Este trabalho teve como objetivo identificar as formas de enfrentamento utilizadas diante dessa doença e do tratamento. Realizou-se estudo qualitativo, através da Análise de Discurso do Sujeito Coletivo e referencial teórico de coping. Foram entrevistados 16 pacientes em tratamento radioterápico, sendo a amostra constituída por conveniência. Pode-se observar que os participantes, ao enfrentarem o câncer e a radioterapia elaboraram estratégias de enfrentamento tanto baseadas na emoção, como no problema.

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Este trabalho objetivou compreender a experiência de pessoas com derivações intestinais, quanto ao enfrentamento à nova condição de vida. Realizou-se estudo qualitativo, sendo entrevistados 11 sujeitos ostomizados. Os dados foram coletados por meio de entrevistas semi-estruturadas, gravadas e posteriormente transcritas na íntegra e foram analisadas segundo a proposta de análise de conteúdo de Bardin e do referencial teórico de Coping . Os achados do estudo evidenciaram-se por três categorias centrais: eu não escolhi; tive que aceitar e con(vivo) com a ostomia. A forma para manejar a condição de estar ostomizado revelou-se por estratégias de enfrentamento tanto baseadas na emoção, como no problema. O estudo contribuiu para a reflexão e a utilização do conhecimento na prática assistencial e de ensino para cuidar do ostomizado.

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Objective: To evaluate the quality of life of asthmatic children and adolescents, its relation with sociodemographic and clinical variables, and maternal coping strategies. Methods: Cross-sectional study in which children and adolescents with asthma answered a quality of life questionnaire, and their mothers did the same with a coping scale. Results: Out of the 42 children and adolescents investigated, 74% were classified as having mild/severe persistent asthma; 19%, mild persistent asthma; and 7%, intermittent asthma. A total of 69% of the participants showed impaired quality of life with mean scores ranging between 4.7 and 3.5, with greater harm in the domain of symptoms (score=3.6). There was a significant association between maternal schooling and the general index of quality of life, whereas maternal coping strategies were not associated with the severity of asthma. A large number of strategies used by mothers to cope with their children's crises were related to the management of stressors or to religious practices, and the latter presented negative correlation with the children's quality of life general index, showing that mothers whose children had worse quality of life used more religious coping. Conclusions: Asthmatic children, particularly those with moderate/severe persistent asthma, showed significant alterations as to quality of life. The high percentage of mothers using religious strategies, particularly in face of more severe clinical conditions, seem to indicate that they feel powerless to act, thus requiring concrete and useful orientation to low income families.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Pós-graduação em Psicologia do Desenvolvimento e Aprendizagem - FC

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The study aimed to analyze coping strategies used by Young soccer athletes during the competition period. 172 male soccer athletes of 8 teams participating in Copa São Paulo de Futebol Júnior 2013, aged between 15 and 20 years old, most of high school education took part in the study. As instrument it was used the Brazilian version of the Ways of Coping Scale. Therefore, a contact was made with teams, where they had permission or not to apply and then day and time were scheduled to data collection, this was made in order to preserve the teams performance. Given that, most of the data were collected during the rest period of the teams, that is, when there was a long interval between one match and another. Data analysis was performed using descriptive statistics and frequency through the program Statistical Package for Social Sciences (SPSS) version 17.0 for Windows. The collected data suggests that most athletes use the coping strategy problem-focused, because it had the highest average, while emotion-focused coping strategy was the factor with lowest average. The results indicate that athletes have a higher emotional control and aiming to solving the stressful situation at the own problem

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Pós-graduação em Psicologia do Desenvolvimento e Aprendizagem - FC

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This study's aim was to verify coping strategies among children aged between 7 and 12 years old who will be experiencing surgery and the potential relationship of coping strategies with sociodemographic variables, stress in children and in companions, and the child's prior experience with surgery. A total of 58 children hospitalized and waiting for elective surgeries responded to the Assessment Instrument of Coping to Hospitalization and an instrument to assess stress. The companion received a sociodemographic questionnaire and the Lipp Stress Symptom Inventory. Problem-solving strategies and distraction were the most frequent strategies used, while social withdrawal and opposition were the least frequent. Girls and children of stressful parents used emotion regulation strategies with significantly more frequency. Likewise, greater cognitive restructuring was observed in older children and those with prior experience with surgeries. The results show the need to consider the studied variables when developing pre-operative preparation programs.

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The aim of this study was to identify scores of interest related to coping strategies used by professional and amateur football players. Participants were 134 male football players, 71 professionals (age=22,77±3,98 years) and 63 amateurs (age=17,18±0,84) from three teams participating on the First Division State Championship). The players answered individually to the Coping with Problems Scale. Significance level was P<0.05. When coping strategies were compared based on game position and player category (professional or amateur), lateral player amateurs used more wishful thinking /religious practices (P=0.042) than professionals. Coping Focused Problem was the most used strategy used by both the professionals and amateurs, except the amateur laterais, who used more wishful thinking /religious practices.

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Pós-graduação em Bases Gerais da Cirurgia - FMB

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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The aim of the present study was to analyze the impact suffered by 40 people when discovering that one of their family members was diagnosed with cancer, to analyze their coping strategies and expectations towards the patient’s illness and future. The study made use of the Coping Strategies Inventory by Folkman and Lazarus. Results show that most of the patients’ caregivers are their married children, with an average age of 45.7 (dp=12.67), and gainfully employed. These family members reported the negative impact of the diagnosis, with the predominant feelings of sadness and fear of loss, even though they had a positive perspective about the future, expecting the patient’s recovery. As to the functional coping strategies, the most used were the resolution of problems, followed by social support; the least used was positive revaluation. As to the dysfunctional strategies, the most used ones were escape and avoidance and the least used was taking the responsibility for the illness. Conclusions are that despite suffering with the negative impact of the disease, the family members are optimistic about the patient’s future and seek to use strategies that solve the problem effectively, without blaming themselves for the patient’s illness.