Cuidado transpessoal de enfermagem em familiares de crianças com doença falciforme mediado pelo reiki: estudo à luz da teoria de Jean Watson

Abstract

A qualitative study, of a comprehensive nature, based on convergent care research and the assumptions of Jean Watson's Theory of Transpersonal Care. How to care for family members of children with sickle cell disease based on the Theory of Transpersonal Nursing Care to address their needs identified in meetings mediated by Reiki? Having as object: Transpersonal Nursing care in relatives of children with sickle cell disease guided by the following guiding question: How to care for relatives of children with sickle cell disease based on Transpersonal Nursing Care Theory to address their needs identified in meetings mediated by Reiki? And to answer it the following objectives: Identify the human needs of relatives of children with sickle cell disease; Caring for relatives of children with sickle cell disease based on Transpersonal Nursing Care Theory to address their needs identified in Reiki-mediated encounters; To describe the effects of Reiki on the transpersonal care of relatives of children with sickle cell disease; And to understand the experiences of relatives of children with sickle cell disease about transpersonal nursing care mediated by Reiki. Six mothers and one parent participated in care meetings in which they received six Reiki sessions during a Nursing consultation at a referral center for people with sickle cell disease in the state of Bahia from August to December 2016. All participants answered questions semistructured in interviews conducted before and after the moments of care, then the contents of the interviews were transcribed and submitted to content analysis and interpreted in the light of Transpersonal Theory. The results of this study were organized in three scientific articles, the first entitled: Caritas process in caring for relatives of children with sickle cell disease, with the aim of identifying the lower and upper order human needs proposed by Jean Watson evidenced in relatives of children with sickness sickle cell disease; and plan the approach to caritas-based care meetings to address the needs identified in family members of children with sickle cell disease. As results, relatives reported needs in all dimensions, survival, psychological or functional, being the psychosocial or integrative and the intrapersonal search for growth the most commonly referred. We conclude that this article provides evidence that health units that attend children with sickle cell disease and other types of chronic illness need to attend to the needs of family members, not only as care providers but as human subjects weakened by the existential issues of feeling , of living and dying. The second article entitled Feeling Different: Effects of Reiki on the Transpersonal Care of Relatives of Children with Sickle Cell Disease, with the aim of describing the effects of Reiki on the transpersonal care of relatives of children with sickle cell disease. In this study, the results showed that participants perceived changes in the patterns of physiological responses to stress caused by the intense routine of cares and concerns with the child, as well as changes in the way of caring for oneself, relief of physical discomforts and improvement of the emotions experienced in the child. experience of sickle cell disease in your child. It is concluded that family members of children with chronic illness can benefit from complementary integrative practices in health services, providing positive changes to their experience for greater self-care, and reducing the stress effects that chronic illness causes in caregivers / relatives. In the third article, entitled Transpersonal Nursing care through Reiki: experiences of relatives of children with sickle cell disease aimed to understand the experiences of relatives of children with sickle cell disease about transpersonal nursing care mediated by Reiki, in this the results evidenced stress reduction, fear and anxiety of the participants before the crises of the disease in their children. And they experienced well-being, regaining faith and hope. They felt alive, valued and cared for by a health service that forgets the relatives because it is focused on the sick person. It is concluded that the mediation of the care encounter through Reiki in an environment outside the formal logic of the health units, showed was fruitful and facilitated the understanding that Nursing care favors healing in family members