As práticas de autocuidado e o cuidado familiar dos índios Mura de Autazes, Amazonas

Bibliographic Data

ID5778294
AuthorsDeyvylan Araujo Reis (0000-0001-9314-3745, corresponding author)
Year2017
Publication date2017-06-20
Peer ReviewedYes
Open AccessYes
TypeTHESIS
PublisherUniversidade de São Paulo. Agência de Bibliotecas e Coleções Digitais (PUBLISHER)
DOI10.11606/t.7.2017.tde-19062017-181150
OpenAlexW2749473628
LanguagePT
References cited13

Introduction:This study objectifies the self-care practices and family caregiving to the Indigenous individual suffering from Non-Communicable Diseases (NCDs).Objective: To analyze the self-care practices and family caregiving followed by the demographic and socioeconomic profile, assessment of the prevalence of Non-Communicable Diseases, identification of self-care practices, characteristics of the family caregiving and evaluation of the performance in the Activities of Daily Living (ADLs) and in the Instrumental Activities of Daily Living (IADLs) among Mura Indigenous individuals, besides the association with the study variables.Method: Exploratory, descriptive, crosscut, quantitative study with 198 adult Indigenous individuals, Mura ethnicity, suffering from NCDs, registered at Pantaleão Primary Health Care Center in the municipality of Autazes, Amazonas State, Brazil.A formulary was applied with questions regarding demographic, socioeconomic data, health status, self-care practices and family caregiving, as well as instruments, such as the Barthel Index and Lawton Scale.In the descriptive analysis, data description was performed by means of percentage frequency distribution, and descriptive measures (mean, standard deviation, amplitude, maximum and minimum values).Inferential Statistical Analysis was performed by means of Pearson's Chi-square Test and Fisher's Exact Test for variable association, significance level of 5%.Results: Female prevalence, average age of 59 years.Regarding self-care practices related to food and lifestyle habits, 92.5% reported fruit consumption, green leaves (83.8%), vegetables (98.0%), meat (68.2%), chicken (88.4%), and fish (96.0%); non-smokers (86.4%), non-alcoholic (92.4%), 85.4% do not exercise or practice sports (97.5%).In relation to family caregiving, the instrumental and emotional dimension was the most frequent, promoted by family members, such as daughters and spouses.Self-care assessment for the ADLs and IADLs evidenced that most individuals were functionally independent.From the analyzed data, statistical association was found between circulatory system diseases (CSDs) with their signs and symptoms and the etiology for NCD knowledge, hospitalization, restriction of high-fat food intake, addition of salt to the served food, non-compliance to any dietary guidelines, medication, amount of medication, diet/food and behavior for self-care practice, diet/food under the received self-care guidance; Endocrine, nutritional and metabolic diseases were associated with gender, family history, physiology and unawareness of NCDs, chicken consumption, non-compliance to any dietary guidelines, amount of medication, non-compliance to any self-care practice; emotional and behavioral aspects were associated with self-care deficits, Diet/Food with received self-care guidance; Osteomuscular system and connective tissue diseases were associated with age, income, number of meals, amount of medication and ease on the self-care practice.ADLs were statistically associated with age, schooling, health status self-assessment, health care center visits, fruit intake, non-compliance to any self-care practice, financial and physical aspects, and ease on self-care.As for the IADLs, they were statistically associated with age, schooling, occupational status, individual and family income, Body Mass Index (BMI), fruit intake, alcoholism, exercising, physical aspects for self-care deficits, Diet/food in the received self-care guidance, instrumental and material dimensions for social support.Social support dimensions evidenced statistical association between the instrumental and the family arrangement, number of residents; the emotional social support dimension was associated with age and schooling; the material dimension with nervous system diseases; positive social interaction with age, schooling, family arrangement and eyerelated diseases.Conclusion: Due to the obtained results in this study, we recognize the importance of the healthcare professionals from the referred Primary Health Care Center in the issues regarding the knowledge of self-care practices, as well as the social support promoted by the family on the treatment approach and follow up to the Indigenous individual suffering from a Non-Communicable Disease

Activities of daily living · Biology · Descriptive statistics · Environmental health · Ethnic group · Geography · Indigenous · Population · Psychiatry · Socioeconomic status · Sociology · Child Nutrition and Water Access · Demography · Indigenous Health and Education · Iron Metabolism and Disorders · Medicine · Psychology · Gerontology