Abstract
Aim: to evaluate the structure, development and functionality of families with more than one woman with breast malignancy and mastectomies. Method: this is a qualitative study involving the theoretical basis of structural, developmental and functional categories, as proposed by the Calgary model, and using case study as a methodological strategy. Data was collected through home visits with 10 families with mastectomized women, between August 2014 and February 2015.Results: conflicting subsystems were present in only two families and all presented with support network elements from systems other than family, including neighbors and health institutions. In the care process, the link established that support and frequent monitoring helped to ease some of the difficulties experienced. Conclusion: it is believed that the Calgary model enables a broader view of the family to be taken, better understanding in terms of internal and external relations, and enabled weaknesses and strengths to be balanced.References
Radavanovic CAT, Cecilio HPM, Marcon SS. Structural, developmental and functional evaluation of the family of individuals with arterial hypertension. Rev Gaúcha Enferm. 2013;34(1):45-54.
Silva L, Bousso RS, Galera SAF. Aplicação do Modelo Calgary para avaliação de famílias de idosos na prática clínica. Rev bras enferm. 2009; 62(4): 530-34.
Cecilio HPM, Santos KS, Marcon SS. Calgary Model of Family Assessment: experience in a community service project. Cogitare enferm. 2014; 19(3):536-44
Mavaddat N, Pharoah PD, Blows F, Driver KE, Provenzano E, Thompson D, et al. Familial relative risks for breast cancer by pathological subtype: a population-based cohort study. Breast Cancer Res. 2010;12(1):R10.
Leyton Y, Gonzalez-Hormazabal P, Blanco R, Bravo T, Fernandez-Ramires R, Morales S, et al. Association of PALB2 sequence variants with the risk of familial and early-onset breast cancer in a South-American population. BMC Cancer. 2015;15:30.
Gozzo TO, Lopes RR, Prado MAS, Cruz LAP, Almeida AM. Informações para a elaboração de um manual educativo destinado às mulheres com câncer de mama. Esc. Anna Nery. 2012;16(2):306-11.
Alves PC, Santos MCL, Fernandes AFC. Stress and coping strategies for women diagnosed with breast cancer: a transversal study. Online Braz J Nurs [internet]. 2012 Aug[cited 2015 June 03];11(2):305-18.Available from: http://www.objnursing.uff.br/index.php/nursing/article/view/3714/html
Wright LM, Leahey M. Enfermeiras e famílias: um guia para avaliação e intervenção na família. 5ª ed. São Paulo: ROCA; 2012.
Yin RK. Case study research: design and methods. 4 ed. Thousand Oaks: Sage; 2009.
Nappo SA, Sanchez ZVDM, Oliveira LG. Crack, AIDS, and women in São Paulo, Brazil. Subst Use Misuse. 2011; 46(4):476-85.
Fereday J, Muir-Cochrane E. Demonstrating rigor using thematic analysis: a hybrid approach of inductive and deductive coding and theme development. Int J Qualit Methods [internet]. 2006 [cited 2015 June 03]5(1). Available from: https://www.ualberta.ca/~iiqm/backissues/5_1/PDF/FEREDAY.PDF
Mendes-Castillo AMC, Bousso RS, Silva LR. Family management for transplantation children patients with grandparents as caregivers: a case study. Online Braz J Nurs [internet]. 2014 Sep[cited 2015 June 03];13(4):667-76. Available from:http:// www.objnursing.uff.br/index.php/nursing/article/view/4752
Leone ET, Maia AG, Baltar PE. Mudanças na composição das famílias e impactos sobre a redução da pobreza no Brasil. Economia e Sociedade. 2010; 19(1):59-77.
Elsen I, Souza AIJ, Marcon SS. Enfermagem à família: dimensões e perspectivas. Maringá: Eduem; 2011.
Salci MA, Marcon SS. Enfrentamento do Câncer em Família. Texto Contexto Enfermagem. 2011; 20(Esp):178-86.
Ferreira NML, Dupas G, Costa DB, Sanches KOL. Câncer e família: compreendendo os significados simbólicos. Cienc Cuid Saude. 2010 Abr-Jun;9(2):269-77.
Rocha NS, Fleck MPA. Avaliação de qualidade de vida e importância dada à espiritualidade/religiosidade/crenças pessoais (SRPB) em adultos com e sem problemas crônicos de saúde. Rev Psiq Clín. 2011;38(1):19-23.
Oliveira LG, Ponce JC, Nappo SA. Crack cocaine use in Barcelona: a reason of worry. Subst Use Misuse. 2010;45(1):2291-300.