Coping of diabetic nephropathy in the family: an approach in perspective Calgary Family Assessment Model. A qualitative study

Gisele Fráguas. Federal University of Minas Gerais, Minas Gerais, Brazil

Sônia Maria Soares. Federal University of Minas Gerais, Minas Gerais, Brazil

Fráguas G, Soares SM. Coping of diabetic nephropathy in the family: an approach in perspective Calgary Family Assessment Model. A qualitative study [dissertation]. Belo Horizonte: Federal University of Minas Gerais; 2007.

Abstract: This work tries to understand how a family faces the care with one of its members with diagnosis of diabetic nephropathy during dialysis treatment. This is a qualitative study, conducted by the purposes of ethnographic method, which used the Calgary Family Assessment Model (MCAF) for collecting data. The research envolved seven families from diabetic patients attending two dialysis therapy units in Belo Horizonte, MG. Several resources were used to collect data, such as the Calgary Model, the participative observation, the semi-structured interviews, the field diary and documentary analysis. Data was analysed afterwards according to the theory of Bardin (1977) about analysis of content. Three thematic concepts emerged from the analysis of data showing the impacts of the dialysis treatment on the patient’s family life. The first one is the concept of family under the point of view of the patient with diabetic nephropathy; the second, the diabetic nephropathy and the dialysis treatment in relation to family life; and the third, the intimacy and the care for a person with diabetic nephropathy. The results suggested that each family has resources to take care of its members even faced to health problems. Then, this study showed how the family faces the new situations that arise from the patient’s illness, like the dialysis treatment routine and the complications of the disease that make him dependent. This fact shows the necessity to view the family as a focus for nursing care. The health professionals should envolve the family in the treatment care and incentivate its members to look for resources inside its unity and its closer social environment.

Main bibliography

1. Rolland JS. Doença crônica e o ciclo de vida familiar. In: Rolland JS, organizador. As mudanças no ciclo de vida familiar: uma estrutura para a terapia familiar. Tradução de Maria Adriana Veríssimo Veronese. 2. ed. Porto Alegre: Artes Médicas; 2001.

2. Wright LM, Leahey M. Enfermeiras e famílias: um guia para avaliação e intervenção na família. Tradução de Silvia M. Spada. 3. ed. São Paulo: Roca; 2002.

3. Walsh F. Fortalecendo a resiliência familiar. Tradução de Magda França Lopes. São Paulo: Roca; 2005.

4. Rutter M. Stress, coping and development: some issues and some questions. J Child Psychol Psychiatry 1981; 22(4): 323-56.

5. Freitas MC, Mendes MMR. Construindo a análise do conceito: condição crônica de saúde. In: Gualda DMR, Bergamasco RB. Enfermagem, cultura e o processo saúde-doença. São Paulo: Editora Ícone; 2004.

Fult text dissertation at the website - http://www.enf.ufmg.br/mestrado/dissertacoes/GiseleFraguas.pdf

Address for correspondence: Av. Professor Alfredo Balena 190, Santa Efigênia, 30130-100, Belo Horizonte – MG. E-mail: gfraguas@gmail.com

Received Sep 26th, 2007
Accepted: Sep 28th , 2007