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| Author(s): |
Tatiane Mitleton Borges Ramos
Total Authors: 1
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| Document type: | Doctoral Thesis |
| Press: | Ribeirão Preto. |
| Institution: | Universidade de São Paulo (USP). Escola de Enfermagem de Ribeirão Preto (PCARP/BC) |
| Defense date: | 2013-12-16 |
| Examining board members: |
Luiz Jorge Pedrão;
Antonio dos Santos Andrade;
Carmen Lúcia Cardoso;
Daniela de Figueiredo Ribeiro;
Manoel Antonio dos Santos
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| Advisor: | Luiz Jorge Pedrão; Daniela de Figueiredo Ribeiro |
| Abstract | |
This study aimed to evaluate and understand the processes of embracement and bond from the perspective of users of a health care service for people diagnosed with eating disorders (ED). For this, the measurement of user satisfaction with the service was performed using the scale SATIS-BR (n=15), and interviews were conducted in focus groups through the psychodrama method (n=7). The results of SATIS-BR revealed that 77.20% of users considered the service satisfactory in general; 87.6% of users were satisfied with the understanding that the team has with respect to the patient\'s problem, and with the competence of the team; 88.8% were satisfied with the help received and how they were embraced by the team; and 23.3% of users were satisfied with the physical conditions and comfort of service. The interview data in the focal group showed that the investigated service is deficient with respect to the Embracement regarding the access, the technique and posture; and, with respect to the Bond regarding the affection, the therapeutic and continuity. Regarding the access, it was observed scarcity of multidisciplinary services that assist patients with ED and that the socio-organizational access influences directly the quality of treatment. With regard to technique and posture, it was realized that training, influenced by the biomedical model, may hinder the therapeutic relationship and prevents that professionals have positions of dialogue, empathy, affection towards the patient and care with qualified hearing, discussion and comprehensive care for the users. It was noticed that the competent professional is one that balances, when appropriate, understanding and affectionate postures with strong and directive postures. Related to the continuity, it was impaired by staff turnover, which hindered the formation of interdisciplinary work and a reference team for the patient. Despite the positive results of treatment obtained, in part, by the competence of the primary therapist and the technical competence of the team; this study suggests that professionals undertake training to offer comprehensive care wit sympathetic and affectionate postures for the patient. Although it is not the purpose of this research, it was observed that the focus group interviews increased the participants\' perceptions about themselves, about their treatment and their relation with ED. Moreover, the intervention allowed participants to develop their empathy in relation to professionals, spontaneity, creativity and freedom of expression. It is concluded that the focus group interviews, conducted by the psychodrama method, promoted a therapeutic effect on the participants and provided resources for them to reflect more deeply on the assessed items of the SATIS-BR scale. The data emerged from this research indicate that support services to people with ED should be aware of the factors of access, technique, posture, affectivity, therapeutic relationship and continuity, as they are essential for the quality of care provided (AU) | |