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Fatores terapêuticos de um programa breve de prevenção do luto prolongado “empower”: Um estudo qualitativo
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Abstract(s)
Introdução: Os cuidadores familiares experimentam acentuada vulnerabilidade devido
ao seu envolvimento na prestação de cuidados e à proximidade emocional que mantêm com a
pessoa doente, pelo que apresentam elevado risco de desenvolver complicações de saúde
mental, incluindo Perturbação de Luto Prolongado. O programa EMPOWER constitui uma
intervenção breve, de natureza cognitivo-comportamental, focada na redução dos sintomas de
stress e evitamento experiencial dos cuidadores. Este programa demonstrou ser eficaz na
população de familiares de doentes em cuidados intensivos, no entanto, não são ainda
conhecidos os benefícios da sua aplicação no contexto dos cuidados paliativos. Objetivo:
Explorar e identificar quais os fatores terapêuticos identificados pelos cuidadores familiares
sujeitos ao programa EMPOWER. Método: Foi utilizada uma abordagem qualitativa através da
análise temática dos dados obtidos de entrevistas semiestruturadas realizadas a 10 cuidadores
familiares acompanhados em cuidados paliativos do Centro Hospitalar Lisboa Norte, sujeitos a
este programa. Resultados e Conclusão: Os fatores terapêuticos identificados pelos cuidadores
familiares foram agrupados em três temas: (a) Efeito Terapêutico das Técnicas; (b) Efeito
Terapêutico dos Aspetos Relacionais, e (c) Benefícios Gerais da Intervenção. São discutidos os
aspetos do programa que, na perspetiva dos participantes, tornam esta intervenção benéfica e
adequada às suas necessidades específicas. Estes resultados contribuem para demonstração da
utilidade do programa EMPOWER na prevenção das complicações de luto dos cuidadores
familiares em Cuidados Paliativos
ABSTRACT: Introduction: Family caregivers experience heightened vulnerability due to their involvement in providing care and the emotional closeness they maintain with the sick person and are therefore at high risk of developing mental health complications, including Prolonged Grief Disorder. The EMPOWER program is a brief cognitive-behavioral intervention focused on reducing caregivers’symptoms of stress and experiential avoidance. This program has been shown to be effective in the population of relatives of patients in intensive care, however, the benefits of its application in the context of palliative care are not yet known. Objective: To explore and identify the therapeutic factors identified by family caregivers subjected to the EMPOWER program. Method: A qualitative approach was used through the thematic analysis of data obtained from semi-structured interviews conducted with 10 family caregivers in palliative care at the Centro Hospitalar Lisboa Norte, who were subject to this program. Results and Conclusion: The therapeutic factors identified by the family caregivers were grouped into three themes: (a) Therapeutic effect of the techniques; (b) Therapeutic effect of the relational aspects, and (c) General benefits of the intervention. The aspects of the program that, from the participants' perspective, make this intervention beneficial and appropriate to their specific needs are discussed. These results contribute to demonstrating the usefulness of the EMPOWER program in preventing bereavement complications for family caregivers in Palliative Care
ABSTRACT: Introduction: Family caregivers experience heightened vulnerability due to their involvement in providing care and the emotional closeness they maintain with the sick person and are therefore at high risk of developing mental health complications, including Prolonged Grief Disorder. The EMPOWER program is a brief cognitive-behavioral intervention focused on reducing caregivers’symptoms of stress and experiential avoidance. This program has been shown to be effective in the population of relatives of patients in intensive care, however, the benefits of its application in the context of palliative care are not yet known. Objective: To explore and identify the therapeutic factors identified by family caregivers subjected to the EMPOWER program. Method: A qualitative approach was used through the thematic analysis of data obtained from semi-structured interviews conducted with 10 family caregivers in palliative care at the Centro Hospitalar Lisboa Norte, who were subject to this program. Results and Conclusion: The therapeutic factors identified by the family caregivers were grouped into three themes: (a) Therapeutic effect of the techniques; (b) Therapeutic effect of the relational aspects, and (c) General benefits of the intervention. The aspects of the program that, from the participants' perspective, make this intervention beneficial and appropriate to their specific needs are discussed. These results contribute to demonstrating the usefulness of the EMPOWER program in preventing bereavement complications for family caregivers in Palliative Care
Description
Keywords
Cuidadores familiares Cuidados paliativos Luto Modelo EMPOWER Fatores terapêuticos Family caregivers Palliative care Grief EMPOWER model Therapeutic factors