Abstract
This study aims at understanding the effects of the treatment for acute leukemia in the family configuration and dynamics, from the Systemic Theory, specifically the Theory of Family Life Cycle. A descriptive, cross-sectional study, was conducted with a qualitative approach in the format of multiple cases study. In a public hospital in the south of Brazil, the cases of three male patients, aged 39, 22 and 19, who were, respectively, 3, 6 and 9 months in treatment for acute leukemia were selected. A semi-structured interview was conducted with the integrated construction of the family genogram. The analysis was made through an analytical strategy based on theoretical propositions, descriptive analytic strategy, and cross-case synthesis. The genogram data underwent qualitative analysis. In each case, the different moments in the individual and family life cycle were discussed. In the three cases, the family dynamics underwent changes in several areas: routine, reorganization, exchange of functions and responsibilities among members, particularly concerning household chores, child caring, leadership, decision-making and emotional support. The family configuration presented changes only in the family financial sustenance. In addition, the three participants perceived a significant increase in the proximity of the family relationship among each other and there was still a mobilization of new figures of the family support network. The adaptability of families is configured in all three cases as an important psychological and social factor of protection and health promotion.Keywords: acute leukemia, onco-hematology treatment, family dynamics.
Highlights
This study aims at understanding the effects of the treatment for acute leukemia in the family configuration and dynamics, from the Systemic Theory, the Theory of Family Life Cycle
The three participants perceived a significant increase in the proximity of the family relationship among each other and there was still a mobilization of new figures of the family support network
The adaptability of families is configured in all three cases as an important psychological and social factor of protection and health promotion
Summary
Relação onde há união entre dois ou mais membros que possuem interesses, valores, atitudes e sentimentos positivos recíprocos, considerando os processos de diferenciação entre os membros e destes com suas famílias de origem. A identificação dos possíveis participantes foi realizada a partir de pesquisa nos prontuários de todos os pacientes com diagnóstico de leucemia aguda que estavam em tratamento no período de coleta de dados entre os meses de agosto a novembro de 2015. Foram identificados ao todo 16 pacientes com diagnóstico de leucemia aguda dentro do critério de tempo decorrido de tratamento (ver Tabela 2). Ao final foram selecionados os casos restantes, 3 pacientes do sexo masculino: Estudo de caso 1 – Participante com 39 anos, casado, motorista, ensino superior incompleto, em tratamento de leucemia aguda há 3 meses. Estudo de caso 2 – Participante com 22 anos, casado, marceneiro, ensino médio incompleto, em tratamento de leucemia aguda há 6 meses. Estudo de caso 3 – Participante com 19 anos, solteiro, metalúrgico, ensino fundamental incompleto, em tratamento de leucemia aguda há 9 meses.
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