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Estudos de investigação em psicologia clínica-narrativa. Escrita terapêutica nos cuidados paliativos: uma revisão sistemática
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Abstract(s)
Esta revisão pretende contribuir cientificamente para melhorar a intervenção psicológica em
Cuidados Paliativos, promovendo o bem-estar e a qualidade de vida dos pacientes, através
da Terapia Narrativa e da escrita terapêutica como ferramenta de comunicação. A
Organização Mundial de Saúde define os Cuidados Paliativos como a unidade de cuidados
integrados que procura prevenir e aliviar o sofrimento dos doentes terminais e das suas
famílias. As intervenções narrativas são relevantes no contexto paliativo, ajudando
pacientes e familiares a construir a experiência da doença através da ressignificação dos
sintomas. Esta revisão sistemática foi orientada pelas diretrizes PRISMA, um conjunto de
bases de dados para a realização da pesquisa bibliográfica. Foram analisados 349 artigos,
dos quais 42 apresentaram resultados relevantes. Os resultados demonstram a relevância
da Terapia Narrativa e do uso da escrita terapêutica como forma de promover o bem-estar e
a qualidade de vida dos pacientes em Cuidados Paliativos, dos profissionais de saúde e da
população em geral. O foco na reflexão, no significado da experiência e da expressão
emocional traduziu-se na redução da ansiedade e depressão. O estudo destaca a
necessidade de refletir e desenvolver investigação psicológica sobre a intervenção paliativa
e sobre a identificação do valor expressivo e comunicacional da Terapia Narrativa em
Cuidados Paliativos.
This review aims to contribute scientifically to improve psychological intervention in Palliative Care, promoting the well-being and quality of life of patients, through Narrative Therapy and therapeutic writing as a communication tool. The World Health Organization defines Palliative Care as the integrated care unit that seeks to prevent and alleviate the suffering of terminally ill patients and their families. Narrative interventions are relevant in the palliative context by helping patients and families to construct the experience of the disease through the re-signification of symptoms. This systematic review was guided by the PRISMA guidelines, a set of databases to carry out the bibliographic search. A total of 349 articles were analyzed, of which 42 showed insightful results. The results demonstrate the relevance of Narrative Therapy and the use of therapeutic writing as a way to promote the well-being and quality of life of patients in Palliative Care, health professionals, and the general population. The focus on reflection, on the meaning of the experience, and of emotional expression translated into the reduction of anxiety and depression. The study highlights the need to reflect and develop psychological research on palliative intervention and on the identification of expressive and communicational value of Narrative Therapy in Palliative Care.
This review aims to contribute scientifically to improve psychological intervention in Palliative Care, promoting the well-being and quality of life of patients, through Narrative Therapy and therapeutic writing as a communication tool. The World Health Organization defines Palliative Care as the integrated care unit that seeks to prevent and alleviate the suffering of terminally ill patients and their families. Narrative interventions are relevant in the palliative context by helping patients and families to construct the experience of the disease through the re-signification of symptoms. This systematic review was guided by the PRISMA guidelines, a set of databases to carry out the bibliographic search. A total of 349 articles were analyzed, of which 42 showed insightful results. The results demonstrate the relevance of Narrative Therapy and the use of therapeutic writing as a way to promote the well-being and quality of life of patients in Palliative Care, health professionals, and the general population. The focus on reflection, on the meaning of the experience, and of emotional expression translated into the reduction of anxiety and depression. The study highlights the need to reflect and develop psychological research on palliative intervention and on the identification of expressive and communicational value of Narrative Therapy in Palliative Care.
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Keywords
Terapia narrativa Psicologia Bem-estar Cuidados paliativos Comunicação Qualidade de vida Narrative therapy Psychology Well-being Palliative care Communication Quality of life Psicologia Clínica da saúde e bem estar . Faculdade de Artes e Humanidades