Modelo de adoecimento como experiência para vida (MÃEVIDA)

Abstract

Theories derived from data such as those derived from the Grounded Theory (GT) methodology have the prerogative of, in the face of historical, structural and other changes, to be verified in comparison to new data, giving rise to the possibility of to expand or give a better explanation to an existing substantive theory. This study was based on these premises and had as objectives: 1) Compare with new data and different methodological perspective (Straussiana) the GT "Building possibilities of their release to another way of living through the disease; 2) Present a new synthesis of the GT and the consequent theoretical model; 3) Validate the theoretical model with professionals, people who became ill and family caregivers. Twenty people who experienced cancer were included in the comparison, eleven of them comprised Sample Group I, interviewed in the first version of the GT, and nine made up the Sample Group II that brought the contribution of the new data. In the theoretical exercise were reassigned categories, subcategories, properties and the central phenomenon for "Experiencing possibilities of living with health through the disease" as being one of the other possibilities of living. In the representation of the Conditional/Consequential Model of Strauss and Corbin, the causal conditions of this phenomenon were due to the persons having "experienced conditions favorable to illness" that led to "Discovering yourself sick", the main action/interaction that was the point of intercession among all the respondents was "Experiencing the inevitable conventional treatment" that resulted in the "Liberation of the disease" and the "Living from the understanding that build about the illness". The theoretical model was delineated from the intervening condition "Realizing the Significance of the Disease," which led to the "Releasing of conditions conducive to illness" and the Substantive Theory that "The process of illness of the human being holds within itself possibilities to do to live in conditions that favor health "and was validated by 14 evaluators. The MÃEVIDA, as it was called the theoretical model, that is - Model of illness as an experience for life - was shown with characteristics of clarity, simplicity and generalization for other types of illness and base for objects of studies in this same line.