3335749 | TEORIA DE MEDIO ALCANCE PARA O DIAGNÓSTICO DA BAIXA AUTOFICIÊNCIA EM SAÚDE. | Autores: Reinaldo Gutiérrez Barreiro|gutrey@gmail.com|enfermeiro|doutorando Em Enfermagem Pela Universidade Federal do Ceará|estudante|universidade Federal do Ceará – Ufc ; Marcos Venícios de Oliveira Lopes|marcos@ufc.br|enfermeiro|doutor Em Enfermagem|professor Associado Iv da Universidade Federal do Ceará – Ufc|universidade Federal do Ceará – Ufc ; Layana de Paula Cavalcante|layanadepaula@hotmail.com|enfermeira|doutorando Em Enfermagem Pela Universidade Federal do Ceará|estudante|universidade Federal do Ceará – Ufc |
Resumo: **Objetivo**: Desenvolver uma teoria de médio alcance para baixa auto-eficácia em saúde como um construto diagnóstico de enfermagem. **Métodos:** construção de uma TMA para validação de diagnóstico compreendendo cinco etapas: definição da abordagem para a construção de teoria, definição de conceitos-chaves, a construção de um diagrama pictórico, formulação de proposições, estabelecimento de relações causais e evidências para a prática. Os principais conceitos foram identificados e descritos por meio de uma revisão de literatura. Os estudos foram retirados das bases de dados LILACS, SCOPUS, CINAHL e PubMed, obtendo-se uma amostra final de 92 artigos.** Resultados**: Vinte fatores etiológicos foram identificados: Autoconfiança insuficiente, percepção das graves consequências da doença, percepção de barreiras, déficit de conhecimento, crenças compensatórias de saúde, experiência de fracasso, angústia, Confiança insuficiente nos profissionais da saúde, medo, sentimento de impotência, ansiedade, fadiga, maior comprometimento do estado de saúde devido à gravidade da doença, limites de idade, estresse, dor, suporte social insuficiente, baixo nível educacional, situação econômica precária, e comunicação verbal prejudicada. Além disso, 19 indicadores clínicos foram identificados: comportamento de saúde propenso a risco, baixa aderência, codependência, comportamento autolesão, ausência de interesse em melhorar comportamentos de saúde, falha em agir para prevenir problemas de saúde, déficit de autocuidado, capacidade de resolução de problemas diminuídos, comportamento de evitação, comunicação verbal prejudicada, enfrentamento ineficaz, menor qualidade de vida, autocontrole insuficiente, menor grau de empoeiramento em saúde, baixa auto-percepção de saúde, incapacidade de assumir responsabilidade para atender às práticas básicas de saúde, sentimentos de ira, negação de mudanças no estado de saúde, e aumento de queixas por dor **Conclusão**: a partir da teoria, foram identificados os conceitos relacionados ao novo diagnóstico de enfermagem de baixa auto-eficácia em saúde, a ser aplicado na prática clínica de enfermagem
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