Lúdico como estratégia de cuidados paliativos à criança com câncer: uma revisão integrativa.

Abstract

Understanding the disease process, the terminally and needs of the child with cancer are sometimes not clear, precise and objective for health professionals, making it difficult to care for, and therefore the playful strategy to be undertaken therapeutically with this end. Thus, this research has as main objective to analyze the playful as a strategy for palliative care to children with cancer, from the literature. It is a literature search in the integrative review method with a qualitative approach. To select the articles, were used the database Virtual Library in Health (BVS) in May 2015. The following inclusion criteria were considered: Papers ; Articles of integrative review ; Written in Portuguese and English language ; Articles published from 2004 to 2014 ; With relevant subject to the

review objective ; It is published in full online and available and free ; Articles that did not fit the pre- established inclusion criteria were excluded. Based on the clipping of articles contemplated for the

construction of the results and discussions the respective years 2009, 2010, 2013, 2014 showed a steady increase of publications during this period. In relation to the theme, the Interdisciplinary area excelled, this has shown the highest growth rate in Higher Education Personnel Improvement Coordination (CAPES). With respect to journals, the Esc Anna Nery Rev Enferm stood on quantitative articles, features the nationally renowned qualis according to the classification of the journals, showing that the theme has been published in magazines of important qualis. Regarding qualis that stood out in the study, these fall into B2, and A2, respectively that impact the national and international scene. We spoke that the results were moving toward the use of playfulness in three ways: In the process of communication and expression of feelings of the child with cancer and coping hospitalization; In favor to palliative care to relieve pain and suffering; And professionals in palliative care integrate various playful strategies related to palliative care. Thus, the results of this study point out that the monographic approach to the subject should be more widespread, as the strategies are of great importance for the child, especially the child cancer in palliative care.