AUTONOMY WITH SAFETY
SELF-CARE PRACTICES IN PEDIATRIC OSTEOGENESIS IMPERFECTA
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https://doi.org/10.56579/rei.v8i3.3031Keywords:
Osteogenesis Imperfecta;, Self Care, Child, Hospitalized, Comprehensive Health CareAbstract
Introduction: Children with osteogenesis imperfecta (OI) face the challenge of reconciling safety and autonomy in daily life. Objective: To understand the meanings, practices, and strategies of self-care among children and adolescents with OI. Methods: Descriptive, cross-sectional, qualitative study conducted at the University Hospital of Brasília (Aug/2024–Jun/2025) with eight participants (6–15 years). Data collection comprised a sociodemographic questionnaire and audio-recorded semi-structured interviews; lexical analysis was performed using IRaMuTeQ (Descending Hierarchical Classification, similarity analysis, and Correspondence Factor Analysis), triangulated with analytic reading. Results: Four categories emerged: (1) meanings of health and self-care; (2) needs, rules, and therapeutic routines; (3) negotiation of risk and autonomy in Activities of Daily Living (ADLs) and leisure; and (4) experiences of hospitalization and support network. The narratives indicate self-care as a situated practice co-produced by children, family members, and the care team, guided more by participation (school, play, task performance) than by strictly biomedical markers. Final considerations: Environmental adaptations, adapted physical activity, and structured health education—organized as “rules and routines”—function as practical supports to enhance functional performance and maintain safe autonomy.
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