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El sistema de salud: barreras para los usuarios con insuficiencia renal crónica
The health system: barriers for users with chronic renal insufficiency
O sistema de saúde: barreiras para usuários com insuficiência renal crônica
DOI:
https://doi.org/10.15446/av.enferm.v38n2.83555Keywords:
Insuficiencia Renal Crónica, Enfermería, Cuidadores, Investigación Cualitativa, Hermenéutica, Sistema de Salud (es)Renal Insufficiency Chronic, Nursing, Caregivers, Qualitative Research, Hermeneutic, Health Systems (en)
Insuficiência Renal Crônica, Enfermagem, Cuidadores, Pesquisa Qualitativa, Hermenêutica, Sistemas de Saúde (pt)
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Objetivo: comprender la experiencia vivida por un grupo de personas con insuficiencia renal crónica que recibieron un trasplante de órgano frente a los servicios de salud y los
significados del cuidado de la salud realizados por enfermeras y familiares.
Materiales y métodos: estudio cualitativo con enfoque fenomenológico-hermenéutico. La muestra se compone de 11 personas con insuficiencia renal crónica trasplantadas, cinco
cuidadores y cinco enfermeras. Entrevistas recolectadas y grabadas entre diciembre de 2015 y enero de 2017. Para el análisis se empleó el método propuesto por Van Manen.
Resultados: uno de los temas que emerge es la experiencia de encontrarse y vivir con insuficiencia renal crónica, del cual se extrae el subtema relacionado con la vivencia en el
sistema de salud por parte de las personas enfermas, sus cuidadores y los profesionales de enfermería.
Conclusiones: la insuficiencia renal crónica asume un significado complejo y multidimensional para la persona con la enfermedad, sus cuidadores familiares y las enfermeras que asumen el cuidado de este grupo de personas, que los lleva a experimentar el sistema de salud con un efecto adverso que deshumaniza el cuidado de las personas.
Objective: To understand the experience of a group of people with chronic kidney failure who received an organ transplant regarding the health services and the meanings of health care performed by nurses and family members who interact with them.
Materials and methods: Qualitative study with a phenomenological-hermeneutical approach on a sample of 11 people with chronic kidney failure who received a transplant, 5 caregivers and 5 nurses. Interviews were collected and recorded between December 2015 and January 2017. Data analysis followed the method proposed by Van Manen.
Results: One of the issues that emerges from this study is the experience of living with chronic renal failure. From this, arises the sub-theme related with the experience lived by
patients, their caregivers and nursing professionals within the health system.
Conclusions: Chronic renal failure assumes a complex and multidimensional meaning for the person with the disease, their family caregivers, and the nurses who take care of this group of people, which leads them to experience the health system with adverse effects that dehumanize people’s care.
Objetivo: compreender a experiência vivida por um grupo de pessoas com insuficiência renal crônica que receberam um transplante de órgão ante os serviços de saúde e os significados cuidado da saúde realizados por enfermeiros e familiares.
Materiais e métodos: estudo qualitativo, com abordagem fenomenológico-hermenêutica. A amostra está composta por 11 pessoas com insuficiência renal crônica transplantadas, 5
cuidadores e 5 enfermeiros. Foram realizadas entrevistas entre dezembro de 2015 e janeiro de 2017. Para a análise, foi utilizado o método proposto por Van Manen.
Resultados: um dos problemas que emerge é a experiência de se deparar com a insuficiência renal crônica e conviver com ela; disso é extraído o subtema relacionado ao viver no sistema de saúde, para pessoas doentes, seus cuidadores e profissionais de enfermagem.
Conclusões: a insuficiência renal crônica assume um significado complexo e multidimensional para a pessoa com a doença, seus cuidadores familiares e os enfermeiros que cuidam desse grupo de pessoas, o que os leva a vivenciar o sistema de saúde com um efeito adverso que desumaniza o cuidado de pessoas.
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