Experiências e sentimentos de pacientes em terapia hemodialítica.

Abstract

Chronic Kidney Disease (CKD) expresses the gradual, slow and progressive function of some nephron destruction, saving others with their performance under conditions suitable to the irreversibility of the commitment of kidney function. Currently, the disease has a proud morbidity and mortality, and this makes it a global public health problem. The CKD has negative momentum on the Quality of Life guided health, considering that this is the person's perception of their health through a subjective analysis of their symptoms, satisfaction and treatment adherence. The aim of this study was to investigate the experiences and feelings of patients on hemodialysis. This is an exploratory study with a qualitative approach, developed in 20 patients followed at Hospital Antonio Targino mo located in Campina Grande - PB. Data were collected with the assent No 530 943 of the Ethics in Research of the University Hospital Alcides Carneiro Committee, using semi-structured interviews and analyzed according to the method of qualitative analysis. From the interpretation of the expression of the participants were evident weaknesses and insecurities steeped in the narratives, emphasized when the time lived before the unveiling of chronic illness. The disease process dominated by the reflections on the daily activities that were previously carried the disease and the implications of the restrictions caused by hemodialysis. In this perspective, there was the perception of the participants on the limits and the effects of treatment on the biopsychosocial dimension. It was possible to identify the concerns of participants in waiting for a kidney transplant or the latest news of the existence of compatible kidney. It was found in this study that in general the perception of quality of life in patients undergoing hemodialysis is regular, stressing that this is due to the process of therapy. This analysis offers support for the multidisciplinary healthcare team understands the importance of evaluating the quality of life of patients with renal disease, knowing the universe in which they live. Thus, it is believed in the need for greater investment in primary care health from the public and private system, which is presumed to decrease the number of CKD patients and in parallel the loss of quality of life of these patients.