Abstract
Objective: To understand and analyze stressors and stress attenuating factors experienced by elderly patients undergoing hemodialysis. Materials and Methods: Qualitative study with 15 individuals conducted in 2010 in a northwest hospital Renal Unit of Rio Grande do Sul. Instruments of data collection: semi-structured interview, characterization data and observations in a field diary. Analysis of the results followed the precepts of content analysis. Results: The elderly studied lives with various stressors in their daily life: food and water restrictions, impossibility to work, difficulty in accepting the disease and the treatment, need of traveling for treatment, weakness, dyspnea, erectile dysfunction, visual impairment, the arteriovenous fistula and/or the vascular catheter, fear of the dialyzing equipment, guilt feelings, changes in the self-image, self esteem, loss of autonomy. The stress attenuating factors include: family support, resignation, acceptance, religious belief and expectation of a renal transplantation. Conclusion: The study allows identification of stressors and stress-relieving factors in the elderly patients studied.
Highlights
analyze stressors and stress attenuating factors experienced by elderly patients undergoing hemodialysis
Analysis of the results followed the precepts of content analysis
Considera-se importante um acompanhamento da equipe multiprofissional ao paciente, extensivo aos seus familiares, com a finalidade de avaliar aspectos psicológicos, sociais e clínicos, ciente de que o estresse influencia tanto na adesão ao tratamento do idoso quanto na vida pessoal do cuidador e, consequentemente, na qualidade do cuidado prestado
Summary
Com base nos depoimentos obtidos na presente pesquisa, observa-se que os idosos pesquisados vivenciam inúmeros estressores no seu cotidiano e esses incluem restrições alimentar e hídrica, não poder trabalhar, dificuldade de aceitar a doença e o tratamento, deslocamento para realização do tratamento, fraqueza, dispnéia, disfunção erétil, déficit visual, a própria FAV e/ou cateter vascular, o medo da máquina dialisadora, sentimento de culpa, dentre outros. Observa-se que os idosos em diálise vivenciam inúmeros estressores no seu cotidiano e esses incluem restrições alimentar e hídrica, não poder trabalhar, dificuldade de aceitar a doença e o tratamento, deslocamento para realização do tratamento, fraqueza, dispnéia, disfunção erétil, déficit visual, a própria FAV e/ou cateter vascular, o medo da máquina dialisadora, sentimento de culpa, dentre outros.
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