O itinerário terapêutico de pessoas em terapia renal substitutiva com doença de base hipertensão arterial e/ou diabetes mellitus

Abstract

The study had as its object the Itinerary Therapeutic of Peoples in Renal Replacement Therapy Based Disease arterial hypertension and / or diabetes mellitus. To achieve the object of this study the following objectives were defined: To know the perceptions of hypertensive and / or diabetic people who are on renal replacement therapy in relation to their own health-illness, and treatment choices proposals; identify the assistance flow to people attending a Renal Replacement Therapy Center in the three levels of care; analyze the therapeutic itinerary of hypertensive patients and / or diabetic, suffering from chronic kidney disease, while assisted by Renal Replacement Therapy (RRT) in a nephrology service. It is a qualitative, descriptive, the study setting was a nephrology service located in a town in Zona da Mata Mineira, an entity that serves this city and micro-region. Study participants were 20 people on renal replacement therapy with underlying disease hypertension and / or diabetes mellitus, being interviewed on his dialysis schedule. The interviews implementation period was from October 2014 to January 2015. Data collection was performed using semi-structured interviews and analysis of data elected to thematic content analysis technique. From the narratives built up the following discussion categories: 1) "The Discovery Of Illness"; 2) "Weaving Knowledge About Illness" 3) "The Renal Treatment Sense Substitute" and 4) "Paths taken in sewage search: a trajectory of (lack of) care." The itineraries presented in this study describe trajectories and individual and individual choices, but have a strong convergence that expose clearly the weaknesses of health and professionals who make up the health care network services. It enabled the understanding of itineraries that are influenced the life contexts of each person, something that usually come escaping services and health professionals. Highlights the need to strengthen primary care as the gateway of these subjects to reduce the vulnerabilities for Chronic Kidney Disease.