Vivências de uma gestante com insuficiência renal crônica em tratamento de hemodiálise no SUS e intenções com a equipe

Abstract

Introduction: Chronic diseases are triggered by many different causes characterized by gradual start with undefined prognosis in the majority of cases, and with a long and indefinite duration which can cause incapacities. Therefore, women showed a differential in renal treatment. There are modifications as a whole for physiological reasons that also compromise the psychological and submit several changes in the pregnant woman’s life. Objective: To understand how a pregnant woman lives in the context of terminal chronic renal failure (DRCT) and how the medical team follow this process. Methodology: We adopted as method a Qualitative Epistemology, proposed by González Rey (2003) Participated in this work a pregnant woman and three professionals of the Nephrology team, two doctors and one nurse. The instruments used were the conversational systems and the sentence complement. According to Gonzalez Rey (2005), was performed a constructive-interpretive analysis to analyze the information by which indicators and sense areas were constructed. Results: The joint analysis of the pregnant woman’s life history, the hemodialysis sessions, and the sentence complement, allowed the indicators survey and construction of four sense areas for the pregnant woman. Those areas are: A- My family, my base. B- The torture of hemodialysis sessions. C- Constant presence of fear. D- Life as a gift from God. And for health professionals we construct two zones of sense: Tension at work with hemodialysis, and Gestation and hemodialysis - a possibility. Final Considerations: The analysis allowed us to understand the uniqueness of the woman with terminal chronic disease in her gestation period. The multiple interferences, such as: social, cultural, life history, affective bonds, faith, family support. Also, it was possible the perception of no standardized way to respond to chronic disease. As a proposal for intervention, we present a protocol for the reception of a high-risk pregnant woman with chronic renal failure (IRC) and an integrative review article of the terminal chronic renal failure (DRCT).