Experiencia de hipertensión arterial en la relación paciente, familia y contexto de ayuda

Abstract

Objective To understand how the narrative and conversational experience of arterial hypertension is configured in the relationships established among patients, family members, physicians and researchers-auditors, placing the illness in a care context to facilitate the dissemination of wellbeing narratives. Method Qualitative research with reflective and contextual conversational-narrative design, which involveda patient diagnosed with hypertension, his family and two doctors. The methods of constructing information was semi structured interviews, reflective observation and literature review. The systematization of information was carried out using frameworks designed for that purpose. For the interpretation of results, narrative and conversational analyses were used. Results In the process of constructing the experience of hypertension by family members or the physician, important aspects are not taken into account such as: the listening request, a demand for bonding, the experience of illness and in this case, the daily experience of old age. In this context, these kinds of relationships can lead to discomfort and suffering in the patient's experience of the illness. The conversation generated by all stakeholders enables the construction of dialogic-reflexive spaces that provide an opportunity to reshape relationships and experience of illness Conclusions The construction of contexts of care where one can talk and hear about issues without families and doctors facilitates the reconfiguration of the experience of illness, allowing for the inclusion of family and physicians in the generation of conversational-narrative positions. This implies personal and collective agency in order to mobilize and organize the resources they have, consistent with the patient's age and diagnosis.

Abandono ao tratamento anti-hipertensivo em idosos: conhecendo seus condicionantes

“…It is necessary, in a similar way to this problem, for the follow-up of control of a chronic disease, of an adaptation by its users, since the changes in the routine of life are quite important in the maintenance of the control of its disease, which makes the adjustment of their condition of the carrier of a disease with its limitations and the obligation imposed on its carriers, ways to overcome them emotionally. [19][20] In analyzing this fact, we can see that the side effects of the drugs are considered as a great ally in the abandonment of the treatment, since the undesirable effects caused by the drugs cause certain discomforts; however, the need for the use of the medication should suppress the adverse effects, thus serving to motivate the continuation of treatment.…”

Women with Blood Hypertension: A Dialogical Reflection

“…This breaks the paradigm of communication with the reciprocity of change, in each of the social actors, which involves the characteristics of an act of dialogue with the other, that is why dialogue is a principle of relationship and mutual recognition of the people involved in a process of health and disease, this can be, the doctor, family, friends and contexts where sick or healthy social beings are [7] [8].…”