A análise da narrativa dos pacientes com HIV na construção da adesão terapêutica

Abstract

A adesão terapêutica para portadores da Síndrome da Imunodeficiência Adquirida (SIDA/Aids) necessita ser abordada em uma perspectiva multifatorial e singular, que considere aspectos socioculturais, significados construídos e autonomia dos indivíduos. Este estudo qualitativo visa explorar os elementos e formas narrativas desenvolvidas pelos pacientes para promoverem a adesão. Foram realizadas entrevistas em profundidade com nove pacientes com SIDA que apresentavam boa adesão e resposta clínico-laboratorial ao tratamento. A análise das falas identificou os contextos e os recursos narrativos que impulsionaram essas pessoas a enfrentarem a doença e suas repercussões que influenciaram na adesão. Observou-se que o tempo nas narrativas sobre a adesão não era cronológico e as justificativas/explicações para lidar com o contágio, a doença e os preconceitos envolvidos, assumiam uma dimensão terapêutica. O papel de protagonista em relação às estórias de vida e o adoecimento emergiu como elemento central no enfrentamento das rupturas advindas do adoecimento, e influenciou na incorporação da adesão em uma perspectiva terapêutica.

Proposal of nursing care plan in people hospitalized with AIDS

“…It is linked not only to the health condition, but also to the difficulty of social interaction, psychological trauma caused by the diagnosis of AIDS, stigma and fear of death (2) . However, isolation is a strong indication of psychological change and is directly related to depression, indicating the need for emotional therapeutic care (22)(23) . In this sense, nursing interventions are focused on the promotion of therapeutic mechanisms that facilitate the process of interlocution between the subjects, that is, people living with AIDS -professionals -society .…”

“…In this sense, nursing interventions are focused on the promotion of therapeutic mechanisms that facilitate the process of interlocution between the subjects, that is, people living with AIDS -professionals -society . Therefore, the development of strategies for social reintegration of people living with AIDS are necessary through care behaviors aimed at collective practice and group therapy (22)(23)(24) . A study carried out in Portugal clarifies the nursing intervention model that consists of the decision tree, which allows nurses to decide, according to the needs of the patient, the best psychotherapeutic behavior to be adopted.…”

Experiências de adoecimento por condições crônicas transmissíveis: revisão integrativa da literatura

“…For Ferreira and Favoreto (2011), the perspective of protagonism refers to the action, dialogue and attitude of the subject prior to the diseases, HIV/AIDS in particular. Reports that pointed to the construction of new senses to life, the revaluation of aspects of health and self-care that were not considered before diagnosis were observed in this study.…”

“…Reports that pointed to the construction of new senses to life, the revaluation of aspects of health and self-care that were not considered before diagnosis were observed in this study. Senses of victory against the adversities of life were reverberated, in order to allocate HIV/AIDS as another obstacle to be overcome Favoreto, 2011).…”

“…From this, it becomes necessary to understand the adhesion to the treatment as a mutable state, and not as a watertight condition of the subject. Therefore, adhesion becomes contextualized in the way of being, at the mercy of the daily variability, directly proportional to the movement of autonomy and protagonism of the subject Favoreto, 2011).…”