Itinerário terapêutico de idosos sobreviventes ao câncer

Abstract

Objective: To identify the therapeutic itinerary of elderly cancer survivors since detection of signs and symptoms until the end of treatment. Methods: Qualitative research with four elderly cancer survivors (two prostate cancer and two breast cancer patients), two men and two women aged between 73 and 81 years. Data collection was carried out through interviews developed in five visits to the collaborator's households and with duration of 15 hours on average. Thematic content analysis was used. Results: The journey experienced by the elderly starts with the discovery of signs and symptoms; the course towards the diagnosis in the Health System; the confirmation of cancer; surgery and chemotherapy and the inclusion of complementary and alternative practices in the itinerary. Conclusion: The health care for cancer survivors demands intense articulation of the health system. In that sense, knowing the itinerary becomes a mechanism to qualify this assistance. ResumoObjetivo: Identificar o itinerário terapêutico de idosos sobreviventes ao câncer, desde a detecção dos sinais e sintomas até o final do tratamento. Métodos: Pesquisa qualitativa com 4 idosos sobreviventes ao câncer (dois de próstata e dois de mama), dois homens e duas mulheres, com idades entre 73 e 81 anos. A coleta de dados foi realizada por meio da entrevista, com 5 visitas no domicílio e duração média de 15 horas. Foi realizada análise de conteúdo temática. Resultados: O percurso percorrido pelos idosos vai desde a descoberta dos sinais e sintomas; a caminhada para o diagnóstico no Sistema de Saúde; a confirmação do câncer; a cirurgia e quimioterapia e a inclusão das práticas alternativas e complementares no itinerário. Conclusão: A atenção em saúde para pacientes sobreviventes ao câncer demanda intensa articulação do sistema de saúde, nesse sentido, conhecer o itinerário torna-se um mecanismo para qualificar essa assistência.

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