RESUMO
Objetivo Describir la experiencia de los adultos mayores con dolor crónico frente a los servicios de salud. Métodos Estudio cualitativo tipo teoría fundamentada a 25 adultos mayores con dolor crónico benigno residentes en las ciudades de Medellín y Bogotá. La técnica utilizada para recolectar la información fue la entrevista a profundidad. El análisis se hizo utilizando las herramientas de la teoría fundamentada bajo los lineamientos de Strauss y Corbin. Resultados El estudio arrojo cinco categorías principales que dejan entrever como los adultos mayores perciben en un primer momento apoyo por parte de los miembros del equipo sanitario, cuando se preocuparon por buscar solución a sus problemas de salud, sintiéndose apoyados. Al pasar el tiempo, cuando se exacerba el dolor y la "crisis", experimentan decepciones y el calvario de los sistemas de salud, así como las recriminaciones. Lo que los lleva a tomar como mejor opción alejarse del sistema de salud y los adultos mayores pierden la credibilidad en los médicos y el interés por acudir a los servicios de salud. Conclusiones El estudio permitió describir la experiencia de los adultos mayores con dolor crónico frente a los servicios de salud. La experiencia se vive entre las decepciones y rechazos que deben experimentar, producto de las agudizaciones del síntoma y como los adultos mayores están necesitados de una atención humanizada que pueda de una u otra manera hacer más llevadera su experiencia de dolor crónico.(AU)
Objective To describe the experience of older adults with chronic pain in health services. Methods Qualitative, grounded theory type study of 25 elderly residents with chronic pain in the cities of Medellin and Bogota. In-depth interviews were used to collect the data. The analysis was done using the tools of grounded theory as layed out by Strauss and Corbin. Results This study reported 5 main categories where it is possible to glimpse how the elderly perceive, at first, support from members of the medical team when they bothered to seek solutions to their health problems. Over time, however, when pain is exacerbated into a "crisis", they began to experience the disappointments and suffering associated with health systems, as well as recriminations. This leads them to choose the option of distancing themselves from the health system. This makes the elderly lose trust in doctors and interest in seeking out health services. . Conclusions The study provided a description of the experience of older adults with chronic pain when accessing health services. They experience the disappointments and rejections that are a product of worsening symptom exacerbations. The elderly are in need of humanized care that can in one way or another maked their experience of chronic pain more bearable.(AU)
Assuntos
Humanos , Idoso , Idoso de 80 Anos ou mais , Sistemas de Saúde/tendências , Envelhecimento , Dor Crônica/fisiopatologia , Colômbia , Pesquisa Qualitativa , Teoria FundamentadaRESUMO
Objective To describe the experience of older adults with chronic pain in health services. Methods Qualitative, grounded theory type study of 25 elderly residents with chronic pain in the cities of Medellin and Bogota. In-depth interviews were used to collect the data. The analysis was done using the tools of grounded theory as layed out by Strauss and Corbin. Results This study reported 5 main categories where it is possible to glimpse how the elderly perceive, at first, support from members of the medical team when they bothered to seek solutions to their health problems. Over time, however, when pain is exacerbated into a "crisis", they began to experience the disappointments and suffering associated with health systems, as well as recriminations. This leads them to choose the option of distancing themselves from the health system. This makes the elderly lose trust in doctors and interest in seeking out health services. . Conclusions The study provided a description of the experience of older adults with chronic pain when accessing health services. They experience the disappointments and rejections that are a product of worsening symptom exacerbations. The elderly are in need of humanized care that can in one way or another maked their experience of chronic pain more bearable.
