PERCEPCIÓN DE MUJERES CONSULTANTES DE ATENCIÓN PRIMARIA SOBRE EL ABANDONO DEL TRATAMIENTO DE DEPRESIÓN
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Fecha
2012
Profesor/a Guía
Facultad/escuela
Idioma
es
Título de la revista
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Título del volumen
Editor
Universidad de Concepción
Nombre de Curso
Licencia CC
Licencia CC
Resumen
El tratamiento oportuno de los trastornos depresivos es considerado una prioridad sanitaria. Un obstáculo en el logro de este propósito es la baja adherencia o el abandono del tratamiento que realizan algunos consultantes. El objetivo de esta investigación fue comprender la percepción de personas que desertaron de su tratamiento en atención primaria respecto de los factores que motivaron ese abandono. Investigación de orientación cualitativa. Las participantes fueron mujeres entre 18 y 65 años, diagnosticadas de depresión, que ingresaron y abandonaron el Programa Nacional de Diagnóstico y Tratamiento de Depresión en el primer semestre del año 2008 y año 2009 en dos centros de salud familiar de la Octava Región, Chile. Se realizaron 15 entrevistas en profundidad semiestructuradas. las que fueron codifcadas y analizadas a través del método de comparación constante. Las principales razones de abandono del tratamiento se concentraron en la existencia de obstáculos en el acceso o continuidad de la atención y en aspectos relacionados con una percepción negativa del tratamiento recibido, especialmente del farmacológico, pero también del psicológico. Se observó en las consultantes que su implicación en el tratamiento era baja debido a desconocimiento del diagnóstico recibido o una discordancia entre el tratamiento recibido respecto a sus expectativas y creencias. Estos resultados indican que los profesionales de la enfermería podrían tener un rol clave en favorecer la permanencia de los consultantes en el tratamiento al poner una mayor consideración de las expectativas, creencias y necesidades de los propios consultantes.
Early treatment of depressive disorders is considered a health priority. One obstacle in achieving this purpose is the low adherence or abandonment of treatment performed by some consultants. The aim of this research is to understand the perception of people who deserted their treatment in primary care settings on the factors that led to the abandonment. The research uses an inductive strategy and qualitative approach as methodological basis. Participants were women aged 18 to 65 years, diagnosed with depression, who entered and left the National Program for Diagnosis and Treatment of Depression in the first half of 2008 and 2009 in two family care centers at the 8th Region, Chile. A total of 15 in-depth interviews were conducted and thereafter analyzed using the constant comparison method. The reasons for the abandonment referred to obstacles in the access and lack of continuity in the treatment, as well as factors related to negative perception of the treatment not only the pharmacological but also the psychological one. It was observed that consultants´ involvement in treatment was low due to scarce knowledge of their diagnosis received or a discrepancy between the treatment received regarding their expectations and beliefs. These results indicate that nurses could play a key role in improving the adherence to the treatment by considering patients’ expectations, beliefs and needs.
Early treatment of depressive disorders is considered a health priority. One obstacle in achieving this purpose is the low adherence or abandonment of treatment performed by some consultants. The aim of this research is to understand the perception of people who deserted their treatment in primary care settings on the factors that led to the abandonment. The research uses an inductive strategy and qualitative approach as methodological basis. Participants were women aged 18 to 65 years, diagnosed with depression, who entered and left the National Program for Diagnosis and Treatment of Depression in the first half of 2008 and 2009 in two family care centers at the 8th Region, Chile. A total of 15 in-depth interviews were conducted and thereafter analyzed using the constant comparison method. The reasons for the abandonment referred to obstacles in the access and lack of continuity in the treatment, as well as factors related to negative perception of the treatment not only the pharmacological but also the psychological one. It was observed that consultants´ involvement in treatment was low due to scarce knowledge of their diagnosis received or a discrepancy between the treatment received regarding their expectations and beliefs. These results indicate that nurses could play a key role in improving the adherence to the treatment by considering patients’ expectations, beliefs and needs.
Notas
Indexación: Web of Science; Scielo
Palabras clave
Depresión, Cooperación con el paciente, Pacientes desistentes del tratamiento, Atención primaria de salud
Citación
Cienc. enferm. vol.18 no.2 Concepción ago. 2012