Estratégias de enfrentamento e significados de câncer incurável entre usuários de um serviço ambulatorial de oncologia da Baixada Santista.

Abstract

Cancer is a serious public health problem. The World Health Organization (WHO) considers in 27 million new cases of cancer by the year 2030 in the whole world. In Brazil, the frequent diagnose of cancer in advanced phase results in a delay of treatment and invalidate possibilities of cure. Nowadays, the Unique Health System (UHS) advocates to the patients with cancer, without possibilities of cure, the approach in palliative cares that is still recent, limited and little consolidated in health services. The study had as objective to analyse the strategies of confrontation and meanings of cancer without possibility of cure in users of outpatient oncology service from UHS. It was done a qualitative study with semi-structured interviews with 11 participants of both sexes, age from 18 years old and diagnosed with cancer without possibilities of cure. The results were analysed in the following reaction categories: 1) sadness and hope; 2) process of sickness; 3) ¿I don¿t want these words¿; 4) non-clinical context; 5) God¿s will; 6) family comfort; 7) sickness and losses; 8) organic and existential pain; 9) psychosocial aspects of sickness; and 10) eminence of death in health services. One identified the need of reflecting about the relational aspects and cares that envolve the patients without possibilities of cure, considering the advance of medicine and of technology and on the other hand, the need to rescue the human relation aspects between health professionals and patients.