2008, Número 2
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salud publica mex 2008; 50 (2)
Conducta del enfermo ante el dolor crónico
Lavielle P, Clark P, Martínez H, Mercado F, Ryan G
Idioma: Español
Referencias bibliográficas: 38
Paginas: 147-154
Archivo PDF: 158.04 Kb.
RESUMEN
Objetivo. Describir la “conducta de enfermedad” en pacientes con dolor crónico.
Material y métodos. Durante el año 2000 se realizaron entrevistas semiestructuradas a 53 pacientes en una institución del tercer nivel de atención. Allí se exploró su interpretación y respuesta inicial al dolor crónico y prácticas subsecuentes hasta sentirse satisfechos con el diagnóstico recibido.
Resultados. La conducta de enfermedad estuvo determinada por la intensidad, discapacidad y creencias de las causas del dolor, recomendaciones de las redes de apoyo, la calidad y satisfacción con los sistemas de atención. En términos de la toma de decisión, la primera opción fue acudir al sector popular, y consultar al médico general, para finalmente acudir a un tercer nivel de atención (“con el especialista”).
Conclusiones. La conducta de enfermedad es un proceso en el que se utilizan los diferentes sectores de la atención por parte de los mismos sujetos y que es determinado por el resultado de la atención brindada.
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