Dados do Trabalho

Título

Vulnerabilities of the kidney transplant candidate reported by the biopsychosocial assessment

Introdução

Biopsychosocial assessment of the kidney transplant candidates aims to identify patients vulnerability points before the surgical procedure considering the biological, psychological and social aspects. INTERMED is a method developed in Europe that proposes to analyze the individual in an extended model, considering the social, psychological, biological and health system domains.

Material e Método

This study was carried out with candidates to kidney transplantation from an interview conducted by two psychologists and the application of the INTERMED instrument. Fifteen kidney transplantation candidates participated in this study.

Resultados

It was also possible to observe from the biological health complexity of the candidates what stands out. Moreover the results referring to health system, psychological and social domains could lead to observe any impairment in the patients quality of life and consequently developing psychological and psychiatric comorbidities. Such a finding may be related to the chronic disease itself that carries a risk of permanent and / or significant limitations in the patient's routine and functionality.

Discussão e Conclusões

Through the guiding questions of the instrument, it was possible to understand the subject identifying frailty points, aspects of vulnerability and particularities of each case. The instrument made it possible to understand the renal transplant patient as a whole, investigating their emotional aspects, their expectations, coping style, stress management, defensive standards, treatment adherence deficiency, difficulties in dealing with fear of hospitalization and pain and concerns about the failure of surgery. In addition, it has made it possible to locate biological complexity as a source of suffering in several areas of the subject's life.

Palavras Chave

psychology, psychosocial assessment