Experiência subjetiva de pacientes com dificuldades na realização do exame de ressonância magnética

Abstract

The study object of this dissertation was to research the subjective experience of patients who performed the Magnetic Resonance Imaging exam in closed field at a health institution in Manaus-AM. The objectives focus on: a) interviewing and analyzing the subjective experience of patients who did not presented emotional/anxious manifestations during the exam in the MRI room; b) interviewing and analyzing the subjective experience of patients who presented some emotional/anxious manifestations which hindered the realization of the MRI exam; c) interviewing and analyzing the subjective experience of patients who presented important emotional/anxious difficulty, and only had the closed field MRI exam under general anesthesia; and, d) expose a proposal for improving the researched service, in the perspective of health care promotion. Psychology as a science and applied disciplinary field of health psychology, have been the core theoretical assumptions of this research. Dedicated to study psychic processes which participate in the health-disease process and understood as complex and multidetermined, health psychology has oriented the study of subjective experience of these patients in real exam situation in an institutional context. Qualitative methods (participant observation) were used and the researcher had a position of reciprocity with the MRI team and with patients in the exam without practicing clinical intervention of psychological character. As data collection instruments: research notes, documentary material and semi-structured interviews. Data were analyzed from the theoretical assumptions and hypotheses defined for this research work. As the study of subjective experience, it was found that the intersubjective interactions, technical and professional skills, positive thinking with resilient characteristics and the experience of faith, can function as attenuators of anxiety during this examination. It is clear, however, that the anesthetic choice for physical and eager complications that preclude the examination is the only option. As a proposal for improving the service, there was a physical and relational satisfactory, but still lacking in physical and instrumental changes that benefit the environment subjectivity of patients.