Pacientes que choram em Medicina Geral/de Família: incidência, razões de consulta e problemas de saúde
DOI:
https://doi.org/10.5712/rbmfc7(24)629Palavras-chave:
Chorar, Atenção Básica, Medicina Geral, Medicina de Família, Relação Médico-pacienteResumo
Contexto: Apesar de estudos que demonstram os benefícios de se compreender o paciente, há escassa informação sobre como os médicos respondem aos problemas psicológicos e sociais. Não encontramos nenhum trabalho publicado sobre a incidência de pacientes que choram. Objetivo: Conhecer a incidência do choro em Medicina Geral/de Família e as características dos pacientes, suas razões de consulta e seus problemas de saúde. Desenho: Estudo descritivo, prospectivo, com um ano de duração, por três clínicos gerais/médicos de família em Madri, Espanha. Local: Atenção Primária (consultórios médicos e casas dos pacientes). Pacientes: Encontros face a face com pacientes que choram. Parâmetro principal: Pelo menos uma lágrima derramada. Resultados: Pacientes choraram em 157 encontros de um total de 18.627, uma incidência de 8,4 por mil. Os motivos mais frequentes de consulta foram: sentir-se deprimido (12,7%), limitações sociais (principalmente, o isolamento/estar sozinho) (6,4%), problemas de relacionamento (5,1%) e sensação de ansiedade (3,2%). Os problemas de saúde mais comuns: depressão (23,6%), ansiedade (8,3%), doença cerebrovascular (5,1%) e perda/morte de um parceiro (3,8%). Conclusões: Chorar não é incomum na Atenção Primária. As razões para chorar cobrem um amplo espectro de problemas humanos, principalmente problemas sociais e psicológicos.
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