Desvelando o ser-aí-mulher-que-vivencia-a-incontinência-urinária: contribuições da fenomenologia para o cuidado à saúde da mulher

Abstract

This study sought to reveal the experience of women with chronic urinary incontinence. The qualitative investigation of a phenomenological approach based on the theoretical, philosophical and methodological framework of Martin Heidegger was used as a method. The research setting was the Centro Estadual de Atenção Especializada Viva Vida in São João del-Rei - MG. Phenomenological interview was carried out with 10 women who experience urinary incontinence. The meanings expressed by the women, through the said and the unsaid, revealed from the comprehensive analysis the concept of being-there-woman-who-experiences-urinaryincontinence: noticing the loss of urine, when coughing, sneezing and makes an effort... not being able to hold it and even after peeing, feeling like there's still a little bit left; to be nervous, annoyed, worried about smelling urine, afraid of progressing and embarrassing myself... boring and unpleasant situation; having to wear protectors, avoid drinking water, change clothes... always taking precautions so that urine does not appear, the bad smell; seek medical help, physiotherapy, pilates, try different means, nothing works, give up... seek new solutions; lack of help and support from professionals and the SUS... not having support and not everyone is able to pay. In the interpretative analysis, the being-there-woman-who-experiences-urinaryincontinence showed up, in the face of facticity, in different ways of being in everyday life such as chatter, curiosity, ambiguity, inauthenticity, impersonality, from occupation and fear, this in a threatening character became fear, which then showed itself as dread, horror and terror. Women also showed a deficient way of being-with in beingthere-with-the-others. As for the health care of health professionals, the inauthentic way was revealed. It is considered that the being-there-incontinent-woman needs care that permeates the biomedical view, valuing her uniqueness, her thinking and her ways of being. Health professionals should be concerned, enabling humanized and quality care for incontinent women. Finally, the importance of thinking, debating and explaining information about urinary incontinence and its care is emphasized, not only for professionals, but also for people who experience this condition.