The families and directly observed treatment of tuberculosis: senses and prospects to the production of care

Abstract

The purpose was to identify the families' participation on care management of patients with tuberculosis. Also, to ascertain the contribution offered by health professionals for patients'families with ongoing treatment, and investigate the importance attributed by the families to the directly observed treatment It is a descriptive, cross-sectional study conducted in the municipality of Ribeirão Preto/SP with families of patients diagnosed with tuberculosis. For data collection, it was developed an instrument that underwent pretesting and content validation. Ninety four subjects were interviewed. According to the results, 64 (68.096) relatives participated in the care management and 81 (86.2%) reported a good relationship with the staff. Sixty three family members (67%) did not receive any guidance about drugs and 75 (80.0%) of the respondents considered the strategy as relevant. The findings indicate that the Directly Observed Treatment has limitations regarding the guidelines of clinical management of the disease, the inclusion of family in care management and understanding of its goals.

Therapeutic itinerary of people with tuberculosis in face with their health needs

“…Results identified in a study, carried out in Ribeirão Preto-São Paulo, pointed out the importance of family participation in achieving TB treatment success and in the effectiveness of the strategy to cope with the disease. 24 Corroborating, a study in India also found the influence of families on TB control, related to the support given in face of the prolonged treatment time and clinical conditions; the need for nutritional and subsistence support, and adherence to treatment. 25 It is understood that in the practice of care, the analysis of therapeutic itinerary requires qualified professionals capable of carrying out articulated actions, so that they meet the health needs of people with TB.…”

A vivência do tratamento de tuberculose em unidades de Saúde da Família

“…The gap in the professional-patient relationship points to the need to take into consideration the patient's thinking and feeling, and not just the horizon of clinical healing, making it necessary to implement effective actions by health and nursing professionals who accompany the person through the course of the disease in relation to community guidelines on tuberculosis, prevention, family management and achieving the cure. 16,22 It was observed in the speeches that only the supervision of the medication does not guarantee the success of the treatment. It is necessary for the patient to feel welcomed, to consider his/her life history, beliefs and opinions.…”

“…By sharing with the patient the coping with the disease and the difficulties inherent to drug treatment, the professional approaches the being-there of his patient, living with him a special situation, and may, in this relationship, show more and more interest and consideration for the other; that is, worrying and caring in the broad sense of the word. 14,[16][17][18]21,22 Even when the person with tuberculosis expresses a desire to interrupt treatment, this situation may not materialize due to the support and link created between the user and the health professional. This openness to the other enables the more proper performing of the humanity of men -who dialogues and does not dominate -and can transcend the technical care based on normative aspects.…”

Terapia de curta duração da tuberculose: uma análise discursiva

“…The actions of visiting the TB patients at home, learning about the conditions in which they live, and providing treatment, in the imagination of the health care professional, are the best ways to control TB. It is stressed that the actions present in the discourse of professional nurses have already been identified, and are widely discussed in the literature that deals with DOT as a TB treatment modality, which has showed little about the expansion of the search to make adjustments or look at other ways to offer the treatment, thus revealing the crystallization of these actions in the imagination and everyday actions of those who perform it (16) .…”