O cuidado à saúde da mulher com tuberculose na perspectiva do enfoque familiar

Abstract

To analyze the relationship between the practice of family health team workers and women with tuberculosis, according to the family focus dimension. The participants were eight family health team workers from a city in the João Pessoa metropolitan area (Paraiba -PB). Data were collected through semi-structured interviews, and then subjected to thematic content analysis. The workers recognize the critical social condition that women with tuberculosis live in, as well as the prejudice they face. They suggest that these women require care based on the concept of comprehensiveness in health. They also highlight the importance of Directly Observed Therapy -Short Course, the existence of incentives, and the women's poor adherence to educational activities and groups. Few workers recognize the inclusion of relatives in the care of women with tuberculosis, which implies the need for discussion regarding this fact with the purpose of improving tuberculosis treatment effectiveness. DESCRIPTORS: EL CUIDADO A LA SALUD DE LA MUJER CON TUBERCULOSIS EN LA PERSPECTIVA DE ENFOQUE FAMILIAR RESUMEN:El objetivo fue analizar la relación entre el desempeño del profesional de la salud de la familia y la mujer con tuberculosis, según la dimensión de enfoque familiar. Investigación cualitativa que involucró ocho profesionales de los equipos de salud familiar del municipio de la región metropolitana de João Pessoa-PB. La información se obtuvo a través de entrevistas semi-estructuradas y fue analizada según la técnica de análisis de contenido, modalidad temática. Los profesionales reconocen la fragilidad social y los prejuicios que sufren las mujeres con tuberculosis, lo que sugiere la necesidad de atención basada en el concepto de salud integral. Son resaltadas la importancia del Tratamiento Breve Bajo Observación Directa, la existencia de incentivos y la falta de compromiso de las mujeres a las actividades educativas y grupos de formación. Pocos profesionales reconocen la inclusión de familiares en el cuidado de las mujeres con tuberculosis, lo que indica la necesidad de un debate de este hecho para mejorar el éxito del tratamiento de esta enfermedad. DESCRIPTORES:Tuberculosis. Salud de la mujer. Salud de la familia.

Profile Of Elderly Diagnosed With Tuberculosis In A Reference Hospital In Brazil

“…This way, there is involvement of treatment, increasing the spread of the bacillus, becoming something even more concerning to the public health of the country. Therefore, from the proven increased susceptibility of man to the development of TB, the creation of control measures for disease articulated to the peculiarities of the male individual is essential [16].…”

“…Film screenings, lectures, conversation circles, groups and individual consultations defies people to rethink their lifestyle in relation to personal care, addictions and customs and also raises health promotion and disease prevention, enabling, in the case of TB, adherence to treatment. Moreover, these strategies aim to add knowledge and answer questions, with the objective to dispel the stigma surrounding this morbidity [16].…”

Performance evaluation of primary care services for the treatment of tuberculosis

“…The absence of a policy of continuing education consistent with the current epidemiological situation and the turnover of health professionals, related to the discontinuity of political parties in Cabedelo, may also impair the maintenance of qualified health teams to deal with TB in primary care services (19)(20) . Studies (21)(22) aimed at identifying problems related to therapeutic adherence and to TB control emphasized that issues related to staff training need to achieve greater discussion and implementation, since most professionals working in primary care experienced the training process based on the curative care model, and not in the promotion of health.…”

“…The appreciation and consequent qualification of records, as well as their access by all team members, constitute key factors for the success in disease control, since it allows that professionals working in health surveillance or user assistance, can monitor the treatment progress in consonance and consistence with the roles of primary care and strategic planning from the epidemiological diagnosis (19,25) .…”

“…Corroborating the study (19) carried out in this same region in 2011, within the context of TB, the quality assessment of health services in the municipality of Cabedelo-PB allowed the verification of difficulties faced in disease control, both for diagnosis and the treatment, enabling the generation of information that alerts managers and health professionals about the need to design interventions able to modify the health picture presented by the disease, thus changing the epidemiological indicators of this condition.…”