Diferenças na adesão ao tratamento da tuberculose em relação ao sexo no distrito de saúde da Freguesia do Ó/Brasilândia - São Paulo

Queiroz, Raquel; Nogueira, Péricles Alves

doi:10.1590/s0104-12902010000300014

Cited by 14 publications

(17 citation statements)

References 13 publications

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“…Other studies found similar results. Mostly, the diagnosis conducted in hospitals corresponds to more severe cases of the disease, when patients have had symptoms for longer, which can increase mortality rates 14,[16][17][18] .…”

Section: Discussionmentioning

confidence: 99%

Why do tuberculosis patients look for urgency and emergency unities for diagnosis: a study on social representation

Paula

Lefèvre

Lefèvre³

et al. 2014

Rev. bras. epidemiol.

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Section: Discussionmentioning

confidence: 99%

Why do tuberculosis patients look for urgency and emergency unities for diagnosis: a study on social representation

Paula

Lefèvre

Lefèvre³

et al. 2014

Rev. bras. epidemiol.

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“…The importance of a humanized relationship as a facilitator in the service has only been discreetly mentioned. [9][10] Adherence or non-adherence to a treatment may be a consequence of diagnosis disclosure. Adherence has been studied by health professionals because it is the fundamental point for treatment effectiveness.…”

Section: Introductionmentioning

confidence: 99%

Communication on Disclosure of Tuberculosis Diagnosis and Adherence to Treatment: Social Representations of Professionals and Patients

Oliveira

Lefèvre

2017

Texto contexto - enferm.

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Objective: identifying social representations of health professionals and patients with tuberculosis in an initial interview for diagnostic disclosure and analyzing discursive content regarding the relation of this mode of communication during the interview for adherence of these patients to tuberculosis treatment.Method: a descriptive and qualitative study. A semi-structured interview was conducted with 39 health professionals involved in the initial tuberculosis diagnosis disclosure interview and 34 adult patients undergoing treatment in 22 health units in the southern region of São Paulo (Brazil). Discourse analysis was based on the discussions about "Awareness", developed by Paulo Freire.Results: a lack of explanations resulted in patients not understanding the diagnosis, abrasiveness by health professionals, the need for health education and how to approach the patient have emerged as conditions that influence patient adherence to treatment.Conclusion: regarding communication, we have identified a professional exercise that is contrary to promoting patient adherence to treatment, since it does not allow them to critically reflect on their current situation, and consequently does not modify their reality (in choosing adhesion and cure), thus characterizing incompetent communication. DESCRIPTORS: COMUNICAÇÃO NA REVELAÇÃO DO DIAGNÓSTICO E ADESÃO AO TRATAMENTO DA TUBERCULOSE: REPRESENTAÇÕES SOCIAIS DE PROFISSIONAIS E DE PACIENTES RESUMOObjetivo: identificar as representações sociais de profissionais de saúde e de pacientes com tuberculose sobre a entrevista inicial de diagnóstico da doença, e analisar o conteúdo discursivo, no que se refere à relação deste modo de comunicação, durante a entrevista com a adesão destes pacientes ao tratamento da tuberculose.Método: estudo descritivo e qualitativo. Realizou-se entrevista semiestruturada com 39 profissionais de saúde envolvidos com a entrevista inicial de diagnóstico da tuberculose e 34 pacientes adultos em tratamento, em 22 unidades de saúde da região sul de São Paulo (Brasil). A análise dos discursivos foi baseada nas discussões sobre "Conscientização", desenvolvidas por Paulo Freire.Resultados: a ausência de explicações e consequente não entendimento sobre o diagnóstico, a brutalidade de profissionais da saúde, a necessidade de educação em saúde e a forma de abordar o paciente surgiram como condições que influenciam a adesão ao tratamento por parte do doente.Conclusão: identificou-se um exercício profissional, no que se refere à comunicação, contrário à promoção da adesão ao tratamento por parte do paciente, já que não permite a ele uma reflexão crítica sobre a situação atual, e, consequentemente, uma não modificação da sua realidade (escolha pela adesão e cura), caracterizando, portanto, uma comunicação não competente. DESCRITORES: COMUNICACIÓN EN LA REVELACION DEL DIAGNOSTICO Y ADHESION AL TRATAMIENTO DE LA TUBERCULOSIS: REPRESENTACIONES SOCIALES DE PROFESIONALY PACIENTES RESUMENObjetivo: identificar las representaciones sociales de profesionales de ...

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“…A significant barrier for the control of tuberculosis (TB) is related to the non-adherence of the patient for the treatment of the disease, which results in complications for the health of the individual and negative implications for public health on the world scenario [1] Annually, about six million new cases of TB are reported worldwide, causing more than a million people to die. Brazil currently occupies the 16th position among the 22 countries with the highest burden of disease, accounting for 80% of cases worldwide [2].…”

Section: Introductionmentioning

confidence: 99%

The adherence for the tuberculosis treatment: the mark of stigma in the discourse of nurses

Andrade

Pinheiro

Oliveira³

et al. 2016

Int Arch Med

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Introduction: One of the issues considered today as an obstacle for the control of tuberculosis in the world scenario, regards the nonadherence of the patient for the treatment of the disease, resulting in complications to the health of the individual and negative implications for public health. Objective: To analyze the speeches of nurses working in the Family Health Strategy, about the difficulties in adherence to Directly Observed Treatment (DOT) of tuberculosis in the city of João Pessoa, state of Paraiba, Brazil. Method: Qualitative study and discursive approach, developed in August and October 2012. Through the technique of interview guided by a semi driven script, thirteen nurses working in the Family Health Strategy were interviewed in the city of João Pessoa, state of Paraiba, Brazil. The empirical material produced was analyzed according to the theoretical and methodological device of Discourse Analysis of pecheutiana French line. Results: The discursive analysis made from the textual marks present in the speeches of enunciators indicates that the difficulties in joining the directly observed treatment of tuberculosis in the city of João Pessoa, bind to patients, health professionals and treatment. In relation to the patient, the analysis points to discursive formations linked to the stigma, commitment in the treatment and low level of education. As for healthcare professionals, fear of contagion of the disease-reinforced by the stigma-and the transfer of responsibility in caring to other professionals were observed. Notably, the spoken relapse, in

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Diferenças na adesão ao tratamento da tuberculose em relação ao sexo no distrito de saúde da Freguesia do Ó/Brasilândia - São Paulo

Cited by 14 publications

References 13 publications

Why do tuberculosis patients look for urgency and emergency unities for diagnosis: a study on social representation

Why do tuberculosis patients look for urgency and emergency unities for diagnosis: a study on social representation

Communication on Disclosure of Tuberculosis Diagnosis and Adherence to Treatment: Social Representations of Professionals and Patients

The adherence for the tuberculosis treatment: the mark of stigma in the discourse of nurses

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