Hanseníase e vulnerabilidade social: uma análise do perfil socioeconômico de usuários em tratamento irregular

Lopes, Viviane Aparecida Siqueira; Rangel, Etuany Martins

doi:10.5935/0103-1104.20140074

Cited by 47 publications

(65 citation statements)

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“…Em outro estudo, sentimentos observados junto às pessoas com a doença, tais como irritação, silêncio, estigma e aversão, foram referidos como contribuintes para a baixa adesão ao tratamento em um centro de referência na Região Nordeste do Brasil 29 . Entre usuários com hanseníase em tratamento irregular, verificou-se associação de baixos níveis de renda e de escolaridade, sendo a maioria considerada pobre ou indigente 30 . Em toda a série histórica, foram identificadas 2.730 mil pessoas em abandono, tornando essencial compreender os principais fatores associados.…”

Section: Discussionunclassified

Vulnerabilidade programática no controle da hanseníase: padrões na perspectiva de gênero no Estado da Bahia, Brasil

et al. 2018

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6; IC95%: 3,5;7,7) em comparação aos homens (AAPC = 3,0; IC95%: 0,5;5,6) 5;9; 0,0), comparados às mulheres 4;7;1). A proporção de casos em abandono de tratamento no período foi de 5,5%, com tendência de redução mais significativa entre mulheres 9;7; -1,1) do que em homens 7;4;0). Recidiva foi verificada em 3,8% de todas as entradas do período; as mulheres apresentaram tendência de redução significativa 2;3;0) e os homens, de crescimento significativo (AAPC = 4,9; IC95%: 2,9;6,8 . A proporção de cura na coorte 2003-2014 foi de 85%, com tendência de redução mais acentuada nos homens Hanseníase; Estudos de Séries Temporais; Gênero e SaúdeEste é um artigo publicado em acesso aberto (Open Access) sob a licença Creative Commons Attribution, que permite uso, distribuição e reprodução em qualquer meio, sem restrições, desde que o trabalho original seja corretamente citado.Souza EA et al.

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Section: Discussionunclassified

Vulnerabilidade programática no controle da hanseníase: padrões na perspectiva de gênero no Estado da Bahia, Brasil

et al. 2018

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“…In leprosy, the illness depends on the interaction between the biological agent M. leprae with the human being, which is conditioned by environmental, socioeconomic, social and psychological factors. In face of the illness, the treatment also permeates these determinants associated with the structuring and implementation of health policies (28) . The way health services are organized, together with the type of housing, unfavorable socioeconomic conditions and the immune system of the individual, are elements that maintain a direct relationship with cases of leprosy relapse (29) .…”

Section: Concept Selection and Determination Of The Objectives Of Thementioning

confidence: 99%

“…With a view to provide comprehensive care, it is necessary to structure a multidisciplinary team able to monitor as the individuality of patients who have completed the MDT treatment (2) . To achieve this proposal, it is relevant to know the social determinants involving the health-disease process surrounding leprosy to ensure the integrity of health care and address the social inequities (28) . Ordinance No.…”

Section: Determination Of Attributes Antecedents and Consequents Of mentioning

confidence: 99%

“…However, it is emphasized that such uses of the concept of patient discharge in leprosy only define the completion of drug therapy as a criterion for discharge, disregarding the installed sequelae or the possibility of reactive episodes (21) . By understanding the natural history of leprosy, it is necessary to structure means to intervene in any possible complications set on by the disease after discharge from MDT, preventing the installation process and worsening of physical disabilities based on the planning and development of necessary interventions according to the peculiarity of each individual in the various levels of care and health care (28) .…”

Section: Uses Of the Concept Of Patient Discharge In Leprosymentioning

confidence: 99%

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Compreendendo a “alta em hanseníase”: uma análise de conceito

Pinheiro

Miranda

Simpson

et al. 2018

Rev. Gaúcha Enferm.

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Objective:To analyze the concept of patient's discharge in cases of leprosy. Methods: Theoretical study based on the methodological framework of concept analysis. A bibliographical survey was carried out from December 2015 to January 2016 using the bases SCOPUS, CINAHL, PUBMED, LILACS, SCIELO and BDENF, by use of the descriptors "Leprosy" and "Patient Discharge", resulting in 13 studies. Results:The following were identified as possible uses of the concept: discharge by cure, drug use discharge, bacteriological discharge and post-discharge. The attributes defined were completion of the multidrug therapy, completion of the multidrug therapy for paucibacillary leprosy, completion of the multidrug therapy for multibacillary leprosy and cure from leprosy. The presence of an M. leprae infection, symptoms present in the skin and peripheral nerves, diagnosis and treatment and leprosy reactions were identified as antecedents. Consequents were exclusion from the active leprosy record and continuity of health care. One model case and one opposing case were presented. Conclusions:The analysis broadened the concept "hospital discharge in leprosy", providing other meanings than the clinical focused on multidrug therapy. Keywords:Leprosy. Patient's discharge. Concept formation. Nursing. RESUMO Objetivo: Analisar o conceito de alta em casos de hanseníase. Métodos: Estudo teórico pautado no referencial metodológico de análise de conceito. Realizou-se levantamento bibliográfico de dezembro de 2015 a janeiro de 2016, nas bases SCOPUS, CINAHL, PUBMED, LILACS, SCIELO e BDENF, mediante uso dos descritores "Hanseníase" e "Alta do Paciente", obtendo-se 13 estudos.Resultados: Identificou-se alta por cura, alta medicamentosa, alta bacteriológica e pós-alta como possíveis usos do conceito. Os atributos definidos foram conclusão da poliquimioterapia, conclusão da poliquimioterapia para paucibacilares, conclusão da poliquimioterapia para multibacilares e cura da hanseníase. Como antecedentes, identificou-se infecção pelo M. leprae, acometimento de pele e de nervos periféricos, diagnóstico e tratamento e reações hansênicas. Saída do registro ativo de casos de hanseníase e continuidade de atenção em saúde foram os consequentes. Apresentou-se um caso modelo e um caso contrário. Conclusões:A análise ampliou o conceito "alta em hanseníase" para além da clínica focada na poliquimioterapia. Palavras-chave: Hanseníase. Alta do paciente. Formação de conceito. Enfermagem. RESUMEN Objetivo: Analizar el concepto de alta en lepra. Métodos: Estudio teórico basado en la análisis de concepto. Se efectuó una revisión de la literatura entre diciembre de 2015 y enero de 2016 en las bases SCOPUS, CINAHL, PUBMED, LILACS, SCIELO y BDENF mediante el uso de los descriptores "lepra" y "alta del paciente", os cuales encontraron 13 estudios relacionados.Resultados: Se identificó alta debido a curación, alta por medicamentos, alta bacteriológica y post alta como posibles usos del concepto. Los atributos definidos fueron la finalización de la poliquimioterapi...

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“…Its dosages and duration of use will depend on the type of disease (pauci or multibacillary) and associated comorbidities, such as tuberculosis. Lopes and Rangel (2014) say that when left untreated, leprosy can leave severe sequelae to the individual, compromising tact, smell, vision and locomotion. Thus, the nerves of the skin, the legs and the arms, when altered, make difficult the movement; the eyes do not close, with the concomitant fall of the lashes; the extremities of the body, such as fingers, ears and nose, may be injured to the extent that the wearer loses them.…”

Section: Introductionmentioning

confidence: 99%

Hansen’s Disease Epidemiological Profile Characterization in Cajazeiras Region in the State of Paraíba

Carmo¹,

Silva²,

Barbosa³

et al. 2018

AIMJ

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Abstract:Hansen's Disease is a chronic, infectious and slowly evolving disease caused by the etiologic agent Mycobacterium leprae, or Hansen's bacillus. The contagion is by secretions of the upper airways and droplets of saliva. Although it is a basically cutaneous disease, it can also affect peripheral nerves, eyes and eventually other organs. Its presentation is manifested in four clinical forms: indeterminate, tuberculoid, borderline or dimorphic and virchowian. And the operational classification for therapeutic purposes consists of two groups: paucibacillary and multibacillary. Objective: To characterize the epidemiological profile of leprosy cases in Cajazeiras -PB. This is a quantitative study, exploratory and descriptive, based on the collection of secondary data contained in the leprosy notification sheets of the Aging and Notification Information System (SINAN), in the period from 2012 to 2016. The work was carried out with the data obtained in the macro-region of Cajazeiras, which gathers about fourteen municipalities. A total of 468 cases of leprosy were reported in the period from 2012 to 2016. Regarding the sociodemographic characteristics, it was identified that the majority are male, brown, age group between 30 and 39 years old and schooling with incomplete elementary school. In relation to the clinical characterization of leprosy, the data show a predominance of the dimorphic form and multibacillary operational classification. It is concluded that it is important to reorganize the work process in order to integrate the control actions to the primary care services, especially in the Family Health Teams, with emphasis on the collective approach.

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Hanseníase e vulnerabilidade social: uma análise do perfil socioeconômico de usuários em tratamento irregular

Cited by 47 publications

References 2 publications

Vulnerabilidade programática no controle da hanseníase: padrões na perspectiva de gênero no Estado da Bahia, Brasil

Vulnerabilidade programática no controle da hanseníase: padrões na perspectiva de gênero no Estado da Bahia, Brasil

Compreendendo a “alta em hanseníase”: uma análise de conceito

Hansen’s Disease Epidemiological Profile Characterization in Cajazeiras Region in the State of Paraíba

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