Avaliação neurofuncional em pacientes com hanseníase

Mesquita, Rafael; Melo, Luana Torres Monteiro; Vasconcelos, Renata dos Santos; Soares, Débora Militão; Félix, George André Araújo; Férrer, Liana Parente de Azevedo; Abdon, Ana Paula Vasconcellos

doi:10.5020/18061230.2014.p247

Cited by 5 publications

(12 citation statements)

References 10 publications

(24 reference statements)

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“…With regard to physical disability, there was a higher frequency of patients with physical disability of grade 0, a finding similar to that of Mesquita et al 21 . However, some study patients had not been evaluated for physical disabilities, which may reflect the lack of health services in the city and potential non-compliance with established procedures for cases of leprosy.…”

Section: Discussionsupporting

confidence: 79%

Assessment of the sensory and physical limitations imposed by leprosy in a Brazilian Amazon Population

Aben-Athar

Lima

Ishak

et al. 2017

Rev. Soc. Bras. Med. Trop.

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Introduction: Leprosy often results in sensory and physical limitations. This study aimed to evaluate these limitations using a quantitative approach in leprosy patients in Belém (Pará, Brazil). Methods: This epidemiological, cross-sectional study measured the sensory impairment of smell and taste through the use of a questionnaire and evaluated activity limitations of daily life imposed by leprosy through the Screening of Activity Limitation and Safety Awareness (SALSA) Scale. Data were collected from 84 patients and associations between the degree of disability and clinical and epidemiological characteristics were assessed. Results: The majority of patients were men (64.3%), married (52.4%), age 31-40 years old (26.2%), had primary education (50%), and were independent laborers (36.9%). The multibacillary operational classification (81%), borderline clinical form (57.1%), and 0 degrees of physical disability (41.7%) were predominant. SALSA scores ranged from 17 to 59 points, and being without limitations was predominant (53.6%). The risk awareness score ranged from 0 to 8, with a score of 0 (no awareness of risk) being the most common (56%). Evaluation of smell and taste sensory sensitivities revealed that 70.2% did not experience these sensory changes. Patients with leprosy reactions were 7 times more likely to develop activity limitations, and those who had physical disabilities were approximately four times more likely to develop a clinical picture of activity limitations. Conclusions: Most patients showed no sensory changes, but patients with leprosy reactions were significantly more likely to develop activity limitations. Finally, further studies should be performed, assessing a higher number of patients to confirm the present results.

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Section: Discussionsupporting

confidence: 79%

Assessment of the sensory and physical limitations imposed by leprosy in a Brazilian Amazon Population

Aben-Athar

Lima

Ishak

et al. 2017

Rev. Soc. Bras. Med. Trop.

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“…Functional illiteracy among adults, with a predominance of this rate in the Northeast region, highlights education as an important social determinant of health. 8,9, A significant portion of patients diagnosed with leprosy in the studied hospital was founded in the capital and metropolitan regions, as shown in Table 1, a fact also observed in other studies. Thus, it is perceived that, although basic attention is qualified to diagnose and treat leprosy cases and their coverage, it is greater than 97.0% in the municipality in question, with the ability to perform effectively active search of cases.…”

Section: Discussionsupporting

confidence: 81%

“…According to a report by the World Health Organization, although leprosy affects both sexes, in many parts of the world, men are affected more often than women, at a ratio of 2:1. [6][7][8] Considers that a proportion of cases diagnosed with grade II of incapacity is equal to or above 10.0% is considered high, between 5.0 and 9.99%, average, and less than 5% as low. Thus, the percentage of patients with physical disability in this study is considered high, and may be related to low effectiveness of activities of timely detection and/or early diagnosis of the disease and difficulty of access to health services.…”

Section: Quantitativementioning

confidence: 99%

Grau de incapacidade física de pacientes com hanseníase

Morais

Furtado

2018

Rev enferm UFPE on line.

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RESUMOObjetivo: avaliar o grau de incapacidade física de pacientes com hanseníase. Método: estudo quantitativo, transversal, retrospectivo, com 73 pacientes diagnosticados com hanseníase. Para a coleta de dados utilizou-se instrumento pré-estruturado contendo dados sociodemográficos e epidemiológicos extraídos das fichas de investigação do SINAN e do prontuário eletrônico. Os dados foram analisados no software IBM® SPSS®, versão 21.0. Resultados: constatou-se que pacientes do sexo masculino com baixa escolaridade, forma clínica dimorfa, virchowiana e neural pura, classificação operacional multibacilar e a presença de um ou mais nervos afetados tiveram maior chance de apresentar algum grau de incapacidade física. Conclusão: ressalta-se a importância da avaliação do grau de incapacidade física no momento do diagnóstico de hanseníase e as orientações para o autocuidado. Descritores: Hanseníase; Epidemiologia; Acesso aos Serviços de Saúde; Saúde Pública; Fatores de Risco; Enfermagem.ABSTRACTObjective: to evaluate the level of physical inability of patients with leprosy. Method: a quantitative, cross-sectional, retrospective study with 73 patients diagnosed with leprosy. For the data collection, there was used pre-structured questionnaire tool containing sociodemographic and epidemiological data extracted from the connectors of the SINAN research and electronic medical records. The data were analyzed using the IBM® SPSS®, version 21.0. Results: it was found that the male patients with low schooling, dimorphous clinical form, Virchowian and neural pure, operational classification multibacillary leprosy and the presence of one or more nerves affected had a greater chance of presenting some level of physical inability. Conclusion: it underlines the importance of assessing the level of physical inability at the time of diagnosis of leprosy and the guidelines for self-care.Descriptors: Leprosy; Epidemiology; Health Services; Public Health; Risk factors; Nursing.RESUMENObjetivo: evaluar el grado de invalidez física de los pacientes con lepra. Método: estudio cuantitativo, de corte transversal, retrospectivo, con 73 pacientes diagnosticados de lepra. Para la recolección de datos se utilizó un cuestionario estructurado previamente que contenía datos sociodemográficos y epidemiológicos extraídos de los conectores del SINAN de investigación y registros médicos electrónicos. Los datos fueron analizados utilizando IBM® SPSS®, versión 21.0. Resultados: se encontró que los pacientes masculinos con baja escolaridad, forma clínicas dimorfas, virchowianas y neurales puras, clasificación operacional multibacilar y la presencia de uno o más nervios afectados tuvieron mayor probabilidad de presentar algún grado de invalidez física. Conclusión: se marca la importancia de evaluar el grado de invalidez física en el momento de diagnóstico de la lepra y las directrices para el autocuidado. Descriptores: Lepra; Epidemiología; Accesibilidad a los Servicios de Salud; Salud Pública; Factores de Riesgo; Enfermería.

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“…The odds ratios indicate that in the female gender the manifestation of the paucibacillary form is prevalent in relation to men and further indicate the reverse in the multibacillary form for men with significant differences between the groups (OR= 0.158; CI 95%= 0.066-0.380). Mesquita (2014) found 35.3% multibacillary patients, 15.7% paucibacillary patients and 49.0% who didn't have that information on their records.…”

Section: -Resultsmentioning

confidence: 99%

“…It is important to stress that within the paucibacillary cases the Indeterminate clinical form was predominant, corresponding to 22% of the total number of cases (Ribeiro, Fabri, Amaral, Machado & Lana, 2014, p.728-35). The clinical presentation of Hansen's disease in the study by Mesquita (2014) revealed that 11 patients (21.6%) had the Tuberculoid form; 10 (19.6%) had the Dimorphic form; and 9 (17.6%) had the Virchowian form. That information was not available for 21 patients (41.2%).…”

mentioning

confidence: 99%