Relationship Between the Social Representations of Health Professionals and People With Tuberculosis and Treatment Abandonment

Abstract

Objective: to relate the social representations of health professionals and people with tuberculosis with treatment abandonment.Method: a descriptive and exploratory study with qualitative approach. Twelve health professionals and eight patients participated from Health Centers in Lima, Peru. Data were collected, between June and July 2012, through semi-structured interviews, analyzed according to content analysis technique.Results: similar content emerged from the analysis of the categories representations of both actors. They present similar aspects such as the treatment of tuberculosis generates suffering, tuberculosis is contagious and causes distancing and isolation, and the lack of knowledge generates treatment abandonment. These representations interfere with the conduct of care and adherence of tuberculosis treatment. Conclusion:there is need for education strategies in a psychosocial approach, considering the multidimensionality of treatment adherence, contributing to the reduction of treatment abandonment rates and the tuberculosis transmission chain. DESCRITOPRS: Treatment refusal. Nursing. Tuberculosis. A RELAÇÃO DAS REPRESENTAÇÕES SOCIAIS DOS PROFISSIONAIS DA SAÚDE E DAS PESSOAS COM TUBERCULOSE COM O ABANDONO DO TRATAMENTO RESUMOObjetivo: relacionar as representações sociais dos profissionais de saúde e das pessoas com tuberculose com o abandono de tratamento.Método: estudo exploratório-descritivo com abordagem qualitativa. Participaram 12 profissionais de saúde e oito pacientes de centros de saúde de Lima, Peru. Os dados foram coletados, entre junho e julho de 2012, mediante entrevistas semiestruturadas e analisados conforme a técnica de análise de conteúdo.Resultados: da análise das categorias, emergiram representações de ambos os atores. Elas apresentam aspectos semelhantes, tais como: o tratamento da tuberculose gera sofrimento; a tuberculoses é contagiosa e afasta as pessoas; a falta de conhecimento gera abandono de tratamento. Essas representações interferem no comportamento relacionado ao cuidado e à adesão ao tratamento da tuberculose.Conclusão: há necessidade de desenvolver estratégias de educação psicossocial, considerando a multidimensionalidade da adesão ao tratamento, para a diminuição das taxas de abandono e da cadeia de transmissão da tuberculose. DESCRITORES:Recusa do paciente ao tratamento. Enfermagem. Tuberculose.http://dx.doi.org/10.1590/0104-07072017005650015Texto Contexto Enferm, 2017; 26(1):e5650015Chirinos NEC, Meirelles BHS, Bousfield ABS 2/8 RELACIÓN ENTRE LAS REPRESENTACIONES SOCIALES DE PROFESIONALES DE LA SALUD Y DE LAS PERSONAS CON TUBERCULOSIS EN EL ABANDONO DE TRATAMIENTO RESUMENObjetivo: relacionar las representaciones sociales de los profesionales de la salud y las personas con tuberculosis en el abandono del tratamiento.Método: estudio descriptivo, exploratorio y cualitativo. Participaron doce profisionales de la salud y ocho pacientes de centros de salud de Lima, Perú. Los datos fueron recolectados, entre junio y julio de 2012, mediante entrevistas semiestr...

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