Representations on adherence to the treatment of Multidrug-Resistant Tuberculosis

Abstract

Objective: To identify representations regarding adherence to the treatment of multidrug-resistant tuberculosis from the perspective of patients who were discharged upon being cured. Method: A qualitative study with patients who completed the drug treatment for multidrug-resistant tuberculosis in São Paulo. Social Determination was used to interpret the health-disease process, and the testimonies were analyzed according to dialectical hermeneutics and the discourse analysis technique. Results: Twenty-one patients were interviewed. The majority (80.9%) were men, in the productive age group (90.4%) and on sick leave or unemployed (57.2%) during the treatment. Based on the testimonies, three categories associated with adherence to treatment emerged: the desire to live, support for the development of treatment and care provided by the health services. Conclusion: For the study sample, adherence to the treatment of multidrug-resistant tuberculosis was related to having a life project and support from the family and health professionals. Free treatment is fundamental for adherence, given the fragilities arising from the social insertion of people affected by the disease. Therefore, special attention is required from the health services to understand patient needs.

Aspectos sociodemográficos e clínicoepidemiológicos da tuberculose em um município do nordeste brasileiro

“…A tuberculose é reconhecidamente uma doença cuja ocorrência é influenciada por fatores sociais. Esse fato torna necessário que haja amparo governamental e a elaboração de políticas de apoio às pessoas doentes em vários aspectos, principalmente garantindo meios para a continuidade dos cuidados em saúde e promovendo ações de combate aos elementos originários do processo de adoecimento (FERREIRA KR, et al, 2018). O presente estudo identificou que as características sociodemográficas de raça, região de moradia, faixa etária e sexo, da população de um município do estado do Piauí no período estudado, estão diretamente ligadas à incidência da TB.…”

Assessment of access to tuberculosis treatment from the perspective of users in primary care / Avaliação do acesso ao tratamento de tuberculose sob perspectiva dos usuários na atenção primária

“…These individuals generally present physical weakness caused by the disease, resulting in decreased family income. 28 Based on the results of the research, a study conducted in Paraná, resembles that found in the research with 59% that make use of motorized transport, as for the expense in this same research, 45.2% was always spent what differs from what was found. 29 However, the results of the study conducted in Belém, differ completely from what was obtained.…”

Fatores Associados Ao Abandono Do Tratamento Da Tuberculose Pulmonar

“…Essa estratégia altera a rotina diária e gera constrangimentos no paciente quando realizado na unidade de saúde, um dos fatores associados à dificuldade de adesão ao tratamento (8) . Em São Paulo-SP, a necessidade dos pacientes em comparecer às consultas na unidade causava desgaste, devido ao longo trajeto, assim como condições inapropriadas do transporte público, comprometimento físico por causa da patologia e intervalo extenso de espera pela consulta (29) . É de responsabilidade municipal a operacionalização do TDO e o acompanhamento das medidas de prevenção.…”