Perspectives of patients, doctors and medical students at a public university hospital in Rio de Janeiro regarding tuberculosis and therapeutic adherence

Detalhes bibliográficos
Autor(a) principal: Andrade, Elizabeth da Trindade de
Data de Publicação: 2015
Outros Autores: Hennington, Élida Azevedo, Siqueira, Hélio Ribeiro de, Rolla, Valeria Cavalcanti, Mannarino, Celina
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/35010
Resumo: Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
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spelling Andrade, Elizabeth da Trindade deHennington, Élida AzevedoSiqueira, Hélio Ribeiro deRolla, Valeria CavalcantiMannarino, Celina2019-08-23T12:46:45Z2019-08-23T12:46:45Z2015ANDRADE, Elizabeth da Trindade de et al. Perspectives of patients, doctors and medical students at a public university hospital in Rio de Janeiro regarding tuberculosis and therapeutic adherence. Plos One, p. 1-17, Sept. 2015.1932-6203https://www.arca.fiocruz.br/handle/icict/3501010.1371/journal.pone.01375721932-6203engPublic Library of SciencePerspectives of patients, doctors and medical students at a public university hospital in Rio de Janeiro regarding tuberculosis and therapeutic adherenceinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Vice-Direção de Ensino. Rio de Janeiro, RJ, Brasil.State University of Rio de Janeiro. Faculty of Medical Sciences. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em Micobacterioses. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Vice-Direção de Ensino. Rio de Janeiro, RJ, Brasil.Introduction: The World Health Organization (WHO) identifies 8.7 million new cases of tuberculosis (TB) annually around the world. The unfavorable outcomes of TB treatment prevent the achievement of the WHO’s cure target. Goal: To evaluate existing intersections in the conceptions relative to the knowledge of TB, the experience of the illness and the treatment. Methods: Doctors, medical students and patients were selected from a public university in Rio de Janeiro, Brazil, from 2011 to 2013. The data were obtained by semi-structured individual and focus group interviews, participant observation and a field journal. The inclusion of patients was interrupted due to saturation, and the inclusion of doctors and medical students stopped due to exhaustion. The theoretical background included symbolic Interactionism, and the analysis used rounded Theory. The analysis prioritized the actions/interactions axis. Results: Twenty-three patients with pulmonary TB, seven doctors and 15 medical students were included. In the interviews, themes such as stigma, self-segregation, and difficulties in assistance emerged, in addition to defense mechanisms such as denial, rationalization, isolation and other mental mechanisms, including guilt, accountability and concealment of the disease. Aspects related to the assistance strategy, the social support network, bonding with the healthcare staff and the doctor-patient relationship were highlighted as adherence enablers. Doctors and students recommended an expansion of the theoretical and practical instruction on TB during medical students’ education. The existence of health programs and policies was mentioned as a potential enabler of adherence. Conclusion: The main concepts identified were the stigma, self-segregation, guilt, responsibility, concealment and emotional repercussions. In relation to the facilitation of therapeutic adherence, the concepts identified were the bonds with healthcare staff, the doctor-patient relationship, assistance and educational health strategies.TuberculosisPublic university hospitalPatientsDoctorsMedical studentsinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txttext/plain1748https://www.arca.fiocruz.br/bitstream/icict/35010/1/license.txt8a4605be74aa9ea9d79846c1fba20a33MD51ORIGINALve_Andrade_Elizabeth_etal_2015.pdfve_Andrade_Elizabeth_etal_2015.pdfapplication/pdf249802https://www.arca.fiocruz.br/bitstream/icict/35010/2/ve_Andrade_Elizabeth_etal_2015.pdff3f72393231bf7eef453fddf343913e0MD52TEXTve_Andrade_Elizabeth_etal_2015.pdf.txtve_Andrade_Elizabeth_etal_2015.pdf.txtExtracted texttext/plain61870https://www.arca.fiocruz.br/bitstream/icict/35010/3/ve_Andrade_Elizabeth_etal_2015.pdf.txted17b94072c41139a06dbeef31496470MD53icict/350102019-08-24 02:03:25.811oai:www.arca.fiocruz.br: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Repositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352019-08-24T05:03:25Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv Perspectives of patients, doctors and medical students at a public university hospital in Rio de Janeiro regarding tuberculosis and therapeutic adherence
title Perspectives of patients, doctors and medical students at a public university hospital in Rio de Janeiro regarding tuberculosis and therapeutic adherence
spellingShingle Perspectives of patients, doctors and medical students at a public university hospital in Rio de Janeiro regarding tuberculosis and therapeutic adherence
Andrade, Elizabeth da Trindade de
Tuberculosis
Public university hospital
Patients
Doctors
Medical students
title_short Perspectives of patients, doctors and medical students at a public university hospital in Rio de Janeiro regarding tuberculosis and therapeutic adherence
title_full Perspectives of patients, doctors and medical students at a public university hospital in Rio de Janeiro regarding tuberculosis and therapeutic adherence
title_fullStr Perspectives of patients, doctors and medical students at a public university hospital in Rio de Janeiro regarding tuberculosis and therapeutic adherence
title_full_unstemmed Perspectives of patients, doctors and medical students at a public university hospital in Rio de Janeiro regarding tuberculosis and therapeutic adherence
title_sort Perspectives of patients, doctors and medical students at a public university hospital in Rio de Janeiro regarding tuberculosis and therapeutic adherence
author Andrade, Elizabeth da Trindade de
author_facet Andrade, Elizabeth da Trindade de
Hennington, Élida Azevedo
Siqueira, Hélio Ribeiro de
Rolla, Valeria Cavalcanti
Mannarino, Celina
author_role author
author2 Hennington, Élida Azevedo
Siqueira, Hélio Ribeiro de
Rolla, Valeria Cavalcanti
Mannarino, Celina
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Andrade, Elizabeth da Trindade de
Hennington, Élida Azevedo
Siqueira, Hélio Ribeiro de
Rolla, Valeria Cavalcanti
Mannarino, Celina
dc.subject.en.pt_BR.fl_str_mv Tuberculosis
Public university hospital
Patients
Doctors
Medical students
topic Tuberculosis
Public university hospital
Patients
Doctors
Medical students
description Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
publishDate 2015
dc.date.issued.fl_str_mv 2015
dc.date.accessioned.fl_str_mv 2019-08-23T12:46:45Z
dc.date.available.fl_str_mv 2019-08-23T12:46:45Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv ANDRADE, Elizabeth da Trindade de et al. Perspectives of patients, doctors and medical students at a public university hospital in Rio de Janeiro regarding tuberculosis and therapeutic adherence. Plos One, p. 1-17, Sept. 2015.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/35010
dc.identifier.issn.pt_BR.fl_str_mv 1932-6203
dc.identifier.doi.none.fl_str_mv 10.1371/journal.pone.0137572
dc.identifier.eissn.none.fl_str_mv 1932-6203
identifier_str_mv ANDRADE, Elizabeth da Trindade de et al. Perspectives of patients, doctors and medical students at a public university hospital in Rio de Janeiro regarding tuberculosis and therapeutic adherence. Plos One, p. 1-17, Sept. 2015.
1932-6203
10.1371/journal.pone.0137572
url https://www.arca.fiocruz.br/handle/icict/35010
dc.language.iso.fl_str_mv eng
language eng
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dc.publisher.none.fl_str_mv Public Library of Science
publisher.none.fl_str_mv Public Library of Science
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