Evaluation of household self-care pratice in leprosy
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Hansenologia Internationalis (Online) |
Texto Completo: | https://periodicos.saude.sp.gov.br/hansenologia/article/view/36181 |
Resumo: | This study aimed at determining whether individuals affected by leprosy properly performed self-care practice and its possible interfering factors. It is a documental, observational and descriptive study of household survey. The sample was composed of eleven patients evaluated during one year in a municipality with 120.000 inhabitants in SP state. Clinical data and prescription care records were obtained from the medical files. The interview and observation of self-care practices were held at home. The participants were asked to identify the problems resulting from the disease, to demonstrate which, how and when they performed the necessary self-care, which was classified as: held properly, held partially or not performed. The study was approved by the Committee of Ethics in Research (Nº 06/2007). Among the five individuals who presented grade 2 disability, three partially performed and two did not perform self-care. They demonstrated difficulties in accepting the physical involvement and in incorporating the daily practices for multiple causes factors, so did those individuals with grade 1disability. The need of maintaining labor activities, with full-time exposure to physical trauma, can lead to concealment of the disease, either for themselves or for the society. It may also hinder self-care actions, either by lack of time or for not accepting the disease. The paternalistic, fragmenting and mechanical model of health care leads to a tendency of patients to rely on institutional services, deconstructing the autonomy and individual responsibility for their general health status, discouraging self-care actions at home. |
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Evaluation of household self-care pratice in leprosyAvaliação da prática do autocuidado domiciliar em hanseníaseHanseníaseAutocuidadoEducação em SaúdeLeprosySelf CareHealth EducationThis study aimed at determining whether individuals affected by leprosy properly performed self-care practice and its possible interfering factors. It is a documental, observational and descriptive study of household survey. The sample was composed of eleven patients evaluated during one year in a municipality with 120.000 inhabitants in SP state. Clinical data and prescription care records were obtained from the medical files. The interview and observation of self-care practices were held at home. The participants were asked to identify the problems resulting from the disease, to demonstrate which, how and when they performed the necessary self-care, which was classified as: held properly, held partially or not performed. The study was approved by the Committee of Ethics in Research (Nº 06/2007). Among the five individuals who presented grade 2 disability, three partially performed and two did not perform self-care. They demonstrated difficulties in accepting the physical involvement and in incorporating the daily practices for multiple causes factors, so did those individuals with grade 1disability. The need of maintaining labor activities, with full-time exposure to physical trauma, can lead to concealment of the disease, either for themselves or for the society. It may also hinder self-care actions, either by lack of time or for not accepting the disease. The paternalistic, fragmenting and mechanical model of health care leads to a tendency of patients to rely on institutional services, deconstructing the autonomy and individual responsibility for their general health status, discouraging self-care actions at home.O objetivo deste estudo foi verificar se indivíduos acometidos pela hanseníase realizavam adequadamente a prática do autocuidado e possíveis fatores interferentes. Trata-se de um estudo documental, observacional e descritivo de inquérito domiciliar. A amostra abrangeu todos os onze pacientes detectados durante um ano, em um município com 120.000 habitantes no interior do estado de SP. Foram coletados os dados clínicos e cuidados prescritos dos prontuários. A entrevista e a observação das práticas de autocuidado foram realizadas no domicílio. Foi solicitado aos participantes para identificarem os problemas decorrentes da doença, demonstrarem quais, como e quando faziam o autocuidado, o qual foi classificado como: realizado adequadamente, parcialmente ou não realizado. O estudo foi aprovado pelo Comitê de Ética em Pesquisa (Nº 06/2007). Dos cinco que apresentavam grau 2 de incapacidades, três realizavam parcialmente e dois não realizavam o autocuidado. Demonstraram dificuldades em aceitar o comprometimento físico e de incorporar as práticas diárias por fatores multicausal, o mesmo aconteceu com aqueles com grau 1. A necessidade da manutenção do trabalho laboral, com exposição a traumas físicos e em período integral, pode levar a ocultação da doença, seja para si ou para a sociedade, e dificultar as ações de autocuidado, tanto pela falta de tempo quanto pela não aceitação da doença. O modelo paternalista, fragmentador e mecânico da assistência em saúde, sugere uma tendência à dependência dos serviços institucionais, desconstruindo a autonomia e a responsabilidade individual sobre seu estado de saúde, desmotivando as ações do autocuidado domiciliar.Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo2014-11-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAvaliado pelos paresapplication/pdfhttps://periodicos.saude.sp.gov.br/hansenologia/article/view/3618110.47878/hi.2014.v39.36181Hansenologia Internationalis: leprosy and other infectious diseases; Vol. 39 No. 2 (2014); 27-35Hansenologia Internationalis: hanseníase e outras doenças infecciosas; v. 39 n. 2 (2014); 27-351982-5161reponame:Hansenologia Internationalis (Online)instname:Instituto Lauro de Souza Lima (ILSL)instacron:ILSLporhttps://periodicos.saude.sp.gov.br/hansenologia/article/view/36181/34489https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessGalan, Noêmi Garcia de Almeida GalanBeluci, Marli LuizMarciano, Lucia Helena Soares CamargoPrado, Renata Bilion RuizOliveira, Nagila Garcia Galan deBonini, Ariane GasparottoArakaki, Fabio RibeiroGuimarães, Gisele da Silva2023-01-18T17:30:51Zoai:ojs.periodicos.saude.sp.gov.br:article/36181Revistahttps://periodicos.saude.sp.gov.br/hansenologiaPRIhttps://periodicos.saude.sp.gov.br/hansenologia/oaihansen_int@ilsl.br || hansenologia.internationalis@gmail.com || periodicossp@saude.sp.gov.br1982-51610100-3283opendoar:2023-01-18T17:30:51Hansenologia Internationalis (Online) - Instituto Lauro de Souza Lima (ILSL)false |
dc.title.none.fl_str_mv |
Evaluation of household self-care pratice in leprosy Avaliação da prática do autocuidado domiciliar em hanseníase |
title |
Evaluation of household self-care pratice in leprosy |
spellingShingle |
Evaluation of household self-care pratice in leprosy Galan, Noêmi Garcia de Almeida Galan Hanseníase Autocuidado Educação em Saúde Leprosy Self Care Health Education |
title_short |
Evaluation of household self-care pratice in leprosy |
title_full |
Evaluation of household self-care pratice in leprosy |
title_fullStr |
Evaluation of household self-care pratice in leprosy |
title_full_unstemmed |
Evaluation of household self-care pratice in leprosy |
title_sort |
Evaluation of household self-care pratice in leprosy |
author |
Galan, Noêmi Garcia de Almeida Galan |
author_facet |
Galan, Noêmi Garcia de Almeida Galan Beluci, Marli Luiz Marciano, Lucia Helena Soares Camargo Prado, Renata Bilion Ruiz Oliveira, Nagila Garcia Galan de Bonini, Ariane Gasparotto Arakaki, Fabio Ribeiro Guimarães, Gisele da Silva |
author_role |
author |
author2 |
Beluci, Marli Luiz Marciano, Lucia Helena Soares Camargo Prado, Renata Bilion Ruiz Oliveira, Nagila Garcia Galan de Bonini, Ariane Gasparotto Arakaki, Fabio Ribeiro Guimarães, Gisele da Silva |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Galan, Noêmi Garcia de Almeida Galan Beluci, Marli Luiz Marciano, Lucia Helena Soares Camargo Prado, Renata Bilion Ruiz Oliveira, Nagila Garcia Galan de Bonini, Ariane Gasparotto Arakaki, Fabio Ribeiro Guimarães, Gisele da Silva |
dc.subject.por.fl_str_mv |
Hanseníase Autocuidado Educação em Saúde Leprosy Self Care Health Education |
topic |
Hanseníase Autocuidado Educação em Saúde Leprosy Self Care Health Education |
description |
This study aimed at determining whether individuals affected by leprosy properly performed self-care practice and its possible interfering factors. It is a documental, observational and descriptive study of household survey. The sample was composed of eleven patients evaluated during one year in a municipality with 120.000 inhabitants in SP state. Clinical data and prescription care records were obtained from the medical files. The interview and observation of self-care practices were held at home. The participants were asked to identify the problems resulting from the disease, to demonstrate which, how and when they performed the necessary self-care, which was classified as: held properly, held partially or not performed. The study was approved by the Committee of Ethics in Research (Nº 06/2007). Among the five individuals who presented grade 2 disability, three partially performed and two did not perform self-care. They demonstrated difficulties in accepting the physical involvement and in incorporating the daily practices for multiple causes factors, so did those individuals with grade 1disability. The need of maintaining labor activities, with full-time exposure to physical trauma, can lead to concealment of the disease, either for themselves or for the society. It may also hinder self-care actions, either by lack of time or for not accepting the disease. The paternalistic, fragmenting and mechanical model of health care leads to a tendency of patients to rely on institutional services, deconstructing the autonomy and individual responsibility for their general health status, discouraging self-care actions at home. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-11-30 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Avaliado pelos pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.saude.sp.gov.br/hansenologia/article/view/36181 10.47878/hi.2014.v39.36181 |
url |
https://periodicos.saude.sp.gov.br/hansenologia/article/view/36181 |
identifier_str_mv |
10.47878/hi.2014.v39.36181 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.saude.sp.gov.br/hansenologia/article/view/36181/34489 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo |
publisher.none.fl_str_mv |
Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo |
dc.source.none.fl_str_mv |
Hansenologia Internationalis: leprosy and other infectious diseases; Vol. 39 No. 2 (2014); 27-35 Hansenologia Internationalis: hanseníase e outras doenças infecciosas; v. 39 n. 2 (2014); 27-35 1982-5161 reponame:Hansenologia Internationalis (Online) instname:Instituto Lauro de Souza Lima (ILSL) instacron:ILSL |
instname_str |
Instituto Lauro de Souza Lima (ILSL) |
instacron_str |
ILSL |
institution |
ILSL |
reponame_str |
Hansenologia Internationalis (Online) |
collection |
Hansenologia Internationalis (Online) |
repository.name.fl_str_mv |
Hansenologia Internationalis (Online) - Instituto Lauro de Souza Lima (ILSL) |
repository.mail.fl_str_mv |
hansen_int@ilsl.br || hansenologia.internationalis@gmail.com || periodicossp@saude.sp.gov.br |
_version_ |
1796797580620857344 |