The prevalence of physical disabilities of leprosy after discharge in municipalities that have reached the elimination goal

Detalhes bibliográficos
Autor(a) principal: Vieira, Carmen Silvia de Campos Almeida
Data de Publicação: 2016
Outros Autores: Mariano, Maria Luiza Lobato, Silva, Eliete Maria
Tipo de documento: Artigo
Idioma: por
Título da fonte: Hansenologia Internationalis (Online)
DOI: 10.47878/hi.2016.v41.34980
Texto Completo: https://periodicos.saude.sp.gov.br/hansenologia/article/view/34980
Resumo: Introduction: The World Health Organization recommends the degree of disability as an evaluation tool, to propose actions for prevention, monitoring and treatment of physical harm caused by leprosy. Objective: This study aimed to compare the degree of disability at diagnosis, discharge and post-discharge of individuals who have had leprosy. Methods: ecological, analytical study of 126 individuals diagnosed in the period 2004-2013 using: simplified neurological assessment form and classification of the degree of physical disability and form prepared by researcher. In the data analysis. Results: Mean age 56.02 years, and 73.01% multibacillary, with a predominance of form dimorphic (36.80%). It was, in the diagnosis, high percentage (63.49%) of individuals who have had disability (grade 1 and 2).The comparison between diagnosis and postdischarge showed worsening physical, especially in multibacillary, with percentage (51.59%) of leprosy reactions during treatment. Of the total sample, 61 (48.41%) maintained the same level of disability, 44 (34.92%) got worse and 21 (16.67%) improved. Lower limbs were the most affected (58%). Conclusion: The study shows that, when making the comparison in the diagnosis and post-discharge, worsening of disabilities, especially in multibacillary, and the lower limbs segments that have most significant evolution of the degree of disability.
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spelling The prevalence of physical disabilities of leprosy after discharge in municipalities that have reached the elimination goal A prevalência das deficiências físicas da hanseníase após alta medicamentosa em municípios que alcançaram a meta de eliminação HanseníasePessoas com DeficiênciaLeprosyDisabled PersonEpidemiologyIntroduction: The World Health Organization recommends the degree of disability as an evaluation tool, to propose actions for prevention, monitoring and treatment of physical harm caused by leprosy. Objective: This study aimed to compare the degree of disability at diagnosis, discharge and post-discharge of individuals who have had leprosy. Methods: ecological, analytical study of 126 individuals diagnosed in the period 2004-2013 using: simplified neurological assessment form and classification of the degree of physical disability and form prepared by researcher. In the data analysis. Results: Mean age 56.02 years, and 73.01% multibacillary, with a predominance of form dimorphic (36.80%). It was, in the diagnosis, high percentage (63.49%) of individuals who have had disability (grade 1 and 2).The comparison between diagnosis and postdischarge showed worsening physical, especially in multibacillary, with percentage (51.59%) of leprosy reactions during treatment. Of the total sample, 61 (48.41%) maintained the same level of disability, 44 (34.92%) got worse and 21 (16.67%) improved. Lower limbs were the most affected (58%). Conclusion: The study shows that, when making the comparison in the diagnosis and post-discharge, worsening of disabilities, especially in multibacillary, and the lower limbs segments that have most significant evolution of the degree of disability.Introdução: A Organização Mundial da Saúde preconiza o grau de incapacidade como instrumento de avaliação, para propor ações de prevenção, monitoramento e tratamento do dano físico causado pela Hanseníase. Objetivo: comparar o grau de deficiência física no diagnóstico, alta e pós-alta de indivíduos que tiveram hanseníase. Métodos: Estudo ecológico, analítico com 126 indivíduos, diagnosticados no período 2004-2013, utilizando: formulário de avaliação neurológica simplificada, classificação do grau de incapacidades físicas e formulário elaborado pela pesquisadora. Resultados: Média de idade 56,02 anos, sendo 73,01% multibacilares, com predomínio da forma dimorfa (36,80%). Verificou-se, no diagnóstico, percentual elevado (63,49%) de indivíduos que já apresentavam deficiência física (grau 1 e 2). A comparação entre diagnóstico e pós-alta demonstrou piora das deficiências físicas, principalmente nos multibacilares, com percentual (51,59%) de reação hansênica durante o tratamento. Do total da amostra, 61 (48,41%) mantiveram o mesmo grau de incapacidade, 44 (34,92%) pioraram e 21 (16,67%) melhoraram. Membros inferiores foram os mais acometidos (58%). Conclusão: O estudo permite concluir que, ao realizar a comparação nos momentos do diagnóstico e pós-alta, houve piora das deficiências físicas, principalmente na forma multibacilar, sendo os membros inferiores os segmentos que mais apresentam evolução expressiva do grau de deficiência.Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo2016-11-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAvaliado pelos paresapplication/pdfhttps://periodicos.saude.sp.gov.br/hansenologia/article/view/3498010.47878/hi.2016.v41.34980Hansenologia Internationalis: leprosy and other infectious diseases; Vol. 41 No. 1/2 (2016); 46-54Hansenologia Internationalis: hanseníase e outras doenças infecciosas; v. 41 n. 1/2 (2016); 46-541982-5161reponame:Hansenologia Internationalis (Online)instname:Instituto Lauro de Souza Lima (ILSL)instacron:ILSLporhttps://periodicos.saude.sp.gov.br/hansenologia/article/view/34980/33476Vieira, Carmen Silvia de Campos AlmeidaMariano, Maria Luiza LobatoSilva, Eliete Mariainfo:eu-repo/semantics/openAccess2021-06-04T01:51:18Zoai:ojs.periodicos.saude.sp.gov.br:article/34980Revistahttps://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:2021-06-04T01:51:18Hansenologia Internationalis (Online) - Instituto Lauro de Souza Lima (ILSL)false
dc.title.none.fl_str_mv The prevalence of physical disabilities of leprosy after discharge in municipalities that have reached the elimination goal
A prevalência das deficiências físicas da hanseníase após alta medicamentosa em municípios que alcançaram a meta de eliminação
title The prevalence of physical disabilities of leprosy after discharge in municipalities that have reached the elimination goal
spellingShingle The prevalence of physical disabilities of leprosy after discharge in municipalities that have reached the elimination goal
The prevalence of physical disabilities of leprosy after discharge in municipalities that have reached the elimination goal
Vieira, Carmen Silvia de Campos Almeida
Hanseníase
Pessoas com Deficiência
Leprosy
Disabled Person
Epidemiology
Vieira, Carmen Silvia de Campos Almeida
Hanseníase
Pessoas com Deficiência
Leprosy
Disabled Person
Epidemiology
title_short The prevalence of physical disabilities of leprosy after discharge in municipalities that have reached the elimination goal
title_full The prevalence of physical disabilities of leprosy after discharge in municipalities that have reached the elimination goal
title_fullStr The prevalence of physical disabilities of leprosy after discharge in municipalities that have reached the elimination goal
The prevalence of physical disabilities of leprosy after discharge in municipalities that have reached the elimination goal
title_full_unstemmed The prevalence of physical disabilities of leprosy after discharge in municipalities that have reached the elimination goal
The prevalence of physical disabilities of leprosy after discharge in municipalities that have reached the elimination goal
title_sort The prevalence of physical disabilities of leprosy after discharge in municipalities that have reached the elimination goal
author Vieira, Carmen Silvia de Campos Almeida
author_facet Vieira, Carmen Silvia de Campos Almeida
Vieira, Carmen Silvia de Campos Almeida
Mariano, Maria Luiza Lobato
Silva, Eliete Maria
Mariano, Maria Luiza Lobato
Silva, Eliete Maria
author_role author
author2 Mariano, Maria Luiza Lobato
Silva, Eliete Maria
author2_role author
author
dc.contributor.author.fl_str_mv Vieira, Carmen Silvia de Campos Almeida
Mariano, Maria Luiza Lobato
Silva, Eliete Maria
dc.subject.por.fl_str_mv Hanseníase
Pessoas com Deficiência
Leprosy
Disabled Person
Epidemiology
topic Hanseníase
Pessoas com Deficiência
Leprosy
Disabled Person
Epidemiology
description Introduction: The World Health Organization recommends the degree of disability as an evaluation tool, to propose actions for prevention, monitoring and treatment of physical harm caused by leprosy. Objective: This study aimed to compare the degree of disability at diagnosis, discharge and post-discharge of individuals who have had leprosy. Methods: ecological, analytical study of 126 individuals diagnosed in the period 2004-2013 using: simplified neurological assessment form and classification of the degree of physical disability and form prepared by researcher. In the data analysis. Results: Mean age 56.02 years, and 73.01% multibacillary, with a predominance of form dimorphic (36.80%). It was, in the diagnosis, high percentage (63.49%) of individuals who have had disability (grade 1 and 2).The comparison between diagnosis and postdischarge showed worsening physical, especially in multibacillary, with percentage (51.59%) of leprosy reactions during treatment. Of the total sample, 61 (48.41%) maintained the same level of disability, 44 (34.92%) got worse and 21 (16.67%) improved. Lower limbs were the most affected (58%). Conclusion: The study shows that, when making the comparison in the diagnosis and post-discharge, worsening of disabilities, especially in multibacillary, and the lower limbs segments that have most significant evolution of the degree of disability.
publishDate 2016
dc.date.none.fl_str_mv 2016-11-30
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/34980
10.47878/hi.2016.v41.34980
url https://periodicos.saude.sp.gov.br/hansenologia/article/view/34980
identifier_str_mv 10.47878/hi.2016.v41.34980
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://periodicos.saude.sp.gov.br/hansenologia/article/view/34980/33476
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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. 41 No. 1/2 (2016); 46-54
Hansenologia Internationalis: hanseníase e outras doenças infecciosas; v. 41 n. 1/2 (2016); 46-54
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_ 1822182094083719168
dc.identifier.doi.none.fl_str_mv 10.47878/hi.2016.v41.34980

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