The Hansen’s disease and its diagnostic process
Autor(a) principal: | |
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Data de Publicação: | 2007 |
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/35185 |
Resumo: | The early diagnosis of Hansen’s disease is one the essential conditions for the disease control. This study has as an objective to identify on the report of the Hansen’s disease carriers the main problems faced to the early diagnosis of the disease. Qualitative methodology was employed with analysis of semi-structured interviews made with carriers in the Sanitary dermatology ambulatory – CISAM, Recife – PE. 21 patients were interviewed aged within 9 and 73 years old. Most of them presented late diagnosis of the disease. The situations that delivered to this were grouped in 4 categories for analysis: Hansen’s disease stigma, being-ill perception, knowledge about the disease, the health assistance search. The last category was the most occurred, where patients took until 3 years from the first health service search to the diagnosis. Four patients had only noticed traces of the disease when it was already transmissible, others had no or precarious knowledge about the Hansen’s disease and delayed the health service search. Hansen’s disease must be diagnosed in its undetermined initial phase due to interrupt the “transmission chain” and avoid the evolution to more critical cases. So, the population must know the traces and symptoms of the disease and be motivated to look for the health service, which must be prepared with qualified professionals. |
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The Hansen’s disease and its diagnostic processA hanseníase e o seu processo diagnóstico*hanseníasediagnósticopacienteHansen’s diseasediagnosiscarrierThe early diagnosis of Hansen’s disease is one the essential conditions for the disease control. This study has as an objective to identify on the report of the Hansen’s disease carriers the main problems faced to the early diagnosis of the disease. Qualitative methodology was employed with analysis of semi-structured interviews made with carriers in the Sanitary dermatology ambulatory – CISAM, Recife – PE. 21 patients were interviewed aged within 9 and 73 years old. Most of them presented late diagnosis of the disease. The situations that delivered to this were grouped in 4 categories for analysis: Hansen’s disease stigma, being-ill perception, knowledge about the disease, the health assistance search. The last category was the most occurred, where patients took until 3 years from the first health service search to the diagnosis. Four patients had only noticed traces of the disease when it was already transmissible, others had no or precarious knowledge about the Hansen’s disease and delayed the health service search. Hansen’s disease must be diagnosed in its undetermined initial phase due to interrupt the “transmission chain” and avoid the evolution to more critical cases. So, the population must know the traces and symptoms of the disease and be motivated to look for the health service, which must be prepared with qualified professionals.Este estudo tem como objetivo identificar nos relatos de pacientes de hanseníase as principais dificuldades sentidas para obtenção do diagnóstico da doença. Utilizou-se uma abordagem qualitativa com análise de entrevistas semi-estruturadas feitas aos portadores de hanseníase no ambulatório de Dermatologia Sanitária do Centro Integrado de Saúde Amaury de Medeiros, Recife-PE. Entrevistaram-se 21 pacientes, entre 9 a 73 anos, no período de dezembro de 2004 a janeiro de 2005. A maioria dos entrevistados apresentou diagnóstico tardio da doença. Da análise do conteúdo emergiram quatro categorias: estigma da hanseníase, percepção de estar doente, conhecimento sobre a doença e baixa resolutividade do serviço. Sentimentos de medo, rejeição e negação da doença dificultaram o diagnóstico precoce de um dos entrevistados. Uma parte dos entrevistados só percebeu algum sinal da doença quando já apresentavam a doença nas formas clínicas polarizadas e transmissíveis. Outros, por desconhecimento ou conhecerem de forma limitada a doença retardaram a procura ao serviço. A maioria considerou que o diagnóstico tardio estava relacionado, sobretudo à baixa resolutividade do serviço na confirmação dos casos. Alguns demoraram cerca de 3 anos desde a primeira procura ao serviço até o diagnóstico. O estudo revelou que as dificuldades que os entrevistados encontraram para o diagnóstico da hanseníase estavam relacionadas ao estigma, a não percepção, ao desconhecimento ou conhecimento limitado da doença e a procura ao serviço. Os resultados sugerem que, o estigma da doença ainda persiste no imaginário da população, a qual apresenta um desconhecimento sobre as características da doença. O resultado mais preocupante se refere à qualificação dos profissionais no diagnóstico da enfermidade.Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo2007-06-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAvaliado pelos paresapplication/pdfhttps://periodicos.saude.sp.gov.br/hansenologia/article/view/3518510.47878/hi.2007.v32.35185Hansenologia Internationalis: leprosy and other infectious diseases; Vol. 32 No. 1 (2007); 19-26Hansenologia Internationalis: hanseníase e outras doenças infecciosas; v. 32 n. 1 (2007); 19-261982-5161reponame:Hansenologia Internationalis (Online)instname:Instituto Lauro de Souza Lima (ILSL)instacron:ILSLporhttps://periodicos.saude.sp.gov.br/hansenologia/article/view/35185/33654Santos, Danielle Christine Moura dosNascimento, Raphaela Delmondes doGregório, Vera Rejane do NascimentoSilva, Maria Rejane Ferreira dainfo:eu-repo/semantics/openAccess2021-05-19T21:26:13Zoai:ojs.periodicos.saude.sp.gov.br:article/35185Revistahttps://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:2021-05-19T21:26:13Hansenologia Internationalis (Online) - Instituto Lauro de Souza Lima (ILSL)false |
dc.title.none.fl_str_mv |
The Hansen’s disease and its diagnostic process A hanseníase e o seu processo diagnóstico* |
title |
The Hansen’s disease and its diagnostic process |
spellingShingle |
The Hansen’s disease and its diagnostic process Santos, Danielle Christine Moura dos hanseníase diagnóstico paciente Hansen’s disease diagnosis carrier |
title_short |
The Hansen’s disease and its diagnostic process |
title_full |
The Hansen’s disease and its diagnostic process |
title_fullStr |
The Hansen’s disease and its diagnostic process |
title_full_unstemmed |
The Hansen’s disease and its diagnostic process |
title_sort |
The Hansen’s disease and its diagnostic process |
author |
Santos, Danielle Christine Moura dos |
author_facet |
Santos, Danielle Christine Moura dos Nascimento, Raphaela Delmondes do Gregório, Vera Rejane do Nascimento Silva, Maria Rejane Ferreira da |
author_role |
author |
author2 |
Nascimento, Raphaela Delmondes do Gregório, Vera Rejane do Nascimento Silva, Maria Rejane Ferreira da |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Santos, Danielle Christine Moura dos Nascimento, Raphaela Delmondes do Gregório, Vera Rejane do Nascimento Silva, Maria Rejane Ferreira da |
dc.subject.por.fl_str_mv |
hanseníase diagnóstico paciente Hansen’s disease diagnosis carrier |
topic |
hanseníase diagnóstico paciente Hansen’s disease diagnosis carrier |
description |
The early diagnosis of Hansen’s disease is one the essential conditions for the disease control. This study has as an objective to identify on the report of the Hansen’s disease carriers the main problems faced to the early diagnosis of the disease. Qualitative methodology was employed with analysis of semi-structured interviews made with carriers in the Sanitary dermatology ambulatory – CISAM, Recife – PE. 21 patients were interviewed aged within 9 and 73 years old. Most of them presented late diagnosis of the disease. The situations that delivered to this were grouped in 4 categories for analysis: Hansen’s disease stigma, being-ill perception, knowledge about the disease, the health assistance search. The last category was the most occurred, where patients took until 3 years from the first health service search to the diagnosis. Four patients had only noticed traces of the disease when it was already transmissible, others had no or precarious knowledge about the Hansen’s disease and delayed the health service search. Hansen’s disease must be diagnosed in its undetermined initial phase due to interrupt the “transmission chain” and avoid the evolution to more critical cases. So, the population must know the traces and symptoms of the disease and be motivated to look for the health service, which must be prepared with qualified professionals. |
publishDate |
2007 |
dc.date.none.fl_str_mv |
2007-06-30 |
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/35185 10.47878/hi.2007.v32.35185 |
url |
https://periodicos.saude.sp.gov.br/hansenologia/article/view/35185 |
identifier_str_mv |
10.47878/hi.2007.v32.35185 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.saude.sp.gov.br/hansenologia/article/view/35185/33654 |
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. 32 No. 1 (2007); 19-26 Hansenologia Internationalis: hanseníase e outras doenças infecciosas; v. 32 n. 1 (2007); 19-26 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_ |
1796797578872881152 |