The Hansen’s disease and its diagnostic process

Detalhes bibliográficos
Autor(a) principal: Santos, Danielle Christine Moura dos
Data de Publicação: 2007
Outros Autores: Nascimento, Raphaela Delmondes do, Gregório, Vera Rejane do Nascimento, Silva, Maria Rejane Ferreira da
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.
id ILSL-1_b8faef928f6f94ed307f942f881e5c69
oai_identifier_str oai:ojs.periodicos.saude.sp.gov.br:article/35185
network_acronym_str ILSL-1
network_name_str Hansenologia Internationalis (Online)
repository_id_str
spelling 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