Saberes de usuários com diagnóstico de hanseníase na Atenção Primária à Saúde

• Autor(a) principal: Silva, Lucimara Alves
• Data de Publicação: 2019
• Outros Autores: [e-mail]
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/17955
• topic: Lepra; Atención primaria de salud; Programa Municipal de lepra; Leprosy; Primary Health Care; Municipal Leprosy Program; Hanseníase; Atenção Primária à Saúde; Programa Municipal de Hanseníase; CIENCIAS DA SAUDE::ENFERMAGEM::ENFERMAGEM DE SAUDE PUBLICA

Leprosy, secular disease, still challenges and moves mankind to control it globally. Despite having been eliminated in several regions of the world, it remains as a serious problem in other regions. Brazil as being only second to India in notifying new cases. The main strategy for Leprosy control has been the launching of the multidrug therapy by the World Health Organization. This has been a successful strategy, but it has not managed to carry out the medium-term elimination of the disease, thus pointing to other disease-related features that play a role in this process and have not yet been unveiled. This current study aimed at analyzing the knowledge of primary health care users diagnosed with Leprosy. It has also analyzed what they actually know about it, and what has not yet been incorporated in their care by the Municipal Leprosy Control Program, and how this may help those affected by the disease in approaching the diagnosis and treatment. Knowing what it is and what keeps them away from it, is empowering in this process, it may reduce the gaps between Hansen Disease and the program. It is a qualitative research accomplished in the APS of the Municipality of Eunápolis, Bahia, having been adopted as technique for data collection the semi-structured interview and social-demographic survey. 14 interviews were accomplished with Hansen Disease diagnosed users. Data collection took place between September through December, 2017. To carry out treatment and data analysis is has been used the technique of Thematic-Categorical Content Analysis. It has been verified that the lack of knowledge about the disease and the health professionals’ difficulties in performing definitive diagnosis has compromised the control of the disease. Multidrug therapy-related side-effects were also analyzed, along with beliefs surrounding the disease, the lack of bonds of trust in the relationship between users, family and health care teams, and the apparent improvement of signs and symptoms, after the beginning of the referred therapy have contributed to treatment irregularity and its abandonment. It has been concluded that the access to a Primary Care Facility for the Hansen Disease program adherence, has stimulated users in taking part with the Family Health Care. It has been realised that it is difficult to live with the disease without family support, and that the lack of formal education makes it difficult for the fluency of communication among health professionals and users, about the disease and treatment. Until the time of diagnosis, many were unaware of the disease and that some still preferred to hide the diagnosis, and so, the psychological support is important to help them to maintain their self-esteem raised, and to perform treatment and to stimulate autonomy and integration between users and close people who collaborate in the treatment. It has been recommended, that the Municipality managers, and Municipality coordinators of Leprosy Control Programs, along with the support of the National and State Leprosy Program, perform local planning through partnerships with the civil society's nongovernmental organizations, universities and federal institutes of education, towards contributing to strengthening integral care to these users, as well as to support them both emotionally and socially.