Adesão ao tratamento anti-retroviral por cuidadores de crianças e adolescentes soropositivos de uma Unidade de Saúde do Estado do Pará

• Autor(a) principal: BRANCO, Caroline Mota
• Data de Publicação: 2007
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UFPA
• Texto Completo: http://www.repositorio.ufpa.br:8080/jspui/handle/2011/1905
• topic: CNPQ::CIENCIAS HUMANAS::PSICOLOGIA::PSICOLOGIA EXPERIMENTAL; Cuidadores; Crianças; Adolescentes; HIV (Vírus); Agente antiviral; Pará - Estado; Amazônia brasileira; Tratamento; Síndrome de Imunodeficiência Adquirida

The adhesion to treatment has been receiving a lot of attention in Health´s Psychology these years. Studies in this area reveal that the patients who don't take part in the treatment cannot receive benefits of therapeutical intervention. The literature about adhesion in the anti-retroviral´s treatment reveals that is the caretaker who usually has the responsibility for managing soropositive children and teenager´s treatment. This study aims to describe the standard adhesion of caretakers treatment who live in the State of Pará, identifying the variables that interfere in their participation. It still reveals the types of cope strategies used to deal with the adverse conditions of soropositivity. For that, it was carried out a descriptive study, of transverse cut, with 30 caretakers, enrolled in the “Unidade de Referência Materno-infantil e Adolescente do Estado do Pará” (UREMIA), using, as instruments of data collection, an interview with caretakers - which investigated socialdemografic, clinical and psicosocial children and teenager's aspects - and the “Escala Modos of Enfrentamento de Problemas” (EMEP). Concerning to caretakers participation, it was observed that some conditions facilitated the treatment´s adhesion. Those conditions were related to varied of family organization (such as the number of people that lived in a house), to the history of treatment interruption and the self-report of caretakers about the fulfilment standard which should be emitted about the success (or failure) of the adhesion. The influence of those varied demonstrated the influence of behavior control made by rules, because the caretakers emitted the fulfillment standard classified as "adhesion" in order to avoid being in contact with the aversive consequences of the non-continuation of the treatment. Concerning to the cope strategies, it was showed a major grade for Factor 3, emphasizing the use of strategies focused on religious practices and/or imaginative thoughts. This research verified that the caretakers of the sample avoided thinking about the soropositivity problem as it is really constituted, using religious thoughts or "magic" to continue working with the daily routine of the subject coping, which involved the condition of children and teenager’s soropositivity. Based on all this data, this research suggests that more studies should be carried out in order to investigate themes related to the function of social contigences about the behavior of children and teenager’s caretakers from Pará, and also investigate aspects concerned to the diagnosis revealing.