Vulnerability and strategies for adherence to tuberculosis treatment: primary care nurses’ discourse

Detalhes bibliográficos
Autor(a) principal: Barros, Jonh Jorge Costa
Data de Publicação: 2021
Outros Autores: Oliveira, Aliéren Honório, Cavalcante, Jeane Lima, Muniz, Tacyla Geyce Freire, Pereira, Maria Lúcia Duarte, Cavalcante, Edilma Gomes Rocha
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista de Enfermagem da Universidade Federal de Santa Maria
Texto Completo: http://periodicos.ufsm.br/reufsm/article/view/62654
Resumo: Objective: to identify nurses' strategies to enhance adherence of patients on tuberculosis treatment in the face of their vulnerabilities to dropout. Method: a descriptive study of qualitative approach, carried out with 13 nurses from Primary Health Care in a municipality of Ceará, Brazil. Semi-structured interviews were used and submitted to the Collective Subject Discourse technique. Result: the vulnerabilities to dropout were: health conditions; behavioral aspects; lack of housing, money, and family support; and lack of encouragement from health professionals. The strategies to enhance adherence were: health education; welcoming and co-responsibility; search for absentees, monitoring of tests and treatment adherence, and interdisciplinarity and intersectoriality. Conclusion: the nurses used strategies to enhance treatment adherence focusing on the care and educational dimensions in face of the patients' vulnerabilities. Need to expand the strategy of directly observed treatment to reduce dropout.
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spelling Vulnerability and strategies for adherence to tuberculosis treatment: primary care nurses’ discourseVulnerabilidade e estratégias de adesão ao tratamento da tuberculose: discurso dos enfermeiros da atenção primáriaTuberculosisMedication adherenceCommunity health nursingPrimary health careNursing careTuberculoseAdesão ao MedicamentoEnfermagem em Saúde ComunitáriaObjective: to identify nurses' strategies to enhance adherence of patients on tuberculosis treatment in the face of their vulnerabilities to dropout. Method: a descriptive study of qualitative approach, carried out with 13 nurses from Primary Health Care in a municipality of Ceará, Brazil. Semi-structured interviews were used and submitted to the Collective Subject Discourse technique. Result: the vulnerabilities to dropout were: health conditions; behavioral aspects; lack of housing, money, and family support; and lack of encouragement from health professionals. The strategies to enhance adherence were: health education; welcoming and co-responsibility; search for absentees, monitoring of tests and treatment adherence, and interdisciplinarity and intersectoriality. Conclusion: the nurses used strategies to enhance treatment adherence focusing on the care and educational dimensions in face of the patients' vulnerabilities. Need to expand the strategy of directly observed treatment to reduce dropout.Objetivo: identificar as estratégias dos enfermeiros para potencializar a adesão de pacientes em tratamento de tuberculose diante de suas vulnerabilidades ao abandono. Método: estudo descritivo de abordagem qualitativa, realizado com 13 enfermeiros da Atenção Primária à Saúde de um município do Ceará, Brasil. Utilizou-se entrevista semiestrutura que foram submetidas à técnica do Discurso do Sujeito Coletivo, de dezembro/2014 a março/2015. Resultado: as vulnerabilidades ao abandono foram: condições de saúde; aspectos comportamentais; falta de moradia, dinheiro e apoio familiar e falta de incentivo dos profissionais de saúde. As estratégias para potencializar a adesão forma: educação em saúde; acolhimento e corresponsabilidade; busca de faltosos, monitoramento de exames e da adesão ao tratamento e, interdisciplinaridade e intersetorialidade. Conclusão: os enfermeiros utilizaram estratégias para potencializar a adesão ao tratamento com foco nas dimensões assistências e educacionais diante às vulnerabilidades dos pacientes. Necessitando ampliar a estratégia do tratamento diretamente observado para redução do abandono.Universidade Federal de Santa Maria2021-08-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdftext/htmltext/htmlhttp://periodicos.ufsm.br/reufsm/article/view/6265410.5902/2179769262654Revista de Enfermagem da UFSM; v. 11 (2021); e612179-7692reponame:Revista de Enfermagem da Universidade Federal de Santa Mariainstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSMporenghttp://periodicos.ufsm.br/reufsm/article/view/62654/pdfhttp://periodicos.ufsm.br/reufsm/article/view/62654/pdf_1http://periodicos.ufsm.br/reufsm/article/view/62654/htmlhttp://periodicos.ufsm.br/reufsm/article/view/62654/html_1Copyright (c) 2021 Revista de Enfermagem da UFSMinfo:eu-repo/semantics/openAccessBarros, Jonh Jorge CostaOliveira, Aliéren HonórioCavalcante, Jeane LimaMuniz, Tacyla Geyce FreirePereira, Maria Lúcia DuarteCavalcante, Edilma Gomes Rocha2021-12-02T12:44:43Zoai:ojs.pkp.sfu.ca:article/62654Revistahttps://periodicos.ufsm.br/reufsmPUBhttp://cascavel.ufsm.br/revistas/ojs-2.2.2/index.php/reufsm/oaicentraldeperiodicos@ufsm.br||reufsm@gmail.com2179-76922179-7692opendoar:2021-12-02T12:44:43Revista de Enfermagem da Universidade Federal de Santa Maria - Universidade Federal de Santa Maria (UFSM)false
dc.title.none.fl_str_mv Vulnerability and strategies for adherence to tuberculosis treatment: primary care nurses’ discourse
Vulnerabilidade e estratégias de adesão ao tratamento da tuberculose: discurso dos enfermeiros da atenção primária
title Vulnerability and strategies for adherence to tuberculosis treatment: primary care nurses’ discourse
spellingShingle Vulnerability and strategies for adherence to tuberculosis treatment: primary care nurses’ discourse
Barros, Jonh Jorge Costa
Tuberculosis
Medication adherence
Community health nursing
Primary health care
Nursing care
Tuberculose
Adesão ao Medicamento
Enfermagem em Saúde Comunitária
title_short Vulnerability and strategies for adherence to tuberculosis treatment: primary care nurses’ discourse
title_full Vulnerability and strategies for adherence to tuberculosis treatment: primary care nurses’ discourse
title_fullStr Vulnerability and strategies for adherence to tuberculosis treatment: primary care nurses’ discourse
title_full_unstemmed Vulnerability and strategies for adherence to tuberculosis treatment: primary care nurses’ discourse
title_sort Vulnerability and strategies for adherence to tuberculosis treatment: primary care nurses’ discourse
author Barros, Jonh Jorge Costa
author_facet Barros, Jonh Jorge Costa
Oliveira, Aliéren Honório
Cavalcante, Jeane Lima
Muniz, Tacyla Geyce Freire
Pereira, Maria Lúcia Duarte
Cavalcante, Edilma Gomes Rocha
author_role author
author2 Oliveira, Aliéren Honório
Cavalcante, Jeane Lima
Muniz, Tacyla Geyce Freire
Pereira, Maria Lúcia Duarte
Cavalcante, Edilma Gomes Rocha
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Barros, Jonh Jorge Costa
Oliveira, Aliéren Honório
Cavalcante, Jeane Lima
Muniz, Tacyla Geyce Freire
Pereira, Maria Lúcia Duarte
Cavalcante, Edilma Gomes Rocha
dc.subject.por.fl_str_mv Tuberculosis
Medication adherence
Community health nursing
Primary health care
Nursing care
Tuberculose
Adesão ao Medicamento
Enfermagem em Saúde Comunitária
topic Tuberculosis
Medication adherence
Community health nursing
Primary health care
Nursing care
Tuberculose
Adesão ao Medicamento
Enfermagem em Saúde Comunitária
description Objective: to identify nurses' strategies to enhance adherence of patients on tuberculosis treatment in the face of their vulnerabilities to dropout. Method: a descriptive study of qualitative approach, carried out with 13 nurses from Primary Health Care in a municipality of Ceará, Brazil. Semi-structured interviews were used and submitted to the Collective Subject Discourse technique. Result: the vulnerabilities to dropout were: health conditions; behavioral aspects; lack of housing, money, and family support; and lack of encouragement from health professionals. The strategies to enhance adherence were: health education; welcoming and co-responsibility; search for absentees, monitoring of tests and treatment adherence, and interdisciplinarity and intersectoriality. Conclusion: the nurses used strategies to enhance treatment adherence focusing on the care and educational dimensions in face of the patients' vulnerabilities. Need to expand the strategy of directly observed treatment to reduce dropout.
publishDate 2021
dc.date.none.fl_str_mv 2021-08-12
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
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dc.identifier.uri.fl_str_mv http://periodicos.ufsm.br/reufsm/article/view/62654
10.5902/2179769262654
url http://periodicos.ufsm.br/reufsm/article/view/62654
identifier_str_mv 10.5902/2179769262654
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv http://periodicos.ufsm.br/reufsm/article/view/62654/pdf
http://periodicos.ufsm.br/reufsm/article/view/62654/pdf_1
http://periodicos.ufsm.br/reufsm/article/view/62654/html
http://periodicos.ufsm.br/reufsm/article/view/62654/html_1
dc.rights.driver.fl_str_mv Copyright (c) 2021 Revista de Enfermagem da UFSM
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2021 Revista de Enfermagem da UFSM
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
text/html
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dc.publisher.none.fl_str_mv Universidade Federal de Santa Maria
publisher.none.fl_str_mv Universidade Federal de Santa Maria
dc.source.none.fl_str_mv Revista de Enfermagem da UFSM; v. 11 (2021); e61
2179-7692
reponame:Revista de Enfermagem da Universidade Federal de Santa Maria
instname:Universidade Federal de Santa Maria (UFSM)
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instname_str Universidade Federal de Santa Maria (UFSM)
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institution UFSM
reponame_str Revista de Enfermagem da Universidade Federal de Santa Maria
collection Revista de Enfermagem da Universidade Federal de Santa Maria
repository.name.fl_str_mv Revista de Enfermagem da Universidade Federal de Santa Maria - Universidade Federal de Santa Maria (UFSM)
repository.mail.fl_str_mv centraldeperiodicos@ufsm.br||reufsm@gmail.com
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