Vulnerability and strategies for adherence to tuberculosis treatment: primary care nurses’ discourse
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
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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Revista de Enfermagem da Universidade Federal de Santa Maria |
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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 |
status_str |
publishedVersion |
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 text/html |
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) instacron:UFSM |
instname_str |
Universidade Federal de Santa Maria (UFSM) |
instacron_str |
UFSM |
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 |
_version_ |
1799944045028442112 |