Representations on adherence to the treatment of Multidrug-Resistant Tuberculosis
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Revista da Escola de Enfermagem da USP (Online) |
Texto Completo: | https://www.revistas.usp.br/reeusp/article/view/155249 |
Resumo: | Objective: To identify representations regarding adherence to the treatment of multidrug-resistant tuberculosis from the perspective of patients who were discharged upon being cured. Method: A qualitative study with patients who completed the drug treatment for multidrug-resistant tuberculosis in São Paulo. Social Determination was used to interpret the health-disease process, and the testimonies were analyzed according to dialectical hermeneutics and the discourse analysis technique. Results: Twenty-one patients were interviewed. The majority (80.9%) were men, in the productive age group (90.4%) and on sick leave or unemployed (57.2%) during the treatment. Based on the testimonies, three categories associated with adherence to treatment emerged: the desire to live, support for the development of treatment and care provided by the health services. Conclusion: For the study sample, adherence to the treatment of multidrug-resistant tuberculosis was related to having a life project and support from the family and health professionals. Free treatment is fundamental for adherence, given the fragilities arising from the social insertion of people affected by the disease. Therefore, special attention is required from the health services to understand patient needs. |
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Revista da Escola de Enfermagem da USP (Online) |
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Representations on adherence to the treatment of Multidrug-Resistant TuberculosisRepresentaciones sobre la adhesión al tratamiento de la Tuberculosis Multidroga ResistenteRepresentações sobre a adesão ao tratamento da Tuberculose Multidroga ResistenteTuberculosisMultidrug-ResistantMedication AdherenceHealth Services AccessibilityPublic Health NursingTuberculosisMultidrug-ResistantMedication AdherenceHealth Services AccessibilityPublic Health NursingTuberculosisMultidrug-ResistantMedication AdherenceHealth Services AccessibilityPublic Health NursingObjective: To identify representations regarding adherence to the treatment of multidrug-resistant tuberculosis from the perspective of patients who were discharged upon being cured. Method: A qualitative study with patients who completed the drug treatment for multidrug-resistant tuberculosis in São Paulo. Social Determination was used to interpret the health-disease process, and the testimonies were analyzed according to dialectical hermeneutics and the discourse analysis technique. Results: Twenty-one patients were interviewed. The majority (80.9%) were men, in the productive age group (90.4%) and on sick leave or unemployed (57.2%) during the treatment. Based on the testimonies, three categories associated with adherence to treatment emerged: the desire to live, support for the development of treatment and care provided by the health services. Conclusion: For the study sample, adherence to the treatment of multidrug-resistant tuberculosis was related to having a life project and support from the family and health professionals. Free treatment is fundamental for adherence, given the fragilities arising from the social insertion of people affected by the disease. Therefore, special attention is required from the health services to understand patient needs.Universidade de São Paulo. Escola de Enfermagem2019-02-27info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/reeusp/article/view/15524910.1590/s1980-220x2018010303412Revista da Escola de Enfermagem da USP; v. 52 (2018); e03412Revista da Escola de Enfermagem da USP; Vol. 52 (2018); e03412Revista da Escola de Enfermagem da USP; Vol. 52 (2018); e034121980-220X0080-6234reponame:Revista da Escola de Enfermagem da USP (Online)instname:Universidade de São Paulo (USP)instacron:USPengporhttps://www.revistas.usp.br/reeusp/article/view/155249/151061https://www.revistas.usp.br/reeusp/article/view/155249/151062http://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessFerreira, Kuitéria RibeiroOrlandi, Giovanna MariahSilva, Talina Carla daBertolozzi, Maria RitaFrança, Francisco Oscar de SiqueiraBender, Amy2019-02-27T14:44:28Zoai:revistas.usp.br:article/155249Revistahttps://www.revistas.usp.br/reeuspPUBhttps://www.revistas.usp.br/reeusp/oai||nursingscholar@usp.br1980-220X0080-6234opendoar:2019-02-27T14:44:28Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Representations on adherence to the treatment of Multidrug-Resistant Tuberculosis Representaciones sobre la adhesión al tratamiento de la Tuberculosis Multidroga Resistente Representações sobre a adesão ao tratamento da Tuberculose Multidroga Resistente |
title |
Representations on adherence to the treatment of Multidrug-Resistant Tuberculosis |
spellingShingle |
Representations on adherence to the treatment of Multidrug-Resistant Tuberculosis Ferreira, Kuitéria Ribeiro Tuberculosis Multidrug-Resistant Medication Adherence Health Services Accessibility Public Health Nursing Tuberculosis Multidrug-Resistant Medication Adherence Health Services Accessibility Public Health Nursing Tuberculosis Multidrug-Resistant Medication Adherence Health Services Accessibility Public Health Nursing |
title_short |
Representations on adherence to the treatment of Multidrug-Resistant Tuberculosis |
title_full |
Representations on adherence to the treatment of Multidrug-Resistant Tuberculosis |
title_fullStr |
Representations on adherence to the treatment of Multidrug-Resistant Tuberculosis |
title_full_unstemmed |
Representations on adherence to the treatment of Multidrug-Resistant Tuberculosis |
title_sort |
Representations on adherence to the treatment of Multidrug-Resistant Tuberculosis |
author |
Ferreira, Kuitéria Ribeiro |
author_facet |
Ferreira, Kuitéria Ribeiro Orlandi, Giovanna Mariah Silva, Talina Carla da Bertolozzi, Maria Rita França, Francisco Oscar de Siqueira Bender, Amy |
author_role |
author |
author2 |
Orlandi, Giovanna Mariah Silva, Talina Carla da Bertolozzi, Maria Rita França, Francisco Oscar de Siqueira Bender, Amy |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Ferreira, Kuitéria Ribeiro Orlandi, Giovanna Mariah Silva, Talina Carla da Bertolozzi, Maria Rita França, Francisco Oscar de Siqueira Bender, Amy |
dc.subject.por.fl_str_mv |
Tuberculosis Multidrug-Resistant Medication Adherence Health Services Accessibility Public Health Nursing Tuberculosis Multidrug-Resistant Medication Adherence Health Services Accessibility Public Health Nursing Tuberculosis Multidrug-Resistant Medication Adherence Health Services Accessibility Public Health Nursing |
topic |
Tuberculosis Multidrug-Resistant Medication Adherence Health Services Accessibility Public Health Nursing Tuberculosis Multidrug-Resistant Medication Adherence Health Services Accessibility Public Health Nursing Tuberculosis Multidrug-Resistant Medication Adherence Health Services Accessibility Public Health Nursing |
description |
Objective: To identify representations regarding adherence to the treatment of multidrug-resistant tuberculosis from the perspective of patients who were discharged upon being cured. Method: A qualitative study with patients who completed the drug treatment for multidrug-resistant tuberculosis in São Paulo. Social Determination was used to interpret the health-disease process, and the testimonies were analyzed according to dialectical hermeneutics and the discourse analysis technique. Results: Twenty-one patients were interviewed. The majority (80.9%) were men, in the productive age group (90.4%) and on sick leave or unemployed (57.2%) during the treatment. Based on the testimonies, three categories associated with adherence to treatment emerged: the desire to live, support for the development of treatment and care provided by the health services. Conclusion: For the study sample, adherence to the treatment of multidrug-resistant tuberculosis was related to having a life project and support from the family and health professionals. Free treatment is fundamental for adherence, given the fragilities arising from the social insertion of people affected by the disease. Therefore, special attention is required from the health services to understand patient needs. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-02-27 |
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 |
https://www.revistas.usp.br/reeusp/article/view/155249 10.1590/s1980-220x2018010303412 |
url |
https://www.revistas.usp.br/reeusp/article/view/155249 |
identifier_str_mv |
10.1590/s1980-220x2018010303412 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/reeusp/article/view/155249/151061 https://www.revistas.usp.br/reeusp/article/view/155249/151062 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by-nc/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by-nc/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Escola de Enfermagem |
publisher.none.fl_str_mv |
Universidade de São Paulo. Escola de Enfermagem |
dc.source.none.fl_str_mv |
Revista da Escola de Enfermagem da USP; v. 52 (2018); e03412 Revista da Escola de Enfermagem da USP; Vol. 52 (2018); e03412 Revista da Escola de Enfermagem da USP; Vol. 52 (2018); e03412 1980-220X 0080-6234 reponame:Revista da Escola de Enfermagem da USP (Online) instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista da Escola de Enfermagem da USP (Online) |
collection |
Revista da Escola de Enfermagem da USP (Online) |
repository.name.fl_str_mv |
Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||nursingscholar@usp.br |
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1800221744785522688 |