Séfora Luana Evangelista de Andrade

Diagnóstico da tuberculose em pessoas idosas: barreiras de acesso relacionadas aos serviços de saúde

Este estudo tem como objetivo analisar as barreiras ao diagnostico da tuberculose em idosos relacionadas aos servicos de saude no municipio de Joao Pessoa-PB. Trata-se de pesquisa qualitativa que envolveu sete pessoas idosas doentes de tuberculose. Entrevistas foram utilizadas para coletar informacoes. O material empirico foi organizado com o software Atlas.tiversao 6.0 e analisado conforme a tecnica de analise de discurso. As barreiras relacionadas ao acesso para confirmacao diagnostica foram: horario de funcionamento das unidades de saude da familia; transferencia de responsabilidades; visitas domiciliares sem controle de comunicantes; demora do servico de saude em suspeitar da doenca e repetidas idas do doente ao servico de saude para a obtencao do diagnostico. Apesar de terem sido identificadas barreiras comuns as encontradas por doentes de tuberculose de um modo geral, em virtude da vulnerabilidade dos idosos, sugerem-se que acoes de controle sejam empreendidas pelos servicos de saude de modo a evitar que a doenca torne-se um agravo comum para essa populacao.This study was performed with the objective to analyze the barriers to diagnosing tuberculosis in the aged and access to health services in the city of João Pessoa, Paraíba, Brazil. This qualitative study included the participation of seven aged women with tuberculosis. Interviews were used for data collection. The empirical material was organized using Atlas.ti 6.0, and analyzed according to the techniques of discourse analysis. The identified barriers related to the access to health services to confirm the diagnosis were: the operating hours of family health units; transferred responsibilities; home visits without controlling communicants; delay of the health service in suspecting the disease and the patients repeated visits to the health center before being informed about the diagnosis. Despite the identification of common barriers that tuberculosis patients of all ages must deal with, because of the vulnerability of the elderly, health services should implement control actions so as to prevent the disease becoming a common condition in this population.

EL DISCURSO DE PERSONAS AFECTADAS POR TUBERCULOSIS SOBRE LA ADHESIÓN AL TRATAMIENTO

Tuberculosis is an infectious contagious disease that remains at a high illness rate in several countries and the non-adhesion to the treatment has reduced the healing rate. Objective: The study aimed at identifying, through the discourse of people infected by tuberculosis, factors and meanings that benefit the adhesion to the specific treatment. Method: For the data collection an in-depth interview was applied. The analysis was based on the theoretical-analytical framework of the French school of Discourse Analysis. Results: The results revealed that the manner in which professionals welcome the patient, mainly the nurse, as well as the relatives’ support, are decisive factors to the adhesion of the treatment. Concerning the subject’s stand regarding the care, one observes that it is linked to the concept of integrality as attributed to the organization of health practices. Conclusion: In this aspect, the importance of the singularities of the people infected by tuberculosis stands out in the elaboration of the therapeutic projects.

O DISCURSO DE PESSOAS ACOMETIDAS POR TUBERCULOSE SOBRE A ADESÃO AO TRATAMENTO

Tuberculosis is an infectious contagious disease that remains at a high illness rate in several countries and the non-adhesion to the treatment has reduced the healing rate. Objective: The study aimed at identifying, through the discourse of people infected by tuberculosis, factors and meanings that benefit the adhesion to the specific treatment. Method: For the data collection an in-depth interview was applied. The analysis was based on the theoretical-analytical framework of the French school of Discourse Analysis. Results: The results revealed that the manner in which professionals welcome the patient, mainly the nurse, as well as the relatives’ support, are decisive factors to the adhesion of the treatment. Concerning the subject’s stand regarding the care, one observes that it is linked to the concept of integrality as attributed to the organization of health practices. Conclusion: In this aspect, the importance of the singularities of the people infected by tuberculosis stands out in the elaboration of the therapeutic projects.

THE DISCOURSE OF PEOPLE TAKEN ILL BY TUBERCULOSIS ABOUT THE TREATMENT ADHESION

Tuberculosis is an infectious contagious disease that remains at a high illness rate in several countries and the non-adhesion to the treatment has reduced the healing rate. Objective: The study aimed at identifying, through the discourse of people infected by tuberculosis, factors and meanings that benefit the adhesion to the specific treatment. Method: For the data collection an in-depth interview was applied. The analysis was based on the theoretical-analytical framework of the French school of Discourse Analysis. Results: The results revealed that the manner in which professionals welcome the patient, mainly the nurse, as well as the relatives’ support, are decisive factors to the adhesion of the treatment. Concerning the subject’s stand regarding the care, one observes that it is linked to the concept of integrality as attributed to the organization of health practices. Conclusion: In this aspect, the importance of the singularities of the people infected by tuberculosis stands out in the elaboration of the therapeutic projects.

El diagnóstico de la tuberculosis em las personas mayores: las barreras relacionadas con el acceso a los servicios de salud

Este estudo tem como objetivo analisar as barreiras ao diagnostico da tuberculose em idosos relacionadas aos servicos de saude no municipio de Joao Pessoa-PB. Trata-se de pesquisa qualitativa que envolveu sete pessoas idosas doentes de tuberculose. Entrevistas foram utilizadas para coletar informacoes. O material empirico foi organizado com o software Atlas.tiversao 6.0 e analisado conforme a tecnica de analise de discurso. As barreiras relacionadas ao acesso para confirmacao diagnostica foram: horario de funcionamento das unidades de saude da familia; transferencia de responsabilidades; visitas domiciliares sem controle de comunicantes; demora do servico de saude em suspeitar da doenca e repetidas idas do doente ao servico de saude para a obtencao do diagnostico. Apesar de terem sido identificadas barreiras comuns as encontradas por doentes de tuberculose de um modo geral, em virtude da vulnerabilidade dos idosos, sugerem-se que acoes de controle sejam empreendidas pelos servicos de saude de modo a evitar que a doenca torne-se um agravo comum para essa populacao.This study was performed with the objective to analyze the barriers to diagnosing tuberculosis in the aged and access to health services in the city of João Pessoa, Paraíba, Brazil. This qualitative study included the participation of seven aged women with tuberculosis. Interviews were used for data collection. The empirical material was organized using Atlas.ti 6.0, and analyzed according to the techniques of discourse analysis. The identified barriers related to the access to health services to confirm the diagnosis were: the operating hours of family health units; transferred responsibilities; home visits without controlling communicants; delay of the health service in suspecting the disease and the patients repeated visits to the health center before being informed about the diagnosis. Despite the identification of common barriers that tuberculosis patients of all ages must deal with, because of the vulnerability of the elderly, health services should implement control actions so as to prevent the disease becoming a common condition in this population.