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根据可及性、依附性和依从性维度划分的结核病患者的健康需求和脆弱性

The health needs and vulnerabilities of tuberculosis patients according to the accessibility, attachment and adherence dimensions.

作者信息

Hino Paula, Takahashi Renata Ferreira, Bertolozzi Maria Rita, Egry Emiko Yoshikawa

机构信息

Departamento de Enfermagem em Saúde Coletiva, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brasil,

出版信息

Rev Esc Enferm USP. 2011 Dec;45 Spec No 2:1656-60. doi: 10.1590/s0080-62342011000800003.

Abstract

The objective was to know the experience of people with tuberculosis, identify their health needs and vulnerability in face of the disease, and in terms of their accessibility to treatment, their attachment to the health team, and adherence to the treatment. This qualitative study was performed at family health care units. Interviews were performed with patients following treatment, using the criterion of information saturation. The statements were analyzed using Alceste software. The late diagnosis reflects the lack of knowledge about the disease and come professionals' lack of preparation. The support consists a determinant aspect in patient follow up, who, by feeling welcomed, were encouraged to follow the therapeutic scheme. The health needs were related to the good life conditions, such as the right to food, work, housing, education, leisure, and taking on healthy life habits. The authors emphasize on the valorization of the experience of people following treatment to support the health care practice of professionals centered on the health needs and vulnerabilities of the population.

摘要

目的是了解结核病患者的经历,确定他们在面对疾病时的健康需求和脆弱性,以及在获得治疗、与医疗团队的联系和坚持治疗方面的情况。这项定性研究在家庭医疗保健单位进行。采用信息饱和标准对接受治疗的患者进行访谈。使用Alceste软件对陈述进行分析。延迟诊断反映了对疾病的认识不足以及专业人员准备不足。支持是患者随访中的一个决定性因素,患者因感到受欢迎而受到鼓励遵循治疗方案。健康需求与良好的生活条件相关,如食物权、工作权、住房权、教育权、休闲权以及养成健康的生活习惯。作者强调重视接受治疗者的经历,以支持以人群的健康需求和脆弱性为中心的专业人员的医疗保健实践。

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