Santos Aleksandra Rosendo Dos, Ignotti Eliane
Faculdade de Ciências da Saúde, Universidade do Estado de Mato Grosso. Av. Santos Dumont s/n, Cidade Universitária. 78.200-000 Cáceres MT Brasil.
Cien Saude Colet. 2020 Oct;25(10):3731-3744. doi: 10.1590/1413-812320202510.30262018. Epub 2018 Dec 15.
Guidelines for the prevention of physical disabilities due to leprosy have been gaining prominence in the control of the disease over and above multidrug therapy. The scope of this study is to describe the chronological changes in the technical guidelines for the prevention of physical disabilities due to leprosy in Brazil. It is a historical account based on official documents of the Brazilian health agencies. All the decrees, ordinances and manuals that mentioned assessment and prevention of disabilities published between 1962 and 2016 were included. The documents established the clinical, technical, welfare, emotional and social criteria that governed preventive actions in health institutions. The publications were coordinated by the Ministry of Health and adapted over the years from a conceptual, political, strategic and welfare standpoint. The guidelines mainly encompassed the activities of neurological assessment and the degree of physical incapacity, techniques of prevention of incapacities and self-care. Physical disabilities reflect the quality of access to diagnosis, monitoring of cases during treatment and post-discharge due to cure. The health services should be organized not only for the diagnosis and provision of multidrug therapy, but for all aspects involving the disease.
在麻风病防治工作中，除多药疗法外，预防麻风病所致身体残疾的指南在疾病控制方面正日益受到重视。本研究的范围是描述巴西预防麻风病所致身体残疾技术指南的时间变化。这是一篇基于巴西卫生机构官方文件的历史记述。纳入了1962年至2016年间所有提及残疾评估与预防的法令、条例和手册。这些文件确立了指导卫生机构预防行动的临床、技术、福利、情感和社会标准。这些出版物由卫生部协调，并多年来从概念、政治、战略和福利角度进行了调整。指南主要涵盖神经学评估活动和身体残疾程度、残疾预防技术及自我护理。身体残疾反映了诊断的可及性质量、治疗期间病例监测以及治愈后出院情况。卫生服务不仅应组织用于诊断和提供多药疗法，还应涵盖与该疾病相关的所有方面。
