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福柯视角下的治疗依从性:巴西肺结核控制手册中的知识/权力。

Treatment adherence under the foucauldian perspective: knowledge/powers in tuberculosis control manuals in Brazil.

机构信息

Universidade Federal do Rio Grande do Sul (UFRGS), Escola de Enfermagem, Programa de Pós-Graduação em Enfermagem. Porto Alegre, Rio Grande do Sul, Brasil.

出版信息

Rev Gaucha Enferm. 2022 Aug 1;43:e20210075. doi: 10.1590/1983-1447.2022.20210075.en. eCollection 2022.

DOI:10.1590/1983-1447.2022.20210075.en
PMID:35920522
Abstract

OBJECTIVE

Investigate which knowledge emerges in the Tuberculosis Control Manuals and how power relations are established for treatment adherence.

METHOD

Documentary and qualitative research on five Manuals published between 2002 and 2019, available on the Ministry of Health's Website, based on Michel Foucault's theoretical and methodological framework.

RESULTS

  1. Knowledge: emerges as human resource training; health surveillance actions; medicalization; and multifunctionality of nurses in addressing the social determinants of tuberculosis. 2. Power relations: occur through articulation between different subjects and establish disciplines on the body and the behavior of the person undergoing treatment.

CONCLUSIONS

Certain knowledge/powers constitute the actions of treatment adherence to tuberculosis treatment and normalize the "correct/true" way of conducting disease control. Such behaviors refer to self-responsibility, autonomy and empowerment of the subject and do not consider the countless conditions of vulnerability existing in the history of people with tuberculosis.

摘要

目的

调查结核病控制手册中出现了哪些知识,以及权力关系是如何为治疗依从性建立的。

方法

对 2002 年至 2019 年间发布的五本手册进行文献研究和定性研究,这些手册可在卫生部网站上获得,研究基于米歇尔·福柯的理论和方法论框架。

结果

  1. 知识:表现为人力资源培训;健康监测行动;医学化;以及护士在解决结核病社会决定因素方面的多功能性。2. 权力关系:通过不同主体之间的结合而产生,并对接受治疗者的身体和行为进行规范。

结论

某些知识/权力构成了结核病治疗依从性的行为,并使控制疾病的“正确/真实”方式正常化。这些行为指的是主体的自我责任、自治和赋权,而不考虑结核病患者历史上存在的无数脆弱性条件。

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