Does directly observed treatment ("DOTS") contribute to tuberculosis treatment compliance?

IF 1.5 4区 医学 Q3 NURSING Revista Latino-Americana De Enfermagem Pub Date : 2008-07-01 DOI:10.1590/s0104-11692008000400002
Maria Fernanda Terra, Maria Rita Bertolozzi
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引用次数: 33

Abstract

This is a qualitative study performed in the theoretical framework of the Theory of Social Determination of the Health-Disease process and the concept of Compliance. The goal was to analyze meanings of DOTS in compliance with tuberculosis treatment, according to healthcare professionals of the Technical Healthcare Supervision of Butantã (SUVIS), a region of the São Paulo City Healthcare Secretariat, Brazil. The project was submitted to the Ethics Committee of the São Paulo Municipal Health Secretariat. All professionals (22 people) developing DOTS were interviewed, including service coordinators, healthcare professionals and the DOTS coordinator for the region. The statements were analyzed with an appropriate technique for discourse analysis. The results appoint that the strategy presents more potentialities than limits and is effective regarding compliance, since it allows the professionals to welcome and monitor the patients, considering their needs. The importance of increasing the understanding of compliance is also noted, so that it can go beyond the simple intake of medication, integrating the care for the sick person and his or her necessities by transcending those restricted to the biological dimension.

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直接观察治疗(DOTS)是否有助于结核病治疗依从性?
本研究是在健康-疾病过程的社会决定理论和依从性概念的理论框架下进行的定性研究。据巴西圣保罗市卫生保健秘书处Butantã (SUVIS)区域的卫生保健技术监督部门的卫生保健专业人员介绍,目标是分析DOTS在结核病治疗中的意义。该项目已提交给圣保罗市卫生秘书处伦理委员会。对所有制定直接督导下短程化疗的专业人员(22人)进行了访谈,包括该区域的服务协调员、保健专业人员和直接督导下短程化疗协调员。运用适当的语篇分析技术对语句进行分析。结果表明,该策略呈现出更多的潜力而不是限制,并且在依从性方面是有效的,因为它允许专业人员根据患者的需求欢迎和监控患者。委员会还指出,必须增进对遵守情况的了解,以便它能超越简单的药物摄入,通过超越那些局限于生物层面的因素,将对病人及其需要的护理结合起来。
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来源期刊
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11.10%
发文量
142
期刊介绍: A Revista Latino-Americana de Enfermagem constitui-se no órgão oficial de divulgação científica da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo e do Centro Colaborador da OMS para o Desenvolvimento da Pesquisa em Enfermagem. Foi criada em abril de 1992 sendo sua primeira edição publicada em janeiro de 1993. No período de 1993 a 1997 tinha periodicidade semestral, de 1997 a 2000 trimestral e, a partir de janeiro de 2001, tem periodicidade bimestral. Caracteriza-se como periódico de circulação internacional, abrangendo predominantemente os países da América Latina e Caribe, embora seja também divulgado para assinantes dos Estados Unidos, Portugal e Espanha.
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