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ORIGINAL ARTICLE
Representations about sexuality of people diagnosed late with HIV infection
Revista Brasileira de Enfermagem. 2021;74(6):e20201028
07-26-2021
Resumo
ORIGINAL ARTICLERepresentations about sexuality of people diagnosed late with HIV infection
Revista Brasileira de Enfermagem. 2021;74(6):e20201028
07-26-2021DOI 10.1590/0034-7167-2020-1028
Visualizações0Ver maisABSTRACT
Objective:
to understand the representations about sexuality of people diagnosed late with HIV infection and its implications in the delayed search for diagnosis.
Methods:
this is a qualitative study, whose theoretical and methodological framework was Social Representation Theory. The research was carried out with 18 people diagnosed late with HIV infection through an open interview. For data analysis, Structural Narration Analysis was used, with support from MAXQDA 12®.
Results:
representations about sexuality contributed to delayed diagnosis, such as trust in a fixed partnership, sexual intercourse is natural, sexuality as a taboo, search for pleasure in sexual intercourse, regardless of risks, denial of risk for HIV infection.
Final considerations:
representations about sexuality participate in a web of stereotypes and riskier ways of living, which contribute to delayed diagnosis. Sexual health education remains necessary and essential throughout people’s lives.
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ORIGINAL ARTICLE
Therapeutic itinerary of people with leprosy: paths, struggles, and challenges in the search for care
Revista Brasileira de Enfermagem. 2021;74(1):e20200532
03-24-2021
Resumo
ORIGINAL ARTICLETherapeutic itinerary of people with leprosy: paths, struggles, and challenges in the search for care
Revista Brasileira de Enfermagem. 2021;74(1):e20200532
03-24-2021DOI 10.1590/0034-7167-2020-0532
Visualizações0ABSTRACT
Objectives:
to understand how the therapeutic itineraries of people affected by leprosy are processed.
Methods:
this is a descriptive, qualitative study, conducted in April 2018 in Barão de Grajaú in Maranhão, with interviews in the form of narratives of seven patients who had a late leprosy diagnosis.
Results:
the search for diagnosis is a major difficulty in accessing health services, resulting in a late diagnosis and, consequently, with the presence of visible deformities. It was noticed that the health units do not have a flow, nor protocols for comprehensive treatment, and these people are referred to a referral unit in another state to perform sputum smear microscopy.
Final Considerations:
leprosy control actions need reformulations that seek the relationship between operational activities, epidemiological indicators and risk factors, in accordance with the real needs of each region, thus highlighting the gaps evidenced in the therapeutic itineraries.
Palavras-chave: Access to Health CareDelayed DiagnosisFamily Health StrategyLeprosyPrimary Health CareVer mais -
ORIGINAL ARTICLE
Tuberculosis: evaluation of the time between identification of symptoms and beginning of treatment
Revista Brasileira de Enfermagem. 2020;73(6):e20180902
09-07-2020
Resumo
ORIGINAL ARTICLETuberculosis: evaluation of the time between identification of symptoms and beginning of treatment
Revista Brasileira de Enfermagem. 2020;73(6):e20180902
09-07-2020DOI 10.1590/0034-7167-2018-0902
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Objective:
To analyze the time elapsed between the identification of respiratory symptoms and the beginning of tuberculosis treatment, considering the sputum smear microscopy and the RMT.
Method:
Descriptive, retrospective epidemiological study, carried out in two Health Units, which were the only units that performed diagnosis by sputum smear microscopy and Rapid Molecular Test in the city. Data on respiratory symptoms with a positive result for tuberculosis were used. Analysis of data distribution and variance was performed, with a significance level of 5%.
Results:
The longest time interval found was “result/beginning of treatment”, for both tests, with a median of 3 days. It was found that the patient takes longer to receive the result when performing the Rapid Molecular Test.
Conclusion:
Patients who had the Rapid Molecular Test waited longer for results when compared to sputum smear microscopy, leading to a reflection on the need for further studies on the operation of health services.
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RESEARCH
Factors associated with delay in seeking care by tuberculosis patients
Revista Brasileira de Enfermagem. 2018;71(suppl 1):646-651
01-01-2018
Resumo
RESEARCHFactors associated with delay in seeking care by tuberculosis patients
Revista Brasileira de Enfermagem. 2018;71(suppl 1):646-651
01-01-2018DOI 10.1590/0034-7167-2016-0680
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Objective:
To identify social, clinical and behavioral factors of tuberculosis patients that are associated with delay in the search for primary health care.
Method:
This is a cross-sectional, quantitative study conducted with 56 people on treatment for pulmonary tuberculosis in the city of Natal, in the state of Rio Grande do Norte, Brazil. The data were collected through a structured instrument. The Chi-square and Fisher tests were applied to test the association between independent and dependent variables (search time). A value of p <0.05 was set as statistically significant.
Results:
No social or clinical variables were statistically associated with patient delays in the search for primary health care. Among the behavioral variables, self-medication and the first health service sought had a statistically significant association with the time for seeking care (p = 0.020, and p = 0.033, respectively).
Conclusion:
Self-medication contributes to the delay in the search for primary health care by tuberculosis patients.
Palavras-chave: Delayed DiagnosisHealth ServicesPatient Acceptance of Health CareSelf MedicationTuberculosisVer mais -
PESQUISA
Aids in the elderly: reasons that lead to late diagnosis
Revista Brasileira de Enfermagem. 2016;69(6):1140-1146
01-01-2016
Resumo
PESQUISAAids in the elderly: reasons that lead to late diagnosis
Revista Brasileira de Enfermagem. 2016;69(6):1140-1146
01-01-2016DOI 10.1590/0034-7167-2016-0370
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Objective:
to investigate elderly living with HIV/Aids and health professionals, what are the reasons that lead to late diagnosis of HIV infection in the elderly.
Method:
prospective, qualitative study, conducted at a specialized outpatient clinic with elderly living with HIV/Aids, diagnosed age over 60 years and in the Family Health Strategy units with nurses and physicians. Data were collected through interviews and verified by content analysis, using the theoretical framework of vulnerability.
Results:
a total of 11 elderly, 11 nurses and 12 physicians participated in the study. Three empirical categories emerged: the late diagnosis of HIV happens against the health service; invisibility of the sexuality of the elderly; and weaknesses in the anti-HIV serology request for the elderly.
Conclusion:
there are health professionals who see the elderly as asexual, causing the diagnosis of HIV to happen in the secondary and tertiary service instead of primary care.