Adherence to tuberculosis treatment
a foucauldian care perspective
DOI:
https://doi.org/10.5935/1415-2762.20180053Keywords:
Patient Compliance, Self Care, Philosophy, Tuberculosis, TherapeuticsAbstract
Objective: to reflect on adherence to treatment of tuberculosis in the light of self-care in Michel Foucault. Method: Reflection, based on the
assumptions of Foucault's hermeneutics of the subject and pertinent literature. Results: self-care concerns the perception of the subject; their selfknowledge;
and to the execution of his own care. In adherence to the treatment of tuberculosis, the subject has more dominion over him, the disease
does not represent external disturbance since the care developed throughout its existence cannot be disturbed, not even by the disease. There are
factors that can intensify this disturbance: low schooling, unemployment, alcoholism, re-entry after abandonment and stigma. Conclusion: it is
necessary to recover the principles of self-care, which can influence the self-care, so that it externalize the perception about its treatment, making
possible the implementation of actions more directed to the subjectivity of the patient and favoring the accession process.
Downloads
References
Organização Mundial da Saúde. Global Tuberculosis Report 2017. Genebra: OMS; 2017. [citado em 2017 maio 27]. Disponível em: http://apps.who.int/iris/bitstream/10665/259366/1/9789241565516-eng.pdf?ua=1
Sá LD, Gomes ALC, Nogueira JA, Villa TCS, Souza JKM, Palha PF. Intersectorality and bonding in tuberculosis control in family health. Rev Latino-Am Enferm. 2011[citado em 2017 maio 27];19(2):387-95. Disponível em: http://www.scielo.br/pdf/rlae/v19n2/22.pdf
Bertolozzi MR, Nichiata LYI, Takahashi RF, Ciosak SI, Hino P, Ferreira do Val L, et al. The vulnerability and the compliance in Collective Health. Rev Esc Enferm USP. 2009[citado em 2017 maio 27];43(2):1326-30. Disponível em: http://www.scielo.br/pdf/reeusp/v43nspe2/en_a31v43s2.pdf
Silva RD, Luna FDT, Araújo AJ, Camêlo ELS, Bertolozzi MR, Hino P, et al. Patients' perception regarding the influence of individual and social vulnerabilities on the adherence to tuberculosis treatment: a qualitative study. BMC Public Health. 2017[citado em 2017 maio 27];17:725:1-9. Disponível em: https://bmcpublichealth.biomedcentral.com/track/pdf/10.1186/s12889-017-4752-3?site=bmcpublichealth.biomedcentral.com
Foucault M. A hermenêutica do sujeito. 2ª ed. São Paulo: Martins Fontes; 2006.
Moura PHP, Sousa-Muñoz RL, Candeia RM. Busca de Tratamento por portadores de tuberculose pulmonar: estudo qualitativo baseado no modelo "Comportamento de Enfermo". Rev Bras Ciênc Saúde. 2013[citado em 2017 maio 25];17(1):19-28. Disponível em: http://periodicos.ufpb.br/index.php/rbcs/article/view/13796/9401
Soares MLM, Amaral MAC, Zacarias ACP, Ribeiro LKNP. Sociodemographic, clinical and epidemiological aspects of Tuberculosis treatment abandonment in Pernambuco, Brazil, 2001-2014. Epidemiol Serv Saúde. 2017[citado em 2017 maio 27];26(2):369-78. Disponível em: http://www.scielo.br/pdf/ress/v26n2/en_2237-9622-ress-26-02-00369.pdf
Silva PF, Moura GS, Caldas AJM. Factors associated with pulmonary TB treatment dropout in Maranhão State, Brazil, from 2001 to 2010. Cad Saúde Pública. 2014[citado em 2017 maio 27];30(8):1745-54. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2014000801745
Lopes RH, Menezes RMPM, Costa TD, Queiroz AAR, Cirino ID, Garcia MCC. Fatores associados ao abandono do tratamento da tuberculose pulmonar: uma revisão integrativa. Rev Baiana Saúde Pública. 2013[citado em 2017 maio 25];37(3):661-71. Disponível em: http://files.bvs.br/upload/S/0100-0233/2013/v37n3/a4467.pdf
Furlan MCR, Oliveira SP, Marcon SS. Factors associated with nonadherence of tuberculosis treatment in the state of Paraná. Acta Paul Enferm. 2012[citado em 2017 jun. 26];25(1):108-14. Disponível em: http://www.scielo.br/pdf/ape/v25nspe1/17.pdf
Souza EP, Barbosa ECS, Rodrigues ILA, Nogueira LMV. Prevenção e controle da tuberculose: revisão integrativa da literatura. Rev Cuid. 2015[citado em 2017 maio 27];6(2):1093-101. Disponível em: https://www.revistacuidarte.org/index.php/cuidarte/article/view/178/452
Published
Issue
Section
License
Copyright (c) 2018 Reme: Revista Mineira de Enfermagem

This work is licensed under a Creative Commons Attribution 4.0 International License.


































