Resumo

VENDRAMINI, Silvia Helena Figueiredo; VILLA, Tereza Cristina Scatena; PALHA, Pedro Fredemir  e  MONROE, Aline Aparecida. Tratamento supervisionado no controle da tuberculose em uma unidade de saúde de Ribeirão Preto: a percepção do doente. Bol. Pneumol. Sanit. [online]. 2002, vol.10, n.1, pp.5-12. ISSN 0103-460X.

The goal of this study was to analyze the perception of tuberculosis patients under direct observed treatment (DOT) in a District Health Unit in the City of Ribeirão Preto-SP: A qualitative analysis was selected as the methodological approach. The study analized 6 tuberculosis patients participating in the Tuberculosis Control Program under the a regimen of supervised treatment. The patients' medical records, the Epidemiological Form of Disease Notification and semi-structured interviews were used as instruments for data collection. The following were used as guiding questions: "the significance of tuberculosis" and "the supervised treatment in the patient s life". The Content Analysis technique - Thematic Modality - was used for data analysis. The main thematic unit "Supervised treatment in tuberculosis: the patient's perception" was found from the following meaning units: the focus of ST as a therapeutic action (medication ingestion and the weaknesses and strengths of ST); and the Singularities of patients under supervised treatment (The perception of the disease, Living with the disease, The consequences of ST on the patients life). The following were perceived by patients as strengths in the disease and treatment process: the provision offree medication; the availability of other forms of incentive such fundingbasic alimentation and transportation vouchers; supervision through home visits. These factors were considered responsible for the link between healthworkers, the patients and their families. The perceived weaknesses of ST were perceived: the surveillance of medication ingestion and the dependence on the visiting hours for medication ingestion. The social actors involved in the treatment, such as the family and the health care team (in the visiting figure), were identified as factors responsible for adherence to the treatment.

Palavras-chave : tuberculosis; therapeutics.

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