Escola Anna Nery ()

Therapeutic itinerary of people with tuberculosis in face with their health needs

  • Aliéren Honório Oliveira,
  • Antonio Germane Alves Pinto,
  • Maria do Socorro Vieira Lopes,
  • Tânia Maria Ribeiro Monteiro de Figueiredo,
  • Edilma Gomes Rocha Cavalcante

DOI
https://doi.org/10.1590/2177-9465-ean-2019-0034
Journal volume & issue
Vol. 23, no. 3

Abstract

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Abstract Objective: To describe the therapeutic itinerary of people with tuberculosis in face of their health needs. Method: Descriptive, qualitative study. Semi-structured interviews were carried out with ten patients. Hermeneutic-dialectic method of analysis and concept of therapeutic itinerary as driver of the analysis. Results: Most had classic symptoms at the beginning, however there was a case with coughing for more than one year. Entrance door, access to diagnosis and treatment were predominant in Primary Care, through smear microscopy and X-ray; patients had to pay for exams. Decentralization of treatment for other services when necessary or by link with the professional. The patient followed the decisions of the professionals and the support of relatives; prejudice regarding the disease was noted. Conclusions and implications for practice: Fragility in disease management, importance of bonding and family. It should be considered the impact of the disease and the need to support patients to ensure continuity of care.

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