Adesão ao tratamento da tuberculose: Aspectos da vulnerabilidade individual e social

Abstract

The Directly Observed Treatment objective of strengthening TB treatment adherence, reducing cases of abandonment and increasing the likelihood of cure. The individual and social vulnerability elements can interfere with adherence to this treatment, contextualized in the environment in which the patient is inserted. OBJECTIVE: Analyze the adhesion potential to tuberculosis treatment related to aspects of individual and social vulnerability, in Campina Grande - Paraíba. MATERIAL AND METHOD: Descriptive and analytical study with cross-cut with a quantitative approach. Held in Campina Grande, Paraiba, 2015. They were included as research participants tuberculosis cases treated, diagnosed from September 2014 to February 2015. Performed descriptive analyzes (absolute frequencies, relative rather boxplot graphics), to view the dispersion of data and factor analysis of multiple correspondence, to highlight similarities between data. RESULTS: The lower potential for adherence to tuberculosis treatment evidenced by unfavorable answers to questions such as: impact of tuberculosis on work, conception of causality of health-disease and work process (employment status). Established diagnosis in more than 30 days lack of support treatment at work (or unemployment), negative reaction to the diagnosis, negative impact on the life and lack of family support, were also aspects which have worsened the vulnerability to non-adherence to treatment tuberculosis. CONCLUSIONS: The success of this treatment is conditional on the complexity of each case, considering the family, professional and social (individual and social vulnerabilities). The intersectoral actions aimed at finding facilities in the resolution of this problem.