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Multidrug-resistant tuberculosis in Portugal : patients’ perception of the challenges faced during treatment

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Resumo:Abstract Introduction: The increase in drug-resistant tuberculosis (TB) threatens global progress in eliminating TB, and constitutes a major challenge for patients, health-care workers and health services. Treatment for multidrug-resistant TB (MDRTB) can last almost 2 years, and is more expensive, more toxic, and less effective than treating TB caused by drug-sensitive bacilli. This study aims to analyze patients’ narratives about the challenges they face during MDR-TB treatment and identify the support factors that help patients being treated in the most populous district of Portugal. Methods: Semi-structured interviews were conducted with patients being treated for MDR-TB. The interviews were coded using thematic analysis. They were audio-recorded, transcribed, and transported into NVivo v12 for data management and coding. Results: Depression, social discrimination, and the side effects of drugs are the main challenges faced by patients with MDR-TB. A good relationship of the patients with the health team, emotional support, and supervised treatment stand out as the factors that generate better adherence and treatment success. Conclusion: In addition to modern diagnostic techniques and new treatments, MDR-TB can be fought by focusing on the care and needs of patients. We suggest that the Lisbon Tuberculosis Program adopts the following measures: build the health-care team’s capacity to identify symptoms of depression early, increase public awareness of the disease, expand the multidisciplinary team, and expand the options for individualized social support for patients.
Autores principais:Bhering, Marcela
Outros Autores:Junior, Vicente Sarubbi; Kritski, Afrânio; Souza, Fabiana Barbosa Assumpção; Duarte, Raquel
Assunto:Tuberculosis Multidrug-resistant tuberculosis Qualitative research Social stigma Needs assessment Professional patient relations Patient compliance Patient care Social support Tuberculose Tuberculose multirresistente Investigação qualitativa Estigma social Avaliação de necessidades Relação profissional-doente Assistência ao paciente Apoio social
Ano:2020
País:Portugal
Tipo de documento:artigo original
Tipo de acesso:acesso aberto
Instituição associada:Universidade Nova de Lisboa
Idioma:inglês
Origem:Repositório Institucional da UNL

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