Publicação
Multidrug-resistant tuberculosis in Portugal: patients’ perception of the challenges faced during treatment
| 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 (MDR TB) 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: | Sarubbi Junior,Vicente; Kritski,Afrânio; Souza,Fabiana Barbosa Assumpção; Duarte,Raquel |
| Assunto: | Tuberculosis Multidrug-resistant tuberculosis Qualitative research Social stigma Needs assessment Professionalpatient relations Patient compliance Patient care Social support |
| Ano: | 2020 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Fundação para a Ciência e Tecnologia |
| Idioma: | inglês |
| Origem: | SciELO Portugal |
| _version_ | 1868442000938762240 |
|---|---|
| author | Bhering,Marcela |
| author2 | Sarubbi Junior,Vicente Kritski,Afrânio Souza,Fabiana Barbosa Assumpção Duarte,Raquel |
| author2_role | author author author author |
| author_facet | Bhering,Marcela Sarubbi Junior,Vicente Kritski,Afrânio Souza,Fabiana Barbosa Assumpção Duarte,Raquel |
| author_role | author |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Bhering,Marcela\"},{\"Person.name\":\"Sarubbi Junior,Vicente\"},{\"Person.name\":\"Kritski,Afrânio\"},{\"Person.name\":\"Souza,Fabiana Barbosa Assumpção\"},{\"Person.name\":\"Duarte,Raquel\"}] |
| datacite.creators.creator.creatorName.fl_str_mv | Bhering,Marcela Sarubbi Junior,Vicente Kritski,Afrânio Souza,Fabiana Barbosa Assumpção Duarte,Raquel |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Tuberculosis Multidrug-resistant tuberculosis Qualitative research Social stigma Needs assessment Professionalpatient relations Patient compliance Patient care Social support |
| datacite.titles.title.fl_str_mv | Multidrug-resistant tuberculosis in Portugal: patients’ perception of the challenges faced during treatment |
| dc.creator.none.fl_str_mv | Bhering,Marcela Sarubbi Junior,Vicente Kritski,Afrânio Souza,Fabiana Barbosa Assumpção Duarte,Raquel |
| dc.format.none.fl_str_mv | text/html |
| dc.identifier.none.fl_str_mv | http://scielo.pt/scielo.php?script=sci_arttext&pid=S2504-31452020000200062 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | Escola Nacional de Saúde Pública |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.source.none.fl_str_mv | Portuguese Journal of Public Health v.38 n.2 2020 |
| dc.subject.none.fl_str_mv | Tuberculosis Multidrug-resistant tuberculosis Qualitative research Social stigma Needs assessment Professionalpatient relations Patient compliance Patient care Social support |
| dc.title.fl_str_mv | Multidrug-resistant tuberculosis in Portugal: patients’ perception of the challenges faced during treatment |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | 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 (MDR TB) 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. |
| dirty | 0 |
| eu_rights_str_mv | openAccess |
| format | article |
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| identifier.url.fl_str_mv | http://scielo.pt/scielo.php?script=sci_arttext&pid=S2504-31452020000200062 |
| instacron_str | SciELO |
| institution | Fundação para a Ciência e Tecnologia |
| instname_str | Fundação para a Ciência e Tecnologia |
| language | eng |
| network_acronym_str | scielopt |
| network_name_str | SciELO Portugal |
| oai_identifier_str | oai:scielo:S2504-31452020000200062 |
| organization_str_mv | urn:organizationAcronym:scielo |
| person_str_mv | Bhering,Marcela Sarubbi Junior,Vicente Kritski,Afrânio Souza,Fabiana Barbosa Assumpção Duarte,Raquel |
| publishDate | 2020 |
| publisher.none.fl_str_mv | Escola Nacional de Saúde Pública |
| reponame_str | SciELO Portugal |
| repository_id_str | urn:repositoryAcronym:scielopt |
| service_str_mv | urn:repositoryAcronym:scielopt |
| spelling | Multidrug-resistant tuberculosis in Portugal: patients’ perception of the challenges faced during treatmentBhering,MarcelaSarubbi Junior,VicenteKritski,AfrânioSouza,Fabiana Barbosa AssumpçãoDuarte,RaquelTuberculosisMultidrug-resistant tuberculosisQualitative researchSocial stigmaNeeds assessmentProfessionalpatient relationsPatient compliancePatient careSocial supportopen accesshttp://purl.org/coar/access_right/c_abf2http://scielo.pt/scielo.php?script=sci_arttext&pid=S2504-31452020000200062URLhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2504-31452020000200062URLHasVersion2020-04-01Abstract 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 (MDR TB) 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.Escola Nacional de Saúde PúblicaPortuguese Journal of Public Health v.38 n.2 2020text/htmlengjournal articlehttp://purl.org/coar/resource_type/c_6501literature |
| spellingShingle | Multidrug-resistant tuberculosis in Portugal: patients’ perception of the challenges faced during treatment Bhering,Marcela Tuberculosis Multidrug-resistant tuberculosis Qualitative research Social stigma Needs assessment Professionalpatient relations Patient compliance Patient care Social support |
| status | SINGLETON |
| subject.fl_str_mv | Tuberculosis Multidrug-resistant tuberculosis Qualitative research Social stigma Needs assessment Professionalpatient relations Patient compliance Patient care Social support |
| title | Multidrug-resistant tuberculosis in Portugal: patients’ perception of the challenges faced during treatment |
| title_full | Multidrug-resistant tuberculosis in Portugal: patients’ perception of the challenges faced during treatment |
| title_fullStr | Multidrug-resistant tuberculosis in Portugal: patients’ perception of the challenges faced during treatment |
| title_full_unstemmed | Multidrug-resistant tuberculosis in Portugal: patients’ perception of the challenges faced during treatment |
| title_short | Multidrug-resistant tuberculosis in Portugal: patients’ perception of the challenges faced during treatment |
| title_sort | Multidrug-resistant tuberculosis in Portugal: patients’ perception of the challenges faced during treatment |
| topic | Tuberculosis Multidrug-resistant tuberculosis Qualitative research Social stigma Needs assessment Professionalpatient relations Patient compliance Patient care Social support |
| topic_facet | Tuberculosis Multidrug-resistant tuberculosis Qualitative research Social stigma Needs assessment Professionalpatient relations Patient compliance Patient care Social support |
| url | http://scielo.pt/scielo.php?script=sci_arttext&pid=S2504-31452020000200062 |
| visible | 1 |