Banca de DEFESA: RAYRLA CRISTINA DE ABREU TEMOTEO

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : RAYRLA CRISTINA DE ABREU TEMOTEO
DATE: 29/10/2021
TIME: 09:00
LOCAL: Google Meet - meet.google.com/dbi-apjy-wki
TITLE:

Adhesion process for the treatment of tuberculosis in the context of Primary Health Care. 

KEY WORDS:

Tuberculosis. Cooperation and adherence to treatment. Primary Health Care. Grounded Theory. Nursing. Family Health Nurses.

PAGES: 194
BIG AREA: Ciências da Saúde
AREA: Enfermagem
SUMMARY:

Introduction: Adherence to tuberculosis treatment is one of the main challenges for the control of the disease. The strategies adopted so far are not considered effective enough to ensure therapeutic success, and the lack of a theory that adequately explains this adherence are reasons that impede progress in research and development of this action. For the systematic development of effective interventions and evaluation, it is necessary to investigate what barriers may still exist to achieve better adherence to this therapy. Objectives: to understand how the process of adherence to tuberculosis treatment occurs in Primary Health Care, based on the experience of adherent people and to build a theoretical model on the process of adherence to tuberculosis treatment. Method: qualitative study that followed the Straussian strand of Grounded Theory as a methodological framework and Symbolic Interactionism as a theoretical framework. Twenty people participated in the study, distributed into three sample groups, which: first – eleven people who underwent complete tuberculosis treatment between 2018 and 2019; second – seven professionals from Basic Health Units in the city of Cajazeiras, Paraíba, Brazil, being three doctors, three nurses and one community health agent; and third – two relatives of participants from the first group. Data were collected through in-depth interviews from 2019 to 2021, with concomitant data collection and analysis, considering open, axial and integration coding procedures, construction of diagrams and memos. Data were analyzed for context and process. A theoretical-explanatory model was developed considering the paradigm, an analytical tool that helps to classify concepts and establish relationships. The NVivo® software version 12 was used as a technological support to help organize the data. Study approved by CEP/UFRN under opinion nº 3.246,634 of April 5, 2019. Results: from the data analysis, three major themes were listed that represent the conditions (feeling with threatened recovery: treatment context - explained by the categories physical threats; psychological threats and programmatic threats), actions-interactions (performing the treatment: the recovery process - explained by the categories strategic actions related to the diagnosis; guided recovery actions and self-initiated recovery actions) and the consequences (recovering: the resignification of life - explained by the categories improvement; achieving healing and new life), all aspects of the paradigm. The nine categories, each with its subcategories and their respective concepts, were all interconnected and represented by the theoretical model whose central category was “Threats, treatment and recovery from tuberculosis: transmuting suffering into a new life”. The main objective of the people who adhered to the tuberculosis treatment was to recover, to solve the threats to health and recovery, for this they needed to change the circumstances experienced and transformed circumstances that caused suffering into circumstances that promoted a new life. Final considerations: The interaction with the data, theoretical and methodological procedures showed that adherence to tuberculosis treatment is based on the desire for health recovery, but also on aspects of life that existed prior to the illness, in the individual and family spheres. , social and labor. Advances in knowledge about this phenomenon make it possible to design policies and intervention strategies that meet the specific realities of the treatment of tuberculosis. It is considered that the results support the thesis: people with tuberculosis act in relation to their care, anchored in what it represents for them. However, it is the action-interaction with people and with themselves that allows them to signify and re-signify their perspectives in relation to care, which progressively lead them and help them to make decisions.

BANKING MEMBERS:
Externa ao Programa - 2568454 - ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
Externa à Instituição - FRANCISCA GEORGINA MACEDO DE SOUSA - UFMA
Interno - 396864 - FRANCISCO ARNOLDO NUNES DE MIRANDA
Externo à Instituição - JOSÉ LUÍS GUEDES DOS SANTOS
Presidente - 2344942 - JOVANKA BITTENCOURT LEITE DE CARVALHO
Externo à Instituição - MARCELO COSTA FERNANDES - UFCG