CoordenaÃÃo de AperfeÃoamento de Pessoal de NÃvel Superior / A hansenÃase pode levar ao desenvolvimento de incapacidades fÃsicas e deformidades, as quais influenciam diretamente no estigma associado à doenÃa. Objetivou-se caracterizar o padrÃo das incapacidades fÃsicas e potenciais fatores sociodemogrÃficos e clÃnicos associados, em pessoas que concluÃram a poliquimioterapia (PQT) para HansenÃase, no municÃpio de VitÃria da Conquista - BA, no perÃodo de 2001 a 2014. Estudo transversal onde foram incluÃdos 222 casos em pÃs-alta da PQT. As incapacidades fÃsicas foram avaliadas por meio dos sistemas de mensuraÃÃo do grau de incapacidade (GI) e do escore olho-mÃo-pà (OMP), recomendados pela OrganizaÃÃo Mundial da SaÃde. A prevalÃncia de incapacidades fÃsicas (GI1/GI2) no pÃs-alta foi de 144 (64,8%) casos, sendo 38 (17,1%) GI 2. No momento do diagnÃstico e alta por cura, 116 (52,2%) e 145 (65,3%) casos nÃo foram avaliados quanto ao GI, respectivamente. Os segmentos corporais que apresentaram maior comprometimento foram os pÃs 126 (56,7%) seguido de olhos 58 (26,1%) e mÃos 56 (25,22%). Houve piora do GI em 34 (32,1%) dos casos, considerando o momento do diagnÃstico à alta, contudo sem significÃncia estatÃstica com demais variÃveis estudadas. As incapacidades fÃsicas associaram-se com o analfabetismo (RP = 1,27; IC95% = 1,05 â 1,54), classificaÃÃo operacional multibacilar (RP = 1,26; IC95% = 1,008 â 1,574), episÃdios reacionais (RP =1,41; IC95% = 1,14 â 1,74) e dor/espessamento neural (RP = 1,3; IC95% = 1,02 â 1,64). O GI 2 associou-se com classificaÃÃo operacional multibacilar (RP = 2,09; IC95% = 1,007 â 4,366), episÃdios reacionais (RP = 2,08; IC95% = 1,08 â 3,99) e dor/espessamento neural (RP = 2,66; IC95% = 1,16 â 6,09). As incapacidades fÃsicas constituem um importante problema no contexto individual e coletivo dos casos que seguem no pÃs-alta da PQT, necessitando de maior monitoramento e cuidado longitudinal, no sentido de prevenir sequelas especÃficas da doenÃa. / Leprosy may lead to the development of physical disabilities and deformities, causing stigma associated with the disease. The aim of this study was to characterize the pattern of physical disabilities and associated sociodemographic and clinical factors in individuals who had completed multidrug therapy (MDT) for leprosy in the city of VitÃria da Conquista, Bahia/Brazil, from 2001 to 2014. A cross-sectional study was performed, including 222 individuals after release from MDT. Physical disabilities were assessed applying the World Health Organization (WHO) disability grading (DG) and eyes-hands-feet score. The prevalence of any physical disabilities (DG1/DG2) after release from MDT was 64,8% (144), with 17,1% (38) DG2 cases. At the time of diagnosis and discharge by cure, 52,2% (116) and 65,3% (145) cases were not evaluated for DG, respectively. The most commonly affected body parts included the feet (56,7% - 126), followed by the eyes (26,1% - 58) and hands (25,2% - 56). There was worsening of DG in 32,1% (34) of cases (from diagnosis to discharge) but none of the variables studied showed significant association with worsening. The presence of physical disabilities was associated with illiteracy (RR = 1,27, 95% CI = 1,05 - 1.54), multibacillary classification (RR = 1,26, 95% CI = 1,008 â 1,574), occurrence of leprosy reactions (RR = 1,41, 95% CI = 1,14-1,74), and the presence of neural pain/enlarged nerve trunks (RR = 1,3, 95% CI = 1,02-1,64). Similarly, DG2 was associated with multibacillary classification (RR = 2,09, 95% CI = 1,007 â 4,366), occurrence of leprosy reactions (RP = 2,08, 95% CI = 1,08-3,99), and neural pain/enlarged nerve trunks (RR = 2,66, 95% CI = 1,16 â 6,09). Physical disabilities constitute an important problem for affected individuals and vulnerable groups after release from MDT, evidencing the need for intensive longitudinal monitoring and surveillance, in order to prevent specific leprosy-related sequels.
| Identifer | oai:union.ndltd.org:IBICT/oai:www.teses.ufc.br:12132 |
| Date | 25 January 2017 |
| Creators | Martha Cerqueira Reis |
| Contributors | Jorg Heukelbach, Carlos Henrique Morais de Alencar, Lorena Dias Monteiro |
| Publisher | Universidade Federal do CearÃ, Programa de PÃs-GraduaÃÃo em SaÃde PÃblica, UFC, BR |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da UFC, instname:Universidade Federal do Ceará, instacron:UFC |
| Rights | info:eu-repo/semantics/openAccess |
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