0215/2024 - Assistência ao paciente acometido de hanseníase: como atuam médicos e cirurgiões-dentistas da Atenção Primária à Saúde? Care for patients with leprosy: how do doctors and dentists in Primary Health Care work?
Estudo quantitativo, transversal, analisando conhecimento e atuação no cuidado e controle da hanseníase na atenção primária à saúde de Fortaleza. Entre os 366 profissionais (222 médicos e 144 dentistas), a maioria era servidor público (n=191; 52,1%), revelou desenvolveu seus conhecimentos em hanseníase na graduação (n=275; 75,1%) e que não há educação permanente na temática no município (n=297; 81,2%). Servidores públicos e/ou participantes em programas governamentais foram os que mais atenderam pacientes hansênicos e mais se capacitaram na temática. 255 consideram este um problema de saúde em sua área (69,7%), 286 (78,1%) não participam de análises de dados epidemiológicos e 256 (69,9%) não haver/desconhecer atividades educativas direcionadas à hanseníase. Nas consultas médicas, 364 (99,4%) questionavam pacientes sobre uso da medicação hansênica, 297 (81,2%) forneciam orientações de autocuidado e 210 (57,4%) não acompanham contatos adequadamente. Apesar de ações de controle da doença, há déficits em ações para avaliação de incapacidades e frente às reações hansênicas. Dentistas referem despreparo para a assistência, não suspeitando do agravo em atendimentos (n=138; 95,8%) e desconhecendo ligação da doença com a Odontologia (n=129; 89,6%). Há fragilidades no planejamento de ações de controle e cuidado da doença, podendo impactar a redução da transmissão e sequelas da doença.
Palavras-chave:
Estratégia Saúde da Família, Hanseníase, Saúde Bucal, Atenção à Saúde.
Abstract:
Quantitative, cross-sectional study, analyzing knowledge and performance in the care and control of leprosy in primary health care in Fortaleza. Among the 366 professionals (222 doctors and 144 dentists), the majority were public servants (n=191; 52.1%), revealed that they developed their knowledge of leprosy during graduation (n=275; 75.1%) and that there is no permanent education on the subject in the municipality (n=297; 81.2%). Public servants and/or participants in government programs were those who most attended to leprosy patients and received the most training on the subject. 255 consider this a health problem in their area (69.7%), 286 (78.1%) do not participate in epidemiological data analysis and 256 (69.9%) do not have/are unaware of educational activities aimed at leprosy. In medical consultations, 364 (99.4%) questioned patients about the use of leprosy medication, 297 (81.2%) provided self-care guidance and 210 (57.4%) did not adequately monitor contacts. Despite actions to control the disease, there are deficits in actions to assess disabilities and combat leprosy reactions. Dentists report unpreparedness for assistance, not suspecting the problem during consultations (n=138; 95.8%) and not knowing the disease\'s connection with Dentistry (n=129; 89.6%). There are weaknesses in planning actions to control and care for the disease, which may impact the reduction of transmission and sequelae of the disease.
Keywords:
Family Health Strategy, Leprosy, Oral Health, Health Care
Care for patients with leprosy: how do doctors and dentists in Primary Health Care work?
Resumo (abstract):
Quantitative, cross-sectional study, analyzing knowledge and performance in the care and control of leprosy in primary health care in Fortaleza. Among the 366 professionals (222 doctors and 144 dentists), the majority were public servants (n=191; 52.1%), revealed that they developed their knowledge of leprosy during graduation (n=275; 75.1%) and that there is no permanent education on the subject in the municipality (n=297; 81.2%). Public servants and/or participants in government programs were those who most attended to leprosy patients and received the most training on the subject. 255 consider this a health problem in their area (69.7%), 286 (78.1%) do not participate in epidemiological data analysis and 256 (69.9%) do not have/are unaware of educational activities aimed at leprosy. In medical consultations, 364 (99.4%) questioned patients about the use of leprosy medication, 297 (81.2%) provided self-care guidance and 210 (57.4%) did not adequately monitor contacts. Despite actions to control the disease, there are deficits in actions to assess disabilities and combat leprosy reactions. Dentists report unpreparedness for assistance, not suspecting the problem during consultations (n=138; 95.8%) and not knowing the disease\'s connection with Dentistry (n=129; 89.6%). There are weaknesses in planning actions to control and care for the disease, which may impact the reduction of transmission and sequelae of the disease.
Palavras-chave (keywords):
Family Health Strategy, Leprosy, Oral Health, Health Care
Bomfim, E. L. P., Cavalcante, P. B., Albuquerque, GA, Ferreira, RGLA, Aguiar, ASW, Barreto, I. C. H. C., Saintrain, M., Nuto, S. A. S., Vieira-Meyer, A. P. G.. Assistência ao paciente acometido de hanseníase: como atuam médicos e cirurgiões-dentistas da Atenção Primária à Saúde?. Cien Saude Colet [periódico na internet] (2024/mai). [Citado em 05/12/2025].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/assistencia-ao-paciente-acometido-de-hanseniase-como-atuam-medicos-e-cirurgioesdentistas-da-atencao-primaria-a-saude/19263
