Contextual analysis of health care at discharge in leprosy: an integrative review

Pinheiro, Mônica Gisele Costa; Lins, Suerda Lillian da Fonseca; Gomes, Bruna Raquel da Silva; Simpson, Clélia Albino; Mendes, Felismina Rosa Parreira; Miranda, Francisco Arnoldo Nunes de

Abstract

OBJECTIVE

To analyze contextual relations of health care in the discharge of leprosy.

METHOD

An analytical, reflexive study based on the theoretical framework of context analysis, elaborated through an integrative review of literature in the databases SCOPUS, PUBMED, LILACS, SCIELO and BDENF, with uncontrolled descriptors Leprosy and Patient Discharge, obtaining 14 publications.

RESULTS

The immediate context addresses health care at discharge in leprosy; the specific context treats leprosy as a public health problem; the symbolic conceptions and marks involving leprosy are encompassed by the general context; and in the metacontext are described the health programs and policies that subsidize the care of leprosy patients.

CONCLUSION

The contextual elements emphasize the need to guarantee universal coverage of cases of leprosy, from diagnosis to the post-discharge, reinforcing leprosy as a public health problem. Despite the limitations of the bibliographic studies, these have relevance for the health area.

Keywords:
Leprosy; Patient discharge; Disabled persons; Comprehensive health care; Nursing

[1] Corresponding author:
Mônica Gisele Costa Pinheiro. monicapinheiro_@live.com

CONTEXTUAL LAYER
Immediate: Attention to health in the discharge in leprosy	Specific: Public health problem	General: Symbolic conceptions and trademarks	Metacontext: Programs and policies of health
Attention focused on the physical incapacities, relapse and leprosy reaction, with structuring of a system of reference and counterreference.	The high magnitude of the disease, its biological repercussions and the socioeconomic profile of the patient make leprosy a public health problem in Brazil.	Prejudice and stigma in the face of the history of divine punishment, isolation, fear of contagion and physical disability, besides the non-recognition of the treatment.	Guarantee of universal coverage, evaluation of the program and incentive to research, favoring the fight against leprosy, its complications and discrimination.