Prácticas de los profesionales de la salud de atención primaria frente a la lepra: revisión del alcance

Macêdo, Michelle Santos; Barbosa, Nanielle Silva; Almeida, Priscilla Dantas; Melo, Júlia Oliveira; Cardoso, Jonas Alves; Araújo, Telma Maria Evangelista de

Acessibilidade / Reportar erro

Brasil

Revista Brasileira de Enfermagem

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

REVIEW • Rev. Bras. Enferm. 77 (2) • 2024 • https://doi.org/10.1590/0034-7167-2023-0207 copiar

Prácticas de los profesionales de la salud de atención primaria frente a la lepra: revisión del alcance

Autoría SCIMAGO INSTITUTIONS RANKINGS

RESUMEN

Objetivos:

identificar las prácticas de los profesionales de la salud de Atención Primaria frente a la lepra.

Métodos:

revisión del alcance, realizada entre noviembre de 2022 y enero de 2023, realizada de acuerdo con el marco metodológico propuesto por JBI y checklist Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews en seis bases de datos y literatura adicional.

Resultados:

la muestra estuvo compuesta por 11 artículos, publicados entre 2008 y 2022. Los hallazgos se resumieron en tres categorías: Diagnóstico precoz y tratamiento oportuno; Prevención de discapacidades físicas; y Vigilancia de los contactos domésticos y sociales.

Consideraciones Finales:

es necesario alinear las prácticas realizadas con las recomendadas por el Programa Nacional para el Control y Eliminación de la Lepra, ya que algunas no fueron identificadas en los estudios, lo que implica pérdidas en la asistencia calificada y dirigida a las demandas del cliente, con una para el control y eliminación de la lepra.

Descriptores:
Enfermedades Desatendidas; Lepra; Personal de Salud; Atención Primaria de Salud; Promoción de la Salud

Database	Search expression	Number of studies identified
LILACS	((mh:(‘’Pessoal de Saúde”)) OR (‘’Profissional de saúde”) OR (‘’Trabalhador da saúde”)) AND ((mh:(hanseniase)) OR (lepra)) AND ((mh:(‘’Atenção Primária à Saúde”)) OR (‘’Atenção Básica”))	29
MEDLINE	((((“health personnel”[MeSH Terms]) OR (“healthcare workers”[All Fields])) OR (“healthcare worker”[All Fields])) AND ((“leprosy”[MeSH Terms]) OR (“hansen disease”[All Fields]))) AND ((“primary health care”[MeSH Terms]) OR (“primary care”[All Fields]))	21
CINAHL	((MH “Health Personnel”) OR “”Health Personnel”” OR “”Healthcare Workers”” OR “”Healthcare Worker””) AND ((MH “Leprosy”) OR “leprosy” OR “”hansen disease””) AND ((MH “Primary Health Care”) OR “”Primary Health Care”” OR “”Primary Care””)	6
Web of Science	(ALL=(‘’health personnel”) OR ALL=(‘’healthcare workers”) OR ALL=(‘’healthcare worker”)) AND (ALL=(Leprosy) OR ALL=(‘’hansen disease”)) AND (ALL=(‘’Primary Health Care”) OR ALL=(‘’Primary Care”))	50
Scopus	((TITLE-ABS-KEY (‘’health personnel”) OR TITLE-ABS-KEY (‘’healthcare workers”) OR TITLE-ABS-KEY (‘’healthcare worker”))) AND ((TITLE-ABS-KEY (leprosy) OR TITLE-ABS-KEY (‘’hansen AND disease”))) AND ((TITLE-ABS-KEY (‘’primary health care”) OR TITLE-ABS-KEY (‘’primary care”)))	32
Embase	(‘health care personnel’/exp OR ‘health care personnel’ OR ‘health care practitioner’) AND (‘leprosy’/exp OR ‘hansen disease’ OR ‘hansen’s disease’ OR ‘m. leprae infection’ OR ‘mycobacterium leprae infection’ OR ‘infection caused by m. leprae’ OR ‘infection caused by mycobacterium leprae’ OR ‘lepra’) AND (‘primary health care’/exp OR ‘primary health care’ OR ‘primary healthcare’)	54

Authors/title	Year/country/journal	Method/health professional	Main practices mentioned	Level of evidence
Ribeiro MDA, Castillo IDS, Silva JCA, Oliveira SB “A visão do profissional enfermeiro sobre o tratamento da hanseníase na atenção básica”(¹²12 Ribeiro MDA, Castillo IS, Silva JCA, Oliveira SB. A visão do profissional enfermeiro sobre o tratamento da hanseníase na atenção básica. Rev Bras Promoc Saúde. 2017;30(2). https://doi.org/10.5020/18061230.2017.p221 https://doi.org/10.5020/18061230.2017.p2... )	2017/Brazil/Revista Brasileira em Promoção da Saúde	Qualitative descriptive study, with nine nurses	Nursing consultation; absence of active search de cases; late diagnosis; supervised treatment; adverse reactions to medication; management of leprosy reactions; dermatoneurological assessment and degree of PD; contact surveillance; combating stigma; health education.	IV
Pinheiro JDJG, Gomes SCS, Aquino DMCD, Caldas ADJM “Aptidões cognitivas e atitudinais do enfermeiro da atenção básica no controle da hanseníase”(¹³13 Pinheiro JDJG, Gomes SCS, Aquino DMC, Caldas ADJM. Primary care nurses’ cognitive and attitudinal ability in leprosy control. Rev Baiana Enferm. 2017;31(2). https://doi.org/10.18471/rbe.v31i2.17257 https://doi.org/10.18471/rbe.v31i2.17257... )	2017/Brasil/Revista Baiana de Enfermagem	Descriptive study, with 101 nurses	Nursing consultation; absence of active search de cases; late diagnosis; deficit of information about supervised treatment; absence of contact surveillance; health education.	IV
Pereira AJ, Helene LMF, Pedrazini ES, Martins CL, Vieira CSDCA “Atenção básica de saúde e a assistência em hanseníase em serviços de saúde de um município do Estado de São Paulo”(¹⁴14 Pereira AJ, Helene LMF, Pedrazini ES, Martins CL, Vieira CSCA. The basic health and assistance to Hansen's Disease in health care services of a municipality of São Paulo State. Rev Bras Enferm. 2008;61(spe):716–25. https://doi.org/10.1590/S0034-71672008000700011 https://doi.org/10.1590/S0034-7167200800... )	2008/Brazil/Revista Brasileira de Enfermagem	Descriptive-exploratory study with an epidemiological basis, with ten health professionals (nurses, doctors, nursing assistants, social worker, psychologist and municipal health secretary)	Nursing consultation; absence of active search de cases; early diagnosis; reporting; supervised treatment; dermatoneurological assessment and degree of PD; contact surveillance; guidance on BCG; combating stigma; psychological, ophthalmological, dental and physiotherapy assessment; home visit; health education.	IV
Vieira NF, Lanza FM, Lana FCF, Martinez-Riera JR “Avaliação dos atributos da atenção primária à saúde nas ações de controle da hanseníase”(¹⁵15 Vieira NF, Lanza FM, Lana FCF, Martínez-Riera JR. Assessment of the attributes of primary health care in leprosy control actions. Rev Enferm UERJ. 2018;26:e31925. https://doi.org/10.12957/reuerj.2018.31925 https://doi.org/10.12957/reuerj.2018.319... )	2018/Brazil/Revista Enfermagem UERJ	Evaluative and cross-sectional study, involving 251 primary care professionals (doctor, nurse, community health worker and managers)	Absence of active search for cases; late diagnosis; supervised treatment; lack of assessment of PD degree; absence of contact surveillance; absence of health education.	IV
Costa IMD, Morais ATND, Nascimento RGD, Lima JPM, Santos MEDMAD, Dias GADS, et al “Conhecimento do fisioterapeuta da atenção primária à saúde sobre a atuação profissional em pacientes com hanseníase”(¹⁶16 Costa IM, Morais ATN, Nascimento RG, Lima JPM, Santos MEMA, Dias GAS, et al. Knowledge of the physiotherapist in primary health care about the professional performance in patients with hansen’s disease. REAS. 2022;15(9):e10998. https://doi.org/10.25248/reas.e10998.2022 https://doi.org/10.25248/reas.e10998.202... )	2022/Brazil/Revista Eletrônica Acervo Saúde	Descriptive, cross-sectional, exploratory and qualitative study, with nine physiotherapists	Absence of active search de cases; late diagnosis; incomplete simplified neurological assessment; health education; inadequate guidance on self-care.	IV
Oliveira CMD,Linhares MSC, Neto FRGX, Mendes IMVP, Kerr LRFS “Conhecimento e práticas dos agentes comunitários de saúde sobre hanseníase em um município hiperendêmico”(¹⁷17 Oliveira CM, Linhares MSC, Ximenes Neto FRG, Mendes IMVP, Kerr LRFS. Knowledge and practices of community health agents on leprosy in a hyperendemic municipality. Saúde Rev. 2018;18(48):39–50. https://doi.org/10.15600/2238-1244/sr.v17n48p39-50 https://doi.org/10.15600/2238-1244/sr.v1... )	2018/Brazil/Saúde em Revista	Exploratory-descriptive study, using a quantitative and qualitative approach, with 51 community health workers	Knowledge about the clinical signs and symptoms of leprosy; active search for cases; supervised treatment; adverse reactions to medication; contact surveillance; guidance on BCG; guidance on self-care; home visit; combating stigma; health education.	IV
Lanza FM, Lana FCF “O processo de trabalho em hanseníase: tecnologias e atuação da equipe de saúde da família”(¹⁸18 Lanza FM, Lana FCF. The work process in leprosy: technology and the family health team practice. Texto Contexto Enferm. 2011;20(spe). https://doi.org/10.1590/S0104-07072011000500030 https://doi.org/10.1590/S0104-0707201100... )	2011/Brazil/Texto & Contexto Enfermagem	Qualitative research, with 45 health professionals (doctor, nurse, community health worker and managers)	Nursing consultation; active search for cases; late diagnosis; supervised treatment; adverse reactions to medication; management of leprosy reactions; dermatoneurological assessment and degree of PD and contact surveillance; home visit; health education.	IV
Rodrigues FF, Calou CGP, Leandro TA, Antezana FJ, Pinheiro AKB, Silva VMD, et al “Conhecimento e prática dos enfermeiros sobre hanseníase: ações de controle e eliminação”(¹⁹19 Rodrigues FF, Calou CGP, Leandro TA, Antezana FJ, Pinheiro AKB, Silva VM, et al. Knowledge and practice of the nurse about leprosy: actions of control and elimination. Rev Bras Enferm. 2015;68(2):297-304. https://doi.org/10.1590/0034-7167.2015680216i https://doi.org/10.1590/0034-7167.201568... )	2015/Brazil/Revista Brasileira de Enfermagem	Evaluative and qualitative study, with 16 nurses	Nursing consultation; active search for new cases; early diagnosis; supervised treatment; management of leprosy reactions; dermatoneurological assessment and degree of PD; contact surveillance; guidance on BCG; combating stigma; guidance on self-care; home visit; health education.	IV
Carvalho APM, Fabri ACOC, Lanza FM, Lopes FN, Lana FCF “Integração das ações de controle da hanseníase sob a perspectiva dos profissionais da saúde”(²⁰20 Carvalho APM, Fabri ACOC, Lanza FM, Lopes FN, Lana FCF. Integration of leprosy control activities from the perspective of health professionals. Rev Enferm UFPE. 2015;9(1):114-20. https://doi.org/10.5205/1981-8963-v9i1a10314p114-120-2015 https://doi.org/10.5205/1981-8963-v9i1a1... )	2015/Brazil/Revista Enfermagem UFPE	Qualitative study, with 54 health managers and professionals (doctor, nurse, nursing technician, nursing assistant and community health worker)	Absence of active search; late diagnosis; supervised treatment; adverse reactions to medication; lack of assessment of PD degree; contact surveillance; home visit; absence of health education.	IV
Sousa GS, Silva RLF, Xavier MB “Atributos da atenção primária em saúde no controle da hanseníase: ótica do enfermeiro”(²¹21 Sousa GS, Silva RLF, Xavier MB. Attributes of primary health care in leprosy control: nurse’s perspective. Rev Baiana Enferm. 2017;31(1):e17251. https://doi.org/10.18471/rbe.v31i1.17251 https://doi.org/10.18471/rbe.v31i1.17251... )	2017/Brazil/Revista Baiana Enfermagem	Evaluatve study, with 11 nurses	Nursing consultation; absence of active search; early diagnosis; lack of dermatoneurological assessment and degree of PD; contact surveillance; family counseling; health education.	IV
Oliveira AG, Camargo CG “Hanseníase: conhecimentos teóricos e práticos de profissionais de enfermagem que atuam na atenção básica”(²²22 Oliveira AG, Camargo CC. Hansen's disease: theoretical and practical knowledge of nursing professionals working in primary care. Rev Salusvita [Internet]. 2020 [cited 2023 Jan 02];39(4):979-96. Available from: https://revistas.unisagrado.edu.br/index.php/salusvita/article/view/72/55 https://revistas.unisagrado.edu.br/index... )	2020/Brazil/Salusvita	Observational, cross-sectional and analytical study, with 42 nurses	Nursing consultation; absence of active search; late diagnosis; deficiency in dermatoneurological assessment and degree of PD; deficit of information about supervised treatment.	IV

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding author: Michelle Santos Macêdo E-mail: mmichellemacedo@gmail.com