Factors associated with neural alterations and physical disabilities in patients with leprosy in São Luis, State of Maranhão, Brazil

Araujo, Ana Eugenia Ribeiro de Araujo e; Aquino, Dorlene Maria Cardoso de; Goulart, Isabela Maria Bernardes; Pereira, Silma Regina Ferreira; Figueiredo, Ivan Abreu; Serra, Humberto Oliveira; Fonseca, Poliana Cristina de Almeida; Caldas, Arlene de Jesus Mendes

doi:10.1590/0037-8682-0119-2014

Cited by 10 publications

(4 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Age is an important factor of functional disability and self-care. The result of this study is consistent with De Araujo et al (2014) and De Oliveira and Diniz (2016) which stated that age 31-45 years and over 60 years were at risk for physical disability. Children between 10 to 14 years old are the most vulnerable to leprosy.…”

Section: The Association Between Age and Disability In Leprosy Patientssupporting

confidence: 92%

Determinants of Disability in Patients with Leprosy at Kelet Hospital, Central Java

Nadhiroh

Dharmawan

Murti

2018

J EPIDEMIOL PUBLIC HEALTH

View full text Add to dashboard Cite

Background: Leprosy is a chronic disease caused by Mycobacterium leprae. World Health Organization (WHO) reported that the number of leprosy cases in 2015 was 211,973 in 108 countries in the world. The number of leprosy cases in Indonesia ranks third after India and Brazil. There are 14,000 (8%) leprosy cases with disability. This study aimed to determine factors affecting disability and Years of Life with Disability (YLD) attributable to leprosy in patients with leprosy at Kelet Hospital, Central Java. Subjects and Method: This was an analytic observational study with case control design. The study was conducted at Kelet Hospital, Central Java, from December 2017 to January 2018. A total sample of 140 leprosy patients was selected for this study using fixed disease sampling, consisting of 70 patients with disability and 70 patients without disability. The dependent variables were disability and YLD. The independent variables were age, education level, and self care. The data were collected by questionnaire and analyzed by path analysis. Results: Disability increases YLD (b= 0.37; 95% CI= 0.31 to 0.43; p<0.001). Disability increased with older age (b= 1.41; 95% CI= 0.38 to 2.43; p= 0.007) and decreased with better self care (b= -3.80; 95% CI= -4.90 to -2.71; p<0.001). Better self care increased with high education level (b= 1.96; 95% CI= 1.03 to 2.89; p<0.001). Conclusion:Older age increases the risk of disability, whereas self care decreases the risk of disability. Disability itself increases YLD. Higher education improves self care.

show abstract

Section: The Association Between Age and Disability In Leprosy Patientssupporting

confidence: 92%

Determinants of Disability in Patients with Leprosy at Kelet Hospital, Central Java

Nadhiroh

Dharmawan

Murti

2018

J EPIDEMIOL PUBLIC HEALTH

View full text Add to dashboard Cite

show abstract

“…Neste estudo, os homens apresentaram maior número de diagnósticos de hanseníase com complicações do que as mulheres, configurando uma detecção mais tardia. Este fato pode ser explicado pela grande atenção dispensada pelas mulheres à estética corporal e pela predominância de programas voltados para a saúde da mulher (13) . Nesse sentido, o acesso dos homens aos serviços da APS limita-se ao tratamento de uma morbidade (14) .…”

Section: Discussionunclassified

“…Neste sentido, é mandatório que as ações de prevenção de incapacidades ocorram paralelamente às medidas de controle da doença como a realização frequente do exame dermatoneurológico (13) . Por conseguinte, os gestores e profissionais de saúde necessitam compreender a hanseníase como condição crônica de saúde (22) , para que as ACH sejam efetivas e disponíveis desde o momento do diagnóstico, durante o tratamento e no pós-alta medicamentosa.…”

Section: Conclusãounclassified

Incapacidades Físicas Em Hanseníase: Caracterização, Fatores Relacionados E Evolução

Ribeiro¹,

Lana²

2015

Cogitare Enferm.

View full text Add to dashboard Cite

RESUMO:Este estudo objetivou caracterizar os casos novos de hanseníase; analisar os aspectos socioeconômicos, demográficos, clínico-epidemiológicos e de acesso ao diagnóstico e tratamento relacionados à ocorrência de hanseníase com incapacidades físicas; e a evolução das incapacidades durante o tratamento. Foi realizada uma pesquisa de coorte retrospectiva na região ). There was a statistical relationship between the development of physical deformities and those affected by leprosy with lower levels of schooling, higher neural involvement, and greater difficulties in accessing the health unit, in addition to the maintenance of the degree of disability. There is a reduced operational capacity of the Family Health Strategy (FHS) regarding leprosy control actions and the need to implement the policy according to the Unified Health System (SUS, from its acronym in Portuguese).

show abstract

“…Physical evaluation and monitoring a patient's clinical condition are essential for the preservation of nerve structure and function, identifying deficiencies and preventing future changes. The participation physiotherapy professionals in the clinical/functional diagnosis, treatment and discharge of the patient contributes to disability reduction, recovery of motor skills and avoids the progression of neural complications, all of which are essential for participation in a leprosy control program and in the professional team of a public health unit 7,[24][25][26][27] .…”

Section: Physical Incapacity Valuation Performance and Physiotherapymentioning

confidence: 99%

Leprosy and Physiotherapy: a necessary approach

Álvarez

Filho

2019

jhgd

View full text Add to dashboard Cite

Introduction: New cases of leprosy occur due to a set of factors associated with the lack of knowledge about the disease, both by health professionals and patients, favoring late diagnosis, the development of physical and social disabilities, stigma and prejudice. Objective: To verify the knowledge of students completing the physiotherapy course on leprosy and professional practice in the care of patients with the disease. Methods: A qualitative exploratory descriptive study was conducted with 68 undergraduate students from physiotherapy courses from public and private universities (AU, UB, UC), in the State of Mato Grosso do Sul. Data were collected through a questionnaire with ten open questions about knowledge, practical action, motivations, interests and teaching-learning process about leprosy. To organize and analyze the data, thecollective subject discourse technique was used. Results: It was found that 60% of aU students, 63% of UB and 30.8% of UC have a general conception about the disease. 46.7% of aU students, 77.8% of UB and 80.9% of UC never had contact with leprosy patients. More than half of the students at the three universities said they were unaware of the physiotherapy approaches and practices in leprosy. Almost 100% of ub and UC students stated that the subject was not addressed during the course and therefore did not feel prepared to provide health education and to guide on how to prevent physical deficiencies resulting from leprosy. 73.3% of AU students, 96.3% of UB and 100% of UC recorded negative evaluations, qualifying the course as precarious, insufficient and weak in the leprosy approach. Conclusion: It is concluded that leprosy should be included in physiotherapy courses systematically, providing practical care activities, developing skills from prevention to rehabilitation, seeking greater motivation and identification of his work in this area.

show abstract

Factors associated with neural alterations and physical disabilities in patients with leprosy in São Luis, State of Maranhão, Brazil

Cited by 10 publications

References 13 publications

Determinants of Disability in Patients with Leprosy at Kelet Hospital, Central Java

Determinants of Disability in Patients with Leprosy at Kelet Hospital, Central Java

Incapacidades Físicas Em Hanseníase: Caracterização, Fatores Relacionados E Evolução

Leprosy and Physiotherapy: a necessary approach

Contact Info

Product

Resources

About