ABSTRACT
ABSTRACT Background: This cross-sectional study compared the general impact of cutaneous leishmaniasis (CL) and patient satisfaction with treatment and health services as perceived by those undergoing different therapeutic regimens in an endemic region in South-Eastern Brazil. We also investigated the factors associated with both outcomes (general impact and satisfaction). Methods: We included 84 patients with CL treated between 2018 and 2019 with intravenous meglumine antimoniate, liposomal amphotericin B, or intralesional meglumine antimoniate therapy. Data were collected through interviews that assessed sociodemographic characteristics, comorbidity status, access and use of health services for CL diagnosis and treatment, and the items of the Cutaneous Leishmaniasis Impact Questionnaire (CLIQ). The CLIQ is a psychometric questionnaire previously validated to assess the general impact of CL on patient satisfaction with treatment and health services. Multivariate logistic regression analysis was used to identify the factors associated with high CL impact and low patient satisfaction. Results: The general impact of CL and patient satisfaction with treatment and health services were not significantly associated with the therapeutic regimen. High CL impact was associated with low family income (odds ratio [OR]:3.3; 95% confidence interval [CI]:1.0-10.3), occurrence of complications/adverse effects during treatment (OR:7.7; 95%CI:2.4-25.6), and additional costs during diagnosis and/or treatment (OR:12.1; 95% CI:2.8-52.4). Low satisfaction was associated with high disease impact (OR: 9.5; 95% CI:2.7-33.9), occurrence of complications/adverse effects (OR:4.2; 95% CI:1.3-13.0), and high family income (OR:7.1; 95%CI:1.7-28.2). Conclusions: Our data support public health policies aimed at reducing the impact of CL and its treatment as well as the use of therapy with fewer adverse effects.
ABSTRACT
Estudo descritivo realizado em uma unidade de saúde com Estratégia de Saúde da Família com o objetivo deidentificar a aplicação de cuidados com os pés entre portadores de Diabetes Mellitus. Foram realizadas entrevistas nodomicílio com aplicação de instrumento de coleta de dados e observação dos pés de 39 pacientes. Os resultadosdemonstraram que os portadores de diabetes apresentam falhas na aplicação das medidas preventivas do pé diabético, oque aumenta os riscos de complicações e incapacidades para as atividades cotidianas.
It is a descriptive study developed in the Family Health Strategy unit, which aim is to identify the feet careamong Diabetes Mellitus patients. Home interviews were conducted through the data collection instrument, as well as theobservation of the feet of 39 patients. The results showed that individuals with diabetes have gaps in the knowledge whenperforming preventive measures for the diabetic foot, which increases the risk of complications and disability at dailyativities.
Estudio descriptivo realizado en una unidad de salud con Estrategia Salud de la Familia, con el objetivo deidentificar la aplicación de cuidados de los pies entre portadores de Diabetes Mellitus. Se realizaron entrevistas en eldomicilio con la aplicación de instrumento de recolección de datos y observación de los pies de 39 pacientes. Losresultados demostraron que los portadores de diabetes presentan fallas en la aplicación de las medidas preventivas del piediabético, lo que aumenta los riesgos de complicaciones e incacapacidades para las actividades cotidianas.