ABSTRACT
Objective To understand the experience of women with heroin dependence in compulsory detoxification before the society-return.Methods A semi-structured interview was conducted with 15 women with heroin dependence in compulsory detoxification.Data were analyzed based on Colaizzi phenomenological research method.Results The feelings of women with heroin dependence in compulsory detoxification were classified into 3 themes,including negative self-concept,loneliness and helplessness,uncertainty about the future.Conclusions Nurses should pay attention to problems about women with heroin dependence in compulsory detoxification and provide effective measures to improve their physical and psychological health and help them to return to the society.
ABSTRACT
Objective To investigate the status and influencing factors of convalescent patients with heroin dependence in compulsory detoxification.Methods A total of 90 convalescent patients with heroin dependence in compulsory detoxification were recruited and investigated with a self-designed scale,General Self-efficacy Scale (GSES),Social Support Assessment Scale (SSRS) and Self-rating Depression Scale (SDS).Results The mean score of the self-efficacy was (20.97±2.26) points.Multiple regression analysis showed that depression,social support and daily dose of heroin use were influencing factors of the self-efficacy,which could explain 59.1％ of the variance.Conclusions Improving the self-efficacy of convalescent patients with heroin dependence in compulsory detoxification can enhance physical and psychological health and decrease the relapse.
ABSTRACT
Da forma como a lepra era percebida na sociedade brasileira do início do século XX, a segregação dos doentes era vista como o único modo de proteger os sãos. A política praticada pela Inspetoria de Profilaxia da Lepra e das Doenças Venéreas privilegiava o isolamento em leprosários. Belisário Penna, crítico à atuação desta Inspetoria, defendia que a melhor forma de isolar os doentes seria através da criação de municípios geograficamente distantes dos centros urbanos. Em 1926, instaurou-se uma polêmica entre Penna e Eduardo Rabello, ex-chefe da Inspetoria, sobre esse tema. Essa polêmica se configurou como parte de um debate mais geral sobre a melhor forma de se controlar a lepra, e nos permite entender as mudanças ocorridas na década de 1930 acerca das políticas implementadas contra a doença.
Subject(s)
History, 19th Century , Leprosy/history , Leprosy/prevention & control , Patient Isolation/history , Health Policy , Public Health/history , BrazilABSTRACT
De 1924 a 1962 o Brasil utilizou a internação compulsória de pacientes de hanseníase como controle da doença na comunidade. Com o final dessa política, muitos pacientes continuaram a viver nessas unidades. O Asilo Pirapitingui, hoje Hospital Dr. Francisco Ribeiro Arantes, é a única retaguarda asilar para internação de portadores de hanseníase por indicação social. Obtivemos o relato da história de vida de oito de seus remanescentes, que foram gravados e transcritos. A análise temática desses relatos permitiu a identificação das seguintes categorias: hanseníase; internação; vida cotidiana; a instituição; condições atuais de saúde; e permanência na instituição após a extinção da internação compulsória.
From 1924 to 1962, Brazil used compulsory internment of Hansen's disease patients as one of the ways of controlling the disease in the community. After this policy ended, many patients continued to live in these units. The former Asilo Pirapitingui, now the Hospital Dr. Francisco Ribeiro Arantes, is the only old-style asylum for the socially determined internment of those suffering from Hansen's disease. Through recorded and transcribed interviews of eight of those remaining, we sought to learn their history and the meaning of this isolation in their lives. The thematic analysis of the discourse enabled identification of the following analysis categories: Hansen's disease; internment; day-to-day life; the institution; current health conditions; and staying in the institution after the end of compulsory internment.