{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T13:25:22Z","timestamp":1754486722710,"version":"3.41.2"},"reference-count":36,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Ga\u00facha Enferm."],"abstract":"<jats:p>Resumo OBJETIVO Analisar as rela\u00e7\u00f5es contextuais da aten\u00e7\u00e3o \u00e0 sa\u00fade na alta em hansen\u00edase. M\u00c9TODO Estudo anal\u00edtico pautado no referencial te\u00f3rico de an\u00e1lise do contexto, elaborado mediante revis\u00e3o integrativa de literatura nas bases de dados SCOPUS, PUBMED, LILACS, SCIELO e BDENF, com descritores Hansen\u00edase e Alta do Paciente, obtendo-se 14 publica\u00e7\u00f5es. RESULTADOS O contexto imediato aborda a aten\u00e7\u00e3o em sa\u00fade na alta em hansen\u00edase; o contexto espec\u00edfico trata da hansen\u00edase como problema de sa\u00fade p\u00fablica; as concep\u00e7\u00f5es simb\u00f3licas que envolvem a hansen\u00edase s\u00e3o abarcadas pelo contexto geral; e no metacontexto est\u00e3o descritos programas e pol\u00edticas de sa\u00fade que subsidiam o atendimento \u00e0 pessoa com hansen\u00edase. CONCLUS\u00c3O Os elementos contextuais ressaltam a necessidade de garantir a aten\u00e7\u00e3o em sa\u00fade para os casos de hansen\u00edase, do diagn\u00f3stico at\u00e9 o p\u00f3s-alta, reconhecendo a hansen\u00edase como problema de sa\u00fade p\u00fablica. Apesar das limita\u00e7\u00f5es dos estudos bibliogr\u00e1ficos, estes possuem relev\u00e2ncia para a \u00e1rea da sa\u00fade.<\/jats:p>","DOI":"10.1590\/1983-1447.2019.20180258","type":"journal-article","created":{"date-parts":[[2019,6,5]],"date-time":"2019-06-05T19:35:35Z","timestamp":1559763335000},"source":"Crossref","is-referenced-by-count":9,"title":["An\u00e1lise contextual da aten\u00e7\u00e3o \u00e0 sa\u00fade na alta em hansen\u00edase: uma revis\u00e3o integrativa"],"prefix":"10.1590","volume":"40","author":[{"given":"M\u00f4nica Gisele Costa","family":"Pinheiro","sequence":"first","affiliation":[{"name":"Universidade Federal do Rio Grande do Norte, Brazil"}]},{"given":"Suerda Lillian da Fonseca","family":"Lins","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Norte, Brazil"}]},{"given":"Bruna Raquel da Silva","family":"Gomes","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Norte, Brazil"}]},{"given":"Cl\u00e9lia Albino","family":"Simpson","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Norte, Brazil"}]},{"given":"Felismina Rosa Parreira","family":"Mendes","sequence":"additional","affiliation":[{"name":"Universidade de \u00c9vora, Portugal"}]},{"given":"Francisco Arnoldo Nunes de","family":"Miranda","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Norte, Brazil"}]}],"member":"530","published-online":{"date-parts":[[2019]]},"reference":[{"issue":"35","key":"ref1","first-page":"365","article-title":"Global leprosy: update on the 2012 situation","volume":"88","year":"2013","journal-title":"Wkly Epidemiol Rec"},{"key":"ref2","series-title":"Rev Pesqui Cuid Fundam (Online)","first-page":"648","volume-title":"Epidemiological profile of leprosy in a municipality in the Brazilian Northeast: a retrospective analysis","volume":"9","author":"Alves ES","year":"2017"},{"issue":"3","key":"ref3","first-page":"634","article-title":"The distribution of leprosy cases whit physical disability in the state of Para\u00edba, Brazil, from 2001 to 2011","volume":"9","author":"Uch\u00f4a REM","year":"2017","journal-title":"Rev Pesqui Cuid Fundam (Online)"},{"year":"2016","series-title":"Diretrizes para vigil\u00e2ncia, aten\u00e7\u00e3o e elimina\u00e7\u00e3o da hansen\u00edase como problema de sa\u00fade p\u00fablica","key":"ref4"},{"key":"ref5","series-title":"Rev Bras Enferm","first-page":"339","volume-title":"Instrument of evaluating the actions of leprosy control in primary care","volume":"67","author":"Lanza FM","year":"2014"},{"key":"ref6","article-title":"Prejudice, stigma and exclusion: relatives\u2019 lives affected by asylum-based treatment of leprosy","volume":"25","author":"Pinheiro MGC","year":"2017","journal-title":"Rev Enferm UERJ"},{"issue":"3","key":"ref7","first-page":"496","article-title":"Physical disabilities in leprosy: characterization, factors related and evolution","volume":"20","author":"Ribeiro GC","year":"2015","journal-title":"Cogitare Enferm"},{"key":"ref8","series-title":"Rev Latino-Am Enfermagem","first-page":"620","volume-title":"Meaning of leprosy for people who have experienced treatment during the sulfonic and multidrug therapy periods","volume":"23","author":"Santos KS","year":"2015"},{"key":"ref9","series-title":"Rev Bras Enferm","first-page":"297","volume-title":"Knowledge and practice of the nurse about leprosy: actions of control and elimination","volume":"68","author":"Rodrigues FF","year":"2015"},{"key":"ref10","series-title":"Qual Health Res","first-page":"61","volume-title":"Context as a source of meaning and understanding","volume":"2","author":"Hinds PS","year":"1992"},{"year":"2016","series-title":"Metodologia de investiga\u00e7\u00e3o em ci\u00eancias sociais e humanas: teoria e pr\u00e1tica","author":"Coutinho CP","key":"ref11"},{"key":"ref12","series-title":"Educ Soc","first-page":"961","volume-title":"Collaborative partnerships and secondary education: a context analysis","volume":"34","author":"Ciavatta M","year":"2013"},{"key":"ref13","series-title":"J Adv Nurs","first-page":"546","volume-title":"The integrative review: updated methodology","volume":"52","author":"Whittemore R","year":"2005"},{"issue":"6","key":"ref14","first-page":"37","article-title":"Leprosy reactions in discharged patients following cure by multidrug therapy","volume":"43","author":"Souza LWF","year":"2010","journal-title":"Rev Soc Bras Med Trop"},{"issue":"5","key":"ref15","first-page":"909","article-title":"Physical disabilities in leprosy patients after discharge from multidrug therapy in Northern Brazil","volume":"29","author":"Monteiro LD","year":"2013","journal-title":"Cad Sa\u00fade P\u00fablica"},{"issue":"2","key":"ref16","first-page":"1","article-title":"Limitation and physical disabilities in post-treatment for leprosy: an integrative review","volume":"30","author":"Pinheiro MGC","year":"2016","journal-title":"Rev Baiana Enferm"},{"key":"ref17","series-title":"Rev Soc Bras Med Trop","first-page":"293","volume-title":"Disability after treatment among leprosy patients in V\u00e1rzea Grande, state of Mato Grosso","volume":"43","author":"Ramos J MH","year":"2010"},{"issue":"1","key":"ref18","first-page":"7","article-title":"Occurrence of late lepra reaction in leprosy patients: subsidies for implementation of a specific care program","volume":"25","author":"Rodrigues ALP","year":"2000","journal-title":"Hansen Int"},{"issue":"6","key":"ref19","first-page":"969","article-title":"Leprosy-related disabilities after release from multidrug treatment: prevalence and spatial distribution","volume":"46","author":"Nardi SMT","year":"2012","journal-title":"Rev Sa\u00fade P\u00fablica"},{"issue":"2","key":"ref20","first-page":"209","article-title":"Hansen\u2019s disease and reactional states: patient life stories","volume":"17","author":"Sangi KCC","year":"2009","journal-title":"Rev Enferm UERJ"},{"issue":"3","key":"ref21","doi-asserted-by":"crossref","first-page":"208","DOI":"10.47276\/lr.85.3.208","article-title":"Physical disability and social participation in patients affected by leprosy after discontinuation of multidrug therapy","volume":"85","author":"Castro LE","year":"2014","journal-title":"Lepr Rev"},{"issue":"1","key":"ref22","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1590\/1415-790X201400010008ENG","article-title":"Limited activity and social participation after hospital discharge from leprosy treatment in a hyperendemic area in north Brazil","volume":"17","author":"Monteiro LD","year":"2014","journal-title":"Rev Bras Epidemiol"},{"key":"ref23","series-title":"An Bras Dermatol","first-page":"255","volume-title":"Retreatment of leprosy relapse","volume":"80","author":"Brito MFM","year":"2005"},{"key":"ref24","series-title":"Trop Med Int Health","first-page":"1145","volume-title":"Progression of leprosy disability after discharge: is multidrug therapy enough?","volume":"18","author":"Sales AM","year":"2013"},{"issue":"6","key":"ref25","doi-asserted-by":"crossref","first-page":"1125","DOI":"10.1590\/S0104-11692007000600011","article-title":"Evaluation of incapacity level in leprosy: a strategy to sensitize and train the nursing team","volume":"15","author":"Sobrinho RAS","year":"2007","journal-title":"Rev Latino-Am Enfermagem"},{"issue":"2","key":"ref26","first-page":"110","article-title":"Assessing psychological rehabilitation of leprosy patients discharged home in Abia and Ebonyi States of Nigeria","volume":"8","author":"Enwereji E","year":"2011","journal-title":"Eur J Gen Med"},{"issue":"esp","key":"ref27","first-page":"727","article-title":"Post-treatment of leprosy in Cear\u00e1: activity and functional limitation, safety awareness and social participation","volume":"61","author":"Barbosa JC","year":"2008","journal-title":"Rev Bras Enferm"},{"key":"ref28","series-title":"Portaria n\u00ba 2.436 de 21 de setembro de 2017. Aprova a Pol\u00edtica Nacional de Aten\u00e7\u00e3o B\u00e1sica, estabelecendo a revis\u00e3o de diretrizes para a organiza\u00e7\u00e3o da Aten\u00e7\u00e3o B\u00e1sica, no \u00e2mbito do Sistema \u00danico de Sa\u00fade (SUS)","first-page":"68","volume":"154","year":"2017"},{"key":"ref29","series-title":"Portaria n\u00ba 594 de 29 de outubro de 2010. Inclui, na Tabela de Servi\u00e7os Especializados\/Classifica\u00e7\u00e3o do SCNES- Sistema de Cadastro Nacional de Estabelecimentos de Sa\u00fade, o servi\u00e7o de Aten\u00e7\u00e3o Integral em Hansen\u00edase, define condi\u00e7\u00f5es t\u00e9cnicas do Servi\u00e7o de Aten\u00e7\u00e3o Integral em Hansen\u00edase e estabelece mecanismos para organiza\u00e7\u00e3o e implanta\u00e7\u00e3o de Redes Estaduais e Municipais de Aten\u00e7\u00e3o \u00e0 Hansen\u00edase","first-page":"78","volume":"148","year":"2010"},{"year":"2016","series-title":"Estrat\u00e9gia Global para Hansen\u00edase 2016-2020: acelera\u00e7\u00e3o rumo a um mundo sem hansen\u00edase","key":"ref30"},{"year":"2016","series-title":"Guia pr\u00e1tico para operacionaliza\u00e7\u00e3o da campanha nacional de hansen\u00edase, verminoses, tracoma e esquistossomose 2016","key":"ref31"},{"year":"1988","series-title":"Constitui\u00e7\u00e3o da Rep\u00fablica Federativa do Brasil de 1988","key":"ref32"},{"key":"ref33","series-title":"Lei n\u00ba 8.080, de 19 de setembro de 1990. Disp\u00f5e sobre as condi\u00e7\u00f5es para a promo\u00e7\u00e3o, prote\u00e7\u00e3o e recupera\u00e7\u00e3o da sa\u00fade, a organiza\u00e7\u00e3o e o funcionamento dos servi\u00e7os correspondentes e d\u00e1 outras provid\u00eancias","first-page":"18055","volume":"128","year":"1990"},{"year":"2010","series-title":"Portaria n\u00ba 3.125 de 07 de outubro de 2010. Aprova as diretrizes para vigil\u00e2ncia, aten\u00e7\u00e3o e controle da hansen\u00edase","key":"ref34"},{"key":"ref35","series-title":"Making the case for evidence-based practice. In: Melnyk BM, Fineout-Overholt E. Evidence-based practice in nursing & healthcare. a guide to best practice","first-page":"3","author":"Melnyk BM","year":"2005"},{"year":"2017","series-title":"Sistema de Informa\u00e7\u00e3o de Agravos de Notifica\u00e7\u00e3o. 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