Effectiveness of neurolysis as a treatment for complications of leprosy neuritis: a systematic review.

BACKGROUND: Complications of leprosy neuritis are considered serious and apparent, with the potential to disable and/or limit individuals. These complications affect not only a patient's physical functioning, but also their family and social lives, while directly impacting the ability to work and/or maintain financial independence, subsequently interfering with their overall quality of life. The present review, therefore, aimed to analyze the effectiveness of neurolysis as an alternative treatment for the complications associated with leprosy neuritis. METHODS: The present review was performed based on the Joanna Briggs Institute methodology, in an effort to answer the following research question: what is the effectiveness of neurolysis as a treatment for leprosy neuritis complications? This research question was defined using the patient-intervention-outcome (PIO) framework, where leprosy represents 'P', neurolysis for 'I', and neuropathic pain/motor function/sensorial function/physical disability/quality of life for 'O'. Randomized and non-randomized clinical trials and prospective observational cohort studies were included in the present review, with no time or date restrictions. RESULTS: The present review included 1 randomized clinical trial and 10 prospective studies, published between 1976 and 2020. All of the outcomes showed improvement, with relief from neuropathic pain being the primary finding. CONCLUSIONS: The evidence obtained in the present review suggested that neurolysis is an effective alternative for the treatment of physical disabilities, the recovery of sensory and motor function, the restoration of quality of life, and neuropathic pain relief.

Evaluation by community health agents of the attributes of primary health care for fighting leprosy: a cross-sectional study

OBJECTIVE: To evaluate whether the attributes of Primary Healthcare are present in leprosy control actions in Londrina from Community Health Workers' (CHW) perspectives. METHOD: Observational and evaluative study. Data collection occurred between January and March 2020 in Londrina, Paraná, using the questionnaire "Primary Care Assessment Tool (PCATool) - Hansen's disease - CHW version" and a population-based census of 246 CHWs from 52 Primary Healthcare Units. The analyses used a cutoff point (≥ 6.6), central tendency, and dispersion measures. One-way ANOVA and Tukey's post hoc tests were used to analyze differences. Results: The general performance towards the primary healthcare attributes were evaluated as strong (mean = 6.95 / SD = 1.08) and the essential score (mean = 7.39 / SD = 1.0). On the other hand, the derived score was evaluated as poor (mean = 6.07 / sd = 1.06). Concerning the Access attribute, the rural zone had a lower score than the urban (mean = 4.47 / SD = 1.63). Conclusion: The study highlights issues that can be improved, such as first contact access, catalog of services offered to leprosy patients, information provided to the community, professional training, and differences in PHC performance between urban and rural regions.

Effectiveness of neurolysis as a treatment for complications of leprosy neuritis: a systematic review

ABSTRACT Background: Complications of leprosy neuritis are considered serious and apparent, with the potential to disable and/or limit individuals. These complications affect not only a patient's physical functioning, but also their family and social lives, while directly impacting the ability to work and/or maintain financial independence, subsequently interfering with their overall quality of life. The present review, therefore, aimed to analyze the effectiveness of neurolysis as an alternative treatment for the complications associated with leprosy neuritis. Methods: The present review was performed based on the Joanna Briggs Institute methodology, in an effort to answer the following research question: what is the effectiveness of neurolysis as a treatment for leprosy neuritis complications? This research question was defined using the patient-intervention-outcome (PIO) framework, where leprosy represents 'P', neurolysis for 'I', and neuropathic pain/motor function/sensorial function/physical disability/quality of life for 'O'. Randomized and non-randomized clinical trials and prospective observational cohort studies were included in the present review, with no time or date restrictions. Results: The present review included 1 randomized clinical trial and 10 prospective studies, published between 1976 and 2020. All of the outcomes showed improvement, with relief from neuropathic pain being the primary finding. Conclusions: The evidence obtained in the present review suggested that neurolysis is an effective alternative for the treatment of physical disabilities, the recovery of sensory and motor function, the restoration of quality of life, and neuropathic pain relief.

Capacitação profissional em hanseníase na Atenção Primária à Saúde: protocolo de revisão de escopo / Professional training in leprosy in Primary Health Care: a scoping review protocol

OBJETIVO: Descrever a sistematização do desenvolvimento de uma revisão de escopo para mapear evidências científicas relativas à capacitação profissional da equipe de assistência ao paciente em hanseníase na Atenção Primária à Saúde. MÉTODO: Fundamentar-se-á nas recomendações do Preferred Reporting Items for Systematic and Meta-Analyses - Extension for Scoping Reviews (PRISMA-ScR), atendendo às orientações do Instituto Joanna Briggs. Espera-se que as evidências encontradas na literatura nacional e internacional possam direcionar profissionais e gestores na implementação de ações de controle e eliminação da hanseníase como problema de saúde pública, por meio da educação.

OBJECTIVE: To describe the systematization of a scoping review to map scientific evidence related to the professional training of the members of the leprosy primary health care team. METHOD: The recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) will be met, as well as the Joanna Briggs Institute's guidelines. It is expected that the evidence found in the national and international literature can guide professionals and managers in implementing actions to control and eliminate leprosy, a public health problem, through education.

Hardiness e estresse ocupacional em enfermeiros gestores de instituições hospitalares / Hardiness and occupational stress in nurses managers of hospital institutions

Objetivo: determinar a presença de Hardiness em enfermeiros gestores de instituições hospitalares. Método: estudo quantitativo, transversal, realizado em cinco hospitais, três públicos, um privado e um filantrópico, que prestam atendimento, de média e alta complexidade, no Sul do Brasil. Fizeram parte da população de estudo 62 enfermeiros que ocupavam cargos de chefia de serviço ou eram coordenadores de áreas. Foram utilizados dois instrumentos para avaliar o estresse ocupacional e a Escala de Hardiness. Resultado: identificou-se que 56% dos enfermeiros gestores referiram estresse em suas atividades e que 40% dos participantes foram considerados com personalidade resistente ao estresse (Hardiness). Verificou-se uma correlação inversa entre o Hardiness e o estresse, uma vez que na medida em que o Hardiness aumentou, o estresse diminuiu. Conclusão: gerenciar requer um elevado nível de exigência e o desenvolvimento de estratégias para combater o estresse resultantes das responsabilidades inerentes aos cargos gerenciais.

Vivências dos discentes de enfermagemdurante o internato na área hospitalar / Experiences of nursing students during hospital stay in the hospital area

- Objetivo: desvelar a opinião dos estudantes do Curso de Enfermagem da Universidade Estadual de Londrina a respeito das suasvivências durante o internato na área hospitalar. Método: estudo com abordagem qualitativa, descritiva e exploratória oriundo das análisesdas avaliações realizadas pelos discentes de enfermagem, ao final do internato na área hospitalar. A coleta de dados ocorreu ao final de2013 e 2014. O material coletado foi tratado por meio de análise temática de conteúdo. Resultados: emergiram três categorias de análise:Vivência do interno de enfermagem com a realidade da profissão; Desenvolvimento de competências e habilidades durante o internatohospitalar e, o Relacionamento interpessoal e enfrentamento de conflitos durante o internato. Conclusão: este estágio possibilitou aosestudantes vivenciar a prática real do profissional Enfermeiro, desenvolver habilidades e competências esperadas para a formação desteprofissional, além de possibilitar o estabelecimento de relações interpessoais e interprofissionais no enfrentamento de conflitos.