<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0874-0283</journal-id>
<journal-title><![CDATA[Revista de Enfermagem Referência]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Enf. Ref.]]></abbrev-journal-title>
<issn>0874-0283</issn>
<publisher>
<publisher-name><![CDATA[Escola Superior de Enfermagem de Coimbra - Unidade de Investigação em Ciências da Saúde - Enfermagem]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0874-02832021000300009</article-id>
<article-id pub-id-type="doi">10.12707/rv20129</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[O tratamento diretamente observado na estratégia de controlo da tuberculose em Portugal]]></article-title>
<article-title xml:lang="en"><![CDATA[Directly observed therapy in the tuberculosis control strategy in Portugal]]></article-title>
<article-title xml:lang="es"><![CDATA[El tratamiento observado directamente en la estrategia de control de la tuberculosis en PortugalMaria Isabel]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Pereira da]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Araújo]]></surname>
<given-names><![CDATA[Beatriz Rodrigues]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Amado]]></surname>
<given-names><![CDATA[João Manuel da Costa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade Católica Portuguesa Instituto de Ciências da Saúde ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade Católica Portuguesa Instituto de Ciências da Saúde Centro de Investigação Interdisciplinar em Saúde]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>09</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>09</month>
<year>2021</year>
</pub-date>
<volume>serV</volume>
<numero>7</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0874-02832021000300009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0874-02832021000300009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0874-02832021000300009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Enquadramento:  A tuberculose, como problema de saúde à escala global, requer um tratamento eficaz. A World Health Organization recomenda a toma da medicação de forma supervisionada e personalizada. Portugal aderiu a esta estratégia, não se tendo identificado estudos desta problemática.  Objetivo:  descrever as implicações do tratamento diretamente observado (TDO) no controlo da tuberculose, em Portugal.  Metodologia:  Estudo exploratório e descritivo, numa amostra de 303 pessoas com tuberculose pulmonar, em centros de diagnóstico pneumológico da região Norte de Portugal, entre março de 2019 e janeiro de 2020.  Resultados:  A TDO é a modalidade de tratamento em 88,1% da amostra. A maioria dos participantes (75,9% das mulheres e 66,3% dos homens) fazem o tratamento sob supervisão do enfermeiro, nas unidades de saúde. As suas expectativas individuais não parecem ser priorizadas. A tomada de decisão sobre a estratégia aplicada surge centrada nos profissionais de saúde e não aparenta privilegiar a participação da pessoa doente.  Conclusão:  A modalidade TDO, apresenta-se como fonte de insatisfação, potencia o agravamento dos recursos económicos da pessoa doente e do estigma social.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background:  Tuberculosis is a global health problem that requires effective treatment. The World Health Organization (WHO) recommends that treatment should be tailored and supervised. Portugal has adhered to this strategy, but no studies on this issue were identified.  Objective:  To describe the implications of Directly Observed Therapy (DOT) for tuberculosis control in Portugal.  Methodology:  Exploratory and descriptive study with a sample of 303 people suffering from pulmonary tuberculosis, in Pulmonary Diagnostic Centers, in Northern Portugal, between March 2019 and January 2020.  Results:  DOT was the treatment modality used in 88.1% of the sample. Most participants (75.9% of women and 66.3% of men) received treatment under the supervision of a nurse in the health care units. Patients&#8217; expectations do not seem to be a priority. Decision-making regarding the adopted strategy is left to the health professionals and does not seem to prioritize the patient&#8217;s participation.  Conclusion:  The DOT modality is a source of dissatisfaction, aggravates patients&#8217; financial burden, and promotes social stigma.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Marco contextual:  La tuberculosis, como problema de salud mundial, requiere un tratamiento eficaz. La Organización Mundial de la Salud recomienda tomar la medicación de forma supervisada y personalizada. Portugal se ha adherido a esta estrategia, aunque no se ha identificado ningún estudio al respecto.  Objetivo:  Describir las implicaciones del tratamiento observado directamente (TDO) para el control de la tuberculosis en Portugal.  Metodología:  Estudio exploratorio y descriptivo, en una muestra de 303 personas con tuberculosis pulmonar, en centros de diagnóstico neumológico de la región norte de Portugal, entre marzo de 2019 y enero de 2020.  Resultados:  El TDO es la modalidad de tratamiento en el 88,1% de la muestra. La mayoría de los participantes (el 75,9% de las mujeres y el 66,3% de los hombres) realizan el tratamiento con la supervisión del enfermero, en las unidades sanitarias. No parece que se prioricen sus expectativas individuales. La toma de decisiones sobre la estrategia aplicada parece centrada en los profesionales sanitarios y no parece priorizar la participación de la persona enferma.  Conclusión:  La modalidad de TDO se presenta como una fuente de insatisfacción, potencia el empeoramiento de los recursos económicos de la persona enferma y el estigma social.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[tuberculose]]></kwd>
<kwd lng="pt"><![CDATA[tratamento]]></kwd>
<kwd lng="pt"><![CDATA[cuidados de saúde primários]]></kwd>
<kwd lng="pt"><![CDATA[enfermagem]]></kwd>
<kwd lng="en"><![CDATA[tuberculosis]]></kwd>
<kwd lng="en"><![CDATA[treatment]]></kwd>
<kwd lng="en"><![CDATA[primary health care]]></kwd>
<kwd lng="en"><![CDATA[nursing]]></kwd>
<kwd lng="es"><![CDATA[tuberculosis]]></kwd>
<kwd lng="es"><![CDATA[tratamiento]]></kwd>
<kwd lng="es"><![CDATA[atención primaria de salud]]></kwd>
<kwd lng="es"><![CDATA[enfermería]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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