PULMONARY TUBERCULOSIS : HISTORICAL ASPECTS AND BIOPSYCHOSOCIAL

This study is a literature review about the historical and biopsychosocial aspects of pulmonary tuberculosis (TB). Based on materials already developed, consisting of scientific articles searched in the Virtual Health Library, using the database Lilacs, nursing Database (BDENF) and Medline, the study was based in 07 selected references. The results shows that pulmonary tuberculosis remains as a serious public health problem, stigmatized and still developing in a context of poverty and considerable social inequalities. Analyzing the daily health issues, it carries the concept of a remote and reductionist disease as the hygienist paradigm, where the focus is on healing and not on the person in its complexity that experiences a disease. It is also considered that the community and the environment where the patient lives has a decisive role to the concept of disease, values and historical marks from generation to generation. It was concluded that the continuation nowadays of TB occurs because of abandonment of treatment, and this low adhesion occurs because of the collateral effects, external aggravating and peculiarities of the disease such as alcoholism, drugs, adverse reactions, socioeconomic problems, difficulties of access to treatment, relationship with health professionals and the feeling of healing before the end of treatment. This study aimed to review in an exploratory and qualitative way the historical, biological (clinical, diagnosis and treatment) and psychosocial aspects of pulmonary tuberculosis nationwide.