Depresión en paciente con tuberculosis pulmonar y proceso de atención de enfermería según modelo de adaptación de Callista Roy

Abstract

Tuberculosis is a contagious infectious disease, which is preventable and curable, it has a worrying epidemiological number, due to its ease of transport through micro-droplets of flugge expelled by the patient when he coughs, speaks or sneezes, which allows the agent to causative agent called Mycobacterium tuberculosis, moves easily in the environment. Due to the severity of its contagion, it is a matter of concern for health personnel, families and especially the patient who has to deal not only with the symptoms of the disease but also with the stigma generated around this pathology. It is not surprising that this has some kind of impact on the lives of people who suffer from this disease, therefore adaptation is essential for the process of recovering health. In physiological terms, the word adaptation is used to describe the adjustment of an organism's phenotype to its environment, this is called adaptability, physiological adaptation, or acclimatization. When there is no good adaptability to the new clinical condition, the appearance of depressive disorders or depression intensifies, which triggers deterioration of health and complications in therapeutic adherence, therefore, the patient's recovery is difficult and the risk of contagion increases. Objective: The main objective of this case study is to evaluate depression in a patient with Pulmonary Tuberculosis based on the Hamilton test and implementation of the Nursing Care Process according to the adaptation model of Callista Roy.