Uso cultural e científico das plantas medicinais na população pediátrica com doença falciforme: aspectos clínicos e ambientais
Introduction: Sickle cell disease (SCD) is a genetic inheritance, with African origin, with the North and Northeast regions being the most affected in terms of prevalence in Brazil. The most advanced treatments available for the disease are beyond the reach of the majority of the affected world p...
| Autor principal: | Paula, Rebeca Garcia de |
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| Grau: | Tese |
| Idioma: | pt_BR |
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Universidade Federal do Tocantins
2024
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| Acesso em linha: |
http://hdl.handle.net/11612/6779 |
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ir-11612-67792024-06-24T06:23:05Z Uso cultural e científico das plantas medicinais na população pediátrica com doença falciforme: aspectos clínicos e ambientais Paula, Rebeca Garcia de Seibert, Carla Simone Plantas Medicinais; Doença Falciforme; Pediatria; Medicinal Plants; Sickle Cell Disease; Pediatrics CNPQ::OUTROS Introduction: Sickle cell disease (SCD) is a genetic inheritance, with African origin, with the North and Northeast regions being the most affected in terms of prevalence in Brazil. The most advanced treatments available for the disease are beyond the reach of the majority of the affected world population. Therefore, Traditional Medicine (involving medicinal plants, phytomedicines and nutraceuticals, as well as alternative interventions) is widely used by such people, both due to its low cost, availability and accessibility, and because it is culturally well accepted. Objective: To understand the cultural and scientific use of medicinal plants in DF, with its clinical and environmental implications in Pediatrics, especially in Tocantins (TO). Methodology: This is a literature review study, followed by a documentary study (with review of medical records) and a population survey, involving both families with children and adolescents with sickle cell disease, as well as health professionals, with subsequent application through a guide and protocol for the care of pediatric patients with SCD in Tocantins. Results: In the systematic literature review, 305 species of medicinal plants used in SCD were described; of these, 46 were found in Tocantins herbaria. In the review of 154 active medical records of pediatric patients with SCD at the outpatient clinic in the state capital (Palmas-TO), 70.1% reported the use of medicinal plants, with 64 species mentioned in total, but 41 of them were not found in the literature review. In the 50 questionnaires answered by family members of pediatric patients with SCD, 84% reported the use of medicinal plants, with 52 species cited in total, however 34 of them were not found in the literature review. In the 62 questionnaires answered by health professionals in the state, only four reported having knowledge about medicinal plants in the SCD. A clinical protocol was created to assist in the monitoring of pediatric patients with SCD in the TO and a guide on medicinal plants for the disease. Conclusion: The majority of patients in this study use both Conventional and Traditional/Complementary/Alternative Medicine, while most health professionals demonstrated a lack of knowledge on the subject, which leads to the need for more studies in these areas, especially in Pediatrics, aiming at patient safety and articulating the cultural and scientific use of medicinal plants. Introdução: A Doença Falciforme (DF) constitui-se de uma herança genética, com origem africana, sendo, no Brasil, as Regiões Norte e Nordeste as mais acometidas em prevalência. Os tratamentos mais avançados disponíveis para a doença estão fora do alcance da maior parte da população mundial afetada. Sendo assim, a Medicina Tradicional (envolvendo plantas medicinais, fitomedicamentos e nutracêuticos, bem como intervenções alternativas) é bastante utilizada por tais povos, tanto pelo baixo custo, disponibilidade e acessibilidade, quanto por serem culturalmente bem aceitos. Objetivo: Conhecer o uso cultural e científico das plantas medicinais na DF, com seus desdobramentos clínicos e ambientais na Pediatria, especialmente no Tocantins (TO). Metodologia: Trata-se de um estudo de revisão de literatura, seguido por um documental (com revisão de prontuários) e inquérito populacional, envolvendo tanto as famílias com crianças e adolescentes falciformes, quanto os profissionais de saúde, com posterior aplicação por meio de guia e protocolo no atendimento dos pacientes pediátricos com DF em Tocantins. Resultados: Na revisão sistemática da literatura foram descrtitas 305 espécies de plantas medicinais utilizadas na DF; destas, 46 foram encontradas nos herbários do Tocantins. Na revisão dos 154 prontuários ativos dos pacientes pediátricos com DF no Ambulatório da capital do estado (Palmas-TO), em 70,1% havia o relato do uso de plantas medicinais, sendo 64 espécies citadas ao todo, porém 41 delas não foram encontradas na revisão da literatura. Nos 50 questionários respondidos pelos familiares de pacientes pediátricos com DF, em 84% houve o relato do uso de plantas medicinais, sendo citadas 52 espécies ao todo, contudo 34 delas não foram encontradas na revisão de literatura. Nos 62 questionários respondidos pelos profissionais de saúde do estado, apenas quatro relataram ter conhecimento sobre plantas medicinais na DF. Foi construído um protocolo clínico para auxiliar no acompanhamento do paciente pediátrico com DF no TO e um guia sobre plantas medicinais na doença. Conclusão: A maioria dos pacientes deste estudo faz uso tanto da Medicina Convencional, quanto da Tradicional/ Complementar/ Alternativa, enquanto a maior parte dos profissionais de saúde demonstrou desconhecimento sobre o assunto, o que leva à necessidade de mais estudos nessas áreas, em especial na Pediatria, visando a segurança do paciente e a articulação do uso cultural e científico das plantas medicinais. 2024-05-28T12:37:12Z 2024-05-28T12:37:12Z 2024-03-21 Tese PAULA, Rebeca Garcia de. Uso cultural e científico das plantas medicinais na população pediátrica com doença falciforme: aspectos clínicos e ambientais.2024. 199f. Tese (Doutorado em Ciências do Ambiente) – Universidade Federal do Tocantins, Programa de Pós-Graduação em Ciências do Ambiente, Palmas, 2024. http://hdl.handle.net/11612/6779 pt_BR Open Access application/pdf application/pdf Universidade Federal do Tocantins BR Programa de Pós-Graduação em Ciências do Ambiente - Ciamb Palmas |
| institution |
Repositório Institucional - Universidade Federal do Tocantins - UFT |
| collection |
RepositorioUFT |
| language |
pt_BR |
| topic |
Plantas Medicinais; Doença Falciforme; Pediatria; Medicinal Plants; Sickle Cell Disease; Pediatrics CNPQ::OUTROS |
| spellingShingle |
Plantas Medicinais; Doença Falciforme; Pediatria; Medicinal Plants; Sickle Cell Disease; Pediatrics CNPQ::OUTROS Paula, Rebeca Garcia de Uso cultural e científico das plantas medicinais na população pediátrica com doença falciforme: aspectos clínicos e ambientais |
| topic_facet |
Plantas Medicinais; Doença Falciforme; Pediatria; Medicinal Plants; Sickle Cell Disease; Pediatrics CNPQ::OUTROS |
| description |
Introduction: Sickle cell disease (SCD) is a genetic inheritance, with African origin,
with the North and Northeast regions being the most affected in terms of prevalence in
Brazil. The most advanced treatments available for the disease are beyond the reach of
the majority of the affected world population. Therefore, Traditional Medicine
(involving medicinal plants, phytomedicines and nutraceuticals, as well as alternative
interventions) is widely used by such people, both due to its low cost, availability and
accessibility, and because it is culturally well accepted.
Objective: To understand the cultural and scientific use of medicinal plants in DF, with
its clinical and environmental implications in Pediatrics, especially in Tocantins (TO).
Methodology: This is a literature review study, followed by a documentary study (with
review of medical records) and a population survey, involving both families with
children and adolescents with sickle cell disease, as well as health professionals, with
subsequent application through a guide and protocol for the care of pediatric patients
with SCD in Tocantins.
Results: In the systematic literature review, 305 species of medicinal plants used in
SCD were described; of these, 46 were found in Tocantins herbaria. In the review of
154 active medical records of pediatric patients with SCD at the outpatient clinic in the
state capital (Palmas-TO), 70.1% reported the use of medicinal plants, with 64 species
mentioned in total, but 41 of them were not found in the literature review. In the 50
questionnaires answered by family members of pediatric patients with SCD, 84%
reported the use of medicinal plants, with 52 species cited in total, however 34 of them
were not found in the literature review. In the 62 questionnaires answered by health
professionals in the state, only four reported having knowledge about medicinal plants
in the SCD. A clinical protocol was created to assist in the monitoring of pediatric
patients with SCD in the TO and a guide on medicinal plants for the disease.
Conclusion: The majority of patients in this study use both Conventional and
Traditional/Complementary/Alternative Medicine, while most health professionals
demonstrated a lack of knowledge on the subject, which leads to the need for more
studies in these areas, especially in Pediatrics, aiming at patient safety and articulating
the cultural and scientific use of medicinal plants. |
| author_additional |
Seibert, Carla Simone |
| author_additionalStr |
Seibert, Carla Simone |
| format |
Tese |
| author |
Paula, Rebeca Garcia de |
| title |
Uso cultural e científico das plantas medicinais na população pediátrica com doença falciforme: aspectos clínicos e ambientais |
| title_short |
Uso cultural e científico das plantas medicinais na população pediátrica com doença falciforme: aspectos clínicos e ambientais |
| title_full |
Uso cultural e científico das plantas medicinais na população pediátrica com doença falciforme: aspectos clínicos e ambientais |
| title_fullStr |
Uso cultural e científico das plantas medicinais na população pediátrica com doença falciforme: aspectos clínicos e ambientais |
| title_full_unstemmed |
Uso cultural e científico das plantas medicinais na população pediátrica com doença falciforme: aspectos clínicos e ambientais |
| title_sort |
uso cultural e científico das plantas medicinais na população pediátrica com doença falciforme: aspectos clínicos e ambientais |
| publisher |
Universidade Federal do Tocantins |
| publishDate |
2024 |
| url |
http://hdl.handle.net/11612/6779 |
| _version_ |
1806611268247748608 |
| score |
11.755432 |