Avaliação das medidas de controle de infecção do mycobacterium tuberculosis na Atenção Primária à Saúde no Município de Natal/RN
Background: tuberculosis remains a public health problem throughout human history. For effective coping strategies and improvement of the results, infection control measures are needed to be used by Primary Health Care in its’ services. Aim: to evaluate the infection control measures for Mycobact...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
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| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/28534 |
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| Resumo: | Background: tuberculosis remains a public health problem throughout human history.
For effective coping strategies and improvement of the results, infection control
measures are needed to be used by Primary Health Care in its’ services. Aim: to
evaluate the infection control measures for Mycobacterium tuberculosis in Primary
Health Care, in Natal, Rio Grande do Norte. Method: this is a normative evaluative
research, of quantitative approach, with emphasis on the degree of implementation of
control measures. The methodological reference used was the health evaluation
model by Avenis Donabedian. The final sample was composed by 235 professionals
and 22 Basic Health Units, distributed equally among the professional categories
(doctors, nurses and nursing technicians). The sampling process used was
stratification, in order to obtain data representativeness, thus the sample was
proportionally distributed throughout basic health units in each health district. Data
collection took place between April and July 2019 through a questionnaire consisting
of 49 questions, developed by the Manual of Recommendations for Tuberculosis
Control in Brazil (2018) which divides the infection control measures of tuberculosis
in: administrative, environmental and individual or professional protection. Data were
organized and analyzed using the IBM Statistical Package for Social Science, version
22.0. To identify the degree of implementation of the actions, 46 criteria were listed,
and the percentage of responses were distributed into four classifications: Not
implemented (from 0% to 25%); Incipient (from 26% to 50%); Partially implemented
(from 51% to 75%); Implemented (76% to 100%). The study followed the Resolution
466 of 2012 of the National Health Council and was approved by the Research
Ethics Committee of the Federal University of Rio Grande do Norte, through Opinion
3.250.817 and Certificate of Presentation for Ethical Appreciation
08005818.6.0000.5537. Results: the development of the logical model funded the
evaluation process and provided compression of the disease control actions, through
the assessment (Structure-Process). Of the 235 selected professionals, 184
composed the final sample. The study found that the degree of implementation of
actions related to infection control measures of Mycobacterium tuberculosis in
Primary Health Care services, in Natal / RN was incipient (49.5 %). The structure and
process dimensions were classified as partially implanted (38.36%) and incipient
(10.88%), respectively. Regarding Structure, the sub-dimensions related to
environmental measures were evaluated as non-implanted (0.76%), followed by
management measures whose degree was partially implanted (25, 82%) and, lastly,
the individual respiratory protection measures. as partially implanted (11.78%).
Regarding the process dimension, the sub-dimension related to the management
measures analyzed presented incipient implantation (10.88%). Conclusion: The
construction of the logical model provided comprehension about the relation to
disease infection control measures and provided subsidies to foster the evaluation
process. In addition, the infection control actions of Mycobacterium tuberculosis in
the city of Natal were classified as incipient. Thus, there is a need for coordination between management and professionals in the implementation of actions in health
services. |
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