O processo de trabalho do enfermeiro nas ações de controle da tuberculose: desafios e perspectivas.

Abstract

Introduction: The treatment actions and tuberculosis control in Brazil are embedded in the context of primary health care , since it is a disease prioritized by the Ministry of Health has nurses as active protagonist in the development of actions to combat the diseass: proposed by the National Tuberculosis Control. Objective: To know the main challenges and perspectives in the process of nursing work in efforts to control tuberculosis developed in Primary Care . Methods: This exploratory , descriptive , quantitative and qualitative was cor ducted in the municipalities of Sousa and Cajazeiras , both located in Alto Sertao Paraiba (uring August and September 2013 with 32 nurses working in the Family Health Strategy of appropriate locations . Were selected professionals working for more than six months in the service , independent of the titration , employment and number of tuberculosis patient;; registered in the unit, and agree to participate voluntarily in the study after ethical clarifica ion . For data collection we used a semi-structured questionnaire and analyzed using descrhtive statistics and content analysis. Results: The main results revealed the predominance of females ( 96.90 % ) , with subjects aged between 30 and 39 years ( 46.90 % ) , married ( 54.20 % ) , with post -graduate ( 72.13 % ) , personal income 2-3 minimum wages (62.50 % ) 65.63 % are employed , working for less than 1 year at FHS (50.00 % ) and 53.20 % of nurses did not attend training course less than two years. The nurses have a clinical knowledge , epidemiological and social about TB , and treatment ( 16.80% ) , health education ( 15.20% ) and active ( 13.50 % ) the main actions taken by them in combat TB . Among the difficulties encountered in the operation of actions to combat the disease were adherence to treatment , stigma and taboo surrounding the disease and the abandonment of therapy by tie patient, and the main expectation of professionals to develop actions to control the diseas e and the cure eradicate it . When looking at the participants the main actions that contribute to the effectiveness of the actions proposed by the NTCP are health education , profe ssional training and involvement of managers with actions to combat TB . Conclusion: Fi om the results obtained , it is said that actions to combat TB are fragmented , which allows the main difficulties in the operationalization of activities , membership and abandonment of treatment , it is essential to involve the managers to the cause , providing material input:; recommended by the NTCP as well as professional training , providing skilled attendance integral and humanized.