Atuação dos enfermeiros da estratégia de saúde da família no controle da tuberculose.

Abstract

Tuberculosis (TB) has been, throughout history, one of the infectious and contagious diseases that prevails as a public health problem. In the country, several measures in health care related to tuberculosis control have been implemented through the Unified Health System. Therefore, the role of FHS nurses is very important, considering that they are the ones who will accompany the patient from the case detection until discharge. Thus, the present study has the general objective of knowing the role of nurses in the Family Health Strategy in the development of tuberculosis control actions in the city of Cajazeiras - PB. It was an exploratory, field research, with a quantitative approach, carried out in the 14 Family Health Units in the municipality of Cajazeiras - PB. The population and the sample consisted of 14 nurses who work in the Family Health Program in the municipality. The instrument used for the collection was a semi-structured questionnaire script containing two parts, the first with information related to the characterization of the participants and the second with data related to the research objectives. The data were analyzed quantitatively through simple statistical treatment and arranged in tables. The characterization of the sample demonstrated that 93% of the participants and the female sex, 58% are aged between 21 and 30 years, 64% have training time from 1 to 9 years and 64% of the professionals have training in TB. The data related to the research objectives show that for 64% of nurses, the DOT is done only by the CHA, the same being performed 3 times a week in 57% of the units. Control smear microscopy is requested monthly by 57% of nurses. When there is a lack or abandonment, 50% of nurses make a visit focusing on the importance of treatment. The nurse examines the contacts in 86% of the units. To optimize adherence, 50% guide the patient during medication delivery. Of the participants, 86% cited the non-adherence of the community as the main difficulty for implementing educational activities. To carry out an adequate management of TB, it is necessary to intensify and improve the actions directed to the disease. Thus, it is necessary to establish a greater interaction between UBS and the municipality, in view of the discussion and the development of really effective actions to control Tuberculosis.