Avaliação das práticas de médicos e enfermeiros da atenção primária à saúde na terapêutica da tuberculose.

Abstract

Tuberculosis (TB) is considered some of the infectious diseases with great social magnitude and remains a serious public health problem in Brazil and worldwide. Despite advances in combating against discase, including the TB therapy, morbidity and mortality leveis remain high. It evince as relevant strategies for diseasc controL the actions' decentralization Primary Health Care (PHC) and the implementation of the DOTS strategy and Directly Observed Treatment (DOT). In this context, treatment is a major factor in controlling the disease's spread and thc PHC health professionals involved in these process must havc appropriate professional conduct by early diagnosis and trcatment as recommended, besides knowledge about the discase. The aim of this research was to evaluate the doctors and nurses practices in treatment tubcrculosis, as part of the Farnily llcalth Strateg} of t0\>\11S belonging to Agreste Paraibano region . It is a dcscriptive study. transverse and quantitative approach. The sarnple was formed b} doctors and nurses of twenty-sevcn Farnily Health Units (FHU) in the towns Belém, Bananeiras and Solânea , according to thc following inclusion criteria: doctors and nurses who havc worked for more than six months in FHUs and accept to collaborate in survey, totaling 44 professionals. Data were collected through questionnaires and, thcrefore. stored and anal}led in Sofu.vare Epi lnfo verso in 3.5.2. The raised indicators were analyzed statistically through relative frequencies, absolute and it v.as accumulated and thesc datas were showcd in tables and graphs. The research meets requircments of CNS Rcsolution 466/2012 and the subjects participation ofthis rescarch was supported by lnformed Consent Form. As a result, the emphasized was following: 47.7% profcssionals never participated in training on TB; 76.2% of thcm said they "always" or "almost ah\ays" community cases TB are treated in FHU service~ 84.1% respondents pointed out who DOT is suitable for ali cases of TB, but only 41.2% perform it "always" or "almost always", as recommendcd by HM; in relation to professionals who implement DOT in FliU, they stood out figure of nurse and ACS; main difficulties identitied in the rcalization of DOT wcrc TB carrier resistance in relation to take medication, reported by 65.9% study participants, and users who are at risk (chronic alcoholic and drug uscrs ), mentioned by 63.6% ofthem; 70.5% of professionals said they "always" medicines are available at FII U; 90% reported "always" or "almost always" perform the monthly clinicai follow up; and 47.7% agreed that "never" or "almost never" are offered financiai incentives to uscrs in treatmcnt. lt is noted which DOT operation still faces weaknesses dueto lack knowlcdge's professionals and lack of preparation thereof in handling of cases, given the problems associated with the carriers. Thus, should invest in Continuing Education in Health and implementing actions based on completeness and intcrsectoral approach in treatment cases.