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O conhecimento e as atitudes das fam?lias de pacientes em tratamento em tuberculose na aten??o prim?ria ? sa?de

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Previous issue date: 2012-12-14 / This study thus sought to examine knowledge about TB and attitudes of patients families in disease treatment in Primary Health Care in Natal- RN. To this end, a cross-sectional study was undertaken through a questionnaire with families of patients diagnosed with TB and follow up by APS from Natal. The study subjects were recruited from a non-probabilistic way, by convenience, contemplating a sample of 50 families. Among the criteria considered for inclusion of subjects, older than 18 years were considered, as well as residing with the TB patient and in Natal and availability to participate in the research. Data collection was performed by own researcher and an assistant, through a questionnaire with families of patients diagnosed with TB following the double independent digitalization of data. In the analytical phase, was initially conducted an exploratory phase and univariate data, with description of the position measurements (mean, median, mode) and dispersion (confidence interval and standard deviation). In bivariate analysis, it was conducted an intersection of dependent variables of knowledge e and changes of attitude dichotomous, with each of the independent variables, using contingency tables and calculating the chi-square test and, when appropriate, the Fisher exact test. In 2x2 tables, calculated the odds ratio (OR) with confidence intervals of 95% (95% CI). From the selected sample, 43 (86%) subjects were female, average age and median respectively of 46.64 and 46.50 years, 25 (50%) had elementary school. The knowledge expressed by family members about TB was considered satisfactory. However, the lack of interest of the family (54%) in seeking information about tuberculosis; the wrong way of reply in relation to the organism causing the disease (64%); the water content (62%) and contaminated food (54% ) as a means of spreading TB was a weakness identified in the investigation. Regarding the time of transmission, 90% of respondents indicated not know or answered wrong. From investigated independent variables, only two were associated with lack of knowledge of TB, and they did not have religion (OR: 0.146, 95% CI: 0.027 to 0.800) and income below 1, 7 minimum wages (OR: 0.155, 95% CI: 0.029 to 0.813). Thus they seem to exercise a protective effect on this outcome. As for the changes in attitude, most of the found variables had no association with statistical significance, except no internet access (OR: 0.212, 95% CI: 0,048-0, 935). Most attitudes were positive in relation to TB patient. Results have demonstrated weaknesses in TB care, which has taken on a more individual and welfare character. Data not only express health outcomes produced by health services, but also the political and social situation of the families that are affected by TB / A presente investiga??o analisa o conhecimento sobre TB e as atitudes das fam?lias de pacientes em tratamento da doen?a na Aten??o Prim?ria ? Sa?de em Natal/RN. Consiste em um estudo de corte transversal, realizado atrav?s da aplica??o de question?rio junto ?s fam?lias de pacientes diagnosticados de TB e em seguimento pela APS de Natal. Os sujeitos da pesquisa foram recrutados de forma n?o probabil?stica, por conveni?ncia, contemplando uma amostra de 50 familiares. Dentre os crit?rios de inclus?o dos sujeitos, est?o idade acima de 18 anos, residir com o doente de TB em Natal e disponibilidade de participa??o da pesquisa. A coleta de dados foi realizada pela pesquisadora e uma assistente, atrav?s de um formul?rio previamente testado em realidade semelhante, junto aos familiares do doente de TB.Procedeu-se a dupla digita??o independente dos dados. Na etapa anal?tica, inicialmente foi conduzida a fase explorat?ria e univariada dos dados, com descri??o das medidas de posi??o (m?dia, mediana, moda) e dispers?o (intervalo de confian?a e desvio-padr?o). Na an?lise bivariada, os autores efetuaram o cruzamento das vari?veis dependentes e dicot?micas − conhecimento e mudan?as atitudes ,com cada uma das vari?veis independentes, por meio de tabelas de conting?ncia, sendo aplicado o teste qui-quadrado e, quando necess?rio, o teste exato de Fisher. Nas tabelas 2x2, computou-se o odds ratio (OR) com respectivos intervalos de confian?a de 95% (IC 95%). Da amostra selecionada, 43 (86%) sujeitos eram do sexo feminino, com idade m?dia e mediana respectivamente de 46,64 e 46,50 anos; 25 (50%) possu?am o ensino fundamental. O conhecimento expresso pelos familiares sobre a TB foi considerado satisfat?rio. Entretanto, a falta de interesse dos familiares (54%) em procurar informa??es sobre a tuberculose; a forma incorreta da resposta em rela??o ao microrganismo causador da doen?a (64%); a indica??o de ?gua (62%) e alimentos contaminados (54%) como meios de dissemina??o da TB foi uma fragilidade identificada na investiga??o. Em rela??o ao tempo de transmiss?o da doen?a, 90% dos entrevistados indicaram n?o saber ou responderam errado. Das vari?veis independentes investigadas, apenas duas apresentaram associa??o com o n?o conhecimento de TB, sendo elas n?o possuir religi?o (OR: 0,146; IC95% : 0,027-0,800) e renda abaixo de 1,7 sal?rios m?nimos (OR : 0,155; IC95%: 0,029-0,813), parecendo elas exercerem um efeito protetor sobre este desfecho. Quanto ?s mudan?as de atitude, a maioria das vari?veis consideradas n?o teve associa??o com signific?ncia estat?stica, exceto o n?o acesso ? internet (OR: 0,212; IC95%:0,048-0,935). A maioria das atitudes foi positiva em rela??o ao doente de TB. Os resultados demonstram fragilidades na aten??o ? TB, que tem assumido um car?ter mais assistencialista e individual. Os dados n?o somente expressam os resultados sanit?rios produzidos pelos servi?os de sa?de, mas a conjuntura pol?tica e social das fam?lias que s?o acometidas pela TB

Identiferoai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/14789
Date14 December 2012
CreatorsQueiroz, Ana Ang?lica R?go de
ContributorsCPF:21626211850, http://lattes.cnpq.br/9149546439669346, Enders, Bertha Cruz, CPF:25444816415, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4781295D6&dataRevisao=null, Menezes, Rejane Maria Paiva de, CPF:17599750444, http://lattes.cnpq.br/5190926575194616, Monroe, Aline Aparecida, CPF:28966268838, http://lattes.cnpq.br/7840648012981963, Arc?ncio, Ricardo Alexandre
PublisherUniversidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Enfermagem, UFRN, BR, Assist?ncia ? Sa?de
Source SetsIBICT Brazilian ETDs
LanguagePortuguese
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis
Formatapplication/pdf
Sourcereponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN
Rightsinfo:eu-repo/semantics/openAccess

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