1358/2012 - Atraso na busca por serviço de saúde para o diagnóstico da Tuberculose em Ribeirão Preto - SP. Delay in the search in health service for the diagnosis of tuberculosis, Ribeirao Preto, Sao Paulo.
• Aline Ale Beraldo - Beraldo, A.A. - Campinas, SP - Escola de Enfermagem de Ribeirão Preto - Universidade de São Paulo - <li_aab@yahoo.com.br>
Coautor(es):
• Tiemi Arakawa - Arakawa, Tiemi - Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto - <tiemi.a@gmail.com>
• Érika Simone Galvão Pinto - Pinto, E.S.G. - Parnamirim, Rio Grande do Norte - Universidade Potiguar, Departamento de Enfermagem - <erikasgp@gmail.com>
• Anneliese Domingues Wysocki - Wysocki, A.D. - Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto - <lilisew@yahoo.com.br>
• Reinaldo Antonio da Silva Sobrinho - Silva-Sobrinho, R.A. - Universidade Estadual do Oeste do Paraná, Departamento de Enfermagem - <reisobrinho@yahoo.com.br>
• Beatriz Estuque Scatolin - Scatolin, B.E. - Ribeirão Preto, São Paulo - Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto - <scatolin@eerp.usp.br>
• Nathalia Halax Orfao - Orfao, Nathalia Halax - Porto Velho, Rondônia - Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto - <nathaliahalax@hotmail.com>
• Maria Amélia Zanon Ponce - Ponce, M.A.Z. - Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto - <amelinha_famerp@yahoo.com.br>
• Aline Aparecida Monroe - Monroe, A.A. - Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto - <amonroe@eerp.usp.br>
• Tereza Cristina Scatena Villa - Villa, T.C.S. - Ribeirão Preto, SP - Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto - <tite@eerp.usp.br> +
Área Temática:
Políticas em Saúde
Resumo:
OBJETIVO: analisar o atraso na busca por serviço de saúde para o diagnóstico da Tuberculose (TB) em Ribeirão Preto, 2009. MÉTODOS: Estudo epidemiológico, transversal, realizado com 94 doentes de TB em tratamento em Ribeirão Preto, em 2009. Utilizou-se questionário baseado no Primary Care Assessment Tool, adaptado para avaliar a atenção à TB. Estabeleceu-se a mediana (15 dias ou mais) para caracterizar atraso na busca pelo primeiro atendimento. Através da Razão de Prevalência, identificaram-se as variáveis relacionadas ao maior atraso. RESULTADOS: O primeiro serviço de saúde procurado foi os serviços de pronto atendimento (57,4%). Verificou-se um maior tempo na procura pelos serviços de saúde entre os doentes: do sexo masculino; com idade entre 50 a 59 anos; com renda familiar inferior a cinco salários mínimos; forma pulmonar; casos novos; não coinfecção TB/HIV; não consumiam bebida alcoólica, conhecimento satisfatório sobre TB (apresentou significância estatística na associação com o atraso) e que não procuravam o serviço de saúde próximo do domicílio antes de ter TB. CONLCUSÃO: Verificou-se a necessidade de capacitação para os profissionais de saúde quanto aos sinais e sintomas da doença, reduzindo as barreiras de acesso ao diagnóstico oportuno da TB e divulgação ampla para a comunidade em geral.
Palavras-chave:
Tuberculose
Diagnóstico Tardio
Acesso aos Serviços de Saúde
Abstract:
AIM: To analyze delay in the search in first health service for the diagnosis of tuberculosis, Ribeirao Preto. METHODS: Epidemiological and Cross-seccional study, with 94 TB patients under treatment in the Ribeirao Preto, in 2009. Was used a structured questionnaire, based on the Primary Care Assessment Tool, adapted for TB care. To establish the median (15 days or more) to characterize the delay in the search in first health service. Through the prevalence ratio, we identified the variables associated with greater delay. RESULTS: The first health care service sought were Emergency Services (ES) (57.5%). Was checked the most the search for the first time to service the largest median occurred among males, who were 50 to 59 years old, who received below five minimum wages, were pulmonary form, were new cases of TB, that were not co-infected with HIV, who did not consume alcoholic drink, who had satisfactory knowledge about TB before diagnosis (the latter with a statistically significant with delay association) and who sought health care closer to home. CONCLUSION: There is a there is a necessity for training health professionals about the signs and symptoms of the disease, reducing barriers of access to timely diagnosis of TB and widely disseminated to the community in general.
Keywords:
Tuberculosis
Delay Diagnosis
Health Services Accessibility
Delay in the search in health service for the diagnosis of tuberculosis, Ribeirao Preto, Sao Paulo.
Resumo (abstract):
AIM: To analyze delay in the search in first health service for the diagnosis of tuberculosis, Ribeirao Preto. METHODS: Epidemiological and Cross-seccional study, with 94 TB patients under treatment in the Ribeirao Preto, in 2009. Was used a structured questionnaire, based on the Primary Care Assessment Tool, adapted for TB care. To establish the median (15 days or more) to characterize the delay in the search in first health service. Through the prevalence ratio, we identified the variables associated with greater delay. RESULTS: The first health care service sought were Emergency Services (ES) (57.5%). Was checked the most the search for the first time to service the largest median occurred among males, who were 50 to 59 years old, who received below five minimum wages, were pulmonary form, were new cases of TB, that were not co-infected with HIV, who did not consume alcoholic drink, who had satisfactory knowledge about TB before diagnosis (the latter with a statistically significant with delay association) and who sought health care closer to home. CONCLUSION: There is a there is a necessity for training health professionals about the signs and symptoms of the disease, reducing barriers of access to timely diagnosis of TB and widely disseminated to the community in general.
Palavras-chave (keywords):
Tuberculosis
Delay Diagnosis
Health Services Accessibility
