0912/2011 - CONHECIMENTO DE MÉDICOS E ENFERMEIROS OBSTETRAS SOBRE A PREVENÇÃO DOS DEFEITOS DO TUBO NEURAL Knowledge of physicians and obstetric nurses about prevention of neural tube defects
• Ricardo Campelo da Conceição - Conceição, R.C. - Juiz de Fora , MG - Faculdade de Ciências Médicas e da Saúde de Juiz de Fora - <pliniosramos@gmail.com>
Coautor(es):
• Marcella Amaral Horta Barbosa - Barbosa MAH - Faculdade de Enfermagem da Universidade Federal de Juiz de Fora (UFJF) - <marcela_barbosa@gmail.com>
• Leonardo Lima Dornela - Dornela, L.L. - Faculdade de Medicina da Universidade Federal de Juiz de Fora (UFJF) - <leonardo_dornela@gmail.com>
• Didier Silveira Castellano Filho - Castellano Filho DS - Faculdade de Ciências Médicas e da Saúde de Juiz de Fora – SUPREMA - <didiersc@gmail.com>
• Djalma Rabelo Ricardo - Ricardo, D.R. - Juiz de Fora, MG - PPGCEE – Universidade Gama Filho - Rio de Janeiro - <djalmaricardo@suprema.edu.br>
• Adriano Almeida Calado - Calado, A.A. - Professor de Urologia da Faculdade de Medicina da Universidade de Pernambuco (UPE) - <iunsjrp@zaz.com.br>
• José Murillo Bastos Netto - Bastos Netto, J.M. - Professor Departamento Materno-Infantil, Disciplina de Pediatria, da Universidade Federal de Juiz de Fora (UFJF) - <jmurillo@uropedjf.com.br>
Área Temática:
Saúde e Gênero
Resumo:
O presente estudo teve por objetivo avaliar o nível de conhecimento de médicos e enfermeiros obstetras sobre a utilização de ácido fólico (AF) para a prevenção dos defeitos do fechamento do tubo neural (DFTN). Foi realizado um estudo descritivo transversal onde 118 voluntários (95 médicos e 23 enfermeiros), responderam um questionário sobre com 21 perguntas sobre a prevenção dos DFTN. Os dados foram analisados em função do conhecimento relatado, das recomendações preconizadas pelo Ministério da Saúde (MS) e das evidências científicas (EC) disponíveis sobre o assunto investigado. O nível de conhecimento baseado nas EC e no MS foi diferente (4,64±0,20 vs 5,55±0,15; p<0,001; Média±EPM). Não houve diferença entre o nível de conhecimento quando comparado à formação dos mesmos, ao tempo que realizam atendimento pré-natal e entre as duas classes de profissionais avaliados. Houve diferença entre o nível de conhecimento relatado e o baseado nas EC (6,76±0,18 vs 4,64±0,15; p<0,001) e o baseado nas recomendações do MS (6,76±0,18 vs 5,55±0,20; p<0,001), 94,1% dos profissionais conhecem o papel do ácido fólico, contudo, 64,2% relataram não saber quando iniciar a suplementação no pré-natal. Frente ao exposto foi verificado que a grande maioria dos avaliados relatou conhecer a importância do AF na prevenção do DFTN, porém, existe ainda desconhecimento sobre o assunto investigado.
Palavras-chave:
Ácido Fólico
Defeitos do Fechamento do Tubo Neural
Prevenção
Abstract:
The present study aimed to evaluate the knowledge of obstetricians and obstetric nurses about folic acid in the prevention of neural tube defects (NTD). We conducted a cross-sectional study where 118 volunteers (95 physicians and 23 nurses) answered a questionnaire with 21 questions about prevention of NTD. The data were analyzed according to the reported knowledge, the recommendations made by the Brazilian Ministry of Health (MOH) and the scientific evidence (SE) available on literature for the theme investigated. The knowledge based on the SE and recommendations of MOH was different (4.64 ± 0.20 vs. 5.55 ± 0.15, p <0.001, Mean ± SEM). There was no difference between the knowledge of respondents compared to degree of their training, time carrying out prenatal care and between the two classes of professionals evaluated. Significant difference between the reported knowledge and based on SE (6.76 ± 0.18 vs. 4.64 ± 0.15, p <0.001) and based on the MOH recommendations (6.76 ± 0.18 vs. 5.55 ± 0.20, p <0.001). Was found that the most of the individuals reported that they know the importance of folic acid in the prevention of NTD, they have lack of knowlogde on this subject. It should also be highlighted the differences between what is evidenced in the medical literature (SE) and what is advised by the MOH about the use of folic acid in the prevention of NTD.
Knowledge of physicians and obstetric nurses about prevention of neural tube defects
Resumo (abstract):
The present study aimed to evaluate the knowledge of obstetricians and obstetric nurses about folic acid in the prevention of neural tube defects (NTD). We conducted a cross-sectional study where 118 volunteers (95 physicians and 23 nurses) answered a questionnaire with 21 questions about prevention of NTD. The data were analyzed according to the reported knowledge, the recommendations made by the Brazilian Ministry of Health (MOH) and the scientific evidence (SE) available on literature for the theme investigated. The knowledge based on the SE and recommendations of MOH was different (4.64 ± 0.20 vs. 5.55 ± 0.15, p <0.001, Mean ± SEM). There was no difference between the knowledge of respondents compared to degree of their training, time carrying out prenatal care and between the two classes of professionals evaluated. Significant difference between the reported knowledge and based on SE (6.76 ± 0.18 vs. 4.64 ± 0.15, p <0.001) and based on the MOH recommendations (6.76 ± 0.18 vs. 5.55 ± 0.20, p <0.001). Was found that the most of the individuals reported that they know the importance of folic acid in the prevention of NTD, they have lack of knowlogde on this subject. It should also be highlighted the differences between what is evidenced in the medical literature (SE) and what is advised by the MOH about the use of folic acid in the prevention of NTD.
Conceição, R.C., Barbosa MAH, Dornela, L.L., Ramos PS, Castellano Filho DS, Ricardo, D.R., Calado, A.A., Bastos Netto, J.M.. CONHECIMENTO DE MÉDICOS E ENFERMEIROS OBSTETRAS SOBRE A PREVENÇÃO DOS DEFEITOS DO TUBO NEURAL. Cien Saude Colet [periódico na internet] (2011/set). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/conhecimento-de-medicos-e-enfermeiros-obstetras-sobre-a-prevencao-dos-defeitos-do-tubo-neural/8467?id=8467
