Gomes Ludmila Mourão Xavier, Andrade Barbosa Thiago Luis de, Vieira Lara Jhulian Tolentino, Castro Karla Patrícia Ataíde Nery, Caldeira Antônio Prates, Torres Heloísa de Carvalho, Viana Marcos Borato
a Núcleo de Ações e Pesquisa em Apoio Diagnóstico (Diagnosis Support Centre), Medical School , Federal University of Minas Gerais , Belo Horizonte , Brazil.
b Federal University of Latin-America Integration , Foz do Iguaçu , Paraná , Brazil.
Paediatr Int Child Health. 2017 Feb;37(1):56-62. doi: 10.1080/20469047.2015.1123849. Epub 2016 Jan 29.
The incidence of sickle cell disease (SCD) in newborns in Minas Gerais, Brazil is 1:1400, and is a considerable public health problem. Care for SCD at the primary level is still in its early stages and has not even been assessed even worldwide.
To evaluate the effectiveness of a training programme about childhood SCD aimed at primary care professionals.
Assessment of a SCD training course for 263 community health agents of the Family Health Programme was conducted using pre- and post-testing of knowledge related to epidemiological and clinical issues and management of children with SCD. In one of the three municipalities evaluated, the group that participated in the training (n = 82) was compared with a control group (n = 75). Active methods that consider trainees as the key protagonists of the educational programme were used throughout. The control group did not receive any training on SCD during the period.
There was a significant increase in correct answers to questions after the intervention in the three municipalities (P < 0.001). This increase was significant in all the domains of the questionnaire. In a multivariate analysis, professionals in the intervention group showed a post- and pre-test score difference that was 8.7 times higher than that in the control group (95% CI 7.8-9.6). The length of employment as a community health worker had a modest positive effect on the difference in scores (P = 0.046).
The educational intervention proved effective in increasing health care providers' knowledge.
巴西米纳斯吉拉斯州新生儿镰状细胞病（SCD）的发病率为1:1400，是一个相当严重的公共卫生问题。初级保健层面的SCD护理仍处于早期阶段，甚至在全球范围内都尚未得到评估。
评估针对初级保健专业人员的儿童SCD培训项目的有效性。
通过对家庭健康项目的263名社区卫生工作者进行SCD培训课程评估，采用对与SCD儿童的流行病学、临床问题及管理相关知识的前后测试。在三个评估的城市之一，将参加培训的组（n = 82）与对照组（n = 75）进行比较。整个过程采用将受训者视为教育项目关键主角的积极方法。在此期间，对照组未接受任何关于SCD的培训。
在三个城市，干预后问题的正确答案有显著增加（P < 0.001）。在问卷的所有领域，这种增加都很显著。在多变量分析中，干预组专业人员的前后测试得分差异比对照组高8.7倍（95%可信区间7.8 - 9.6）。作为社区卫生工作者的工作年限对得分差异有适度的积极影响（P = 0.046）。
教育干预被证明在增加医疗保健提供者的知识方面是有效的。
