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初级保健中预防先天性梅毒的教育干预措施。

Educational intervention in Primary Care for the prevention of congenital syphilis.

作者信息

Lazarini Flaviane Mello, Barbosa Dulce Aparecida

机构信息

PhD, Assistant Professor, Departamento de Saúde Coletiva, Universidade Estadual de Londrina, Londrina, PR, Brazil.

PhD, Associate Professor, Escola Paulista de Enfermagem, Universidade Federal de São Paulo, São Paulo, SP, Brazil.

出版信息

Rev Lat Am Enfermagem. 2017 Jan 30;25:e2845. doi: 10.1590/1518-8345.1612.2845.

Abstract

OBJECTIVES

to evaluate the efficiency of educational interventions related to the knowledge of health care professionals of Primary Care and to verify the impact on the vertical transmission rates of congenital syphilis.

METHOD

a quasi-experimental study conducted in the city of Londrina, Paraná, between 2013 and 2015. An educational intervention on diagnosis, treatment and notification was carried out with 102 professionals with knowledge measurement before and after the intervention. Incidence and mortality data from congenital syphilis were taken from the system for notifiable diseases (SINAN) and the Mortality Information System (SIM). Excel tabulation and statistical analysis was done in the Statistical Package for Social Sciences, version 2.1. A descriptive and inferential analysis was performed.

RESULTS

the mean number of correct responses increased from 53% to 74.3% after the intervention (p < 0.01). The adherence to professional training was 92.6%. There was a significant reduction in the vertical transmission rate of syphilis from 75% in 2013 to 40.2% in 2015. In 2014 and 2015 there were no records of infant mortality from this condition.

CONCLUSION

the educational intervention significantly increased the knowledge of health professionals about syphilis and collaborated to reduce the rate of vertical transmission of the disease.

摘要

目的

评估与初级保健卫生专业人员知识相关的教育干预措施的效果,并验证其对先天性梅毒垂直传播率的影响。

方法

2013年至2015年在巴拉那州隆德里纳市进行的一项准实验研究。对102名专业人员进行了关于诊断、治疗和报告的教育干预,并在干预前后进行了知识测量。先天性梅毒的发病率和死亡率数据来自法定传染病系统(SINAN)和死亡信息系统(SIM)。使用社会科学统计软件包2.1进行Excel制表和统计分析。进行了描述性和推断性分析。

结果

干预后正确回答的平均数量从53%增加到74.3%(p < 0.01)。专业培训的依从率为92.6%。梅毒的垂直传播率从2013年的75%显著降低到2015年的40.2%。2014年和2015年没有该疾病导致婴儿死亡的记录。

结论

教育干预显著提高了卫生专业人员对梅毒的认识,并有助于降低该疾病的垂直传播率。

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