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以结核病患者为中心的护理实践:与民主的交汇点

Nursing practices centered on individuals with tuberculosis: an interface with democracy.

作者信息

Sicsú Amélia Nunes, Gonzales Roxana Isabel Cardozo, Mitano Fernando, Sousa Luciana de Oliveira, Silva Laís Mara Caetano da, Ballestero Jaqueline Garcia de Almeida, Peruhype Rarianne Carvalho, Palha Pedro Fredemir

机构信息

Universidade do Estado do Amazonas. Manaus, Amazonas, Brazil.

Universidade de São Paulo. Ribeirão Preto, São Paulo, Brazil.

出版信息

Rev Bras Enferm. 2019 Sep 16;72(5):1219-1225. doi: 10.1590/0034-7167-2017-0380.

Abstract

OBJECTIVE

To analyze whether user-centered nursing practices in TB DOT are being carried out and are contributing to democracy.

METHOD

A cross-sectional, exploratory, descriptive study with 123 nurses in three capital cities with high incidence of TB (Manaus-AM, João Pessoa-PB, Porto Alegre-RS) in Brazil. Data were collected from January to June 2014. Descriptive and multiple correspondence analyzes were used.

RESULTS

It was identified that the most user-centered care actions had scores below 50%, considered unfavorable to the exercise of democracy. In the analysis of the general user-centered practice score per municipality, Manaus and João Pessoa presented unfavorable results, and the municipality of Porto Alegre was partially favorable.

CONCLUSION

The three municipalities need to advance in the implementation of user-centered practices in DOT, because their health system still has difficulties and challenges to overcome.

摘要

目的

分析结核病直接观察治疗(TB DOT)中以用户为中心的护理实践是否正在开展并对民主有所贡献。

方法

对巴西结核病高发的三个首府城市(马瑙斯-阿马帕州、若昂佩索阿-帕拉伊巴州、阿雷格里港-南里奥格兰德州)的123名护士进行了一项横断面、探索性、描述性研究。数据于2014年1月至6月收集。采用描述性分析和多重对应分析。

结果

发现最以用户为中心的护理行动得分低于50%,被认为不利于民主的实施。在对每个城市以用户为中心的总体护理实践得分进行分析时,马瑙斯和若昂佩索阿的结果不理想,阿雷格里港部分良好。

结论

这三个城市需要在结核病直接观察治疗中推进以用户为中心的实践实施,因为它们的卫生系统仍有困难和挑战需要克服。

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