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巴西初级卫生保健专业人员应对新冠疫情的知识、态度和实践:一项横断面研究。

Knowledge, attitudes, and practices of primary health care professionals in coping with COVID-19 in Brazil: a cross-sectional study.

作者信息

Sumiya Alberto, Pavesi Eloisa, Tenani Carla Fabiana, de Almeida Carlos Podalirio Borges, Macêdo Juliberta Alves, de Checchi Maria Helena Ribeiro, Simões Luan César Ferreira, Reis Rafael de Menezes, Trelha Celita Salmaso

机构信息

Coordenadoria Especial de Saúde Única e Biociências, Universidade Federal de Santa Catarina, Curitibanos, SC, Brazil.

Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas, Piracicaba, SP, Brazil.

出版信息

Rev Bras Med Trab. 2021 Sep 30;19(3):274-282. doi: 10.47626/1679-4435-2021-775. eCollection 2021 Jul-Sep.

Abstract

INTRODUCTION

The coronavirus disease 2019 (COVID-19) pandemic has posed challenges to healthcare professionals, who needed to quickly adjust impacts on their work processes. Primary health care has become key to fighting the pandemic, as most mild cases seek primary care services as their point of first contact.

OBJECTIVES

To ascertain the knowledge, attitudes, and practices of health professionals working in primary health care in Brazil early in the COVID-19 pandemic.

METHODS

Cross-sectional study of a convenience sample. An online questionnaire was made available from May 1 through May 31, 2020. The sole criterion for inclusion was a response rate greater than 30 respondents per Brazilian state. Data were treated descriptively and statistically.

RESULTS

Overall, 293 responses were obtained, and the states of Paraná (n = 86), Mato do Grosso do Sul (n = 50) and São Paulo (n = 48) were included in the study. There was a predominance of female respondents (89.1%). Physical therapy (31.6%) and nursing (12.4%) were the most represented occupations. Respondents generally reported moderate knowledge (54.3%) and preparedness (57.6%), with daily information seeking (63.5%) in handbooks and technical guidance publications (89.6%). There was no statistically significant difference between states for the variables knowledge (p = 0.28) and preparedness (p = 0.19).

CONCLUSIONS

The participating states showed similar, positive results regarding knowledge, attitudes, and practices. Previous experiences seem to generate cumulative knowledge; however, greater readiness in training professionals is needed in emergency situations.

摘要

引言

2019年冠状病毒病(COVID-19)大流行给医护人员带来了挑战,他们需要迅速调整对其工作流程的影响。初级卫生保健已成为抗击疫情的关键,因为大多数轻症患者会将初级保健服务作为首次接触点。

目的

确定在COVID-19大流行初期巴西初级卫生保健领域工作的卫生专业人员的知识、态度和实践情况。

方法

对便利样本进行横断面研究。2020年5月1日至5月31日提供了一份在线问卷。纳入的唯一标准是每个巴西州的回复率超过30名受访者。对数据进行描述性和统计性处理。

结果

总体而言,共获得293份回复,巴拉那州(n = 86)、南马托格罗索州(n = 50)和圣保罗州(n = 48)纳入研究。女性受访者占主导(89.1%)。物理治疗(31.6%)和护理(12.4%)是占比最高的职业。受访者普遍报告知识水平中等(54.3%)和准备程度中等(57.6%),每天通过手册和技术指导出版物获取信息(63.5%),获取信息的比例为89.6%。各州在知识(p = 0.28)和准备程度(p = 0.19)变量上无统计学显著差异。

结论

参与研究的各州在知识、态度和实践方面呈现出相似的积极结果。以往经验似乎能积累知识;然而,在紧急情况下需要进一步加强专业人员的培训准备。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/816d/9137859/1ad549c2a32f/rbmt-19-03-0274-g01.jpg

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