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从卫生专业人员的角度看大流行对结核病控制行动的影响。

Repercussions of the pandemic on tuberculosis control actions from the perspective of health professionals.

作者信息

Souza Sabrina da Silva de, Gonzales Roxana Isabel Cardozo, Sthal Hellen Cristina, Silva Daiane Cardoso da, Barbosa Marcela Flavia Lopes, Conceição Tatiana

机构信息

Universidade Federal de Santa Catarina. Florianópolis, Santa Catarina, Brazil.

Universidade Federal de Goiás. Goiânia, Goiás, Brazil.

出版信息

Rev Bras Enferm. 2024 Dec 13;77(5):e20230477. doi: 10.1590/0034-7167-2023-0477. eCollection 2024.

DOI:10.1590/0034-7167-2023-0477
PMID:39699417
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11654224/
Abstract

OBJECTIVES

to analyze the repercussions of the COVID-19 pandemic on tuberculosis control actions from the perspective of primary health care professionals.

METHODS

this descriptive study with a qualitative approach was conducted from November 2022 to April 2023, using semi-structured interviews with 11 key informant professionals from primary health care units in a Brazilian capital. Data were organized using Atlas.ti 22.0 software and subjected to thematic-categorical content analysis.

RESULTS

the pandemic scenario caused alterations in the work process, necessitating abrupt adaptations, and led to detrimental impacts on the health of professionals and tuberculosis control actions, which were reduced or discontinued.

FINAL CONSIDERATIONS

there was evident unpreparedness and a lack of resources from various governmental levels and health services to handle the public health emergency situation without severe harm to the provision of essential services.

摘要

目的

从初级卫生保健专业人员的角度分析新冠疫情对结核病控制行动的影响。

方法

本描述性定性研究于2022年11月至2023年4月进行,对巴西首都初级卫生保健单位的11名关键信息提供者专业人员进行了半结构化访谈。使用Atlas.ti 22.0软件整理数据,并进行主题分类内容分析。

结果

疫情导致工作流程发生变化,需要突然做出调整,并对专业人员的健康和结核病控制行动产生了不利影响,这些行动减少或中断。

最终结论

各级政府和卫生服务机构明显缺乏应对公共卫生紧急情况的准备和资源,无法在不严重损害基本服务提供的情况下应对。

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本文引用的文献

1
Country-specific lockdown measures in response to the COVID-19 pandemic and its impact on tuberculosis control: a global study.针对 COVID-19 大流行采取的国家特定封锁措施及其对结核病控制的影响:一项全球研究。
J Bras Pneumol. 2022 Apr 20;48(2):e20220087. doi: 10.36416/1806-3756/e20220087. eCollection 2022.
2
Tuberculosis in Brazil: the impact of the COVID-19 pandemic.巴西的结核病:COVID-19大流行的影响
J Bras Pneumol. 2022 Apr 20;48(2):e20220082. doi: 10.36416/1806-3756/e20220082.
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Barriers to Treatment Compliance of Directly Observed Treatment Shortcourse among Pulmunary Tuberculosis Patients.肺结核患者直接观察短期疗程治疗依从性的障碍。
J Nepal Health Res Counc. 2021 Dec 10;19(3):450-459. doi: 10.33314/jnhrc.v19i3.3478.
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The effect of primary health care on tuberculosis in a nationwide cohort of 7·3 million Brazilian people: a quasi-experimental study.全国 730 万巴西人群的初级卫生保健对结核病的影响:一项准实验研究。
Lancet Glob Health. 2022 Mar;10(3):e390-e397. doi: 10.1016/S2214-109X(21)00550-7. Epub 2022 Jan 24.
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An analysis of the development of digital health technologies to fight COVID-19 in Brazil and the world.分析数字健康技术在巴西和世界范围内抗击 COVID-19 的发展情况。
Cad Saude Publica. 2021 Mar 12;37(3):e00243220. doi: 10.1590/0102-311X00243220. eCollection 2021.
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Worldwide Effects of Coronavirus Disease Pandemic on Tuberculosis Services, January-April 2020.2020 年 1 月至 4 月,冠状病毒病大流行对结核病服务的全球影响。
Emerg Infect Dis. 2020 Nov;26(11):2709-2712. doi: 10.3201/eid2611.203163. Epub 2020 Sep 11.
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Saturation in qualitative research: exploring its conceptualization and operationalization.定性研究中的饱和度:探索其概念化与操作化
Qual Quant. 2018;52(4):1893-1907. doi: 10.1007/s11135-017-0574-8. Epub 2017 Sep 14.
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Directly observed therapy of tuberculosis in Brazil: associated determinants and impact on treatment outcome.巴西结核病的直接观察治疗:相关决定因素及其对治疗结果的影响。
Int J Tuberc Lung Dis. 2015 Oct;19(10):1188-93. doi: 10.5588/ijtld.14.0776.
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Tuberculosis control strategies to reach the 2035 global targets in China: the role of changing demographics and reactivation disease.中国实现2035年全球结核病控制目标的策略:人口结构变化和复发性疾病的作用
BMC Med. 2015 Apr 21;13:88. doi: 10.1186/s12916-015-0341-4.
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[Family Health Strategy in tuberculosis control in Curitiba, State of Paraná].[巴拉那州库里蒂巴市结核病控制中的家庭健康战略]
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