Avaliação do conhecimento e capacitação de profissionais da Atenção Primária sobre doença pulmonar obstrutiva crônica

• Autor(a) principal: Alcântara, Erikson Custódio
• Data de Publicação: 2017
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Repositório Institucional da UFG
• Texto Completo: http://repositorio.bc.ufg.br/tede/handle/tede/6836
• topic: Doença pulmonar obstrutiva crônica; Atenção primária à saúde; Filmes e vídeos educativos; Inquéritos e questionários; Capacitação em serviço; Educação médica; Pulmonary disease; Chronic obstructive; Primary health care; Instructional films and videos; Surveys and questionnaires; Inservice training; Medical education; CIENCIAS DA SAUDE::MEDICINA

Background: Video Lesson is a multimedia system, with text narration and illustration, capable of promoting the training of Primary Care professionals. To evaluate the effect of training, an assessment tool is needed, however, there are no validated instruments that measure knowledge about Chronic Obstructive Pulmonary Disease (COPD) among these professionals. Objective: Validate a knowledge questionnaire about COPD for Primary Care professionals and train them on chronic obstructive pulmonary disease. Methods: Initially, a methodological study was carried out with 88 Primary Care professionals to elaborate and validate a questionnaire. Then, quasiexperimental study with 36 primary care professionals in order to enable them, through videotapes. The knowledge of the professionals was measured before, shortly after and three months after being trained by the "Primary Care - COPD Knowledge Questionnaire (QAP-COPD)". To analyze the reproducibility and reliability of the questionnaire, the Kappa and α Cronbach tests were applied respectively. In the evaluation of the knowledge, the tests of Friedman and Tukey a posteriori, Bonferroni correction and the χ2 test were used. A significance level of 5% was adopted. Results: The questionnaire presented reproducibility in most items (87.5%) from good to excellent (Kappa: 0.61 - 0.88) and reliability with α Cronbach = 0.763. Of the 16 items in the questionnaire, the professionals who indicated the "agree" option, before the training, soon after opting for the "totally agree" option, in 11 items (68.8%). Fourteen items had a significant difference before and after training, but in the moments just after and three months after the training, 14 items did not present significant differences. The median score of the participants' questionnaire increased from 60 points before training to 77 shortly after and three months after training (p <0.001). In the three months after there was no significant statistical difference, in relation to the soon after (p = 0.38). Conclusions: The questionnaire met the psychometric properties and proved to be reproducible and reliable in the evaluation of knowledge about COPD among primary care professionals. The videotaped training presented satisfactory results observed by the good performance of the knowledge of Primary Care professionals, before and shortly after the training and the maintenance of this knowledge after three months of the training program.