Prevenir ou remediar? atitudes dos profissionais de saúde frente à profilaxia pré exposição ao HIV/AIDS
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da UFPB |
Texto Completo: | https://repositorio.ufpb.br/jspui/handle/123456789/12142 |
Resumo: | Rates of new HIV infections remain high around the world, need to create new prevention strategies. Currently, antiretrovirals (ARV) are used as treatment, in the strategy of Testing and offer Treatment, such as prophylaxis after exposure to HIV and more recently as prophylaxis Pre- Exposure (PrEP) indicated for key populations. The latter, despite the has raised questions. Whereas the implementation and PrEP is dependent on prescribing by health professionals, this study had to objective to analyze the attitudes of health professionals about the prescription and Pre-exposure prophylaxis (PrEP). It was a crosssectional study, exploratory and descriptive, of quantitative and qualitative character. The sample consisted of 68 health professionals. A sociodemographic and professional questionnaire was used to in order to characterize the participants, and then individual interviews were conducted, according to the procedure of Evocation-Enunciation-Inquiry. The participants were addressed in specialized AIDS services, as well as a scientific event HIV / AIDS in João Pessoa / PB. The quantitative data were analyzed using of descriptive statistics, while qualitative ones through content analysis. The majority of the participants were female (66.2%); With a mean age of 41 years (SD = 11.3); 35.3% were nurses and 20.6% were psychologists; With average working time in services of 9.5 years (SD = 6.5). The most frequent locus of action was the specialized service (SAE) (33.8%), followed by the Testing and Counseling Center (CTA) (23.5%) and management (19.1%). Concerning the intention to prescribe PrEP, 45.8% of the sample presented positive intention; 29.2% presented negative intention and 25% placed themselves in a position of conditional intention. On the other hand, the analysis of the interviews showed the presence of two thematic classes: The first one entitled "Beliefs about PrEP" consists of six categories of analysis (1-key group, 2-risk behavior, 3-Prevention instrument, 4-Rights , 5-Biomedical Paradigm, 6-consequences of PrEP), and the second "Implementation of PrEP in Health Services" composed of three categories (1-Qualification, 2-Organization, 3-Strategies for implementation). Given the data collected, it was verified that, although some of the participating professionals stated their intention to prescribe PrEP, most or have negative intention or still have doubts about the beneficial effects of this strategy, making them reticent to its prescription and use By key groups. Such data become worrisome in view of the implementation of the prevention policy in the country is planned for the current year. In this sense, vertical actions are taken in decision-making and implementation of prevention policies, where the perception of health professionals working in HIV /AIDS services is not considered, which may impair their effectiveness. |
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Prevenir ou remediar? atitudes dos profissionais de saúde frente à profilaxia pré exposição ao HIV/AIDSHIV/AidsProfilaxia pré-ExposiçãoProfissionais de saúdeHIV / AIDSPre-exposure prophylaxisHealth professionalsCNPQ::CIENCIAS HUMANAS::PSICOLOGIARates of new HIV infections remain high around the world, need to create new prevention strategies. Currently, antiretrovirals (ARV) are used as treatment, in the strategy of Testing and offer Treatment, such as prophylaxis after exposure to HIV and more recently as prophylaxis Pre- Exposure (PrEP) indicated for key populations. The latter, despite the has raised questions. Whereas the implementation and PrEP is dependent on prescribing by health professionals, this study had to objective to analyze the attitudes of health professionals about the prescription and Pre-exposure prophylaxis (PrEP). It was a crosssectional study, exploratory and descriptive, of quantitative and qualitative character. The sample consisted of 68 health professionals. A sociodemographic and professional questionnaire was used to in order to characterize the participants, and then individual interviews were conducted, according to the procedure of Evocation-Enunciation-Inquiry. The participants were addressed in specialized AIDS services, as well as a scientific event HIV / AIDS in João Pessoa / PB. The quantitative data were analyzed using of descriptive statistics, while qualitative ones through content analysis. The majority of the participants were female (66.2%); With a mean age of 41 years (SD = 11.3); 35.3% were nurses and 20.6% were psychologists; With average working time in services of 9.5 years (SD = 6.5). The most frequent locus of action was the specialized service (SAE) (33.8%), followed by the Testing and Counseling Center (CTA) (23.5%) and management (19.1%). Concerning the intention to prescribe PrEP, 45.8% of the sample presented positive intention; 29.2% presented negative intention and 25% placed themselves in a position of conditional intention. On the other hand, the analysis of the interviews showed the presence of two thematic classes: The first one entitled "Beliefs about PrEP" consists of six categories of analysis (1-key group, 2-risk behavior, 3-Prevention instrument, 4-Rights , 5-Biomedical Paradigm, 6-consequences of PrEP), and the second "Implementation of PrEP in Health Services" composed of three categories (1-Qualification, 2-Organization, 3-Strategies for implementation). Given the data collected, it was verified that, although some of the participating professionals stated their intention to prescribe PrEP, most or have negative intention or still have doubts about the beneficial effects of this strategy, making them reticent to its prescription and use By key groups. Such data become worrisome in view of the implementation of the prevention policy in the country is planned for the current year. In this sense, vertical actions are taken in decision-making and implementation of prevention policies, where the perception of health professionals working in HIV /AIDS services is not considered, which may impair their effectiveness.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESAs taxas de novas infecções por HIV continuam elevadas em todo o mundo, trazendo a necessidade da criação de novas estratégias de prevenção. Atualmente, os antirretrovirais (ARV) são utilizados como tratamento, na estratégia de Testar e oferecer Tratamento, como profilaxia após a exposição ao HIV e, mais recentemente, como profilaxia Pré- Exposição (PrEP) indicada para populações-chaves. Esta última, não obstante a eficácia observada, tem levantado questionamentos. Considerando que a implementação e adesão à PrEP é dependente da prescrição pelos profissionais de saúde e tendo como aporte teórico o conceito de atitudes desenvolvido por Fishbein e Ajzen (1975), este estudo teve por objetivo analisar as atitudes dos profissionais da área de saúde sobre a prescrição e utilização da Profilaxia Pré-exposição (PrEP). Tratou-se de um estudo transversal, exploratório e descritivo, de caráter quantitativo e qualitativo. A amostra foi composta por 68 profissionais de saúde. Utilizou-se um questionário sociodemográfico e profissional a fim de caracterizar os participantes e, em seguida, foram realizadas entrevistas individuais, segundo o procedimento de Evocação-Enunciação-Averiguação. Os participantes foram abordados em serviços especializados em Aids, assim como em um evento científico sobre HIV/Aids realizado em João Pessoa/PB. Os dados quantitativos foram analisados por meio de estatísticas descritivas, enquanto os qualitativos por meio de análise de conteúdo. A maioria dos participantes era do sexo feminino (66,2%); com média de idade de 41 anos (DP=11,3); sendo 35,3% enfermeiros e 20,6% psicólogos; com tempo de atuação média nos serviços de 9,5 anos (DP= 6,5). O lócus de atuação mais frequente foi o Serviço de Atenção Especializado (SAE) (33,8%), seguido do Centro de Testagem e Aconselhamento (CTA) (23,5%) e gestão (19,1%). Em relação à intenção de prescrever a PrEP, 45,8% da amostra apresentou intenção positiva; 29,2% apresentaram intenção negativa e 25% se colocaram numa posição de intenção condicional. Já as análises das entrevistas mostraram a presença de duas classes temáticas: A primeira intitulada “Crenças acerca da PrEP” é composta por seis categorias de análise (1-grupo-chave, 2-comportamento de risco, 3- Instrumento de prevenção, 4-Direitos, 5-Paradigma Biomédico, 6- consequências de PrEP), e a segunda “Implantação da PrEP nos Serviços de Saúde” composta por três categorias (1- Qualificação, 2-Organização, 3-Estratégias para implementação). Diante dos dados coletados, pôde-se verificar que, embora parte dos profissionais participantes tenha afirmado intenção de prescrever a PrEP, a maioria ou apresenta intenção negativa ou ainda tem dúvidas quanto aos efeitos benéficos desta estratégia, tornando-os reticentes à sua prescrição e utilização pelos grupos-chave. Tais dados se tornam preocupantes em vista da implementação da política de prevenção no país que tem como norte a PrEP prevista para o corrente ano. Neste sentido, denota-se ações verticalizadas na tomada e decisões e implementação de políticas de prevenção, onde a percepção dos profissionais de saúde que atuam nos serviços de combate ao HIV/Aids não são considerados, o que pode prejudicar sua eficácia.Universidade Federal da ParaíbaBrasilPsicologia SocialPrograma de Pós-Graduação em Psicologia SocialUFPBPichelli, Ana Alayde Werba Saldanhahttp://lattes.cnpq.br/3894708493299308Batista, Amanda Trajano2018-10-29T16:40:50Z2018-10-292018-10-29T16:40:50Z2017-03-20info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesishttps://repositorio.ufpb.br/jspui/handle/123456789/12142porinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UFPBinstname:Universidade Federal da Paraíba (UFPB)instacron:UFPB2018-10-30T06:01:49Zoai:repositorio.ufpb.br:123456789/12142Biblioteca Digital de Teses e Dissertaçõeshttps://repositorio.ufpb.br/PUBhttp://tede.biblioteca.ufpb.br:8080/oai/requestdiretoria@ufpb.br|| diretoria@ufpb.bropendoar:2018-10-30T06:01:49Biblioteca Digital de Teses e Dissertações da UFPB - Universidade Federal da Paraíba (UFPB)false |
dc.title.none.fl_str_mv |
Prevenir ou remediar? atitudes dos profissionais de saúde frente à profilaxia pré exposição ao HIV/AIDS |
title |
Prevenir ou remediar? atitudes dos profissionais de saúde frente à profilaxia pré exposição ao HIV/AIDS |
spellingShingle |
Prevenir ou remediar? atitudes dos profissionais de saúde frente à profilaxia pré exposição ao HIV/AIDS Batista, Amanda Trajano HIV/Aids Profilaxia pré-Exposição Profissionais de saúde HIV / AIDS Pre-exposure prophylaxis Health professionals CNPQ::CIENCIAS HUMANAS::PSICOLOGIA |
title_short |
Prevenir ou remediar? atitudes dos profissionais de saúde frente à profilaxia pré exposição ao HIV/AIDS |
title_full |
Prevenir ou remediar? atitudes dos profissionais de saúde frente à profilaxia pré exposição ao HIV/AIDS |
title_fullStr |
Prevenir ou remediar? atitudes dos profissionais de saúde frente à profilaxia pré exposição ao HIV/AIDS |
title_full_unstemmed |
Prevenir ou remediar? atitudes dos profissionais de saúde frente à profilaxia pré exposição ao HIV/AIDS |
title_sort |
Prevenir ou remediar? atitudes dos profissionais de saúde frente à profilaxia pré exposição ao HIV/AIDS |
author |
Batista, Amanda Trajano |
author_facet |
Batista, Amanda Trajano |
author_role |
author |
dc.contributor.none.fl_str_mv |
Pichelli, Ana Alayde Werba Saldanha http://lattes.cnpq.br/3894708493299308 |
dc.contributor.author.fl_str_mv |
Batista, Amanda Trajano |
dc.subject.por.fl_str_mv |
HIV/Aids Profilaxia pré-Exposição Profissionais de saúde HIV / AIDS Pre-exposure prophylaxis Health professionals CNPQ::CIENCIAS HUMANAS::PSICOLOGIA |
topic |
HIV/Aids Profilaxia pré-Exposição Profissionais de saúde HIV / AIDS Pre-exposure prophylaxis Health professionals CNPQ::CIENCIAS HUMANAS::PSICOLOGIA |
description |
Rates of new HIV infections remain high around the world, need to create new prevention strategies. Currently, antiretrovirals (ARV) are used as treatment, in the strategy of Testing and offer Treatment, such as prophylaxis after exposure to HIV and more recently as prophylaxis Pre- Exposure (PrEP) indicated for key populations. The latter, despite the has raised questions. Whereas the implementation and PrEP is dependent on prescribing by health professionals, this study had to objective to analyze the attitudes of health professionals about the prescription and Pre-exposure prophylaxis (PrEP). It was a crosssectional study, exploratory and descriptive, of quantitative and qualitative character. The sample consisted of 68 health professionals. A sociodemographic and professional questionnaire was used to in order to characterize the participants, and then individual interviews were conducted, according to the procedure of Evocation-Enunciation-Inquiry. The participants were addressed in specialized AIDS services, as well as a scientific event HIV / AIDS in João Pessoa / PB. The quantitative data were analyzed using of descriptive statistics, while qualitative ones through content analysis. The majority of the participants were female (66.2%); With a mean age of 41 years (SD = 11.3); 35.3% were nurses and 20.6% were psychologists; With average working time in services of 9.5 years (SD = 6.5). The most frequent locus of action was the specialized service (SAE) (33.8%), followed by the Testing and Counseling Center (CTA) (23.5%) and management (19.1%). Concerning the intention to prescribe PrEP, 45.8% of the sample presented positive intention; 29.2% presented negative intention and 25% placed themselves in a position of conditional intention. On the other hand, the analysis of the interviews showed the presence of two thematic classes: The first one entitled "Beliefs about PrEP" consists of six categories of analysis (1-key group, 2-risk behavior, 3-Prevention instrument, 4-Rights , 5-Biomedical Paradigm, 6-consequences of PrEP), and the second "Implementation of PrEP in Health Services" composed of three categories (1-Qualification, 2-Organization, 3-Strategies for implementation). Given the data collected, it was verified that, although some of the participating professionals stated their intention to prescribe PrEP, most or have negative intention or still have doubts about the beneficial effects of this strategy, making them reticent to its prescription and use By key groups. Such data become worrisome in view of the implementation of the prevention policy in the country is planned for the current year. In this sense, vertical actions are taken in decision-making and implementation of prevention policies, where the perception of health professionals working in HIV /AIDS services is not considered, which may impair their effectiveness. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-03-20 2018-10-29T16:40:50Z 2018-10-29 2018-10-29T16:40:50Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://repositorio.ufpb.br/jspui/handle/123456789/12142 |
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https://repositorio.ufpb.br/jspui/handle/123456789/12142 |
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por |
language |
por |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
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openAccess |
dc.publisher.none.fl_str_mv |
Universidade Federal da Paraíba Brasil Psicologia Social Programa de Pós-Graduação em Psicologia Social UFPB |
publisher.none.fl_str_mv |
Universidade Federal da Paraíba Brasil Psicologia Social Programa de Pós-Graduação em Psicologia Social UFPB |
dc.source.none.fl_str_mv |
reponame:Biblioteca Digital de Teses e Dissertações da UFPB instname:Universidade Federal da Paraíba (UFPB) instacron:UFPB |
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Universidade Federal da Paraíba (UFPB) |
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UFPB |
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UFPB |
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Biblioteca Digital de Teses e Dissertações da UFPB |
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Biblioteca Digital de Teses e Dissertações da UFPB |
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Biblioteca Digital de Teses e Dissertações da UFPB - Universidade Federal da Paraíba (UFPB) |
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diretoria@ufpb.br|| diretoria@ufpb.br |
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1801842935426187264 |