Evaluación de una estrategia educativa sobre tuberculosis y diabetes mellitus para personal de salud de atención primaria en México
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Chavarría Guzmán, K., Saldaña Medina, C., Leyva López, A., & Ostos Ortiz, O. (2022). Evaluación de una estrategia educativa sobre tuberculosis y diabetes mellitus para personal de salud de atención primaria en México. NOVA, 20(39), 81-94. https://doi.org/10.22490/24629448.6586
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Autores
Kathleen Lanette Chavarría Guzmán
https://orcid.org/0000-0002-3744-767X
https://orcid.org/0000-0002-3744-767X
Caleb David Saldaña Medina
https://orcid.org/0000-0003-4267-5922
https://orcid.org/0000-0003-4267-5922
Ahidée Guadalupe Leyva López
https://orcid.org/0000-0002-8413-0771
https://orcid.org/0000-0002-8413-0771
Olga Lucía Ostos Ortiz
https://orcid.org/0000-0002-6477-9872
https://orcid.org/0000-0002-6477-9872
Resumen
Antecedentes. En la literatura se ha identificado una asociación fuerte entre la tuberculosis y la diabetes mellitus, asimismo, algunos estudios han reportado un nivel bajo de conocimiento de esta relación por parte del personal de salud. Objetivos. Explorar el cambio en los conocimientos y actitudes del personal de salud de atención primaria sobre epidemiología y políticas públicas de la asociación de Tuberculosis (TB) y Diabetes (DM) después de una sesión de entrenamiento. Material y Métodos. Diseño de medición pre-post intervención de un solo grupo de 31 participantes, mediante un cuestionario estructurado autodiligenciado construido ad hoc. Se utilizaron las pruebas de rangos signados de Wilcoxon para estimar diferencias entre las evaluaciones pre y post, análisis de correlaciones y la prueba Chi cuadrada. Se consideró un conocimiento adecuado a puntajes mayores a 70%. Resultados. El 12,9% de los participantes tuvieron conocimientos adecuados en la evaluación previa, mientras que el 16,1% en la evaluación post. Hubo un aumento porcentual en el nivel de conocimientos (pre= 53,43% versus post= 58,27%) y actitudes (pre=89,56% versus post=96,29%); sin embargo, fue estadísticamente significativo sólo para las actitudes (p= 0.000). Conclusión. La evaluación inicial (pre) muestra la importancia y necesidad de entrenar al personal de salud para lograr el abordaje integral de un paciente con la asociación TB-DM.
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NOVA por http://www.unicolmayor.edu.co/publicaciones/index.php/nova se distribuye bajo una Licencia Creative Commons Atribución-NoComercial-SinDerivar 4.0 Internacional.
Así mismo, los autores mantienen sus derechos de propiedad intelectual sobre los artículos.
Referencias
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https://doi.org/10.1080/07853890.2022.2085318
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https://doi.org/10.1093/trstmh/trv111
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https://doi.org/10.1016/j.tube.2022.102164
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https://doi.org/10.1177/20499361221095831
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https://doi.org/10.1038/s41598-022-05417-2
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https://doi.org/10.55705/cmbr.2022.336572.1036
[7] Nyirenda JLZ, Bockey A, Wagner D, Lange B. Effect of Tuberculosis (TB) and Diabetes mellitus (DM) integrated healthcare on bidirectional screening and treatment outcomes among TB patients and people living with DM in developing countries: a systematic review. Pathog Glob Health 2022;0:1-16. https://doi.org/10.1080/20477724.2022.2046967.
https://doi.org/10.1080/20477724.2022.2046967
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https://doi.org/10.9734/IJTDH/2015/13722
[10] Niituma Ogata M, Alcantara Marcelino da Silva JAM da, Peduzzi M, Viana Costa M, Fortuna CM, Barbieri Feliciano A. Interfaces between permanent education and interprofessional education in health. Rev Esc Enferm USP 2021;55. https://doi.org/10.1590/S1980-220X2020018903733.
https://doi.org/10.1590/s1980-220x2020018903733
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[12] Guzmán C, Lanette K. Módulo 1. Epidemiología 2022. https://doi.org/10.6084/m9.figshare.21588018.v6.
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https://doi.org/10.4321/S0465-546X2012000400003
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https://doi.org/10.4269/ajtmh.15-0538
[17] Kiefer EM, Shao T, Carrasquillo O, Nabeta P, Seas C. Knowledge and attitudes of tuberculosis management in San Juan de Lurigancho district of Lima, Peru. J Infect Dev Ctries 2009;3:783-8. https://doi.org/10.3855/jidc.335.
https://doi.org/10.3855/jidc.335
[18] Noé A, Ribeiro RM, Anselmo R, Maixenchs M, Sitole L, Munguambe K, et al. Knowledge, attitudes and practices regarding tuberculosis care among health workers in Southern Mozambique. BMC Pulm Med 2017;17:2. https://doi.org/10.1186/s12890-016-0344-8.
https://doi.org/10.1186/s12890-016-0344-8
[19] Pathak V, Harrington Z, Dobler CC. Attitudes towards preventive tuberculosis treatment among hospital staff. PeerJ 2016;4:e1738. https://doi.org/10.7717/peerj.1738.
https://doi.org/10.7717/peerj.1738
[20] Carvajal-Barona R, Varela-Arévalo MT, Hoyos PA, Angulo-Valencia ES, Duarte-Alarcón C. Conocimientos, actitudes y prácticas frente a la tuberculosis en trabajadores del sector salud en municipios prioritarios de la Costa Pacífica colombiana. Rev Cienc Salud 2014;12:339-52. https://doi.org/10.12804/revsalud12.03.2014.04.
https://doi.org/10.12804/revsalud12.03.2014.04
[21] Charkazi AR, Kouchaki C, Nejad MS, Gholizade AH. Medical interns' knowledge of tuberculosis and DOTS strategy in northern Islamic Republic of Iran. EMHJ - East Mediterr Health J 16 12 1251-1256 2010 2010.
https://doi.org/10.26719/2010.16.12.1251
[22] Flórez-Romero R, Arias-Velandia N, Moreno-Angarita M. CAMBIOS EN LA LECTURA Y LA ESCRITURA DE UNIVERSITARIOS CON EL CURSO "COMUNICACIÓN ORAL Y ESCRITA. Rev Fac Med 2011;59:319-30.
[23] Abd Wahab F, Abdullah S, Abdullah JM, Jaafar H, Noor SSM, Mohammad WMZW, et al. Updates on Knowledge, Attitude and Preventive Practices on Tuberculosis among Healthcare Workers. Malays J Med Sci MJMS 2016;23:25-34. https://doi.org/10.21315/mjms2016.23.6.3.
https://doi.org/10.21315/mjms2016.23.6.3
[24] Kanjee Z, Catterick K, Moll AP, Amico KR, Friedland GH. Tuberculosis infection control in rural South Africa: survey of knowledge, attitude and practice in hospital staff. J Hosp Infect 2011;79:333-8. https://doi.org/10.1016/j.jhin.2011.06.017.
https://doi.org/10.1016/j.jhin.2011.06.017
[25] Woith W, Volchenkov G, Larson J. Barriers and motivators affecting tuberculosis infection control practices of Russian health care workers. Int J Tuberc Lung Dis 2012;16:1092-6. https://doi.org/10.5588/ijtld.10.0779.
https://doi.org/10.5588/ijtld.10.0779
[26] Tenna A, Stenehjem EA, Margoles L, Kacha E, Blumberg HM, Kempker RR. Infection Control Knowledge, Attitudes, and Practices among Healthcare Workers in Addis Ababa, Ethiopia. Infect Control Hosp Epidemiol 2013;34:1289-96. https://doi.org/10.1086/673979.
https://doi.org/10.1086/673979
[27] World Health Organization. Global tuberculosis report 2017. Geneva: World Health Organization; 2017.
[28] Novita BD, Wiyono S, Yuliastuti M, Widyarini LA, Ongkodjojo E. The risk perception of tuberculosis infected diabetes mellitus patients. Indones J Public Health 2022;17:12-26. https://doi.org/10.20473/ijph.v17i1.2022.12-26.
https://doi.org/10.20473/ijph.v17i1.2022.12-26
[29] Nordholm AC, Andersen AB, Wejse C, Norman A, Ekstrøm CT, Andersen PH, et al. Social determinants of tuberculosis: a nationwide case-control study, Denmark, 1990-2018. Int J Epidemiol 2022;51:1446-56. https://doi.org/10.1093/ije/dyac109.
https://doi.org/10.1093/ije/dyac109
[30] Owolabi OA, Genekah MD, Njie S, Jallow MK, Jobe A, Tunkara A, et al. Impact of educational intervention on knowledge and awareness of TB among secondary school students in The Gambia. J Pan Afr Thorac Soc 2022;3:25-33. https://doi.org/10.25259/JPATS_22_2021.
https://doi.org/10.25259/JPATS_22_2021
[31] Valencia-Aguirre S, Arroyave I, García-Basteiro AL. Educational level and tuberculosis mortality in Colombia: growing inequalities and stagnation in reduction. Cad Saúde Pública 2022;38. https://doi.org/10.1590/0102-311X00031721.
https://doi.org/10.1590/0102-311x00031721
https://doi.org/10.1080/07853890.2022.2085318
[2] Harries AD, Kumar AMV, Satyanarayana S, Lin Y, Zachariah R, Lönnroth K, et al. Addressing diabetes mellitus as part of the strategy for ending TB. Trans R Soc Trop Med Hyg 2016;110:173-9. https://doi.org/10.1093/trstmh/trv111.
https://doi.org/10.1093/trstmh/trv111
[3] Awad SF, Critchley JA, Abu-Raddad LJ. Impact of diabetes mellitus on tuberculosis epidemiology in Indonesia: A mathematical modeling analysis. Tuberculosis 2022;134:102164. https://doi.org/10.1016/j.tube.2022.102164.
https://doi.org/10.1016/j.tube.2022.102164
[4] Cáceres G, Calderon R, Ugarte-Gil C. Tuberculosis and comorbidities: treatment challenges in patients with comorbid diabetes mellitus and depression. Ther Adv Infect Dis 2022;9:20499361221095830. https://doi.org/10.1177/20499361221095831.
https://doi.org/10.1177/20499361221095831
[5] Guo S, Lei S, Li J, Li L, Chen H, Chongsuvivatwong V. Gradient association between pulmonary tuberculosis and diabetes mellitus among households with a tuberculosis case: a contact tracing-based study. Sci Rep 2022;12:1854. https://doi.org/10.1038/s41598-022-05417-2.
https://doi.org/10.1038/s41598-022-05417-2
[6] Behzadmehr R, Rezaie-Keikhaie K. Evaluation of Active Pulmonary Tuberculosis Among Women With Diabetes. Cell Mol Biomed Rep 2022;2:56-63. https://doi.org/10.55705/cmbr.2022.336572.1036.
https://doi.org/10.55705/cmbr.2022.336572.1036
[7] Nyirenda JLZ, Bockey A, Wagner D, Lange B. Effect of Tuberculosis (TB) and Diabetes mellitus (DM) integrated healthcare on bidirectional screening and treatment outcomes among TB patients and people living with DM in developing countries: a systematic review. Pathog Glob Health 2022;0:1-16. https://doi.org/10.1080/20477724.2022.2046967.
https://doi.org/10.1080/20477724.2022.2046967
[8] Aguilar MJ, Cortés CS, Zenteno R. Conocimiento y actitudes sobre tuberculosis en personal médico de Veracruz, México. MedUNAB 2008;11:213-7.
[9] Vijay V, Vigneswari A, Satyavani K, Selvan K, Rajeswari R, Kapur A. Effect of a Comprehensive Training Programme for Tuberculosis Health Care Providers and Tuberculosis Patients on Diabetes - A Report from South India. Int J Trop Dis Health 2015;5:91-100. https://doi.org/10.9734/IJTDH/2015/13722.
https://doi.org/10.9734/IJTDH/2015/13722
[10] Niituma Ogata M, Alcantara Marcelino da Silva JAM da, Peduzzi M, Viana Costa M, Fortuna CM, Barbieri Feliciano A. Interfaces between permanent education and interprofessional education in health. Rev Esc Enferm USP 2021;55. https://doi.org/10.1590/S1980-220X2020018903733.
https://doi.org/10.1590/s1980-220x2020018903733
[11] World Health Organization, International Union against Tuberculosis and Lung Disease. Collaborative framework for care and control of tuberculosis and diabetes. Geneva: World Health Organization; 2011.
[12] Guzmán C, Lanette K. Módulo 1. Epidemiología 2022. https://doi.org/10.6084/m9.figshare.21588018.v6.
[13] Chavarría-Guzmán, K. Módulo 2. Políticas Públicas 2022. https://doi.org/10.6084/m9.figshare.21590829.v3.
[14] Chavarría-Guzmán, K. Cuestionario Epidemiología y Políticas Públicas de la TB-DM2 2022. https://doi.org/10.6084/m9.figshare.21591021.v1.
[15] Cruz Martínez ÓA, Flórez Suancha ÉL, Muñoz Sánchez AI. Conocimientos sobre tuberculosis en trabajadores de la salud en una localidad de bogotá d. c. Av Enferm 2012.
https://doi.org/10.4321/S0465-546X2012000400003
[16] Hoffman SJ, Guindon GE, Lavis JN, Randhawa H, Becerra-Posada F, Dejman M, et al. Surveying the Knowledge and Practices of Health Professionals in China, India, Iran, and Mexico on Treating Tuberculosis. Am J Trop Med Hyg 2016;94:959-70. https://doi.org/10.4269/ajtmh.15-0538.
https://doi.org/10.4269/ajtmh.15-0538
[17] Kiefer EM, Shao T, Carrasquillo O, Nabeta P, Seas C. Knowledge and attitudes of tuberculosis management in San Juan de Lurigancho district of Lima, Peru. J Infect Dev Ctries 2009;3:783-8. https://doi.org/10.3855/jidc.335.
https://doi.org/10.3855/jidc.335
[18] Noé A, Ribeiro RM, Anselmo R, Maixenchs M, Sitole L, Munguambe K, et al. Knowledge, attitudes and practices regarding tuberculosis care among health workers in Southern Mozambique. BMC Pulm Med 2017;17:2. https://doi.org/10.1186/s12890-016-0344-8.
https://doi.org/10.1186/s12890-016-0344-8
[19] Pathak V, Harrington Z, Dobler CC. Attitudes towards preventive tuberculosis treatment among hospital staff. PeerJ 2016;4:e1738. https://doi.org/10.7717/peerj.1738.
https://doi.org/10.7717/peerj.1738
[20] Carvajal-Barona R, Varela-Arévalo MT, Hoyos PA, Angulo-Valencia ES, Duarte-Alarcón C. Conocimientos, actitudes y prácticas frente a la tuberculosis en trabajadores del sector salud en municipios prioritarios de la Costa Pacífica colombiana. Rev Cienc Salud 2014;12:339-52. https://doi.org/10.12804/revsalud12.03.2014.04.
https://doi.org/10.12804/revsalud12.03.2014.04
[21] Charkazi AR, Kouchaki C, Nejad MS, Gholizade AH. Medical interns' knowledge of tuberculosis and DOTS strategy in northern Islamic Republic of Iran. EMHJ - East Mediterr Health J 16 12 1251-1256 2010 2010.
https://doi.org/10.26719/2010.16.12.1251
[22] Flórez-Romero R, Arias-Velandia N, Moreno-Angarita M. CAMBIOS EN LA LECTURA Y LA ESCRITURA DE UNIVERSITARIOS CON EL CURSO "COMUNICACIÓN ORAL Y ESCRITA. Rev Fac Med 2011;59:319-30.
[23] Abd Wahab F, Abdullah S, Abdullah JM, Jaafar H, Noor SSM, Mohammad WMZW, et al. Updates on Knowledge, Attitude and Preventive Practices on Tuberculosis among Healthcare Workers. Malays J Med Sci MJMS 2016;23:25-34. https://doi.org/10.21315/mjms2016.23.6.3.
https://doi.org/10.21315/mjms2016.23.6.3
[24] Kanjee Z, Catterick K, Moll AP, Amico KR, Friedland GH. Tuberculosis infection control in rural South Africa: survey of knowledge, attitude and practice in hospital staff. J Hosp Infect 2011;79:333-8. https://doi.org/10.1016/j.jhin.2011.06.017.
https://doi.org/10.1016/j.jhin.2011.06.017
[25] Woith W, Volchenkov G, Larson J. Barriers and motivators affecting tuberculosis infection control practices of Russian health care workers. Int J Tuberc Lung Dis 2012;16:1092-6. https://doi.org/10.5588/ijtld.10.0779.
https://doi.org/10.5588/ijtld.10.0779
[26] Tenna A, Stenehjem EA, Margoles L, Kacha E, Blumberg HM, Kempker RR. Infection Control Knowledge, Attitudes, and Practices among Healthcare Workers in Addis Ababa, Ethiopia. Infect Control Hosp Epidemiol 2013;34:1289-96. https://doi.org/10.1086/673979.
https://doi.org/10.1086/673979
[27] World Health Organization. Global tuberculosis report 2017. Geneva: World Health Organization; 2017.
[28] Novita BD, Wiyono S, Yuliastuti M, Widyarini LA, Ongkodjojo E. The risk perception of tuberculosis infected diabetes mellitus patients. Indones J Public Health 2022;17:12-26. https://doi.org/10.20473/ijph.v17i1.2022.12-26.
https://doi.org/10.20473/ijph.v17i1.2022.12-26
[29] Nordholm AC, Andersen AB, Wejse C, Norman A, Ekstrøm CT, Andersen PH, et al. Social determinants of tuberculosis: a nationwide case-control study, Denmark, 1990-2018. Int J Epidemiol 2022;51:1446-56. https://doi.org/10.1093/ije/dyac109.
https://doi.org/10.1093/ije/dyac109
[30] Owolabi OA, Genekah MD, Njie S, Jallow MK, Jobe A, Tunkara A, et al. Impact of educational intervention on knowledge and awareness of TB among secondary school students in The Gambia. J Pan Afr Thorac Soc 2022;3:25-33. https://doi.org/10.25259/JPATS_22_2021.
https://doi.org/10.25259/JPATS_22_2021
[31] Valencia-Aguirre S, Arroyave I, García-Basteiro AL. Educational level and tuberculosis mortality in Colombia: growing inequalities and stagnation in reduction. Cad Saúde Pública 2022;38. https://doi.org/10.1590/0102-311X00031721.
https://doi.org/10.1590/0102-311x00031721
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