Educational intervention for collecting sputum for tuberculosis: a quasi-experimental study

Author:

Sicsú Amélia Nunes1,Salem Julia Ignez2,Fujimoto Luciana Botinelly Mendonça3,Gonzales Roxana Isabel Cardozo4,Cardoso Maria do Socorro de Lucena3,Palha Pedro Fredemir1

Affiliation:

1. Universidade de São Paulo, Brazil

2. Instituto Nacional de Pesquisa da Amazônia, Brazil

3. Universidade Federal do Amazonas, Brazil

4. Universidade Federal de Pelotas, Brazil

Abstract

Abstract Objective: to evaluate the quality of the sputum sample before and after the Nursing guidance to patients. Methods: this is a quasi-experimental research design, single group type, before and after, non-randomized study. The study enrolled patients with suspected pulmonary tuberculosis, respiratory symptomatic patients for over three weeks, aged over 18 years, of both genders and without tuberculosis history in the last two years. The educational intervention consisted of individualized guidance on the collection of sputum sample, which was based on the guidelines of the Ministry of Health of Brazil and on the explanatory folder delivery. Results: in this study participated 138 patients with suspected pulmonary tuberculosis. The results showed significant increase of the samples with purulent particles, volume greater than 5 mL and increased rate of patients diagnosed with tuberculosis, after the educational intervention. Conclusion: it was shown that after the educational intervention, it was observed sputum samples with better quality, with satisfactory aspect and volume for the effectiveness of the bacilloscopic examination.

Publisher

FapUNIFESP (SciELO)

Subject

General Nursing

Reference19 articles.

1. Global tuberculosis report 2014,2014

2. Métodos diagnósticos em tuberculose;Bento J;Acta Med Port,2011

3. Improved tuberculosis smear detection in resource-limited settings Combined bleach concentration and LED fluorescence microscopy;Reed SL;Int Health,2011

4. Xpert MTB/RIF and pulmonary tuberculosis time to delve deeper?;Pinto LM;Thorax,2013

5. Metodologia para coleta de escarro espontâneo para confirmação microbiológica do diagnóstico de tuberculose pulmonar, doença pulmonar por micobactérias não tuberculosas ou para controle de tratamento desses agravos em ambientes ambulatorial e hospitalar;Hadad DJ;J Infect Control,2014

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