Banca de DEFESA: KARLA KAROLLINE BARRETO CARDINS

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : KARLA KAROLLINE BARRETO CARDINS
DATE: 03/06/2024
TIME: 09:00
LOCAL: Video conferência
TITLE:

HEALTHCARE FOR PEOPLE WITH POST-COVID CONDITIONS

KEY WORDS:

COVID-19. Post-Acute COVID-19 Syndrome. Health Care. Primary Health Care.

PAGES: 141
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUBÁREA: Saúde Pública
SUMMARY:

Post-COVID conditions refer to signs, symptoms, and/or conditions that persist or emerge after four weeks from the initial SARS-CoV-2 infection. In Brazil, the Ministry of Health refers to these conditions as "post-COVID-19 conditions." To address the needs of individuals with these conditions, the Health Care Network had to reorganize, integrating hospital networks, specialized services, and Primary Health Care to provide comprehensive care. The primary objective of this thesis is to analyze the healthcare provided to individuals with post-COVID-19 conditions. The study was divided into two methodological stages. The first stage involved a theoretical procedure conducted through a scoping review, following the methodological recommendations of the Joanna Briggs Institute, aimed at identifying and mapping studies that address global governmental actions and initiatives for the care of individuals with post-COVID-19 conditions within Primary Health Care. The second stage involved a quantitative, descriptive, cross-sectional study that utilized documentary research through patient records to characterize the profile of individuals with post-COVID-19 conditions at the SuperAR Post-COVID Rehabilitation Center in Campina Grande, Paraíba, from January 2021 to December 2023. Bivariate analyses were conducted to investigate the association between patients' sociodemographic and clinical characteristics and treatment completion. The statistical tests used were the Chi-square test or Fisher's exact test, with statistical significance considered for p-values ≤0.05. The scoping review resulted in a final sample of eight articles published between 2021 (25%), 2022 (37.5%), and 2023 (37.5%), with a predominance of studies from the United States (25%). Regarding the level of evidence, most studies (50%) were classified as level 3 (single qualitative study). The documentary research identified 398 records of individuals with post-COVID-19 conditions treated at the SuperAR Rehabilitation Center. The majority of these patients were female (55.8%), married (54.7%), and had an education level ranging from incomplete to complete high school (42.9%). The most frequently recorded comorbidities were sinusitis (44.1%), hypertension (40.9%), diabetes (23.3%), and asthma (18.6%). Approximately 53.8% of individuals were hospitalized, predominantly in public institutions, with an average hospital stay of 11.3 days. The most prevalent post-COVID symptoms included respiratory (69.6%), musculoskeletal (47.4%), and neurological (15.2%), with respiratory physiotherapy being the most frequently performed intervention (72.1%). Most patients completed the treatment, although 21.9% discontinued. Statistically significant associations were observed between patients' gender, hospitalization, the need for oxygen therapy, and the presence of respiratory symptoms. This research highlights the critical role of Primary Health Care in managing and coordinating care for post-COVID-19 conditions, emphasizing the complexity of post-COVID-19 rehabilitation, which requires the integration of various services within the Health Care Network. It underscores the necessity for multidisciplinary approaches tailored to local realities, adequate resources, and effective coordination strategies to improve the quality of care and optimize patient outcomes.

COMMITTEE MEMBERS:
Presidente - ***.382.224-** - CLÁUDIA HELENA SOARES DE MORAIS FREITAS - UFPB
Interna - 1879353 - FABIA BARBOSA DE ANDRADE
Externa à Instituição - ARDIGLEUSA ALVES COELHO - UEPB
Externa à Instituição - GABRIELA MARIA CAVALCANTI COSTA - UEPB
Externa à Instituição - TALITHA RODRIGUES RIBEIRO FERNANDES PESSOA - UFPB