Banca de DEFESA: SUSANA CECAGNO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : SUSANA CECAGNO
DATA : 28/07/2016
HORA: 14:00
LOCAL: Departamento de Saúde Coletiva - UFRN
TÍTULO:

QUALITY MANAGEMENT IN PRE- CHRISTMAS ASSISTANCE : INFECTIONS TO ATTENTION URINARY GESTATIONAL

PALAVRAS-CHAVES:

prenatal care, quality management, child mortality

PÁGINAS: 478
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
SUBÁREA: Saúde Pública
RESUMO:

Introduction:  Urinary tract infection in pregnancy is an important condition that can harm the  health  of  both,  the  mother  and  child  and  increase  maternal  and  neonatal  mortality. Adverse  pregnancy  outcomes  are  related  to  failures  in  prevention  and  response  capacity before  prenatal  complications,  childbirth  and  postpartum.  Currently,  the  lack  of  studies  on strategies that promote improved quality of prenatal care and strengthen public management strategies  to  optimize  work  processes,  improve  access  of  women  to  services  that  perform prenatal and especially  qualify the assistance  during  pregnancy.  Objective:  To evaluate the effects  of  a  quality  improvement  cycle  in  the  prevention  and  management  of  UTI  during prenatal.  Methodology:  This  is  a  quantitative  study  with  partly  completed  experimental design  type  before  and  after,  no  control  group.  An  external  cycle  of  quality  improvement, with  evaluation  of  five  criteria  of  quality  and  two  sentinel  indicators  were  applied.  Two evaluations  were  carried  out,  considering  the  time  of  three  months  between  them,  and  two monitoring type Lot Quality Acceptance Sampling -  LQAS. Between the first and the second evaluation,  a  participatory  intervention,  planned  and  guided  by  the  first  evaluation  was applied.  Samples were random, consisting of 120 cards pregnant women between 36 and 42 for  the  assessment  of  the  criteria  1,  2,  3  and  4,  besides  the  perinatal  mortality  data  were collected from the Municipal Management Report.  In order to identify the level of  quality, it was  used  the  point  estimate  and  confidence  interval  (95%)  of  compliance  with  the  criteria.Aiming  to  prove  the  effectiveness  of  the  intervention,  the  Absolute  and  Relative improvements  were  calculated  between  the  first  and  second  evaluation,  as  well  as  its statistical  significance  with  one-sided  z  test.  Results:  Multivariate  analysis  of  quality improvement, it was observed that most of the criteria of statistical significance (p> 0.001), except criterion 1 which showed a p lower than expected.  The criteria 1, 2 and 4 achieved a percentage above 65% compliance in both the samples. With respect to criterion 5, it can be inferred that 10.8% of the analyzed sample contained record examination results EQU and / or altered urine culture, and of these 53% had adequate treatment record. Perinatal mortality rate had a significant decline of 4.7% between 2014 and 2015, and early neonatal mortality rate decreased by 3.23% between 2013 and 2015. Conclusion:  The methodology used to improve the  quality  of  the  external  cycle  collaborated  in  the  remodeling  of  the  care  processes  of prenatal and especially in the integration between care teams and managers of different levels of  complexity  worked,  strengthening  co-management  and  co-participation  of  workers involved directly in care for users in the municipal health management processes. It has also enabled reflections on the existing flowcharts, providing the redesign of the same as reflected in improving access of pregnant women to health services and quality care.

MEMBROS DA BANCA:
Presidente - 2626690 - JANETE LIMA DE CASTRO
Externo à Instituição - JOÃO BOSCO FILHO - UERN
Interno - 1868020 - ZENEWTON ANDRE DA SILVA GAMA