NURSING CARE STRATEGIES FOR INDIVIDUALS WITH VIRAL HEPATITIS IN THE CONTEXT OF PRIMARY HEALTH CARE

IF 4.4 3区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY

Annals of hepatology Pub Date : 2025-09-01 DOI:10.1016/j.aohep.2025.102045

Joao Vítor da Silva Mota , Ana Paula Maciel Gurski , Carla Francisca dos Santos Cruz , Mario Peribanez Gonzalez , Elton Carlos de Almeida , Aline Alves da Silva , Ana Mônica de Mello , Nathalia da Silva Cruz , Isabelle Cristine de Jesus Macedo , José Nilton Neris Gomes , Leonardo Carrara Matsuura

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引用次数: 0

Abstract

Introduction and Objectives

Nursing professionals play an important role in the prevention, diagnosis, and care of viral hepatitis in Primary Health Care. Understanding nursing practices is essential to strengthening disease elimination strategies.

To identify nursing actions in the care of people with viral hepatitis in the context of Primary Health Care.

Materials and Methods

Data were collected through a form developed by the General Coordination for the Surveillance of Viral Hepatitis and the Federal Nursing Council, sent to nursing professionals in Brazil. The data were then tabulated, entered into an electronic database, and analyzed using descriptive statistics.

Results

The sample consisted of 1,573 participants. It was found that 91.3% of nursing professionals assess users' vaccination status. However, 71.3% of nurses reported never having requested viral load or molecular tests for viral hepatitis, although 83.6% stated that doing so would simplify diagnosis and patient referrals. Regarding complementary exams, 42.8% of nurses had never made such requests, despite recognizing they have legal support based on established clinical protocols. Additionally, 47.6% acknowledged that allowing nurses to request viral load and complementary tests would simplify diagnosis and referrals, highlighting the need for training to support this role.

Conclusions

Nursing plays a strategic role in eliminating viral hepatitis within Primary Health Care. Ongoing training and professional empowerment are essential to expand access, overcome barriers, and implement the actions outlined in Technical Note 369/2020 at the local level.

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初级卫生保健背景下病毒性肝炎患者的护理策略

简介与目的护理专业人员在初级卫生保健中病毒性肝炎的预防、诊断和护理中发挥着重要作用。了解护理实践对加强疾病消除战略至关重要。在初级卫生保健的背景下，确定病毒性肝炎患者的护理行动。材料和方法通过病毒性肝炎监测总协调和联邦护理委员会制定的表格收集数据，并将其发送给巴西的护理专业人员。然后将数据制成表格，输入电子数据库，并使用描述性统计进行分析。结果样本共1573人。91.3%的护理专业人员对用户的疫苗接种情况进行了评估。然而，71.3%的护士报告从未要求进行病毒性肝炎的病毒载量或分子检测，尽管83.6%的护士表示这样做可以简化诊断和患者转诊。关于补充检查，42.8%的护士从未提出过这样的要求，尽管他们认识到他们有基于既定临床方案的法律支持。此外，47.6%的人承认允许护士要求进行病毒载量和补充检测将简化诊断和转诊，强调需要培训以支持这一角色。结论护理在初级卫生保健中消除病毒性肝炎具有重要的战略作用。持续的培训和专业赋权对于在地方一级扩大获取、克服障碍和实施技术说明369/2020中概述的行动至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of hepatology 医学-胃肠肝病学

CiteScore

7.90

自引率

2.60%

发文量

183

审稿时长

4-8 weeks

期刊介绍： Annals of Hepatology publishes original research on the biology and diseases of the liver in both humans and experimental models. Contributions may be submitted as regular articles. The journal also publishes concise reviews of both basic and clinical topics.