Notificação da perda auditiva induzida por ruído ocupacional: percepção e conhecimento dos profissionais de saúde da atenção primária

Abstract

Occupational diseases are generally underreported in Brazil. Among others, is noise-induced hearing loss (NIHL), considered an occupational disease notifiable, Ministry of Health through the Computerized Disease Surveillance System (SINAN) and the Ministry of Labor and Employment through the Accident Report Work (CAT). Purpose of this study was to analyze the perception and knowledge of health professionals of Primary Health Care (PHC) in the city of Curitiba, on the compulsory notification of NIHL. Methods: A quantitative and qualitative approach in cross-sectional study carried out in three steps: 1) analysis of the time series of reported cases of NIHL in SINAN database from 2007 to 2014; 2) application of semi-structured questionnaire to the health of the PHC network professionals; 3) press conference with nurses, speech therapists and doctors from Curitiba PHC network. Results: The number of NIHL notifications during the study period was 44 cases, males represented (90.9%), the age range was from 50 to 64 years, completed elementary school represented (25%) and the contract the formal labor (52.3%). The CAT was issued to (43.2%) of the cases notified in SINAN. Workers Industry Manual are the most exposed to noise (36.4%), and the Manufacturing Industry represented the highest number of reported cases (41%). In the statement of semi-structured questionnaire, 48 professionals in network PHC answered the questionnaire said they feel prepared to identify health problems related to the employee (68.7%), 33 subjects answered that the act of making guidance to ensure the user is more comprehensive care important than doing the obligatory notification, in the statement of the perceived knowledge of NIHL characteristics (56.2%) said yes, (43.7%) feels able to identify cases of NIHL and (52.1% ) do not conduct the notification to the SINAN. The outcome of the third step, the health professionals report difficulties: the correct way to perform the notification of NIHL for not understanding the notification flow, and the legal implications that can generate with the notification for the professional, difficulty request audiometric testing, lack of management support. Conclusion: the results found, noted that the health professionals of the PHC network, have knowledge about NIHL, but is afraid to report suspected cases, does not know the notification flow and feel little support from management regarding the health program worker in Primary Health Care Network in Curitiba.