Qualidade dos registros nos prontuários de pacientes de hanseníase no município de Palmas, Tocantins, no período de 2011 a 2014

Abstract

The objective of this study was to analyze the records of leprosy patients in the city of Palmas, Tocantins, verifying the completeness of filling out the mandatory documents included in it, as well as the quality of the records made by the various professionals during the treatment of the patients. To collect the data, a checklist was used to record the completeness of fulfillment in the mandatory documents of the leprosy patient record, the Level of Descriptive Record, and the data on the Physical Disability Grade and Eye-Hand-Foot Score of the patient. We analyzed 233 medical records of patients diagnosed and treated between 2011 and 2014, most of them male (61%). The document with the highest percentage of partial completion was the Intradomiciliary Contacts Surveillance Form (79.4%). As for the documents of the patient record as a whole, only 0.86% of the records were considered adequate. The level of Descriptive Record was predominantly Minimum (38.4%) and Medium (58.6%). There was a statistically significant association (p<0.05) between this variable and the Eye-Hand-Foot Score. This study and its results reinforce the hypothesis that there is a relationship between poorly done registry and poor care provided to the patient.