Ana Célia Caetano de Souza

Hipertensão comunicada e hipertensão compreendida: saberes e práticas de enfermagem em um Programa de Saúde da Família de Fortaleza, Ceará

The scope of the study was to examine the communication practices of nurses in consultation of arterial hypertension in the Family Health Program in Fortaleza, Ceara, revealing the elements that cause asymmetry of power between nurses and the hypertensive individuals verbal expression. The theoretical references are Critical Discourse Analysis and Pragmatics. This is an exploratory descriptive and qualitative study, in which participant observation was conducted in a Basic Family Health Unit. The following discourses arose: the nurse as conductor of the interaction with verbal and nonverbal discursive commands; the hypertensive subject as subjugated by the nurse; the nurse as an articulated instrument that communicates a body of social practice; the body of the hypertensive person as a tool that supports an imaginary power load; the interaction between nurse and the hypertensive person in a one-sided situation, obliging the hypertensive individual to obey orders. The relationship between the nurse and the hypertensive person develops asymmetrically, built on symbolic materials of social practices under the legitimacy of the paradigm of current Nursing Consultation in our society.

Acesso ao serviço de emergência pelos usuários com crise hipertensiva em um hospital de Fortaleza, CE, Brasil

A crise hipertensiva e uma elevacao abrupta e sintomatica da pressao arterial com risco de deterioracao aguda de orgaos-alvo. Embora na literatura a prevalencia do agravo seja de 1%, os riscos de complicacoes e de morte associadas ao problema de saude nos servicos de emergencia tem revelado a necessidade de aprofundar questoes relacionadas ao acesso ao servico de saude. Trata-se de uma pesquisa de natureza quantitativa, descritiva, realizada em um hospital publico do municipio de Fortaleza, no periodo de abril a julho de 2006, com 118 pacientes. Os resultados demonstram que a populacao com crise hipertensiva tem procurado os servicos de saude, principalmente os de emergencia, a fim de obter atendimento. O estudo indica o acesso como um elemento essencial para satisfacao das necessidades dos usuarios que procuram os servicos de saude, sendo o tempo de espera, a resolubilidade e o acolhimento parâmetros importantes na qualidade do atendimento.A hypertensive crisis is a sudden and symptomatic elevation of blood pressure at risk of acute deterioration of target organs. Although the prevalence in the literature of the burden is 1%, the risk of complications and death associated with the problem of health in the emergency services have revealed the need for deeper issues related to access to the service of health. It is a quantitative and descriptive research, held in a public hospital Fortaleza city, between April and July of 2006, with 118 patients. The results show that people with hypertensive crisis has sought health services, especially the emergency, in order to get care. The study indicates access as a key element in meeting the needs of users who seek the services of health, and the waiting time, the resolution and the reception, important parameters on the quality of care.

Content validation of the dimensions constituting non-adherence to treatment of arterial hypertension

The objective of the study was to validate the content of the dimensions that constituted nonadherence to treatment of arterial systemic hypertension. It was a methodological study of content validation. Initially an integrative review was conducted that demonstrated four dimensions of nonadherence: person, disease/treatment, health service, and environment. Definitions of these dimensions were evaluated by 17 professionals, who were specialists in the area, including: nurses, pharmacists and physicians. The Content Validity Index was calculated for each dimension (IVCi) and the set of the dimensions (IVCt), and the binomial test was conducted. The results permitted the validation of the dimensions with an IVCt of 0.88, demonstrating reasonable systematic comprehension of the phenomena of nonadherence.

Validação de conteúdo das dimensões constitutivas da não adesão ao tratamento da hipertensão arterial

The objective of the study was to validate the content of the dimensions that constituted nonadherence to treatment of arterial systemic hypertension. It was a methodological study of content validation. Initially an integrative review was conducted that demonstrated four dimensions of nonadherence: person, disease/treatment, health service, and environment. Definitions of these dimensions were evaluated by 17 professionals, who were specialists in the area, including: nurses, pharmacists and physicians. The Content Validity Index was calculated for each dimension (IVCi) and the set of the dimensions (IVCt), and the binomial test was conducted. The results permitted the validation of the dimensions with an IVCt of 0.88, demonstrating reasonable systematic comprehension of the phenomena of nonadherence.

Medição da qualidade de vida em hipertensão arterial segundo a Teoria da Resposta ao Item

OBJETIVO Analisar o Miniquestionario de Qualidade de Vida em Hipertensao Arterial (MINICHAL) por meio da Teoria da Resposta ao Item. METODOS Estudo analitico realizado com 712 pessoas com hipertensao arterial atendidas em 13 unidades de atencao primaria em saude de Fortaleza, CE, em 2015. As etapas da analise pela Teoria da Resposta ao Item foram: […]

Educational technologies designed to promote cardiovascular health in adults: integrative review

Objetivo Investigar as tecnologias educacionais desenvolvidas para promocao da saude cardiovascular em adultos. Metodo Revisao integrativa realizada nas bases de dados PubMed, SciELO e LILACS, com a selecao de 15 artigos. Resultados Mais da metade (60%) dos estudos foi de Ensaios Clinicos Randomizados. As tecnologias educacionais desenvolvidas foram programas envolvendo tres estrategias e com a duracao de um ano, alem de tecnologias ludicas com contacao de historias, programas de computador ou software para smartfones e folheto eletronico. Essas tecnologias resultaram em reducao dos niveis pressoricos, peso, circunferencia abdominal, diminuicao de internacoes e aumento dos anos de vida. Conclusao Os estudos com melhores impactos na saude cardiovascular dos adultos foram os que trouxeram a tecnologia em forma de programa e com a duracao de um ano.OBJECTIVE Investigating the educational technologies developed for promoting cardiovascular health in adults. METHOD Integrative review carried out in the databases of PubMed, SciELO and LILACS, with 15 articles selected. RESULTS Over half (60%) of the studies were randomized clinical trials. The developed educational technologies were programs involving three strategies, with duration of one year, use of playful technologies with storytelling, computer programs or software for smartphones, and electronic brochure. These technologies resulted in reduction of blood pressure, weight, waist circumference, decreased hospitalizations and increased years of life. CONCLUSION The studies with better impact on the cardiovascular health of adults were those who brought the technology in the form of program and duration of one year.

Qualidade de vida e adesão ao tratamento em hipertensão: revisão sistemática com metanálise

OBJETIVO Verificar os efeitos do tratamento anti-hipertensivo (farmacologico e nao-farmacologico) na qualidade de vida relacionada a saude de pessoas com hipertensao arterial. METODOS Foi conduzida revisao sistematica com metanalise utilizando as bases de dados IBECS, Lilacs, SciELO, Medline, Cochrane, Science Direct, Scopus e o banco de teses da Capes. A analise estatistica foi realizada pelo […]ABSTRACT OBJECTIVE To verify the effects of antihypertensive treatment (pharmacological and non-pharmacological) on the health-related quality of life of individuals with hypertension. METHODS We conducted a systematic review with meta-analysis using the following databases: IBECS, LILACS, SciELO, Medline, Cochrane, Science Direct, Scopus and the Brazilian Capes Theses and Dissertations Database. The statistical analysis was performed using Review Manager, version 5.2. The average difference was used for the summarization of meta-analytic effect by the fixed-effect model. Twenty studies were included. RESULTS The summarization of the effect showed an average increase of 2.45 points (95%CI 1.02–3.87; p < 0.0008) in the quality of life of individuals adhering to non-pharmacological treatment for arterial hypertension. Adherence to pharmacological treatment indicated an average increase of 9.24 points (95%CI 8.16–10.33; p < 0.00001) in the quality of life of individuals with arterial hypertension. CONCLUSIONS Non-pharmacological treatment improves the overall quality of life and physical domain of people with arterial hypertension. Adherence to pharmacological treatment has a positive impact on the mental and physical domains of patients, as it did on the overall quality of life score.

Effectiveness of Educational Technology in Promoting Quality of Life and Treatment Adherence in Hypertensive People.

The objective of this study was to test the effectiveness of an educational intervention with use of educational technology (flipchart) to promote quality of life (QOL) and treatment adherence in people with hypertension. It was an intervention study of before-and-after type conducted with 116 hypertensive people registered in Primary Health Care Units. The educational interventions were conducted using the flipchart educational technology. Quality of life was assessed through the MINICHAL (lowest score = better QOL) and the QATSH (higher score = better adherence) was used to assess the adherence to hypertension treatment. Both were measured before and after applying the intervention. In the analysis, we used the Student’s t-test for paired data. The average baseline quality of life was 11.66 ± 7.55, and 7.71 ± 5.72 two months after the intervention, showing a statistically significant reduction (p <0.001) and mean of differences of 3.95. The average baseline adherence to treatment was 98.03 ± 7.08 and 100.71 ± 6.88 two months after the intervention, which is statistically significant (p < 0.001), and mean of differences of 2.68. The conclusion was that the educational intervention using the flipchart improved the total score of quality of life in the scores of physical and mental domains, and increased adherence to hypertension treatment in people with the disease.

Educação em saúde inclusiva: o enfermeiro como ledor de tecnologia educacional para um deficiente visual

The objective was to report the case of inclusion of a visually impaired in health education activities with the nurse as lector of an educational technology. It is a case study carried out in Fortaleza, Ceara, Brazil. The research was carried out from the theory of Virginia Henderson. He was diagnosed Deficit knowledge. They applied to the scales of NOC “knowledge - disease control and disease process” to evaluate the results. Nursing interventions were performed through an Educational Technology: flipchart on hypertension, treatment adherence and quality of life. The album dealt six activities of the NIC taxonomy. For the implementation of nursing intervention was developed a method with the following steps: general description of the figure, detailing the figures and focus on the main message represented. The nursing results showed that the process of education in inclusive health occurred. In terms of measurement, the NOC scales have demonstrated acquisition of knowledge about complications of hypertension.

Tecnologias educacionais desenvolvidas para promoção da saúde cardiovascular em adultos: revisão integrativa

Objetivo Investigar as tecnologias educacionais desenvolvidas para promocao da saude cardiovascular em adultos. Metodo Revisao integrativa realizada nas bases de dados PubMed, SciELO e LILACS, com a selecao de 15 artigos. Resultados Mais da metade (60%) dos estudos foi de Ensaios Clinicos Randomizados. As tecnologias educacionais desenvolvidas foram programas envolvendo tres estrategias e com a duracao de um ano, alem de tecnologias ludicas com contacao de historias, programas de computador ou software para smartfones e folheto eletronico. Essas tecnologias resultaram em reducao dos niveis pressoricos, peso, circunferencia abdominal, diminuicao de internacoes e aumento dos anos de vida. Conclusao Os estudos com melhores impactos na saude cardiovascular dos adultos foram os que trouxeram a tecnologia em forma de programa e com a duracao de um ano.OBJECTIVE Investigating the educational technologies developed for promoting cardiovascular health in adults. METHOD Integrative review carried out in the databases of PubMed, SciELO and LILACS, with 15 articles selected. RESULTS Over half (60%) of the studies were randomized clinical trials. The developed educational technologies were programs involving three strategies, with duration of one year, use of playful technologies with storytelling, computer programs or software for smartphones, and electronic brochure. These technologies resulted in reduction of blood pressure, weight, waist circumference, decreased hospitalizations and increased years of life. CONCLUSION The studies with better impact on the cardiovascular health of adults were those who brought the technology in the form of program and duration of one year.