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de Jesus Nascimento de Aquino M, de Souza ACC, Borges JWP, da Silva Negreiros FD, de Sousa Gonçalves M, Martins PMO, Moreira TMM. Prevalence, Incidence and Factors Associated with Diabetic Foot in People with Type 2 Diabetes: Systematic Review with Meta-Analysis. Curr Diabetes Rev 2024; 20:e070423215527. [PMID: 37026500 DOI: 10.2174/1573399819666230407093450] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/09/2022] [Revised: 02/22/2023] [Accepted: 02/25/2023] [Indexed: 04/08/2023]
Abstract
BACKGROUND Diabetic Foot is a severe chronic complication of diabetes and an important factor in the morbidity of diabetic people, resulting in high health costs and increased risk of death. OBJECTIVE To analyze the incidence, prevalence, and risk factors associated with diabetic foot in people with type 2 Diabetes Mellitus. METHOD Systematic literature review. Searches in MedLine via PubMed, LILACS, Web of Science, Scopus CINAHL, and Cochrane Library databases were performed. Inclusion of 52 studies. The R program, Metan packages, was used to calculate the meta-analysis. Given the heterogeneity of studies, the random effect was used to calculate the meta-analysis of risk factors. RESULTS The meta-analysis showed that the prevalence of diabetic foot was 14% in a hospital setting and 5% in a community setting. The overall prevalence and incidence were 9% and 4%, respectively. Significant risk factors included time of DM (odds ratio [OR] =1.46, confidence interval [CI], 0.36-2.57, P = 0.009), smoking (OR = 1.46, CI, 1.16 -1.85, P< .001), glycated hemoglobin (OR = 0.96, CI, 0.50; 1.42, P< .001), peripheral arterial disease (OR = 3.38, CI, 2.07; 5.53, P < .001) and peripheral neuropathy (OR = 5.88, CI, 2.39-14.45, P<.001). CONCLUSION Multidisciplinary monitoring, educational strategies, periodic foot examination for alterations, and early identification of risk factors are essential to prevent ulceration and reduce the disease burden.
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Affiliation(s)
- Maria de Jesus Nascimento de Aquino
- Endocrinology Outpatient Clinic, Hospital Universitário Walter Cantidio, Rua Pastor Samuel Munguba, 1290, Rodolfo Teófilo, Fortaleza, Ceará, 60430-372, Brazil
| | - Ana Célia Caetano de Souza
- Endocrinology Outpatient Clinic, Hospital Universitário Walter Cantidio, Rua Pastor Samuel Munguba, 1290, Rodolfo Teófilo, Fortaleza, Ceará, 60430-372, Brazil
| | | | - Francisca Diana da Silva Negreiros
- Endocrinology Outpatient Clinic, Hospital Universitário Walter Cantidio, Rua Pastor Samuel Munguba, 1290, Rodolfo Teófilo, Fortaleza, Ceará, 60430-372, Brazil
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Soares Filho AM, Vasconcelos CH, Dias AC, Souza ACCD, Merchan-Hamann E, Silva MRFD. Atenção Primária à Saúde no Norte e Nordeste do Brasil: mapeando disparidades na distribuição de equipes. Ciênc saúde coletiva 2022; 27:377-386. [DOI: 10.1590/1413-81232022271.39342020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2019] [Accepted: 11/20/2020] [Indexed: 11/22/2022] Open
Abstract
Resumo Objetiva-se analisar o padrão espacial de implantação de equipes da Atenção Primária à Saúde (APS) no Norte e Nordeste do Brasil em 2017. Estudo ecológico das taxas de Agentes Comunitários de Saúde (ACS), equipes Saúde da Família (eSF), equipes Saúde Bucal (eSB) e Núcleo Ampliado de Saúde da Família (NASF), a partir de dados do Ministério da saúde (MS). A análise dos dados de área permitiu a identificação de padrões de dependência espacial dos municípios para as taxas, utilizando os índices e mapas de Moran para visualizar clusters de áreas críticas (95% de confiança). Os municípios do Norte (n=450) e Nordeste (n=1.794) apresentaram 132,2 mil ACS, 18,4 mil eSF, 13 mil eSB e 2,2 mil NASF. A proporção de municípios com taxas dentro do preconizado pelo MS: ACS (>1,33/mil) 96% no Norte e 98,5% no Nordeste; eSF (>2,9/10 mil) 54% e 80% nas respectivas regiões; eSB (>2,9/10 mil) 28% e 59% nestas respectivas regiões. Equipes NASF foram implantadas em 70% do Norte e 89% do Nordeste. Exceto ACS, a região Norte constituiu-se em área crítica de equipes, principalmente no Pará, Rondônia, Amazonas e Amapá. No Nordeste, essas áreas foram menores e concentradas a oeste da Bahia e leste do Maranhão. O Nordeste exibiu melhor composição de equipes e menor extensão de áreas críticas.
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Souza ACCD, Moreira TMM, Borges JWP. Development of an appearance validity instrument for educational technology in health. Rev Bras Enferm 2020; 73:e20190559. [PMID: 33338125 DOI: 10.1590/0034-7167-2019-0559] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2019] [Accepted: 04/23/2020] [Indexed: 01/05/2023] Open
Abstract
OBJECTIVES to develop and evaluate the convergence of the instrument for the appearance validity of educational technologies in health. METHODS methodological study conducted in two steps. In step 1, the instrument items were developed, with subsequent content validity by nine specialists in the development of educational technologies in health. In step 2, the convergent validity between another instrument and the appearance instrument was performed. Correlation results above r> 0.3 and p <0.05 were considered as plausible convergent validity. RESULTS the ten items of the initial version of the appearance instrument were submitted to content validity that resulted in a final version with 12 items (Content Validity Index = 0.93). The correlation indexes were strong with the objective and appearance domains; moderate with motivation, organization and total; and weak with writing style. CONCLUSIONS the appearance instrument demonstrated content validity and convergent validity, in addition to a strong correlation with the other instrument.
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de Menezes EVA, Sampaio HADC, Carioca AAF, Parente NA, Brito FO, Moreira TMM, de Souza ACC, Arruda SPM. Influence of Paleolithic diet on anthropometric markers in chronic diseases: systematic review and meta-analysis. Nutr J 2019; 18:41. [PMID: 31337389 PMCID: PMC6647066 DOI: 10.1186/s12937-019-0457-z] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2018] [Accepted: 06/07/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The Paleolithic diet has been studied in the scope of prevention and control of chronic noncommunicable diseases (CNCD). The objective of this study was to analyze the influence of the Paleolithic diet on the prevention and control of CNCD in humans, specifically on anthropometric markers, through a systematic review with meta-analysis. METHODS What is the effect of the Paleolithic diet on anthropometric parameters (weight, body mass index and waist circumference) compared to other control diets based on recommendations in adults? We included only randomized studies with humans that used the Paleolithic Diet in the prevention and control of CNCD published in Portuguese, English or Spanish. The search period was until March 2019, in the LILACS, PubMed, Scielo, Science Direct, Medline, Web of Science and Scopus databases. The abstracts were evaluated by two researchers. We found 1224 articles, of which 24 were selected and 11 were included in the meta-analysis. The effect of dietary use on body weight, body mass index and waist circumference was evaluated. RESULTS The summary of the effect showed a loss of - 3.52 kg in the mean weight (CI 95%: - 5.26; - 1.79; p < 0,001; I2 = 24%) of people who adopted the Paleolithic diet compared to diets based on recommendations. The analysis showed a positive association of adopting the Paleolithic diet in relation to weight loss. The effect was significant on weight, body mass index and waist circumference. CONCLUSION The Paleolithic diet may assist in controlling weight and waist circumference and in the management of chronic diseases. However, more randomized clinical studies with larger populations and duration are necessary to prove health benefits. TRIAL REGISTRATION CRD42015027849 .
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Affiliation(s)
- Ehrika Vanessa Almeida de Menezes
- Postgraduate Program in Colletive Health, Universidade Estadual do Ceará (UECE), Fortaleza, Brazil.,Nutrition course, Universidade de Fortaleza (UNIFOR), Fortaleza, Brazil
| | | | - Antônio Augusto Ferreira Carioca
- Nutrition course, Universidade de Fortaleza (UNIFOR), Fortaleza, Brazil.,Nutrition in Public Health, Faculdade Saúde Pública, Universidade de São Paulo (USP), São Paulo, Brazil
| | - Nara Andrade Parente
- Postgraduate Program in Colletive Health, Universidade Estadual do Ceará (UECE), Fortaleza, Brazil. .,Nutrition course, Universidade de Fortaleza (UNIFOR), Fortaleza, Brazil.
| | - Filipe Oliveira Brito
- Postgraduate Program in Colletive Health, Universidade Estadual do Ceará (UECE), Fortaleza, Brazil.,Nutrition course, Universidade de Fortaleza (UNIFOR), Fortaleza, Brazil
| | - Thereza Maria Magalhães Moreira
- Postgraduate Program in Colletive Health, Universidade Estadual do Ceará (UECE), Fortaleza, Brazil.,Public Health, Universidade de São Paulo (USP), São Paulo, Brazil
| | - Ana Célia Caetano de Souza
- Clinical Care in Health, Universidade Federal do Ceará (UFC), Fortaleza, Brazil.,Nucleus of Research and Development of Medications, Universidade Federal do Ceará, Fortaleza, Brazil
| | - Soraia Pinheiro Machado Arruda
- Collective Health, Universidade Federal do Maranhão, São Luís, Brazil.,Postgraduate Program in Collective Health and Academic Master's in Nutrition and Health, Universidade Estadual do Ceará, Fortaleza, Brazil
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Tavares-Júnior JWL, de Souza ACC, Alves GS, Bonfadini JDC, Siqueira-Neto JI, Braga-Neto P. Cognitive Assessment Tools for Screening Older Adults With Low Levels of Education: A Critical Review. Front Psychiatry 2019; 10:878. [PMID: 31920741 PMCID: PMC6923219 DOI: 10.3389/fpsyt.2019.00878] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/16/2019] [Accepted: 11/07/2019] [Indexed: 11/13/2022] Open
Abstract
Introduction: Cognitive assessment of older adults who are either illiterate or with low levels of education is particularly challenging because several battery tasks require a certain educational background. Early detection of mild cognitive impairment (MCI) in the elderly using validated screening tools is of great importance since this population group could benefit from new drugs that are being investigated for the treatment of dementias. Cutoff scores for psychometric properties of cognitive tests are not well established among adults with low levels of education. The present study aimed to critically review the literature on cognitive assessment tools for screening cognitive syndromes including MCI and Alzheimer's disease (AD) in older adults with low levels of education. Methods: We conducted a systematic search of MEDLINE, LILACS, Cochrane, and SCOPUS electronic databases of cross-sectional and prospective studies with adults over 55 years of age. Results: We found a significant number of assessment tools available (n = 44), but only a few of them showed diagnostic accuracy for the diagnosis of MCI and AD in older adults with low levels of education: the Mini-Mental State Exam; the Montreal Cognitive Assessment; the Persian Test of Elderly for Assessment of Cognition and Executive Function; the Six-Item Screener; and the Memory Alteration Test. Few studies evaluated individuals with low levels of education, with a wide range of cutoff scores and cognitive test batteries. Conclusion: We found that a small number of studies evaluated adults with 4 years of formal education or less. Our findings further support the importance of developing specific tools for the assessment of older adults with low levels of education.
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Affiliation(s)
| | - Ana Célia Caetano de Souza
- Center of Health Sciences, Universidade Estadual do Ceará, Fortaleza, Brazil.,Neurology Service, Hospital Universitário Walter Cantídio, Universidade Federal do Ceará, Fortaleza, Brazil
| | - Gilberto Sousa Alves
- Translational Psychiatry Research Group, Universidade Federal do Maranhão, São Luís, Brazil
| | - Janine de Carvalho Bonfadini
- Department of Clinical Medicine, Division of Neurology, Universidade Federal do Ceará, Fortaleza, Brazil.,Neurology Service, Hospital Universitário Walter Cantídio, Universidade Federal do Ceará, Fortaleza, Brazil
| | | | - Pedro Braga-Neto
- Department of Clinical Medicine, Division of Neurology, Universidade Federal do Ceará, Fortaleza, Brazil.,Center of Health Sciences, Universidade Estadual do Ceará, Fortaleza, Brazil.,Neurology Service, Hospital Universitário Walter Cantídio, Universidade Federal do Ceará, Fortaleza, Brazil
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Borges JWP, Moreira TMM, Schmitt J, de Andrade DF, Barbetta PA, de Souza ACC, Lima DBDS, Carvalho IS. Measuring the quality of life in hypertension according to Item Response Theory. Rev Saude Publica 2017; 51:45. [PMID: 28492764 PMCID: PMC5433789 DOI: 10.1590/s1518-8787.2017051006845] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2015] [Accepted: 05/11/2016] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVE To analyze the Miniquestionário de Qualidade de Vida em Hipertensão Arterial (MINICHAL - Mini-questionnaire of Quality of Life in Hypertension) using the Item Response Theory. METHODS This is an analytical study conducted with 712 persons with hypertension treated in thirteen primary health care units of Fortaleza, State of Ceará, Brazil, in 2015. The steps of the analysis by the Item Response Theory were: evaluation of dimensionality, estimation of parameters of items, and construction of scale. The study of dimensionality was carried out on the polychoric correlation matrix and confirmatory factor analysis. To estimate the item parameters, we used the Gradual Response Model of Samejima. The analyses were conducted using the free software R with the aid of psych and mirt. RESULTS The analysis has allowed the visualization of item parameters and their individual contributions in the measurement of the latent trait, generating more information and allowing the construction of a scale with an interpretative model that demonstrates the evolution of the worsening of the quality of life in five levels. Regarding the item parameters, the items related to the somatic state have had a good performance, as they have presented better power to discriminate individuals with worse quality of life. The items related to mental state have been those which contributed with less psychometric data in the MINICHAL. CONCLUSIONS We conclude that the instrument is suitable for the identification of the worsening of the quality of life in hypertension. The analysis of the MINICHAL using the Item Response Theory has allowed us to identify new sides of this instrument that have not yet been addressed in previous studies. OBJETIVO Analisar o Miniquestionário de Qualidade de Vida em Hipertensão Arterial (MINICHAL) por meio da Teoria da Resposta ao Item. MÉTODOS Estudo analítico realizado com 712 pessoas com hipertensão arterial atendidas em 13 unidades de atenção primária em saúde de Fortaleza, CE, em 2015. As etapas da análise pela Teoria da Resposta ao Item foram: avaliação da dimensionalidade, estimação dos parâmetros dos itens e construção da escala. O estudo da dimensionalidade foi realizado sobre a matriz de correlação policórica e análise fatorial confirmatória. Para a estimação dos parâmetros dos itens, foi utilizado o Modelo de Resposta Gradual de Samejima. As análises foram conduzidas no software livre R com o auxílio dos pacotes psych e mirt. RESULTADOS A análise permitiu a visualização dos parâmetros dos itens e suas contribuições individuais na mensuração do traço latente, gerando mais informação, permitindo a construção de uma escala com um modelo interpretativo que demonstra a evolução da piora da qualidade de vida em cinco níveis. Quanto aos parâmetros dos itens, houve bom desempenho daqueles referentes ao estado somático, pois apresentaram melhor poder de discriminar os indivíduos com pior qualidade de vida. Os itens relacionados ao estado mental foram os que contribuíram com menor quantidade de informação psicométrica no MINICHAL. CONCLUSÕES Conclui-se que o instrumento é indicado para a identificação da deterioração da qualidade de vida em hipertensão arterial. A análise do MINICHAL pela Teoria da Resposta ao Item permitiu identificar novas facetas desse instrumento ainda não abordadas em estudos anteriores.
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Affiliation(s)
- José Wicto Pereira Borges
- Programa de Pós-Graduação em Saúde e Comunidade. Universidade Federal do Piauí. Floriano, PI, Brasil
| | - Thereza Maria Magalhães Moreira
- Programa de Pós-Graduação em Cuidados Clínicos em Enfermagem e Saúde. Programa de Pós-Graduação em Saúde Coletiva. Centro de Ciências da Saúde. Universidade Estadual do Ceará. Fortaleza, CE, Brasil
| | - Jeovani Schmitt
- Programa de Pós-Graduação em Engenharia de Produção. Universidade Federal de Santa Catarina. Florianópolis, SC, Brasil
| | - Dalton Francisco de Andrade
- Departamento de Informática e Estatística. Programa de Pós-Graduação em Engenharia de Produção. Universidade Federal de Santa Catarina. Florianópolis, SC, Brasil
| | - Pedro Alberto Barbetta
- Departamento de Informática e Estatística. Programa de Pós-Graduação em Engenharia de Produção. Universidade Federal de Santa Catarina. Florianópolis, SC, Brasil
| | - Ana Célia Caetano de Souza
- Unidade de Farmacologia Clínica. Núcleo de Pesquisa e Desenvolvimento de Medicamentos. Universidade Federal do Ceará. Fortaleza, CE, Brasil
| | | | - Irialda Saboia Carvalho
- Programa de Pós-Graduação em Saúde Coletiva. Universidade Estadual do Ceará. Fortaleza, CE, Brasil
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de Souza ACC, Borges JWP, Moreira TMM. Quality of life and treatment adherence in hypertensive patients: systematic review with meta-analysis. Rev Saude Publica 2016; 50:71. [PMID: 28099657 PMCID: PMC5152803 DOI: 10.1590/s1518-8787.2016050006415] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2015] [Accepted: 10/11/2015] [Indexed: 11/25/2022] Open
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. OBJETIVO Verificar os efeitos do tratamento anti-hipertensivo (farmacológico e não-farmacológico) na qualidade de vida relacionada à saúde de pessoas com hipertensão arterial. MÉTODOS Foi conduzida revisão sistemática com metanálise utilizando as bases de dados IBECS, Lilacs, SciELO, Medline, Cochrane, Science Direct, Scopus e o banco de teses da Capes. A análise estatística foi realizada pelo Review Manager versão 5.2. Foi utilizada a diferença da média na sumarização do efeito metanalítico pelo modelo de efeito fixo. Vinte estudos foram incluídos. RESULTADOS A sumarização do efeito mostrou incremento de 2,45 pontos na média (IC95% 1,02-3,87; p < 0,0008) da qualidade de vida em pessoas com adesão ao tratamento não farmacológico para hipertensão arterial. A adesão ao tratamento farmacológico indicou aumento de 9,24 pontos na média (IC95% 8,16-10,33; p < 0,00001) da qualidade de vida em pessoas com hipertensão arterial. CONCLUSÕES O tratamento não-farmacológico melhora a qualidade de vida global e o domínio físico de pessoas com hipertensão arterial. A adesão ao tratamento farmacológico impacta positivamente nos domínios mental, físico e escore total da qualidade de vida.
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Affiliation(s)
- Ana Célia Caetano de Souza
- Unidade de Farmacologia Clínica. Núcleo de Pesquisa e Desenvolvimento de Medicamentos. Universidade Federal do Ceará. Fortaleza, CE, Brasil
| | - José Wicto Pereira Borges
- Programa de Graduação em Enfermagem. Programa de Pós-Graduação em Saúde e Comunidade. Campus Amilcar Ferreira Sobral. Universidade Federal do Piauí. Floriano, PI, Brasil
| | - Thereza Maria Magalhães Moreira
- Programa de Pós-Graduação em Saúde Coletiva. Programa de Pós-Graduação em Cuidados Clínicos em Enfermagem e Saúde. Centro de Ciências da Saúde. Universidade Estadual do Ceará. Fortaleza, CE, Brasil
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de Souza ACC, Moreira TMM, de Oliveira ES, de Menezes AVB, Loureiro AMO, Silva CBDA, Linard JG, de Almeida ILS, Mattos SM, Borges JWP. Effectiveness of Educational Technology in Promoting Quality of Life and Treatment Adherence in Hypertensive People. PLoS One 2016; 11:e0165311. [PMID: 27851752 PMCID: PMC5112805 DOI: 10.1371/journal.pone.0165311] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2016] [Accepted: 10/09/2016] [Indexed: 12/01/2022] Open
Abstract
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.
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Affiliation(s)
- Ana Célia Caetano de Souza
- Postgraduate Program Clinical Care in Nursing and Health (PPCCLIS), Universidade Estadual do Ceará (UECE), Unit of Clinical Pharmacology, Center for Research and Development of Medicines (NPDM), Universidade Federal do Ceará, Fortaleza, Brazil
| | - Thereza Maria Magalhaes Moreira
- Postgraduate Program Clinical Care in Nursing and Health (PPCCLIS), Postgraduate Program in Public Health (PPSAC), Universidade Estadual do Ceará, Fortaleza, Brazil
| | | | | | | | | | - Jair Gomes Linard
- Postgraduate Program in Public Health (PPSAC), Universidade Estadual do Ceará, Fortaleza, Brazil
| | | | - Samuel Miranda Mattos
- Scholarship of scientific initiation, Universidade Estadual do Ceará, Fortaleza, Brazil
| | - José Wicto Pereira Borges
- Postgraduate Program Clinical Care in Nursing and Health (PPCCLIS), Universidade Estadual do Ceará, Fortaleza, Brazil, Postgraduate Program in Health and Community (PPGSC), Universidade Federal do Piauí, Teresina, Brazil
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Souza ACCD, Moreira TMM, Borges JWP. Educational technologies designed to promote cardiovascular health in adults: integrative review. Rev Esc Enferm USP 2014; 48:944-51. [DOI: 10.1590/s0080-6234201400005000023] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2013] [Accepted: 07/28/2014] [Indexed: 11/22/2022] Open
Abstract
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.
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Borges JWP, Moreira TMM, Rodrigues MTP, de Souza ACC, da Silva DB. [Content validation of the dimensions constituting non-adherence to treatment of arterial hypertension]. Rev Esc Enferm USP 2013; 47:1077-83. [PMID: 24346446 DOI: 10.1590/s0080-623420130000500010] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2012] [Accepted: 04/01/2013] [Indexed: 11/21/2022] Open
Abstract
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.
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Borges JWP, Pinheiro NMG, de Souza ACC. [Hypertension communicated and hypertension understood: nursing know-how and practices in a Family Health Program in Fortaleza, State of Ceará]. Cien Saude Colet 2012; 17:179-89. [PMID: 22218551 DOI: 10.1590/s1413-81232012000100020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2010] [Accepted: 09/03/2010] [Indexed: 11/21/2022] Open
Abstract
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, Ceará, 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.
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Affiliation(s)
- José Wicto Pereira Borges
- Departamento de Enfermagem, Universidade Federal do Piauí, Bairro Meladão, Floriano, Piauí 64800-000
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Lacerda IC, Veloso SDG, Souza ACCD, Moreira TMM. Características da clientela atendida por crise hipertensiva na emergência de um hospital municipal de Fortaleza, Estado do Ceará. Acta Sci Health Sci 2010. [DOI: 10.4025/actascihealthsci.v32i1.5746] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Souza ACCD, Moreira TMM, Silva MRFD, Almeida PCD. Acesso ao serviço de emergência pelos usuários com crise hipertensiva em um hospital de Fortaleza, CE, Brasil. Rev Bras Enferm 2009; 62:535-9. [DOI: 10.1590/s0034-71672009000400007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2008] [Accepted: 06/10/2009] [Indexed: 11/21/2022] Open
Abstract
A crise hipertensiva é uma elevação abrupta e sintomática da pressão arterial com risco de deterioração aguda de órgãos-alvo. Embora na literatura a prevalência do agravo seja de 1%, os riscos de complicações e de morte associadas ao problema de saúde nos serviços de emergência têm revelado a necessidade de aprofundar questões relacionadas ao acesso ao serviço de saúde. Trata-se de uma pesquisa de natureza quantitativa, descritiva, realizada em um hospital público do município de Fortaleza, no período de abril a julho de 2006, com 118 pacientes. Os resultados demonstram que a população com crise hipertensiva tem procurado os serviços de saúde, principalmente os de emergência, a fim de obter atendimento. O estudo indica o acesso como um elemento essencial para satisfação das necessidades dos usuários que procuram os serviços de saúde, sendo o tempo de espera, a resolubilidade e o acolhimento parâmetros importantes na qualidade do atendimento.
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Abstract
It is a reflective study that aimed at discussing the education of the nurse concerning the care in a perspective of change of the professional practice. The curricular guidelines for the profession are based Guidelines and Basis for National Edcucation which have aims to educate capable nurses to transform the practical reality of the Brazilian nursing. However, we realize that only the implementation of such guidelines does not make possible the education of critical, reflexive and transforming professionals regarding the real world.
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