Objective:To characterize the factors that interfere in drug treatment compliance in a group of individuals with arterial hypertension.Methods:A non-experimental descriptive study that analyzed a sample of 80 patients diagnosed with arterial hypertension, who underwent medical treatment and were admitted to a university hospital during the period from March to May 2009. To collect data, the Instrument for Evaluation of Attitudes Regarding Taking Medication was applied.Results:In the studied population, 45.1% had sufficient degree of compliance to drug therapy. Individuals with controlled blood pressure, females, white, single, married or widowed, retired, aged between 40 and 59 years, and those aged above 80 years were the interviewees who answered positively regarding compliance and follow-up of drug therapy.Conclusion:Despite the fact that the number of factors that facilitate the process of compliance to drug treatment is greater than the number of complicating factors, we found that more than half of the patients surveyed had an insufficient degree of compliance with drug treatment for high blood pressure, which demonstrates the need to develop studies aimed to identify these factors and their contribution to the promotion of patient autonomy, acceptance, awareness and adaptation regarding their illness.
Objective To determine and to analyze the theoretical and practical knowledge of Nursing professionals on indirect blood pressure measurement.Methods This cross-sectional study included 31 professionals of a coronary care unit (86% of the Nursing staff in the unit). Of these, 38.7% of professionals were nurses and 61.3% nurse technicians. A validated questionnaire was used to theoretical evaluation and for practice assessment the auscultatory technique was applied in a simulation environment, under a non-participant observation.Results To the theoretical knowledge of the stages of preparation of patient and environment, 12.9% mentioned 5-minute of rest, 48.4% checked calibration, and 29.0% chose adequate cuff width. A total of 64.5% of professionals avoided rounding values, and 22.6% mentioned the 6-month deadline period for the equipment calibration. On average, in practice assessment, 65% of the steps were followed. Lacks in knowledge were primary concerning lack of checking the device calibration and stethoscope, measurement of arm circumference to choose the cuff size, and the record of arm used in blood pressure measurement.Conclusion Knowledge was poor and had disparities between theory and practice with evidence of steps taken without proper awareness and lack of consideration of important knowledge during implementation of blood pressure measurement. Educational and operational interventions should be applied systematically with institutional involvement to ensure safe care with reliable values.
Objective: to produce and validate an educational video on the procedure of indirect blood pressure measurement with the oscillometric technique to support actions of blood pressure screening programs in Brazil. Method: a methodological study consisting in three stages: 1) pre-production of a script/storyboard; 2) content validation by a committee of 16 experts recruited according to their degrees and training in the area of interest of the study; and 3) final production, recording and edition of the educational video. For data collection, three validated instruments were used that allowed the video to be assessed as to its functionality, usability, efficiency, relevance, verbal language, audiovisual technique, environment, content and proposed objectives. The analysis of the quantitative variables was performed by calculating absolute and relative frequencies, and the categorical variables were measured using means and standard deviations. Items that obtained a CVI > 0.75 were considered valid. Results: script validation was performed by eight experts and obtained a CVI of 0.93, while the technical assessment of the educational video and storyboard was performed by three experts and obtained a CVI of 0.97. After accepting the experts' suggestions, the educational video was produced and validated by eight experts, who considered the material valid for application (CVI = 0.94). Conclusion: the educational video produced and validated in this study was characterized as an appropriate strategy for teaching the indirect measurement of blood pressure with the oscillometric technique among health professionals who volunteer to participate in blood pressure screening programs in Brazil.
Introdução: A medida da pressão arterial é parte do exame físico realizado por estudantes da área da saúde. Metodologias ativas podem estar vinculadas ao sistema de ensino, com contribuições positivas para o conhecimento sobre as etapas da medida da PA. Objetivo: Comparar o conhecimento sobre as etapas da medida da PA, pré e pós uma intervenção educativa entre estudantes de fisioterapia e medicina. Método: Estudo quase experimental, com grupo único que será controle dele mesmo, antes e depois da intervenção, realizado no ano de 2020, na Unifran. As avaliações foram baseadas nas metodologias ativas: KAHOOT, para avaliação teórica, e o método OSCE para avalição prática. Realizou-se uma intervenção educativa, com o recurso da Sala de Aula Invertida, seguida de debates, utilizando a prática e simulação para melhor aprendizado. Utilizou-se o teste de Wilcoxon, na comparação pré e pós intervenção, sobre o conhecimento teórico e prático dos estudantes referentes à medida da PA. Resuladots: 81 estudantes, idade média de 22,31+3,24 anos. No conhecimento teórico, a partir do KAHOOT, na comparação pré e pós intervenção educativa, observou-se diferença significativa no total dos itens de acertos (p<0,001), exceto na etapa “posição do paciente” (p=0,227). Na análise do conhecimento prático, a partir do checklist utilizado no OSCE, houve melhora significativa após a intervenção educativa em todas as etapas analisadas (p=0,001). Conclusão: a intervenção educativa com metodologias ativas Sala de aula invertida, KAHOOT e OSCE foram efetivas na apreensão de conhecimento sobre a medida da PA e sugere estudos de maior amplitude.
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