the final instrument presented content validity for data collection in head and neck clinic.

Objective: To compare the self-care performed by hypertensive patients monitored in primary and secondary health care. Methods: Cross-sectional study with 189 patients with arterial hypertension in a Basic Health Unit and in an integrated center for diabetes and hypertension in Fortaleza, from March to June, and from September to November of 2013. An interview with a guide based on Orem's self care theory was conducted. For statistical analysis, percentage and chi square test distributions were used. Results: Adequate fluid intake (77.6%), attending nurse consultation (88.0%), and changes in lifestyle (54.3%) had better results with patients monitored in primary care. Appropriate salt consumption (100.0%) and abstinence from alcoholic beverages (88.7%) were more common in patients monitored in secondary care. Conclusion: Hypertensive patients from both primary and secondary care showed a self-care demand, without significant differences.

OBJECTIVE Validate the sexual dysfunction nursing diagnosis in pregnant women. METHODS Cross‐sectional research using Richard Fehring's Clinical Diagnostic Validity Model. FINDINGS The prevalence of diagnosis was 48.7% in a sample of 306 pregnant women. A total of 14 defining characteristics were validated: seven major and seven minor. Seeks confirmation of desirability had the highest sensitivity value and decrease in sexual desire had the highest specificity value. The total score was 0.79. CONCLUSIONS The diagnosis was validated in this sample. IMPLICATIONS FOR PRACTICE The prevalence of the diagnosis is a requirement for effective intervention. Validation in different social and cultural contexts would increase the clinical evidence of this diagnosis. OBJETIVO Validar o diagnóstico de enfermagem disfunção sexual em mulheres grávidas. MÉTODOS Estudo transversal, segundo o modelo de validação clínica de Richard Fehring. RESULTADOS A prevalência foi de 48,7%em306gestantes. Um total de 14 características definidoras foram validadas: sete principais e sete secundárias. A característica definidora procura de confirmação de desejabilidade foi a mais sensível e a diminuição do desejo sexual, a mais específica. O score total do diagnóstico foi 0,79. CONCLUSÕES O diagnóstico foi validado nesta amostra. IMPLICAÇÕES PARA A PRÁTICA A prevalência do diagnóstico apela à intervenção de enfermagem efetiva. Estudos de validação em diferentes contextos sociais e culturais poderão contribuir para a melhoria da evidência científica do diagnóstico.

Accurate diagnostics allow devising an action plan directed to the patients' real needs.

Objective: to evaluate the practice of self-care performed by patients with systemic arterial hypertension inprimary health care. Methods: this is a descriptive and cross-sectional study, conducted with 92 individualswith arterial hypertension in a primary care unit. The data collection occurred through script and data analyzedusing descriptive statistics (frequency, mean and standard deviation) and through the understanding of theadaption between capacity and self-care demand. Results: it was identified as a practice of self-care: adequatewater intake, salt intake and restricted coffee, satisfactory sleep period, abstinence from smoking and alcoholism,continuing pharmacological treatment and attending medical appointments. As the demands: inadequatefeeding, sedentary lifestyle, had no leisure activities, self-reported stress, and limited knowledge. Conclusion:although patients performed treatment a few years ago, still showed up self-care deficits, highlighting the needfor nurses to advise and sensitize about the importance of self-care practice.