Objective: To propose new approaches to improve patients’ health literacy to the treatment for functional dyspepsia and gastritis. Methods: This is a prospective study with a pre- and post-educational intervention. Patients had their first consultation with the physician and answered the pre-educational intervention questionnaire. Guidance texts and videos were sent to the patients for 3 weeks after the consultation. Finally, patients return to the consultation with the physician and answered to the second questionnaire after the educational intervention. Results: The sample included 50 patients, 35 female patients (70%). The average age was 55.7 years (15.3 SD). In the post-intervention questionnaire, 82% of patients improved their clinical condition with the treatment, 44% recognized that dietary changes are important for symptoms improvement, 98% of patients understood the videos, 74% of patients believe that the educational intervention could be used for other specialties and 90% of patients would recommend this method for other specialties. Conclusion: Patient education is an important strategy for a better understanding of their disease and, possibly, improves adherence to their treatment. Besides that, this study used educational tools through guidance texts and educational videos that can be used in clinical practice. This is an easily, accessible and inexpensive tool for health literacy.
Objetivos: avaliar se as indicações de transfusão de concentrados de hemácias em um hospital de grande porte de São Paulo, seguem as recomendações baseadas em evidências. Método: Estudo retrospectivo quantitativo e descritivo baseado em obtenção de informações através das fichas de requisições de procedimentos hemoterápicos. Resultados: foram avaliadas 229 fichas de requisição, no período de setembro a outubro de 2021. A média de idade da amostra foi de 56,9 anos ± 16,4, composta em sua maioria por homens (54,6%). As unidades de terapia intensiva foram os locais com maior número de requisições (52,4%). Anemia sintomática foi a maior indicação de transfusão (70,7%), seguida por sangramento ativo (24,5%). Dentre as comorbidades, as neoplasias (27,9%) foram as mais prevalentes. A média dos valores de hemoglobina foram de 6,84g/dL ± 1,13 e a média dos valores de hematócrito foram de 21,0% ± 3,42. O valor absoluto de hemoglobina foi maior que 7,0g/dL em 40,6% das 229 fichas e 10,5% do total com valores iguais ou superiores a 8,0g/dL. Conclusão: a indicação de transfusão de concentrado de hemácias não segue as recomendações das práticas baseadas em evidências na amostra estudada, sendo necessária a oferta de capacitação para estudantes e profissionais, visando à melhoria da qualidade dos critérios de prescrição.
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