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.
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.
Objective:to elaborate an instrument for the measurement of the interpersonal relationship
in nursing care through the Item Response Theory, and the validation thereof. Method:methodological study, which followed the three poles of psychometry: theoretical,
empirical and analytical. The Nursing Care Interpersonal Relationship
Questionnaire was developed in light of the Imogene King’s Interpersonal
Conceptual Model and the psychometric properties were studied through the Item
Response Theory in a sample of 950 patients attended in Primary, Secondary and
Tertiary Health Care. Results:the final instrument consisted of 31 items, with Cronbach’s alpha of 0.90 and
McDonald’s Omega of 0.92. The parameters of the Item Response Theory demonstrated
high discrimination in 28 items, being developed a five-level interpretive scale.
At the first level, the communication process begins, gaining a wealth of
interaction. Subsequent levels demonstrate qualitatively the points of
effectiveness of the interpersonal relationship with the involvement of behaviors
related to the concepts of transaction and interaction, followed by the concept of
role. Conclusion:the instrument was created and proved to be consistent to measure interpersonal
relationship in nursing care, as it presented adequate reliability and validity
parameters.
Este estudo teve como objetivo analisar na produção científica da saúde coletiva quais questionários validados estão sendo utilizados para avaliar a adesão ao tratamento da hipertensão. Trata-se de uma Revisão Integrativa realizada nas bases de dados SciELO, MEDLINE e LILACS. Foram selecionados nove estudos que utilizaram sete questionários: Teste de Moriski-Green, Cuestionário de Valoración de Adherencia, Cuestionário MBG, Questionário QAM-Q, Teste de Haynes, Escala de Conductas em Salud e Hill-Bone compliance Scale. Concluímos que a avaliação da adesão ao tratamento da hipertensão ainda é campo aberto para pesquisa, os diferentes instrumentos utilizados têm suas limitações e não há um método ideal.
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