0091/2017 - Protocolo para indivíduos hipertensos assistidos na Atenção Básica em Saúde Protocol for hypertensive individuals assisted in Basic Health Care
A hipertensão arterial apresenta baixa taxa de controle no Brasil e no mundo, ocasionando custo médico-social, necessitando de estratégias de controle. Objetivou-se construir e validar um protocolo para consulta e acompanhamento do hipertenso atendido na Atenção Primária à Saúde. Constitui-se uma pesquisa metodológica, de validação de conteúdo pelo método Delphi. A avaliação do protocolo por experts foi realizada em três ciclos, utilizando escala de não importante a extremamente importante, com graduação de 1 a 5. A análise se deu pela Escala de Likert, percentual de concordância, Índice de validação de conteúdo (IVC) e Correlação de Pearson. O percentual de concordância foi de 96%. O IVC de 0,98. A escala de Likert pontuou os itens, no mínimo, como “muito importante”. A correlação de Pearson foi positiva em todos os itens de moderada a forte. O protocolo é composto por 50 itens, dividido em sete dimensões. Conclui-se que o protocolo permite um acompanhamento mais expressivo e sistemático do hipertenso e identifica condições individuais e sociais que contribuem para a manutenção de cifras pressóricas elevadas, constituindo-se em um guia para a condução da consulta, favorecendo o diálogo entre o profissional e o paciente e o registro efetivo da assistência.
Palavras-chave:
HipertensãoAtenção Primária à SaúdeValidaçãoProtocolo
Abstract:
Hypertension has low control rate in Brazil and around the World, resulting in social and medical costs; thus there is the need to apply control strategies. This study aimed to create and validate a protocol for consultation and monitoring of hypertensive patients attended in primary health care. It is constituted a methodological research which uses the Delphi method for content validation. The analysis of the protocol by experts was performed in three cycles, using a scale that was not important to extremely important, with a graduation from 1 to 5. The analysis was performed by the Likert scale, percentage of agreement, content validation index, Pearson correlation. The percentage of agreement was 96%. The CVI of 0.98. The Likert scale scored items, at least, as very important. The Pearson correlation was positive for all items ranging from moderate to strong. The protocol is composed of 53 items, divided into seven dimensions. It was concluded that the protocol enables more expressive and systematics monitoring of hypertensive patients and it identifies social and individual conditions that contribute to high blood pressure, so it may be used to guide the consultation, encouraging dialogue between the professional and patient and effective recording of care.
Protocol for hypertensive individuals assisted in Basic Health Care
Resumo (abstract):
Hypertension has low control rate in Brazil and around the World, resulting in social and medical costs; thus there is the need to apply control strategies. This study aimed to create and validate a protocol for consultation and monitoring of hypertensive patients attended in primary health care. It is constituted a methodological research which uses the Delphi method for content validation. The analysis of the protocol by experts was performed in three cycles, using a scale that was not important to extremely important, with a graduation from 1 to 5. The analysis was performed by the Likert scale, percentage of agreement, content validation index, Pearson correlation. The percentage of agreement was 96%. The CVI of 0.98. The Likert scale scored items, at least, as very important. The Pearson correlation was positive for all items ranging from moderate to strong. The protocol is composed of 53 items, divided into seven dimensions. It was concluded that the protocol enables more expressive and systematics monitoring of hypertensive patients and it identifies social and individual conditions that contribute to high blood pressure, so it may be used to guide the consultation, encouraging dialogue between the professional and patient and effective recording of care.
Dantas, R.C.O, Roncalli, A.G.. Protocolo para indivíduos hipertensos assistidos na Atenção Básica em Saúde. Cien Saude Colet [periódico na internet] (2017/mar). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/protocolo-para-individuos-hipertensos-assistidos-na-atencao-basica-em-saude/16137?id=16137
