Abstract
ABSTRACT Objective: to describe the construction and implementation of the nursing protocol for remote monitoring of overweight women. Method: report of experience with 50 women who participated in an intervention study developed in a reference outpatient clinic for obesity in Salvador, Brazil. The steps involved in the development of the protocol consisted of structuring the theoretical content and defining the form of operationalization. Results: the definition of the theoretical content of the protocol was guided by the main guides and guidelines of the Ministry of Health and Scientific Societies and discussion with specialists. A thematic weekly script was developed for phone calls, including content on obesity, its causes and complications, feeding and practicing physical activity for weight control. The protocol was performed in ten weeks, with scheduled weekly connections and duration of five minutes. To guide the team in the operation of telephone calls, a Telephone Call Guide was developed. The information was offered in a flexible way, providing moments for the participant to clarify doubts and to add information, being observed the understanding of the contents. Women noted that monitoring, as well as guiding how they could take better care of themselves, helped to avoid giving up treatment and solving problems with health consultations and procedures. Conclusion: the use of remote nursing monitoring focused on educational actions, has proved to be a tool to support the care of overweight women.
Highlights
Obesity is a major cause of morbidity in several countries and is associated with an increased risk of cardiovascular, metabolic, musculoskeletal and cancer diseases.[1]
The determining factors vary from person to person and relate to the ways of living and the actual conditions of life and health of societies, classes, groups and individuals.[3]. It represents a chronic health condition of complex and multifactorial etiology, it is amenable to intervention. Their control depends on changes in lifestyle, mainly related to eating habits and to physical activity,[3] which require the active and conscious participation of individuals
All were clarified about the remote nursing monitoring (RNM) proposal when they were approached to participate in the collection of the initial data of the matrix project and agreed to receive the telephone calls at the previously scheduled time, as well as signed the Informed Consent Term
Summary
Obesity is a major cause of morbidity in several countries and is associated with an increased risk of cardiovascular, metabolic, musculoskeletal and cancer diseases.[1]. Obesity develops without an underlying primary disease, the main cause being the imbalance between caloric intake and energy expenditure.[4] The determining factors vary from person to person and relate to the ways of living and the actual conditions of life and health of societies, classes, groups and individuals.[3] it represents a chronic health condition of complex and multifactorial etiology, it is amenable to intervention Their control depends on changes in lifestyle, mainly related to eating habits and to physical activity,[3] which require the active and conscious participation of individuals. Continuous educational actions have produced positive results in weight reduction, the permanence of some is not guaranteed for long These actions are essential in the context of chronic diseases, to guide people about the control measures and help them in the care to face and overcome problems arising from the process of illness. The reported experience may guide the use of this important tool by workers in the field of nursing care
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