Protocol reproducibility for users with arterial hypertension attended in Basic Health Care Units

Rosimery Cruz De Oliveira Dantas,Angelo Giuseppe Roncalli

doi:10.1590/1413-81232020258.17762018

Abstract

Protocols have been adopted as a strategy to improve the rates of follow-up and control of arterial hypertension (AH). The scope of this study was to verify the reproducibility of a protocol for consultation and follow-up of the user with AH in Basic Health Care (BHC) units. It involved a methodological study, carried out from January to August of 2016, with 160 users with AH. The reproducibility occurred in the dimension of indicators of health, psychosocial, signs of changes in blood pressure values, occurrence of complications and test performance. The protocol was applied by nurses at two different times, with interval according to the participant's return visit. The concordance was evaluated by the Kappa (κ) and Intraclass Correlation Coefficient (ICC) coefficients according to the type of variable. The κ intra-examiner ranged from 0.673 to 0.984 and inter-examiners from 0.515 to 0.985. The ICC intra-examiner scored from 0.785 to 0.998 and inter-examiner from 0.845 to 0.999. The mean of the anthropometric measures and the pressures presented a difference < 1 between the examiners at times 1 and 2. The protocol presented good reproducibility and high reliability, being able to be replicated and used in the follow up consultation of the user with AH attended in BHC units.

Highlights

Resumo Os protocolos têm sido adotados como estratégia para melhorar os índices de acompanhamento e controle da Hipertensão Arterial (HA)
Protocols have been adopted as a strategy to improve the rates of follow-up and control
The scope of this study was to verify the reproducibility of a protocol for consultation and follow-up

Summary

Data PA

Baixa autoestima: Empregado: Lazer: Apoio familiar: 4. O preenchimento do protocolo se deu com a mensuração da pressão, das medidas antropométricas e com o registro das respostas dos participantes do estudo às condições apresentadas, utilizando-se sim e não (autorreferidas). O banco de dados foi organizado e analisado utilizando o pacote estatístico SPSS versão 20.0. A análise dos dados foi realizada a partir do T1 e T2, o que possibilitou a comparação entre as respostas intra (E1 x E1; E2 x E2) e interexaminadores (E1 x E2) nos dois tempos. A análise dos dados se deu por estatística descritiva. Para a exploratória se utilizou proporção e média. Na análise da concordância dos itens, aplicou-se o Coeficiente de Correlação Intraclasse (CCI) para as variáveis contínuas, adotando-se a classifica-

Prezados Profissionais

Interrupção Tratamento

Déficit neurológico

Findings

Cintura Quadril CA