Brazil's Family Health Strategy (FHS) leads public health policies and actions regarding community health, addressing arterial hypertension (AH) in primary care settings. In this scenario, the use of communication technologies becomes appropriate for the monitoring of patients with AH. To preliminary verify the intervention approach and the effects of using an m-Health application on the health conditions of patients with AH for a future study, we conducted a non-randomized, controlled, non-blind trial (N = 39), comparing the use of a mobile health app (m-Health) with conventional AH monitoring over 3 months. During the study, we promoted health information workshops to engage patients from both intervention and control groups. Pre and post-intervention, we compared measurements of systolic and diastolic blood pressure; food frequency questionnaire; Appraisal of Self-Care Agency Scale; blood tests of hemogram, creatinine, uric acid, sodium, potassium, lipid profile, and glycemia. Improvements were identified in both groups due to the workshops, including the reduction in total and non-HDL cholesterol, healthier consumption of salads and sugary drinks, and increased selfcare scores. Exclusively in the intervention group, which used the m-Health app, there was a change in systolic and diastolic pressure towards more adequate levels. In addition, the intervention group had improved levels of glucose and HDL cholesterol and reduced consumption of ultra-processed foods. In conclusion, the use of an m-Health app had positive effects on the health conditions of patients with AH under treatment within FHS, especially when combined with health information. On the context of FHS, the use of technology is encouraging supporting better health conditions. Arterial hypertension (AH) is one of the main modifiable risk factors for diseases of the circulatory system. With a high prevalence, AH is considered one of the most important public health problems. The World Health Organization estimates that about 600 million people have AH and, annually, 7.1 million individuals die from this disease, substantially burdening health systems 1. Among the AH modifiable factors, either by medication or by altering habits and behavior, there is obesity, sedentary lifestyle, eating habits, and stress. Controlling blood pressure can still be a challenge since, with everyday activities and lack of time, many people do not bother to maintain their normal blood pressure levels 2. Among the main non-medicinal recommendations that should be followed, there are healthy eating, physical activity, reduction of sodium and alcohol consumption, and non-consumption of tobacco 3 .
Objetivo: Identificar se os enfermeiros têm conhecimento e fazem uso correto em seu cuidado diário da escala de Braden em idosos, instrumento consolidado na prevenção das Lesões por Pressão. Método: Trata-se de uma pesquisa qualitativa, exploratória, descritiva, realizada em um hospital ao Norte do RS. Os dados foram coletados por meio de entrevistas semi-estruturadas com quatorze enfermeiros e analisados mediante análise temática. Resultados: A maioria dos enfermeiros realizam a escala, tem conhecimento da mesma, porém encontram dificuldades como falta de tempo para que seja realmente efetivado os cuidados que aparecem no escore de risco. Conclusão: A Escala de Braden é um indicador de saúde que avalia o risco de formação de lesão, onde o enfermeiro tem papel primordial no seu desempenho, apesar de considerá-la importante, muitas vezes realiza-a apenas para preencher protocolos institucionais.
Objetivou-se avaliar os cuidados de enfermagem na terapia intravenosa periférica em idosos internados ou em observação em um hospital-escola do sul do Brasil, nos meses de agosto e setembro de 2016. Pesquisa de natureza quantitativa prospectiva, avaliando as medidas de prevenção de infecção na terapia intravenosa, por meio de instrumento baseado nas recomendações da Agência Nacional de Vigilância Sanitária. Participaram do estudo 80 pacientes com idade média de 70,7 anos, sendo 51 (63,7%) do sexo masculino. A identificação estava adequada em 15 (18,8%) dos acessos venosos e o preenchimento correto dos rótulos não foi identificado em nenhuma solução avaliada. O curativo de fixação do cateter apresentava sujidade em 29 (36,3%) casos e a incidência de flebite ocorreu em seis (7,5%) pacientes. Concluiu-se que há inconformidades, que interferem na segurança do paciente hospitalizado, requerendo monitoramento da qualidade de assistência e educação permanente dos profissionais.
Background Chronic noncommunicable diseases such as arterial hypertension have a high impact in the context of public health. Previous studies have shown improvements in blood pressure due to simple lifestyle changes, which were supported by electronic health (eHealth) solutions. Objective The aim of this study is to develop an eHealth platform and assess the effects of its use on the health conditions of patients with hypertension, with assistance from health professionals in the public health system of a Brazilian city. Methods The platform will include a server that centralizes all the data and business rules, a website dashboard for health professionals, and a mobile app for patients. We will analyze the effects of its use through a controlled, nonrandomized, nonblind, prospective, monocentric clinical trial. We will enroll 68 participants diagnosed with arterial hypertension and under medical follow-up and categorize them into two groups. The participants of the intervention group will use the platform as a monitoring method, whereas the participants of the control group will use conventional methods. In both groups, we will assess and compare the evolution of blood pressure and treatment adherence before, during, and after the intervention. Results The project was funded at the end of 2018. We have been developing the software since 2019 with plans to complete it in 2020, and we will enroll patients between 2020 and 2021. We expect to submit the first results for publication in 2020. Conclusions For the primary outcome, we expect a reduction and stabilization of blood pressure. For the secondary outcomes, we hope to see improvements in treatment adherence, physical activities and dietary practices, and acceptance of the eHealth platform. In public health, the technology that favors disease control also helps reduce complications and, consequently, treatment costs. The platform might encourage the adaptation of medical assistance to incorporate this technology into patient monitoring. International Registered Report Identifier (IRRID) PRR1-10.2196/15299
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