Nursing Protocol for Remote Monitoring of Women With Excessive Weight

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.

Overweight and obesity in people living with HIV

“…In this regard, the preferred actions for weight loss are healthy habits, including a balanced diet, regular physical activity, not smoking, and reduced alcohol intake (2,19) .…”

Nursing Theory for Patients' Compliance With the Treatments of Arterial Hypertension and Diabetes Mellitus

“…The interpersonal bonds formed between the patient and the nurse contribute to dialog, to confidence in the information received and, consequently, to the continuity of the treatment and reinforce dialog based on the mutual interest of listening and being heard 16 . In this perspective, the bond, strengthened by mutual interaction and the harmony established in the monitoring of a therapeutic plan, bring great contributions to adherence to treatment and the achievement of health goals.…”

Avaliação da experiência do telemonitoramento de enfermagem por mulheres com excesso de peso

“…2,3 Desta forma, entende-se que cuidados mediados pelo monitoramento remoto podem criar maior vínculo profissional-cliente, pois este último pode participar, de forma ativa, das orientações, esclarecendo dúvidas e ampliando o acesso às informações relacionadas aos cuidados necessários ao controle do peso. 12,13…”

“…10,11 Entretanto, ainda há escassez de publicações sobre o uso desta tecnologia no cuidado relacionado ao controle do excesso de peso. 12 No Brasil, por meio de ampla busca nas principais bases de dados e bibliotecas online Scientific Electronic Library Online (SciELO), Biblioteca Virtual em Saúde (BVS) Latin America and the Caribbean Literature on Health and Science (Lilacs) e Medical Literature Analysis and Retrieval System Online (MEDLINE), o único estudo identificado sobre monitoramento remoto de enfermagem com mulheres com excesso de peso foi desenvolvido por Palmeira et al 13 Desse modo, torna-se relevante conhecer e divulgar a avaliação do monitoramento realizada pelas mulheres, participantes do estudo, 13 visando oferecer à comunidade acadêmica e aos profissionais da saúde outras evidências científicas sobre a ferramenta utilizada.…”