Dantas Rosimery Cruz de Oliveira, Roncalli Angelo Giuseppe
Unidade de Ciências da Vida, Centro de Formação de Professores, Universidade Federal de Campina Grande. R. Aprígio Veloso 882, Universitário. 58429-900 Campina Grande PB Brasil.
Departamento de Odontologia, Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte. Natal RN Brasil.
Cien Saude Colet. 2019 Jan;24(1):295-306. doi: 10.1590/1413-81232018241.35362016.
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.
在巴西乃至全世界，高血压的控制率都很低，这导致了社会和医疗成本的增加；因此，有必要实施控制策略。本研究旨在创建并验证一项针对初级卫生保健中高血压患者的咨询和监测方案。这是一项方法学研究，采用德尔菲法进行内容验证。专家对该方案的分析分三个阶段进行，使用从“不重要”到“极其重要”的量表，范围从1到5。分析采用李克特量表、一致率、内容效度指数、皮尔逊相关性进行。一致率为96%。内容效度指数为0.98。李克特量表对各项的评分至少为“非常重要”。所有项目的皮尔逊相关性均为正，范围从中度到强度。该方案由53项组成，分为七个维度。研究得出结论，该方案能够对高血压患者进行更具表现力和系统性的监测，并且能够识别导致高血压的社会和个人状况，因此可用于指导咨询，促进专业人员与患者之间的对话以及有效记录护理情况。
