Adesão ao tratamento medicamentoso por pacientes com hipertensão : influência de uso de um aplicativo m-Health

Detalhes bibliográficos
Autor(a) principal: Mikulski, Bruna Spiller
Data de Publicação: 2022
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Biblioteca de teses e dissertações da Universidade de Passo Fundo (BDTD UPF)
Texto Completo: http://tede.upf.br:8080/jspui/handle/tede/2237
Resumo: Systemic Arterial Hypertension (SAH) is an important public health problem, which can be avoided because it is related to behavioral risk factors that are common and preventable. Low adherence to treatment continues to be one of the difficulties to the disease control. The m-Health applications can help in the monitoring of SAH, in addition to reinforcing adherence to drug therapy. The objective of this study was to investigate whether the use of an m-Health application by patient with SAH favors adherence to drug treatment and, consequently, the reduction/stabilization of BP. This is a non-randomized, controlled and non-blind clinical trial with 63 adult and elderly participants, men and women, aged between 28 and 92 years, diagnosed with SAH, and with accompaniment at UBS in the city of Passo Fundo, RS, Brazil. The sample was stratified into two groups: Intervention Group (IG), which used the MonitoraPA application for 3 months, and the Control Group (CG), which maintained the usual treatment. The assessment took place before and after the intervention. The instruments used were Mini Mental State Examination (MMSE), Sociodemographic Questionnaire, MBG Questionnaire and ARMS Questionnaire. Blood pressure measurements of the groups were performed before and after the intervention. Data were analyzed by SPSS 22.0 statistical software. The significance level was 5%. Comparing adherence to treatment between the control and intervention groups, both by the ARMS test and by the MBG test, there was no significant association between the groups. Regarding BP values, there was no significant difference between the pre and post-intervention groups, but there was a tendency to decrease the BP in the intervention group. These results provide subsidies to expand the use of health technologies in a multiprofessional perspective and with the accompaniment of health professionals from the UBS, since they showed signs of a reduction in the BP. The results are presented in Scientific Production I, which will later be submitted to a journal in the area.
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spelling De Marchi, Ana Carolina Bertoletti737.502.200-34http://lattes.cnpq.br/4180557886735944Bertol, Charise Dallazem002.242.840-29http://lattes.cnpq.br/4872674768740491013.386.040-07http://lattes.cnpq.br/6107354583566595Mikulski, Bruna Spiller2022-06-07T14:07:15Z2022-03-18MIKULSKI, Bruna Spiller. Adesão ao tratamento medicamentoso por pacientes com hipertensão : influência de uso de um aplicativo m-Health. 2022. 52 f. Dissertação (Mestrado em Envelhecimento Humano) - Universidade de Passo Fundo, Passo Fundo, RS, 2022.http://tede.upf.br:8080/jspui/handle/tede/2237Systemic Arterial Hypertension (SAH) is an important public health problem, which can be avoided because it is related to behavioral risk factors that are common and preventable. Low adherence to treatment continues to be one of the difficulties to the disease control. The m-Health applications can help in the monitoring of SAH, in addition to reinforcing adherence to drug therapy. The objective of this study was to investigate whether the use of an m-Health application by patient with SAH favors adherence to drug treatment and, consequently, the reduction/stabilization of BP. This is a non-randomized, controlled and non-blind clinical trial with 63 adult and elderly participants, men and women, aged between 28 and 92 years, diagnosed with SAH, and with accompaniment at UBS in the city of Passo Fundo, RS, Brazil. The sample was stratified into two groups: Intervention Group (IG), which used the MonitoraPA application for 3 months, and the Control Group (CG), which maintained the usual treatment. The assessment took place before and after the intervention. The instruments used were Mini Mental State Examination (MMSE), Sociodemographic Questionnaire, MBG Questionnaire and ARMS Questionnaire. Blood pressure measurements of the groups were performed before and after the intervention. Data were analyzed by SPSS 22.0 statistical software. The significance level was 5%. Comparing adherence to treatment between the control and intervention groups, both by the ARMS test and by the MBG test, there was no significant association between the groups. Regarding BP values, there was no significant difference between the pre and post-intervention groups, but there was a tendency to decrease the BP in the intervention group. These results provide subsidies to expand the use of health technologies in a multiprofessional perspective and with the accompaniment of health professionals from the UBS, since they showed signs of a reduction in the BP. The results are presented in Scientific Production I, which will later be submitted to a journal in the area.A Hipertensão Arterial Sistêmica (HAS) é um importante problema de saúde pública, relacionada a fatores de risco hereditários e comportamentais. A baixa adesão ao tratamento continua sendo uma das dificuldades para o controle da doença. Os aplicativos m-Health podem auxiliar no acompanhamento da HAS, além de reforçar a adesão a terapia medicamentosa. O objetivo deste trabalho foi investigar se o uso de um aplicativo m-Health pelo paciente com HAS favorece a adesão ao tratamento medicamentoso e, consequentemente, a redução/estabilização da PA. Trata-se de um ensaio clínico não randomizado, controlado e não cego com 63 participantes adultos e idosos, homens e mulheres, com idade entre 28 e 92 anos, com diagnóstico de HAS, e com acompanhamento em UBS do município de Passo Fundo, RS, Brasil. A amostra foi estratificada em dois grupos: Grupo Intervenção (GI), que fez o uso do aplicativo Monitora PA durante 3 meses e o Grupo Controle (GC), que manteve o tratamento habitual. A avaliação ocorreu antes e após a intervenção. Os instrumentos utilizados foram Mini Exame do Estado Mental (MEEM), Questionário sociodemográfico, Questionário MBG e Questionário ARMS. As medidas de pressão arterial dos grupos foram realizadas no pré e pós-intervenção. Os dados foram analisados por um software estatístico SPSS 22.0. O nível de significância foi de 5%. Na comparação da adesão ao tratamento entre o grupo controle e intervenção, tanto pelo teste ARMS quanto pelo teste MBG não houve associação significativa entre os grupos. Em relação aos valores de PA, não houve diferença significativa entre os grupos pré e pós-intervenção, mas observou-se uma tendência a diminuição da PA do grupo intervenção. Estes resultados fornecem subsídios para ampliar o uso das tecnologias em saúde em uma perspectiva multiprofissional e com acompanhamento dos profissionais de saúde da UBS, uma vez que apresentaram indícios de uma redução da PA. Os resultados estão apresentados na produção Cientifica I, que será submetida posteriormente a um periódico da área.Submitted by Jucelei Domingues (jucelei@upf.br) on 2022-06-07T14:07:15Z No. of bitstreams: 1 2022BrunaSpillerMikulski.pdf: 1433457 bytes, checksum: 302dcc1f54ab40f84c034e79eeac128c (MD5)Made available in DSpace on 2022-06-07T14:07:15Z (GMT). No. of bitstreams: 1 2022BrunaSpillerMikulski.pdf: 1433457 bytes, checksum: 302dcc1f54ab40f84c034e79eeac128c (MD5) Previous issue date: 2022-03-18Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESapplication/pdfporUniversidade de Passo FundoPrograma de Pós-Graduação em Envelhecimento HumanoUPFBrasilFaculdade de Educação Física e Fisioterapia – FEFFEnvelhecimentoHipertensãoAplicativos móveisIndicadores de saúdeTecnologia médicaSAUDE COLETIVA::SAUDE PUBLICAAdesão ao tratamento medicamentoso por pacientes com hipertensão : influência de uso de um aplicativo m-Healthinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-9132566411690049154500500600600-653085967239827264131126492445846009792075167498588264571info:eu-repo/semantics/openAccessreponame:Biblioteca de teses e dissertações da Universidade de Passo Fundo (BDTD UPF)instname:Universidade de Passo Fundo (UPF)instacron:UPFORIGINAL2022BrunaSpillerMikulski.pdf2022BrunaSpillerMikulski.pdfapplication/pdf1433457http://tede.upf.br:8080/jspui/bitstream/tede/2237/2/2022BrunaSpillerMikulski.pdf302dcc1f54ab40f84c034e79eeac128cMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82053http://tede.upf.br:8080/jspui/bitstream/tede/2237/1/license.txt1ea0bfd7af108792edd8df732bb777fcMD51tede/22372022-06-07 11:07:15.4oai:tede.upf.br: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Biblioteca Digital de Teses e DissertaçõesPUBhttp://tede.upf.br/oai/requestbiblio@upf.br || bio@upf.br || cas@upf.br || car@upf.br || lve@upf.br || sar@upf.br || sol@upf.br || upfmundi@upf.br || jucelei@upf.bropendoar:2022-06-07T14:07:15Biblioteca de teses e dissertações da Universidade de Passo Fundo (BDTD UPF) - Universidade de Passo Fundo (UPF)false
dc.title.por.fl_str_mv Adesão ao tratamento medicamentoso por pacientes com hipertensão : influência de uso de um aplicativo m-Health
title Adesão ao tratamento medicamentoso por pacientes com hipertensão : influência de uso de um aplicativo m-Health
spellingShingle Adesão ao tratamento medicamentoso por pacientes com hipertensão : influência de uso de um aplicativo m-Health
Mikulski, Bruna Spiller
Envelhecimento
Hipertensão
Aplicativos móveis
Indicadores de saúde
Tecnologia médica
SAUDE COLETIVA::SAUDE PUBLICA
title_short Adesão ao tratamento medicamentoso por pacientes com hipertensão : influência de uso de um aplicativo m-Health
title_full Adesão ao tratamento medicamentoso por pacientes com hipertensão : influência de uso de um aplicativo m-Health
title_fullStr Adesão ao tratamento medicamentoso por pacientes com hipertensão : influência de uso de um aplicativo m-Health
title_full_unstemmed Adesão ao tratamento medicamentoso por pacientes com hipertensão : influência de uso de um aplicativo m-Health
title_sort Adesão ao tratamento medicamentoso por pacientes com hipertensão : influência de uso de um aplicativo m-Health
author Mikulski, Bruna Spiller
author_facet Mikulski, Bruna Spiller
author_role author
dc.contributor.advisor1.fl_str_mv De Marchi, Ana Carolina Bertoletti
dc.contributor.advisor1ID.fl_str_mv 737.502.200-34
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/4180557886735944
dc.contributor.advisor-co1.fl_str_mv Bertol, Charise Dallazem
dc.contributor.advisor-co1ID.fl_str_mv 002.242.840-29
dc.contributor.advisor-co1Lattes.fl_str_mv http://lattes.cnpq.br/4872674768740491
dc.contributor.authorID.fl_str_mv 013.386.040-07
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/6107354583566595
dc.contributor.author.fl_str_mv Mikulski, Bruna Spiller
contributor_str_mv De Marchi, Ana Carolina Bertoletti
Bertol, Charise Dallazem
dc.subject.por.fl_str_mv Envelhecimento
Hipertensão
Aplicativos móveis
Indicadores de saúde
Tecnologia médica
topic Envelhecimento
Hipertensão
Aplicativos móveis
Indicadores de saúde
Tecnologia médica
SAUDE COLETIVA::SAUDE PUBLICA
dc.subject.cnpq.fl_str_mv SAUDE COLETIVA::SAUDE PUBLICA
description Systemic Arterial Hypertension (SAH) is an important public health problem, which can be avoided because it is related to behavioral risk factors that are common and preventable. Low adherence to treatment continues to be one of the difficulties to the disease control. The m-Health applications can help in the monitoring of SAH, in addition to reinforcing adherence to drug therapy. The objective of this study was to investigate whether the use of an m-Health application by patient with SAH favors adherence to drug treatment and, consequently, the reduction/stabilization of BP. This is a non-randomized, controlled and non-blind clinical trial with 63 adult and elderly participants, men and women, aged between 28 and 92 years, diagnosed with SAH, and with accompaniment at UBS in the city of Passo Fundo, RS, Brazil. The sample was stratified into two groups: Intervention Group (IG), which used the MonitoraPA application for 3 months, and the Control Group (CG), which maintained the usual treatment. The assessment took place before and after the intervention. The instruments used were Mini Mental State Examination (MMSE), Sociodemographic Questionnaire, MBG Questionnaire and ARMS Questionnaire. Blood pressure measurements of the groups were performed before and after the intervention. Data were analyzed by SPSS 22.0 statistical software. The significance level was 5%. Comparing adherence to treatment between the control and intervention groups, both by the ARMS test and by the MBG test, there was no significant association between the groups. Regarding BP values, there was no significant difference between the pre and post-intervention groups, but there was a tendency to decrease the BP in the intervention group. These results provide subsidies to expand the use of health technologies in a multiprofessional perspective and with the accompaniment of health professionals from the UBS, since they showed signs of a reduction in the BP. The results are presented in Scientific Production I, which will later be submitted to a journal in the area.
publishDate 2022
dc.date.accessioned.fl_str_mv 2022-06-07T14:07:15Z
dc.date.issued.fl_str_mv 2022-03-18
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dc.identifier.citation.fl_str_mv MIKULSKI, Bruna Spiller. Adesão ao tratamento medicamentoso por pacientes com hipertensão : influência de uso de um aplicativo m-Health. 2022. 52 f. Dissertação (Mestrado em Envelhecimento Humano) - Universidade de Passo Fundo, Passo Fundo, RS, 2022.
dc.identifier.uri.fl_str_mv http://tede.upf.br:8080/jspui/handle/tede/2237
identifier_str_mv MIKULSKI, Bruna Spiller. Adesão ao tratamento medicamentoso por pacientes com hipertensão : influência de uso de um aplicativo m-Health. 2022. 52 f. Dissertação (Mestrado em Envelhecimento Humano) - Universidade de Passo Fundo, Passo Fundo, RS, 2022.
url http://tede.upf.br:8080/jspui/handle/tede/2237
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dc.publisher.none.fl_str_mv Universidade de Passo Fundo
dc.publisher.program.fl_str_mv Programa de Pós-Graduação em Envelhecimento Humano
dc.publisher.initials.fl_str_mv UPF
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv Faculdade de Educação Física e Fisioterapia – FEFF
publisher.none.fl_str_mv Universidade de Passo Fundo
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