Elaboration of care plan as a differential in care practice for hypertensive patients

Silva, Regina Lúcia Dalla Torre; Arruda, Guilherme Oliveira de; Barreto, Mayckel da Silva; Oliveira, Magda Lúcia Felix de; Matsuda, Laura Misue; Marcon, Sonia Silva

doi:10.1590/1982-0194201600070

Acessibilidade / Reportar erro

Brasil

Acta Paulista de Enfermagem

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Original Article • Acta Paul Enferm. 29 (5) • Sep-Oct 2016 • https://doi.org/10.1590/1982-0194201600070 copy

Elaboration of care plan as a differential in care practice for hypertensive patients

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective:

To compare care for hypertension among teams that elaborate and do not elaborate care plans to hypertensive individuals and their families.

Methods:

This evaluative and cross-sectional study included 63 nurses from the Family Health Strategy. Data were collected using a structured instrument recommended by the Brazilian Ministry of Health, which was designed and validated by researches. Mean and median scores from evaluated sub-dimensions were compared according to elaboration of care plan by using the Student t test and Mann-Whitney test.

Results:

Scores obtained for the sub-dimensions of health promotion and individualized care were significantly higher among teams that elaborated care plans for individuals with hypertension and their families.

Conclusion:

Family Health Strategy teams that elaborate care plans to individuals with hypertension and their families had better performance in care practices of health promotion and individualized care.

Keywords
Hypertension/therapy; Arterial pressure/ therapy; Patient care planning; Advance care planning; Practice patterns; nursing; Health promotion; Health services evaluation

Evaluated sub-dimensions		Elaborated	Did not elaborate	p-value
Evaluated sub-dimensions		Mean/Median ± SD/IQR	Mean/Median ± SD/IQR	p-value
Structure
	Physical area	19.47±4.56	20.82±4.57	0.288^* * Student t test
	Materials and equipment	34.66±6.44	34.20±5.31	0.772^* * Student t test
	Equipment for emergencies	17.00±3.00	17.00±3.00	0.980^ Mann-Whitney test
	Materials for health education	6.42±2.67	5.84±2.79	0.447^* * Student t test
	Tests and medications	3.00±0.37	3.00±0.37	0.392^ Mann-Whitney test
	Human resources	24.00±11.00	23.00±3.00	0.341^ Mann-Whitney test
	Reference professionals	12.00±11.00	12.00±2.88	0.564^ Mann-Whitney test
Care practices
	Health promotion	12.72±3.58	10.27±3.09	0.008^* * Student t test
	Individualized care	19.47±5.75	14.4±4.17	<0.001^* * Student t test
	Organization of health care	26.87±5.10	25.01±4.67	0.164^* * Student t test

Evaluated sub-dimensions		Elaborated	Did not elaborate	p-value
Evaluated sub-dimensions		Mean/Median ± SD/IQR	Mean/Median ± SD/IQR	p-value
Structure
	Physical area	21.33±4.36	20.26±4.63	0.519^* * Student t test
	Materials and equipment	31.94±6.26	34.74±5.47	0.169^* * Student t test
	Equipment for emergencies	17.00±3.00	17.00±3.00	0.754^ Mann-Whitney test
	Materials for health education	5.66±2.91	6.07±2.74	0.684^* * Student t test
	Exams and medications	3.00±0.00	3.00±0.37	0.197^ Mann-Whitney test
	Human resources	22.00±3.50	24.00±5.63	0.106^ Mann-Whitney test
	Reference professionals	10.00±3.50	12.00±5.00	0.055^ Mann-Whitney test
Care practices
	Health promotion	13.42±4.37	10.61±3.10	0.021^* * Student t test
	Individualized care	22.05±5.68	14.95±4.41	<0.001^* * Student t test
	Organization of health care	26.06±6.41	25.49±4.60	0.749^* * Student t test

Escola Paulista de Enfermagem, Universidade Federal de São Paulo R. Napoleão de Barros, 754, 04024-002 São Paulo - SP/Brasil, Tel./Fax: (55 11) 5576 4430 - São Paulo - SP - Brazil
E-mail: actapaulista@unifesp.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding author Sonia Silva Marcon Colombo Avenue, 5790, 87020-900, Maringá, PR, Brazil.soniasilva.marcon@gmail.com