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Protocol for hypertensive individuals assisted in Basic Health Care.

Rosimery Cruz de Oliveira Dantas1, Angelo Giuseppe Roncalli2

  • 1Unidade 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. rmeryco_dantas@hotmail.com.

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Summary

A new protocol for hypertension management in primary care was developed and validated. This tool enhances patient monitoring and identifies factors contributing to high blood pressure.

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Area of Science:

  • Public Health
  • Health Services Research
  • Methodology

Background:

  • Hypertension control rates remain low globally and in Brazil, leading to significant social and medical costs.
  • Effective control strategies are crucial for managing hypertension and mitigating its impact.
  • Primary healthcare settings require robust tools for systematic patient consultation and monitoring.

Purpose of the Study:

  • To develop and validate a comprehensive protocol for the consultation and monitoring of hypertensive patients within primary healthcare.
  • To create a tool that facilitates systematic care and identifies socio-individual factors influencing hypertension.
  • To improve the dialogue and record-keeping between healthcare professionals and patients.

Main Methods:

  • Methodological research employing the Delphi method for expert content validation.
  • A three-cycle expert review process using a 1-5 Likert scale (not important to extremely important).
  • Statistical analyses included percentage of agreement, Content Validation Index (CVI), and Pearson correlation.

Main Results:

  • High expert agreement: 96% agreement and a CVI of 0.98.
  • All protocol items were rated as at least 'very important' by experts.
  • Positive Pearson correlations (moderate to strong) indicated robust inter-rater reliability.

Conclusions:

  • The validated 53-item protocol, structured into seven dimensions, enables more expressive and systematic monitoring of hypertensive patients.
  • The protocol aids in identifying social and individual conditions contributing to high blood pressure.
  • It serves as a guide for consultations, promoting professional-patient dialogue and effective care recording.