Aplicativo para dispositivo móvel como ferramenta de adesão de gestantes ao pré-natal
The low adherence of pregnant women to prenatal consultations implies the continuous monitoring of maternal-fetal monitoring, complicates the early diagnosis and treatment of complications in the pregnancy-puerperal cycle and consequently increases the number of maternal deaths. In view of this,...
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Saúde da mulher Cuidado pré-natal Tecnologia Gravidez Enfermagem CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
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Saúde da mulher Cuidado pré-natal Tecnologia Gravidez Enfermagem CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM Souza, Francisca Marta de Lima Costa Aplicativo para dispositivo móvel como ferramenta de adesão de gestantes ao pré-natal |
| description |
The low adherence of pregnant women to prenatal consultations implies the continuous
monitoring of maternal-fetal monitoring, complicates the early diagnosis and treatment
of complications in the pregnancy-puerperal cycle and consequently increases the
number of maternal deaths. In view of this, objective of
analyze the use of a mobile smartphone application as a tool for adherence to prenatal
consultations, as well as the following objectives specific: to develop a mobile
application for smartphone as a tool for adherence to prenatal consultations; validation
of the mobile application for smartphones by specialists in the area of women's health
and information and communication technology; evaluate the effectiveness of the
mobile application for smartphone in adhering to prenatal consultations. Experimental
technological development study, followed by a randomized controlled trial. The
research was carried out in the Family Health Strategies of Nazaré, in the municipality
of Natal, and Armando Álvares Padilha, in the municipality of Parnamirim, both located
in the state of Rio Grande do Norte. It was developed in three phases. The research in
question, aimed at the development of an experimental technological tool by means of a
randomized controlled clinical trial, was developed in three phases. There was a sample
of 75 pregnant women, 36 in the intervention group and 39 in the control group,
registered in these units; and 21 specialists (14 nurses obstetrics and seven of the area of
Information Technology and Communication). The research was approved by the
Research Ethics Committee of the Federal University of Rio Grande do Norte, under
protocol CAAE nº: 76787917.0.0000.5537, Opinion no. 2.356.769 and registered in the
Platform of Brazilian Registries of Clinical Trials, under nº of Universal Identification
Trial: RBR-74SNST, U1111-1219-7069. In the validation, two phases of the Delphi
technique were used, so that the validators validated the contents of the application with
Content Validity Index (IVC) of 0.94, Interrater Concordance Index (IRA) of 0.90 and
Mann- Whitney of 0.012. The validity of usability and functionality presented Content
Validity Index of 0.89, Inter-Reliance Concordance Index of 0.87 and Mann-Whitney
test of 0.029. The clinical trial was performed from January to March 2018, divided into
two groups: intervention group (n=36), who attended prenatal consultations,
participated in the monthly meetings for pregnant women associated to the use of the
application produced; and control group, who participated in the prenatal consultations
and the monthly meetings for pregnant women. The results showed that the highest
percentage of participants were in the age group of 20 to 30 years, were married,
primigest, had incomplete elementary school, did not exercise paid activity, had family
income of up to 01 minimum wage and already manipulated some type of app. During
the follow-up of the participants, it was verified that the intervention group had a
frequency of consultations greater than nine in prenatal care, being statistically
significant (p <0.05), which demonstrates the effectiveness of the application as a
complementary tool in follow-up of the pregnant woman. From the study, the
hypothesis was confirmed that the pregnant women who used the "Healthy Gestation" application, associated to the consultations and monthly meetings, showed a greater
adhesion to prenatal care. |
| author2 |
Silva, Richardson Augusto Rosendo da |
| author_facet |
Silva, Richardson Augusto Rosendo da Souza, Francisca Marta de Lima Costa |
| format |
doctoralThesis |
| author |
Souza, Francisca Marta de Lima Costa |
| author_sort |
Souza, Francisca Marta de Lima Costa |
| title |
Aplicativo para dispositivo móvel como ferramenta de adesão de gestantes ao pré-natal |
| title_short |
Aplicativo para dispositivo móvel como ferramenta de adesão de gestantes ao pré-natal |
| title_full |
Aplicativo para dispositivo móvel como ferramenta de adesão de gestantes ao pré-natal |
| title_fullStr |
Aplicativo para dispositivo móvel como ferramenta de adesão de gestantes ao pré-natal |
| title_full_unstemmed |
Aplicativo para dispositivo móvel como ferramenta de adesão de gestantes ao pré-natal |
| title_sort |
aplicativo para dispositivo móvel como ferramenta de adesão de gestantes ao pré-natal |
| publisher |
Brasil |
| publishDate |
2019 |
| url |
https://repositorio.ufrn.br/jspui/handle/123456789/27581 |
| work_keys_str_mv |
AT souzafranciscamartadelimacosta aplicativoparadispositivomovelcomoferramentadeadesaodegestantesaoprenatal AT souzafranciscamartadelimacosta applicationformobiledeviceasatoolforadherenceofpregnantwomentoprenatalcare |
| _version_ |
1773960542643290112 |
| spelling |
ri-123456789-275812019-08-25T05:20:18Z Aplicativo para dispositivo móvel como ferramenta de adesão de gestantes ao pré-natal Application for mobile device as a tool for adherence of pregnant women to prenatal care Souza, Francisca Marta de Lima Costa Silva, Richardson Augusto Rosendo da Pinto, Erika Simone Galvão Morais, Fátima Raquel Rosado Fonseca, Leila de Cássia Tavares da Lima, Maria Alzete de Saúde da mulher Cuidado pré-natal Tecnologia Gravidez Enfermagem CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM The low adherence of pregnant women to prenatal consultations implies the continuous monitoring of maternal-fetal monitoring, complicates the early diagnosis and treatment of complications in the pregnancy-puerperal cycle and consequently increases the number of maternal deaths. In view of this, objective of analyze the use of a mobile smartphone application as a tool for adherence to prenatal consultations, as well as the following objectives specific: to develop a mobile application for smartphone as a tool for adherence to prenatal consultations; validation of the mobile application for smartphones by specialists in the area of women's health and information and communication technology; evaluate the effectiveness of the mobile application for smartphone in adhering to prenatal consultations. Experimental technological development study, followed by a randomized controlled trial. The research was carried out in the Family Health Strategies of Nazaré, in the municipality of Natal, and Armando Álvares Padilha, in the municipality of Parnamirim, both located in the state of Rio Grande do Norte. It was developed in three phases. The research in question, aimed at the development of an experimental technological tool by means of a randomized controlled clinical trial, was developed in three phases. There was a sample of 75 pregnant women, 36 in the intervention group and 39 in the control group, registered in these units; and 21 specialists (14 nurses obstetrics and seven of the area of Information Technology and Communication). The research was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte, under protocol CAAE nº: 76787917.0.0000.5537, Opinion no. 2.356.769 and registered in the Platform of Brazilian Registries of Clinical Trials, under nº of Universal Identification Trial: RBR-74SNST, U1111-1219-7069. In the validation, two phases of the Delphi technique were used, so that the validators validated the contents of the application with Content Validity Index (IVC) of 0.94, Interrater Concordance Index (IRA) of 0.90 and Mann- Whitney of 0.012. The validity of usability and functionality presented Content Validity Index of 0.89, Inter-Reliance Concordance Index of 0.87 and Mann-Whitney test of 0.029. The clinical trial was performed from January to March 2018, divided into two groups: intervention group (n=36), who attended prenatal consultations, participated in the monthly meetings for pregnant women associated to the use of the application produced; and control group, who participated in the prenatal consultations and the monthly meetings for pregnant women. The results showed that the highest percentage of participants were in the age group of 20 to 30 years, were married, primigest, had incomplete elementary school, did not exercise paid activity, had family income of up to 01 minimum wage and already manipulated some type of app. During the follow-up of the participants, it was verified that the intervention group had a frequency of consultations greater than nine in prenatal care, being statistically significant (p <0.05), which demonstrates the effectiveness of the application as a complementary tool in follow-up of the pregnant woman. From the study, the hypothesis was confirmed that the pregnant women who used the "Healthy Gestation" application, associated to the consultations and monthly meetings, showed a greater adhesion to prenatal care. A baixa adesão de gestantes às consultas de pré-natal dificulta o diagnóstico e tratamento de forma precoce das complicações no ciclo gravídico-puerperal e reflete no aumento do número de óbitos maternos. Diante disso, no presente estudo, teve-se como objetivo geral: analisar a utilização de um aplicativo móvel para smartphone como ferramenta na adesão às consultas de pré-natal; e como objetivos específicos: desenvolver um aplicativo móvel para smartphone como ferramenta na adesão às consultas de pré-natal; validar aplicativo móvel para smartphone por especialistas na área de saúde da mulher e da tecnologia da informação e comunicação; avaliar a eficácia do aplicativo móvel para smartphone na adesão às consultas de pré-natal. A pesquisa foi realizada nas equipes de Estratégia Saúde da Família de Nazaré, no município de Natal, e Armando Álvares Padilha, no município de Parnamirim, ambos localizados no estado do Rio Grande do Norte. A pesquisa em comento, voltada ao desenvolvimento de uma ferramenta tecnológica experimental por meio de um ensaio clínico controlado e randomizado, foi desenvolvida em três fases. Inicialmente, os dados relacionados ao desenvolvimento do aplicativo foram apresentados. Em seguida realizou-se a validação do aplicativo por especialistas. Ao final, procedeu-se à avaliação do aplicativo na adesão às consultas de pré-natal. Houve uma amostra de 75 gestantes, 36 no grupo intervenção e 39 no grupo controle, cadastradas nas referidas unidades; e 21 especialistas (14 enfermeiros obstetras e sete da área da Tecnologia da Informação e Comunicação). Obteve-se a aprovação pelo Comitê de Ética em Pesquisa da Universidade Federal do Rio Grande do Norte, sob o protocolo CAAE nº: 76787917.0.0000.5537 e parecer nº 2.356.769, ora registrada na Plataforma de Registros Brasileiros de Ensaios Clínicos sob nº de identificação Universal Trial: RBR74SNST, nº U1111-1219-7069. Foram utilizadas duas fases da técnica Delphi, de modo que os especialistas validaram o conteúdo do aplicativo com Índice de Validade de Conteúdo (IVC) de 0,94, Índice de Concordância Interavaliadores (IRA) de 0,90 e teste de Mann-Whitney de 0,012. A validação da usabilidade e funcionalidade apresentou Índice de Validade de Conteúdo de 0,89, Índice de Concordância Interavaliadores de 0,87 e teste de Mann-Whitney de 0,029. A execução do ensaio clínico ocorreu de janeiro a março de 2018, tendo sido dividida em dois grupos: grupo intervenção (n=36), que frequentou as consultas de pré-natal, participou dos encontros mensais para gestantes associados ao uso do aplicativo produzido; e grupo controle, que participou das consultas de pré-natal e dos encontros mensais para gestantes. Os resultados apontaram que a maior porcentagem das participantes encontrava-se na faixa etária de 20 a 30 anos, eram casadas, primigestas, tinham ensino fundamental incompleto, não exerciam atividade remunerada, possuíam renda familiar de até 01 salário mínimo e já utilizavam algum tipo de aplicativo. Durante o acompanhamento das participantes, verificou-se que o grupo intervenção teve uma frequência de consultas maior igual a nove no pré-natal, sendo estatisticamente significante (p<0,05), o que demonstra a eficácia do aplicativo como ferramenta complementar no acompanhamento da gestante. A partir do estudo, confirmou-se a hipótese de que as gestantes que utilizaram o aplicativo Gestação Saudável, associado às consultas e encontros mensais, apresentaram maior adesão ao pré-natal. 2019-08-20T18:56:48Z 2019-08-20T18:56:48Z 2019-06-28 doctoralThesis SOUZA, Francisca Marta de Lima Costa. Aplicativo para dispositivo móvel como ferramenta de adesão de gestantes ao pré-natal. 2019. 170f. Tese (Doutorado em Enfermagem na Atenção à Saúde) - Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, 2019. https://repositorio.ufrn.br/jspui/handle/123456789/27581 pt_BR Acesso Aberto application/pdf Brasil UFRN PROGRAMA DE PÓS-GRADUAÇÃO EM ENFERMAGEM |