Mobile app para auxílio na educação do paciente no pré-operatório de revascularização do miocárdio
The obstructions caused by coronary artery disease, in certain cases, impede the normal arterial blood flow in the heart, which can lead to suffering and even tissue death in the affected area. In some situations, when other treatments have not been effective, myocardial revascularization is indicat...
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Educação em saúde Tecnologia educacional Revascularização miocárdica Enfermagem |
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Educação em saúde Tecnologia educacional Revascularização miocárdica Enfermagem Lima Neto, Alcides Viana de Mobile app para auxílio na educação do paciente no pré-operatório de revascularização do miocárdio |
| description |
The obstructions caused by coronary artery disease, in certain cases, impede the normal arterial
blood flow in the heart, which can lead to suffering and even tissue death in the affected area.
In some situations, when other treatments have not been effective, myocardial revascularization
is indicated, which consists of a complex and large-scale surgery, also known as saphenous
bypass or breast bypass. Thus, it is necessary to educate the patient in the preoperative period,
so that he can understand and actively participate in the entire care process. This may imply a
postoperative period with fewer complications and adverse events. Thus, the objective was to
develop and validate a mobile app to aid in patient education in the preoperative period of
myocardial revascularization surgery. This is a methodological research, with a mixed
approach, elaborated from the stages of contextualized instructional design: 1) analysis - carried
out from a scoping review and a qualitative study with 13 patients admitted to a university
hospital to receive pre- operatives. Its purpose was to identify the learning needs of patients
before surgery; 2) design and development, in which the flow diagram and the low and high
fidelity prototypes of the application were structured by a team composed of researchers and
software developers; 3) implementation, with availability of the high-fidelity version of the
prototype for analysis on a digital platform; 4) evaluation, in which the application's content
and usability were validated by judges in the field of cardiology nursing, in two rounds
organized using the Delphi technique. At this stage, the content validity coefficient greater than
0.8 and the percentage of agreement equal to or greater than 80% were used as a parameter for
validation. The research took place from January to September 2021 and was approved by the
Ethics Committee of the Federal University of Rio Grande do Norte. Thus, through the scoping
review and qualitative study, the learning needs of patients before surgery were identified,
which were categorized into: cardiovascular system and coronary artery disease; care,
procedures and routines before, during and after surgery. Based on these categories, the
application's content was organized into nine thematic sections: understand more about the
heart; understand your illness; understand the bypass surgery or breast bypass; care before
surgery; care after surgery; rehabilitation and lifestyle changes; patient records; schedule; quiz.
After the two Delphi rounds of analysis of the application by the judges, a content validity
coefficient equal to or greater than 0.91 and a percentage of agreement of 100 were obtained,
with the exception of only one of the 12 criteria analyzed. As for usability, of the 18 items, 17
obtained 100% agreement from the judges. After all the adjustments, the current version of the
software has 90 screens. With that, it is concluded that the developed application was validated
in relation to its content and usability by the judges. It is believed that this technology can
contribute to the literacy and health education of patients who will undergo myocardial
revascularization. |
| author2 |
Costa, Isabelle Katherinne Fernandes |
| author_facet |
Costa, Isabelle Katherinne Fernandes Lima Neto, Alcides Viana de |
| format |
doctoralThesis |
| author |
Lima Neto, Alcides Viana de |
| author_sort |
Lima Neto, Alcides Viana de |
| title |
Mobile app para auxílio na educação do paciente no pré-operatório de revascularização do miocárdio |
| title_short |
Mobile app para auxílio na educação do paciente no pré-operatório de revascularização do miocárdio |
| title_full |
Mobile app para auxílio na educação do paciente no pré-operatório de revascularização do miocárdio |
| title_fullStr |
Mobile app para auxílio na educação do paciente no pré-operatório de revascularização do miocárdio |
| title_full_unstemmed |
Mobile app para auxílio na educação do paciente no pré-operatório de revascularização do miocárdio |
| title_sort |
mobile app para auxílio na educação do paciente no pré-operatório de revascularização do miocárdio |
| publisher |
Universidade Federal do Rio Grande do Norte |
| publishDate |
2022 |
| url |
https://repositorio.ufrn.br/handle/123456789/45693 |
| work_keys_str_mv |
AT limanetoalcidesvianade mobileappparaauxilionaeducacaodopacientenopreoperatorioderevascularizacaodomiocardio AT limanetoalcidesvianade mobileapptoaidinpatienteducationinthepreoperativeperiodofmyocardialrevascularization |
| _version_ |
1797696722931023872 |
| spelling |
ri-123456789-456932024-03-19T04:06:34Z Mobile app para auxílio na educação do paciente no pré-operatório de revascularização do miocárdio Mobile app to aid in patient education in the preoperative period of myocardial revascularization Lima Neto, Alcides Viana de Costa, Isabelle Katherinne Fernandes http://lattes.cnpq.br/1755493864013345 http://lattes.cnpq.br/5903265312273525 Dantas, Daniele Vieira http://lattes.cnpq.br/0404704679319143 Silva, José Adailton da http://lattes.cnpq.br/0353536075419724 Oliveira, Patrícia Peres de http://lattes.cnpq.br/3059865639779652 Salvador, Petala Tuani Cândido de Oliveira http://lattes.cnpq.br/5628089389342234 Almeida, Taciana da Costa Farias http://lattes.cnpq.br/9761604442874914 Educação em saúde Tecnologia educacional Revascularização miocárdica Enfermagem The obstructions caused by coronary artery disease, in certain cases, impede the normal arterial blood flow in the heart, which can lead to suffering and even tissue death in the affected area. In some situations, when other treatments have not been effective, myocardial revascularization is indicated, which consists of a complex and large-scale surgery, also known as saphenous bypass or breast bypass. Thus, it is necessary to educate the patient in the preoperative period, so that he can understand and actively participate in the entire care process. This may imply a postoperative period with fewer complications and adverse events. Thus, the objective was to develop and validate a mobile app to aid in patient education in the preoperative period of myocardial revascularization surgery. This is a methodological research, with a mixed approach, elaborated from the stages of contextualized instructional design: 1) analysis - carried out from a scoping review and a qualitative study with 13 patients admitted to a university hospital to receive pre- operatives. Its purpose was to identify the learning needs of patients before surgery; 2) design and development, in which the flow diagram and the low and high fidelity prototypes of the application were structured by a team composed of researchers and software developers; 3) implementation, with availability of the high-fidelity version of the prototype for analysis on a digital platform; 4) evaluation, in which the application's content and usability were validated by judges in the field of cardiology nursing, in two rounds organized using the Delphi technique. At this stage, the content validity coefficient greater than 0.8 and the percentage of agreement equal to or greater than 80% were used as a parameter for validation. The research took place from January to September 2021 and was approved by the Ethics Committee of the Federal University of Rio Grande do Norte. Thus, through the scoping review and qualitative study, the learning needs of patients before surgery were identified, which were categorized into: cardiovascular system and coronary artery disease; care, procedures and routines before, during and after surgery. Based on these categories, the application's content was organized into nine thematic sections: understand more about the heart; understand your illness; understand the bypass surgery or breast bypass; care before surgery; care after surgery; rehabilitation and lifestyle changes; patient records; schedule; quiz. After the two Delphi rounds of analysis of the application by the judges, a content validity coefficient equal to or greater than 0.91 and a percentage of agreement of 100 were obtained, with the exception of only one of the 12 criteria analyzed. As for usability, of the 18 items, 17 obtained 100% agreement from the judges. After all the adjustments, the current version of the software has 90 screens. With that, it is concluded that the developed application was validated in relation to its content and usability by the judges. It is believed that this technology can contribute to the literacy and health education of patients who will undergo myocardial revascularization. As obstruções ocasionadas pela doença arterial coronariana, em determinados casos, impedem o fluxo sanguíneo arterial normal no coração, o que pode levar ao sofrimento e até mesmo à morte tecidual no local acometido. Em algumas situações, quando outros tratamentos não forem eficazes, está indicada a revascularização do miocárdio, que consiste em uma cirurgia complexa e de grande porte, também conhecida como ponte de safena ou ponte mamária. Com isso, tornase necessária a educação do paciente no pré-operatório, para que ele possa compreender e participar ativamente de todo o processo de cuidados. Isso poderá implicar em um pósoperatório com menos complicações e eventos adversos. Assim, objetivou-se desenvolver e validar um mobile app para auxílio na educação do paciente no pré-operatório de cirurgia de revascularização do miocárdio. Trata-se de uma pesquisa metodológica, com abordagem mista, elaborada a partir das etapas do design instrucional contextualizado: 1) análise – realizada por meio de uma scoping review e um estudo qualitativo com 13 pacientes internados em um hospital universitário para receber cuidados pré-operatórios; teve a finalidade de identificar as necessidades de aprendizagem dos pacientes antes da cirurgia; 2) design e desenvolvimento, na qual procedeu-se à estruturação do diagrama de fluxo e dos protótipos de baixa e de alta fidelidade do aplicativo por uma equipe composta pelos pesquisadores e desenvolvedores de software; 3) implementação, com disponibilização da versão de alta fidelidade do protótipo para análise em uma plataforma digital; 4) avaliação, na qual aconteceu a validação de conteúdo e usabilidade do aplicativo por juízes da área de enfermagem em cardiologia, em duas rodadas organizadas por meio da técnica Delphi. Nessa etapa, utilizaram-se como parâmetros para validação o coeficiente de validade de conteúdo superior a 0,8 e o percentual de concordância igual ou superior a 80%. A pesquisa aconteceu no período de janeiro a setembro de 2021 e contou com aprovação do Comitê de Ética da Universidade Federal do Rio Grande do Norte. Assim, por meio da scoping review e do estudo qualitativo, identificaram-se as necessidades de aprendizagem dos pacientes antes da cirurgia, que foram categorizadas em: sistema cardiovascular e doença arterial coronariana; cuidados, procedimentos e rotinas antes, durante e depois da cirurgia. Com base nessas categorias, o conteúdo do aplicativo foi organizado em nove seções temáticas: entenda mais sobre o coração; entenda a sua doença; entenda a cirurgia de ponte de safena ou ponte mamária; cuidados antes da cirurgia; cuidados após a cirurgia; reabilitação e mudanças no estilo de vida; registros do paciente; agenda; quiz. Após as duas rodadas Delphi de análise do aplicativo pelos juízes, obteve-se o coeficiente de validade de conteúdo igual ou superior a 0,91 e percentual de concordância 100, com exceção de apenas um dos 12 critérios analisados. Quanto à usabilidade, dos 18 itens, 17 obtiveram 100% de concordância dos juízes. Após todos os ajustes, a versão atual do software conta com 90 telas. Com isso, conclui-se que o aplicativo desenvolvido foi validado em relação ao seu conteúdo e usabilidade pelos juízes. Acredita-se que essa tecnologia poderá contribuir com a literacia e educação em saúde dos pacientes que serão submetidos à revascularização do miocárdio. 2022-12-16 2022-01-19T17:26:19Z 2021-11-25 doctoralThesis LIMA NETO, Alcides Viana de. Mobile app para auxílio na educação do paciente no pré-operatório de revascularização do miocárdio. 2021. 180f. Tese (Doutorado em Enfermagem na Atenção à Saúde) - Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, 2021. https://repositorio.ufrn.br/handle/123456789/45693 pt_BR Acesso Embargado application/pdf Universidade Federal do Rio Grande do Norte Brasil UFRN PROGRAMA DE PÓS-GRADUAÇÃO EM ENFERMAGEM |