Submitted by MARCIA ROVADOSCHI (marciar@unifra.br) on 2018-08-22T12:47:53Z No. of bitstreams: 2 Dissertacao_ClaudiaFunckValandro.pdf: 4190516 bytes, checksum: dd219080460f3f9dab41961dc649d2fc (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Made available in DSpace on 2018-08-22T12:47:53Z (GMT). No. of bitstreams: 2 Dissertacao_ClaudiaFunckValandro.pdf: 4190516 bytes, checksum: dd219080460f3f9dab41961dc649d2fc (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2017-04-07 / Blood pressure measure in children and adolescentes is recommended by relevant medical associations, but it isn´t performed in most of routine pediatric evaluations. Unknowing of its measure importance and specific thecnical questions are barriers for this procedure. This study aimed to capacitate and implement blood pressure measure in children and adolescents during routine evaluations in General Pediatric ambulatory of an educational hospital. A study was done using action-research as methodological tool for the professional capacitation. In conclusion, childhood arterial hypertension is a subject that is unnoticed, and health team that works with this social segment generally ignores it. With this study, it was possible to capacitate health professionals for blood pressure measurement during routine pediatric consultation, allowing the implementation of diagnostic triage routines, improving the medical assistance quality in health services. / A medida da pressão arterial em crianças e adolescentes é recomendada em Diretrizes de importantes entidades médicas, mas não é realizada na maioria das consultas pediátricas. O desconhecimento da importância desta medida, além de questões técnicas específicas da faixa etária, são barreiras para a sua implementação. Com este estudo, objetivou-se capacitar e implementar a aferição da pressão arterial em crianças e adolescentes durante consulta pediátrica de rotina no ambulatório de Pediatria Geral de um Hospital Universitário. A metodologia utilizada foi a pesquisa-ação, designada como ferramenta metodológica para a capacitação profissional. Concluindo, a hipertensão arterial na infância e na adolescência é um tema que passa despercebido, e a equipe de saúde que labora com esse segmento social praticamente o desconhece. Com este estudo, foi possível capacitar os profissionais de saúde para a aferição da pressão arterial durante consulta pediátrica de rotina, permitindo a implementação de rotinas de triagem diagnóstica, melhorando a qualidade da assistência médica nos serviços de saúde.

Health care provider perceptions of typical practices play a significant role in evaluating the efficacy of screening and diagnosis of teen high blood pressure in African Americans. African American adults are more likely to develop high blood pressure than are any other ethnic group; however, there is a gap in the literature concerning high blood pressure in teens. Approximately 1 to 5 of every 100 children has high blood pressure. This purpose of this phenomenological study was to explore the perspectives of health care providers on high blood pressure screening and diagnosis of African American asymptomatic teens. The health belief model (HBM) was the conceptual framework used to describe how beliefs and attitudes influence provider high blood pressure screening. Purposive sampling resulted in 9 health care providers (8 pediatricians and 1family medicine physician), who completed a hypertension survey and individual interview. Data were coded and analyzed using thematic analysis. Atlas.ti was used for data management. Theoretical saturation was reached after 9 interviews. Emergent themes included observations from the participants that the absence of initial standardized high blood pressure screening for teens is a significant problem and that age-appropriate high blood pressure resources are not used consistently. Study results contribute to social change by providing an opportunity for heightened awareness and education among health care providers in teen high blood pressure screening and diagnosis processing. Ongoing education and research may engender proactive steps to develop universal guidelines, tools and practices to consistently and accurately detect high blood pressure in teens.

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