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Previous issue date: 2014-08-13 / A Hipertens?o Arterial Sist?mica - HAS- ? definida como s?ndrome cuja caracter?stica principal ? a presen?a de n?veis tensionais elevados, associada a altera??es de n?veis funcionais ou estruturais nos ?rg?os aos quais atinge. Suas causas espec?ficas n?o s?o bem delimitadas e possui car?ter assintom?tico. Devido ? sua cronicidade exige ader?ncia ao plano de tratamento de forma permanente e sistem?tica, implicando em mudan?as no estilo de vida, combinadas ou n?o com uso de medicamentos. Os invent?rios de personalidade t?m sido largamente utilizados no delineamento de tra?os indicativos de dificuldades com ades?o ao tratamento. Nesse sentido, desenvolvido por Theodore Millon, o Millon Behavioral Medicine Diagnostic - MBMD ? um instrumento elaborado a partir do consenso entre profissionais de sa?de, visando identificar fatores psicol?gicos que venham a comprometer tratamentos m?dicos para que sejam conduzidos de modo a viabilizar uma melhor ades?o. Objetivos: avalia??o de evidencias de validade do Millon Behavioral Medicine Diagnostic - MBMD para p?blico de pacientes com hipertens?o, com vistas ? investiga??o de indicadores implicados na ades?o ou n?o ao tratamento anti-hipertensivo. M?todo: contou-se com amostra de 200 participantes, dos sexos masculino e feminino, com faixa et?ria entre 20 e 70 anos, recrutados presencialmente em um Hospital Universit?rio da cidade de Natal/RN. Foi administrado um protocolo de entrevista para obter informa??es sobre dados s?cio demogr?ficos, hist?ria cl?nica, h?bitos de cuidado e forma de conduzir o tratamento, e posteriormente segui-se a administra??o do pr?prio MBMD. Resultados: Por meio de An?lise Fatorial Confirmat?ria verificou-se que a organiza??o proposta pelos fatores ? favor?vel e se ajusta ? teoria, permitindo a visualiza??o de outros constructos subjecentes ?s escalas, com ?ndices de ajustes adequados e indicadores satisfat?rios de Alpha de Cronbach. Al?m disso, o MBMD revelou-se sens?vel ?s diferen?as intragrupais quanto as vari?veis sexo, idade, escolaridade, estado civil, profiss?o, renda, hist?rico de HAS, tempo de diagn?stico, uso de medica??o, presen?a de comorbidades, acompanhamento m?dico, uso de ?lcool e tabaco, dieta hiposs?dica, suporte social e crit?rios de ades?o. A utiliza??o de tal instrumento na avalia??o de ades?o ao tratamento anti-hipertensivo apresenta, portanto, indicadores de validade. / Systemic Arterial Hypertension ? SAH ? is defined as the syndrome which its main feature is the presence of high tensional levels, associated with alterations of functional or structural levels in the organs that it strikes. Its specific causes are not very well bounded and have an asymptomatic character. Due to its chronicity it requires adherence to the treatment plan in a systematic and permanent manner, implicating in lifestyle changes, combined or not with the use of medication. The personality inventories have been largely used in the lineation of indicative traits of difficulties with the adherence to the treatment. In this sense, developed by Theodore Millon, the Millon Behavioural Medicine Diagnostic ? MBMD is an instrument made from the consensus among healthcare professionals, aiming at identifying psychological factors that may compromise medical treatment so that they can be conducted in a way to enable a better adherence. Objective: evaluation of the evidence of validity of the Millon Behavioural Medicine Diagnostic ? MBMD for a public of patients with hypertension, aiming at investigating the indicators implicated in the adherence or not to the anti-hypertensive treatment. Method: there was a group of 200 participants in a university hospital in the city of Natal/RN, males and females, ranging from 20 to 70 years old. An interview protocol was administered in order to obtain information about socio-demographic data, clinical history, healthcare habits and way of conducting treatment, and after, the administration of the MBMD followed. Results: by means of Factor Analysis it was verified that the organization proposed by the factors is favorable and it adjusts to the theory, allowing the visualization of other underlying constructs to the scales, with adequate adjustment indexes and satisfactory Cronbach?s alpha indicators. Besides, the MBMD revealed itself sensitive to the intragroup differences relative to the sex, age, schooling, marital status, profession, income, SAH history, diagnostic time, medication use, comorbidity presence, hyposodic diet, social support and adherence criteria variables. The utilization of such instrument in the evaluation of the adherence to the anti-hypertensive treatment show, therefore, indicators of validity.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/19403 |
| Date | 13 August 2014 |
| Creators | Dantas, Brenda Luanna Fernandes Cort?s |
| Contributors | 34616055068, http://lattes.cnpq.br/1325459110950508, Calvo, Bernardino Fernandez, 01725469405, http://lattes.cnpq.br/4082400623552153, Coutinho, Marcio de Lima, 00744621488, http://lattes.cnpq.br/6539867237175036, Alchieri, Jo?o Carlos |
| Publisher | Universidade Federal do Rio Grande do Norte, PROGRAMA DE P?S-GRADUA??O EM PSICOLOGIA, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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