Banca de DEFESA: ALCIDES VIANA DE LIMA NETO
Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.STUDENT : ALCIDES VIANA DE LIMA NETO
DATE: 25/11/2021
TIME: 14:00
LOCAL: Google Meet - https://meet.google.com/tnh-rvox-geq
TITLE:
Mobile app to aid in patient education in the preoperative period of myocardial revascularization
KEY WORDS:
Nursing. Health Education. Information and Communication Technology. Educational technology. Hypermedia. Health.
PAGES: 176
BIG AREA: Ciências da Saúde
AREA: Enfermagem
SUMMARY:
The obstructions caused by coronary artery disease, in certain cases, prevent 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 is 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 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, through Certificate of Presentation for Ethical Appreciation no 39198020.0.0000.5537. Thus, through the scoping review and the cross-sectional 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 second Delphi round 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 adjustments, the current version of the software has 90 screens. With that, it is concluded that the developed application was validated. It is believed that this technology can contribute to the literacy and health education of patients who will undergo myocardial revascularization.
BANKING MEMBERS:
Interna - 4665456 - DANIELE VIEIRA DANTAS
Presidente - 2882013 - ISABELLE KATHERINNE FERNANDES COSTA
Externo ao Programa - 1204045 - JOSE ADAILTON DA SILVA
Externa à Instituição - PATRÍCIA PERES DE OLIVEIRA - UFSJ
Externa ao Programa - 1020269 - PETALA TUANI CANDIDO DE OLIVEIRA SALVADOR
Externo à Instituição - TACIANA DA COSTA FARIAS ALMEIDA