Accuracy of the clinical indicators for Readiness for enhanced health management.

PURPOSE: to analyze accuracy measures of the clinical indicators of Readiness for enhanced health management in patients with arterial hypertension and/or diabetes mellitus METHODS: prospective diagnostic accuracy study conducted with 359 patients with hypertension and/or diabetes mellitus, followed up in primary healthcare. Stratified random sampling was used to recruit participants. An assessment form was applied with sociodemographic data, health conditions, and information related to the clinical indicators under investigation. Sensitivity, specificity, predictive values, and likelihood ratios were analyzed FINDINGS: the sample was composed of 359 participants. The prevalence of Readiness for enhanced health management was 93.8%. There was a statistically significant association between the diagnosis and age under 60 years (p < 0.001), having only one chronic condition (p < 0.001), having normal blood pressure (p = 0.017) and blood glucose (p = 0.013) values, and having a nonsedentary (p = 0.026) and nonalcoholic (p = 0.044) lifestyle. All clinical indicators had high predictive values in predicting the nursing diagnosis under investigation. The indicator expresses desire to enhance management of symptoms was the most sensitive (99.7%) and specific (100%). The indicator expresses desire to enhance management of prescribed regimens was also highly specific (100%) CONCLUSION: all clinical indicators were accurate in predicting Readiness for enhanced health management IMPLICATIONS FOR NURSING PRACTICE: knowing which clinical indicators and sociodemographic/clinical characteristics best predict Readiness for enhanced health management, nurses in primary care can better plan nursing interventions and direct their goals.

Qualidade de vida e condições de saúde de pacientes com hipertensão arterial e diabetes mellitus / Quality of life and health conditions of patients with hypertension arterial and diabetes mellitus

Objetivo: analisar estudos referentes à avaliação da qualidade de vida e as condições de saúde de pacientes hipertensos e diabéticos com disposição para controle da saúde melhorado. Método: revisão integrativa da literatura, realizada no período de junho a julho de 2018. Foram coletados dados nas seguintes bases de dados: PUBMED, LILACS e SciELO. Consoante os critérios de inclusão, estabeleceu-se uma amostra final de 22 artigos. Resultados: Foram encontradas pesquisas que exploraram as medidas de qualidade de vida de pacientes com hipertensão arterial e diabetes. Notou-se que os profissionais da atenção básica atuam como agentes relevantes para o controle dessas doenças. Observou-se a importância da adesão medicamentosa e do perigo que os fatores de risco podem causar nesses pacientes. Conclusão: os principais fatores que influenciam na qualidade de vida e condições de saúde são: maior renda per capita, nível de escolaridade, adesão a medicação, visitas aos profissionais da atenção primária, obesidade, transtornos mentais e idade. (AU)

Objective: to analyze studies related to the assessment of quality of life and health conditions of hypertensive and diabetic patients with a willingness to improve health control. Method: integrative literature review, carried out from June to July 2018. Data were collected in the following databases: PUBMED, LILACS and SciELO. Depending on the inclusion criteria, a final sample of 22 articles was established. Results: Researches were found that explored the quality of life measures of patients with arterial hypertension and diabetes. It was noted that primary care professionals act as relevant agents for the control of these diseases. It was observed the importance of medication adherence and the danger that risk factors can cause in these patients. Conclusion: the main factors that influence quality of life and health conditions are: higher per capita income, education level, medication adherence, visits to primary care professionals, obesity, mental disorders and age. (AU)

Objetivo: analizar estudios relacionados con la evaluación de la calidad de vida y las condiciones de salud de pacientes hipertensos y diabéticos con voluntad de mejorar el control de la salud. Método: revisión integrativa de la literatura, realizada de junio a julio de 2018. Los datos fueron recolectados en las siguientes bases de datos: PUBMED, LILACS y SciELO. Dependiendo de los criterios de inclusión, se estableció una muestra final de 22 artículos. Resultados: Se encontraron investigaciones que exploraron las medidas de calidad de vida de pacientes con hipertensión arterial y diabetes. Se señaló que los profesionales de atención primaria actúan como agentes relevantes para el control de estas enfermedades. Se observó la importancia de la adherencia a la medicación y el peligro que pueden ocasionar los factores de riesgo en estos pacientes. Conclusión: los principales factores que influyen en la calidad de vida y las condiciones de salud son: mayor ingreso per cápita, nivel educativo, adherencia a la medicación, visitas a profesionales de atención primaria, obesidad, trastornos mentales y edad. (AU)