Comparação do autocuidado entre usuários com hipertensão de serviços da atenção à saúde primária e secundária

Abstract

Objective: To compare the self-care performed by hypertensive patients monitored in primary and secondary health care. Methods: Cross-sectional study with 189 patients with arterial hypertension in a Basic Health Unit and in an integrated center for diabetes and hypertension in Fortaleza, from March to June, and from September to November of 2013. An interview with a guide based on Orem's self care theory was conducted. For statistical analysis, percentage and chi square test distributions were used. Results: Adequate fluid intake (77.6%), attending nurse consultation (88.0%), and changes in lifestyle (54.3%) had better results with patients monitored in primary care. Appropriate salt consumption (100.0%) and abstinence from alcoholic beverages (88.7%) were more common in patients monitored in secondary care. Conclusion: Hypertensive patients from both primary and secondary care showed a self-care demand, without significant differences.

Prevalence and predictors of self care practices among hypertensive patients at Jimma University Specialized Hospital, Southwest Ethiopia: cross-sectional study

“…However, this study is lower than study done in Iran because alcoholic drinks are banned in Iran. However, this finding is in line with a study done in Brazil were 88.7% of respondents adherent to non-alcohol drink [33].…”

Atenção À Saúde Dos Usuários Com Hipertensão Arterial Sistêmica, No Rio Grande Do Sul E Nas Demais Unidades Federativas Do Brasil, Na Atenção Básica

“…7 Estima-se taxa de prevalência de HAS no Brasil próxima de 20%. 15 No estudo de Szcwarcwald e colaboradores, 2 que utilizou dados da Pesquisa Nacional de Saúde de 2013, a taxa de prevalência para HAS encontrada foi de 21,4%. Como nesse estudo utilizaram-se dados oriundos do PMAQ-AB, que entrevistou usuários dentro dos serviços de saúde, uma prevalência maior do que indicam estudos nacionais de base populacional já era esperada.…”

Use of health technology in primary health care in approach to hypertension / Uso das tecnologias em saúde na atenção básica às pessoas em condições de hipertensão arterial sistêmica

“…16 In contrast, a study verified that the PHC has achieved better results related to change in lifestyle in relation to secondary care services, probably because they are closer to the user's reality, even when both services adopt educational strategies that work the users' autonomy. 30 In this regard, the CHA work can be considered as a positive factor for the link establishment between the population and the unity and the conduct of the teamwork. 31 When attending a person with hypertension, it is expected that the CHA, when producing home care, orient the community about the prevention of NCDs and health promotion; perform the tracking of new cases of hypertension and monitor the implementation of the care action plan that was agreed with the health team.…”