Follow-up como modalidade da assistência de enfermagem ao hipertenso

Abstract

RESUMO: O presente trabalho analisa o papel da enfermeira na equipe multidisciplinar da Clínica de Hipertensão Arterial do Hospital das Clínicas da Universidade Federal de Pernambuco e sua atuação junto a clientes hipertensos controlados apenas co m o follow-up da enfermagem, através da consulta específica . As autoras descrevem a metodologia e os resultados obtidos na consulta de enfermagem, ressaltando a característica de autonomia profissional nos procedimentos terapêuticos estabeleci dos no protocolo da Clínica. Além disso, são analisadas as va riações das cifras tensionais dos hiperlensos controlados, a necessidade de encaminhamento ao médico e/ou a outros profissionais da equipe , o cumprimento da terapêutica fa rmacológica e/ou não fa rmacológica, o comportamento dos fa tores de risco modificáveis identifica dos na primeira co nsulta ou nas consultas subseqüentes e a adesão ao fo llow-up de enfermagem.ABSTRACT: The fo llowing study analyses the nurse's role in a multiprofessional working group at the hypertension ambulatory care unit (Hospital das Clín icasUniversidade Federal de Pernambuco, Brasil) and her role in working with hypertensive patients, who are managed only by the nursing follow-up at the clinic. The authors describe the methodology and the results obtained from the management of these patients at the clinic, emphasizing the practitioner's autonomy in the therapeutic procedures, which are established in the clinic's protocol. Other aspects are also analysed in this study such as (1 ) the blood pressure va riations of a controlled group of hypertensive patients, (2) the necessity of referring the patient to a physician or other professionals when needed, (3) the results of pharmacologiacal and/or non-pharma co logical therapeutics and (4) the influences of the modifying risk factors , which were identified either in the first consultation or in subsequent clinic fO llow-up, and the aderence to the nursing fo llow-up. UNITERMOS: Consulta de Enfermagem -Hipertenso Controlado -Hipertensão Arte rial.

Nursing research in Brazil: the client with arterial hypertension or at risk

“…The Brazilian nursing research is more concerned with the control of the disease, its signs and symptons. (1,7,10) With the advance of the international nursing classification program, the direction of the nursing research focus is changing to the phenomens presented by the client with arterial hypertension and the nursing interventions to these phenomens. CRUZ (1993a) identified the following nursing diagnoses: knowledge deficit (disease and treatment), anxiety, constipation, sexual dysfunction, and activity intolerance.…”

“…CRUZ (1993a) identified the following nursing diagnoses: knowledge deficit (disease and treatment), anxiety, constipation, sexual dysfunction, and activity intolerance. (6,1) observed that there isn't a safe parameter for the nursing interventions directed to the diagnoses of the hypertensive client. She suggested that futher reseachs should be developed to identify the nursing therapies and the criteria of evaluation for the resolution of these nursing diagnoses.…”