As campanhas nacionais para detecção das doenças crônicas não-transmissíveis: diabetes e hipertensão arterial

Toscano, Cristiana M.

doi:10.1590/s1413-81232004000400010

Cited by 91 publications

(96 citation statements)

References 26 publications

(19 reference statements)

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“…Using the information created by the system it was possible to obtain better monitoring of patients, increased access to medication, and perspectives on strategic propositions in public health (also through permanent updating of the epidemiological profile). 11,12 Currently, numerous prevention strategies are being carried out in an attempt to intervene early and effectively in the control of diabetes, hypertension, obesity, and associated risk factors in order to reduce the rates of these diseases and their complications. As such, this review sought to evaluate the main educational activities available in global literature about DM, SAH and OBES, aimed at future application in studies and actions focused on the prevention of these non-communicable chronic diseases in society.…”

Section: Introductionmentioning

confidence: 99%

Educational strategies for the prevention of diabetes, hypertension, and obesity

Machado

Lima

Laureano

et al. 2016

Rev. Assoc. Med. Bras.

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Objective:The main goal of this work was to produce a review of educational strategies to prevent diabetes, hypertension, and obesity. Method: PubMed database was consulted using combined descriptors such as [Prevention] Results: A total of 8,908 articles were found, of which 1,539 were selected about diabetes mellitus (DM, n=369), arterial systemic hypertension (ASH, n=200), and obesity (OBES, n=970). The number of free full text articles available was 1,075 (DM = 276, ASH = 118 and OBES = 681). In most of these studies, demographic characteristics such as gender and age were randomized, and the population mainly composed by students, ethnic groups, family members, pregnant, health or education professionals, patients with chronic diseases (DM, ASH, OBES) or other comorbidities. Group dynamics, physical activity practices, nutritional education, questionnaires, interviews, employment of new technologies, people training and workshops were the main intervention strategies used. Conclusion:The most efficient interventions occurred at community level, whenever the intervention was permanent or maintained for long periods, and relied on the continuous education of community health workers that had a constant interference inside the population covered. Many studies focused their actions in children and adolescents, especially on students, because they were more influenced by educational activities of prevention, and the knowledge acquired by them would spread more easily to their family and to society.

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Section: Introductionmentioning

confidence: 99%

Educational strategies for the prevention of diabetes, hypertension, and obesity

Machado

Lima

Laureano

et al. 2016

Rev. Assoc. Med. Bras.

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“…2011; 70 (6): 342-8 include interventions for lifestyle changes and promotion of healthy diet and physical activity (16) .Some aspects of prevention that should be strengthened include diabetes screening and early diagnosis. Improved effective access to quality health care services, education and support of diabetic patients would greatly reduce the impact of the disease.…”

Section: Nutritionistmentioning

confidence: 99%

Diabetic retinopathy and visual disabilities among patients in a rehabilitation program

Bittencourt¹,

Montilha²,

Gasparetto³

et al. 2011

Rev. bras.oftalmol.

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Objective: To assess the prevalence of diabetic retinopathy and to evaluate the management of patients with visual disabilities attending at the CEPRE Rehabilitation Program of University of Campinas. Methods: A retrospective study was carried out based on medical records of patients with visual disabilities attending a vision rehabilitation program. The following variables were studied: gender, age, marital status, level of schooling, social security status, origin, type and cause of visual disability and vision rehabilitation actions. Results: The sample consisted of 155 patients, 55.5% males, aged between 12 and 88 years, mean age 41 years old, 34.8% were blind and 65.2% with low vision disability. Of those blind patients, 81.8% reported acquired blindness, and the leading cause was diabetic retinopathy (33.3%), followed by glaucoma (16.6%), and retinal detachment (15.0%). Of those patients with low vision disability, 14.9% had diabetic retinopathy, 14.9% hereditary syndromes, and 10.9% age-related macular degeneration. Vision rehabilitation therapy included interdisciplinary team consultations helping patients go through the mourning process for the loss or impairment of vision, and promoting the enhancement of their skills for performing activities of daily living independently. The management of patients with low vision was also focused on vision rehabilitation. Conclusion: The health of the eyes of patients with chronic diseases such as diabetes is at risk. The prevalence of diabetic retinopathy was found to be a cause for visual disability, suggesting the need to assess these patients' access to health care and rehabilitation and promote health education for changing habits and improving quality of life.Keywords: Diabetes mellitus; Blindness; Vision, low; Vision disorders/rehabilitation; Quality of life RESUMOObjetivo: Verificar a prevalência da retinopatia diabética e as condutas desenvolvidas entre deficientes visuais atendidos pelo Programa de Reabilitação no CEPRE da Universidade Estadual de Campinas. Métodos: O estudo retrospectivo transversal foi desenvolvido a partir da análise de prontuários de pacientes que participaram do programa de reabilitação de deficientes visuais, considerando-se as variáveis: sexo, idade, estado civil, escolaridade, situação de seguridade, procedência, tipo e a causa da deficiência visual e condutas reabilitacionais. Resultados: A casuística constou de 155 pacientes, 55,5% do sexo masculino, faixa etária entre 12 e 88 anos, média de idade de 41 anos, 34,8% cegos e 65,2% com baixa visão. Dos cegos, 81,8% tinham cegueira adquirida, sendo a retinopatia diabética (33,3%) a causa prevalente da cegueira, seguida por glaucoma (16,6%) e descolamento de retina (15,0%). Dos pacientes com baixa visão, 14,9% apresentavam a retinopatia diabética e síndromes hereditárias somaram 14,9%, seguido pela degeneração macular associada à idade (10,9%). As condutas reabilitacionais desenvolvidas para os pacientes com deficiência visual constaram de atendimentos com equipe interdiscipl...

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“…Seria recomendável incrementar o número de hipertensos cobertos pelo Programa Remédio em Casa, considerando que a estratégia favorece a adesão dos pacientes. A medicação anti-hipertensiva pode evitar 25% dos IAM e reduzir de 35% a 42% os AVC, se houver uma redução de 4mmHg na PAD 6 .…”

Section: Discussionunclassified

“…Especificamente no caso da hipertensão arterial, há absoluto consenso em relação à importância do seu tratamento para a redução da morbimortalidade das doenças cardiovasculares 5,6 e um elevado grau de concordância sobre as melhores práticas de prevenção, diagnóstico e tratamento da doença. Entretanto, observa-se que a adesão a essas práticas pelos profissionais de saúde e pacientes é ainda insatisfatória, acarretando resultados aquém daqueles esperados com base no conhecimento científico vigente 7,8 .…”

Section: Introductionunclassified

Utilização de diretrizes clínicas e resultados na atenção básica à hipertensão arterial

et al. 2009

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This study aimed to identify strategies to implement clinical guidelines for hypertension in IntroduçãoA área da assistência à saúde tem sido marcada, desde a década de 90, por uma crescente preocupação com o estímulo à utilização de práticas endossadas pelo conhecimento científico, tendo em vista principalmente a melhoria da qualidade da assistência, mas também, de forma progressiva, a alocação mais eficiente de recursos.Hoje é internacionalmente aceita a pressuposição de que o uso de diretrizes clínicas para a prevenção, o diagnóstico, o tratamento e a reabilitação de doenças, definidas a partir da evidência científica acerca da eficácia e efetividade de intervenções, produz melhores resultados 1 além de atender a interesses de sistemas de saúde, mais ou menos dependentes de recursos públicos.Diretrizes clínicas constituem-se em recomendações sistematicamente desenvolvidas para orientar médicos e pacientes acerca dos cuidados de saúde apropriados, em circunstâncias clínicas específicas 2 . Elas contemplam indicações e contra-indicações, bem como benefícios esperados e riscos do uso de tecnologias em saú-de (procedimentos, testes diagnósticos, medicamentos etc.) para grupos de pacientes definidos.Apesar do reconhecimento que a aplicação das recomendações contidas nas diretrizes clíni-cas possibilita alcançar melhores resultados assistenciais, seu uso ainda é incipiente. Em função disso, tem crescido o interesse em identificar características facilitadoras do uso e estratégias efe-ARTIGO ARTICLE

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As campanhas nacionais para detecção das doenças crônicas não-transmissíveis: diabetes e hipertensão arterial

Cited by 91 publications

References 26 publications

Educational strategies for the prevention of diabetes, hypertension, and obesity

Educational strategies for the prevention of diabetes, hypertension, and obesity

Diabetic retinopathy and visual disabilities among patients in a rehabilitation program

Utilização de diretrizes clínicas e resultados na atenção básica à hipertensão arterial

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