Análise conceitual de autogestão do indivíduo hipertenso

Abstract

This research aimed to analyze the concept of self-management of hypertensive individuals. Theoretical and documentary study based on Walker and Avant's conceptual analysis by means of the Scientific Electronic Library Brazil and the Medical Literature Analysis and Retrieval System Online in the Coordination for Higher Education Personnel Development (CAPES, in Portuguese) and the National Library of Medicine websites. Fourteen (14) articles and one (1) thesis were selected and reviewed, in Portuguese and English, in the period January 2007 to September 2012. Background: missing doctor's appointments, non-compliance to blood pressure control treatment, to recommendations to proper diet standards and stress. Attributes: blood pressure control and disease management. Consequences: home monitoring of blood pressure with control improvement, accomplishment of disease management, compliance and sharing of the creation process of self-management goals and caring activities by the interdisciplinary team through individualized actions. It was concluded that the self-management concept is a dynamic, active process which requires knowledge, attitude, discipline, determination, commitment, self-regulation, empowerment and self-efficiency in order to manage the disease and achieve healthy living.Descriptors: Disease management. Hypertension. Chronic disease. Nursing. RESUMO Objetivou analisar conceito de autogestão do indivíduo hipertenso. Estudo teórico pautado na análise conceitual Walker e Avant mediante as bases de dados Scientific Electronic Library Brazil e Medical RESUMEN Desarrollar análisis del concepto de autogestión relacionado a la hipertensión. Estudio teórico pautado en el análisis conceptual Walker y Avant a través de la búsqueda en las bases de datos Scientific Electronic Library Brasil y Medical Literature Analysis and Retrievel

Experience of hypertensive patients with self‐management of health care

“…Hypertensive individuals who self-manage their disease and have positive beliefs maintain healthy lifestyles. The role of healthcare professionals in the treatment of hypertension is to seek the knowledge that patients need and to mediate the needed changes, thereby contributing to behavioural changes (Balduino et al 2013).…”

“…Hypertensive patients need both individual educational activities and counselling with healthcare professionals to adopt healthy lifestyle changes and comprehend the nature of self-management of their health care (Balduino et al 2013). One study in the USA found that shared clinical consultations and professional visits were regarded as an innovation that primarily allowed improvements in access to care, costs and results of disease management and also provided care to patients in a manner that was more sensitive to their needs.…”

“…The proceedings of the National Conference on Self-Management of Chronic Disease, which was held in 2003 in Australia, confirmed that the medical approach to treating these diseases is prescriptive and authoritarian and does not consider the subjectivity of the carrier and the importance of self-management of care (Kock et al 2004). Balduino et al (2013) stated that self-management can be defined as 'a dynamic and active process that requires knowledge, attitude, discipline, determination, commitment,…”

Sala De Espera: Espaço Para Efetivar a Educação Em Saúde Em Uma Unidade De Saúde

“…O usuário do serviço de saúde deve ser capacitado para o autocuidado, que é dependente de padrões culturais, familiares e sociais. O conceito de autogestão é um processo dinâmico e ativo, requerendo conhecimento, atitude, disciplina, determinação, comprometimento, autorregulação, empoderamento e autoeficácia para gerir a doença, na busca de um viver saudável 21 . Todos esses fatores devem ser levados em conta nas abordagens educativas em saúde.…”

Self-care practice of patients with arterial hypertension in primary health care

“…Thus, it is emphasized that, for successful control of systemic arterial hypertension, it is necessary to practice selfcare by the patient. This is defined as the realization of performing activities that individuals play to their benefit to maintain life, health, and welfare (4) . When self-care is effectively performed, it helps to maintain the structural and functional integrity, contributing to human development (5) .…”