Controle da hipertensão arterial em uma unidade de saúde da família

Abstract

Control of arterial hypertension in RESULTADOS:As médias da pressão arterial inicial e final foram 155,9±24,1/95,3±13,9 mmHg e 137,2±16,1/85,7±8,7 mmHg (p<0,01), respectivamente. No início do tratamento, 28,9% dos hipertensos tinham níveis pressóricos controlados (<140/90 mmHg) contra 57% no fi nal do período observacional (p<0,01). A média de consultas nesse período foi de 10,1±3,9, com 91,8% de adesão. Identifi cou-se uso de dois anti-hipertensivos por 50,4% e uso de um medicamento por 35,6% dos pacientes. As prevalências dos demais fatores de risco avaliados quando da admissão no programa foram sobrepeso/obesidade (71,9%), dislipidemia (58,5%) e diabetes/intolerância a glicose (43,7%). Os resultados por equipe foram comparáveis. CONCLUSÕES: O impacto da implantação do Programa de Saúde daFamília trouxe melhoria do controle da hipertensão arterial, mas os fatores de risco associados permaneceram acima dos níveis atualmente recomendados, necessitando controle adequado. DESCRITORES: Hipertensão, prevenção e controle. Hipertensão, enfermagem. Fatores de risco. Programa Saúde da Família.

Risk factor control in hypertensive and diabetic subjects attended by the Family Health Strategy in the State of Pernambuco, Brazil: the SERVIDIAH study

“…Another possible explanation is that women are known to use medical services more frequently than men 21 and therefore the under-representation of men may suggest the lack of an active search for male cases of hypertension and diabetes in the community. The proportion of hypertensive subjects with blood pressure below 140-90mmHg found by our study (43.7%,) is somewhat higher than most other studies of samples in a primary care set-ting which observed rates of around 30% 11,18,22 . Only Sousa et al 13 found a similar rate (40.9%) in a study carried out in a small municipality in the South of Brazil.…”

Avaliação das ações em hipertensão arterial sistêmica na atenção básica

“…In one of them, 98% of adherence and impact of PSF of 57% regarding blood pressure control were observed, with a mean of 10.1, ± 3.9 consultations per year in the state of Bahia, Northeastern Brazil. 2 In São Paulo, effectiveness in one primary care unit (not related to the PSF) was of 44%, with two to four annual consultations. 15 One of the benchmarks in services production presented 1.6 individual consultations per year for its patients enrolled in SISHIPERDIA in Santa Catarina.…”

Factors associated with adherence to antihypertensive treatment in a primary care unit

“…They were assisted through nursing consultation and participated in community groups, in which they received frequent orientations about healthcare (28) . In another study, after involvement with the FHP, adequate control of BP increased from 28.9% to 57% (3) , thus emphasizing the importance of nurses in hypertension management and integration among professionals in the healthcare team.…”

“…Because of these consequences, HTN is responsible for about 7.6 million deaths worldwide (1)(2)(3) . Epidemiological data obtained in more than 25 countries indicate that in 2025, one billion, nine hundred seventy-two million people aged 18 to 91 years will present with HTN.…”

“…Although HTN is considered a disease of multifactorial etiology, certain risk factors are more relevant. Among these are: age, gender, race / ethnicity, overweight and obesity, excessive intake of salt and alcohol for a long period of time, sedentary lifestyle, smoking, socioeconomic factors, education and genetics (1)(2)(3)(4)(5)(6)9) . Because of the high morbidity and mortality resulting from complications caused by HTN, it is necessary for the patient to have adequate control of his/her blood pressure (BP) through the use of pharmacological and non-pharmacological therapies.…”