Cuidado de enfermagem ao cliente com hipertensão: uma revisão bibliográfica

Abstract

This study aimed to identify the nursing care practices to the client with hypertension in the scientific production in the last ten years. It was carried out a bibliographic study, using in the BIREME, the LILACS, SciELO and BDENF's data basis, selecting thirty articles. The results were exposed in charts, tables and graphics, where prevails, in the literature analyzed, the nursing consultation as the more used practice, through the nursing attendance systematization and the Health Education with individual approaches, besides the realization of home visits with family approach. One believes that the systematization of nursing care will contribute in an expressive manner to the adhesion to the antihypertensive treatment.

Prevalência de não adesão à farmacoterapia anti-hipertensiva e fatores associados

“…Despite the lack of statistical evidence on the age difference of adherent and non-adherent hypertensive individuals, studies show that non-adherence is more common among younger people, since they possibly have less time to wait for health service and have greater difficulty in recognizing the need for medical care (6,17) . Similarly, a literature review study showed that older individuals are more likely to adhere to intervention, because there was a greater reduction in diastolic BP in older people.…”

“…Studies indicate that the time of diagnosis, the chronicity of the disease and the lack of symptoms are important factors that also influence treatment abandonment (6,17) . However, in this study no significant differences were observed in the time of diagnosis regarding no adherence.…”

“…Educational, behavioral or technological resources interventions carried out by health professionals to improve adherence to treatment have limited results and need to be developed and adapted to the characteristics of the people involved in the process and the contexts of health services (17) . Despite some methodological limitations, such as the fact that the study participants were selected from those registered in Hiperdia Program and who performed medical treatment for at least one year, which resulted in a sample of mostly elderly women, and even the various possible methods for identification of non-adherence, which complicates the comparability of results, it can be stated that the prevalence of people who do not adhere to the anti-hypertensive pharmacotherapy in primary care in Maringa is high and not very different from what has been found in other Brazilian cities.…”

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

“…26 The systematized nursing consultation, whether individual or collective, is an important tool for monitoring the person with hypertension and the achievement of health education for self-care, since knowing the care needs for each patient, we can perform the care planning, agreeing goals, offering elements and strategies so the user can feel more active in the health-disease, respecting the cultural and economic characteristics and involving family in care. 2 Regarding collective activities for health education, the literature shows that it is necessary to use new methodologies, as opposed to the classic pattern of vertical transmission of knowledge, in other words, renew the modes of communication between professionals and users that favor active participation of the group members.…”

Estratégias intersetoriais de promoção da saúde de idosos no Centro Sul Fluminense, Brasil: relato de experiência

“…É um dos principais fatores de risco para o desenvolvimento das doenças cardiovasculares, tem como característica os níveis elevados da pressão arterial, sendo definida como pressão arterial sistólica igual ou maior que 140mmHg e/ou pressão arterial diastólica igual ou superior que 90mmHg, em indivíduos sem uso de anti-hipertensivos (16) .…”