Abordagem multiprofissional no cuidado à saúde de pacientes do programa HIPERDIA

Resumo

High Blood Pressure (HBP) is a chronic disease and a risk factor for cardiovascular, cerebrovascular and chronic kidney disease, which can lead to death. In addition, it is a serious public health problem. The main factor for the lack of success in controlling HBP and prevention of comorbidities is the non- compliance to treatment, which is related to the frequency of attendance to medical appointments, proper use of medication (drug treatment), and behavioral changes that determine the success of non-pharmacological treatment (diet control and physical exercise). The objective of the present study was to evaluate the risk factors related to hypertension and patient compliance to the HIPERDIA program. The medical records of 561 patients were analyzed from 1998 to 2010. The compliance to the treatment was assessed by the frequency of ambulatory visits, while the prevalence of risk was evaluated before and after the intervention. The progression of the disease was analyzed for 12 years, with the condition to include attendance at 2 annual consultations. It was observed low frequency of consultations, since only 110 patients from the 561 initially recruited complied with the condition of the study. The risk factors prevalent at the beginning and in the end of the study were sedentary life style, obesity and unbalanced diet, demonstrating poor adherence to non-pharmacological treatment. However, among patients who remained in the program, there was effective blood pressure control, indicating the importance of institutionalized care.

Descrição

Palavras-chave

Hipertensão arterial sistêmica, Índice de massa corporal, Adesão ao tratamento, Estilo de vida, Hypertension, Body mass index, Adherence to treatment, Lifestyle

Citação

FERREIRA, Nathanne dos Santos et al. Abordagem multiprofissional no cuidado à saúde de pacientes do programa HIPERDIA. Revista Brasileira de Hipertensão, Rio de Janeiro, v. 21, n. 1, p. 31-37, jan./mar. 2014.