NDLI: Adesão ao tratamento: estudo entre portadores de hipertensão arterial cadastrados em uma Unidade Básica de Saúde

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Adesão ao tratamento: estudo entre portadores de hipertensão arterial cadastrados em uma Unidade Básica de Saúde

Content Provider	Semantic Scholar
Author	Rufino, Daniel Bartarim Rodrigues Drummond, Rosana Aparecida Teixeira Moraes, Weverton Leandro Dimartini De
Copyright Year	2012
Abstract	Objetivo - Identificar as causas da nao adesao do paciente portador de hipertensao arterial sistemica (HAS) ao tratamento. A hipertensao arterial e uma das doencas cardiovasculares mais comum, silenciosa e assintomatica onde exerce grande influencia nas complicacoes de patologias importantes como o acidente vascular cerebral (AVC) e o infarto agudo do miocardio (IAM). E o maior problema de saude publica no pais. Os familiares sao de grande importância para o sucesso do tratamento, atuam no auxilio direto ao controle dos niveis pressoricos, incentivando o usuario a adesao, promovendo assim a prevencao de possiveis complicacoes. Metodos - Foi utilizado um questionario estruturado e adaptado de Morisky-Green, e aplicado a pacientes hipertensos atendidos em uma cidade do interior do Estado de Sao Paulo na Rede Publica de Saude. Resultados - Fatores como baixo nivel de escolaridade, problemas socioeconomicos, sobrecarga de trabalho, raca, alimentacao, predisposicao genetica, as dificuldades que os pacientes encontram com o nao conhecimento da doenca e suas complicacoes, o acesso a medicamentos, sao considerados como determinantes para o aparecimento da HAS ou suas complicacoes. Conclusao - Evidencia-se maior necessidade de orientacao quanto o que pode ocasionar em medio prazo o esquecimento ou o descuido ao utilizar os medicamentos prescritos, tendo um equilibrio entre saber e nao saber, consciencia, conhecimento e satisfacao sobre a HAS. Deste modo, o Ministerio da Saude vem constantemente atualizando os processos de educacao em saude, com cartilhas, programas educativos, comprometimento de uma equipe multiprofissional, com o objetivo de reduzir o numero de letalidade com referencia a essa patologia.(AU) Objective - To identify causes of non-adherence of patients with systemic arterial hypertension (SAH). Hypertension is the most common cardiovascular disease and asymptomatic silent which exerts great influence on complications of important pathologies such as stroke and myocardial infarction. It is biggest public health problem in the country, considered one of the greatest challenges of the professionals working in this area. The family are very important for the success of treatment, act in direct aid to the control of blood pressure levels, encouraging the user membership, thus promoting the prevention of possible complications. Methods - We used a structured questionnaire adapted from Morisky-Green, and applied to hypertensive patients treated in an inland city of Sao Paulo State, in Public Health System. Results - Factors such as low educational level, socioeconomic problems, work overload, race, diet, genetic predisposition, the difficulties that patients are not aware of the disease and its complications, access to medicines, are considered crucial to the emergence hypertension or its complications. Conclusion - This study highlights a need for greater guidance on what can cause medium-term forgetfulness or carelessness when using prescribed medications, having a balance between knowing and not knowing, awareness, knowledge and satisfaction of the systemic arterial hypertension. Thus the Ministry of Health is constantly upgrading processes of health education with brochures, educational programs, involvement of a multidisciplinary team, with the goal of reducing the number of lethality with reference to this condition.(AU)
File Format	PDF HTM / HTML
Volume Number	30
Alternate Webpage(s)	https://www.unip.br/presencial/comunicacao/publicacoes/ics/edicoes/2012/04_out-dez/V30_n4_2012_p336a342.pdf
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article

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