Adesão ao tratamento da hipertensão arterial e seus determinantes em pacientes atendidos no programa saúde da família

• Ano de defesa: 2004
• Autor(a) principal: Souza, Mariceli Barbosa de
• Orientador(a): Belém, Lindomar de Farias
• Banca de defesa: Brasileiro, Francisco Cleanto , Maciel, Sônia Maria de Luna
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Estadual da Paraíba
• Programa de Pós-Graduação: Programa de Pós-Graduação Interdisciplinar em Saúde Coletiva - MISC
• Departamento: Promoção da Saúde; Pró-Reitoria de Pós-Graduação e Pesquisa - PRPGP
• País: BR
• Palavras-chave em Português: Adesão; Hipertensão Arterial; Tratamento
• Palavras-chave em Inglês: Support; High blood pressure; Treatment.
• Área do conhecimento CNPq: CNPQ
• Link de acesso: https://repositorio.uepb.edu.br/handle/123456789/71230

The high blood pressure is considered a serious problem of public, health because of it social and economic impact, it is also na important factor of danger to the mortality increasing due to cardiac diseases. Therefore to keep a support to the patient into the treatment represents a big challenge, specially because it is a chronic disease whose control implies in na extended treatment and in a changing of lifestyle. The objective of this study is to evaluate the supporting degre to the treatment and the prediction factors, such as identify the profile of people with blood pressure who takes part in the family health program São Januário II in Campina Grande (PB). The method used to evaluat the support is the self report, medicine dispensation card and family record revision. According to the statistic methods of Qui-Quadrado da razão de Verossimilhança (xRV) the results show the largest numbers of people with high blood presure that are over sixty years old (500%); the greater number are female (73,33%); family revenue between, 1 and 2 minimum wage (78%); illiterate people (41,34%) and unfinished school (54%) and married (68%). According to the factors of danger 78,67% follow a diet without salt; 82,67% do not smoke; 88,66% do not drink alcoholic drink; 70,33% presents some level of obesity and 67,33% are-sedentary. It is observed that 74,67% are through the self report method and 77% through the dispensation card, that shows a high degree of agrement between the two used methods. As to the relation between the support and pressure control it is observed a control (31,33%) in the three degrees using the criterion III CBHA (1999), considering blood pressure < 140/90 mmHg. In the analysis determined by Hotelling-Lawley test to identity the prediction effects of variable studied and the degree of support it is observed that is (p = 0,0001), attend to blood pressure group (p = 0,0545) and admit when they have high blood pressure (p = 0,0336) had expressive effect. In different levels of probabilities the age (p = 0,1296) and the gender (p = 0,0420) had expressive effects althugh in different levels of probabilities. The main reason showed by high blood pressure people with the usina of medicines was the forgetfulness (71%). The results of the research suggests that is necessary an approach to the high blood pressure treatment which stimulates the people with high blood pressure to take care of them selves considering their knouledge about the disease treatment and commitment with health. Such as a better interest from the health staff to create strategies that can reduce the factors that interfere in acceptance to the treatment.