Evidências de necessidades de autocuidado de militares com hipertensão arterial sistêmica da Marinha do Brasil: contribuição da Enfermagem

• Ano de defesa: 2014
• Autor(a) principal: Silva, Michele Garcia Nascimento
• Orientador(a): Berardinelli, Lina Márcia Miguéis
• Banca de defesa: Santos, Iraci dos , Santo, Fátima Helena do Espírito
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade do Estado do Rio de Janeiro
• Programa de Pós-Graduação: Programa de Pós-Graduação em Enfermagem
• Departamento: Centro Biomédico::Faculdade de Enfermagem
• País: BR
• Palavras-chave em Português: Hipertensão; Militares-aspectos de saúde; Promoção da saúde; Enfermagem militar; Qualidade de vida
• Palavras-chave em Inglês: Hypertension; Military; Health promotion; Military Nursing; Quality of life
• Área do conhecimento CNPq: CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
• Link de acesso: http://www.bdtd.uerj.br/handle/1/11363

This study refers to the evidence of self-care needs of military personnel with systemic hypertension from the Navy of Brazil. Hypertension is one of the most common and prevalent chronic diseases in the world and its evolution leads to complications that compromise all of the body systems. Thus, the problem presented is: how do the self-care needs of hypertensive Navy servicemen in Brazil characterize. Therefore, the overall goal of the research was: Discuss the care needs in the process of health / illness of the Military Navy of Brazil and the specific objectives were: Describe the social, demographic and self-care characteristics of the military personnel who were tended on the HNMD's cardiology outpatient clinic; Identify the self-care needs through statements of the military personnel and; Propose health self-care strategies to the military personnel. The theoretical framework used was the Health Promotion Model, by Nola J Pender. Which is a mixed study of exploratory and descriptive nature, conducted at the Naval Hospital Marcilio Dias' cardiology clinic in the city of Rio de Janeiro, in the period from July to August 2014. The study subjects were 20 hypertensive military Navy servicemen over 25 years of age. The data was collected through a semi-structured interview and then submitted to Bardin's content analysis, emerging in three categories and subcategories hereby denominated: First: Evidence of self-care needs. Second: Situational identification of the military personnel's health with the subcategory: The experience of self-care for the hypertensive military personnel. Third: Interest in self-care with two subcategories: Interest in learning and strategies for learning self-care. The profile of the participants was characterized as follows: Out of the 20 military servicemen, 19 are men and 1 is a woman, those being, 3 active military and 17 military booking, most are married, elder, of mixed ethnicity and Christian religious belief, having finished high school with remuneration above 4 minimum wages, residing in places with basic sanitation. As for the self-care referred by the participants: the majority controls the use of salt, adequate fluid intake, balanced diet, practice some kind of daily exercise, the majority also reported regular use of antihypertensive drugs, and demand for health services when needed. We conclude that despite the referred self-care, these are beneath the health needs and do not meet the demands of self-care needed to sustain life. Although many factors contribute to discouraging the military in self-care, they do have an interest in learning new technologies to care for the adequacy of their current health state and improved quality of life. To meet the identified self-care needs, it is suggested the planning of strategic actions to promote joint health, with the multidisciplinary team, establishing nursing consultation, self-care assessment, prevention of risk factors and regular monitoring to analyze the effective change of healthy lifestyle.