Gestão do cuidado de pacientes hipertensos: uma abordagem com ênfase no risco cardiovascular

Abstract

Chronic health conditions present a major challenge to health services. For the World Health Organization, a health system that is unable to effectively manage chronic health conditions will become obsolete in a short time. In this sense, the development of management models that focus on differentiated attention to chronic diseases represents an important commitment for academia and for research institutions. The general goal was to develop, implement and evaluate a health education intervention for health professionals in order to serve as a management model for the care of people living with systemic arterial hypertension (SAH) in order to create knowledge, technologies and Practices that contribute to the improvement of the quality and results of the care of this chronic condition in the Public Health System of Minas Gerais. This is a quantitative, prospective, interventional study that was carried out in the city of Pirapora, northern Minas Gerais, Brazil, with a probabilistic sample of patients living with SAH. The study was divided into two stages. In the first one, for initial diagnostic purposes to gather information on outcome variables, sampling was probabilistic and in this initial evaluation 720 people participated in the study. In the second stage, interventions were made with health education activities for professionals from two family health teams (FHS). After the intervention, 102 patients were enrolled in the health teams that went through the intervention (cases) and another 102 patients enrolled in FHS who did not undergo the intervention (controls) in order to evaluate changes in patients' life habits. There was a statistically significant change in drug adherence (p = 0.003), with better adherence in the intervention group. It was concluded that the proposed intervention was effective in order to promote greater adherence to medication for the patients assisted by the trained teams. However, no differences were recorded in relation to the life habits harmful to the hypertensive ones and that can impact on the cardiovascular risk.