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Revista de Saúde Pública
ISSN: 0034-8910
[email protected]
Universidade de São Paulo
Brasil
Carneiro de Araujo, Jairo; Costa Guimarães, Armênio
Controle da hipertensão arterial em uma unidade de saúde da família
Revista de Saúde Pública, vol. 41, núm. 3, junio, 2007, pp. 368-374
Universidade de São Paulo
São Paulo, Brasil
Available in: http://www.redalyc.org/articulo.oa?id=67240160007
Abstract
OBJECTIVE : To assess the impact of the implementation of the Family Health Care Program for arterial hypertension
management in a primary care unit. METHODS : There were studied 135 patients with con fi rmed diagnosis of arterial
hypertension (45 patients from each primary care team) who received treatment between December 2003 and December 2004
and were followed up until July 2005 in the city Salvador, Northeastern Brazil. Blood pressure measures were compared at
baseline and at the end of the follow-up period, and their association with cardiovascular risk factors and variables such as gender,
age, body mass index, number of medical visits, number of antihypertensive drugs taken by patients, education level and family
income were evaluated. Data were described as means and standard deviations, absolute and percentual values and the
Wilcoxon, Kruskal-Walis and Chi- square tests were performed. RESULTS : Mean blood pressures at baseline and at the end of
the follow- up were 155.9±24.1/95.3±13.9 mmHg and 137.2±16.1/86.7±8.7 mmHg (p<0.01), respectively. At starting treatment,
28.9% hypertense patients had well-controlled blood pressure levels (<140/90 mmHg) compared to 57% at the end of the follow-up
period (p<0.01). The mean number of medical visits was 10.1 ± 3.9, with 91.8% compliance. Two antihypertensive drugs were
used by 50.4% and one drug by 35.6% of the patients. The prevalences of associated risk factors assessed at entering the
program were overweight/ obesity (71.9%), dyslipidemia (58.5%) and diabetes/impaired fasting glucose (43.7%). The results of the
different care teams were comparable. CONCLUSIONS : The implementation of the Family Health Care Program has provided a
better management of arterial hypertension but the associated risk factors have remained at higher levels than those
recommended and thus needing better management.
Keywords
Hypertension, prevention & control, Hypertension, nursing, Risk factors, Family Health Program.
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