Hypertensive patient evaluation and outpatient diabetes in scope

Analysis of contents of school of body mass a school of recife / pe, accompanied by the health program in school


Hospital University Hospital Professor Alberto Antunes-HUPAA

Research Journal of Pharmacology and Pharmacy-2d Code

Chronic noncommunicable diseases (NCDs) are a major public health problem, as are prevalent diseases regardless of the socioeconomic status of the population, but the low-income population is suffering more due to poor access to health services. Among them, we can mention the Hypertension, hypertension and diabetes mellitus-DM. Hypertension is a disease with high prevalence and low rates of control in addition to cardiovascular disease mortality increases progressively with increasing blood pressure of 115/75 mmHg from linear, continuous and independent. As well as hypertension, DM is a health condition sensitive to primary care, and good management would prevent hospitalizations and deaths from cardiovascular and cerebrovascular complications. These two morbidities are responsible for the leading cause of death and hospitalizations in the SUS and still represent more than half of primary diagnosis in people with chronic renal failure undergoing dialysis. The association of hypertension and DM is around 50 %, which often requires the management of both diseases in the same user, compounded by the fact that the two together power the micro and macrovascular damage, which causes high morbidity cardiocerebrovascular. SAH when associated with DM is responsible for 50 % of cases of end-stage renal failure and hypertension alone, it still causes 40 % of deaths from stroke, 25 % of deaths from coronary artery disease. The worsening of hypertension and diabetes and its complications are directly related to the lack of adherence to treatment. The aim of this study was to outline the clinical and epidemiological profile of patients with hypertension and / or diabetes in an outpatient basis. This is a cross-sectional, descriptive and quantitative character study, conducted in August and September 2015 at the nursing station of the University Prof. Hospital General Clinic Alberto Antunes – Maceio, AL. Data were obtained through interviews with semi-structured questionnaire. Included were: patients of both sexes, older than 18 years who were treated at the nursing procedures room, which had a diagnosis of DM type 1 or 2 and / or hypertension, which agreed to participate by signing the informed consent form. And excluded: patients without definite diagnosis, which can not contact with the interviewer or had psychiatric disorder. The study was approved by the Ethics Committee and research by CAAE 47245215.9.0000.5013. We interviewed 80 patients, 22.5 % patients diagnosed with hypertension, 17.5 % had DM (two type I and twelve type II) and 60 % were carriers of both morbidities concurrently. The predominant sex was female (60 %) and ages were between 50-59 and 60-69, with 27.5 % and 32.5 % respectively. Patients who claimed browns were the majority with 51.3 %. Hypertensive patients and / or diabetic this research, lived mainly in urban areas (93.8 %) and most had low education, incomplete primary education (41.63 %) were either illiterate (23.8 %). Most patients were followed up with endocrinologist, 42.5 % by cardiologist then 35 % and 22.5 % were found for any expert. But more than half of patients no longer went to medical consultation for more than three months, so 51.3 % of the patients seeking nurses’ station on their own. 53.7 % of the patients already had some impairment of target organs, and all patients had some risk factor, the most prevalent were: family history (72.5 %), stress (570.5 %), physical inactivity (52, 5 %) and overweight (51.3). It was observed that 44.8% of patients had blood pressure higher than expected (160×100 to 179×109;> 180> 110;> 140 <90), with only 23.9 % of patients with the value below the borderline. The results of capillary glucose conducted showed that 44.2 % of users were with glucose greater than 200 mg / dl. Some (23.8 %) had any complaints such as headache, nausea, dizziness, sweating. Most (75 %) did not or never did follow up with nutritionist. When asked if regularly attending the Health Unit Family-USF, 55 % said yes, but the rest did not use this level of health care, as reported not get care. Chronic diseases constitute the leading cause of hospitalizations in the public health system. Are the main risk factors for cardiovascular disease and about 60-80 % of cases can be treated in the basic public. SAH and DM are long-term illnesses and require a high number of admissions and annual outpatient visits, generating high costs to the Ministry of Health. The DM has significant interrelationships with SAH is therefore of paramount importance to establish the correlation between the two morbidities, since both disorders have various systemic effects and require effective treatment and monitored. About 77 % of patients treated their patients with medical specialist, on the other hand, the time between a query and another exceeded six months to more than half of individuals, linked to this, low coverage of basic health care is a determining factor for the lack of control of complications. Due to the high presence of risk factors, it is important to know the patients to enable targeted assistance to this population. The Latin American consensus of hypertension in patients with diabetes has shown in his research that 46.4 % of hypertensives were aware of their condition, 40.6 % were drug treatment, but only 13.1 % had controlled blood pressure (<140 / 90 mmHg), corroborating this research that had even greater number of patients in this situation, 23.9 %. This research showed high glycemic indexes in patients. Sustained hyperglycemia is the major cause of complications leads to biochemical and structural abnormalities of the eyes, kidneys, heart, blood vessels and peripheral nerves. Thus, successful control of blood sugar level and blood pressure depend on adequate adhesion to treatment and healthy health practices. Ignorance is part of the difficulties in controlling the disease and many patients are not aware of the need for treatment, linked to this, the health facilities have poor conditions of service, which hinders patients’ adherence to the necessary related treatments to basic care. The control of hypertension and diabetes in the context of Primary Care, taking into account the financial and educational conditions of the individual, can avoid the aggravation and the emergence of complications related to diabetes and hypertension. No need for investments in the process of capturing and tracking of cases of hypertension and DM by primary care professionals in your area enrolled.

Keywords: Hypertension; diabetes; Hospital outpatient;

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1 – Aguiar LGK, Villela NR. Bouskela E. A Microcirculação no Diabetes: Implicações nas Complicações Crônicas e Tratamento da Doença. Arq Bras Endocrinol Metab 2007;51/2
2 – Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Estratégias para o cuidado da pessoa com doença crônica: hipertensão arterial sistêmica / Ministério da Saúde, Secretaria de Atenção à Saúde, Departamento de Atenção Básica – Brasília: Ministério da Saúde, 2013.
3 – Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Estratégias para o cuidado da pessoa com doença crônica: diabetes mellitus / Ministério da Saúde, Secretaria de Atenção à Saúde, Departamento de Atenção Básica. – Brasília: Ministério da Saúde, 2013.
4 – Carvalho Filha FSS, Nogueira LT, Viana LMM. Hiperdia: adesão e percepção de usuários acompanhados pela estratégia saúde da família. Rev Rene. 2011
5 – Fraga PL, Martini-Santos BJ, Severino BNS, Oliveira MRS, França GR. A interface entre o Diabetes Mellitus tipo II e a hipertensão arterial sistêmica: aspectos bioquímicos. Cadernos UniFOA. Edição nº 20 – dezembro/2012.
6 – López-Jaramillo P, Sánchez RA, Diaz M, et al. Consenso latino-americano de hipertensão em pacientes com diabetes tipo 2 e síndrome metabólica. Arq Bras Endocrinol Metab. 2014;58/3.
7 – Machado LE, Campos R. O Impacto da Diabetes Melito e da hipertensão arterial para a Saúde Pública. Saúde Meio Ambient. v. 3, n. 2, p. 53-61, jul./dez. 2014
8 – Santos JC, Moreira TMM. Fatores de risco e complicações em hipertensos/diabéticos de uma regional sanitária do nordeste brasileiro. Rev Esc Enferm USP 2012; 46(5):1125-1132
9 – Silva DB, Souza TA, Santos CM, Jucá MM, Magalhães TM, Moreira, Frota MA, Vasconcelos SMM. Associação Entre Hipertensão Arterial e Diabetes Em Centro De Saúde Da Família. RBPS, Fortaleza, 24(1): 16-23, jan./mar., 2011.
10 – Radigonda B, Souza RKT, Junior L. Avaliação da cobertura da Atenção Básica na detecção de adultos com diabetes e hipertensão. SAÚDE DEBATE | Rio de Janeiro, v. 39, n. 105, p.423-431, ABR-JUN 2015.