Saúde do homem e o controle da pressão arterial em usuários hipertensos no nível da atenção primária à saúde

• Ano de defesa: 2013
• Autor(a) principal: Dantas, Rosimery Cruz de Oliveira
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal da Paraí­ba; BR; Ciências Exatas e da Saúde; Programa de Pós-Graduação em Modelos de Decisão e Saúde; UFPB
• Palavras-chave em Português: Hipertensão; Modelos logísticos; Risco; Saúde do homem; Hypertension; Logistic models; Risk; CIENCIAS DA SAUDE::SAUDE COLETIVA
• Link de acesso: https://repositorio.ufpb.br/jspui/handle/tede/6547

The Hypertension is a multifactorial disease, considered a risk factor for cardiovascular disease, with higher prevalence in males. The Ministry of Health established the National Policy for Integral Health of Man, searching through actions at the level of Primary Care to reverse this and other situations. We had as our central objective to investigate the monitoring of hypertensive men by the Health Services of Primary Care for the control of blood pressure, from the list of modifiable risk factors and sociodemographic factors in the municipalities of Joao Pessoa and Campina Grande, northeast Brazil. This is a quantitative and qualitative study, randomly sampled of 74 and 69 hypertensive patients from the city of João Pessoa (JP) and Campina Grande (CG) respectively, analyzed by binary logistic regression (BLR) and discourse analysis technique proposed by Fiorin. In municipalities stood out a profile of unaccompanied, uncontrolled blood pressure, low education, non-whites, elderly, nonsmokers, non-drinkers, sedentary and overweight / obesity. In the application of model RLB, adopting = 0.05, was detected for the city of JP two variables that maintained relations with pressure control: race ( = 0.047) and overweight / obesity ( = 0.036), and CG sedentary ( = 0.067). The odds ratio (OR) ( = 0.331 for race, 0.333 to overweight / obesity) in the city of JP expresses that white individuals with normal weight have three times more chance to control the pressure when compared to the ones that doesn t have this condition. In the CG OR ( = 0.379) of sedentarism variable indicates that being sedentary or not, the chance to control the pressure is the same on the basis of the confidence interval (0.134, 1.069). With regard to blood pressure control during the cohort, there was decrease in the levels of pressure, but not statistically significant (significance> = 0.05). In the qualitative approach it was found that individuals not smokers and non-drinkers had been a day, beginning in the habit before the age of 18 and remained there for more than 15 years. Most do not know the real meaning of hypertension, indicated by the difficulty of the subject of research in the conception manifest on hypertension, on measures taken to control the pressure, and the appreciation of the use of particular drugs. It is suggested, to achieve adequate blood pressure control, early uptake of men to health services, a reorganization in the form of operating assistance, registration, consultation schedule and strengthening actions of health education, to promote to the man more knowledge about the severity and commitment to the selfcare. The study identified risk factors that require more focus of attention on the part of managers and health professionals to reach the blood pressure control, and thus is expected to contribute to the decision-making process in order to subsidize the elaboration and implementation of public policies feasible and more effective health practices for the control of hypertension.