scholarly journals Controlo da Hipertensão Arterial nos Cuidados de Saúde Primários: Uma Comparação entre Nativos Portugueses e Imigrantes dos Países Africanos de Língua Oficial Portuguesa

2016 ◽  
Vol 29 (3) ◽  
pp. 193
Author(s):  
Elisa Lopes ◽  
Violeta Alarcão ◽  
Rui Simões ◽  
Milene Fernandes ◽  
Verónica Gómez ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Health Care ◽  
Primary Health Care ◽  
Family Doctor ◽  
Uncontrolled Hypertension ◽  
Hypertension Control ◽  
Structured Interviews ◽  
Related Factors ◽  
Cross Sectional ◽  
Primary Health

<p><strong>Introduction:</strong> In Portugal, the frequency of patient with treated and controlled hypertension is low. It is unknown the relation of socio-economic determinants with hypertension control, particularly in African immigrants. <br /><strong>Aims:</strong> To compare frequency of control in treated hypertension and to identify characteristics associated with uncontrolled and treated hypertension between Portuguese natives (Caucasian) and Portuguese Speaking African Coutries immigrants (black). <br /><strong>Material and Methods:</strong> Cross-sectional study of patients with treated hypertension, 40-80 years old, randomized from Primary Health Care of Lisbon Region. We collected sociodemographic, clinical and health care data through structured interviews. We compared the frequency of patients with uncontrolled hypertension, and identified related factors through univariate and multivariate analysis. <br /><strong>Results:</strong> In this study participated 786 patients with treated hypertension (participation rate: 71%): 449 natives and 337 immigrants. Of these, 46% had controlled hypertension. Diastolic blood pressure was higher in younger immigrants. Were associated with no control, in natives, male sex, low education, going to emergency and / or nursing services and not looking for the family doctor; on immigrants, being single, using the pharmacist, the number of years of illness and intentional non-adherence.<br /><strong>Discussion:</strong> Treated hypertension control has been increasing for last years. Natives and immigrants differ, regarding blood pressure control, relatively to the frequency of family doctor consultation, and resorting to other services and health professionals. These differences didn´t reflect in statistically different control rates.<br /><strong>Conclusions:</strong> It is needed to define strategies to control hypertension in primary health care specific for ethnic groups.</p>

scholarly journals Knowledge, adherence and control among patients with hypertension attending a peri-urban primary health care clinic, KwaZulu-Natal

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Olumuyiwa A. Olowe ◽  
Andrew J. Ross
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Cross Sectional Study ◽  
Related Factors ◽  
Cross Sectional ◽  
Care Clinic ◽  
Primary Health ◽  
Validated Questionnaire ◽  
Study Population ◽  
And Control

Background: Despite hypertension being a common condition among patients attending primary health care (PHC) clinics, blood pressure (BP) control is often poor. Greater insight into patient-related factors that influence the control of hypertension will assist in the development of an intervention to address the issues identified.Aim: The aim of the study was to assess patient-related variables associated with hypertension control among patients attending a peri-urban PHC clinic.Setting: The setting for this study was a peri-urban PHC clinic in KwaZulu-Natal.Method: This was an observational, descriptive and cross-sectional study with 348 patients selected over a 1-month period. A validated questionnaire was used to collect data on patients’ hypertension knowledge and self-reported adherence, and BP recordings from their medical record were recorded to ascertain control.Results: Of the 348 participants, only 49% had good BP control and 44% (152/348) had concurrent diabetes mellitus. The majority of patients had moderate levels of knowledge on hypertension and exhibited moderate adherence. There was a significant relationship between knowledge and reported adherence, between reported adherence and control, but not between reported knowledge and control.Conclusion: Despite over 90% of the study population having moderate knowledge, and 62% with moderate reported adherence, BP was well controlled in only less than 50% of the study population. These findings suggest a need to emphasise adherence and explore new ways of approaching adherence.

Metabolic syndrome in outpatients receiving antipsychotic therapy in routine clinical practice: A cross-sectional assessment of a primary health care database

2008 ◽  
Vol 23 (2) ◽  
pp. 100-108 ◽  
Author(s):  
Antoni Sicras-Mainar ◽  
Milagrosa Blanca-Tamayo ◽  
Javier Rejas-Gutiérrez ◽  
Ruth Navarro-Artieda
Keyword(s):  
Blood Pressure ◽  
Health Care ◽  
Metabolic Syndrome ◽  
Body Mass Index ◽  
Primary Health Care ◽  
Hdl Cholesterol ◽  
Cross Sectional ◽  
Primary Health ◽  
Health Care Database ◽  
Care Database

AbstractObjectiveTo determine the prevalence of metabolic syndrome (MS) in outpatients treated with antipsychotics included in a primary-health-care database.MethodsA cross-sectional study was carried out assessing an administrative outpatients claim-database from 5 primary-health-centers. Subjects on antipsychotics for more than 3 months were included. The control group was formed by the outpatients included in the database without exposition to any antipsychotic drugs. MS was defined according to the modified NCEP-ATP III criteria, and required confirmation of at least 3 of the 5 following components: body mass index >28.8 kg/m2, triglycerides >150 mg/ml, HDL-cholesterol <40 mg/ml (men)/<50 mg/ml (women), blood pressure >130/85 mmHg, and fasting serum glucose >110 mg/dl.ResultsWe identified 742 patients [51.5% women, aged 55.1 (20.7) years] treated with first- or second-generation antipsychotics during 27.6 (20.3) months. Controls were 85.286 outpatients [50.5% women, aged 45.5 (17.7) years]. MS prevalence was significantly higher in subjects on antipsychotics: 27.0% (95% CI, 23.8–30.1%) vs. 14.4% (14.1–14.6%); age- and sex-adjusted OR = 1.38 (1.16–1.65, P < 0.001). All MS components, except high blood pressure, were significantly more prevalent in the antipsychotic group, particularly body mass index >28.8 kg/m2: 33.0% (29.6–36.4%) vs. 17.8% (17.6–18.1%), adjusted OR = 1.63 (1.39–1.92, P < 0.001), and low HDL-cholesterol levels: 48.4% (44.8–52.0%) vs. 29.3% (29.0–29.6%); adjusted OR = 1.65 (1.42–1.93, P < 0.001). Compared with the reference population, subjects with schizophrenia or bipolar disorder (BD), but not dementia, showed a higher prevalence of MS.ConclusionsCompared with the general outpatient population, the prevalence of MS was significantly higher in patients with schizophrenia or BD treated with antipsychotics.

scholarly journals Nursing Diagnosis of Impaired Physical Mobility in Elderly People at Primary Health Care

10.3823/2305 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Paula Cristina Araújo Morais ◽  
Tibelle Freitas Mauricio ◽  
Rafaella Pessoa Moreira ◽  
Nirla Gomes Guedes ◽  
Emília Soares Chaves Rouberte ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Motor Skills ◽  
Fine Motor ◽  
Mobility Impairment ◽  
Related Factors ◽  
Cross Sectional ◽  
Physical Mobility ◽  
Primary Health ◽  
Nursing Diagnosis

Objective: to identify the frequency of the nursing diagnosis of Impaired Physical Mobility Impairment and its components in elderly population registered in a Primary Health Care Unit. Method: cross-sectional study conducted from November 2014 to February 2015, performed with 50 seniors at their homes. A questionnaire on patients's identification, their health conditions and their mobility was used. Results: the nursing diagnosis in question was identified in 71.4% of the population. The most present related factors were: lack of knowledge about the advantages of physical activity (66.7%), discomfort (76.9%), pain (82.1%), joint stiffness (76+9%) and sedentary lifestyle (82.1%). The defining characteristics were: limited capacity to perform gross motor skills (89.7%) and fine motor skills (56.4%), and engagement in substitution of movements (74.4%). Conclusion: participants showed difficulties related to physical mobility, evidencing a need for better care from health professionals. Keywords: Nursing Diagnosis; Elderly; Nursing.  

scholarly journals Job satisfaction among family nurses in Poland: A questionnaire-based study.

2019 ◽  
Author(s):  
Paulina Kalinowska ◽  
Ludmila Marcinowicz
Keyword(s):  
Job Satisfaction ◽  
Health Care ◽  
Primary Health Care ◽  
Family Doctor ◽  
Primary Health Care System ◽  
Cross Sectional ◽  
Primary Health ◽  
Health Care Unit ◽  
The Mean ◽  
Family Nurses

Abstract Background: A family nurse, next to a family doctor and midwife, plays a crucial role in the primary health care system, and a patient has the right to choose them; they are the first medical professional the patient meets when there is any problem. The present study aimed to define the level of job satisfaction among Polish family nurses and to establish its standards. Attempts were made to assess whether job satisfaction depends on the job location, form of employment, family structure, or financial situation. Method: A cross-sectional study was conducted among Polish family nurses who were professionally active in 2018. As the first step, the questionnaires were sent to all (45) County Chambers of Nurses and Midwives in Poland. The data were collected and analyzed using a standardized questionnaire “The Satisfaction With Job Scale” by A.M. Zalewska and our survey questionnaire. Results: Of 220 family nurses surveyed, 219 (99.5%) were females and one (0.5%) was male. The mean age of the study participants was 50.13 years, with a standard deviation of 8.36. The majority of nurses had secondary education (37.6%), with a qualification course (96.2%), without specialization (61%), with a nursing job seniority of 30–39 years (44.6%), and residing in a medium-sized city (43.7%). In the study group, the mean score of job satisfaction was 22.23 (on a scale of 35), and median (Me) score was 23. Conclusion: The results of the study revealed that Polish family nurses are moderately satisfied with their job. A higher level of job satisfaction was reported among family nurses with longer job seniority, who are working in the country, are owners or co-owners of a primary health care unit, live in a complete family, are single, and who declared that they could afford what they wanted to buy and possessed savings. Moreover, the level of job satisfaction was highest among the nurses who recommended other nurses to work in a primary health care unit, participated in scientific conferences, and subscribed to nursing care journals. Key words: family nurses, job satisfaction, nursing in Poland

scholarly journals Penggunaan Obat yang Tidak Rasional pada Balita dengan Diare di Kalangan Bidan, di Kabupaten Sumedang Tahun 2006

2006 ◽  
Vol 1 (3) ◽  
pp. 127
Author(s):  
Uyu Wahyudin ◽  
Besral Besral
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Acute Diarrhea ◽  
Research Result ◽  
Related Factors ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Primary Health ◽  
Compliance Level

Pengobatan diare pada balita di Puskesmas Kabupaten Sumedang dilaksanakan di Poli KIA yang sehari-harinya ditangani oleh bidan. Tujuan penelitian ini adalah untuk mengetahui tingkat kepatuhan bidan dan faktor-faktor yang berhubungan dengan kepatuhan bidan dalam penggunaan obat secara rasional pa-da balita diare akut non spesifik. Desain penelitian yang digunakan adalah cross-sectional dengan jumlah sampel 109 bidan yang berasal dari 18 puskesmas yang dipilih secara random. Pengukuran kepatuhan dilakukan dengan pengamatan terhadap resep yang ditulis oleh bidan untuk balita penderita diare akut non spesifik. Hasil penelitian memperlihatkan tingkat kepatuhan bidan adalah 69,7%. Hasil analisis regresi logistik ganda memperlihatkan bahwa faktor yang berhubungan dengan kepatuhan adalah adalah pengetahuan dan sikap bidan terhadap obat rasional dan supervisi dari atasan. Penelitian ini juga menda-patkan hubungan yang bermakna antara pengetahuan dan persepsi orang tua balita terhadap obat rasional dengan kepatuhan bidan dalam penggunaan obat rasional. Dalam rangka mengatasi ketidakrasionalan pengobatan diare akut non spesifik, maka Puskesmas harus berupaya meningkatkan pengetahuanbidan terhadap penggunaan obat rasional, melakukan supervisi, dan meningkatkan penyuluhan kepada pasien tentang penggunaan obat rasional. Kata kunci: Obat rasional, diare, bidanAbstractDiarrhea medication among children under five years old at primary health care, sub-province of Sumedang is performed at Mother and Child Polyclinic which is handled by a midwife everyday. This research purpose to obtain the description of compliance level of midwives and its factors related of midwives compliance in the usage of rational drugs among children with non specific acute diarrhea. Research used cross-sectional design with samples size were 109 midwives which were come from 18 primary health care , which were selected randomly.To measure the compliance, the observation was performed of prescriptions that written by midwives to children with non specific acute diarrhea. This research result showed that compliance level was 69,7%. Result analysis of multiple logistic regression showed that related factors were knowledge and midwives attitude of usage of rational drugs and supervision. This research also showed the association between knowledge and parent’s perception of children under five years old of rational drugs and compliance level of midwives in the usage of rational drugs. It is suggested that primary health care should increase midwives knowledge in usage of rational drugs, doing supervision and improve socialization the usage of rational drugs to patient.Keywords: Rational drugs, diarrhea, midwive

scholarly journals Functional health literacy in hypertensive elders at primary health care

2019 ◽  
Vol 72 (suppl 2) ◽  
pp. 266-273
Author(s):  
Victor Roberto Santos Costa ◽  
Polyana D’arc Rezende Costa ◽  
Eduardo Yoshio Nakano ◽  
Daniel Apolinário ◽  
Alfredo Nicodemos Cruz Santana
Keyword(s):  
Blood Pressure ◽  
Health Care ◽  
Primary Health Care ◽  
Health Literacy ◽  
Skin Color ◽  
Functional Health ◽  
Functional Health Literacy ◽  
Cross Sectional ◽  
Primary Health ◽  
Inadequate Health Literacy

ABSTRACT Objective: to assess the relationship between inadequate functional health literacy and inadequate blood pressure control in older people with hypertension in Primary Health Care. Method: a cross-sectional study with sample calculated at 392. SAHLPA-18 tool was used for functional health literacy; blood pressure was measured; sociodemographic and clinical data were collected. Hierarchical logistic regression was used. Results: (high) inadequate blood pressure and (low) functional inadequate health literacy were present in 41.6% and 54.6% of the people, respectively. Factors associated with inadequate blood pressure were: inadequate functional health literacy, black-brown skin color, overweight-obesity, hypertension diagnosis time, non-adherence to exercise/diet, drug treatment. Schooling had no association with inadequate blood pressure Conclusion: hypertensive elderly people with inadequate health literacy were more likely to have inadequate blood pressure. Thus, health professionals need to value functional health literacy as a possible component to control blood pressure.

scholarly journals Primary Health Care: care coordinator in regionalized networks?

2016 ◽  
Vol 50 (0) ◽  
Author(s):  
Patty Fidelis de Almeida ◽  
Adriano Maia dos Santos
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Emergency Services ◽  
Family Health ◽  
Structured Interviews ◽  
Cross Sectional Survey ◽  
Care Coordinator ◽  
Cross Sectional ◽  
Interprofessional Communication ◽  
Primary Health

RESUMO OBJECTIVE To analyze the breadth of care coordination by Primary Health Care in three health regions. METHODS This is a quantitative and qualitative case study. Thirty-one semi-structured interviews with municipal, regional and state managers were carried out, besides a cross-sectional survey with the administration of questionnaires to physicians (74), nurses (127), and a representative sample of users (1,590) of Estratégia Saúde da Família (Family Health Strategy) in three municipal centers of health regions in the state of Bahia. RESULTS Primary Health Care as first contact of preference faced strong competition from hospital outpatient and emergency services outside the network. Issues related to access to and provision of specialized care were aggravated by dependence on the private sector in the regions, despite progress observed in institutionalizing flows starting out from Primary Health Care. The counter-referral system was deficient and interprofessional communication was scarce, especially concerning services provided by the contracted network. CONCLUSIONS Coordination capacity is affected both by the fragmentation of the regional network and intrinsic problems in Primary Health Care, which poorly supported in its essential attributes. Although the health regions have common problems, Primary Health Care remains a subject confined to municipal boundaries.

scholarly journals HUBUNGAN DUKUNGAN KELUARGA DAN PERAN TENAGA KEFARMASIAN TERHADAP KEPATUHAN MINUM OBAT ANTIHIPERTENSI

2021 ◽  
Vol 7 (1) ◽  
pp. 19-26
Author(s):  
Dewi Puspita Apsari ◽  
I Gusti Ngurah Manik Satria Wibawa Putra ◽  
Ida Bagus N Maharjana
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Support ◽  
Patient Adherence ◽  
Communication Styles ◽  
Uncontrolled Hypertension ◽  
Cross Sectional ◽  
Primary Health ◽  
Hypertension Therapy ◽  
Pharmacist Role

Abstrak : Hipertensi yang tidak terkontrol dapat mengakibatkan berbagai macam komplikasi. Ketidakpatuhan terhadap pengobatan adalah salah satu penyebab hipertensi tidak terkontrol. Dukungan keluarga dan peran tenaga kefarmasian yang tinggi merupakan faktor yang dapat mempengaruhi kepatuhan pasien dalam menjalankan terapi hipertensi. Penelitian ini bertujuan mengetahui hubungan dukungan keluarga dan peran tenaga kefarmasian terhadap kepatuhan minum obat antihipertensi di Puskesmas. Desain penelitian yang digunakan adalah analitik dengan pendekatan cross sectional study. Penelitian dilaksanakan pada bulan Maret-Mei tahun 2020 dan populasi pada penelitian ini adalah 100 pasien hipertensi lansia yang melakukan pengobatan rawat jalan di Puskesmas Mengwi I. Analisis data dilakukan dengan cara univariat dan bivariat dengan menggunakan uji Rank Spearman. Hasil uji statistik yang dilakukan didapatkan hubungan yang signifikan (p=0,00) dan kuat (r=0,558) antara skor total dukungan keluarga terhadap kepatuhan minum obat antihipertensi pada 73 (73 %) responden. Selain itu juga pada peran tenaga kefarmasian, terlihat hubungan yang signifikan (p=0,00) antara penyediaan informasi, konseling pengobatan dan gaya komunikasi tenaga farmasi terhadap kepatuhan minum obat antihipertensi. Dari hasil penelitian dapat disimpulkan bahwa dukungan keluarga dan peran tenaga kefarmasian berpengaruh signifkan terhadap kepatuhan minum obat antihipertensi di Puskesmas Mengwi I. Abstract: Uncontrolled hypertension can lead to various complications. Nonadherence to therapeutic plans has been reported for uncontrolled hypertension. Family support and pharmacist role are factors that can affect patient adherence in carrying out hypertension therapy.  The purpose of this study was to determine the relationship between family support and pharmacist role with adherence therapeutic plans. The study was conducted in March-May 2020 and the population in this study were  100 hypertensive adult respondents who were undergoing outpatient treatment at Primary Health Care Mengwi I. Data analysis was performed by means of univariate and bivariate using Rank Spearman. Statistical test results found that there is a significant (p=0,00) and strong (r=0,558) relationship between total score family support with adherence hypertension therapy. In addition, there is a significant (p=0,00) between drug information, counseling, and communication styles of pharmacists with adherence to hypertension therapy. From the research results, it can be concluded that family support and pharmacist role have a significant effect on adherence to hypertension therapy in Primary Health Care Mengwi I.

scholarly journals Adherence to tuberculosis treatment in Primary Health Care: perception of patients and professionals in a large municipality

2017 ◽  
Vol 21 (4) ◽  
Author(s):  
Aline Ale Beraldo ◽  
Rubia Laine de Paula Andrade ◽  
Nathália Halax Orfão ◽  
Reinaldo Antônio da Silva-Sobrinho ◽  
Érika Simone Galvão Pinto ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Treatment Schedule ◽  
Structured Interviews ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
Written Information ◽  
Tb Treatment ◽  
Primary Health

Abstract Objective: Analyze the actions developed in Primary Health Care (PHC) to promote adherence to tuberculosis (TB) treatment in the perception of patients and nursing team. Methods: Cross-sectional epidemiological study conducted at the PHC of Campinas-SP, through structured interviews with 18 corresponding questions on the perception of professionals (183) and patients (165). Chi-square test and Fisher's exact test were used. Results: Actions such as the promotion of autonomy and time for the patient to talk about doubts and concerns, guidance to seek information in books and/or on the Internet on the disease, and for the family to perform TB tests, undergo directly observed treatment, schedule monthly consultations, delivery of written information on treatment and incentive were actions more perceived by the professionals than patients reported receiving. Conclusions: The identification of gaps in the offer of actions for adherence to TB treatment can help health services to change and improve the practice and the epidemiological scenario of the disease.

scholarly journals Sexual Dysfunction among Women with Diabetes in a Primary Health Care at Semarang, Central Java Province, Indonesia

2019 ◽  
Vol 14 (2) ◽  
Author(s):  
Lintang Dian Saraswati ◽  
Ari Udiyono ◽  
Dian Sutrisni ◽  
Muh Fauzi
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Health Care ◽  
Primary Health Care ◽  
Blood Glucose ◽  
Sexual Dysfunction ◽  
Antihypertensive Drugs ◽  
Menopausal Status ◽  
Cross Sectional ◽  
Primary Health

Sexual dysfunction is associated with pain during sexual intercourse. Diabetes mellitus (DM) has been reported to be one of the causal factors for sexual dysfunction in women. This cross-sectional study was conducted to describe the status of sexual dysfunction in women with DM in the Tlogosari Kulon Primary Health Care, Semarang, Indonesia, in March 2017. A total of 103 women with DM attending the health center participated in this study. Data were collected using a questionnaire-guided interview and through measurements (blood pressure and random blood glucose test). Results showed that 74.8% of women with DM had sexual dysfunction. The proportion of sexual dysfunction was higher among women in the clinical phase, with uncontrolled blood glucose levels, hypertension grade II, prolonged duration of DM of ≥ 5 years, undergoing insulin treatment, in menopause, grand multiparity, having used the tubectomy contraception method, low physical activity, depression, and consumption of antihypertensive drugs. The aging process, menopausal status, and consumption of antihypertensive drugs will increase the risk for sexual dysfunction in women with DM. It is recommended that women with DM maintain their physical activity, blood sugar levels, blood pressure, and their depression status.

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