Arterial hypertension in the elderly people in the field of health attention

2011 ◽  
Vol 5 (2) ◽  
pp. 174
Author(s):  
Dyego Anderson Alves de Farias ◽  
Priscilla Medeiros Neves ◽  
Geraldo Eduardo Guedes de Brito

ABSTRACTObjective: to draw the profile of the hypertensive elderly registered/accompanied in the field of basic health attention. Method: cross sectional study of descriptive characteristic, in which users who were 60 years old or more and who were in the Family Health Strategy program between 2000 and 2009 were analyzed through the HIPERDIA system of João Pessoa-PB city. Data referring to number of hypertensive patients registered in that period and association of hypertension with smoking, sedentary habits and overweigh, classified by sex and age group,  were used. Results: files of 7,156 hypertensive elderly registered/accompanied by HIPERDIA by sex and age group were found, with prevalence of arterial hypertension of 8 % in the period of study. Among these users, 68,4% are female and the age group from 60 to 64 presented the greatest number of hypertensive when both sexes are added (23.6%).  In relation to the presence of associated factors, 49% presented overweigh, 51% had sedentary habits and 15.9% smoked. Conclusion: the hypertensive elderly of João Pessoa showed characteristics which are similar to the other regions of the country. It is necessary to promote and implement public policies towards this population with emphasis on prevention and valorization of the services of Basic Attention. Descriptors: Aged; Hypertension; Primary health careRESUMOObjetivo: traçar o perfil dos idosos hipertensos cadastrados/acompanhados no âmbito da atenção básica de saúde. Método: estudo transversal de cunho descritivo, em que se analisaram por meio do sistema HIPERDIA da cidade de João Pessoa-PB os usuários 60 anos ou mais adscritos a Estratégia de Saúde da Família, entre os anos de 2000 a 2009. Utilizaram-se os dados já tabulados: número de hipertensos cadastrados no período e associação da hipertensão com tabagismo, sedentarismo e sobrepeso estratificados por sexo e faixa etária. Resultados: foram encontrados registros de 7156 idosos hipertensos cadastrados/ acompanhados pelo HIPERDIA por sexo e faixa etária, com prevalência de hipertensão arterial de 8% no período estudado. Destes usuários, 68,4% são do sexo feminino e a faixa etária de 60 a 64 anos apresentou o maior número de hipertensos somado ambos os sexos (23,6%). Quanto à presença de fatores associados, 49% apresentaram sobrepeso, 51% eram sedentários e 15,9% tabagistas. Conclusão: os hipertensos mostraram características semelhantes às demais regiões do país. Faz-se necessário incentivar e implementar políticas públicas voltadas a essa população, enfatizando a prevenção e valorizando os serviços de Atenção Básica. Descritores: Idoso; Hipertensão; Atenção básica; RESUMENObjetivo: trazar el perfil de los ancianos hipertensos registrados/acompañados en el ámbito de la atención básica de salud. Método: estudio transversal de cuño descriptivo, en el que fueron analizados por medio del sistema HIPERDIA de la ciudad de João Pessoa – PB los usuarios de 60 o más años inscritos en la Estrategia de Salud de la familia, entre el año 2000 y el 2009. Fueron utilizados los datos ya procesados: número de hipertensos registrados en el periodo y asociación de la hipertensión con tabaquismo, sedentarismo y obesidad estratificados por sexo y faja etaria. Resultados: fueron encontrados registros de 7156 ancianos hipertensos registrados/acompañados por el HIPERDIA por sexo y faja etaria, con prevalencia de hipertensión arterial de 8% en el periodo estudiado. De estos usuarios el 68,4% son del sexo femenino y los de la faja etaria entre 60 y 64 años presentaron un número mayor de hipertensos de ambos sexos (23,6%). En relación a la presencia de factores asociados el 49% presentaron obesidad, el 51% eran sedentarios y el 15,9% fumadores. Conclusión: los hipertensos mostraron características semejantes a las demás regiones del país. Se hace necesario incentivar e implementar políticas públicas orientadas a dicha población, enfatizando la prevención y dando más valor a los servicios de Atención Básica. Descriptores: Anciano; Hipertensión; Atención primaria de salud.  

2020 ◽  
Vol 44 ◽  
pp. e1762019
Author(s):  
Alyne Andrade Silva ◽  
Glauciano de Oliveira Ferreira ◽  
Janiel Ferreira Felício ◽  
Francisca Valúzia Guedes Guerra ◽  
Edmara Chaves Costa ◽  
...  

2019 ◽  
Vol 72 (suppl 2) ◽  
pp. 177-183 ◽  
Author(s):  
Fernanda dos Santos ◽  
Celmira Lange ◽  
Patrícia Mirapalheta Pereira de Llano ◽  
Marcos Aurélio Matos Lemões ◽  
Carla Alberici Pastore ◽  
...  

ABSTRACT Objective: to identify the prevalence and factors associated with falls in the elderly population living in rural areas. Method: this is a cross-sectional study, carried out in 2014, with 820 older adults recorded in the Family Health Strategy (Estratégia Saúde da Família). The association between the reporting of falls in 12 months and their associated factors was verified by the Chi-square and Fischer’s exact tests and by multivariate logistic regression analysis. Results: the majority of the sample was female (56.1%), white (90.2%) and aged 60-69 years (54.9%). The prevalence of falls was 27.9%, and being female, hypertensive and diabetic was associated to falls. Conclusion: it is the responsibility of health professionals to have a closer look at the elderly who have these chronic diseases, especially within the scope of the Family Health Strategy, which works longitudinally with these patients, in addition to improving nursing care aimed at this population.


2018 ◽  
Vol 71 (suppl 5) ◽  
pp. 2258-2263 ◽  
Author(s):  
Ângela Maria Mendes Abreu ◽  
Rafael Tavares Jomar ◽  
Gunnar Glauco de Cunto Taets ◽  
Maria Helena do Nascimento Souza ◽  
Daiane Belisário Fernandes

ABSTRACT Objective: to identify the lifetime use of alcohol and other drugs among users of the Family Health Strategy and apply Brief Intervention to problems related to the use of these substances. Method: a descriptive cross-sectional study where 1,031 users of the Family Health Strategy of the city of Rio de Janeiro answered a form with socio-demographic information and the Alcohol, Smoking and Substance Involvement Screening Test. Statistical analysis with simple frequency distribution was performed. Results: the most commonly used drugs in lifetime were alcohol and tobacco; among the illegal drugs, marijuana, hypnotics and cocaine/crack stood out. Those who received most Brief Intervention were users of tobacco, hypnotics, marijuana, cocaine/crack and alcohol. Conclusion: it is important to detect early problems associated with the use of alcohol and other drugs in Primary Care, since it has the promotion/protection of health and the prevention of diseases as priority health practices.


2018 ◽  
Vol 21 (2) ◽  
pp. 155-163
Author(s):  
Ana Paula Ribeiro de Castro ◽  
Eglídia Carla Figueirêdo Vidal ◽  
Ana Raquel Bezerra Saraiva ◽  
Sofia de Moraes Arnaldo ◽  
Ana Maria Machado Borges ◽  
...  

Abstract Objective: To identify health promotion actions carried out by professionals in the Family Health Strategy in relation to elderly people. Method: An exploratory study with a qualitative approach was performed in Juazeiro do Norte, Ceará, Brazil, with 19 professionals. A recorded, fully transcribed semi-structured interview was used after authorization by the ethics committee under number 501 675. The discussions were analyzed using Content Analysis, organized into thematic categories. Results: Actions of a collective nature were identified, such as activities in groups, meetings, conversation circles, lectures and guidance in the waiting room. Other directed actions were used, such as guidelines during individual consultations and referral to specialized services. Conclusion: The need for the discussion of health promotion and actions in relation to old age was highlighted, with debate and reflection on this theme required locally, along with the need to build a network of support for the health of the elderly in a shared manner among professionals, managers and the community.


2017 ◽  
Vol 70 (5) ◽  
pp. 981-987 ◽  
Author(s):  
Tatiana Fernandes Kerches de Abreu ◽  
Fernanda Amendola ◽  
Monica Martins Trovo

ABSTRACT Objective: This article aims to identify the relational technologies used by Family Health Strategy nurses in their daily work when treating patients. Method: Descriptive and cross-sectional study with qualitative approach; conducted between May and July 2015, in three Basic Health Units of the Southern Region of the Municipality of São Paulo, with 19 nurses of the Family Health Strategy. Data were collected through a semi-structured interview, and the speeches were fully transcribed and analyzed according to the technique of content analysis. Results: From the speeches of the participants, three categories emerged, showing the unawareness of the concept, but the valorization of its use; which are the relational technologies used by the participating nurses (communication, listening, empathy and welcoming reception), as well as the report of barriers to the use of relational technologies. Final consideration: Although the nurses value the use of relational technologies, the participants denoted unawareness of the nomenclature and its associated concepts, suggesting superficiality in the understanding and use of these instruments in the context of care in the Family Health Strategy.


2009 ◽  
Vol 17 (4) ◽  
pp. 474-480 ◽  
Author(s):  
Thaís Santos Guerra Stacciarini ◽  
Ana Emilia Pace ◽  
Vanderlei José Haas

This cross-sectional study aimed to describe the most common correct and incorrect self-administration techniques for insulin using disposable syringes by patients cared for by the Family Health Strategy (FHS), relate the findings to sociodemographic variables and also identify the professional responsible for teaching this technique. A total of 169 patients were selected by simple random sampling in 37 FHS units in a city in the state of Minas Gerais, Brazil from August to October 2006. The results identified errors in all the steps recommended by the American Diabetes Association and Brazilian Diabetes Association for the safe administration of insulin, from hand washing to compression on the injection site. The FHS favors the development of interventions focused on the needs of the clientele registered at the unit, stimulating self-care. Results from this study can contribute to the planning of these interventions.


2019 ◽  
Vol 13 (1) ◽  
pp. 148
Author(s):  
Vívian Roselany Ferreira Hipólito ◽  
Laura Maria Feitosa Formiga ◽  
Ana Klisse Silva Araújo ◽  
Lorena Mayara Hipólito Feitosa ◽  
Kathelyn Jane Sousa Carvalho ◽  
...  

ABSTRACTObjective: to know the risks for the onset of osteoporosis in the elderly. Method: this is a quantitative, cross-sectional and descriptive study in the Family Health Strategy (FHS). An instrument covering sociodemographic characteristics, anthropometry, clinical variables and life habits was used for data collection. The results were analyzed through the SPSS software, version 20.0, and the findings were presented in tables. Results: hypertension and diabetes mellitus prevailed. With respect to the family history, it was found that the elderly never had a fracture, did not have genetic factors on osteoporosis and did not use calcium and vitamin D. As for the modifiable factors, a large part of the elderly said not to practice physical activity, nor get exposed to the sun, and they said they ingested much caffeine and milk. Conclusion: the proposed objective was reached and it is hoped that the results found in this study contribute to the construction of knowledge about this disease that has increasingly affected people, helping to elaborate prevention strategies or avoid possible complications. Descriptors: Nursing; Aged; Osteoporosis; Disease Prevention; Health Care (Public Health); Aging.RESUMOObjetivo: conhecer os riscos para o desencadeamento da osteoporose nos idosos. Método: trata-se de estudo quantitativo, transversal e descritivo na Estratégia Saúde da Família (ESF). Utilizou-se, para a coleta de dados, um instrumento composto por características sociodemográficas, antropometria, variáveis clínicas e hábitos de vida. Analisaram-se os resultados por meio do programa SPSS, versão 20.0, e se apresentaram os achados em tabelas. Resultados: prevaleceram-se as doenças hipertensão arterial e diabetes mellitus. Encontrou-se, sobre o histórico familiar, o fato de os idosos nunca terem apresentado fratura, não possuírem fatores genéticos sobre a osteoporose e não fazerem uso de cálcio e vitamina D. Com relação aos fatores modificáveis, grande parte dos idosos afirmou não praticar atividade física, não se expor ao Sol, ingerir bastante cafeína e leite. Conclusão: atingiu-se o objetivo proposto e espera-se que os resultados encontrados contribuam na construção do conhecimento sobre essa doença de crescente acometimento auxiliando a elaboração de estratégias de prevenção ou evitando possíveis complicações. Descritores: Enfermagem; Idoso; Osteoporose; Prevenção de Doenças; Atenção à Saúde; Envelhecimento.RESUMENObjetivo: conocer los riesgos para el desencadenamiento de la osteoporosis en los adultos mayores. Método: se trata de estudio cuantitativo, transversal y descriptivo en la Estrategia Salud de la Familia (ESF). Se utilizó para la recolección de datos, un instrumento compuesto por características sociodemográficas, antropometría, variables clínicas y hábitos de vida. Se analizaron los resultados por medio del programa SPSS, versión 20.0, y se presentaron los hallados en tablas. Resultados: prevalecieron las enfermedades hipertensión arterial y diabetes mellitus. Se encontró, sobre el histórico familiar, el hecho de los adultos mayores nunca haber presentado fractura, no poseer factores genéticos sobre la osteoporosis y no hacer uso de cálcio y vitamina D. Con relación a los factores modificables, grande parte de los adultos mayores afirmo no practicar actividad física, no exponerse al Sol, ingerir bastante cafeína y leche. Conclusión: se consiguió el objetivo propuesto y se espera que los resultados encontrados contribuyan en la construcción del conocimiento sobre esa enfermedad de creciente acometimiento auxiliando la elaboración de estrategias de prevención o evitando posibles complicaciones. Descriptores: Enfermería; Anciano; Osteoporosis; Prevención de Enfermedades; Atención a la Salud; Envejecimento.


2019 ◽  
Vol 72 (3) ◽  
pp. 721-727 ◽  
Author(s):  
Hellen Emília Peruzzo ◽  
Eraldo Schunk Silva ◽  
Vanessa Carla Batista ◽  
Maria do Carmo Fernandez Lourenço Haddad ◽  
Aida Maris Peres ◽  
...  

ABSTRACT Objective: to measure the organizational climate in the work of professionals from Family Health Strategy (FHS) teams. Method: a cross-sectional study carried out with 458 professionals belonging to 72 FHS teams in a municipality in Southern Brazil. Data collection occurred between March and July of 2016 with self-application of the Team Climate Inventory (TCI). Data were analyzed by means of a non-parametric ANOVA. Results: “Team Participation” was the best-rated domain (8.11), while “Task orientation” was the worst (7.51). Nurses obtained the highest mean in TCI (8.05), and dentists, the lowest (7.45). Conclusion: TCI is an appropriate and innovative tool for assessing the teamwork climate at the FHS. Identifying fragilities such as “task orientation” and relationships among professional categories of the team supports the planning of actions for organizational climate improvements and teamwork at the FHS.


2018 ◽  
Vol 71 (suppl 2) ◽  
pp. 740-746 ◽  
Author(s):  
Carla Silvana de Oliveira e Silva ◽  
Mayke Müller Soares Barbosa ◽  
Lucinéia de Pinho ◽  
Maria Fernanda Santos Figueiredo ◽  
Caroline Oliveira Amaral ◽  
...  

ABSTRACT Objective: to identify the functional capacity of older people based on their performance on basic activities of daily living. Method: a cross-sectional study, carried out through the record of the Family Health teams working in the urban area of a city in northern Minas Gerais, in 2015. To assess the functional capacity of 373 older people, the Katz Scale was applied, which includes dimensions on the performance of daily living activities. The interviews took place in the participants’ households. Results: of the total participants, 6.9% had some degree of dependence. Those aged over 80 years old and were living without a partner had about three times more chances of presenting higher levels of functional dependence. Conclusion: most older people enrolled in a Family Health Strategy had their functional capacity preserved.


Rev Rene ◽  
2021 ◽  
Vol 22 ◽  
pp. e60796
Author(s):  
Iara Sescon Nogueira ◽  
Nayana Flor Ulbinski ◽  
André Estevam Jaques ◽  
Vanessa Denardi Antoniassi Baldissera

Objective: to analyze the environmental risk for falls among the elderly living in the area covered by a Family Health Strategy team. Methods: cross-sectional research, using, as a data source, 80 forms of environmental risk evaluation of elderly falls. The collected data were transcribed and organized in a computerized spreadsheet, using the Microsoft Excel® program, and analyzed using descriptive statistics. Results: most elderly’s households were classified as low risk for falls (56.3%) and showed at least one environmental risk (94.0%), being the most frequently found in the bathroom (47.5%), in stairs (46.2%), and associated to light (41.2%). Conclusion: environmental risks were observed in different places of the households, highlighting the bathroom, stairs, and little light in the room, most of them being classified as a low environmental risk for falls.


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