Qualidade de vida do homem hipertenso assistido na atenção primária à saúde.

Abstract

Systemic Arterial Hypertension, addressed with a serious public health problem is the first cause of death in Brazil and more prevalent in men. These are more absent from health services. Hypertensive patients are monitored by the Basic Units through the HiperDia program. Objective: To evaluate the assistance provided by the Family Health Strategy to men with hypertension registered and followed in the Basic Health Units, and the impact on the quality of life of these users. Methodology: This is an exploratory cross-sectional field study with a quantitative approach, carried out in the highland of Paraíba, in the city of Cajazeiras. Results: Data revealed a mean age of 62.27 years, with 65.5% of men> 60 years; 60.2% retired / insured; 71.9% receive up to one minimum monthly salary, and 91.2% studied until elementary school II; 70% sedentary, 7.8% alcoholics and 22.2% smokers; 58.7% have BMI within normal standards and 98.7% have drug treatment. 39.4% said they always found a professional to serve them and 60.4% only sometimes. 15.6% always receive consultation guidance, 658% sometimes and 18.8% never receive guidance. 10.3% state that they are offered weight measurement, 24.6% blood pressure measurement, 20.2% examination requests, 23% mediation supply, 15.6% dietary guidelines, 4.8% guidelines. about physical exercise, 1.5% changes in other unhealthy lifestyle habits; 67.5% are satisfied with the assistance received, 48.9% the existence of care, 31.3% not satisfied and 1.2% dissatisfied due to the lack of mediation (10.7%), delay in care (18 ,1%), lack of professionals (9.8%). Regarding registration of consultations, 10% reported being made in the medical record and 50% in the hypertensive card. About the service 5.4% would like it to be more humanized, 33.5% more guidance, 29.3% more educational activities. Life changes after diagnosis were pressure control (59%), onset of disease complications (7%), decreased daily stress (15%), limited exertion (17,8). Of the activities to maintain pressure control, 10.5% perform physical exercises, 14.8% eat well, 77.3% use medication. They rate their quality of life as excellent (3.1%), good (78.8%), fair (16.8%) and poor (1.3%). Changes made to the diagnosis of hypertension: 6% decrease / stop smoking, 7.6% decrease / stop drinking, 30.6% change the diet, 6% start physical and 49.8% do not make any change. Conclusion: The presence of health professionals in the follow-up of hypertensive patients is important, since the treatment goes beyond controlling the symptoms. The aim of this study was to encourage these professionals to focus their actions more on the male group, thus allowing In this way, the strengthening of the professional-patient bond, in addition to encouraging greater demand for health services by men, self-care and abuse of a better quality of life.