Queixas referidas por pessoas atendidas em unidade de urgência/emergência e sua associação com prevalência, conhecimento, tratamento e controle da hipertensão arterial
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tede/7311 |
Resumo: | INTRODUCTION: hypertensive patients associate symptoms to blood pressure numbers and that is what motivates them to search for emergency services. AIM: Analysing the association of the hypertensive patients’s complaints, the knowledge of previous diagnosis, its treatment and blood pressure control at 24 hours nonhospital public urgency services. METHODOLOGY: transversal study held at an emergency unit in a brazilian capital. Data collecte in 18 weeks, every single day and during all attendance shifts. Trauma and dengue cases, under 18 years old, mobile urgency services and those who didn’t go through risk classification were excluded. The blood pressure used for hypertensive patients identification was measured by the researcher. The hypertension prevalence was considered for every patient who presented blood pressure >=140/90mmHg or who mentioned anti-hypertensive medication regardless the blood pressure numbers; the knowledge was defined by the record of anti-hypertensive use; on the other hand, the control was considered the blood pressure numbers measured by the researcher (BP<140/90mmHg) according to those who used anti-hypertensive medication. The data related to referred complaints and patients severity were collected in the medical record and the anthropometric data related to life style were collecte straight from the patient and recorded in the study survey. The complaints were classified according to the Manchester system to group them and make statistical evaluations, also following the own study classification (type 1 and type 2); it was also analysed the time the patients complained about their blood pressure numbers. The severity was defined by the nurse on duty who followed the city prototocol (red = emergency, yellow = urgency, and green = no imminent risk of death). RESULTS: there was a higher proportion of females – 189 (62,0%), average age 39,4 (±15,7) years old, smoking rate - 35 (11,5%), alcoholism - 116 (38,0%), sedentarism - 247 (81,0%) and obesity - 56 (18,4%). Low severity cases - 257 (84,3%) were predominant; men - 24 (20,7%) and elderly people - 14 (37,8%) were classified in medium severity. The hypertension prevalence was 36,4%, the knowledge 62,2%, treatment 61,3% and the control rate over those who were under medical treatment was 47,1%. There were differences in those rates that women presented more knowledge (52; 72,0% - p=0,09) and treatment (50; 69,4% - p=0,016). The main hypertensive patients’s complaints were: abdominal pain, extremities problems, discomfort, falls and headaches. The hypertensive patients specially related their complaints to their blood pressure (43; 38,7% - p<0,001) and had classification of mediumseverity in a higher proportion (31; 27,9% - p<0,001). There was no relation among the complaints, knowledge, treatment and hypertension control on duty. CONCLUSIONS: The hypertension presented prevalence similar to general population; knowledge, treatment and control presented low rates. Hypertensive patients related their symptoms to their blood pressure and were classified with higher severity. The knowledge, treatment and hypertension control were not related to the blood pressure numbers. |
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Sousa, Ana Luiza Limahttp://lattes.cnpq.br/6578713509935374Sousa, Ana Luiza Limahttp://lattes.cnpq.br/6578713509935374Vitorino, Priscila Valverde de OliveiraBrasil, Virgínia ViscondePrado, Marinésia Aparecida doSouza, Weimar Kunz Sebba Barros dehttp://lattes.cnpq.br/9939873831581170Oliveira, Camila Ferreira de2017-05-11T12:03:17Z2017-04-11OLIVEIRA, C. F. Queixas referidas por pessoas atendidas em unidade de urgência/emergência e sua associação com prevalência, conhecimento, tratamento e controle da hipertensão arterial. 2017. 77 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2017.http://repositorio.bc.ufg.br/tede/handle/tede/7311ark:/38995/001300000dn1dINTRODUCTION: hypertensive patients associate symptoms to blood pressure numbers and that is what motivates them to search for emergency services. AIM: Analysing the association of the hypertensive patients’s complaints, the knowledge of previous diagnosis, its treatment and blood pressure control at 24 hours nonhospital public urgency services. METHODOLOGY: transversal study held at an emergency unit in a brazilian capital. Data collecte in 18 weeks, every single day and during all attendance shifts. Trauma and dengue cases, under 18 years old, mobile urgency services and those who didn’t go through risk classification were excluded. The blood pressure used for hypertensive patients identification was measured by the researcher. The hypertension prevalence was considered for every patient who presented blood pressure >=140/90mmHg or who mentioned anti-hypertensive medication regardless the blood pressure numbers; the knowledge was defined by the record of anti-hypertensive use; on the other hand, the control was considered the blood pressure numbers measured by the researcher (BP<140/90mmHg) according to those who used anti-hypertensive medication. The data related to referred complaints and patients severity were collected in the medical record and the anthropometric data related to life style were collecte straight from the patient and recorded in the study survey. The complaints were classified according to the Manchester system to group them and make statistical evaluations, also following the own study classification (type 1 and type 2); it was also analysed the time the patients complained about their blood pressure numbers. The severity was defined by the nurse on duty who followed the city prototocol (red = emergency, yellow = urgency, and green = no imminent risk of death). RESULTS: there was a higher proportion of females – 189 (62,0%), average age 39,4 (±15,7) years old, smoking rate - 35 (11,5%), alcoholism - 116 (38,0%), sedentarism - 247 (81,0%) and obesity - 56 (18,4%). Low severity cases - 257 (84,3%) were predominant; men - 24 (20,7%) and elderly people - 14 (37,8%) were classified in medium severity. The hypertension prevalence was 36,4%, the knowledge 62,2%, treatment 61,3% and the control rate over those who were under medical treatment was 47,1%. There were differences in those rates that women presented more knowledge (52; 72,0% - p=0,09) and treatment (50; 69,4% - p=0,016). The main hypertensive patients’s complaints were: abdominal pain, extremities problems, discomfort, falls and headaches. The hypertensive patients specially related their complaints to their blood pressure (43; 38,7% - p<0,001) and had classification of mediumseverity in a higher proportion (31; 27,9% - p<0,001). There was no relation among the complaints, knowledge, treatment and hypertension control on duty. CONCLUSIONS: The hypertension presented prevalence similar to general population; knowledge, treatment and control presented low rates. Hypertensive patients related their symptoms to their blood pressure and were classified with higher severity. The knowledge, treatment and hypertension control were not related to the blood pressure numbers.INTRODUÇÃO: pacientes hipertensos geralmente associam sintomas com valores de pressão arterial e isso pode ser o que os motivam a buscar atendimento em serviços de emergência. OBJETIVO: analisar a associação das queixas referidas pelos pacientes com a prevalência da hipertensão, o conhecimento do diagnóstico prévio, seu tratamento e o controle pressórico em serviço de urgência 24 horas não hospitalar público. METODOLOGIA: estudo transversal, realizado em unidade de emergência em uma capital brasileira. Dados coletados todos os dias no período de 18 semanas, em todos os turnos de atendimento. Foram excluídos casos de traumas, dengue, menores de 18 anos, atendimento móvel de urgência e aqueles que não passaram pela classificação de risco. A pressão arterial utilizada para fins de identificação dos hipertensos foi aferida pela pesquisadora. Para a prevalência da hipertensão foi considerado todo aquele com pressão arterial >=140/90mmHg ou que, independente dos valores pressóricos, referisse uso de anti-hipertensivos; o conhecimento foi definido como percepção prévia do diagnóstico; o tratamento foi definido pela referência de uso de anti-hipertensivo; já para o controle foram considerados os valores pressóricos aferidos pela pesquisadora (PA<140/90mmHg) entre aqueles que usavam anti-hipertensivo. Os dados relacionados a queixas referidas e gravidade dos pacientes foram coletados na ficha clínica, e estilo de vida e antropométricos coletados diretamente com os pacientes. As queixas foram classificadas de acordo com o sistema de Manchester. A gravidade foi definida pela de acordo com protocolo do serviço em grave, moderado e sem gravidade. RESULTADOS: participação feminina de 189 (62,0%), idade média 39,4 (±15,7) anos. Predominaram casos de baixa gravidade 257 (84,3%); homens 24 (20,7%) e idosos 14 (37,8%) foram mais classificados com média gravidade. A prevalência de hipertensão foi de 36,4%, o conhecimento 62,2%, tratamento 61,3% e a taxa de controle 47,1%. As mulheres apresentaram mais conhecimento (52; 72,0% - p=0,09) e tratavam mais (50; 69,4% - p=0,016). As principais queixas dos hipertensos foram: dor abdominal, problemas em extremidades, mal-estar, quedas e cefaleia. Hipertensos associaram mais suas queixas com a pressão (43; 38,7% - p<0,001) e tiveram classificação de média gravidade em maior proporção (31; 27,9% - p<0,001). Não houve associação das queixas com o conhecimento, tratamento e controle da hipertensão na demanda do serviço. CONCLUSÕES: A hipertensão apresentou prevalência semelhante da população geral; conhecimento, tratamento e controle apresentaram baixas taxas. Hipertensos associaram mais seus sintomas com a pressão arterial e foram classificados com maior gravidade. O conhecimento, tratamento e controle da hipertensão não estiveram associados com valores da pressão arterial e nem com as queixas referidas.Submitted by JÚLIO HEBER SILVA (julioheber@yahoo.com.br) on 2017-05-10T19:22:41Z No. of bitstreams: 2 Dissertação - Camila Ferreira de Oliveira - 2017.pdf: 1479466 bytes, checksum: 1886d1f48adb7f17c71b61d104b270c6 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2017-05-11T12:03:17Z (GMT) No. of bitstreams: 2 Dissertação - Camila Ferreira de Oliveira - 2017.pdf: 1479466 bytes, checksum: 1886d1f48adb7f17c71b61d104b270c6 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Made available in DSpace on 2017-05-11T12:03:17Z (GMT). No. of bitstreams: 2 Dissertação - Camila Ferreira de Oliveira - 2017.pdf: 1479466 bytes, checksum: 1886d1f48adb7f17c71b61d104b270c6 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2017-04-11application/pdfhttp://repositorio.bc.ufg.br/tede/retrieve/39137/Disserta%c3%a7%c3%a3o%20-%20Camila%20Ferreira%20de%20Oliveira%20-%202017.pdf.jpgporUniversidade Federal de GoiásPrograma de Pós-graduação em Enfermagem (FEN)UFGBrasilFaculdade de Enfermagem - FEN (RG)http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessHipertensãoPressão arterialServiço de atendimento de emergênciasSintomasHypertensionArterial pressureEmergency medical servicesSymptomsENFERMAGEM::ENFERMAGEM DE SAUDE PUBLICAQueixas referidas por pessoas atendidas em unidade de urgência/emergência e sua associação com prevalência, conhecimento, tratamento e controle da hipertensão arterialComplaints referred by persons attended in urgency / emergency unit and its association with prevalence, knowledge, treatment and control of arterial hypertensioninfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis450616283036504198160060060027567532333369087145647390027954931658reponame:Repositório Institucional da UFGinstname:Universidade Federal de Goiás (UFG)instacron:UFGCC-LICENSElicense_urllicense_urltext/plain; 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dc.title.eng.fl_str_mv |
Queixas referidas por pessoas atendidas em unidade de urgência/emergência e sua associação com prevalência, conhecimento, tratamento e controle da hipertensão arterial |
dc.title.alternative.eng.fl_str_mv |
Complaints referred by persons attended in urgency / emergency unit and its association with prevalence, knowledge, treatment and control of arterial hypertension |
title |
Queixas referidas por pessoas atendidas em unidade de urgência/emergência e sua associação com prevalência, conhecimento, tratamento e controle da hipertensão arterial |
spellingShingle |
Queixas referidas por pessoas atendidas em unidade de urgência/emergência e sua associação com prevalência, conhecimento, tratamento e controle da hipertensão arterial Oliveira, Camila Ferreira de Hipertensão Pressão arterial Serviço de atendimento de emergências Sintomas Hypertension Arterial pressure Emergency medical services Symptoms ENFERMAGEM::ENFERMAGEM DE SAUDE PUBLICA |
title_short |
Queixas referidas por pessoas atendidas em unidade de urgência/emergência e sua associação com prevalência, conhecimento, tratamento e controle da hipertensão arterial |
title_full |
Queixas referidas por pessoas atendidas em unidade de urgência/emergência e sua associação com prevalência, conhecimento, tratamento e controle da hipertensão arterial |
title_fullStr |
Queixas referidas por pessoas atendidas em unidade de urgência/emergência e sua associação com prevalência, conhecimento, tratamento e controle da hipertensão arterial |
title_full_unstemmed |
Queixas referidas por pessoas atendidas em unidade de urgência/emergência e sua associação com prevalência, conhecimento, tratamento e controle da hipertensão arterial |
title_sort |
Queixas referidas por pessoas atendidas em unidade de urgência/emergência e sua associação com prevalência, conhecimento, tratamento e controle da hipertensão arterial |
author |
Oliveira, Camila Ferreira de |
author_facet |
Oliveira, Camila Ferreira de |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Sousa, Ana Luiza Lima |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/6578713509935374 |
dc.contributor.referee1.fl_str_mv |
Sousa, Ana Luiza Lima |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/6578713509935374 |
dc.contributor.referee2.fl_str_mv |
Vitorino, Priscila Valverde de Oliveira |
dc.contributor.referee3.fl_str_mv |
Brasil, Virgínia Visconde |
dc.contributor.referee4.fl_str_mv |
Prado, Marinésia Aparecida do |
dc.contributor.referee5.fl_str_mv |
Souza, Weimar Kunz Sebba Barros de |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/9939873831581170 |
dc.contributor.author.fl_str_mv |
Oliveira, Camila Ferreira de |
contributor_str_mv |
Sousa, Ana Luiza Lima Sousa, Ana Luiza Lima Vitorino, Priscila Valverde de Oliveira Brasil, Virgínia Visconde Prado, Marinésia Aparecida do Souza, Weimar Kunz Sebba Barros de |
dc.subject.por.fl_str_mv |
Hipertensão Pressão arterial Serviço de atendimento de emergências Sintomas |
topic |
Hipertensão Pressão arterial Serviço de atendimento de emergências Sintomas Hypertension Arterial pressure Emergency medical services Symptoms ENFERMAGEM::ENFERMAGEM DE SAUDE PUBLICA |
dc.subject.eng.fl_str_mv |
Hypertension Arterial pressure Emergency medical services Symptoms |
dc.subject.cnpq.fl_str_mv |
ENFERMAGEM::ENFERMAGEM DE SAUDE PUBLICA |
description |
INTRODUCTION: hypertensive patients associate symptoms to blood pressure numbers and that is what motivates them to search for emergency services. AIM: Analysing the association of the hypertensive patients’s complaints, the knowledge of previous diagnosis, its treatment and blood pressure control at 24 hours nonhospital public urgency services. METHODOLOGY: transversal study held at an emergency unit in a brazilian capital. Data collecte in 18 weeks, every single day and during all attendance shifts. Trauma and dengue cases, under 18 years old, mobile urgency services and those who didn’t go through risk classification were excluded. The blood pressure used for hypertensive patients identification was measured by the researcher. The hypertension prevalence was considered for every patient who presented blood pressure >=140/90mmHg or who mentioned anti-hypertensive medication regardless the blood pressure numbers; the knowledge was defined by the record of anti-hypertensive use; on the other hand, the control was considered the blood pressure numbers measured by the researcher (BP<140/90mmHg) according to those who used anti-hypertensive medication. The data related to referred complaints and patients severity were collected in the medical record and the anthropometric data related to life style were collecte straight from the patient and recorded in the study survey. The complaints were classified according to the Manchester system to group them and make statistical evaluations, also following the own study classification (type 1 and type 2); it was also analysed the time the patients complained about their blood pressure numbers. The severity was defined by the nurse on duty who followed the city prototocol (red = emergency, yellow = urgency, and green = no imminent risk of death). RESULTS: there was a higher proportion of females – 189 (62,0%), average age 39,4 (±15,7) years old, smoking rate - 35 (11,5%), alcoholism - 116 (38,0%), sedentarism - 247 (81,0%) and obesity - 56 (18,4%). Low severity cases - 257 (84,3%) were predominant; men - 24 (20,7%) and elderly people - 14 (37,8%) were classified in medium severity. The hypertension prevalence was 36,4%, the knowledge 62,2%, treatment 61,3% and the control rate over those who were under medical treatment was 47,1%. There were differences in those rates that women presented more knowledge (52; 72,0% - p=0,09) and treatment (50; 69,4% - p=0,016). The main hypertensive patients’s complaints were: abdominal pain, extremities problems, discomfort, falls and headaches. The hypertensive patients specially related their complaints to their blood pressure (43; 38,7% - p<0,001) and had classification of mediumseverity in a higher proportion (31; 27,9% - p<0,001). There was no relation among the complaints, knowledge, treatment and hypertension control on duty. CONCLUSIONS: The hypertension presented prevalence similar to general population; knowledge, treatment and control presented low rates. Hypertensive patients related their symptoms to their blood pressure and were classified with higher severity. The knowledge, treatment and hypertension control were not related to the blood pressure numbers. |
publishDate |
2017 |
dc.date.accessioned.fl_str_mv |
2017-05-11T12:03:17Z |
dc.date.issued.fl_str_mv |
2017-04-11 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
OLIVEIRA, C. F. Queixas referidas por pessoas atendidas em unidade de urgência/emergência e sua associação com prevalência, conhecimento, tratamento e controle da hipertensão arterial. 2017. 77 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2017. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/7311 |
dc.identifier.dark.fl_str_mv |
ark:/38995/001300000dn1d |
identifier_str_mv |
OLIVEIRA, C. F. Queixas referidas por pessoas atendidas em unidade de urgência/emergência e sua associação com prevalência, conhecimento, tratamento e controle da hipertensão arterial. 2017. 77 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2017. ark:/38995/001300000dn1d |
url |
http://repositorio.bc.ufg.br/tede/handle/tede/7311 |
dc.language.iso.fl_str_mv |
por |
language |
por |
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4506162830365041981 |
dc.relation.confidence.fl_str_mv |
600 600 600 |
dc.relation.department.fl_str_mv |
2756753233336908714 |
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5647390027954931658 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.publisher.program.fl_str_mv |
Programa de Pós-graduação em Enfermagem (FEN) |
dc.publisher.initials.fl_str_mv |
UFG |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Faculdade de Enfermagem - FEN (RG) |
publisher.none.fl_str_mv |
Universidade Federal de Goiás |
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reponame:Repositório Institucional da UFG instname:Universidade Federal de Goiás (UFG) instacron:UFG |
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Universidade Federal de Goiás (UFG) |
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UFG |
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UFG |
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Repositório Institucional da UFG |
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Repositório Institucional da UFG |
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