Contribuição da família e da comunidade na assistência à mulher hipertensa na estratégia saúde da família: a perspectiva da usuária.

• Autor(a) principal: Araújo, Juliana Sousa Soares de
• Data de Publicação: 2011
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UFPB
• Texto Completo: https://repositorio.ufpb.br/jspui/handle/tede/6522
• topic: Saúde da Família; Hipertensão; Comunidade; Mulheres; Family Health; Hypertension; Community; Women; CIENCIAS DA SAUDE::SAUDE COLETIVA

Currently, the conditions of chronic diseases account for 60% of the total onus resulted from morbid processes in the world. Chronicity has been increasing so steeply that, according to the WHO, in 2020, 80% of the disease load in developing countries will be due to chronic problems, such as Systemic Arterial Hypertension (SAH). In this context, the importance and relevance of this study come from the fact that hypertension has limited a large contingent of people s lives, and also because it has been presented a significant quantity of elements that contribute to hamper women s living processes in the city of Joao Pessoa, in the Paraiba state and over the country. This is a crosssectional population-based study undertaken in the city of Joao Pessoa. The instrument developed was based on the Primary Care Assessment Tool (PCAT) and validated to assess the critical aspects of Primary Health Care in industrialized countries. Were used the dimensions "Focus on the Family" and "Guidance for Community , consisting of three questions each. The 343 hypertensive patients were selected in a randomized and representative way from the city of Joao Pessoa, between November 2009 and March 2010, at 36 Health Family Units, located in five different sanitary districts. Cronbach alpha coefficient has revealed a high reliability of the scale, reaching a value of 0.8 for both dimensions considered. Kaiser-Meyer-Olkin measure has resulted in a value above 0.7 for the two dimensions (0.86 and 0.71), what demonstrates good sampling adequacy. The sphericity Bartlett test has rejected the nullity hypothesis (the matrix of correlations among the original variables is the identity matrix), resulting significance p=0.000<0.05 in each dimension. The results of this study have revealed that women constitute the majority among the population affected by SAH and that the professionals of the 3rd sanitary district have been establishing a better relationship with users. Such users have also reported that doctors quite often know their families and would be able to speak with them about health conditions, if necessary. In this sense, managers and professionals could have subsidies that would help those taking decisions in order to verify, for instance, the work process organization; the team of the service offered directly by the Hyperday program for those women; and the promotion of specific training or other actions that could positively contribute to distinguish one sanitary district from others. Those results would help identifying the "best practices" to be adopted by other units.