Mortalidade dos hipertensos vinculados à estratégia saúde da família em João Pessoa: um estudo de coorte
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da UFPB |
Texto Completo: | https://repositorio.ufpb.br/jspui/handle/123456789/16841 |
Resumo: | The cohort of hypertensive adults enrolled in Basic Care in the city of João Pessoa, started in 2009 with waves in 2010, 2011 and 2016 is the only active cohort in Brazil. Considering the importance of assessing the satisfaction and follow up of users with the services provided by Primary Care for the evaluation of health programs, this study had, as main objective, to analyze the characteristics of the hypertensives enrolled in Primary Care who died during the period of the study of the a cohort of hypertensive adults in the city of João Pessoa-PB, from 2009 to 2016. This is a retrospective cohort based on an initial sample of 343 hypertensive patients enrolled in Hiperdia, culminating in 2016, with 34 deaths. The verbal autopsy questionnaire was applied to the relatives of the deceased hypertensives. Imputation of the missing data on the characteristics of hypertensive individuals was performed by the Hot Deck method and the final sample was validated using the Bootstrap resampling method. In order to evaluate the degree of satisfaction and the follow-up of hypertensive patients alive and deceased during the cohort period, a questionnaire validated since the first wave was used. In the sample of hypertensive women in the sample in 2016, both the living and the deceased preponderated the female gender, aged equal to or above 60 years, brown, with less than nine years of study, who lived with someone, had an income higher than a minimum wage and were considered economically non-active. There was no significant difference between the means of arterial pressures between the living and deceased groups, both with high blood pressure levels. The groups were considered mostly unaccompanied, and there was no significant difference (5%) between the type of follow-up and the pressure control. There was a significant difference (5%) between the satisfaction scores between the groups, of which the living were less satisfied than the deceased. These had more associated diseases. Through the verbal autopsy, it was observed that, from the perspective of the caregivers, the assistance to the hypertensive patient proved to be inadequate in several levels of attention regarding the process of the disease until its outcome culminated with the death. It was concluded that, in addition to the significant loss of follow-up of hypertensive cohorts, in the Primary Care of the Ministry of Health, the care with the hypertensive in the county of João Pessoa, were insufficient with an inadequate adherence to the treatment, presenting risk factors such as associated diseases and complications related to hypertension, which may have triggered early deaths. |
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Mortalidade dos hipertensos vinculados à estratégia saúde da família em João Pessoa: um estudo de coorteHipertensão arterialAtenção primaria à saúdeMortalidadeÓbitoServiços de saúdeHypertensionPrimary health careMortalityDeathHealth servicesHipertensãoControle da pressão arterialHipertensos – ÓbitosCNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVAThe cohort of hypertensive adults enrolled in Basic Care in the city of João Pessoa, started in 2009 with waves in 2010, 2011 and 2016 is the only active cohort in Brazil. Considering the importance of assessing the satisfaction and follow up of users with the services provided by Primary Care for the evaluation of health programs, this study had, as main objective, to analyze the characteristics of the hypertensives enrolled in Primary Care who died during the period of the study of the a cohort of hypertensive adults in the city of João Pessoa-PB, from 2009 to 2016. This is a retrospective cohort based on an initial sample of 343 hypertensive patients enrolled in Hiperdia, culminating in 2016, with 34 deaths. The verbal autopsy questionnaire was applied to the relatives of the deceased hypertensives. Imputation of the missing data on the characteristics of hypertensive individuals was performed by the Hot Deck method and the final sample was validated using the Bootstrap resampling method. In order to evaluate the degree of satisfaction and the follow-up of hypertensive patients alive and deceased during the cohort period, a questionnaire validated since the first wave was used. In the sample of hypertensive women in the sample in 2016, both the living and the deceased preponderated the female gender, aged equal to or above 60 years, brown, with less than nine years of study, who lived with someone, had an income higher than a minimum wage and were considered economically non-active. There was no significant difference between the means of arterial pressures between the living and deceased groups, both with high blood pressure levels. The groups were considered mostly unaccompanied, and there was no significant difference (5%) between the type of follow-up and the pressure control. There was a significant difference (5%) between the satisfaction scores between the groups, of which the living were less satisfied than the deceased. These had more associated diseases. Through the verbal autopsy, it was observed that, from the perspective of the caregivers, the assistance to the hypertensive patient proved to be inadequate in several levels of attention regarding the process of the disease until its outcome culminated with the death. It was concluded that, in addition to the significant loss of follow-up of hypertensive cohorts, in the Primary Care of the Ministry of Health, the care with the hypertensive in the county of João Pessoa, were insufficient with an inadequate adherence to the treatment, presenting risk factors such as associated diseases and complications related to hypertension, which may have triggered early deaths.NenhumaA coorte de hipertensos adultos cadastrados na Atenção Básica do município de João Pessoa, iniciada em 2009 com ondas em 2010, 2011 e 2016 é a única ativa no Brasil. Considerando a importância das avaliações da satisfação e do acompanhamento dos usuários com os serviços prestados pela Atenção Básica para a avaliação dos programas de saúde, este estudo teve como principal objetivo analisar as características dos hipertensos cadastrados na Atenção Básica que faleceram durante o período do estudo da coorte de hipertensos adultos do município de João PessoaPB, de 2009 a 2016. Trata-se de uma coorte do tipo retrospectiva com base em uma amostra inicial de 343 hipertensos cadastrados no Hiperdia, culminando em 2016, com 34 óbitos. Foi aplicado o questionário de Autópsia Verbal com os familiares dos hipertensos falecidos. A imputação dos dados faltantes sobre as características dos hipertensos foi realizada pelo método Hot Deck e a amostra final foi validada através do método de reamostragem Bootstrap. Para avaliar o grau de satisfação e o acompanhamento dos usuários hipertensos vivos e falecidos no período da coorte foi utilizado um questionário próprio já validado desde a primeira onda. No perfil dos hipertensos da amostra em 2016, tanto entre os Vivos como os Falecidos, preponderou o sexo feminino, com idade igual ou acima de 60 anos, cor parda, com menos de nove anos de estudo, que conviviam com alguém, possuíam uma renda familiar maior que um salário mínimo e foram consideradas economicamente não ativas. Não houve diferença significativa entre as médias das pressões arteriais entre os grupos de vivos e de falecidos, estando ambos com níveis pressóricos elevados. Os grupos foram considerados em sua maioria como não acompanhados, não havendo diferença significativa (5%) entre o tipo de acompanhamento e o controle pressórico. Houve diferença significativa (5%) entre os escores de satisfação entre os grupos, dos quais, os Vivos se mostraram menos satisfeitos do que os Falecidos. Estes apresentaram mais doenças associadas. Por meio da autopsia verbal observou-se que, na perspectiva dos cuidadores, a assistência ao hipertenso mostrou-se não adequada em vários níveis de atenção quanto ao processo da doença até seu desfecho culminado com o óbito. Concluiu-se que, ademais das importantes perdas de seguimento dos hipertensos da coorte, na Atenção Básica do Ministério da Saúde, os cuidados com o hipertenso no município de João Pessoa, revelaram-se insuficientes com uma adesão inadequada ao tratamento, apresentando fatores de risco como doenças associadas e complicações relacionadas com a hipertensão, o que pode ter desencadeado óbitos precoces.Universidade Federal da ParaíbaBrasilCiências Exatas e da SaúdePrograma de Pós-Graduação em Modelos de Decisão e SaúdeUFPBPaes, Neir Antuneshttp://lattes.cnpq.br/0616539963047807Ribeiro, Kátia Suely Queiroz Silvahttp://lattes.cnpq.br/7564660473747042Silva, Clarice César Marinho2020-02-18T14:17:11Z2019-04-102020-02-18T14:17:11Z2019-02-21info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesishttps://repositorio.ufpb.br/jspui/handle/123456789/16841porAttribution-NoDerivs 3.0 Brazilhttp://creativecommons.org/licenses/by-nd/3.0/br/info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UFPBinstname:Universidade Federal da Paraíba (UFPB)instacron:UFPB2020-02-19T06:11:41Zoai:repositorio.ufpb.br:123456789/16841Biblioteca Digital de Teses e Dissertaçõeshttps://repositorio.ufpb.br/PUBhttp://tede.biblioteca.ufpb.br:8080/oai/requestdiretoria@ufpb.br|| diretoria@ufpb.bropendoar:2020-02-19T06:11:41Biblioteca Digital de Teses e Dissertações da UFPB - Universidade Federal da Paraíba (UFPB)false |
dc.title.none.fl_str_mv |
Mortalidade dos hipertensos vinculados à estratégia saúde da família em João Pessoa: um estudo de coorte |
title |
Mortalidade dos hipertensos vinculados à estratégia saúde da família em João Pessoa: um estudo de coorte |
spellingShingle |
Mortalidade dos hipertensos vinculados à estratégia saúde da família em João Pessoa: um estudo de coorte Silva, Clarice César Marinho Hipertensão arterial Atenção primaria à saúde Mortalidade Óbito Serviços de saúde Hypertension Primary health care Mortality Death Health services Hipertensão Controle da pressão arterial Hipertensos – Óbitos CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA |
title_short |
Mortalidade dos hipertensos vinculados à estratégia saúde da família em João Pessoa: um estudo de coorte |
title_full |
Mortalidade dos hipertensos vinculados à estratégia saúde da família em João Pessoa: um estudo de coorte |
title_fullStr |
Mortalidade dos hipertensos vinculados à estratégia saúde da família em João Pessoa: um estudo de coorte |
title_full_unstemmed |
Mortalidade dos hipertensos vinculados à estratégia saúde da família em João Pessoa: um estudo de coorte |
title_sort |
Mortalidade dos hipertensos vinculados à estratégia saúde da família em João Pessoa: um estudo de coorte |
author |
Silva, Clarice César Marinho |
author_facet |
Silva, Clarice César Marinho |
author_role |
author |
dc.contributor.none.fl_str_mv |
Paes, Neir Antunes http://lattes.cnpq.br/0616539963047807 Ribeiro, Kátia Suely Queiroz Silva http://lattes.cnpq.br/7564660473747042 |
dc.contributor.author.fl_str_mv |
Silva, Clarice César Marinho |
dc.subject.por.fl_str_mv |
Hipertensão arterial Atenção primaria à saúde Mortalidade Óbito Serviços de saúde Hypertension Primary health care Mortality Death Health services Hipertensão Controle da pressão arterial Hipertensos – Óbitos CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA |
topic |
Hipertensão arterial Atenção primaria à saúde Mortalidade Óbito Serviços de saúde Hypertension Primary health care Mortality Death Health services Hipertensão Controle da pressão arterial Hipertensos – Óbitos CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA |
description |
The cohort of hypertensive adults enrolled in Basic Care in the city of João Pessoa, started in 2009 with waves in 2010, 2011 and 2016 is the only active cohort in Brazil. Considering the importance of assessing the satisfaction and follow up of users with the services provided by Primary Care for the evaluation of health programs, this study had, as main objective, to analyze the characteristics of the hypertensives enrolled in Primary Care who died during the period of the study of the a cohort of hypertensive adults in the city of João Pessoa-PB, from 2009 to 2016. This is a retrospective cohort based on an initial sample of 343 hypertensive patients enrolled in Hiperdia, culminating in 2016, with 34 deaths. The verbal autopsy questionnaire was applied to the relatives of the deceased hypertensives. Imputation of the missing data on the characteristics of hypertensive individuals was performed by the Hot Deck method and the final sample was validated using the Bootstrap resampling method. In order to evaluate the degree of satisfaction and the follow-up of hypertensive patients alive and deceased during the cohort period, a questionnaire validated since the first wave was used. In the sample of hypertensive women in the sample in 2016, both the living and the deceased preponderated the female gender, aged equal to or above 60 years, brown, with less than nine years of study, who lived with someone, had an income higher than a minimum wage and were considered economically non-active. There was no significant difference between the means of arterial pressures between the living and deceased groups, both with high blood pressure levels. The groups were considered mostly unaccompanied, and there was no significant difference (5%) between the type of follow-up and the pressure control. There was a significant difference (5%) between the satisfaction scores between the groups, of which the living were less satisfied than the deceased. These had more associated diseases. Through the verbal autopsy, it was observed that, from the perspective of the caregivers, the assistance to the hypertensive patient proved to be inadequate in several levels of attention regarding the process of the disease until its outcome culminated with the death. It was concluded that, in addition to the significant loss of follow-up of hypertensive cohorts, in the Primary Care of the Ministry of Health, the care with the hypertensive in the county of João Pessoa, were insufficient with an inadequate adherence to the treatment, presenting risk factors such as associated diseases and complications related to hypertension, which may have triggered early deaths. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-04-10 2019-02-21 2020-02-18T14:17:11Z 2020-02-18T14:17:11Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
format |
doctoralThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://repositorio.ufpb.br/jspui/handle/123456789/16841 |
url |
https://repositorio.ufpb.br/jspui/handle/123456789/16841 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
Attribution-NoDerivs 3.0 Brazil http://creativecommons.org/licenses/by-nd/3.0/br/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Attribution-NoDerivs 3.0 Brazil http://creativecommons.org/licenses/by-nd/3.0/br/ |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Universidade Federal da Paraíba Brasil Ciências Exatas e da Saúde Programa de Pós-Graduação em Modelos de Decisão e Saúde UFPB |
publisher.none.fl_str_mv |
Universidade Federal da Paraíba Brasil Ciências Exatas e da Saúde Programa de Pós-Graduação em Modelos de Decisão e Saúde UFPB |
dc.source.none.fl_str_mv |
reponame:Biblioteca Digital de Teses e Dissertações da UFPB instname:Universidade Federal da Paraíba (UFPB) instacron:UFPB |
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Universidade Federal da Paraíba (UFPB) |
instacron_str |
UFPB |
institution |
UFPB |
reponame_str |
Biblioteca Digital de Teses e Dissertações da UFPB |
collection |
Biblioteca Digital de Teses e Dissertações da UFPB |
repository.name.fl_str_mv |
Biblioteca Digital de Teses e Dissertações da UFPB - Universidade Federal da Paraíba (UFPB) |
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diretoria@ufpb.br|| diretoria@ufpb.br |
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1801842956755271680 |