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Blood Pressure Elevation in Patients Assisted in an Emergency Unit: cross-sectional study

Alan José Sena, Jucyelle Franciane Brasileiro Gugick, Cremilde Aparecida Trindade Radovanovic, Mayckel da Silva Barreto

Abstract


Aims: To characterize hypertensive patients seen in an emergency unit for high blood pressure and to identify factors associated with the occurrence of moderate or severe hypertension. Method: This is a descriptive cross-sectional study conducted with 80 individuals. Data were collected in November 2013 by means of interviews with the application of a semi-structured questionnaire. Results: The following results were associated with moderate or severe hypertension: failure to attend the hypertensive group activities, alcohol consumption, lack of leisure activities and excessive salt consumption. Discussion: When nurses are able to recognize the factors that can influence uncontrolled blood pressure, they can more effectively stimulate the systematic outpatient care for hypertensive patients and the change in these patients’ lifestyle. Conclusion: Life habits associated with moderate or severe hypertension are modifiable according to the implementation of health education for professionals and self-care understanding by the users considered hypertensive.


Keywords


Blood Pressure; Emergency Unit; Modifiable Lifestyle Habits; Adherence to Treatment

References


Sociedade Brasileira de Cardiologia/Sociedade Brasileira de Hipertensão/Sociedade Brasileira de Nefrologia. VI Diretrizes Brasileiras de Hipertensão. Arq Bras Cardio. 2010; 95(supl 1):1-51.

Freitas LC, Rodrigues GM, Araújo FC, Falcon EBS, Xavier NF, Lemos ELC, et al. Perfil dos hipertensos da Unidade de Saúde da Família Cidade Nova 8, município de Ananindeua-PA. Rev Bras Med Fam Comunidade. 2012; 7(22):13-9.

Girotto E, Andrade SM, Cabrera MAS, Matsuo T. Adesão ao tratamento farmacológico e não farmacológico e fatores associados na atenção primária da hipertensão arterial. Cienc Saude Colet. 2013; 18(6):1763-72.

García GM, Miúdo V, Alves CG, Lopes M, Gomes JV. Characterization of patients aged 45 or under admitted with hypertensive emergencies in the Hospital do Prenda. Rev Port Cardiol. 2014;33(1):15-21.

Pereira SE, Aguiar RS, Vian VH, Cunha EM, Silva DA, Teixeira MA. Análise crítica do atendimento da crise hipertensiva em Unidade de Pronto Atendimento de Itaperuna – Rio de Janeiro. Rev Bras Med. 2012; 69(5):139-44.

Barreto MS, Marcon SS. Hospitalization due to complications of arterial hypertension in primary care patients. Acta Paul Enferm. 2013; 26(4):313-7.

Drevenhorn E, Bengtson A, Nilsson PM, Nyberg P, Kjellgren KI. Consultation training of nurses for cardiovascular prevention – a randomized study of 2 years duration. Blood Press. 2012; 21(5):293-9.

Massa KHC, Guimarães VV, César CLG, Barros MBA, Carandina L, Goldbaum M, et al. Prática de atividade física em quatro domínios em idosos com hipertensão arterial referida no Município de São Paulo: estudo de base populacional. Rev Bras Ativ Fis Saude. 2012; 17(1):7-13.

Reiners AAO, Seabra FMF, Azevedo RCS, Sudré MRS, Duarte SJH. Adesão ao tratamento de hipertensos da Atenção Básica. Cienc Cuid Saude. 2012; 11(3):581-7.

Pierin AMG, Marroni SN, Taveira LAF, Benseñor IJM. Controle da hipertensão arterial e fatores associados na atenção primária em Unidades Básicas de Saúde localizadas na Região Oeste da cidade de São Paulo. Cienc Saude Colet. 2011; 16(Supl 1):1389-400.

Damasceno CA, Queiroz TL, Santos CAST, Mussi FC. Fatores associados à decisão para procura de serviço de saúde no infarto do miocárdio: diferenças entre gêneros. Rev Esc Enferm USP. 2012;46(6):1362-70.

Gupta R, Pandey RM, Misra A, Dey S, Rao S, Menon VU, et al. High prevalence and low awareness, treatment and control of hypertension in Asian Indian women. J Hum Hypertens. 2012; 26(10):585-93.

Souza ACC, Moreira TMM, Borges JWP, Andrade AM, Andrade MM, Almeida PC. Caracterização clínico-epidemiológica da clientela com crise hipertensiva atendida em um serviço de emergência de um hospital municipal de Fortaleza-CE. REME Rev Min Enferm. 2009; 13(1):13-18.

Oliveira TL, Miranda LP, Fernandes PS, Caldeira AP. Effectiveness of education in health in the non-medication treatment of arterial hypertension. Acta Paul Enferm. 2013; 26(2):179-84.

Baldissera VDA, Carvalho MDB, Pelloso SM. Adesão ao tratamento não-farmacológico entre hipertensos de um centro de saúde escola. Rev Gauch Enferm. 2009; 30(1):27-32.

Gitt AK, Schieder RE, Duetting E, Bramlage P, Schneider S, Tschope D. Achievement of recommended glucose and blood pressure targets in patients with type 2 diabetes and hypertension in clinical practice – study rationale and protocol protocol of dialogue. Cardiovasc Diabetol. 2012; 11(148).

Moura DJM, Bezerra STF, Moreira TMM, Fialho AVM. Cuidado de enfermagem ao cliente com hipertensão: uma revisão bibliográfica. Rev Bras Enferm. 2011; 64(4):759-65.

Santana JS, Soares MJGO, Nóbrega MML. Instrument for visiting in nursing to hypertensive patients in family: a methodological study. Online Braz J Nurs (Online) [internet]. 2011 5 Sep [Cited 2013 Dec 2] 10(3) Available from: http://www.objnursing.uff.br/index.php/nursing/article/view/3481/1098

Holt EW, Muntner P, Joyce C, Morisky DE, Webber LS, Krousel-Wood M. Life events, coping, and antihypertensive medication adherence amomg older adulds: the cohort study of medication adherence among older adults. Am J Epidemiol. 2012; 176(Suppl 7):64-71.

Vernay M, Aidara M, Salanave B, Deschamps V, Malon A, Oleko A, et al. Diet and blood pressure in 18-74 year-old adulsts: the Franch Nutrition and Health Survey (ENNS, 2006-2007). J Hypertens. 2012; 30(10): 1920-7.




DOI: https://doi.org/10.5935/1676-4285.20144627



 

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