-Characteristics of diagnosis, treatment and knowledge about hypertension in complicated and uncomplicated hypertensive groups

-Characteristics of diagnosis, treatment and knowledge about hypertension in complicated and uncomplicated hypertensive groups

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BACKGROUND: Complicated hypertension can be influenced by the characteristics of hypertensive patients.OBJECTIVE: To associate the condition of complicated hypertension with biosocial variables such as attitudes and beliefs about the disease and treatment and subjective well-being.METHODS: We studied 251 uncomplicated hypertensive patients (SBP > 1...

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... relation to awareness about the disease, the complicated group had little knowledge, believing that the treatment cannot prevent kidney problems and that young people do not have high blood pressure (Table 4). ...

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... 11---13 In Colombia, recently we reported that lower awareness, treatment and control of hypertension is observed between men younger than 50 years old, with low level of education, low income and living on rural areas. 14 Different reason has been proposed to explain the effects of SES on blood pressure (BP) such as level of education, 15 stress, 16 less quality of life, 17 working conditions, 18 healthcare and medicine access. 14 The Cardiovascular Risk Factor Multiple Evaluation in Latin America study (CARMELA) conducted in seven capital cities reported that 24.3---46.9% of patients were unaware of their hypertensive condition, more than half of those with hypertension were untreated, and only 12.0% were controlled, findings associated with the poor communication between health staff and the community. ...
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Hypertension is a major risk factor for cardiovascular disease. Its prevalence is increasing worldwide, and is more common in low and middle-income countries. The effectiveness of hypertension treatment is determined by health cost, awareness, and patients' compliance with the treatment. People worldwide with an adequate control of hypertension correspond to a very small percentage in low and medium income countries as the Latin America ones. Between the causes to explain these are the low availability, affordability and adherence to treatment with multiple pills. It has been proposed that fixed dose combination therapy could improve the availability, affordability, adherence and control of hypertension. This article aims to review the evidence, showing that fixed dose combination can improve adherence, decrease health cost and improve control of hypertension. Improvement in hypertension control with fixed dose combination could make an important contribution to efforts to fight against the global cardiovascular morbidity and mortality.
... Among hypertensives in the Family Health Program [17][18][19] , the arterial hypertension control rates ranged from 20.0% to 30.7%, and among those being followed up in basic health units, from 30.0% to 53.9% [19][20][21] . Arterial hypertension control among hypertensives in secondary health care was assessed in 24.4% of the studies, ten being performed at hypertension outpatient clinics [22][23][24][25][26][27][28][29][30][31] and one at an internal medicine outpatient clinic 32 . The lowest control rate was identified in the city of Peruíbe, São Paulo state; however, when blood pressure was assessed by use of home measurement, a significant increase in control was observed (9.9% versus 23.9%) 30 . ...
... Most of the population-based studies presented in this review assessed arterial hypertension prevalence and treatment, as well as the knowledge about the disease, in the populations studied [4][5][6][7][8][9][10][11][12][13][14][15][16] . Other studies have assessed relevant subjects, such as biosocial aspects influencing compliance with antihypertensive treatment, knowledge and beliefs about the disease 19,22,[24][25][26][27]29 , and health care practices 14,17,20,21,34 . However, extending the knowledge about arterial hypertension control in Brazil, as well as about its determinant factors, is necessary to improve and assess the health care measures proposed by the Brazilian Unified Health Care System. ...
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Hypertension is a major public health problem due to its high prevalence and cardiovascular complications. Its treatment is aimed at reducing cardiovascular morbidity and mortality, its goal being to maintain blood pressure levels below 140/90 mm Hg. Hypertension control in Brazil is low, and nationwide rates are unknown. The objective of this review was to provide an overview on hypertension control in Brazil from publications in a database. We identified 45 publications. In population-based studies, the highest control rate (57.6%) was reported in a multicenter study in 100 municipalities and the city of São José do Rio Preto, São Paulo state (52.4%), while the lowest rates (around 10%) were identified in microregions of the Rio Grande do Sul state and in the city of Tubarão, Santa Catarina state. In conclusion, the studies assessed showed a wide variation in hypertension control rates. It is worth noting that the comparison between studies was a major limiting factor, because of the different methods used.
... The prevalence of hypertension can also be influenced by ethnicity, although the present study showed that the white color predominated in the inner São Paulo state. Studies carried out in Brazil 23,24 have shown that, usually, non-white are more commonly hypertensive than white individuals. A study with North-American Adventists 25 has found that 33.6% of black individuals are hypertensive, while the prevalence of hypertension in white individuals was 25.4% (p < 0.05). ...
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Inadequate life habits are known to favor hypertension, and Adventists recommend healthy life habits. To assess the prevalence of hypertension among Seventh-Day Adventists from the inner São Paulo state and São Paulo state capital. This study assessed 264 Adventists (mean age, 41.17 ± 15.27 years; women, 59.8%) with a high religiosity level assessed by use of the Duke University Religion Index. Blood pressure was measured with a validated automatic device. The significance level adopted was p < 0.05. The total prevalence of hypertension was 22.7% (27.4% in the inner state and 15% in the capital). The Adventists from the capital differed from those of inner state as follows (p < 0.05), respectively: higher education (62% vs 36.6%); employed by a third party (44%) vs self-employed (40.9%); family income (8.39 ± 6.20 vs 4.59 ± 4.75 minimum wages); individual income (4.54 ± 5.34 vs 6.35 ± 48; couple responsible for family income (35% vs 39.6%); vegetarianism (11% vs 3%); blood pressure (115.38 ± 16.52/68.74 ± 8.94 vs 123.66 ± 19.62/74.88 ± 11.85 mmHg); white ethnicity (65% vs 81.1%); married (53% vs 68.9%); lower tangible support in the social aspect (15.7 ± 5.41 vs 16.9 ± 4.32); and recalling the last time one's blood pressure was measured (65% vs 48.8%). On multivariate analysis, hypertension associated with the following: 1) vegetarianism (OR 0.051; 95% CI: 0.004-0.681); 2) educational level (OR 5.317; 95% CI: 1.674-16.893); 3) recalling the last time one's blood pressure was measured (OR 2.725; 95% CI: 1.275-5.821); 4) being retired (OR 8.846; 95% CI: 1.406-55.668); and 5) being responsible for family income (OR 0.422; 95% CI: 0.189-0.942). The prevalence of hypertension among Adventists was lower as compared with that reported in Brazilian studies, and it was lower in the São Paulo state capital as compared with that in the inner São Paulo state, possibly because of the better socioeconomic conditions and life habits of the former.
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Objetivou-se identificar as necessidades de aprendizado em saude de pacientes hipertensos e diabeticos hospitalizados. Estudo descritivo, realizado com 10 pacientes internados em um hospital publico da cidade de Fortaleza-CE, nos meses de setembro a dezembro de 2011, por meio de entrevista semiestruturada e observacao de campo. Os pacientes possuiam elevado grau de dependencia e incapacidades graves, alem de deficit de conhecimento relacionado as patologias, levando a falta de adesao ao tratamento. O acidente vascular cerebral foi a principal complicacao clinica. A terapeutica nao medicamentosa foi citada como importante, contudo a medicamentosa melhor simboliza o autocuidado para os pacientes. Concluiu-se que o enfermeiro deve implementar educacao em saude no plano de cuidados a essa clientela. ABSTRACT This descriptive study to identify health education needs among diabetic and hypertensive hospital inpatients was conducted from September to December 2011 through semi-structured interviews and field observation of 10 inpatients at a public hospital in Fortaleza. The patients were highly dependent and severely disabled, besides lacking knowledge about their pathologies, leading to failure to adhere to treatment. Strokes were the main clinical complication. Non-drug therapy was cited as important, although drug treatment symbolizes the patients’ self-care better. It was concluded that nurses should perform health education in the care plan for this clientele. RESUMEN El objetivo fue identificar las necesidades de aprendizaje en salud de los pacientes diabeticos e hipertensos hospitalizados. Estudio descriptivo, realizado con 10 pacientes internados en hospital publico de Fortaleza – CE - Brasil, en los meses de septiembre a diciembre de 2011, por medio de entrevistas semiestructuradas y observacion de campo. Los pacientes mostraron alto grado de dependencia y discapacidad severa, y deficit de conocimiento relacionado a las enfermedades, llevando a la falta de adherencia al tratamiento. El accidente cerebrovascular fue la complicacion clinica principal. La terapia no farmacologica es importante, sin embargo, el autocuidado para los pacientes es el mejor farmaco. Se concluye que los enfermeros deben poner en su plan de atencion educacion en salud para esa clientela. DOI: http://dx.doi.org/10.12957/reuerj.2015.15579