Elaine dos Santos Jesus

Profile of hypertensive patients: biosocial characteristics, knowledge, and treatment compliance

OBJECTIVE: To characterize a group of hypertensive patients in relation to beliefs, knowledge, attitudes and factors that could affect treatment compliance. METHODS: The data were collected by interviewing hypertensive outpatients. RESULTS: A total of 511 hypertensive patients were studied: most were women, white, with elementary education, and 53±11 years old. The patients had high levels of knowledge about hypertension and treatments. However, they interrupted the treatment due to the expensive medicines and the lack of instructions. Furthermore, they believed they had to take medicines only when they felt unwell, and they did not attend their medical appointment usually due to forgetfulness and personal problems. Regarding the attitudes against the antihypertensive treatment, hypertensive patients forgot to take the medicines, took the medication at different hours, stopped taking the medication on their own account, did not follow instructions, and did not exercise regularly. CONCLUSION: The profile of the hypertensive patients identified aspects that can hamper treatment compliance.Objective: To characterize a group of hypertensive patients in relation to beliefs, knowledge, attitudes and factors that could affect treatment compliance. Methods: The data were collected by interviewing hypertensive outpatients. Results: A total of 511 hypertensive patients were studied: most were women, white, with elementary education, and 53±11 years old. The patients had high levels of knowledge about hypertension and treatments. However, they interrupted the treatment due to the expensive medicines and the lack of instructions. Furthermore, they believed they had to take medicines only when they felt unwell, and they did not attend their medical appointment usually due to forgetfulness and personal problems. Regarding the attitudes against the antihypertensive treatment, hypertensive patients forgot to take the medicines, took the medication at different hours, stopped taking the medication on their own account, did not follow instructions, and did not exercise regularly. Conclusion: The profile of the hypertensive patients identified aspects that can hamper treatment compliance.

Perfil de um grupo de hipertensos: aspectos biossociais, conhecimentos e adesão ao tratamento

OBJECTIVE: To characterize a group of hypertensive patients in relation to beliefs, knowledge, attitudes and factors that could affect treatment compliance. METHODS: The data were collected by interviewing hypertensive outpatients. RESULTS: A total of 511 hypertensive patients were studied: most were women, white, with elementary education, and 53±11 years old. The patients had high levels of knowledge about hypertension and treatments. However, they interrupted the treatment due to the expensive medicines and the lack of instructions. Furthermore, they believed they had to take medicines only when they felt unwell, and they did not attend their medical appointment usually due to forgetfulness and personal problems. Regarding the attitudes against the antihypertensive treatment, hypertensive patients forgot to take the medicines, took the medication at different hours, stopped taking the medication on their own account, did not follow instructions, and did not exercise regularly. CONCLUSION: The profile of the hypertensive patients identified aspects that can hamper treatment compliance.Objective: To characterize a group of hypertensive patients in relation to beliefs, knowledge, attitudes and factors that could affect treatment compliance. Methods: The data were collected by interviewing hypertensive outpatients. Results: A total of 511 hypertensive patients were studied: most were women, white, with elementary education, and 53±11 years old. The patients had high levels of knowledge about hypertension and treatments. However, they interrupted the treatment due to the expensive medicines and the lack of instructions. Furthermore, they believed they had to take medicines only when they felt unwell, and they did not attend their medical appointment usually due to forgetfulness and personal problems. Regarding the attitudes against the antihypertensive treatment, hypertensive patients forgot to take the medicines, took the medication at different hours, stopped taking the medication on their own account, did not follow instructions, and did not exercise regularly. Conclusion: The profile of the hypertensive patients identified aspects that can hamper treatment compliance.

Influência do conhecimento sobre o estilo de vida saudável no controle de pessoas hipertensas

Objective: Characterize lifestyle parameters and learn about them, associating the variables with the control of hypertension in people attending outpatient unit. Method: Is a descriptive study using interviews and measuring: blood pressure, weight, height and waist circumference, of 511 people with hypertension, being controlled in an outpatient unit. Results: The Body Mass Index was at the upper limit of overweight (29.04 ± 4.35 kg/m2); 32.9% of men and 74.1% of women had waist over 102 cm and 88 cm, respectively; arterial pressure was greater than the limit that characterizes hypertension (151.3 ± 20.5 / 91.8 ± 15.5 mmHg); 44% reported smoking or former smoking; 59% did not practice regularly physical activity, and 24% reported intake of alcohol or interruption - in these respondents the daily amount of ethanol was excessive (71.4 ± 83.2 g). Only 22% of hypertensive were controlled and those who knew that the treatment includes weight reduction were more controlled (p <0.05, 24% vs. 9%). Conclusion: The knowledge about lifestyle can influence the control of hypertensive individualsObjective: Characterize lifestyle parameters and learn about them, associating the variables with the control of hypertension in people attending outpatient unit. Method: Is a descriptive study using interviews and measuring: blood pressure, weight, height and waist circumference, of 511 people with hypertension, being controlled in an outpatient unit. Results: The Body Mass Index was at the upper limit of overweight (29.04 ± 4.35 kg/m2); 32.9% of men and 74.1% of women had waist over 102 cm and 88 cm, respectively; arterial pressure was greater than the limit that characterizes hypertension (151.3 ± 20.5 / 91.8 ± 15.5 mmHg); 44% reported smoking or former smoking; 59% did not practice regularly physical activity, and 24% reported intake of alcohol or interruption in these respondents the daily amount of ethanol was excessive (71.4 ± 83.2 g). Only 22% of hypertensive were controlled and those who knew that the treatment includes weight reduction were more controlled (p <0.05, 24% vs. 9%). Conclusion: The knowledge about lifestyle can influence the control of hypertensive individuals

Influence of knowledge on healthy lifestyle in the control of hypertensive

Objective: Characterize lifestyle parameters and learn about them, associating the variables with the control of hypertension in people attending outpatient unit. Method: Is a descriptive study using interviews and measuring: blood pressure, weight, height and waist circumference, of 511 people with hypertension, being controlled in an outpatient unit. Results: The Body Mass Index was at the upper limit of overweight (29.04 ± 4.35 kg/m2); 32.9% of men and 74.1% of women had waist over 102 cm and 88 cm, respectively; arterial pressure was greater than the limit that characterizes hypertension (151.3 ± 20.5 / 91.8 ± 15.5 mmHg); 44% reported smoking or former smoking; 59% did not practice regularly physical activity, and 24% reported intake of alcohol or interruption - in these respondents the daily amount of ethanol was excessive (71.4 ± 83.2 g). Only 22% of hypertensive were controlled and those who knew that the treatment includes weight reduction were more controlled (p <0.05, 24% vs. 9%). Conclusion: The knowledge about lifestyle can influence the control of hypertensive individualsObjective: Characterize lifestyle parameters and learn about them, associating the variables with the control of hypertension in people attending outpatient unit. Method: Is a descriptive study using interviews and measuring: blood pressure, weight, height and waist circumference, of 511 people with hypertension, being controlled in an outpatient unit. Results: The Body Mass Index was at the upper limit of overweight (29.04 ± 4.35 kg/m2); 32.9% of men and 74.1% of women had waist over 102 cm and 88 cm, respectively; arterial pressure was greater than the limit that characterizes hypertension (151.3 ± 20.5 / 91.8 ± 15.5 mmHg); 44% reported smoking or former smoking; 59% did not practice regularly physical activity, and 24% reported intake of alcohol or interruption in these respondents the daily amount of ethanol was excessive (71.4 ± 83.2 g). Only 22% of hypertensive were controlled and those who knew that the treatment includes weight reduction were more controlled (p <0.05, 24% vs. 9%). Conclusion: The knowledge about lifestyle can influence the control of hypertensive individuals

Preconceito na enfermagem: percepção de enfermeiros formados em diferentes décadas

Trata-se de estudo qualitativo, de natureza historico-social, que teve como objetivos: conhecer e compreender as percepcoes de um grupo de enfermeiros, formados em diferentes decadas, acerca do preconceito e formas de enfrentamento, envolvendo a escolha da profissao, no periodo de formacao universitaria ou no exercicio profissional. Utilizou-se a Historia Oral de Vida e a analise de conteudo. O estudo foi aprovado pelo Comite de Etica em Pesquisa da EEUSP. Desvelaram-se as seguintes categorias dos discursos dos sujeitos: manifestacoes de preconceito face a escolha profissional; preconceito percebido durante a graduacao em enfermagem; as vivencias profissionais acerca do preconceito. Em relacao as formas de enfrentamento, os colaboradores disseram ser importante a divulgacao do que e a enfermagem, bem como atuacao com competencia e o trabalho em equipe. Este estudo contribuiu para a compreensao das formas de enfrentamento das situacoes consideradas preconceituosas, possibilitando, assim, buscar estrategias de reconhecimento social e a valorizacao da profissao.

Variáveis biopsicossociais e atitudes frente ao tratamento influenciam a hipertensão complicada

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 > 140 mmHg and/or 90 < DBP < 110 mmHg for patients under no treatment and DBP <110mmHg for patients under treatment without target organ damage and other diseases) and 260 complicated hypertensive patients (DBP > 110 mmHg with or without treatment, with target organ damage or other diseases). RESULTS Complicated hypertensive patients were significantly different from uncomplicated ones (p <0.05) in relation to: 1 - Prevalence of men, not white (53.0%), higher body mass index (29.5 ± 4.6 vs 28.5 ± 4.0 kg/m²), over 10 years of disease (54.0%), completion of previous treatment (53.0%) and reports of sadness about life as a whole (74.0%) 2 - Complicated hypertensive patients never bring the drugs when they travel (59.0%), nor do they buy them before running out the drugs (71.0%) and rarely follow eating guidelines (69.0%) 3 - Uncomplicated hypertensive patients showed no more migraines, joint pain and, among women, menopausal status and hormone replacement therapy, and 4 - Of those who had pressure control (< 140/90 mmHg), 61.9% were uncomplicated hypertensive patients; and 5 - Complicated hypertensive patients were not aware that treatment can prevent kidney problems and they thought that young people do not have high blood pressure. CONCLUSION Complicated hypertensive patients showed more negative structural and psychosocial characteristics, more negative attitudes towards treatment and are unaware of the disease.

Prejudice in nursing: perception of nurses educated in different decades

Trata-se de estudo qualitativo, de natureza historico-social, que teve como objetivos: conhecer e compreender as percepcoes de um grupo de enfermeiros, formados em diferentes decadas, acerca do preconceito e formas de enfrentamento, envolvendo a escolha da profissao, no periodo de formacao universitaria ou no exercicio profissional. Utilizou-se a Historia Oral de Vida e a analise de conteudo. O estudo foi aprovado pelo Comite de Etica em Pesquisa da EEUSP. Desvelaram-se as seguintes categorias dos discursos dos sujeitos: manifestacoes de preconceito face a escolha profissional; preconceito percebido durante a graduacao em enfermagem; as vivencias profissionais acerca do preconceito. Em relacao as formas de enfrentamento, os colaboradores disseram ser importante a divulgacao do que e a enfermagem, bem como atuacao com competencia e o trabalho em equipe. Este estudo contribuiu para a compreensao das formas de enfrentamento das situacoes consideradas preconceituosas, possibilitando, assim, buscar estrategias de reconhecimento social e a valorizacao da profissao.

Prejuicios en enfermería: percepción de enfermeros formados en diferentes décadas

Trata-se de estudo qualitativo, de natureza historico-social, que teve como objetivos: conhecer e compreender as percepcoes de um grupo de enfermeiros, formados em diferentes decadas, acerca do preconceito e formas de enfrentamento, envolvendo a escolha da profissao, no periodo de formacao universitaria ou no exercicio profissional. Utilizou-se a Historia Oral de Vida e a analise de conteudo. O estudo foi aprovado pelo Comite de Etica em Pesquisa da EEUSP. Desvelaram-se as seguintes categorias dos discursos dos sujeitos: manifestacoes de preconceito face a escolha profissional; preconceito percebido durante a graduacao em enfermagem; as vivencias profissionais acerca do preconceito. Em relacao as formas de enfrentamento, os colaboradores disseram ser importante a divulgacao do que e a enfermagem, bem como atuacao com competencia e o trabalho em equipe. Este estudo contribuiu para a compreensao das formas de enfrentamento das situacoes consideradas preconceituosas, possibilitando, assim, buscar estrategias de reconhecimento social e a valorizacao da profissao.

Influencia del conocimiento sobre el estilo de vida saludable en el control de personas hipertensas

Objective: Characterize lifestyle parameters and learn about them, associating the variables with the control of hypertension in people attending outpatient unit. Method: Is a descriptive study using interviews and measuring: blood pressure, weight, height and waist circumference, of 511 people with hypertension, being controlled in an outpatient unit. Results: The Body Mass Index was at the upper limit of overweight (29.04 ± 4.35 kg/m2); 32.9% of men and 74.1% of women had waist over 102 cm and 88 cm, respectively; arterial pressure was greater than the limit that characterizes hypertension (151.3 ± 20.5 / 91.8 ± 15.5 mmHg); 44% reported smoking or former smoking; 59% did not practice regularly physical activity, and 24% reported intake of alcohol or interruption - in these respondents the daily amount of ethanol was excessive (71.4 ± 83.2 g). Only 22% of hypertensive were controlled and those who knew that the treatment includes weight reduction were more controlled (p <0.05, 24% vs. 9%). Conclusion: The knowledge about lifestyle can influence the control of hypertensive individualsObjective: Characterize lifestyle parameters and learn about them, associating the variables with the control of hypertension in people attending outpatient unit. Method: Is a descriptive study using interviews and measuring: blood pressure, weight, height and waist circumference, of 511 people with hypertension, being controlled in an outpatient unit. Results: The Body Mass Index was at the upper limit of overweight (29.04 ± 4.35 kg/m2); 32.9% of men and 74.1% of women had waist over 102 cm and 88 cm, respectively; arterial pressure was greater than the limit that characterizes hypertension (151.3 ± 20.5 / 91.8 ± 15.5 mmHg); 44% reported smoking or former smoking; 59% did not practice regularly physical activity, and 24% reported intake of alcohol or interruption in these respondents the daily amount of ethanol was excessive (71.4 ± 83.2 g). Only 22% of hypertensive were controlled and those who knew that the treatment includes weight reduction were more controlled (p <0.05, 24% vs. 9%). Conclusion: The knowledge about lifestyle can influence the control of hypertensive individuals

Perfil de un grupo de hipertensos: aspectos biosociales, conocimientos y adhesión al tratamiento

OBJECTIVE: To characterize a group of hypertensive patients in relation to beliefs, knowledge, attitudes and factors that could affect treatment compliance. METHODS: The data were collected by interviewing hypertensive outpatients. RESULTS: A total of 511 hypertensive patients were studied: most were women, white, with elementary education, and 53±11 years old. The patients had high levels of knowledge about hypertension and treatments. However, they interrupted the treatment due to the expensive medicines and the lack of instructions. Furthermore, they believed they had to take medicines only when they felt unwell, and they did not attend their medical appointment usually due to forgetfulness and personal problems. Regarding the attitudes against the antihypertensive treatment, hypertensive patients forgot to take the medicines, took the medication at different hours, stopped taking the medication on their own account, did not follow instructions, and did not exercise regularly. CONCLUSION: The profile of the hypertensive patients identified aspects that can hamper treatment compliance.Objective: To characterize a group of hypertensive patients in relation to beliefs, knowledge, attitudes and factors that could affect treatment compliance. Methods: The data were collected by interviewing hypertensive outpatients. Results: A total of 511 hypertensive patients were studied: most were women, white, with elementary education, and 53±11 years old. The patients had high levels of knowledge about hypertension and treatments. However, they interrupted the treatment due to the expensive medicines and the lack of instructions. Furthermore, they believed they had to take medicines only when they felt unwell, and they did not attend their medical appointment usually due to forgetfulness and personal problems. Regarding the attitudes against the antihypertensive treatment, hypertensive patients forgot to take the medicines, took the medication at different hours, stopped taking the medication on their own account, did not follow instructions, and did not exercise regularly. Conclusion: The profile of the hypertensive patients identified aspects that can hamper treatment compliance.