Acessibilidade / Reportar erro

Self-care comparison of hypertensive patients in primary and secondary health care services

Abstract

Objective

To compare the self-care performed by hypertensive patients monitored in primary and secondary health care.

Methods

Cross-sectional study with 189 patients with arterial hypertension in a Basic Health Unit and in an integrated center for diabetes and hypertension in Fortaleza, from March to June, and from September to November of 2013. An interview with a guide based on Orem’s self care theory was conducted. For statistical analysis, percentage and chi square test distributions were used.

Results

Adequate fluid intake (77.6%), attending nurse consultation (88.0%), and changes in lifestyle (54.3%) had better results with patients monitored in primary care. Appropriate salt consumption (100.0%) and abstinence from alcoholic beverages (88.7%) were more common in patients monitored in secondary care.

Conclusion

Hypertensive patients from both primary and secondary care showed a self-care demand, without significant differences.

Health services evaluation; Public health nursing; Nursing; Hypertension; Self care

Escola Paulista de Enfermagem, Universidade Federal de São Paulo R. Napoleão de Barros, 754, 04024-002 São Paulo - SP/Brasil, Tel./Fax: (55 11) 5576 4430 - São Paulo - SP - Brazil
E-mail: actapaulista@unifesp.br