Plano de intervenção para redução de fatores de risco cardiovascular entre hipertensos e diabéticos em uma Unidade de Saúde da Família no município de Esmeraldas, Minas Gerais

Abstract

There are many deficiencies and challenges to be faced in the reality of the health system in the municipality of Esmeraldas, Minas Gerais, as well as in the city community assisted by the Family Health Team Ângela Francisca. To facilitate the development of health actions, it is necessary to know the population's health situation, identify health problems, prioritize them and develop an intervention plan to make such actions possible. The city population is characterized by about 18% of hypertensive patients and 6% of diabetic patients, which together, represent approximately one quarter of the local population. Among these patients, the presence of cardiovascular risk factors and the number of patients with unfavorable outcomes seems high. Cardiovascular diseases are the leading cause of death in the world. To assess cardiovascular risk, data should be collected through the “Health in Day Form” and cardiovascular risk factors among these data: age, sex, total cholesterol, HDL, smoking habits and blood pressure. These data was used to estimate ten years cardiovascular risk using the Framingham Risk Score. In addition, “critical nodes”, associated with the high prevalence of cardiovascular risk factors, were selected and the design of operations and the intervention plan for a possible reduction of cardiovascular risk among these users was proposed. This will make it possible to propose actions for the team to better understand its fundamental role in the process of continuing education, community health education and best practice; actions for greater adherence to non-medicated and medicated treatments among users with high cardiovascular risk. To propose better processes for the family health team, aimed at better health care for users with high cardiovascular risk. In addition, to propose actions such as the implementation of operative groups and holding scheduled consultations for the continued care of hypertensive and diabetic patients in order to reduce cardiovascular risk.