Instrumentalização do manejo clínico do paciente Hiperdia na Equipe Saúde da Família Rural no município de Pompéu

Abstract

The HIPERDIA is a System of Registration and Monitoring Hypertensive Diabetics raised in the National Plan of Reorganization of Care for Arterial Hypertension and Diabetes Mellitus in all outpatient clinics of the National Health System, generating information for local managers, managers of departments, state and Ministry of Health. This study aimed to develop an intervention project with the aim of improving the monitoring and treatment adherence of patients in the program HIPERDIA Health Team of the Rural Family, located in the municipality of Pompéu - MG. Sought to theoretical basis, the Virtual Health Library, articles related to the themes of HIPERDIA, Hypertension and Diabetes Mellitus with the descriptors hypertension, diabetes and the Family Health Program in addition to lifting Pompéu county data. As cardiovascular risk classification adopted by the Ministry of Health, the total of 198 patients enrolled, 54% had high-risk and 17% very high risk. Moreover, 59% of patients registered with a good level of blood pressure control, or, less than or equal to 140 systolic 90 diastolic in mmHg. In contrast 41% of patients have a greater or lesser lack of risk. Programs of multidisciplinary interventions and / or instruments to facilitate a better control of these factors should be applied, especially in the attainment of treatment goals and consequent cardiovascular risk reduction