Hipertensão arterial na área de abrangência da ESF Julho Leitão, Pará de Minas, MG: proposta de intervenção

Abstract

Systemic Arterial Hypertension is a clinical condition with a high prevalence and low control rates. It is considered one of the major modifiable risk factors for cardiovascular diseases, which have become the leading cause of death in Brazil and responsible for high frequency of hospitalizations, resulting in high costs. This study aimed to develop a proposal for intervention to confront a problem, considered a priority in the area covered by the ESF Julho Leitão: the high number of hypertensive patients. For preparation of the proposed intervention for hypertensive patients enrolled in the team, were performed three steps: situational analysis, literature review and drafting of the action plan, using the Situational Strategic Planning Simplified. The causes of the problem, as critics we selected were: Habits and unhealthy life style; social pressure (unemployment and violence, for example) that creates stress; level of information about the health issue, influencing the way individuals deal with it, and also in adherence to treatment; the structure of health services, to receive and answer the patient, the best way solving your problem, avoiding complications and working process of the healthcare team, affecting the quality of care provided and the effectiveness of it. The three proposals for addressing the critical operations we were doing work to the agenda, according to the master plan of primary health care; using protocols with the line as a reference guide; and implement a system of care and active search for users with hypertension. The preparation of this action plan has enabled the Health Team to realize the importance of using a planning method as a tool for organization of the work process, hitherto made intuitive and automatic. With this, we expect a more effective monitoring of patients with hypertension.