Proposta de intervenção para controle inicial e manutenção do seguimento longitudinal de hipertensos em USF Cidade Nova

Abstract

The increasing prevalence of a sedentary lifestyle and the consumption of ultra- processed foods have contributed to the growing incidence of chronic diseases, such as Systemic Arterial Hypertension. This project proposes an intervention at the Family Health Unit of Cidade Nova, Natal/RN, focusing on hypertensive patients without adequate follow-up or undiagnosed cases. The methodology is based on the Situational Strategic Planning approach, and through Rapid Estimation, problems and critical issues to be addressed were identified, such as the underdiagnosis and undertreatment of Systemic Arterial Hypertension, lack of health education, and insufficient community participation. Based on these findings, strategies were developed to promote the active involvement of professionals and users in the proposal, including the creation of a continuous education group to discuss risk factors, management, and self-care promotion in hypertensive patients. These meetings will be led by the multidisciplinary healthcare team, emphasizing in community participation to foster health education and ensure adequate follow-up of cases. The intervention is expected to contribute to blood pressure control, improved quality of life, reduced complications related to hypertension, and the creation of a supportive environment for interaction between users and professionals, thereby strengthening bonds and maintaining longitudinal care.