Projeto de intervenção educativa sobre a hipertensão arterial sistêmica e diabetes nos pacientes da equipe 415 – Centro de saúde da família - Morada Vale dos sonhos, Goiânia-GO

Abstract

This intervention project addresses the implementation and benefits of a Hypertension and Diabetes (Hiperdia) group at the Morada Vale dos Sonhos Family Health Center (CSF) in Goiânia, focusing on patients with systemic arterial hypertension (SAH) and type 2 diabetes mellitus (DM2). The introduction contextualizes the reality of the unit, which, despite its structural limitations, will adapt the group's activities in a space provided by a local church to ensure accessibility. The definitions and high global and national prevalence of SAH and DM2 are presented, highlighting the need for innovative strategies to control these comorbidities. The rationale highlights the crucial role of the Hiperdia group in primary care, offering a welcoming space, health education, and promotion of self-care. Analysis of medical records revealed that over 70% of patients in the area are decompensated, reinforcing the urgency of intervention. Alarming statistics on hypertension and type 2 diabetes in Brazil and worldwide are presented, solidifying the importance of preventive and control actions in public health. The project aims to improve treatment adherence and the overall health of a predominantly elderly and vulnerable population. The project objectives include evaluating the improvement in health indicators and quality of life of the participants, describing the sociodemographic and clinical profile, comparing clinical and laboratory data (blood pressure, blood glucose, BMI) before and after 12 months of participation, analyzing the frequency and participation in educational activities, and identifying changes in lifestyle habits. The methodology proposes an educational intervention study with 50 regular patients from the Hiperdia group, selected from a total of 186 registered. A literature search will be conducted for background information, and data such as age, sex, education, comorbidities, cardiovascular risk factors, and clinical examination results will be evaluated, in addition to the percentage of regular consultations and medication use. The theoretical framework delves into the definitions and implications of uncontrolled diabetes and hypertension, emphasizing that these conditions are the main causes of complications and mortality. It highlights that continuing education and group approaches are cost-effective, improve adherence to treatment, promote self-management of the disease, and reduce stigma. Social support and a multidisciplinary team are identified as essential elements for the success of these interventions. Finally, the expected results include improved glycemic and blood pressure values in 70% of patients, improved therapeutic adherence, and a positive impact on the mental health of the elderly due to social interaction and engagement with health professionals. The project aims to demonstrate the significant impact that the Hiperdia group can generate in the community, contributing to the reduction of complications and the improvement of quality of life.