O papel do enfermeiro na abordagem ao hipertenso durante a consulta de enfermagem

Abstract

The study aimed to identify the scientific literature the role of the nurse with the hypertensive patient during nursing consultation. We conducted a literature databases in the Latin American and Caribbean Health Sciences (LILACS) and Scientific Electronic Library Online (SciELO). In the preliminary survey conducted in selected databases found a total of 63 studies. Reading the titles and abstracts were selected nine studies. After full reading, the number of studies decreased from three to nine. In carrying out this study was formulated the following question: what is the role of the nurse with the hypertensive patient during nursing consultations? In the studies reviewed, physical examination base itself is basically the blood pressure evaluation and verification of body weight. The nurses described the step of interventions as the time for completion of guidelines and referrals. The nursing consultation was carried out individually and collective approach was minimal. Education activities in health observed the predominance of individual orientations and focusing on disease. Furthermore, studies show the presence of various risk factors (smoking, physical inactivity, heredity, dyslipidemia, etc.) to the complications of hypertension and difficulty of adherence to antihypertensive treatment, especially to non-drug-related low level of education school, family income, marital status, etc.. The authors mention that it is the nurse, find strategies that allow greater patient compliance/customer treatment, as conducting education activities focusing on health and coverage of issues that enable knowing attitudes, perceptions, knowledge and practice of patients with hypertension ; encourage active participation in the treatment of hypertension; take into consideration the difficulties and needs of customers, to establish proper communication between patient and health professional, cognitive and psychosocial work's users, and seek the involvement of the family in the treatment of patients with hypertension . This study showed that the nursing consultation has not been carried out systematically and observe that there is little regularity in educational activities.