Ações de saúde a portadores de hipertensão que foram a óbito por doença cerebrovascular adscritos a territórios de equipes de saúde da família de Contagem, Minas Gerais

Abstract

Systemic arterial hypertension is an important factor for cardiovascular disease. Theorganization of primary health care on the hypertension control contributes to thereduction of complications, especially stroke. Taking this into account, the Ministry ofHealth indicates the development of programs to hypertension control, as theprincipal strategy of organizing assistance to this problem and some actions must beimplemented by the Family Health Strategy (PSF). The aim of the study was toevaluate the health actions undertaken by group of Family Health for thehypertension control in Contagem City - Minas Gerais, taking as reference themortality by stroke that could be reducible and / or preventable by appropriate heathactions the hypertension prevention, control and care under SUS. This is anexploratory and descriptive study, which is inserted at health evaluation field. Allprocedures were approved by Ethics Committee of Research of Federal University ofMinas Gerais. Data on mortality from cerebrovascular disease from 92 deaths at theyear 2006 and 2007 were collected. Data from Heath actions aimed to theHypertension control that was offered by family health group along 24 monthspreceding each death were collected. Data were shown as tables and graphs. Theiranalyses were compared with the results and parameters set by the Ministry ofHealth and other studies at the literature. The incomplete data records anddocuments lost (medical records, records of SIAB, HIPERDIA sheets and recordbooks) or data non-existent caused some difficulties and limitations to this study. Thisevaluation demonstrated lower data utilization and poor recording process performedby health professionals. Furthermore, was observed that most of the cases had lowernursing and medical monitoring. The same way, it was verify lower participation toeducational activities, laboratory exams performed or to global cardiovascularclassifications.Final considerations: The results of this study suggest that, in the most of cases,the attention recording was not based on the planning and programming of theactivities. Furthermore, there are weaknesses on the identification of different riskfactors and on heath care by the family health group to organize actions forhypertension care. Organization of hypertension care actions is a challenge to theNational Health System, taking into account the necessity of readjustment of primarycare to development of strategies aimed to prevent hypertensive events, itscomplications and health improvement, which can promote better quality of care andthereby reduce morbidity and mortality related to this condition.