Adesão às mudanças no estilo de vida em portadores de hipertensão arterial sistêmica primária e/ou diabetes mellitus tipo 2: propostas para a USF Olavo Calheiros, Rio Largo - Alagoas

Abstract

Rio Largo is the third largest city in the state of Alagoas, with 78% coverage of the Family Health Strategy, distributed in 21 teams packed in 18 Family Health Units (USF). The USF Olavo Calheiros is located in Effort district, close to the city center, whose status issue to be worked on is the low adherence to non-pharmacological treatment of Hypertension Primary (HBP) and type 2 diabetes mellitus (DM), diseases with high prevalence in the enrolled population. This study has as objective to develop a proposal for intervention to increase adherence to non-medication treatment of these morbidities. The design of the proposal was based on the Flash Estimate Method, since the plug and the accompanying card were developed from clinical protocols adopted by the Ministry of Health on the issues. So, projects were built that aim to (1) the encouragement of physical activity, (2) combat alcoholism and / or smoking, (3) improved adherence to diet healthy and fit for DM and / or hypertension, (4) increase in the percentage of diagnosis, (5) improvement of health education about both diseases, (6) suggestion of a spreadsheet monitoring and evaluation of the results of the strategies proposed in this plan, (7) monitoring of patients via a card and plug outpatient care, (8) establishing a clinical protocol for monitoring and (9) encouraging the continuing education of staff about the issues. In conclusion, the understanding of treatment adherence depend on both individual factors (physical, emotional, financial, social), as the staff, service and the health system shows the need for awareness of the complexity in the management of these patients by all involved: the failure of these pillars, success is unlikely.