Knowledge about Systemic Arterial Hypertension in Employees of a Teaching Institution in the Metropolitan Region of Porto Alegre / RS

Autores

  • Paulo Ricardo Marques Filho Anhanguera University, Physical Therapy Course. RS, Brazil.
  • Franciely da Rosa Ferraz Hospital do Coração, SC, Brazil.
  • Franciely da Rosa Ferraz Hospital do Coração, SC, Brazil.
  • Henry Güths La Salle University. RS. Brazil.
  • Henry Güths La Salle University. RS. Brazil.

DOI:

https://doi.org/10.17921/2447-8938.2019v21n3p198-203

Resumo

Abstract
In occupational health actions that aimed at the clinical outcome of Hypertension (HBP) are directed in the form of informative lectures and prevalence data. The objective was to determine the level of knowledge of hypertension in employees of an educational institution in the metropolitan area of Porto Alegre / RS as a strategy for education and health promotion. Three meetings were held that consisted of evaluating the knowledge of hypertension, anthropometric data (IMC index) and physical activity level (IPAQ). Blood pressure (BP) was measured at each meeting. Statistical analysis was performed through the descriptive analysis of the variables: hypertension prevalence, blood pressure levels, level of knowledge about hypertension, mean±SD, percentage. It was considered statistically significant p <0.05. The sample consisted of 35 employees, 57.1% female and 42.9% were male. Five new hypertensive stage 1 were discovered, the classification of HBP, optimal n = 14 (40%), normal n = 11 (31.4%), borderline n = 3 (8.6%), hypertension stage 1 = n 7 (20%). In the field “concept” most employees did not associate the term “high pressure” with hypertension disease. As for the “risk factors” and “complications” 48.6% associated with nervousness hypertension and most participants believe that HBP leads to health complications. In the treatment 28.6% know the non pharmacological treatment. The domain “prevention” returned 100% correct when it was inquired about the prevention of hypertension. Health education programs seek to facilitate access to information about the disease, aiming at prevention, better treatment adherence and quality of life.

Keywords: Hypertension. Health Education. Occupational Health.

Resumo
Na saúde do trabalhador ações que visam o desfecho clínico de Hipertensão Arterial Sistêmica (HAS) são direcionadas na forma de palestras informativas e dados de prevalência. O objetivo foi verificar o nível de conhecimento de HAS em colaboradores de uma instituição de ensino na região metropolitana de Porto Alegre/RS como estratégia de educação e promoção em saúde. Foram realizados três encontros que consistia na avaliação do conhecimento em HAS, dados antropométricos (índice de Massa corporal) e nível de atividade física (IPAQ). A Pressão Arterial (PA) foi mensurada em cada encontro. A análise estatística foi realizada por meio da análise descritiva das variáveis: prevalência de HAS, níveis pressóricos, nível de conhecimento sobre HAS, média±DP, percentual. Foi considerado estatisticamente significativo p<0,05. A amostra foi composta de 35 colaboradores, 57,1% do sexo feminino e 42,9% do sexo masculino. Foram descobertos 5 novos hipertensos estágio 1, quanto à classificação de PA, ótima n=14 (40%), normal n= 11 (31,4%), limítrofe n=3 (8,6%), hipertensão estágio 1 n=7 (20%). No domínio “conceito” grande parte dos colaboradores não associou o termo “pressão alta” a doença HAS. Quanto aos “fatores de risco” e “complicações” 48,6% associa nervosismo a hipertensão e a maioria dos participantes acredita que a HAS leva a complicações na saúde. Já no tratamento 28,6% desconhecem o tratamento não farmacológico. O domínio “prevenção” obteve 100% de acertos quando indagamos sobre prevenção de HAS. Programas de educação em saúde buscam facilitar o acesso a informações sobre esta doença, buscando a prevenção, uma melhor adesão ao tratamento e qualidade de vida.

Palavras-chave: Hipertensão. Educação em Saúde. Saúde do Trabalhador.

Biografia do Autor

Paulo Ricardo Marques Filho, Anhanguera University, Physical Therapy Course. RS, Brazil.

Fisioterapeuta do departamento de Terapia Intensiva

Referências

Bethany BG, Kelley PG, Jared PR, John MJ, Mercedes RC, Barbara S. Cross-sectional and longitudinal associations between objectively measured sedentary time and metabolic disease: the Coronary Artery Risk Development in Young Adults (CARDIA) Study. Diabetes Care 2015;38(10):1835-43. doi: 10.2337/dc15-0226.

Davide R, Michael OH, Marina LP, Rosana A, Mauricio LB. Impact of primary health care on mortality from heart and cerebrovascular diseases in Brazil: a nationwide analysis of longitudinal data. BMJ 2014;349:g4014. doi: 10.1136/bmj.g4014

David AC, John NB, Suzanne O, Marguerite RI, Daichi SS, Daniel TL, et. al. Determination of prevalence, risk factors, and comorbidities in a large, population-based cohort. Hypertension 2014;63:451-8. doi: 10.1161/HYPERTENSIONAHA.113.02026

Robert M. Carey, MD; Paul KW. Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Synopsis of the 2017 American College of Cardiology/American Heart Association Hypertension Guideline. ACC/AHA Hypertension Guideline Writing Committee. Ann Intern Med 2018;168(5):351-8. doi: 10.7326/M17-3203

Jacobs AK, Anderson JL, Halperin JL, Anderson JL, Halperin JL, Albert NM. et al. ACC/AHA Task Force Members. The evolution and future of ACC/AHA clinical practice guidelines: a 30-year journey: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014;64(3):1208-17. doi: 10.1016/j.jacc.2014.06.001

Thomopolous C, Parati G, Zanchetti A. Effects of blood pressure lowering on outcome incidence in hypertension: Effects of more vs less intensive blood pressure lowering and different achieved blood pressure levels: updated overview and meta-analysis of randomized trials. J Hypertens 2016;34(4):613-22. doi: 10.1097/HJH.0000000000000881.

Xie X, Atkins EL, Bennett A, Neal B, Ninomiya T, et al. Effects of intensive blood pressure lowering on cardiovascular and renal outcomes: updated systematic review and meta-analysis. Lancet 2016;387(10017):435-43. doi: 10,1016/S0140-6736(15)00805-3

Mario S, Jose L, Shakir C, Ammar A, Clio O, John CM. Effects of the Dietary Approach to Stop Hypertension (DASH) diet on cardiovascular risk factors: a systematic review and meta-analysis. British J Nutr 2015;113:1-15. doi: 10.1017/S0007114514003341

Helena LQ , Paul AL, Dina B, Pablo P, Patricio LJ, Robby N, et. al. Patients’ knowledge, attitudes, behaviour and health care experiences on the prevention, detection, management and control of hypertension in Colombia: a qualitative study. PLoS One 2015;10(4):e0122112. doi: 10.1371/journal.pone.0122112.

Lanas F, Avezum A, Bautista L, Diaz R, Luna M, Islam S. Risk factors for acute myocardial infarction in Latin America: the INTERHEART Latin American study. Circulation 2007;115(9):1067-74. doi: 10.1161/CIRCULATIONAHA.106.633552

Khatib R, Schwalm JD, Yusuf S, Haynes RB, McKee M, Khan M, et al. Patient and healthcare provider barriers to hypertension awareness, treatment and follow up: a systematic review and meta-analysis of qualitative and quantitative studies. PLoS One. 2014. doi: 10.1371/journal.pone.0084238.

Giovana ZP, Tânia BB. Adaptation of the international physical activity questionarie for the elderly. Rev Bras Cineantropom Desempenho Hum 2010;12(6):480-4. doi: 10.5007/1980-0037.2010v12n6p480

Stella SD, Doreen MR, Kelly BZ, Kaberi D, Kara N, et. al. The 2015 Canadian hypertension education program recommendations for blood pressure measurement, diagnosis, assessment of risk, prevention, and treatment of hypertension. Can J Cardiol 2015;31(5):549-68. doi: 10.1016/j.cjca.2015.02.016.

Victor CN, Sandro SL, Aureliano IS, Geraldo MN, Alexandre P. Arterial hypertension among adolescents in Rio de Janeiro: prevalence and association with physical activity and obesity. Ciênc Saúde Coletiva 2014;19(6):1699-708. doi: 10.1590/1413-81232014196.05262013

Deborah CM, Regina TB, Silvânia AS, Marta MS, Gustavo VM. Rev Saúde Pública 2017. doi: 10.1590/s1518-8787.2017051000006

Gustavo BO, Alvaro A, Leonardo R. Cardiovascular disease burden: evolving knowledge of risk factors in myocardial infarction and stroke through population-based research and perspectives in global prevention. Front Cardiovasc Med 2015;13(2):32. doi: 10.3389/fcvm.2015.00032.

Paulo AL, Alexandre CP, Paulo SV, Itamar SS, Jose GM, Isabela MB. Resistant hypertension: risk factors, subclinical atherosclerosis, and comorbidities among adults - The Brazilian Longitudinal Study of Adult Health (ELSA‐Brasil). J Clin Hypertens (Greenwich) 2015;17(1):74-80. doi: 10.1111/jch.12433.

Liana CG, Shadi K, Fumiaki I, Rozenn L, David SS, Bruce MP, Dariush M. Contribution of major lifestyle risk factors for incident heart failure in older adults. JACC Heart Fail 2015;3(7):520-8. doi: 10.1016/j.jchf.2015.02.009.

Irene AK, Frances TD, Samuel AD. Mental health in hypertension: assessing symptoms of anxiety, depression and stress on anti-hypertensive medication adherence. Int J Ment Health Syst 2014;8:25. doi: 10.1186/1752-4458-8-25

Mulvany MJ. Small Artery Remodeling and Significance in the development of hypertension. Am J Physiol 2018;17(3). doi: 10.1152/nips.01366.2001.

Connor AE, Simon GA, Mark W, Kazem R. Usual Blood Pressure and risk of new-onset diabetes. J Am Coll Cardiol 2016;66(14):1552-62. doi: 10.1016/j.jacc.2015.07.059

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Publicado

2019-09-24

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1.
Marques Filho PR, Ferraz F da R, Ferraz F da R, Güths H, Güths H. Knowledge about Systemic Arterial Hypertension in Employees of a Teaching Institution in the Metropolitan Region of Porto Alegre / RS. J. Health Sci. [Internet]. 24º de setembro de 2019 [citado 26º de dezembro de 2024];21(3):198-203. Disponível em: https://journalhealthscience.pgsscogna.com.br/JHealthSci/article/view/6397

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