Análise da atenção prestada aos pacientes portadores de hipertensão arterial no município de Piraí com bases nos registros dos prontuários ambulatoriais e hospitalares

Abstract

Control of Hypertension is central in order to reach greater efficiency in reducing adverse events secondary to chronic uncontrolled blood pressure. The results of a comprehensive care to patients not limited to the access and availability of effective drugs to control blood pressure. It involves a network of integrated services, guided by primary care, specialist services and hospital care of the problems. The care of patients with these chronic diseases requires the services and primary care professionals to implement strategies host of links and effective therapeutic and intervention projects covering promotion, prevention, care and rehabilitation. With this question in mind is that this project was to examine the care provided to patients with arterial hypertension in Pirai based on the medical records and hospital outpatients. Were computed and analyzed the medical records of patients hospitalized for injuries that directly or indirectly, are related to uncontrolled blood pressure. We identified a total of 61 inpatients with hospital Hypertensive Crisis and Stroke in 2010, in the Leal Flavio Hospital. From hospital records of 35 patients were selected. These were residents of Pirai, ascribed the basic teams in the city and had their diagnoses confirmed at hospital discharge. The second stage of the study looked at the Family Health Unit, the family records of cases of hospitalization. It was observed that there was no uniformity in registration and archiving of medical records between the basic units. In the records there were no camps for clinical records to psychosocial, behavioral change or accession. The notes were focused on diseases and pharmacological treatments. The participation of non-medical professionals in the clinical records were scarce. The Form B of the SIAB (Sheet Hypertensive Patient Monitoring) which contains data on behavior and cardiovascular risk was found only in three of eight units visited. According to data of the charts analyzed the distribution of consultations and home visits was very irregular. With a total of 10 records without records of visits in the year in which the patient was hospitalized. The severity of hospitalized patients can be identified by the high number of deaths among the cases analyzed. Many of the cases had neurological sequelae and comorbidities that probably hindered his visits to family health units. Psychosocial, family and community were mostly absent family members analyzed the medical records of hospitalized patients. Nor were found notes on therapeutic projects and multidisciplinary individualizassem hierarquizassem injuries and physical and psychosocial risks of the patients. The analysis shows that in the medical records do not reflect the breadth of a comprehensive care to patients of Hypertension in Primary Care.