The everyday life of hypertensive individuals from the perspective of the Lalondes Health Field Model. / O cotidiano do hipertenso na perspectiva do modelo de campo de saúde de Lalonde

AUTOR(ES)
DATA DE PUBLICAÇÃO

2007

RESUMO

This study was developed with hypertensive patients registered in an Aerobic Exercise Program in a Health Care Center in the city of Toluca-Mexico. The study objective is to characterize these individuals according to the Lalondes Health Field Model variables: human biology, environment, life style, and health service organization. The study also aimed to analyze these patientsfeelings and considerations regarding their illness and their care towards it. Forty-eight patients took part in the study. Patient data was obtained in two phases: first, the data regarding the four Lalondes Health Field Model elements were obtained, and, then, using five guiding questions, it was possible to identify the hypertensive patientsexperience with the illness, focusing on their thoughts and feelings from the moment of diagnosis to the changes imposed by the illness. After obtaining the patientsblood pressure (BP) values, they were classified in two groups, according to JNC-7 (2006) recommendations: those with BP under control, and those with uncontrolled BP. Among patients in the controlled BP group, 77.08% were women, 54.16% were aged above 60 years, 81.25% did not have the BP under control, 27.08% were overweight, and 68.75% had a waist-hip ration (WHR) above 90. Among the hypertensive patients, 45.83% were unable to report any family history for the illness, 20.83% reported being hypertensive for over 10 years, 72.91% were under hypertension treatment, 43.73% reported knowing their BP values, 39.59% were widowed, 52.08% originated from the urban environment, 68.75% had a low educational level, 54.16% performed household chores, 70.83% reported doing physical exercises, with 66.67% reporting walking regularly, 75.0% are non-smokers, 68.75% do not drink alcoholic beverages, 66.67% reported having stress, which is rather often due to family problems, 72.91% reported eating at least three meals a day and eating foods with littlesalt (68.75%), 68,75% indicated using the public systems health care service, of which54.16% reported seeking the service only when they did not feel well. Regarding what the patients considerations about the illness and health care, is was possible to identify that they perceived that the change in behavior as something necessary for the change in behavior from as of the moment the illness is identified, regardless if the onset has not yet caused any significant change. The study results are important for the universe of health services in Mexico, since the requires the need for more profound studies that would generate new knowledge that could enhance the care offered to hypertensive individuals.

ASSUNTO(S)

fatores de risco hypertension hipertensão risk factors modelo de campo de saúde health field model

ACESSO AO ARTIGO

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